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What could be the cause of foll symptoms like stomach upset, vomiting etc.,?
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Hi What could be the cause of the foll symptoms: Stomach Upset ( Loose motion ), Giddiness, Vomiting, feeling slightly chilly, Feet have become cold, chilliness in the stomach Aged 66, male, has Diabetes since 20 years but fairly in control, suffered stroke a year ago, underwent appendicitis operation last month
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welcome to healthcaremagic gastro intestinal infection may present like this as you are 66 and diabetic ,had stroke it is better to consult your physician and take advice soon
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Suggest treatment for thin and watery semen
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Hi. My husband and I are trying for a baby. His semen has been thin and watery for the past 6 months. It used to be thick and white. He is 31 years old. He was recently diagnosed with diabetes and high blood pressure. But his diagnosis was only about a month ago. What can we do? Also, we ve given him time to replrnish as in waiting 48hrs between ejaculation. Thank you.
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Hello,I think your husband should a semen examination done. The report of this will decide the chances of conceiving after intercourse. Thin and watery semen itself can not decide the chances of getting pregnant.Thanks.
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What causes vascular changes in the brain?
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I am 52 and postmenopausal 2.5 yrs. now. I recently had an MRI of the brain and was found to have vascular changes in the brain and was reported to have mild to moderate microvascular disease and was put on a 325 mg. Bayer aspirin daily. I am overweight and going to see a dietician and have joined a gym to help out on my part. What does or can this diagnosis mean for me?
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Hello, I would explain that these changes are usually related to arterial hypertension, obesity, diabetes or dyslipidemia. For this reason, I agree with your doctor on trying to lose some weight, taking regularly aspirin and try to maintain normal blood pressure values. This will help stop the progression of such changes. Hope I have answered your query. Let me know if I can assist you further. Wish you good health. Regards, Dr. Ilir Sharka, Cardiologist
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What causes tiredness?
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I am extremely tired, I can sleep all day and it doesn t help, I am starving, all the time I can eat and eat and not get fullI am extremely tired, I can sleep all day and it doesn t help, I am starving, all the time I can eat and eat and not get full.............I am extremely tired, I can sleep all day and it doesn t help, I am starving, all the time I can eat and eat and not get fullI am extremely tired, I can sleep all day and it doesn t help, I am starving, all the time I can eat and eat and not get full......................
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Hello, In my opinion, conditions to consider in your case are diabetes, low thyroid gland function, depression, etc. You should seek medical evaluation for your issues. Further testing is necessary to achieve a correct diagnosis. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Erion Spaho, Neurologist, Surgical
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What causes reduction of hemoglobin level and CA level?
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I have type 2 diabetes for 10 years. I take metformin, symbastatin, lisynnprol. (Spelling?) In the past 2 years my Hemoglobin has dropped to 11.7 from 13.2. I am not bleeding anywhere. My CA is 6.6 which is a little low. My lytes are somewhat low also. Any suggestions?
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Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Complete hemogram is necessary to identify the type of anemia. If no bleeding, iron, Vit B12 or folic acid deficiency is common. Needs correlation with MCV and MCH.2. If low MCV, iron deficiency is common. If high MCV, Vit B12 and folic acid deficiency. If normal, both needs to be taken.3. Calcium correction needs to be done with calcium supplements.4. Possible malnutrition due to selective diet due to diabetes is common cause of anemia. If not sure, iron studies, and Vit B12 assay will be helpful. Adequate hydration is essential. Specific lytes, specially potassium requires correction with oral supplements. Hope it helps.Any further queries, happy to help again.
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What is the treatment for heart murmur and peripheral vision loss?
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Hi my husband has had short spells about 10 minutes of peripheral vision loss to one side, like a ministroke, he's 66 cholesterol diabetes etc all OK recently checked thoroughly, he has a slight heart murmur valve leakage that is Ok and being screened. He is going for a hypertension test next week for his eyes. Should he be asking for a brain scan or what could be the problem? Many thanks
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Hi,Welcome.It is Dr Sameer, cardiologist.Heart murmer with stroke could be serious & needs detailed cardiac evaluation. Any clot in heart formed by heart problem (like Atrial Fibrillation) is serious.I'll recommend for urgent 2D Echo, ECG & MRI brain to rule out any such abnormality.If present it will need long time blood thinning drugs to prevent future risk of stroke.Thanks
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Pain, bloating, vomitting bile. Numbness, tingling pain in arms. Profuse sweating, dry mouth, frequent urination. Related to gallbladder?
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i'm having a lot of pain and bloating/gas in my abdomen area also burning pain in lower back coming from my colon. I' m vomiting bile. I just had an endoscopy and colonoscopy done last week. the doctor found 2 polyps in my stomach, which he said was very unusual but sent a biopsy to the lab but it was okay. For 2 months now, i'm having numbness and tingling pain in both arms and hands. I had a neurologist run a test on me and said that my neck c-6/7 is pressing a nerve causing this problem but i'm beginning to think all this is related to either my pancreas or gall bladder, because I I also sweat profusely, have dry mouth and frequent urination.
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hiThanks for your queryi can feel your concernsThat's a good news that biopsy was ok.i advise you to avoid spicy and junk foodTake green leafy vegetables and fruits in dietyou can take an antacid after consulting your doctorvitamin B12 supplements are helpful in tingling and numbness i also advice you to check your fasting sugar and rule out diabeteseHope i have ansewered your queryi am available for your help regardsDr.imran
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Could brown discharge and milky white urine be associated to gallstones?
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Last Saturday night I was rushed to the ER for the 3rd time and was diagnosed with gallstones. I am a diabetic and my diabetes has been out of control due to a horrible diet... The following day I drastically changed my diet. No fried foods, no fatty foods I m only eating Fresh fruits and vegetables I ve lost 10 pounds this week. I believe I m pre-menopausal I m 47 I m having horrible periods that stop and start with blood clots and lots of pain. Today I m having another period but it s brown with a foul order and my urine is milky white what could this be caused by the gallstones?
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Hi there,Thanks for posting in HCM.No, brown discharge and milky white urine are not due to gallstones.Gallstones usually remain without symptoms. When they cause symptoms, the symptoms are usually abdominal pain, fever and jaundice.Milky white urine could be due to urinary infection.Brown discharge again could be due to local infection.I hope that answers your question.Regards.
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What causes blurred vision, frequent urination and numbness in the limbs?
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Hi there. A couple months ago I started noticing these symptoms and they're increasingly getting worse. I've always drank a lot of water, I'm naturally just one of those people who drink a ton of water. But lately when I drink any water at all- even a small cup, my abdomen protrudes and looks extremely bloated and my bladder is immediately full. It takes little to nothing to fill it up- and this makes me need to urinate a lot more frequently. I've had blood sugar problems when I was younger- I've always been very active so I burn it all of pretty quick so I would sometimes get low blood sugar. Is there a possibility that I could have diabetes? My eyes have recently gotten worse in vision, I'm always thirsty, my bladder fills up quickly and I have frequent urination. Sometimes I have numbness in my limbs- but I always chalked that up to poor circulation.
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Hi, Thanks for your question. Noted your concern. These may be osmotic symptoms of diabetes. Due to high blood sugar levels body tries to flush out extra sugar through urine. Which leads to increased frequency of urination, abnormal thirst, generalized weakness. Due to change in osmolality of blood and lense fluid (because of high blood sugar levels) there is blurred vision. I may suggest to get following investigations done - Complete Blood Count- Blood sugar levels Fasting and post-prandial, - HbA1c. - Lipid Profile - Renal Function Test including Urea, creatinine, electrolytes. - Liver Function Test including Bilirubin, liver enzymes. - Urine examination. And consult diabetologist. Hope this helps you.
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Does low BP levels result in dizziness?
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I am a 43 yr. old female marathon runner who runs around 40 - 75 miles a week. I've been occasionally dizzy (maybe once a week or less) for the last two years. I've had test for diabetes and my ears with negative results. I'm going in for a tilt table test soon. I've been monitoring my blood pressure for about two weeks (morning and evening). It averages around 103/54. Do you think my dizziness is most likely low blood pressure related? Thanks.
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yes low blood pressure can cause dizziness.do you know your previous readings when you didn't have dizziness? what's your pulse rate. Any neck pain?is it Postural like while getting up from sleeping position?Low pulse rate is also common cause of dizziness.Reading mentioned by you is certainly low but sometimes it is normal for some person.Maintain track of blood pressure and pulse rate.
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What causes body discomfort with cold sweats?
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HI doc, My name is Tim 22 yrs of age and Im suffering a discomfort all trough out my body.I always felt my body heats up all around and have this sweat colds. It disturbs me a lot and sometimes cant even sleep or wakes me up in the evening. Its been already 5 months i suffered this tremendous symptoms without knowing how to deal and i already consulted to a doctor 2 times and still cant find anything. Please help me doc ! thanks a lot! TIm,
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Hello, There are many reasons for discomfort; can be fever, post fever myalgia, diabetes, hypertension, allergy, hypotension. Kindly share more details so can get a specific diagnosis Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
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High SGPT levels and triglycerides. Taking robusar. Further medication?
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hi doctors my name is rizwan and i am 23 years old i have 2 problems one is sgpt which is 90 to 100 before 4 months and triglyceride's 227 i.am using silver twice a day for 4 months and rosubar 20mg for 1 months but i still have problem today i took test again but the problem is same what will you rcommend for me i am worried about it becouse i.am.going to australia after few months so i will have to take medical please help.me... i.am non.smoker and non.alcohol user..
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Hello, luckyy, Thank you for contacting HCM with your quiery. You are a young man and have abnormal liver enzymes and elevated triglycerides. I want you to make sure that other causes for elevation of liver enzymes have been ruled out such as Hepatitis B, C or E that can cause chronic hepatitis. There is also "Metabolic syndrome " in which combination of obesity (Increased abdominal girth) , elevated lipids, fatty liver on ultrasound and abnormal glucose tolerance like Type-2 diabetes. You have been on Rosuvastatin for 4 months. I am not sure if you had a baseline liver tests before you started this drug. All statins can cause liver enzyme elevations and can in some cases cause serious liver damage. I want you to look into this possibility. If you are overweight , try to lose 10 lbs by dietary measures and excercise. Limit fatty,greasy or fried foods. I am glad that you don't smoke or drink alcohol. I suggest you start taking Vit-C 1000 mg.,Vit-E 800 i.u. daily and a good super B-Complex vitamin daily. You can also take Nicotinic acid slow release pill daily that would bring down triglycerides and increase HDL-C. I wish you the very best.
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What causes swelling all over body with history of gallbladder surgery?
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I had gallbladder surgery seven years ago and sense them I ve been experiencing squeezing sensations, along with swelling all over my body) in my upper abdomen as well as tingling in my arms and legs. Even the bottoms of my feet hurt. I ve been to different doctors to see what these annoying symptoms are with no results. I ve started drinking and eating foods that are good for inflammation but they only work a little. Any suggestions?
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Hello,1) Your symptom of tingling in arms and legs, burning type pain in feet are suggestive of neurological pain.2) Neurological pain has no any association with history of gall bladder surgery.3) Common causes for neurological pain are diabetes, vitamin deficiencies, nerve compression4) You should start evaluation with basic laboratory tests for diabetes and vitamin level in blood and start treatment accordingly. In presence of negative result of these tests, you should consult neurologist to rule out nerve compression or any nerve associated disorders.
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Blood test showed AST,ALT. Ultrasound showed "fatty liver". On medication for hypertension. Recommendations?
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Hi dear doctor...I'm 48,male with a sedentary lifestyle.My blood test showed normal AST and ALT results(26 and 25 respectively). Yet,the abdominal ultrasound exam showed "fatty liver" grade 2. I'm on medication for hypertension (Diltiazem 60 mg and Atorovastatin 10 mg). What do you prescribe ? Should I refer to a specialist?
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Hello,Thanks for the query to H.C.M. Forum.Ultrasound reports shows "fatty liver", you are taking anti-hypertensive and lipid lowering medicines. This is one cause of fatty liver. Obesity,diabetes,hyperlipidemia ( as in your case),SEDENTARY life with full stress is one of the most prominent cause of non-alcoholic fatty liver.As far as concerned about the prescription , until cause is not known , not possible to prescribe something. Consult a physician and get in treatment under his guidance. Hope I have answered your query. If further any question I will reply. Good luck. Dr. HET
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Chronic burning mouth syndrome, burning palate, dry mouth, stringy saliva, want to use Magic mouth wash. Suggestion?
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I have suffered from burning mouth syndrome for 8 years. Symtoms include burning in roof of mouth, dry mouth, and stringy saliva . I ve seen numerous ENTs, periodontists, and other physicians. Just wanted to know your take on this. I see my family physician this week, and wanted to ask about a prescription for Magic Mouthwash . This is an ongoing problem....has never subsided.
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hello and welcome to HCM forum, the condition which you are suffering from is called burning mouth syndrome, you have not mentioned about any underlying medical condition. for e.g diabetes. i assume that you are not wearing any dentures, i would suggest you visit a dentist soon,as he may be able to diagnose the cause and start with the appropriate treatment. but as i cannot rule out of the cause without checking clinically ,therefore i would recommend a few measure which will provide a symptomatic relief; 1. avoid spicy food 2. do not us mouthwash which contain alcohol, 3. do not smoke or consume alcohol as this may aggravate dryness of mouth, 4. sip water at frequent intervals, 5. chew sugarless chewing gums, 6. in case you are using denture then clean them thoroughly, 7. also, suck on ice cubes,if possible. i wish you good health.
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What causes impotence at the age of 33?
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Hi I'm Hasan from Bangladesh and im a married parson, since last 1 years im not able to long time sexsuality with my wife and it has take so small time. Now im going to lost sexsuality with my wife. So pls how can i realies from above problem. I'm 33 years i hv a 2 years + daughter.
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hellothank you for trusting HCMdear common cause is psychological and poor partner support. other problems like diabetes, hypertension,alcoholism,smoking, metabolic syndrome,obecity,poor exercise . please do regular exercise,yoga meditation. if symptoms not improved please consult your doctor for counseling. he will examine and treat you accordingly. I think I answered to your question if you have more questions feel free to ask.take care
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What causes recurrence of boils in penis inspite of antibiotics?
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I have a boil on my penis for the third time in two months. I have done antibiotic treatment twice with good success. Today the boil was even larger and more painful so I pinched it and a fair amount of pus erupted. Should I take another course of antibiotics? And was pinching it the wrong thing to do even though it feels much better now?
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Hi, Thanks for posting in HCM. I understand your concern. Recurrent skin infection in the form of boils occurring on penis despite taking treatment with antibiotics could be due to resistance of the organisms for the antibiotics previously used. Once the pus comes out, you would always feel better. Anyway, kindly get the following things done so that it would be helpful to treat your condition better. 1. Culture of pus or swab from the secretions of the boil and its sensitivity to know what could be the organism and which antibiotic it is sensitive to. 2. Random Blood Sugar (RBS) to know the status of glucose homeostasis as repeated infection could be caused due to diabetes mellitus. Kindly keep the area clean and hygienic. In the meantime, you can wash the area with mild antiseptic solution using Iodine or Savlon. Also, you can apply Neomycin ointment over the lesions. If glucose levels are normal, take a complete course of appropriate antibiotics after the culture and sensitivity report along with antiinflammatory medication like Ibuprofen. Gradually, your symptoms should subside and you should feel better. Hope the information provided would be helpful. All the best.
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What does a lump below the right breast indicate?
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I am 68 years of age, take med for blood pressure, type 2 diabetes, mild depression, have had my gall bladder out. I have been having very dark urine that smells of months and have just noticed a small pea size lamp on my right sid below my breast bone. I have a small amount of pain in the area. I am over weight by about 30 pounds.
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Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.The possible reason for lump below breast is sebaceous cyst.The dark urine with smell suggests underlying urinary tract infection, a separate condition from the above lump.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
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Suggest treatment for bad odor coming from mouth
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hi doc ihve a problem concerning mouth ordour i have always notice bad simle coming out when i taik i can realy know where the problem is from becuse brush my teeth morning and everning i wish to know what causes it have some common drugs to theat it becose it makes me feel uncomfortablein the society
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Hi! Welcome to Healthcaremagic.I read your query. Bad odor can be due to either local oral causes like dry mouth, gum disease, cavities, calculus or systemic causes like diabetes, liver, kidney disease, stomach diseases, certain medications, etc.Drink lots of water and keep you well hydrated. Visit dentist and get an oral check up done. Get oral prophylaxis if required and treatment of any existing problem.Chew sugarless gums ans candies. Keep good oral hygiene. Brush twice daily learning proper brushing method from your dentist and use mouthwash.If you have some medical history or taking any medicine, bad breath can be due to that too. Consult your physician for further investigations if the problem persists after taking these measures.Hope the answer helps you. Thank you.
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Sinus, vertigo, watery noise heard in head only when upright, causes imbalance in walking
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i have a sinus problem with pressure head, cheeks, eyes and stuffy ears. Also I have a strange noise in my head which sounds like saliva squeezed against your teeth , watery like sound. It affects my eyes, with vertigo and causes my walk carefully as it interferes with my walking at times, sending my slightly off a straight line. I do not have pain or it does not affect my sleep . Only when I am upright and walking, I hear the squeezing watery sound moving in my head with some vertigo. I need your help to ease my concerns
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Hi More information is needed like your age, you have high BP or diabetes, you are on any long term medication, how long are your symptoms, you have any nose symptoms, any deafness or noises in ear etc to explain the reason for all of your symptoms. With the information provided by you, I can say that you may be having chronic sinus infection. This has affected your eustachian tube (tube connecting back of your nose to middle ear) leading to stuffy feeling in ears, imbalance. The same thing can explain if you are getting any noise in ears but not if it is in your head. Your examination is likely to elucidate more about your problems. So please consult an ENT specialist. He/she may advice C T scan of sinuses. If sinus infection is confirmed, he may advice antibiotic, nasal decongestants etc. After that if your imbalance and strange noises in head persist, you may have to consult a neurologist to rule out any cause for your those symptoms. Wish you good health.
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Suggest remedy for asymptomatic polyhydramnios at 25 weeks
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management of asymptomatic polyhydraminios. My wife is 25 weeks pregnant and doctor said that the amniotic fluid is more than normal, therefore we would like to know whether it will make any problem for baby or the mother and it occurred due to any other reasons. Diabetes test is not yet done. We really appreciate you if you could advise us on this matter.
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Hello dear,I understand your concern.In my opinion the increased liquor might be due to number of reasons like fetal anamolies,placental anamolies,diabetes in mother etc.All the above causes should be ruled out by ultrasound,blood tests to rule out diabetes in mother.Iam happy that ultrasound is normal and the fetal and placental anamolies are ruled out.And the diabetes should be ruled out by glucose tolerance test (GTT).The common complication of polyhydromnios include increased distress for mother, preterm labour etc.Nothing to worry.Avoid stressIf all the above said reasons are ruled out then the polyhydromnios spontaneously gets normal by term.So relax.Hope this helps.Best regards...
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How to treat itchy penile discharge?
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Dear Sir, i'm 32 years old, Since last 15 days i'm taking antibiotics ( WBC count in Blood was increased 11600) but during this since last 6 days there is white layer deposites under fore skin of penis and its itches, after washing skin looks redish and there is some pain. What should be done ?
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HelloThe itching and redness of foreskin is due to infection of the foreskin (Posthatitis) or genital Candidiasis.As this is common in individuals with diabetes you need to get your blood sugar test done to rule out Diabetes.You need to take broad spectrum antibiotic like Cefixime along with anti fungal drug like Fluconazole twice daily .along with topical antibiotic ointment like Neosporin twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil.
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Should i be concerned about the grade I fatty liver?
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Good morning sir, Pls let me know should I consult with a doctor for the following impression. -Garde I Fatty Liver Normal in size shape and out line with generalised homogenous increase in parenchymal echotexture. no foacal lesions. Intrahepatic billary radicles are not dialated. portal vein is normal in course, calibre and outline with hepatopetal flow. -Grade II Prostatomegaly 3.5x.4.4x4.0 cms weight 32.0 gms Thaniking You
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Welcome at HCM i have gone through your query and being your physician I completely understand your health concerns.... What is your age? Do you have got diabetes? Any high cholesterol levels? As far as fatty liver is concerned , there is need to look at your liver functions. If your liver functions are normal then there is need of dietary modifications only like decrease carbohydrate intake along with fatty foods. You should get your LFTs done and meet Hepatologist so that you can be examined and investigated properly.there is need to find out the root cause of fatty liver.... For prostate , it depends upon the severity of the symptoms. If you have got symptoms like increased urinary frequency along with poor stream and dribbling then you should consult your doctor for appropriate management... Hope your question is appropriately dealtRegardsDr saad sultan
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What does lower backache along with tingling sensation in the body indicate?
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I have lower back pain, tingling and pain in neck to buttocks and vagina area, pulling in right and or left side thigh, anemia unable to detect why, peptic ulcer, weak kidneys, fatty liver, gastrointestinal problems, nausea, seborreic dermatitis, swelling of hands and feet’s, diabetes type 2, hair loss, watery and some pain of eyes, mouth sores, itchy, very heavy menstruated which last for more than 7 days, dark and light patches delevoped on face, pus like bumps that scabed over and left marks on buttocks, dark circles under eyes, lips dry and peels, achy knees, sinus problems, chest pains, throat spasms, problems passing stools, cyst wrists, dry mouth, darkening and thicken toe nails and vision problems. I’m thinking this is Spondyloarthropathy and Lupus.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Due to nerve compression. Hope I have answered your query. Let me know if I can assist you further.
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Diabetic, diagnosed with de-compensated liver disease, under treatment, has slurred sleep, slow movements. Prognosis?
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hi docter: my father is diabitic 60 years old had diagnosed decompenesated liver disease 3 month ago with esoghagel and stomach varicus after he had coma from encephalopathy for 2 days and wake up .befor this event he was healthy never complain from any thing ,now he is on treatment he did banding and sclerothrepay for varicus he still smoking 2cigarrets/day and blood suger not control even with treatment insulin inj 2 times/day ,now all his blood work improved except blood suger but LFT,PT,PTT,S.PROTIEN,S.ALPUMIN within normal HB 13,U/S:LIVER:mildly decrease in size 23 cubic cm with slightly coarse parenchyma and faintnodular surface.GALLBLADER:multiple stone . 3 days ago we noticed that he has slurred speech and walking slowly what is that? ,is it normal just agnor it or we have take it seriously,what is the prognosis of his condition? plz and what is your advised .thankyou
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Hello, omhind1981, Your father is very fortunate that he recovered from liver coma, and also survived bleeding from the enlarged veins in the esophagus and stomach.I am glad that his blood count is good. The liver ultrasound shows changes of cirrhosis and he also has gallstones.I take it that he is not having symptoms related to stones and at this time he may not need surgery. He may if he has an acute attack. He really needs to control his blood sugar. He may have to consult with a diabetes specialist for proper dosage and type of insulin. If his Bilirubin levels are not high and his platelet count is good along with normal kidney tests, his prognosis is good in the near term.If he has any further massive bleeding, then it is serious. I wish him well.
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What is the life expectancy, if the heart is working at 40%?
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my father in law has had his thyroid removed, has diabetes, has a stint in his heart a bad back and weighs about 300lbs. He had to be taken to the er with shortness of breath, hallucinations, he has had a lot of confusion for awhile but it was much worse. he already took 40 a day lasix. Hehad fluid around lungs and heart low o2 levels. They upped his lasix to 80 put o2 on him. They had to keep the o2 at 15 otherwise his levels wouldn't stay up. Lung infection also discoved. Heart only working at 40% then co2 up to 90and unresponsive. Now on a ventilator co2 down to normal. what is likelyhood of brain damage? Any other input apprectiated. Family is trying to make some hard decisions.
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Thanks for your question on Healthcare Magic. I can understand your concern. Honestly speaking, chances of survival are very less. Rising carbon dioxide level is suggestive of respiratory failure. Accumulation of fluid in the body is suggestive of heart failure. Confusion, unconsciousness, hallucinations etc will cause brain damage. And this kind of brain damage is permanent. So his all major organs are failing. This is not good sign. If you remove ventilator, I don't think he will survive. So family has to take decision about taking off ventilator. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father in law. Thanks.
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How can one control glucose levels in elderly woman?
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Hello my mother's glucose level is at 323 right after having dinner .It gets up in the 240 's but she contols it with pills .Her Dr. Was recommending she get on insulin. Should I take her to the hospital right away or should I monitor her levels in case they get higher.?
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WHAT IS HER AGE/HER WEIGHT/?TELL ME HER HBA1C LEVEL..IF IT IS ABOVE 8 THAN INSULIN IS DEFINATELY REQUIRED,,SO START IT .INSULIN IS BEST DRUG TO CONTROL DIABETES AND PREVENT ITS COMPLICATIONS.
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What causes elevated blood glucose level during pregnancy?
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I am 26 year old and 18 weeks pregnant, I had glucose tolerance test recently. Fasting blood sugar is 90 mg and blood sugar after 2hours of taking glucose is 145. My weight is 70 kg and height is 165 cm. Did I get Diabetes? is there any risk to fetus?
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Hi there,,Please do not worry it does not seem like you have diabetes with the values that you are showing. .Your Body mass index based on the values you have given is in the normal range putting you at a lower risk for diabetes.Diabetes is more common in pregnancy in women who have had a family history of diabetes, diabetes in a previous pregnancy, history of polycystic ovaries, or if overweight, if you do not have any of the above factors you are at a lower risk for it.Diabetes can affect both the mother and the baby in pregnancy. It can cause excess weight gain of the baby making delivery difficult to achieve and more likely of a Caesarean.Also certain complications such as bleeding after delivery and chances of Admission to NICU of the baby increases. The baby needs to be monitored in the first few hours after birth for sugar levels and other complications, some may have breathing difficulties.But all these complications can be minimized by checking sugar levels regularly in the mother who is diagnosed to be diabetic in pregnancy, she may also be given insulin to control the sugars .So just repeat the glucose tolerance test at 26 weeks and if its normal do not worry.Hope this helps.Regards.
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Could fast heart beat indicate sign of anxiety?
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i'm 18 have been feeling nervous and i was feeling as if it was a effort to breath my heart beat has been racing alot and a few other symtoms, would this be anziety or could it be because i have been taking accai berry diet pills i carnt think of anything else differnt
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Hello,This can definitely be a symptom of anxiety given that common medical disorders like anemia, thyroid problems, hypertension and diabetes are ruled out.
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Does severe foot pain is related to liver damage?
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Hello, i have for the past 8 weeks been experiencing severe foot pain in both feet. My left foot hurts all along the outer edge and is most painfull around the little toe joint. My right foot is painfull gight in the middle on the underside. I am a reagular drinker and am concerned that i have liver damage.
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Hi thanks for asking question.By alcoholic drinking you could have fatty liver or any other hepatitis or chronic liver disease.So rule out it...As secondary vitamin d deficiency can occur.If present treated accordingly.Do you have diabetes ? Smoking history ?As diabetic by neuropathy and smoking by vasculitis like condition can lead pain...So rule it out.Osteoarthritis , muscle strain, tendon injury has to be ruled out by local part x ray...Take care.Dr.Parth
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Will a high GTT affect the pregnancy and the baby?
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hi, i m 26 weeks pregnant, recently got done gtt and post pardinal blod sugar tests. results of which are as follows fasting : 79 with 75gm glucose 1 hour: 199 urine : 3+ 2hours : 149 for fasting plasma glucose: 85 post pardinal plasma glucose : 84 i m confused because post pardinal level is well in control whereas one hour gtt is 199 which is quite high . pls advice on the same and how will it affect or not affect the baby thanks
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Hello dear,I understand your concern.In my opinion your report suggests borderline GTT.Your first hour value is more.As per criteria it can be taken as gestational diabetes mellitus (GDM).But nothing to worry as the diet and exercise is sufficient.It doesn't need any medication.So relax.Don't worry.Take dietician advise regarding the diet.And do walking for an hour daily.Nothing to worry as it doesn't affect the fetus.Avoid stress.Hope this helps.Best regards...
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Suggest treatment for severe chills in a diabetic
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My husband is experiencing chills since yesterday. He is taking high blood pressure medication and insulin for his diabetes..he hasn't had a fever at all. What could this be? I will tell you he had one beer yesterday, which I recommend that he don't drink any...but I am the wife and most time married men won't listen to wives, they will listen to someone else...thanks
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Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Since he has high blood pressure and diabetes it is possible that unexplained symptoms can occur sometimes. Usually chills occur before body temperature goes up (fever), later they subside. There is no mention about his BP reading or even blood glucose levels, so difficult to make any comment. Sometimes if blood glucose level goes below 60 mg or even lower, a number of symptoms do occur including a feeling chill. Plus alcohol which gives empty calories does affect hypoglycemia awareness. It is better to check his blood glucose when he has such a feeling. If glucose is low, then by giving some gluco tabs, he should feel better. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Prabhakar Laxman Jathar
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Can fatty liver and medullary cancer causes itching skin and bowel obstruction?
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I had a total thyroidectomy, medullary cancer. Even before the procedure. I had red palms, and itching skin that drives me crazy at night. I also still have these symptoms. plus found out I have a fatty liver, and pre diabetes. I have never been heavy until, these symptoms appeared in the last two years before my surgery. I have lost eleven pounds so far. But, I was told I had a fatty liver years ago, by my doctor and he did not think anything of it. I still get very hot at night sometimes, and sometimes I am very cold. They are still trying to get my levels accurate. I had this surgery done three months ago. Plus I also get bowel obstructions every 4 to 6 months. On the button. I have already had one bowel resection in 2003. I am to young for all of this. And really it started when I was in my thirty s. I have a lot of issues, that my parents have. But there s did not start until they where in there 70s . I am so confused.
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Hi,Thanks for writing in.It is important to ecaluate your liver function tests. Itching might be due to elevated bilirubin levels and your liver test will show this if present.Since you have a history of bowel oresection in 2003, it is possible that there are small developing adhesions in the bowel that is causing sub acute obstruction. This is responsible for the bowel obstructions you experience every 4 to 6 months. It is suggested that you consult your surgeon and get a small bowel enteroclysis examination done or a CT scan abdomen and pelvis with bowel preparation. This test will tell if there is any post operative cause for you regular bowel obstruction. Please do not worry.
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How can a painful cyst on the body be removed?
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My husband had a cyst which was swelling and popping and hurting. We went to have it removed, but they would not perform the surgery because his vitals were too high. Now he is on medication for his diabetes, blood pressure, and thyroid. Since he got on the medication, the cyst swelling went down and it is no longer painful. There are some hard lumps still in the cyst. Do we still need to have it surgically removed? Or will it clear up on its own?
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Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* The disappearance of pain is temporary , lumps are still there , indicative of need of surgery for permanent solution .Hope this clears your query .Welcome for further queries .Regards .
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Do medications interact to cause dizziness and shortness of breath?
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I have variance angina, my Dr put me on the nitro patch today, shortly after I felt faint, dizzy, and short of breath, I got frightened and took the patch off. I am also on a lot of heart meds, and wonder if they interacted, I have three stents.I am 80 femaleMedical history is long.Onestent in r artery,2 stents in left artery irrregular heart beat variable angina type 2 diabetes Meds: avapro300mg once daily,metformin1 am and metoprolo50m 1&1/2 75mg, lovastatin40mg dailyranitidine150mgam and pm promitzazapine30mg bedtimesyntroid 0.25i dailynitro spray as requires. Surguries I have had Colon resection,gall bladder, plates and screws in ankle partial histoectomy I am 5' 3ins 145lbs
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Your right some time medicine can cause these symptoms...specially nitro patch which is vasodilator and can lead to decrease in blood pressure and lead to decrease transiently blood circulation in brain and lead to dizziness... either u have reduce nitrate dose or other blood pressure medication after checking Ur blood pressure when u have dizziness
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What causes frequent urination while having dry foreskin?
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young male, 23yrs old, married. I have no history of urinary infections, does not burn when i urinate, but i do however urinate 15-20 trips to the toilet daily. i have not been tested for sexually transmitted infections/diseases, but do suffer from dry skin on and around my foreskin.
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Hello Thank you for trusting HCM Common cause for frequent urination is urinary tract infection. Since when you have this problem??? Have you passing more than lit /day. What is the color of the urine?? Other possible causes are1.diabetes mellitus 2.dibetes insipidus 3.intestitial cystitis 4.drugs like diuretic use Many patients are unaware that frequent urination may actually be a symptom of chlamydia or gonorrhea.Consult your doctor he will treat you accordingly. (after investigations)
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History of renal transplantation. Seen albumin traces. What could be the measure to pervent it?
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Dear Dr. My husband had renal transplant 13 years ago. Albumine trace is seen 2 years back so could you let me know why it is seen and what could be the measures to prevent it? We have in consultation with the Dr. This the Dr. told us only 2 months back and had given medicine but still the trace is seen. We use allopathy Dr. Thank you
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Hi Thanks for the query. Congratulations to your husband on completing 13 years post transplant. Presence of albumin in urine indicates early damage to the kidneys. It becomes more common as the transplant gets older as is your husband's case. If the creatinine is stable, at this point we can give some medications to try and reduce the albumin but it may not disappear completely. Control of BP and diabetes will also help. Follow up with your nephrologist regularly. Hope this helps Good luck.
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What does " STT changes" mean in an ECG report?
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i have done ECG doctor has commented STT changes as per cardio consultant he said it is because of blood pressure tablet which i am taking since from 2 years which is blopress 8mg so in additional he gave me slokenXL 25 so please advise me what is this STT changes means
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hi and pleased to answer youThe ST segment is the time between the terminal contraction of the ventricle and the beginning of the relaxation of the ventricle, on EKG, it’s the area between the end of the QRS complex and the start of the T-wave which follows the QRS complex. When there are symptomatic heart diseases, the types of abnormalities are varied and include ST segment depression or elevation, flattening of the T wave, biphasic T waves, or T wave inversion. Significant ST segment depression usually means that there is significant diminution of the coronary blood flow conditioning myocardial ischemia but flow still exist (low blood flow) in the heart. Significant ST segment elevation means a total blood flow obstruction and there has been an acute infarction of heart muscle. ST segment changes without symptoms (chest pain, shortness of breath, exercise intolerance, …etc.) means absolutely nothing bad for your health, but should prompt further investigations. ST segment changes can range from being an important tool diagnosing underlying diseases to a variant of EKG normality, and may be seen in any lead of the electrocardiogram. Factors affecting the ST-T configuration may include, intrinsic myocardial disease (ischemia, infarction, myocarditis), Drugs (digoxin, quinidine, etc..), Ions electrolyte abnormalities, neurogenic factors (stroke, trauma, tumor, etc.), metabolic factors (diabetes, etc..), Atrial electric abnormalities (fast heart rates the atrial T wave may pull down the beginning of the ST segment), ventricular conduction abnormalities and rhythms originating in the ventricles.your cardiologist is right may this answer help you and best wishes.
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What causes swelling and pale discolouration in the left hand?
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I cannot make a fist with my left hand. Right hand is normal. I have diabetes (40 yrs) A1c 7.4,Left hand is swollen, when contracted into a fist the fingers below the first joint look white, no blood flow. unlike the right hand which has normal coloration when curled into a fist. Left hand has severe pain when attempting to make the fist. The pain is in the fingers, the palm of the hand and in the thumb.
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hi friend this not due to diabetes it has common skin infection which can be cured by some antibiotic like:amoxicillin CV 1bd will be Best
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What could memory loss in diabetic females suggest?
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my mother is 66yrs old. for the past year her activities have been different, she forgets simple tasks like making coffee,even cleaning herself after going toilet etc. the dr have not yet diagnosed her with dementia. she also has diabetes, pressure. is there a cure or a chance for improvement.
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HiI understand you concern.Diabetes is one of the reason that lead to reversible type of dementia.Sometimes it co morbid with Alzheimer then it become irreversible.Brain neurins are very much prone to get affect by oxidative stress and metabolites. which can be a part of different metabolism of glucose and lipids.Prevtnton os necessary rather then to reverse it.Proper consultation will help.Control blood sugar and lipids.Control risk factor.proper lifestyle modification and avoid smoking, alcohol etc will helpful.Multivitamin and particular methylcobalamine with antioxidant will help.Detail investigation will give more detail idea of etiology and treatment like MRI brain.If it has sever memory loss and registration problem then medicine like donepezil will helpful to stop further loss.But it needs proper evaluation of mental functions.Consult neurologist and get help.I hope i have answered your query.Feel free to ask.Happy to help you.Thank you.
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Suggest treatment for loose motion and abdominal pain
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Hello Doctor , I have frequent abdominal pain on the right side of my stomach but I have done the appendicitis operation 9 years ago itself. I'm 27 now and have this stomach pain over one year. Last 4 months I feel difficulty to go motion. I smoke 3-4 per day. I'm diabetic but I don't drink carbonated water. I don't eat sweet items, I eat spicy sometimes less spicy food. If you prefer me any home remedies to have the loose motion I can try that. Doctor told me my stomach is hard and I have to goto toilet properly but I try it's too hard for me. My stomach pain remains all time.
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With diabetes at so young age may lead to coronary problems and cerebro-vascular events if you smoke even 3-4 cigarettes per day. I advice you to stop smoking at the first. Second for constipation, you may take liquid paraffin for the relief. Initially start with 10-15ml three times a day for a week and then reduce it twice daily for a week and then once at night. Also, you need to follow some dietary instructions as not consuming bakery items, increaase in intake of roughage in diet like fruits and cereals and green leafy vegetables. Drink lots of water. Make a habit to go to toilet whether you have an urge or not and be seated for atleast 10-15 minutes.Diabetes cause decrese in the motor function of the intestines and that leads to decrese in the intestinal motility and causes constipation and pain in abdomen.
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Is there a treatment for partial paralysis?
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We have a patient aged 67 years suffered partial paralysis in his four limbs, where he can move his hands but could not hold on to something and can move the legs, but was unable to stand or walk, and suffers from severe pain in his spine and legs.He is not suffering from any other diseases (heart disease or diabetes) .He had previously had surgery to lift the pressure on the spinal cord in the cervical spine (a hospital in Baghdad), there has been a little improvement. Please we want to know if there is any hope to treat him in your hospital and the approximate cost for treatment and other services
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Hello,Thank you for trusting HCM.your description of the symptoms goes with general weakness rather than partial paralysis, being able to move hands but not hold things, able to move legs but not stand, right term will be paresis. Nevertheless proper physical examination is needed in this case, to identify if the problem is central or peripheral in origin as a start. once the problem is identified there is always hope. for more questions please feel free to contact me.Kind regards, Dr. Nazzal
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What is the ideal blood pressure when in pain taking from lower part of leg?
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i was wondering what the blood pressure should read or be in your foot area. i have a half foot amputated and still have pain in it. i was wondering what would be the ideal blood pressure range when i took it the other day becuase of pain it was like 175/115 and i have pad in the lower part of my legs.
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HI, thanks for using healthcare magicIf you are having severe pain , the blood pressure at that time would be increased due to the pain.If you are a known hypertensive then the blood pressure goal is less than 140/90.If you have diabetes or kidney disease then it should be less than 130/80.Normal would be less 120/80.I hope this helps
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High BP, creatinine levels. Prescribed envas medication. Renal biopsy required?
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My wife aged 33 ..had high BP during May 2012 and as per family doctor s advise she took Envas2.5mg (one time in the morning) and we went to Apollo last week and doctors suggested to take Stamlo2.5. Her both kidney size are normal...as per report the thickness is 0.47 & 0.48 for this reason we are not able proceed with renal biopsy . Her creatinine level 3.1
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Hi, Thanks for posting your query. Is she undergone ultrasound imaging of kidneys? What was the reports? What was the size of kidney in ultrasound imaging? Is cortico-medullary differentiation maintained or not? Size Raised creatinine may be due to acute renal failure (ARF) or chronic kidney disease (CKD). By ultrasound imaging and urine analysis, CKD and ARF can be differentiated. You should consult with physician/ nephrologist and should follow diet plans. You should also take prescribed medicines as CKD is associated with multiple complications. Medicines in CKD are advised to live smooth life. CKD are generally associated with rise in hypertension (as in your wife case). Is there any rise in blood sugar? Diabetes and hypertension are the 2 most common disease worldwide for renal failure. Keep watch on serum creatinine level. Regarding medication for blood pressure, you can go stamlo 2.5 while Envas is generally not given if creatinine is > 2.5 (as in your wife case). You should go for renal biopsy if the cause of renal failure is not clear. Take Care, Dr. Mayank Bhargava
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How to treat anal worms that cause pain / itching in a diabetic?
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Hi, I m a 15 year old girl who has typr 1 diabetes (since I was 7). Recently I ve been experiencing really bad anal pain, it keeps itching-especially at night. Last nigt I found a white worm in my anal area. It s causing me to have restless nights. I don t want to go to my gp, a chemist nor my mum. Please help, thanks xx
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Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you you should start with Albendazole tablet 400 mg. Since its anti helminthic drug all your drug will be killed in single dose. But if it is not getting cured in single dose I advice you to take the another one tablet. I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
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On implanon birth control. What is the risk for pregnancy? Frequent urination, excessive hunger
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Well I am currently on implanon for birth control but I do know there is risk of pregnancy. I am almost 2months late for my cycle and I am increasingly hungry all the time, sleepy all day and urinating considerably a lot more then before . I took one test and it came back negative I am doing another in the morning to make sure but if I am not preganant then What could be causing these symptoms?
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Hi thanks for your question. Relax your not pregnant, Irregular bleeding is side of effect of implanon. After on year of use, in some patient it almost stops the bleeding which is normal and fertality returns after removal of implant. It is very effective contraceptive and failure chances are very very less.Polyphagia (increase hunger) and poylurea(increase thirst) are two classical symptoms of Diabetes,so get your blood sugar done to rule out or confirm diabetes,before going for further investigation for your symptoms.Hope this answers your question.
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How can numbness in the ring finger be treated?
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I think I have Polyneuropathy. ON Insulin pump and am insulin dependent... I take Gabapentin once a day at 6:00 pm. For a month or so I ve had a trigger ring finger that works its way out in 10 minutes in the morning. Now the ring finger and the pinky are both numb and hasn t gone away.
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Hi, Trigger finger and numbness in the ring and little fingers are both different issues. Trigger finger is common in diabetic patients and ring finger is most commonly involved. Numbness in both ring and little fingers is due to ulnar nerve pathology. It may be peripheral neuropathy affecting ulnar nerve and is also common in long-term diabetes. Trigger finger is a clinical diagnosis and treatment is physiotherapy and local injection of Depo-Medrol. Nerve conduction velocity studies should be done to diagnose peripheral neuropathy. Visit a physician and a detailed clinical examination is recommended for diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopaedic Surgeon
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What are the chances of getting pregnant with follicular ovarian cyst?
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Hello doctor,I'm 30 years old and having periods every 40 days.I also had a mis-carriage during the first 1.5 years. From there, we were trying and not succesful. So decided to go for treatment.Going for treatment for the past 1yr.Initial tests shows that insulin is not normal.doctor advised to take diabetin/glucophage 50mg.After these tablets, insulin become normal. Still continuing the tablets.Also, taking Diane 35/Progyluton for past 8 months, now i get periods in every 30 days.Doctor planned to do IUI initially and started the ultra sound scanning and found that no eggs formed on the follicle.follicle keeps growing and doctor confirmed that no egg found and it could be Follicular ovarian cyst.Also taking serophene 50 mg (2 day to 6th day) and doctor planned to increase it to 100mg later on. Also if it doesn't work she planned to do injection.Q:1. Wanted to understand the criticality of the problem? 2. what treatment is necessary at this stage ?is it curable and what is the success percentage on such treatment.3. can you advise any doctor in chennai?My weight: 55.5kg.Height : 153 cms
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thanks for the query.As you told that you had started treatment for diabetes and not developing follicles then I would like to advise you that you should do reports for PCOD (POLYCYSTIC OVARIAN DISEASE). As in pcod insulin resistance develops and follicles doesnt develop upto the mark that can rupture. Due to insulin resistance diabetic picture develops.So consult a gynecologist and he/she is the right person to guide you further.Get well soon...
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What causes choking in a person with MS?
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My wife has MS; diagnosed in 2006 - for the past 2 years she s been suffering from sudden choking when taking her first bite of a meal or a sip of water. Our EMT son suggested MS Hug; however, she experiences severe compression between her sternum and throat, and almost always vomits contents from her throat, not her stomach. Once had to call 911 due to her inability to breath. Suggestions, recommendations, or any pre-pre diagnosis thoughts?
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Severe compression between sternum and throat, and vomiting contents from throat, not her stomach may suggest some esophageal motility disorder (either primary or secondary). Few esophageal motility disorders are: 1. Achalasia2. Spastic esophageal motility disorders, including diffuse esophageal spasm (DES), nutcracker esophagus, and hypertensive LES3. Nonspecific esophageal motility disorder (inefficient esophageal motility disorder)4. Secondary esophageal motility disorders related to scleroderma, diabetes mellitus, alcohol consumption, psychiatric disorders, and presbyesophagus.Psychiatric menifestations are documented to be associated with MS (Multiple sclerosis), but such symptoms are not directly related to MS (multiple sclerosis)
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What causes increased BP and vision problem while suffering from PCOD?
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hello doctor, I've pcod and i'm taking krimson-35 and glyciphaze for last 1.6 years. recently I moved to another doctor and she suggested to stop those tablets and gave me some test to be done. after those test I found that my blood pressure is 130/90 and fasting sugar level 102 and vision problem. is these symptoms are related to pcod or anything else What kind of precations should I take?
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Hello ma'amAfter reading your medical details I want to inform you that both your Blood pressure as well as sugar levels are within the normal recommended limits. Kindly describe what sort of vision problem you are having?Yes PcOD patients are prone to develop diabetes so need to keep your self active by doing daily exercises and keeping your weight under control, avoid eating junk food and stop smoking completely if you do.Good luck
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What does "enlargement of heart" mean?
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My mother age 68 has got a cough from last two months, did blood test and x-ray check up , blood test report came normal but in x-ray report it was mentioned "englargment of the heart" what does it mean?? she still keep coughing . Type of cough is (wet cough). Pls explain
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Dear, your mother has got cough of 2 months duration with the finding of heart enlargement on chest x-ray.First, you have to tell a little more detail of your mother's symptoms like breathlessness on exertion or at rest or on lying down that relieves on sitting up. In addition any complaints of chest pain on exertion or at rest. Any past history of high BP or diabetes.Sometimes cough in a patient with heart enlargement is due to weakening of heart. So she should undergo an EKG and echocardiography for assessing the heart function.
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Will taking Lactaid help relieve abdominal pain?
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hi. i had a fever of "unknown origin" when i delivered my son at 38wks...my temps with tylenol around the clock were about 101-102...i was also receiving iv fluids...as soon as i delivered the fever disappeared...my son has been fine since- he is 6 1/2 now...BUT he has always been off tthe charts for height and weight and barely eats, drinks a lot, pees a lot, and for the last couple months has been complaining of a vague abdominal pain...my question is do you think my fever during delivery could have thrown him into childhood diabetes? it may seem off the wall to you but i heard of it happening to someone else...i've had him tested last year (blood work and urine) it was all negative...we switched to lactaid recently to see if that made a difference...i don't know?
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HI.I read your history and understood the problem you and your son suffered from. He is not diabetic , hence no question of fever transferring / causing diabetes in him. Lactaid may relieve the pain if there is lactose intolerance and Lactaid does not contain Lactulose. You can certainly ask the pediatrician , get the son examined , blood and particularly stool tests done.
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What causes raised heart rate in a diabetic patient?
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My mother was taken ill with a blood clot in her right arm, while the doctors were doing different tests ready for surgery they found she had a enlarged heart and they also discovered she was type 2 diabetic. My mum was very over weight too. I m 38 now I ve got type 2 diabetic, I m over weight and my doctor has t have a fast heart rate. Could this be an enlarged heart? My mum sadly didn t wake up from the operation. Hope u can help me.
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Hellothanks for posting here. going by your history, since you are a diabetic and overweight, the body tries to compensate and hence the heart rate increases. Regular exercise can help you bring this heart rate down. It will also help in getting control over diabetes (not totally, you should be on medications also) and also help in decreasing your weight. If it is very high ( higher than 120) at rest, you can start taking tab coralan 5 mg twice a day which will help you bring the heart rate under control. Also since you have risk factors for heart disease (diabetes, overweight) please get a treadmill test done to rule out early heart disease. But above all regular exercise and diet control is of much help and is a must. wishing you good health. regards.
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What causes neck strain?
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I have been experiencing giddiness and imbalance for past 01 days. I consulted my physiotherapist who said that I might have a neck strain and advised me to visit a general physician. He prescribed me vertin 16, Atorvastatin, stemetil, Aceclofenac. He also said that it might be due to neck strain caused either because of stress or neck strain. He told me visit him if the condition persist. But I did not feel like I have recoverd. Is there anything alarming about this?
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Hello, I have studied your case.Due to compression of nerve root there can be giddiness and pain.I will advise you to MRI cervical spine or MRI brain for better diagnosis.It can be due to various causes like sudden jerk to spine, due to facet arthritis, degenerative, due to chronic systemic disease like diabetes or hypothyroidism.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not hesitate to rate this answer at end of discussion. Wishing you good health.Take care.
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Cause for bad neck movements?
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Hi My Wife is having bad neck movements front to back.. they started on December 2 2013 and are getting worse all of the time. Her head will jerk backwards and then go to the front until it almost hits the table. She has had an MRI of the Brain, also an MRI of the neck and an EEG The Doctors here do not know what is happening
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This treatment is being suggested on bases of the information provided.I would like to examine & investigate your wife in detail.This symptom 'bad neck movements front to back' does not fit in any of the neuro ortopaedic symptom complexes (at least not to my knowledge).--.Kindly obtain a psychiatrist consultation as well.Rule out Hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Use no pillow under the head.--. Avoid painful acts & activities.-- .Do mild exercises for neck & shoulders. --.(Take help of a physiotherapist or visit www.drncgupta.com). Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (Through this platform.)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish your wife a quick recovery & good Health.
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Suggest a remedy for metatarsal bone pain
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Hi my mum has immense pain when she walks in her 5th metatarsal bone area on her left foot, she has been laid off by her doctor as well as physiotherapist, she s had no previous injuries whatsoever and she also has diabetes due to her weight and stress due to the loss of her brother, any help???
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Hello, As your mother is diabetic and has the pain of food I will advise to first control the blood sugar levels by medical prescription provided by the diabetologist. Along with thing start doing exercises as it will help reduce the blood sugar levels, improve Muscle strength, improve metabolism and reduce weight as well. For the pain in foot, use the hot water tub to dip the feet and then try picking up the marbles from the water with the help of fingers of the foot. This will help improving muscle strength and also reduce pain. In my clinical practice of 12 years, most diabetic cases with foot pain are taken with utmost interest as reduced metabolism due to Diabetes can lead to fatigue and weakness of the muscles. A combination of drug therapy and exercises have shown a positive response. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Diet for diabetic patient suffering from jaundice
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Hi! My Dad is diabetic (age 51) and suffering from jaundice . Although his sugar levels are well controlled but due to consumption of fluids such as coconut water and fruit juices his sugar levels have increased. It would be really helpful if you could suggest some diet for him which do not elevate his sugar levels as well as aid in curing jaundice. Pallavi
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Hi Pallavi, Welcome to Healthcare Magic Forum. No fruits and fruit juices come without sugars in them. You have been giving him a good jaundice diet. Let him take A hot water enema daily to ensure regular bowel elimination. Let him eat lots of green leafy vegetables, exercise regularly and go for brisk walk for 30 to 40 minutes daily along with his Diabetes Medications. This will keep his blood sugars under control. Barley water, drunk several times during the day, is considered a good remedy for jaundice. Ask him for frequent exposure to sunshine, fresh air and let him take adequate rest. Good Luck and Take Care.
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Suggest remedies for heart flutter with shortness of breath
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Hi, my name is Angela. I have an issue with my heart fluttering a lot lately. I also have shortness of breath when it flutters. I am overweight so I know that may play a part. I am also diabetic but I am not able to afford doctors or medication at this present time. If there is a natural remedy for this, please alert me. Thank you.
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The fluttering that you are mentioning could be a phenomenon called paroxysmal supraventricular tachycardia (PSVT) which is undoubtedly bothering but does not need to be treated. But it could be other things like arrythmia, palpitation or general increased heart rate which could also be caused due to anaemia. Your diabetes is also a factor to keep in mind. Rather than jumping to conclusions, you should visit a doctor and get yourself checked thoroughly. I would not suggest any home remedies as the cause of your problem needs to be diagnosed first in order to rule out something more serious. Some simple medicines like beta-blockers would probably be able to solve your problem.
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How can i reduce my weight naturally?
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Hi This is rajeshwar age 43 from hyd.suffering from diabetes for the last three years taking medication blisto 1MF daily before break fast and janumet 50/500 in the night and having height of 5'8'' and weight of 103 kgs. My HbA1C is 7.0 in the latest report. I would like to reduce my weight, pl suggest me how best I can reduce my obesity with natural medicine
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**1. Overweight could be due to diabetes [due relative Insulin Deficiency] or obesity have lead to diabetes [due to Insulin Resistance], in both cases having a Diabetic diet with exercise can bring dramatic changes in blood sugar as well as weight parameters2. say no to sugar, all sweets [cakes,biscuits,jams,honey,mangoes,grapes]. Eat in plenty leafy vegetables,tomato,brinjal,lady finger,cauliflower,soup, sprouted pulses. regularize timings and quantity of meals.. brisk walking for 45 minutes every day, at least 5 days a week. Low Fat Diet: more of soup/salad and sprouted pulses. Ayurveda though is a slower process, but in case of weight loss: haste makes waste, so one has to be gradual in his approach.PS. Since HbA1C is 7 [normal 2-6%], is little high thus eliminate known risk factors and then plan accordingly.
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What causes frequent urination, weight loss, regular heartburn and disinterest in outdoor activities in a diabetic patient?
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My 60yr old boyfriend has type II diabetes since 1985. 1. Lately he has to urinate alot -getting up in the middle of the night and wets himself when sleeping or napping. He thinks it has to do with his high blood sugar, which has been over 300 for 2 years, but I think it is due to his prostate. 2. He has lost a lot of weight (literally looks anorexic) over these past months and doesn t want to go ANYWHERE hardly even outside and wont make dr. appt. or do anything to find treatment. 3. He vomits occasionally, has heartburn and hiccups regularly but not daily. What do you think? P.S. His meds are metformin, glipizide, jardiance, Lisinopril and low dose aspirin. Right now he is out of his medications. He said he also was diagnosed with hep c a long time ago.
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tab diabacon DS 1 bdtab gokshuradi gugglu 1bdtab agnitundi vati 1tds it will cure you diabetes along with urgency of micturition and hepatitis problem.
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What causes difficulty in walking?
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I woke up yesterday morning unable to walk. My right hamstring is very sore, and stretching/forcing myself to walk made it progressively easier to walk but I m still in pain and stiff. My right foot is also hurting. I woke up this way. I didn t injure myself.
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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 knees and ankles. (Take help of a physiotherapist). Do not ignore, let it not become beginning of a major problem. Do ask for a detailed treatment plan. 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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Report shows enlarged prostate, cortical thickness of kidneys less and irregular, ill defined corticomedullary junction. Indications?
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hello sir, a urine routine microscopic report showing color-yellow transparency- turbid pus cells-10-12 albumin-++ RBC s- 1-2 cast-granular cast++ crystal- calcium oxalate++ epithelial cells-2-4++ usg whole abdomen showing kidneys are normal in shape and size cortical thickness is less than normal and irregular parenchymal echoes are coarse corticomedullary junction is ill defined calyceal pattern is bright urinary bladder : lumen is normal, wall thicker prostate is enlarged in size 44gm(15gm) so can u plz tell me what does this actually indicates about? i will b very thankful to u...
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HI. FROM YOUR DESCRIPTION IT SEMS YOU ARE SUFFERING FROM PYELONEPHRITIS , A CONDITION IN WHICH THERE IS INFECTION IN KIDNEYS. U NEED TO UNDERGO CERTAIN TESTS INCLUDING TESTS FOR DIABETES AND KIDNEY FUNCTION AND URINE CULTURE. EMLARGEMENT OF PROSTATE IS USUALLY SEEN IN OLD AGE, CONDITION KNOWN AS NBENIGN HYPERTROPHY OF PROSTATE, IF YOU ARE SUFFERING FROM URINARY SYMPTOMS LIKE FEQUENT UEINATION, DRIBBLING, POOR STREAM THEN ITS TIME TO CONSULT UROLOGIST. INFECTION IN KIDNEYS CAN BE AS A RESULT OF PROSTATE ENLARGEMNET CAUSING OBSTRUCTION OF URINE
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What could cause pain in the left breast in a 32 weeks pregnant woman diagnosed with gestational diabetes?
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I am having pain in my left breast. The best I can describe is it covers a large area on the left side near where it attaches to my chest. It began a little less than 24hrs ago as a very slight discomfort, was worse upon awakening, and is now very uncomfortable. It is a painful ache like a bruise or pulled muscle but there are no marks and has not been any trauma. A supportive bra and tylenol has made the aching tolerable. I am 32wks pregnant and have gestational diabetes. No other health problems or family history of breast problems.
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Hi, Following is my reply: 1) This could be due to hormonal changes in the breast to prepare for breastfeeding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Soumya, OBGYN
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How can you deal with sluggish feeling, tiredness and breathlessness?
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Hi my name is Rosa and I am 57 yo with history of diabetes, high blood pressure, have had 4 mini strokes, seizures, heart problems due to strokes. I have been feeling sluggish, tired, out of breath, even just walking from my lving room to bedroom, calmy and do not feel when I have abowel movement. This has been going on four 3 days now.
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Hi, As you have diabetes and blood pressure. Firstly u should monitor both blood pressure and blood sugar levels ..and check if they are in normal limits .. and correct them if they are not in control. And as your having heart disease it might sometimes lead to heart failure and symptoms causing tiredness and breathlessness. Hence i suggest u to once consult cardiologist and get your 2D echo done once and take further treatment. Hope I have answered your query. Let me know if I can assist you further.
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How to treat a muscle damage caused by an accident?
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Gd mng sir.i am male on 33yrs six mnth bck i had got bike accident injury on my left leg there was muscle damage while taken x rays for 3 times ortho specialists asked me,rest is the treatment nothing more to do.but due to severe pain i have taken massage treatment for 1 mnth.But after being six month still i have pain on specified area
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It appears that you had injury to soft tissues including muscles of leg.You possibly had no fracture. This should normally heal with rest, fomentation & anti inflammatory drugs.Massage of injured part usually make things worse.This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Hypertension, Diabetes or any other metabolic disorder.Any way you may try---. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Knee & Legs. --.(Take help of a physiotherapist or visit www.drncgupta.com). Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (Through this platform.)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the answer.-Wish you a quick recovery & good Health.
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What is the treatment for cardiomyopathy?
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Hi. I have cardiomyopathy caused by an infection. I was diagnosed 6 years ago. At the time I was diagnosed my EF was 20. Since I ve been in my meds my EF is now 35-40. I also have type 2 diabetes. My sugar levels have been a lot higher as of late. I have neuropathy in my feet and gabapentin is no longer helping. I have also developed chronic back pain and pain meds from my doctor are not helping. My question to you is can I smoke medical marijuana for my neuropathy and back pain with my cardiomyopathy?
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Hi,Welcome to HCM. I understand your concern.You are suffering from many chronic diseases. You should understand and must have been told by your treating physician as well that smoking anything is going to complicate things.It's not the question of whether you can take marijuana by other means as may be regulated in your own country and as advised by your physician.Marijuana in itself is not contraindicated for your case but smoking it is absolute contraindication.My advice to you would be, if the laws of the land permit, you consult the physician and ask him if he can prescribe it to in any other form.Hope this helps.
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Is using Black seed advisable for high BP while on Lisinopril?
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a friend of mine told me black seed will reduce blood pressure, cure arthritis and diabetes. If I boil and drink it. my question is, how much dose should I drink? Also, I am on TRESIBA for diabetes. I am also on LISINOPRINE for blood pressure as well. Is it safe to use BLACK SEED while I am these medications?
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Hello,I understand your concern. While black seed is widely used as a cure for many ailments, its interactions with most medications have not yet been fully studied. Black seed (nigella sativa) is known to lower blood pressure, so combining it with Lisinopril is something to be tested extremely carefully first. I suggest that as you continue taking your recommended dose of Lisinopril, you should keep track of your blood pressure measuring. If the measurements you get are not satisfactory, then you can try and add very low amounts (like half a teacup per day) of the boiled black seed and see if and how much it affects your blood pressure. Keeping a diary with all the BP measurements for easier comparison is a good way to do this. And of course, making amends to your diet, exercise regime and lifestyle is quintessential. Wishing you good health and all the best.
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What causes sores on breast with brownish fluid?
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My daughter is 34 years old and has had 3 children. Since the birth of her last child (8 mos.) she has developed sores on her breast that ooze a brownish chalky substance and the last one has left a hole. Her doctor gives her an antibiotic, but they keep coming back. Could this be a sympton of diabetes? She is obese.
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HIThanks for posting your query. No it is not a symptom of diabetes. But yes patients of diabetes have increased risk of having repeated Infections and it would be good if she gets tested for Diabetes. The most likely possibility for her repeated breast infection is either improper selection of antibiotic, inadequate duration of medications or collection of pus in the breast which needs to be drained out . I would recommend her to get Pus culture sensitivity test and Ultrasound scan of her breast done and revert back with reports.Hope this information was useful to you. Any clarifications feel free to ask . Regards.
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laparoscopic surgery for gall bladder removal. Lost weight, pus oozing in the incision area. Treating with H2O2. Alternatives?
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I had laparoscopic surgery to remove a gall bladder about a year and half ago. I have recently lost weight and the tightening skin around my belly button has pulled the skin around the incision scar . Now it s kind of oozing blood and thin pus . I have tried treating it with H2O2. Is there something else I can do for it.
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thank you. it is unlikely to develop an infection at the incision mark after a longer period of operation. you are losing weight due to systemic effect of the infection. it is better to go for a C/S of the wound discharge. it will guide you about the antibiotic use. confirm your diabetes status.
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Any remedy to stop tinea from spreading on hairy parts?
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good evening sir. i have tinea spreaded in many parts of my body mostly on hairy areas. including face, scalp, back, stomach. it itches too. doctors suggested fluconazole, secnidazole etc. but it reappears again and again. please suggest me the best remedy.
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Hi,welcome to healthcare magic forum.Multiple tinea lesions usually needs combined oral and local treatment.Usually responds to fluconazole tablet and clotrimazole ointment.If it persists for long,or frequent recurrences,we have to rule out conditions like diabetes,HIV,etc.Also,you keep the area pretty clean and dry.Avoid excessive sweating.Bath twice daily.Change your undergarments daily,and dry them under direct sunlight.Moisture promots fungal growth.Hope you will find this information useful.Thank you.
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Suggest treatment for candida infection in underarms
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Hi, I am a 60 year old woman. I had pneamonia last fall and was on Leviquin 500 and Leviquin 750 when the 500 wouldn't work. Then I was on Amoxicillan. Since that time I have gotten underarm Candida. It is driving me nuts aand would like the best aproach to getting rid of it. I have been putting Nystop on it , but it seems to not improve any. I have read so many things like eat fruit and veggies and don't eat fruits and veggies. HELP
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Hello Madam,I understand your concern. I hope that you're not suffering from any underlying cause as you've not mentioned (such as Diabetes). You also have not mentioned the duration and whether the patch is growing or static in size.So, considering your diagnosis is right, I would suggest you to take these precautions and treatment.1. You should keep the area dry constantly and should wear comfortable clothes which doesn't irritate the area or rubs against it.2. You should also take a notice of the size and color of the patch and not whether it is spreading, growing ar changing color.3. Considering the patch you mentioned is candida and you don't have any underlying conditions, I will suggest you to apply a cream with combination of antifugal clotrimazole and a steroid betamethasone.Apply the cream when you're home and take the ablove said precautions.It should help you in 10-15 days depending upon the size and thickness of the patch.If this is not helping you, i would suggest you to visit a qualified physician to make a clinical diagnosis and treatment.Hope this helps.Kind regards.
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Should I visit emergency room for persistent lightheadedness?
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I am a 50 year old male in relative good health. Today at work I started to get slightly lightheaded. I drank a few glasses of water and ate a salad, but the lightheadedness has continued. It is slight, but I present. No other symptoms seem present. My primary is on his day off. I am uncertain if this feeling is worthy of going to the emergency room.
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HIWell come to HCMThank for asking a question Your concern being appreciated, lighthead symptoms may have several causes but the most common is hypoglycemia, cerebral ischemia, labyrinthitis, some time may be undetected hypertension, and others, have some rest, eat something, if you are hypertensive then check the blood pressure, and in case of diabetes get done the plasma glucose level,Only advise I would give you is to try Betahistine till you see your doctor, but is nothing to worry, if the symptoms are not severe else you have to see the ER just to rule out the cerebrovascular condition hope this information helps.
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Can an online doctor read kidney function result?
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Yes, I just received some test results from my endocrinologist in the mail today. I am a type 2 diabetic but technically considered a type 1 because I have had chronic pancreatitis for 8 years and my whole pancreas is diseased I produce no insulin & have to take creon to eat. Anyway my question is about what my kidney function results mean. It says U microalbumin conc is 85 & my U microalbumin /G creat is 86 can you tell me what this means about my kidneys?
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Hi,From above narration it is clear that you have pancreatic diabetes mellitus. Though in it there is no insulin production by pancreas (B cell), it is different from Type I DM because of low level of glucagon (anti insulin hormone produced by pacreatic alfa cells) in pancreatic DM thats why low chances of development of diabetic ketoacidosis (acute complication of Type I DM) in pancreatic diabetes.In pancreatic DM pancreas also cannot produce enzymes needed for digestion and hence enzymes are supplied in form of tab creon.In pancreatic diabetes development of microvascular complications of diabetes (diabetic retinopathy, nephropathy, neurpathy) is same as in Type II DM, though development of macrovascular complication (heart attack, CVAs (paralytic attack) ) are very less in pancreatic DM.For screening of development of diabetic nephropathy there is test called as renal function test which includes serum creatinine, urea, BUN, electrolytes, uric acid, calcium, phosphorus, urine examination for microalbumin or spt urine urinary albumin creatinine excretion ratio.In your case Urinary microalbumin concentration of 85 & Urinary microalbumin to creatinine ratio of 86 denote presence of microalbunuria, which is early predictor of development of diabetic nephropathy and other microvascular complications.You should also screen for diabetic retinopathy by doing fundoscopy, foot examination for neuropathy.
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Simple cortical cyst present in kidneys, normal echo pattern, no evidence of calculi. Medication needed?
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i am male,aged 63. during sep 12 i underwent thorough body check up in a reputed hospital at .i do not have bp problem. there is no traces for diabetes. weigh is reported as normal.one observation is as follows left kidney measures11.7x4.9cms.a simple cortical cyst measuring 3.1x3.1cm in the inferior pole extending exophytically.it shows normal echopattern with no evidence of calculi or calyceal dilation. I have not taken any medicine so far.Whether the cyst can be dissolved without taking any allopathic medicines.Pl suggest .
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Simple cortical cyst can occur normally as age advances. Only when it is multiple or the cyst is large enough to compress the renal tissues and impair its function, or when it gets infected or a hemorrhage occurs inside it, it needs intervention. Else, it can be followed up with USG by the same radiologist every 6 to 12 mths. Provided, your urea, creatinine levels are normal and no evidence of proteinuria, u dont need to take any medications. Just a periodical follow up is enough
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Suggest medicines for pain below the umblicus and flank
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Sir i have pain below the umblicus and flank Creatinine 1.1 Urea 30 Urine exami Rbc 25-30 / hpf Pus 2-3 / hpf Albumin trace and balance all are normal. Father having fever for two days. Difficulty in urinating Is this is serious.we consulted a doctor he just writed for antibiotics only
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Hello, Level of urea and creatinine are within normal limit but all other test results are abnormal. As a male, presence of pus cells- 2-3/ hpf is significant and both this and RBCs- 25-30/ hpf indicate towards severe form of urinary tract infection and as associated with pain in anterior abdominal area showing involvement of bladder/ urethra. Presence of albumin in urine in this age group indicating more towards Diabetes mellitus and/ or associated high blood pressure. A diabetic patient are at risk of developing infection more. So, go for culture &sensitivity of urine, 24 hour urinary protein, Blood glucose estimation and total blood count. so, consult your physician with these test result and continue the antibiotic and for fever give him tab. paracetamol 500mg 6 hourly.Thank you for consulting HCM.
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How to cure hair fall problem?
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My name is Puspendu Simlai from Kolkata, India. I am suffering from continuous Hair fall for a period of 7 years.First I used Minoxidill 2% but it incresed hair fall rate. Now I am using Arish Hair oil(an Aurvadic Oil) in an alternaitve days but can't get any positive result. What to do?
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Hello, i explain everything about hair loss in point twise manner1. 100-150 hair fall every day is very normal. So should be consider hair fall if number of hair more than this.2. In male Male pattern baldness or androgenic alopecia is most common cause of hair fall.3. Straightening and other procedure also cause weakness of root4. Other condition like fever, ptyphoid, maleria, thyroid, etc also cause hair fall( less common)Treatment1. Have good sleep. food., green vegetables , fruits2. Take iron and multivitamines like follihair atleast 3 month.3. Check you blood hemoglobine if it is less iron and folic acid supplements should start.4. Check thyroid and diabetes to rule out other cause. 5. Use minoxidle 5% hair oil over hair thinning area.6. Final and last treatment is hair transplant which is a minor surgical method but have good results
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Is it safe to take regular medication and amway nutrilite for diabetics?
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Doctor, My mother(47) bought this new Amway s Nutrilite Glucose Health. She has diabetes. My queries are: 1. Is this supplement good for my mother? 2. If yes, My mother is already taking her medicine (Glucored Forte), so is it good if she takes both of her medicines? Will it affect her in a bad way?
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HiYes,you can take the supplement along with diabetic drugs as long as the patient feels no discomfort or side effects. Using both together does not seem to have any major interactions.Monitor blood glucose levels once a month to titrate tablet dose if necessary.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
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What is the treatment for the enlarged node in the inner left elbow?
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I have been undergoing many tests for some swollen lymph nodes and other issues. The most enlarged node is in my inner left elbow. It ranges from about 3/4 to 1 inch across, and over an inch long. It is not terribly hard, and it can be moved a little bit. I also have a shadow on my right lung that has persisted through two ct scans. Some other tiny nodules in my lungs didn t show up on the second scan. What is your first through about the possible cause? Of course I will continue to work with my doctors for an answer.
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Hello,I can understand your concerns.Such type of lymph node enlargement can be due to:- Lymphoproliferative disorders- Diabetes- Infectionsas a rare cause leprosy is one of the common reason for solitary enlarged medial epicondyle lymph nodes. If this continue to persist then you may ask for biopsy which will rule out the diagnosis. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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What causes fever while suffering from liver cirrhosis?
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DEAR DOCTOR, my dad aged 63 is suffering from liver cirrohsis.. he is a born vegetarian and non-alcoholic.. but he has diabetes... he is bbeing treated for it... but he suffers from fever and chill especially if he travels and drives car... wat may be the cause for fever?? waiting for your reply... thank u...
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Hi welcome to the health care magic Secondary infection as a result of diabetes here can lead fever.. By travelling he might suffers from viral cold and that can also lead fever with chills Your father's work up done with... -CBC along with platelet count and DC-Auscultation -Physical examination and detail drug history -Peripheral smear examination esp for malaria parasitesIf specific cause revealed than treatment done for that If fever not resolving and keep on increasing than blood culture like investigation might done until than symptomatic management done, and for fever paracetamol given Advise : Consult physician for examination...
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Can the medicine, Xyzal, for chronic cough cause kidney problems?
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Hi. I have taken Xyzal for several years to control my chronic cough. it s the only thing that seems to work. However, in the last 18 months, my kidney GFR has fallen to 58, and stayed there. I have no other risk factors for chronic kidney disease---no diabetes, my blood pressure has always been normal, my cholesterol is within the normal range and I have no heart conditions. Could this low GFR be caused by Xyzal?
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Hello, Xyzal do not causes kidney problem commonly, but it is mainly excreated through renal clearance so when kidney function is impaired it should not be taken or if necessary to take then in lower doses. So, most probably you have some asymptomatic kidney related problem before you started the treatment / may you are taking some other medication. consult your treating physician in detail.Thank you for consulting HCM.
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Suggest medication for ecoli infection on penal part?
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respected sir, my brother in law suffering fom e coli infection on penal part,he is 30 yrs old.His perpuce part shrink due to infection as reported in urine culture.Is this VD, WHAT sort of medication he take to recover .is it necessary to remove his penal skin
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HelloHelloThanks for your query,based on the facts that you have posted it appears that your brother in law has infection of the foreskin (Posthatitis).Please get his blood sugar levels done to rule out diabetes.As this is very common presenting symptom of diabetes. He needs to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.along with topical antibiotic ointment like Neosporin twice daily.If problem persists he may need to get circumcised.Ensure he washes his genitals with warm water twice dailyDr.Patil.
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Could numbness in the penis be due to scoliosis?
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31 years old, 5ft7. recenetly found out i have scolosis and im a bit stressed. but before this my penis has been numb and still is has been for around 8 month or more no sensation when having sex also penis seems to of deflated it doesnt look its normal size/self
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Hello, Nerve damage is known as neuropathy. Diabetes and multiple sclerosis (MS) are among the diseases that can cause nerve damage and affect the feeling in the penis. Peyronie's disease, a condition in which scar tissue called plaque forms in the penis, can also affect sensation. Talk to your urologist for detailed investigation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
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Suggest treatment for a large lump on the inner thigh and the groin area?
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Hi, I have a largish lump/spot on inner thigh, side of my groin at the top of my leg. It cones and goes but it gets bigger n then just seems to pop. At the moment its close to popping and really saw. Wen it pops it clears up for a while only to return. Is there any treatment without going to gp and should I be worried.
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Hi,Thanks for writing to HCM.That is a boil what you are having.... and if it is recurrent that you need to get your sugar levels checked for diabetes...Till then start on an simple antibiotics like amoxicillin...and pain killersDr. Ashish Verma
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Should Glimepiride dosage be increased to control FBS levels and Cortisone shot be taken for trigger finger?
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I’m diabetic with an average morning blood sugar reading of 145. Do you think I should be increasing my dosage of glimiperide from 2 to 3 or is it time to see an endocrinologist instead of my internist? Is it safe for me to get a shot of cortisone to treat trigger finger even though it will raise my blood sugar or is there some other treatment I should ask my orthopedist for?
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Hello,You can definitely go ahead with your cortisone injection but with a careful monitoring of blood sugars for 2 days by which time your sugars will be deranged.I suggest you increase your Glimeperide dose to 3 mg as strict control of sugars are always better option in early diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shehzad Ruman
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My mother has developed a bad odor, can it be because of any medication ?
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Abouttwo and a half years ago I noticed that my mother developed bad odour inspite the fact that she is a very clean woman. The smell changes but I woud say it is a chemical smell. She did lots of tests amongst them at the gynecologist and all doctors say that there is nothing wrong with her. Last December she did a knee replacement operation and during her stay at the hospital the smell vanished from home. Before the operation she did a number of blood test and all gave good results. There was one doctor who said that it could be the tablets she is taking for high blood pressure , for cholesterol and for diabetes . He said that it is going to take a while whle they detect what is causing the smell and he changed Metformin. The smell stopped for approx. a month but it got back eventuelly. My mother is 80 years old but still self sufficient. Please do tell me what you think.
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hi bed smell is due to bacterial fermentation of the perspiration. common in diabetic pt. apply antibacterial cream twice a day apply anti perspiration powder in morning take azithromycin 250 twice a day for three day
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Suggest natural remedies for A-fib treatment
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yes, i have been diagnosed with A-fib. doc says it's not life threatening. what can I do on my own, naturally, to combat or deal with it. I'm anemic, i have high bloodpressure, diabetes, high cholesterol and i'm in remission for breast cancer. i'm 63 @220 lbs female.
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There are not really any natural remedies for atrial fibrillation. It is not usually life threatening. The risk with A-fib is the risk of stroke if you are not on an anticoagulant medication like warfarin. Since several other of your illnesses also put you at risk for stroke (diabetes, cholesterol, hypertension) I think you would benefit from an anticoagulant medication. Please talk to your doctor or cardiologist about this.
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What is the treatment for staph infection due to the callous out of the toe?
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hi my uncle took a callous off his big toe, he developed staph infection and is on antibiotics. If he goes off the medication the hole gets bigger. He is borderline diabetic but the Dr isn't putting him on insulin. Is the hole not getting better because of the staph and or because he hasn't been given insulin??? He has been dealing with this for a yr and 1/2. HE HAS SEEN SEVERAL DR.S noone has been able to fix this hole in his big toe...last but not least he has neuropathy of the feet..... If I had this I would be crying in pain because the hole is big.Frustrated in Green Bay
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Hi,Welcome to HCM.I understand your concern about your uncles disease. He is suffering from something called diabetic foot. It is most commonly due to trivial trauma which forms a non healing ulcer in diabetics.Infections in patients with diabetes are difficult to treat because they have impaired microvascular circulation and most common bacteria causing infection include streptococci and staphylococci.High sugar levels may cause delay in healing.The best way to deal with this would be surgical debridement of the wound, and effective antibiotic treatment till ulcer heals.Blood sugar levels have to be maintained.The doctors have not given him insulin most probably because his sugar levels are in control. I suggest you get in touch with a surgeon and get the ulcer dressed regularly to promote healing.Thanks.
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Suggest treatment to increases hb count in blood
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hi!! my mother aged 65 is anemic (hb count was 10 before she was diagnosed with diabetes). she has been put on piomed 15 and glycomet 250 mg. when we too hb count now it has dropped to 7.6. she has been taking Fe supplement but looks like iron not absorbing in system. serum iron test also did not show any deviation,
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HI There are many causes for Anaemia . If Iron Deficiency is ruled out then we need to do certain other test to find out cause . Kindly get these tests Peripheral Smear for Blood Picture , Serum Vitamin B12 , Stool for Occult Blood , Retic Count . Revert back with reports . Once we find the cause of Anaemia treatment will be easy .
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Having noticed a uncomfortable feeling on the left side of head
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Hi thank you for your interest in helping me. I have been having an uncomfortable feeling on the left side of my head, my left arm and left leg, (feeling you have when sleep on a limb for too long). They did a CT scan, MRI and said everything is normal. The neurologist said it is not a stroke. The only thing they found is cervical spondylosis on my neck which gives me some neck discomfort. I have this feeling mostly at rest, I had pain at the back of my left shoulder went to the ER they did EKG and said it was normal. I m hypertensive on treatment with Losarta, Hydrochlorothiazied, and Potassium. The doctor recommended physiotherapy what could be wrong with me? Please I need help .
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Hello!Thank you for asking on HCM!I am glad that your MRI have resulted normal. This means that there is no infection, stroke or tumor. So, all serious conditions are excluded. Coming to this point, I would recommend performing an EEG to exclude partial seizures. I would also recommend performing thyroid hormone levels for possible thyroid dysfunction, blood electrolytes for possible electrolyte imbalance and HbA1C for diabetes. If all these tests result normal, I would recommend continuing physical therapy. A cervical spine MRI would help exclude possible myelopathy, although your symptoms are not typical of cervical spine compression. You should discuss with your doctor on the above issues. Hope to have been helpful!Kind regards, Dr. Aida
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Why does my father get full body tremors after being treated for angina,diabetes and cancer ?
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My father had what they call it angina , I am pretty sure he had a full blown heart attack . He was sent home from the hospital. while he had the heart attack he started to have tremors all over his body. Before this he had hand tremors especially in his left hand. For about 1-2 years. Now since getting out of the hospital he started getting full body tremors again and again. They gave him valium at the hospital and it stopped for a bit, but now it just keeps restarting. They did a cat scan and saw nothing. We have a history of parkinsons disease in the family... He is 80 years old and has bladder cancer . He is also diabetic. With these episodes he has been getting temple headaches and he does not usually get headaches at all.
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Hi welcome to healthcaremagic The shaking of the hands and whole body after the discharge from hospital is due to anxiety.. because of this he may have episodes of headaches.. Even though there is history of Parkinson disease , the disease cannot begin in short duration.. continue with the given medications....
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How bad is it for a lupus person to get diabetes ?
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How bad is it for a lupus person to get diabetes? My husband was diagnosed with lupus a about a two yrs ago. Along with the lupus came: fibromyalgia , autoimmune hepatitis , arthritis , and psoriasis . Lately he has been feeling very thirsty and is constantly peeing. My mother thinks it may be diabetes. Do you think i should take him to a Dr? it is a side effect that has to do with the other sickness? What should i do?
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Ofcourse you should consult your dr. & be in touch with him regularly.
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Suggest treatment for chronic migraines, fatigue, numbness and tingling in the limbs and back
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Hello, I had my 3rd baby 5 months ago and I had gestational diabetes with that pregnancy. I went to the doctors a couple of weeks ago and I took a fasting glucose check and my number was 113. My doctor didn t seem to be to concern just wants to see me in 6 months, excersice, watch what I eat. But I am very concerned thinking I should get a second opinion? Seek a different doctor? Considering I don t have history of diabetes in family, I have lost all my baby weight and extra 10 pounds, very painful for me to excercise suffer from fibromyalgia, and watch carb intake because of fibromyalgia. I m worried something maybe going on with my body and I want to prevent diabetes if I can. I just cant even handle the thought of having fibromyalgia and diabetes. I struggle very hard with fibromyalgia dealing with chronic migraines, chronic fatigue, numbness and tingling in arms, hands, legs, just constant excruciating pain in neck, shoulders, and back.
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thank you user for your query.Since you suffered from gestational diabetes and your fasting sugar is coming 113, hence you a case of pre diabetes. Chances for you to develop diabetes mellitus type-2 in later life is likely. All i can suggest you is to keep a watch on your carbohydrate content. Eat lots of green leafy vegetables, nuts, butter milk, other milk products (prepared from skimmed milk). Try not to skip your breakfast, instead take light dinner. Exercise almost 30 minutes a day for 5 days in a week. Drink plenty of water and keep a check on your blood sugar monthly.God Bless
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Why should a person with fatty liver disease meet a gastroenterologist?
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I have been told I have fatty liver disease. Lately, I have had profuse sweating and weakness in the latter part of the day after very little activity. I'm 62 years old, have diabetes and high cholesterol and trigycerides. I've been referred to a gastroenterologist. Why would I need to go there? (My weight is 139 and I'm 5'3")
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Hi thanks for asking question.Noted you have diabetes , fatty liver with high cholesterol....Gastroenterologist is the best one for detail examination in your condition.So reffered .Here the main treatment of your is to reduce weight...By decreasing cholesterol level your diabetes will also be controlled.Take low fat and low sugar diet.Fruits more.Regular exercise done.Use very much less oil in cooking.Trans fat food like cheese, butter, baked pestry , non veg avoided....Avoid alcohol....Take udiliv 300 mg tablet daily....If needed and sugar not controlled then metformin or glimepiride started....With above measures you will recover well....Hope your concern solved.Take care.Dr.Parth
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Elevated kidney function tests. Have chronic a-fib. Related conditions?
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My last bloodwork came back with low potassium levels and elevated kidney function tests. I am taking diuretics for edema which I have after hip replacement surgery, that could account for the low potassium, but I don t know what the elevation in my kidney function tests mean. I had been in paroxysmal A-fib, well controlled, after the surgery the A-fib is now chronic. I don t know what all this means or if it is connected.
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hi there, yes the low potassium can be because of diuretics especially lasix. now you have not told me your age and whether you have any other ailment like high BP or diabetes. as altered renal function goes with that with due course of time.and with increasing age too there is a little rise in s.creatinine as the GFR decreases. plus are you taking any other drugs as renal impairment is common side effect of a no of drugs.
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Kidney transplantation cost at cms
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I am a KCD patient since 2005. My present creatinine level is 5.5. I would like transplant . Greatfull if your let me know the cost of transplant at cms please.
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Hi and welcome to HCM.The most common cause for a kidney transplant is end-stage kidney failure (due to diabetes, uncontrolled blood pressure and glomerulonephritis which is an inflammation in the filtering units of the kidney called glomeruli). The disease is first treated with lifestyle changes, medication etc, but if the condition progresses, a kidney transplant will be required.Kidney transplantation is expensive. The costs of an uncomplicated renal transplant event are approximately $100 000 for the first in 90 days of care. CMS is the primary payer for most of kidney transplant patients and though kidney transplantation is cost effective compared to long-term dialysisRegardsDr Santosh
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How to control sugar levels of 361,tiredness,headache and vomiting sensation?
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Hi doctor, i am shakthi from vysarpadi, this is for my mother who is 56-y-old, recently found to have blood sugar of 361, as result giddiness, tiredness, headache, vomiting sensation, etc.. Also ekg shows right bundle branch block suggesting abnormal EKG. Doctor suggested to see a diabetic specialist to control the blood sugar. Please advice how to face this problem whether to see a diabetes specialist or cardialogy dodoctor or so.. Now she is in home at rest . pls kindly help us in care of my mother, thank you
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Thank you user for your query.Well so far as your LBBB is concerned you need to see a cardiologist as he has to rule out the causes of left bundle branch. The cause can be aortic stenosis,dilated cardiomyopathy, acute myocardial infarction, any coronary heart disease etc.As far as your diabetes is concerned well its not clear that blood sugar is fasting or random.Kindly mention this clearly. As a matter of fact blood sugar is highly raised. She should immediately start insulin homolog 10 units before breakfast along with 1000mg metformin. If you don't want to start insulin then you can start linagleptin 5 mg once a day and 1000mg metformin at dinner.Kindly take due precautions on diet.low carbohydrate diet, green leafy vegetables, high fibre diets, butter milk, short and frequent meals is advisable.for more query you can contact me anytime.God Bless
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What could the brown bruise on foot of a child indicate?
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My son is an active 7 year old with no know health problems. He has a solid chocolate brown bruise on the bottom of his foot the size of a silver dollar. He says it doesn't hurt and he doesn't know how it happened. Should I be concerned? My family has a history of diabetes.
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Hi,Thank you for asking question on health care magic.I think it may be subcutaneous hemorrhage vanishing gradually.Probably it may be due to some injury during play taken lightly by him.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
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What is acceptable improvement post Insulin pump use for elevated blood sugar?
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My husbands blood sugar tested at 575 at 11 pm. He changed his insulin pump site and I s trying to go to sleep now. Our plan is for me to wake him at 1 am and test his sugar again. He is a type 1 diabetic, 60 yrs old, and a 6-bypass survivor. What should I expect for acceptable improvement, and what signs of danger do I need to watch for? He has been very irritable and was a bit confused earlier, but was able to clear up his thinking. I am worried about the possibility of his having a stroke, plus, we don t have any strips for testing for ketones - he was never educated on those, and I m new to all of it. Thanks for any advice you can offer.
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Hello,Your husband is diagnosed with Type 1 diabetes, so his blood sugars control totally depends on Insulin and diet.He must regularly check blood sugars at least 2-3 times in a day and adjust the insulin dose as advised by your Diabetologist or physician. Also, you must be aware of symptoms of low blood sugar sometimes irritability, and confusion is part of this only.Regular monitoring of blood sugars, low carbohydrate diet, regular moderate physical activity will help to control blood sugars.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. DEEPAK M R
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Is Viagra intake safe after an angioplasty?
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I am a 52 years old obese man, undergone angioplasty and stunting of LAD in 2006. I am now on Telma 80mg, Ceruvin AF, Nebicard 10 and S-Numlo 5mg OD. I am keeping BP under control, no diabetes. I sometimes use Viagra 50 mg not more than 2 - 3 times a month. Should I use this drug ?
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Hi,If it is two- three times a month, no problem, just keep in mind that Viagra may cause low blood pressure and monitor your blood pressure regularly.Take careCome back if you have any further questions
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How to cure pigmentation near eyes?
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Sir have a nice evening. Does cure for pigmentation exist in medical science. I am 31 year old man having pigmentation round the eyes consulted dermatologist they recomends laser treatment shud I go for that????? Meanwhile they prescribed topcort cream I m using it since 5 months no visible effect pl help
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Hello,Welcome to healthcare magic.Pigmentation around the eyes could be due to various factors including familial, thin skin around the eyes, diabetes mellitus , deep eye sockets, stress and lack of sleep.You will not benefit from using topcort cream around the eyes. Is is a mid potent steroid and should not be used for prolonged duration.You could benefit from using cream containing 2% kojic acid and vitamin C twice a day.You could also get glycolic acid peels done by a dermatologist once weekly for 6-8 times.If your eye sockets are very deep, they can cause a "shadow effect" which can be treated using dermal fillers.Lifestyle factors play an important role in reducing dark circles.Have a good diet with lots of fresh fruits and vegetables. Try to reduce stress by yoga/ meditation.avoid prolonged computer/ TV usage.Try to get sound sleep for atleast 6 -7 hours a day.these measures may help to lighten the pigmentation.Hope they help you.Take care.
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