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Semens analysis
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Q. I am 38 ys old, having under control pressure and diabetes,iam taking the following medicine on regular basis: 1.Eslo 2.5 for pressure 2.zory1, piozmf 15 for diabetes. Last yr my wife had a miss carriage.There after we gave a gap of 5 months.We are again trying for pregnancy from last 4 months after a gap of 5 months.But till there is no result.I have my siemens analysis as follows: 1. liquification time: 40 min. 2.total vol. 3ml. 3.colour:greyish white 4.odour:musty 5.viscosity:moderate 6.ph:7.5 7.agglutination;absent 8.sperm count:80 mill/ml 9.total sperm count:240 million 10.percent motility after liquification:50 percent grade 0: 50 no movement grade1:20 none forward grade2:20 slow, directed grade3:05 fast,directed grade4:05 very fast forward. 11. morphology normal: 65 % abnormal:35% 12.cellular elements wbc:1-2 rbc :not found epithelial cells:ocassional 13.Bio-chemical examination Fructose:present pl. advice is there is any problem or symtoms of infertility and how to get rid of it.your suggestion will be highly appreciated.thanks and warm regards.
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Hi Welcome to health care magic your semen analysis report is with in normal limits ,I don`t see any problem with it .Even normal semen analysis is not a guarantee for conception.Keep your Diabetes & blood pressure under control.Take some antioxidants to further improve your semen quality & penetrating power of sperm. ‘Hope I have answered your query, I will be available to answer your follow up queries, “Wish you Good Health and speedy recovery” Disclaimer
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What is the treatment for a lump in the face and tiredness?
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Hello Doctor, I need your advise. Recently have lost weight though I haven t been eating properly due to my work schedule but I have really lost weight than I can imagine but when I noticed have been eating properly and gradually gaining weight, I can tell by my trousers( waist) , I also feel tired recently and have been coughing since yesterday. A month ago I had this weird lump on my face but it dried up itself. Am very worried, I don t want to admit it s HIV because I haven t had any unprotected sex. Been cautious ever since. My schedule has been very busy and am stressing much. What do you think Is wrong with me? I await your response.
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Hi! Good evening. I am Dr Shareef answering your query.If you really lost weight, it is not necessary for you to be HIV positive. There are very many reasons of loss of weight starting from diabetes mellietus, Thyrotoxicosis, Tuberculosis and being HIV positive. If I were your doctor, I would advise you for routine blood tests like CBC, Blood sugar, thyroid functions tests, and of course a HIV test. Further management would depend on the reports of investigations and physical findings.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
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What could small blood spots on penis signify,with type 2 diabetes?
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I occasionally have small blood spots where my penis would have come in contact with my underware. It was very infrequent in the past, like maybe once or twice a year. Lately it's been occurring more like once or twice a month. It doesn't seem to be related to intercourse. I have no pain or burning sensation. I'm 67 years old. I take meds for type 2 diabetes, but other than that I'm pretty healthy. Should I be concerned?
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It is urethral discharge.If it is frank red then it is coming from distal part. You have to specify if there is burning sensation. Get smear and urine tested. You are advised to get yourself checked by urologist.
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What causes changes in glucose level when having statin drugs?
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My glucose rate, according a comp. metabolic set, is 109. This rate has being progressively increasing: 84 (10/14/2009), 93 (4/5/2012), 109 (7/26/2012). I am taking statin drugs for my heart condition. Do you think that this changes in my glucose are something to worry about?
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Firstly all the blood pressure reading mentioned are in the normal range and so you need not worry about the same. You are true in saying that statin does cause new onset diabetes, but the risk is rare. To be frank it's 1 in 250 patients treated with statin over 5 years may have diabetes. And so the benefit for heart condition is far more than the risk of diabetes due to statin, so do continue the same and keep 6 monthly monitoring of the blood pressure. Regards Dr Priyank Mody
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Can Mego XL capsule be taken regularly?
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Sir I take medicines named diclotal Mr, stator 20 comma and mego XL... So my question is that... I have been said to take mego XL , a painkiller only when there is severe pain but since I have been going through severe pain almost everyday so can I take this medicine regularly? Sir my health problems are bad cholesterol is high, spinal pain because the jelly in the last two vertebrae has come out and has been pressing the nerves...and my diabetes is in borderline..and i have chest pain
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Hello, Nothing much to worry and your treatment is in the right track. Consult your current medicines. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
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Can stress cause elevated D-dimer levels?
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Hi, I was diagnosed of high d-dimer quants around 800! I was checked up by IV contrast CT scan and ultrasound checking up and there were no blood clots in my lungs and legs! However, due to my current special life situation i have been in sever long stress for almost continuous last two months! Is being under high levels of stress for a long time a sign of increased levels of D-Dimer? Thanks
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hi, its possible. because of high stress level its secrete high amount of hormone level from our pituatry and because of that d dimer level incresed and its continue than its lead to diabetes too. so i suggest u should take proper rest and give your brain some rest.
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Is bypass surgery a possibility based on available clinical information?
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I'm scheduled to have an angiogram next Monday. I am 33, male, never smoked, was a light drinker (1-2 a week) until recently and I do not drink any more. Diet could be better but cholesterol was 192 last time I had it checked. BP has always been low. Not overweight, no diabetes, Pretty active ( Golf, Gym, Softball) Family History of Heart Disease ( Father died at 44) . Was having lightheadedness and shortness of breath climbing stairs recently. Went to have a echo-cardiogram ( which was completely normal) and a stress test (which my BP dropped to 90/60 in the 6-9 minute mark. Doc put my on beat blocker and aspirin regimen. What are the chances of having 1.) A stent put in my artery and 2.) What are the chances of bypass surgery for a guy my age with the info I have provided to you. I am in a bit of denial with all of this because of my age and that I've taken pretty decent care of myself. I was always an active kid and it carried over to adult life. I'm more worried about Bypass surgery. How is it determined that I would need it looking at the test result? This is all to scary.
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Don't think anything presently,only after Angiogram you will come to know what further treatment is needed,is it stenting or bye pass surgery.Having strong family history of HEART disease can pose individual for risk of developing Heart disease at young age.
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Suggest treatment for erectile dysfunction despite taking Giyspot, Getgo and Jakjoy
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Dear sir I have Ed since 12 months I visited my sexologist ,he did all the test and suggested me to take giyspot in the morning ,getgo 10 mg in the noon and jakjoy at night, for a month and he said that I will feel the difference at the first week itself , but I felt no difference even after taking medicine for the full month . I am not able to over. Come ED problem please suggest what is the next step I should do ?? Please help
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Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.Erection problems can have many causes. These include:Physical problems, such as injury to nerves or loss ofblood supply to the penis . Other health problems, such as diabetes, high blood pressure, anxiety, anddepression.Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Tretament is based on cause and include avoiding tobacco and drugs and limiting alcohol.Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases this is sufficient for treatment but you should just be patient and do necessary tests.I hope I have answered you query. If you have any further questions you can contact us in every time
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What causes dark skin discoloration and soreness on the fingers?
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I pinched a finger about two months ago. It tore the skin down to the tendon. I received ten stitches in an urgent care facility. Once it started to heal it formed blisters witches poped and all of the skin that was pinched died . Thick layers, it looked like raw hide. Witch eventually peeled and I was left with new skin. Witch is now dead and darkening and leatherizing again . Is this a normal process! Will it keep happening?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems nerve & vessel supplying the finger are damaged during the trauma. the blisters & itching you had while healing,show possibility of uncontrolled diabetes with tissue damage of the finger/ infection of the part. Get your blood sugar checked & consult a diabetalogist. Hope I have answered your query. Let me know if I can assist you further.
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Suggest treatment for excessive thirst in a child
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My 2 year old nephew is drinking 45 oz of water through the night plus a ton during the day as well. He wets through his diapers and his bed and makes getting a good night sleep difficult. How do we wean him down from this amount as he is obviously thirsty?
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This child needs immediate medical attention.There are two conditions that need to be addressed, and ruled out, before anything else is thought or said.Excessive thirst could be a manifestation of diabetes mellitus, or diabetes insipidus.I suggest you seek immediate medical care.
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What could cause UTI?
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I had UTI 3 weeks ago and was ordered to repeat urinalysis after my antibiotics. Bacteria and pus gone but now had RBC +1 in my urine which has increased to +3 after 2 weeks. My KUB ultrasound result is OK, no stones nor abnormal findings. What could be the cause? I have also undergone hysterectomy a year ago. so, could that be the cause?
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Thank you for the query.I would like to know your age, whether you have any associated comorbidities like Diabetes Mellitus and also whether you are on a any Hormone replacement therapy (since you have undergone hysterectomy). Urinary Tract Infection (UTI) can arise due to a number of causes. Since you have undergone Hysterectomy, you are in a surgical post menopausal state. The vaginal area becomes dry in this situation and hence bacterial multiplication can lead to UTI. Hormone replacement therapy may have some protective effect (provided you don't have other contraindications)Diabetes mellitus (increased blood sugar) may lead to frequent UTI. Hence, it is advisable to get your blood sugar (Fasting and post prandial) checked, if you haven't got them tested yet.KUB USG may not always reveal stones, specially small ones (X-ray KUB may be more useful in this regard). I would also like to know whether the residual urinary volume (RUV) was done during your USG. Increased RUV may be a reason for recurrent UTI.I would advise you to drink plenty of fluid and maintain personal hygiene. Avoid using any type of pain-killers. If not done you can get a Urine culture done, which may reveal the organism responsible (so that you can take targeted antibiotics) and get your renal function test done. If there is any irregularity, you should contact your physician for further check up and advise.Hope this help you.
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Diagnosed Hemangioma, undergoing evalation, had prostrate cancer. Recommends surgery at 75?
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I am a 75 year old male and I have a probable diagnosis of Hemangioma at T-7 and T-9. I am currently undergoing evalation at MD Anderson, but do not have several results back yet. Do you recommend surgery for someone my age, or what type of treatment would you consider. I have had prostrate cancer and originally it was thought that the cancer had metasticed.
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What type of treatment you should undergo depends on two factors. First, what trouble are the hemangiomas giving you. I mean, if they are producing severe debilitating pain or pressing on a nerve leading to weakness of some body part, then yes you need to consider surgery since surgery is the only curative option. If, on the other hand, they are not too much trouble and just produce occasional pain which is relieved by pain killers then i would nt be too worried. Hemangiomas are generally harmless benign tumors of blood vessels and remain lying harmlessly in the body for the entire lifetime. The second factor is your general health and any associated conditions like diabetes, hypertension, heart disease, asthma (all increase the risk in surgery). So, if its too much trouble and your general health is good, only then think about surgery.
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Smooth, red patch on tongue, no pain
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I have a smooth red patch on my tongue , which I notice about 1-2 weeks ago. It is on the right side, near the edge of the tongue. It sound not cause any pain. I have had a canker sore before but this is not like that. I have looked at geographic tongues but mine does not seem to have any outline, which seems characteristic of geographic tongues. I am 22 years old; weigh approx. 50kg; height is 164 cm. I do not suffer from any medical conditions. I have family history of diabetes and heart disease.
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Hello and thank you for your question. Any time you have a red lesion on the side of the tongue that persists longer than a few weeks it is important to have it evaluated in person by a dentist and possibly biopsied. Oral cancer can occur at any age and is very common on the side of the tongue. The tried and true method of identification is through biospy. Many lesions can appear flat, red and on the side of the tongue. Highly unlikely that it is cancer at your age, but safe to rule out if it doesn't go away. Geographical tongue does have a border but not always apparent. It can also be lichen planus, trauma from an adjacent tooth, chemical burn from medication, new toothpaste, mouthrinse or spicy/citric foods. I hope this helps you. Best wishes, good health. Dr. Ward
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Is it possible to survive with 70% damaged kidney?
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hi I am Dharma,My grand mother age of 63 yrs is suffering from kidney problem. Doctors have told already 70% of kidney has been damaged and also having diabetics .She is admitted in hospital at kolkata.Might it be recover ? If yes then tell me what should we do and tell who and where is the best treatment is going on for kidney. Please suggest me.
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Hi drama... Recovery of Kidney function depends on the nature of disease.. If the kidney injury is due to an acute cause like infection, dehydration, drugs then it is reversible... If it's in slow ongoing process like in diabetes and hypertension then most often it is not reversible.. You have not mentioned about what was her previous kidney function so difficult to tell whether it's reversible or not...
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How long does it take to recover from pyelonephritis ?
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I JUST HAD PYELONEPHRITIS WAS IN THE HOSP. FOR 3 DAYS THE WEEK BEFORE LAST I'M A 76 YEARS OLD FEMALE. DIDN'T HAVE ABNORMAL CBC NOR A FEVER. NO PAIN WHEN THE DR. PALPATED THE KIDNEY WAS TREATED WITH CIPRO, BUT I STIL FEEL CRUMMY AT TIMES HOW LONG DOES THIS USUALLY TAKE FOR A PERSON TP FEEL BETTER
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Hi,Thanks for writing in to us.Pyelonephritis is a condition where there is infection in the kidney. This is a moderate infection and requires a strong antibiotic like ciprofloxacin for it to be cured. If you had to be in hospital then your doctors have stabilized your condition and then sent you home. It usually takes 15 days to feel normal. However it can take slightly longer in elderly people like you because of other conditions like hypertension and diabetes should you have them.Please drink adequate amount of water and visit washrooms regularly. You should not hold your urine for long duration because this can cause recurrent infection. Feeling crummy during the recovery phase is felt by many patients and this can be there for few days. In almost every patient the recovery is complete in one month. Please do not worry.
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What causes weak legs, high iron levels and raised liver function?
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Hi. I have been experiencing shaky and weak feeling legs, bottom and lower back for 3ish weeks now. Also feel extremely fatigued and nausious. Had blood tests and it showed my iron was on the higher side which is unusual for me, and that my liver was slightly raised. It is starting to worry me al lot. Any ideas would be appreciated.
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Hi, I hope you are well, you must know that the liver disease associated with iron overload is called hemochromatosis.This disease usually has a hereditary origin, is rare, and its diagnosis is made by an iron panel; must have a transferrin saturation> 45% and/or a ferritin level> 150 in men and> 200 in women, since these determinations can be altered in the presence of any hepatic involvement, alcohol consumption, infectious process, etc. If these analytical alterations were present, the next step would be the investigation of the genetic alterations in the HFE gene whose alteration is the C282Y mutation.It mainly presents an involvement of the liver, pancreas, heart, pituitary. The main abnormalities that are to be found are alterations in hepatic chemistry, weakness, fatigue, diabetes mellitus, cutaneous hyperpigmentation, arthralgia, impotence, cardiac abnormalities. There is a triad characterized by hepatic cirrhosis, diabetes mellitus and cutaneous hyperpigmentation that usually occurs but in late stages of the disease.There are measures to control the disease and prevent the progression of multiorgan damage, which is why an early diagnosis should be made.
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What causes twitching and spasms all over the body?
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hi. My name is Cathie, i m a 56 y.o. woman, caucasion, obese, and I suffer from Type 2 diabetes x 20 yrs., chronic depression and chronic pain. Lately I can t sleep.[1-2hrs/24 hrs,] my major symptom is a twitchy, spasm all over my body. do you think you could tell me what is happening?
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Hello ! I read your question and understand your concern. In my opinion the twitchy spasm all over your body may be a disorder called myoclonus or myoclonic jerk.It may be caused by different problems like : seizures, diabetic amyotrophy or polineuropathy. It is very common during sleep , in patients with diabetes. I would recommend to monitor your blood glucose better , and have a Electroneurography and an EEG to exclude the above mentioned disorders.If I were your doctor I would recommend treatment with clonazepam. It is a very effective drug in this situation. Other therapy I would recommend would be Primidone, Lioresal etc. Hope to have been of help!Thank you fo using HCM!Best wishes, Dr. Abaz Quka
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At what createnine level is dialysis essential ?
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my father is having dibetes and high blood pressure since last 6 years. His createnine level in December 10 was 1.6, however in the same month he was hospitalized coz of breathlessness & hypertension . since then his createnine level shooted upto 2.2 and remained progressively increasing and sometimes decrease (some of his cretenine values for january 11 & feb 11 are to 3.1, 2.8, 4.8, 3.9, 4.2 and his latest reported value is 3.3 mg/dl. his urea level is also high (100) kindly suggest whether he require dialysis right now and at what level dialysis is recommended. what is the reason of such fluctuation in his createnine level in such short span of time.
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Hi, The rising creatinine values indicate renal failure mostly due to diabetes.There could be other causes too but diabetes could be the most important since he is already diagnosed.Dialysis will depend on his output.When he has inadequate output then the dialysis will be necessary.Some other cause should be looked for if the levels are fluctuating more than 6 months.
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What does bilateral deep white matter changes indicate?
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hi i am 59 and i was attackt 5 weeks ago and ended up in hospital i was head btted 6or 7 time and punched around the head i had lots of cuts and lumps on my head my blood presure whet upto 245/144 they gave me a ct scan and kept me in when left the next day they gave me a discharge letter saying that i had bilateral deep white matter changes i have since had a mri and i am waiting for rusults what dose deep white matter changes mean
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nobody really knows what it is or why it happens. it is thought to be damage to tiny bridging blood vessels between large vessel territories by ischemia or lack of blood flow because it is mostsevere in people with high blood pressure, diabetes, and high cholesterol. it is known to be the cause of what was previously called vascular dementia but only in its severest form. most of the time it is an asymptomatic finding seen on MRI .
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Had glandular fever, experiencing neurological problems, diagnosed post infectious polyneropathy, getting tremors. Will loose motor function?
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Hi I had glandular fever 2yrs ago and about 3-4 months later started to experinece alot of neurological problems with pins and needles and numbness in hands at night, pains in my head, and other parts of my body. The neuro at the time dignosed post infectious polyneropathy related to EBV. Had ful tests-MRI, spinal tap, bloods etc, all normal. Since then I have developed tremors particularly at night time (resting tremor?) which wake me up though they have reduced in intensity of late thank god. I ocassionally in the day get some tremors(intention) but its not severe and when focused I notice nothing at all. But lately I have been feeling weird sensations in my hands particularly. My worry is that this will progress to the point that I lose motor function. Is this a possibilty? I do not have diabetes.
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Hi, it appears to be a poly neuropathy not related to the fever, it may be related to anemia, hypertension, anxiety, gastritis etc. I advise you to consult a physician for diagnosis and treatment. I to my patient with such symptoms investigate for the cause, and in abscence of the cause i prescribe neurotropic injections for 10 consecutive days, oral anti oxidants, and ranitidine, iron preparations, and anxiolytics. Thank you.
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Could asthma lead to body pain?
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hi, i not sure if it's the cold and my asthma doing it but since yesterday i get these very painflash through my body. I mostly feel it in the left and right of my chest but sometimes I feel it in my arms, hands sometimes even legs and other places. I have a medical history of Wegeners Granulomatosis and current i am on Methatrixate, folic acid, Vectoryl and nexium. do you perphaps have a indication of what it could be? kind regards
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HI, thanks for using healthcare magicAn asthma attack would cause pain in the chest but would not cause pain in other areas, another cause would need to be found.Wegeners can sometimes be associated with joint aches and pain so this may be a cause but you may need to be assessed to determine the cause.Neuralgia (nerve related pain) can sometimes cause a sharp sudden pain.Neuralgia can be due to: (1) vitamin b12 or folate deficiency(2)diabetes(3)liver or kidney disease(4)infection(5)side effect of medication(6)trauma(7)exposure to toxinsExamination and blood tests can determine the causeI hope this helps
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What causes chest pain, headache,lack of sleep and vomiting?
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hi, so i have chest pain(on the left side) for almost 2 and 1/2 years now,and many other symptoms including left arm pain if i carry anything light or heavy,got high blood pressure,never sleepfor more then 2 hrs and if i sleep an hr more i wakeup every 30 mins,painful headach which never seems to go away,sometimes got backpain,lately been having extreme cold feet,hunger cramps,drink lots of water and go to the bathroom like hundredh times a day(few days i counted how many times i go the bathroom and in 15hrs i went like 17 times),abdominap pain almost everymorning,whenever i get full i feel nauseas and feel likevl vomiting,since i was born i have this skin whichdifferent from other skin types it heals like almost never(too slow) a little cuts take weeks to heal and the tiny wounds spread bigger,uglier and more bloody,if people touch me like tickle or poke its too painful and hurt for days even might leave a dark bruise sometimes....i dont know whats wrong with me seriously...
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Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, in my opinion, we should rule out cardiac disease and diabetes in your case. Left sided chest pain with left arm pain in an hypertensive patient demands investigations to rule out heart diseases. So get done ecg, 2d echo and stress test. Diabetes can be the cause for your frequent urination and delayed healing of skin lesions. So get done fasting and post prandial sugar levels. Better to consult doctor, discuss all these and first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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Diabetes, cervical spondylosis, Plain X-ray showed cervical spondylosis with bony osteophytes, MRI showed cervical spondylosis with cord compression. Will physiotherapy prove beneficial?
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please I Just want to ask about cervical spondolosysis which i have for 6 months ago. . sex ; male. age ; 61 year. i am suffring from 1- continuous numbness on both of my hands . 2- sense of heaviness of my upper limbs and shoulders 3- sense of crampes of chest and abdomenal walls. 4- no neck pains. 5- power is good. 6- sphincters are ok. 7- i am diabetic . investegatons ; plain x ray of cervical vertebra reveals cervcal spondolysis with bony osteophits. m.r.i on cervical spins reveals cervical spondolysis at the levels c3,4,5,6. with cord compretion. i ask about physiotheraby in this case is effective or not and dangerous or not ? thanks in advanca and best regardes
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Hi , You are having radiculopathy at intake stage . So physiotherapy will definitely work and must be done without fail. This is the only treatment at this stage . But in case of any warning sign lik bladder involvement sudden breathing difficulty , loss of power , worsning of symptoms may require operative decompression with or without fixation . Along with physiotherapy you need to avoid pillow ,sternous acivity , putting ny weight on head; take warm compression ; and other symptomatic management like analgesic (NSAID ),muscle relaxant ,ppi n vitamins .Hope this ll help Thanks n regards
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How can elevated blood sugar levels be treated while on Metformin and Teneligliptin?
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I am 80 years old male with type II diabetes. i took blood-sugar reading -- 2 hours after meals- It is 168. in the morning after 7Hrs sleep it was 134. Pl. let me have your experts opinion. I am taking glymepride 2mg plus 1000 metformin 1-01,, Teneligliptin 20mg 1-0-0 daily v.krishnamoorthy
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Hello, Type 2 diabetes mellitus is due to insulin resistance, you can control it by diet changes, decrease carbohydrate content in your diet + exercise. Fasting sugar levels depend on the previous night at what time you had dinner and what food you had sir, you should change your diet and exercise that is enough sir, your medications are sufficient. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Pusarla Naga Sai Lakshmi, Cardiac Surgeon
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What could cause edema in palms and soles?
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my palms and soles are having edema in some time, whenever i close and open my hands I really felt that it is too fat from the normal...but after a few hours of swelling it would gone and be normal again, I haven t take any medicine or anything, i just have this changes sometimes for years now..
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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 neck and shoulders and hips and 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. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
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What causes loss of memory and walking problems with diabetes?
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my husband is 64 and diabetic.he has had an episode in which he is completely out of his head, combative and unable to walk .this is the second time since Nov of 2013.this time it has lasted for almost . three weeks and he is not improving.He is in a hospital.l being treated but I am getting no diagnosis.The first time it was thought to be medication related.do you have any thoughts on a cause
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Hi, I am Dr.Bruno and Let me answer your query.I am sorry to hear that your husband has the following problems 1. completely out of his head, 2. combative and 3. unable to walkThis may be due to Normal Pressure Hydrocephalous, which may also present with Urinary Incontinence or Inappropriate micturition I would suggest you to consult a Neurosurgeon and Rule Normal Pressure Hydrocephalous Normal Pressure Hydrocephalous is easy to treat and the patient will have good recovery following treatment If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.
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What causes constant urge to urinate and eating problem?
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i have had my 3 year old child to doctors she drinking all time at toilet all time always falling a sleep keeps looking pale not eating very much he said there is a problem with her throid nothing to worry about just keep an eye on her but not given any medication
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Hi...a pale looking child with the symptoms of excessive thirst (polydypsia) and excessive urination (polyuria) has to be evaluated for 2 disorders - 1. Renal tubular acidosis2. Diabetes insipidus.I suggest you get back to your doctor and work up in these lines.Regards - Dr. Sumanth
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What is Stiff Person Syndrome?
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Hi, may I answer your health queries right now ? Please type your query here...I have been diagnosed with Stiff Person Syndrome and the doctor says my GAD levels are very high at 2,200. Can you explain this to me? I'm 64 and 5'4" and weigh 140 lbs. I do not have diabetes.
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HiThanks for your queryBased on your query, my opinion is as follows1. Stiff person syndrome is a progressive disorder of motor neurons, characterized by muscle stiffness/ painful spasms of spine and lower limbs.2. It is autoimmune in origin with presence of GAD antibodies. 3. GAD antibodies are glutamic acid antibodies, which act against the nerve terminals in central nervous system and against beta cells of pancreas. 4. Presence of these antibodies in CSF correlates with CNS symptoms and the disease progression5. Beta cells are the site of insulin production, when targeted makes an individual prone for type 1 diabetes mellitus. So there is a risk of having diabetes with the present levels in your case.Hope this helpsRegards
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Skin rash, itchy. Taking medication, no change. Treatment?
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I am a 58 year old male, I weigh 150lbs. I have a skin rash which is extremely itchy. I have the rash on my arms, legs and trunk of my body mostly. I also have it near my ankles. I have been to the emergency room and also to a dermatologist. I havn't been diagnosed. They couldn't specifically say what I had. The first time they thought it was poison ivory, the second time a reaction to a medicine. I am taking cephalexin 500mg every 6 hours for 14 days. A substitute for Keflex. Also metronidazole 500mg every 8 hours for 14 days and cetirizine HCL 10 mg once a day. I have been taking these medications for 1 week and no change. Also Allergy relief tablets. PLEASE HELP.
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Welcome to HCM.Go for complete blood counts.There will be eosinophilia in allergic condition.Stop antibiotic in this condition. Fexofenedine 180 mg. (anti allergic ), local application of calamine will be helpful.Also rule out other condition like diabetes,worm infestation,thyroid .keep proper hygiene,Use medicated soap for bath.If it is recurrent then go for allergy test.Consult your dermatologist for medical management.
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How to treat burning/cold sensation on both flank area?
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I m experiencing burning/cold sensation on my both flank area since last night. It sort of feels heavy but no pain. I m 31 years old and always have had habit of frequent urination but no diabetes. There are also no other symptoms that are generally associated with flank/kidney related problems.
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You might have Urinary tract infections or simple dehydration... U can do a simple urine routine examination and see for presence of pus cells... If normal then have adequate water and can take flavoxate for symptomatic relief..
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Is blood sugar in range of 8.7 to 9.4 hours after eating harmful?
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I have diabetes type 1... My daughter is almost 13 and she is overweight probably in the 79% especially around her tummy. she has started to drink continually and peeing all the time she just stands up and pees her self. her blood sugars range from 6.7 but mainly in the 8.7 and 9.4 range even after 12 hours of nothing to eat. should I be concerned
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Hi, You need to do for her an urgent test called HBA1c, If it is high, you should be concerned as your child is gaining diabetes. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
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Does the symptoms of nausea, lower back pain, headache and frequent urination indicate kidney problems?
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I'm concerned regarding these symptoms and trying to determine if I may be having kidney problems. My symptoms include nausea that comes and goes, low back pain, fatigue, headache, frequent urination that has recently been foamy and bubbly. I have been to physicians twice over past 2 months and no Uti. I do have interstitial cystitis and borderline diabetes which is treated with metformin. Had a very light period a few wks ago but no positive preg test. Just wondering if this sounds kidney related or what might be causing these symptoms. Thanks!
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hello,you didn't answer if you made any other tests except test for uti. My suggestion is to visit your GP and make blood tests to check the function of your kidneys. These symptoms can be a sign of kidney problems.
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What causes angina pain in a diabetic patient?
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i am taking insulin for diabetes. i am taking lantus at night. 26 units. novolog sliding scale. when i first started 26 units at night it seemed to bring the numbers down lower. now it doesn't see to be. i am having angina pains and nitro is not knocking it. so is the diabetes causing the pain. should insulin be increased
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Hi,diabetes does not cause pain but it predispose one to heart disease and blockage so it's possible that it's because of heart disease.So get your bp, cholesterol check and ecg done. I'd needed go for stress test.You can have tab Sorbitrate 5 mg sublingually whenever there is pain. you should get yourself examined to rule out other causes of pain
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How to treat itching in scalp while having diabetes?
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Hi, I have been suffering from Psoriasis in my scalp for the past two years and had been using clonate lotion in the night and washing it off in the morning with Kertoyl shampoo but during my recent visit to a dermatoligist he advised me to immediately stop using Clonate lotion. Now for the past 1 week the itching and redding has increased a lot and I dont know what to do. Iam obese and a diabetic. Pls guide me as to what can be done?
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dear friend, if you are interested in homeopathy, i suggest you to start homeopathic line treatment. psoriasis is autoimmune disease. in allopathy it can be controled only, you will get relief only. while homeopathy treats 'person as a whole', not a single disease that means all details of your life style will be asked by homeopath doctor and according to that medicine will be given which will be most suitable to you.so there are good results for psoriasis in homeopathy without any side effects.so plz consult a homeopath nearer to you.hope this answer will be helpful to you.for more queries plz don't hassitate to ask.get well soon dear friend
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Viral fever, cough, yellow green sputum. On rotocaps, januvia medication. History of asthma, diabetes. Treatment?
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My mother was under treatment for asthma and diabetics from 17th April. She took rotocaps for asthma and januvia 50 mg (daily one) for diabetics. She became alright in 2 weeks. sugar level became normal and asthma was under control. On 4th may she got viral fever and cough . We met a doctor and he gave few medicines. (asthalin Expectorant, Dolo 650, Combitide 250, zostum O and montek LC. But cough increased and the sputum became yellow and sometimes greenish. I took her to hospital again (another doctor) , he gave another medicines. she has taken the medicines 2 times now. but even now the cough has not yet reduced. She is not to lie down. she hasnt slept from last 5 days. her body, throat and head is paining because of the cough. A lot of sputum is coming. Please tell me why her cough is not coming down, why she is not responding. please help
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recheack blood suger levels as they get disturbed on getting infection.greenish sputum is suggestive of atypical infection & hence antibiotics need to be changed.
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Could tongue, gums and lip sores be due to oral herpes?
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ok... heres the thing. couple weeks ago i got a cold sore thing on the side of my toung. my father told me to just put salt on it and it will go away. so i did... and the next day it was gone. no more pain. few days after i got the same thing on my top gums close to the teeth and lip. as soon as that was about to clear up i get another one on the inside of my lip. Is this Oral herpes???
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Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems more probably be due to recurring apthous stomatitis causing recurring apthous ulcers and can occur due to a number of causes like deficiency of iron and vitamin B12, stress, excess intake of sour foods, physical trauma,acid reflux, hormonal imbalances, diabetes etc..You should consult an oral physician and get evaluated and in case of apthous ulcer he/she can advise you to take a multivitamin tablet daily..Do warm saline gargles.Do soda bi-carb gargles.Avoid spicy and sour foods..If there is pain in the ulcer you can apply a numbing gel containing Lignocaine and take tylenol..Sucking ice pops and doing cold water rinses will help..Hope this information helps..Thanks and regards.Dr. Honey Nandwani Arora.
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Can liver pain affect my back and cause back pain?
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Hi, I have cirrhosis of the liver . Fatty Liver and progressed to NASH then onto cirrhosis. I have diabetes that has been controlled for 1 year now. I have a ultrasound every year and the results have been pretty much the same until now . My Dr. has asked me to come in and discuss the findings this time. It looks like it has progressed. I have a copy that was sent to me and I have a question about what this statement might mean . The liver measured 17.7 cm in length (previously 15.8cm) with a coarsely heterogenesous echotexture. The liver edge is again noted to be lobulated in appearance consistent with cirrhosis. the spleen measured 11.1 cm in length (previously 12.3cm ). I am have terrible back pain below my rib cage. Can this really be liver pain that is radiating to my back ?
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hiwith these finding in the ultrasound abdomen added in the back pain ,it is better to go for a CT abdomen & pelvis.followed by MRI spine (TOTAL OR THORACO LUMBAR)so that any serious issues should not be missed.coarse heterogenous liver with cirrhosis- it is better to rule out any malignancy relative stages or any secondaries which could have spread to the spine or vicaversa.CONFIRMING THE CAUSE IS BETTER.all the best, take care
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What could cause penile split around the bottom of the head?
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hello I am writing you because today while I was washing my penis, I noticed a split around the bottom of the head. it had a small amount of blood. It is not painful, but I do not know where it came it. could it be that the washcloth I use is too rough or has the skin become thin and sensitive? I am 75 years of age and not sexually active at this time. I do not masturbate. I may shake my penis when I urinate. please help me so that this problem would be one less problem that I have to worry about.
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HelloI share your concern Looking at your description this might be caused by rough use of washcloth or an infectionHere I would like further details for proper assessment of the conditionComplete medical history like diabetes or any other metabolic disease Are you taking any medicinesIf possible upload me a photographMeanwhile please follow these guidelines1 Wash it with antiseptic solution or soap and keep it clean and moist by applying any moisturiser or antibacterial ointment like mupirocin or soframycin2. Maintain good hygiene and handle with care during washing3. You should take multivitamin and minerals supplementsPlease write back to me.for follow upWishing you good health
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Are cholesterol of 305 and average blood pressure of 180/110 normal?
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my cholesterol is 305 my lipoprotein is 4.1 non hdl 231 hdl 74 ldl 192 triglyceride 193 i have a very strong family history of heart atacks and many many other health problems and my average blood pressure is about 180 over 110 how is my numbers thanks
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HiI can understand your concern.Incomplete data like age, gender, duration of the problem, any other symptoms such as headache, blurring of vision, chest pain, any associated medical illness like diabetes, & body weight not mentioned.Yes, both the cholesterol and BP are not normal.First of all I would advise you to visit the hospital immediately for the control of high BP. You need proper evaluation like baseline ECG, routine blood tests, chest xray, etc.As this is a hypertensive urgency, it has to be treated with intravenous medications like Sodium nitroprusside or Labetalol.For the treatment of high cholesterol you need drugs like Statins to reduce their level.Once your BP is controlled, you must have certain life style modifications like dietary restriction of salt, avoid smoking and alcohol, do regular exercise, reduce body weight if your obese, etc.Hope this answers your query.
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What does large leukocytes and blood in urine indicate?
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Doctor says my 3-year-old granddaughter has large leukocytes and blood in her urine. They re waiting for the cultures to come back, but they seem very concerned. Could this be a sign of diabetes or leukemia or something that could be corrected surgically?
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Hi, By large leucocytes I think you mean a large number of leucocytes. If so, coupled with blood in her urine it probably means she has a urinary infection that can happen in a little girl. I am sure your doctor will be able to manage the infection with appropriate antibiotics when the report of culture comes. Only if required other tests may be conducted. Regarding Leukaemia, I hope a routine blood examination was done which would have ruled it out. Similarly for Diabetes a blood sugar if not already done will be done. But it seems unlikely since the urine does not show any sugar.Please do not worry. regards.
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Is cardace the cause for weight gain?
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I have engioplsty in three arteries.taking Cardace 10,Zoryl m1.clopilet,aspirin and atorsave and Carca 12.5.I was weighing 89 kg post engioplasty.I could brought down up to 79 kg in the beginning.as the dosage of cardace increased gradually from 2.5 mg to 10 mg,my weight again raised upto 87 kg.I take controlled diet,50 mts of brisk walking and Gym & swimming 40 mts.Is Cardace responsible for weight gain.Howerver 2d echo and stress test are ok.sould I discontinue cardace or any subtitute be taken.I am much worried about wight gain.AC RATHOD,Rajkot,India.
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Hello , All the medication you have mentioned for the heart does not cause increase in weight . The benefits of cardace to protect your heart and kidney is far more and should be continued. Zoryl for you diabetes may cause increase in appetite and henceforth weight gain . However I would stress again , do not stop the medications , if there is any swelling in the lower limbs than you may consult your doctor , consider ruling out thyroid , if everything nomral a dietician consult may help . Regards Dr Priyank Mody
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How can hemoglobin content be improved?
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my mother is suffering from diabetes for the last 18 years, her age is 67 years. for a year or so her hemoglobin level decreases more often due to which she feels very week. pse guide what diet should she take to improve her hemoglobin content, also tell the reason for this decrease.
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HiThanks for posting your query. There are many conditions which can cause reduction in hemoglobin. You need to get her certain tests to find out the cause. 1.Bleeding internally or externally.2.Deficiency of iron or vitamins. 3. Destruction of blood inside body.4. Inadequate production by body. Get the following test and revert back. Complete hemogram , urine routine, stool for occult blood , Iron profile , Based on these reports i will advise you what to do ...
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Is dryness in mouth at night due to glycomet sr 500?
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Sir, I am taking Glycomet SR 500 twice daily along with other drugs. I am 64 years unmarried female. A month before Iwas taking Glycomet GP 1. I changed the drug due to change of Physician. My main complain is DRYNESS OF MOUTH in the night which disturb sleep. Should I change Glycomet SR 500 and go to Obimet SR 1000 mg once ? If so at what time ? In the morning or in the night ? Is the dryness of mouth due to taking Glycomet SR 500 mg in the night ? With regards. K. Basu
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Helloi have gone through your query.glysomet SR is a common drug used for Diabetes mellitus,dryness of mouth is a symptom seen in diabetic patients.what is your blood sugar level recently.glycomet sr can cause dryness of mouth as side effect.if that is the case you sud consult your physician to change the drug.obimet sr is also the same drug i.e. Metformin i wud suggest you to consult your physian about changing the medicine.hope this ans helpsRegardsDr. Shesh
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what is the remedy for pain on back while lying down during kidney problem?
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i am a 56 year old with type 2 diabetes. I just got out of the hospital 4 days ago after being treated for kidney disease. Two nights ago I started experiencing left flank pain when lying down. This slowly went away when I was sitting up. I went into the emergency and my blood and urine tests came back normal for me. The pain returned when I lay down again - on my back or right side. It diminishes when I lay on my left side. It continues to disappear after I sit up for awhile. Any suggestions as to what may be going on and what I should do about it?
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Hi, welcome to HCM. Looking to your history, it seems that your back pain is not related to kidney.It looks like spinal pain.Take orthopaedic/ spine surgeon consultation.Do Imaging for spine with screening for kidney and ureter also.I think this would be helpful to you. Best wishes. tc. Dr Jay Patel.
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What causes puffy eyes and swollen fingers while suffering from diabetes?
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I have had type 2 diabetes for over 10 years. I am a male, 72, and am using insulin and victoza to manage my disease. Recently I started putting on a few pounds each week and have visible puffiness around my eyes and my fingers are swollen {puffy but no pain}. I look like I am retaining fluid. Any clues?
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Hello,After going through your history, I would like to make a few clarifications from you whats your age and what about your present sugar level. If you are fifty plus and sugar is not controlled, then I would suggest you undergo KFT (kidney function test) so that the cause of your water retention could be tracked out.From your history, it's very well evident that there must be some problem with the kidney so that you are retaining the water. So kindly go for the above test.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Medhavi Agarwal
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Diabetic and has blood pressure. Half brain happened cerebral infarction. Scan report showed cerebral hernia. Cure?
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Dear Dr.,This is lucy from Beijing China. I am writing in ask your kindly advice for my farther' disease. He is 62 years old, 7 years diabetes and hypertension. 7 days ago he felt uncomfortable and were sent to hospital, found around 80%right half brain happened cerebral infarction, and 3 days later, due to edema,cerebral hernia started shown from CT. We immediately arranged operations to decompressive to reduce the pressure. Kindly see below CT films before and after operations. He is in deeply coma now and high fever. The doctor now is using dehydrating medicine mannitol.if he getting worse and worse,is there any other medicine or operations we can consider? Sorry I hope I explained clearly. I really need your kindly help for information and suggestions. I will highly appreciate it if you can help. Thanks in advance!Lucy
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Hi, it appears that your father may be having tuberculosis of the menenges. As it is a cerebral surgery, it may take some time for recovery. if there is decline you can try the anti tuberculosis drugs, as a trial and error method. When he become conscious give him juice of palatable vegetables. Thank you.
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Does the test showing elevated white blood cells a cause of concern?
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hi my sister is 60 yrs old with diabetes she had heart bypass surgery 5 weeks ago three days ago they took a culture of her wound there was a lot of fluid in wound. The test came back moderate Proteus Mirabilis, her blood test showed elevated white blood cells how serious is this
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Unlikely to be a serious concern. After surgery, white blood cell counts normally raises in the blood to prevent or limit the spread of infection.Addition of a culture sensitive antibiotic to treatment regimen might be needed as per advice of treating doctor.Hope I have answered your query.
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How can fungal infection in the nails be treated?
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I've recently had an issue with an aggressive (yeast they said) nail fungus. First my fingers.. Then it was clear, wore nail polish for 2 to 3 weeks and when we took it off, it was back and my nails are yellowed-orange and FLATTENED! My big toes have it. I'm keeping them way short, clean, soaking in lemon 2x day, and tea tree oil as well as occasionally fungus med-over the counter, for nails. Sugar is being avoided as much as possible as well as I do not drink other than one or two every few weeks. PLEASE!!! Help
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Hello and welcome to HCM.Thanks for putting up your query over here.I would like to know whether you have got diabetes mellitus.Agressive fungal nail infection more common with diabetes mellitus.If I were your treating doctor,I would recommend,-Oral antifungals like fluconazole/griseofulvin for few months.Topical antifungals wont treat the infection.-Soak the feet in warm water and dry it.Dont let moisture to remain for long by avoiding wearing socks or shoes for long.Dont apply nailpolish over the nail.-Keep diabetes within control by medications,diet,regular exercise and timely follow ups with treating doctor.So visit to dermatologist/physician is necessary for the above mentioned pescription drug.Nail psoriasis als needs to be ruled out.Hope this information helps.Thanks and regards.
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What causes extreme fatigue in a child?
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Hello, my 15 and a half year old son is tired all the time. He falls asleep in school. He is very active. He was diagnosed with ADHD in the first grade and has been on meds since then, up until this past summer we took him off of it. Could this be a sugar problem or maybe hypothiroidism. He is 5 11 and about 165 lbs.
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Hi, 15 year old extremely tired could be due to early onset diabetes hypothyroidism hypokalemic periodic paralysis anemia or extreme sports. Please check with doctor and get lab tests done for dyselectrotemia hemoglobin along with thyroid level and CPK level. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Prasanna Lakshmi, Pediatrician
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What causes itchiness in gums?
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To my surprise i had itching gums started3 days ago which i dont know why and it made me feel worry. i am 38 yrs, height is 4'11 and weighs 125 lbs. Also I had undergone thru egc and doctor says that I have anterior wall schemia and that i need to undergo thru 2D-echogram and so I am planning to do it on or before end of November 2011 as I am still busy right now. Please let me knpw why I have now an itchy gums. thank you.
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Hello, Read your query , as you have itchy gums this can be due some reasons that can be due inflamations in gums or periodontal ligaments , due to depositon of plaque and calculus at subgingival areas of gums , drug induced , medical conditions like diabetes,Nutritional deficiency, poor oral hygiene. Dont be worried so much be relaxed you should consult dentist and go for oral examination and if this is due to inflammation of gums you can discuss with your dentist and go for Oral prophylaxis. In meantime you can do is warm saline gargle two - three times a day, Use soft bristles to brush your teeth , you can use chlorhexidine mouthwash twice daily, You can take vitamin B and C supplements consulting with your local doctor. Hope this will help you. Regards, Dr. Priyanka tiwari
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Are there any side effects for benforce m, evion and diazen?
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I am 33yrs old and my weight is 75kg...height is 5ft 4 inc ...i am planning to get pregnant .... and my doctor has recommended me to use benforce m tab one everyday , evion one everyday and diazen tab two time everyday ...so is it good for me or no ...
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Hi,Yes, Benforce-M and Evion are useful in getting you pregnant. Benforce-M is commonly prescribed to treat infertility associated with polycystic ovarian disease. It can help improve your rate of ovulation (release of eggs from the ovary) increasing your chances of getting pregnant. Its common side effects include abdominal cramps, diarrhea, and altered taste sensation.Evion is a vitamin-E supplement used to increase the chances of pregnancy. Its common side effects include heartburn, stomach upset and diarrhea. Diazen is an Ayurvedic formulation claimed be effective in controlling blood sugar in patients with diabetes however its efficacy in diabetes or female infertility has not been confirmed by an clinical study. Its common side effects include abdominal pain, bloating and diarrhea.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Slurred speech and weakness in leg. Normal MRI, EEG, ECG, brain CAT scan. What could this be?
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My husband is experiencing slurred speech and weakness in the leg. His episodes last for a several seconds and the the symptoms go away. He gets these episodes several times a day. He was admitted to the hospital and was there for 3 days and he took am MRI, MRA, EEG, EKG, Ecocardigram, and brain catscan. Blood work was also done but every test and blood work-up has come back negative or normal. He keeps getting dismissed since no one can figure out the problem. Any ideas?
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Hi,Thank you for posting your query.Your husband's symptoms are most likely TIAs, transient ischemic attacks. In TIA, all the tests may come out as normal. In this case, the blood supply to left side of brain gets reduced leading to slurred speech and right-sided weakness.He should be started on aspirin and rosuvastatin to prevent major strokes in future.In addition, he should be screened for diabetes, high BP, cholesterol and homocysteine, and if they are high, they should be treated too.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
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Are Mersonodol and Pedadine forte safe to take along with insulin?
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hello i have a few questions from my mother inlaw who is type 2 diabetesshe takes 10 mersondol (night strength) each day & 10 pedadine forte she has been told she has emfasima & is on insulin for her diabetes but has gained a large amount of weight from sz16 to 23 in the past 6years she has no motivation to do anything except walk outside to have a smoke every 30mins i just don't know what to do she is too embarrassed to tell a doctor about her pain killer addiction!please help
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BOTH MEDICINES ARE PAIN KILLER,CAUSE ADDICTION,REDUCE THE DOSE SLOWLY.YOUR MOTHER INLAW CAN TAKE THE MEDICINES WITH INSULIN.WEIGHT GAIN IS DUE TO INSULIN.DISCUSS WITH YOUR DOCTOR TO CHANGE THE ANTI DIABETIC MEDICINE THAT DO NOT INCREASE WEIGHT.RISK FACTORS ARE .1- AGE (MENOPAUSE)2-DIABETES.3-SMOKING.4-EMPHYSEMA.5-DEPRESSION6-OBESITY..QUIT SMOKING .CONSULT COUNSELOR/PSYCHIATRIST.TAKE IT SERIOUSLY.TAKE HELP OF OTHER FAMILY MEMBERS.
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Suggest cause for twitches
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Hello,I am Shikha. I am facing twitches from 2 months which started from my lower lip. And now i fell intermittent twitches in my calf, foot, hip , hands. I am feeling uneasy and worried. I consulted a neurologist and got myself tested for thyroid, calcium and phosphorus and diabetes. My calcium was a bit lower to the normal range (only 2 points low). On his advise iam taking Calcium supplements and anxiety tables( Zapiz and ciplar).Please advice. Iam worried .Thanks in advance
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Hello,I read carefully your query and understand your concern. Face twitches can be related to anxiety. Low calcium levels can also trigger this symptoms. So,I suggest to take the medications as prescribed by your doctor. I also suggest a healthy lifestyle, eating a healthy diet and sleeping well. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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What causes chest pain and tiredness after belly button infection due to piercing?
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HI dr. my belly button peircing is really infected. Its been infected for about 3 weeks, ive tried like every treatment and nothing has helped.amoung with the infection im feeling tired, and sick all the time, i also have lost a good deal of weight, and i have had pain in my chest for a couple of months and some other symptoms.what does this mean? what should i do?
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Welcome at HCM I have gone through your query and being your physician I completely understand your health concerns.For how long you are suffering from it? Any other associated problem? like diabetes or hypertension? Which antibiotics you have used? if it is not healing then there is need to check your blood sugar levels . There is need to get the cultures of the swabs taken from the wound so that appropriate antibiotics can be prescribed. there is need to get the chest x ray to rule out any infection of the lungs. stay calm and meet your surgeon for proper clinical examination Meanwhile stay calm and use acetaminophen to relieve pain Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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What causes tingling sensation in the elbow after plasma donation?
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I donated plasma about ten days ago,; (5th time in 2 months). Never had a problem until now it has been tickling from elbow to fingertips. However I also began taking some meds about two weeks in. Am I going to have to go see Dr. and if so am I in danger now by not seeing one sooner? Please help w/ some facts if possible. Thank you. Sincerely Ms. C. Burchfield
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Hi there.You could be experiencing nerve compression in the region around your elbow or in the neck. I advise you to apply warm compress in the region of the pain. around the elbow. Avoid lifting weights and keeping the arm in any uncomfortable position. Get tested for Diabetes and Nerve conduction velocity (NCV) as advised by your Orthopaedic surgeon or Neurologist.
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Why am I having pain in my arm after removal of metallic plates post injury?
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hello sir... SIR,some 6 years back i met wit an accident owing a fracture in my left hand(both fore arm bones were break into two).last year i removed the metal plates,which were screwed at the bones.Actually i started feeling pain in my hand so i decided to get my plates removed...but pain still continues....
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Hi, Sometimes there is metal reaction and the patient feels the pain.usually after the fracture is united, implants can be removed without any leftover pain. But in presence of metal reaction,the pain may continue even after the removal of the implants. if there is super added infection, then symptoms may become worse. 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]. --. Caldikind plus (Mankind). (You may need the 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 neck and shoulders and arms. -- 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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Suggest remedy for tongue ulcers
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Hi,My age is 29 yrs.I have problem of ulcers from more than 10 years.My tongue become whitish every month.It pains as upper skin get removed .In 2007 I had also Arthritis in my knees due to uric acid. But after consulting doctor it cured.But again from around 2009 a new problem arises whenever I feel nervous (in any competition ,exam,interviews) I used to feel vomiting but never vomit.But it get increases so much now that ,even when i excited,nervous,sad I use to vomit.My stomach start bloating whenever I give interviews or speak in meetings or in front of audience due to nervousness.Some food items cause high level of acidity like pigeons peas.Most important I am suffering from Severe clubbing in fingers and feet.consulted doctor and everything fine.All reports (Ulatra sound,2D echo etc)negative.But no check for my stomach has been done yet.My family members have Diabetes problem too!but my sugar under control.Please help me.
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Heloo pt-Symptoms will go away on their own in a few days, but in the meantime, treatment will ease the pain and soreness. Many doctors recommend taking B-complex vitamins to aid in the healing process. Applying glycerin directly to the tongue can also help it to heal.thanks
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How safe is taking brufen for heart diseases?
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Hello father is a patient of Chronic Kidney Disease. He is undergoing Haemodialysis twice a week since Oct 2008, which started when he was admitted to hospital after Heart attack, which was followed by Angioplasty. This resulted in steady increase of creatinine and dialysis started then onwards.LAst week, his upper hand swelled enormously due to ( i think) blood oozing out and accululating inside his upper arm) just above the fistula) from fistula due to accidental wrong way of puncturing the needles of the pipes for haemodialysis (during one of the dialysis sessions). Thereafter he was prescribed Bruffen 200 mg thrice daily after food for 5 days, with application of ice pack on the swelled hand( we can see clotted blood and his hand has become violet because of that). Is this okay for him and his heart and can taking Bruffen be detrimental/fatal to his health/heart. We are from India, Kolkata. He is 66 and with hypertension with medications and diabetes from long years. What can be effective now?? Or is continuing medication advisable.He is on medication like, Nikoran 10, concor 5, zytanix, rabicip, He is having breathelessness at any minimum exertion. Please help - A Biswas +91-0000
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Hello , As such Brufen is strictly to be avoided particularly in heart and kidney patients as it can cause per say increase in Creatinine and when you are on Ace inhibitor / Arb for Blood pressure and strengthing the heart , Brufen has unfavourable interaction which may harm the kidney furthur. So per say I would advice you to avoid Brufen if possible. As he is already on dialysis, so a short course is so.ethimes sometimes of to take , however I would suggest that it is taken only if plain paracetamol 650 mg is not effective. Regards Dr. Priyank Mody
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What causes low gfr levels?
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I am a 61 year old female. I am a teacher of little children so I am active enough. I could probably lose a few pounds, but am not seriously over-weight. I donated a kidney 3 years ago and in the last year have had a lower GFR 43. Creatinine has been mildly up but in the normal range. I went to a renal specialist and after a 24 hour urine they said my GFR is more in the range of 69. They said to come back if I experienced high Creatinine and that the lower blood GFR could be due to more muscle than the typical woman of my age. My internist says not to worry, but it is hard not to. I never thought about GFR before!! I try to drink enough water but often fall very short on this. Could dehydration be the cause and am I able to raise my GFR? Feeling good in all aspects, no meds or NSAIDS-just occasional Tylenol, take vitamins, normal activity, no diabetes or high blood p. Just arthritis.Not a drinker. Advice to move on take care of self and not worry?
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hi, single kidney is sufficient to do routine work. So first of all no worry regarding single kidney. Another good thing is you have no other high risk factor.But if you feel some pain in renal area that subsided after drinking, it means you may be suffering from some small stone or UTI.So you go for USG abdomen along with urine microscopy. If both come negative then it may be due to dehydration only and you should be aware about your hydration. Because when proper urine output is there then automatically eGFR increases. So if transient reduction in your eGFR then not to worry about it. Another thing I want to tell you regarding analgesic use. As you mentioned that you have arthritis. It means you may be taking some analgesic regularly. If so, then please reduce the dose or stop it or change it to kidney safe analgesic drugs to save your single kidney.So go for some test, drink as much as you can and avoid analgesic use.thank you
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MRI shows cerebrovascular disease, small vessel disease, mild cognitive impairment, fronto subcortical white matter change. Can be Parkinson's?
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My husband age 70 had a tia 16 years ago - not dx immediately. His MRI shows cerebrovascular disease , small vessel disease and mild cognitive impairment which is thought to be organic and not psychiatric. This is all being dx as old age!! He has also been dx as possible change in behaviour and personality due to fronto subcortical white matter change. I have known him for 47 years. I thought it could be bv/ftd but as his brother has Parkinsons I now wonder if there could be a Parkinson s link.
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Hello, Thanks for the query, Let me tell you that in neurology practice, the MRI data must be correlated with clinical findings. It is the clinical data that is of paramount importance rather than MRI data. This MRI findings can be seen in patients with hypertension, diabetes also. So we stress upon the disease that clinically evolves over a time. Further the symptoms that mark the onset of illness is very important in these neurological disorder. Parkinson's disease manifests as tremor, tightness of body, slowness of walking. The classic Parkinson's disease doesn't start with behavioral problem. Even though, the risk of Parkinson's disease in your husband is high due to family history, the current presentation is odd for the same. A possibility of front-temporal or vascular dementia is likely Please get evaluated by a local neurologist Hope this classifies
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What causes sharp stabbing pain on the top of my feet?
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I am a healthy 60 year old mail never having anything more than the cold or flu my entire life. Over the past eighteen months or so I have been awakened at night with sharp stabbing pains almost always in the top of my feet. I would get up and walk around the house or try different positions and ele vations for my feet and usually the pain would go away after a couple of hours. Sometimes the bottom of my feet feel numb and leathery. This does not happen every night but when it does happen it usually continues for a few nights in a row. there has not been diabetes in my family for a generation and the rest of my family is fairly healthy except for a brother who has many ailments stemming from a heart attack. MY Dad suffered from congestive heart failure until his death.My Mom suffered a heart attack at age 70 and passed away at 75 from lymphoma. All the research I have uncovered seems to give vague diagnosis pointing to some form of diabetes but I don t seem to connect with a majority of the symptoms.Any idfeas?
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You are most probably suffering from peripheral senile neuropathy, may be associated with diabetes.I would like to examine & investigate you in detail before giving a definite opinion.
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What is the treatment for severe hand pain?
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2 months ago i fell down stairs half of flight and after reaching home my right hand was full stopped working and i could able to get up or sit. but after taking medicine 3-4 days immediately my hand started working. but when i stopped eating medicine little pain remained for 3-4 days in my hand. But my still i am facing problem in sitting. sitting straight does not gives pain. But if i don t sit straight then it pains still. please help me. how long this pain will remain. I think this may be tailbone. I had taken CIP ZOX Medicine by which my hand really works normal.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I can understand your pain and anxiety. As per your presentation the pain is severe and constant, right sided, uncomfortable in different sitting position. As there was history of injury, it can be due to, hairline fracture or muscle strain or neurological due to nerve injury. In irregular sitting position muscle will get more strained, hence pain increases. You can confirm by following tests:1. x-ray right hand2. muscle power test3. calcium estimation4. physical examinationComing to treatment part you can follow the below pattern:1. use non steroidal anti inflammatory drugs2. you can also use pain killer sprays3. take vit- B12 tablets4. physiotherapy helps to some extent5. check for risk factors like diabetesThese measure can help you to recover soon from your symptoms. Don't get worried and try to follow the above thing for speedy recovery. Hope I have answered your query. Let me know if I can assist you further.
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Suffering from breast pain and blood coming out of mouth. What could be the reason ?
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doctor dis is anu here my mother complained regarding the breast pain n blood coming out of her mouth from past 5-6 days wat does this all meant to??????? she has diabetes from past 15 yrs n till date none of such conditions had occurred
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This should be treated as emergency and invesigated to pin point site of bleeding. Though there are more chances of peptic ulcer but calls to be ruled out. Vitals need be maintained . colour and amount of blood coming out may be important for diagnosis.
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How can diabetes mellitus be tested in a child?
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am a nursing student and am still learning. please I want to know if it is possible for a small child at the age to 5years to have diabetes milletus... when the family has no trace of that? please reply me at my gmail account_ YYYY@YYYY . thanks
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Hello,Yes, even this is possible. A baby is born with diabetes mellitus. So, 5 years age, yes it can be juvenile diabetes. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Hina Javed
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What is the cure for back pain, weight loss, fatigue, tingling in head and leg cramps?
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Hi, I have a chronic back pains for over 3yrs now coupled with weight loss, fatigue and leg cramps. I also experiance severe head tingling and body itches. I've done some diagnoses hiv, diabetes; all negetive but the symptoms still persist. I need a help please
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Hello, I have studied your case.As per your history there can be Tuberculosis of spine leading to back pain and weight loss.Another possibility of disc compression.When such patient comes to my hospital we usually take x ray spine or if required MRI to see for any nerve compression.Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor.You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case.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. Take care.
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What are the side effects of steroids and muscle relaxers?
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On the 7th of August I went to the doctor because I had inflammation in my joints. My doctor gave me a shot of steriods and gave me some muscle relaxer. A week after the shot I started my cycle and it lasted for two weeks and now that it is over I am still seeing red blood.
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Hello,Regarding your question, following adverse reactions can be caused by steroids:- Cataracts- Hypertension- Diabetes- Cushings Syndrome- Osteoporosis- Increased risk of infectionsSide effects of Muscle relaxant includes commonly drowsiness, nausea, dyspepsia, blurring of vision and constipationHope I have answered your query. Let me know if I can assist you further. Regards, Dr. Wajahat Baig, Internal Medicine Specialist
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Liver profile abnormal, indigestion, less energy, sleeplessness. What is the cause?
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wELL MY HUSBND IS HAVING SUGAR PAST THREE MONTHS READINGS AN AVERAGE OF 300 MG /DL N ALSO HIS LIVER PROFILE HAS SHOOTED TO 8 TIME HIGH READING OUR PVT DIABETIC DR EARLIER PUT HIM ON LACTUS SOLRTUS INGECTION12UNITS3 TIMES GLYCIPHAGE 500MGS N TELSAR ONCE AT 9AM N VOLIBO ONCE AFTER ONE BITE OF LUNCH N AZTOR ONCE AT NIGHT BEFR SLEEP N AFTR A WEEK AS SUGAR YET ABOVE 200 HE ALSO ADDED T GALVUS SAYING TO HAVE BBF DAILY N ON 13TH DAY CHK PP N ON 14TH DAY CHK FS. TODAY IS HIS HIS 6TH DAY OF T GALVUS N HE FEELS HIS FOOD IS OT GETTING DIGESTED N FEELS SLEEPY N LESS ENERGETIC ..MY QUERRY IS ARE ALL THESE SAFE MEDICINES N PERFECT FOR THE DISEASE ALSO IS T GALVUS SUITABLE FOR THE CAUSE AS DR SUGGESTED ONLY AS SUGAR WAS STIL NR 200+ ..PLS REPLY NOW N LET ME KNOW WHAT IS BEST N WAT TO DO .PLEASE GUIDE . NITHYANANDAM
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Hello All the medicines prescribed by your doctor are good including GALVUS. Galvus (Vildagliptin) is a relatively recently approved oral treatment for people with type 2 diabetes. Galvus was proven in clinical trials to add efficiency when used in combination with other anti-diabetic medication. You should trust your doctor and abide by his instructions. The goal of treatment is to correct the blood sugar levels without being aggressive and without causing hypoglycaemic attacks. Since the sugar levels are still uncontrolled,let your doctor decide what to give and see he response of the drug patiently. Sometimes it takes many weeks on the part of doctor to achieve proper sugar control. Besides medications,your husband should follow dietary restrictions as advised by the doctor and must do regular exercises,which help in better control of blood sugar levels. Keep his blood pressure below 120/80 and must keep his LDL cholesterol below and triglycerides below 150. Carry on the treatment without loosing patience. Thanks
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Suggest complications with grade 2 fatty infiltration of liver
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i have identified as having grade II fatty infiltration of liver. i am an alcoholic, diabetic and having smoking habit. i could not getrid of my habits. how severe is my problem? should i stop alcohol and smoking? how what are the effects of the disease and how to control it?
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Hi grade 11 fatty liver is serious but reversible if you stop alcohol, strictly control your Diabetes and keep track of liver functions. If not, it will progress to fibrosis, and then the situation is irreversible. Take action now!--regards
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Why does BP drop in a septic shock?
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My wife was hospitalized with low blood pressure last week (68/37) and was diagnosed as in SepticShock. ano blood infection was identified, and after several days her blood pressure returned to normal. Now, after being home for 3 days her blood pressure is trending low. It is 98/40, and has been holding about there for 2-3 hours. I am worried. Do you think that I may be over reacting?
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Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: low blood pressure is a common issue in septic shock. as long as your wife is ambulant and no fever detected , nothing to worry about.*Explanation: My opinion is that in septic shock ,body capillary system tends to vasodilate causing pooling of blood in peripheral tissues.that causes blood pressure to drop.I suggest my patients the following after discharge of hospital after being treated of septicemia, good hydration, antibiotic course prescribed by doctor is mandatory.The information provided by you is not sufficient to provide a good opinion.If someone comes to me with this condition I would ask them about other comorbidities like diabetes,etc.*Conclusion: I suggest you check with your physician if fever comes back or blood pressure drops with symptoms develop such as headache,dizziness and fatigue. If you have any further questions I will be happy to help, If not, you can close the discussion and rate the answer. Wish you good health.
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What causes swollen ankles after hysterectomy?
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Hello, my name is Christina. I had a hysterectomy last Friday. My ankles were feeling a little swollen, but now, today, I woke up to MAJOR CANKLES!! It looks horrible and when I stretch them up, there s creases!!!! What s going on??? I want to cry. : (
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I have studied your case. Swelling in foot and ankle c can be due to following reasons.1.Diabetes2.High blood pressure3.Blood thinner medicines.4.Thrombus in veinsif you are having one of any thing mentioned above then it explains swelling. I would suggest you to get doppler examination of the ankle and calf. I hope you are walking as bed rest can also uses such swelling. Till then you can apply compression bandage and do calf stretching exercises.I hope this answer will be useful for you.Let me know if there is any other followup questions.thanks
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Is FBS of 124 and PPBS of 176 while treating jaundice normal?
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Hi sir,im Sandhya my husband was suffering with jaundice from one week who is affected by diabetes last year.and he was 28years old and he was taking homeo medicine for DM (from Homeo care international Hyderabad).along with jaundice medicine tab:hepamerg.is there any problem to glucose levels which are fasting glucose 124mg/dl after lunch 176mg/dl at present.with this jaundice and how he will be cured from these helrh issues and advice diet plan for jaundice along with diabetes. am very depressed pls help me sir.
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Hi Sandhya,Good day. Noted your question. At the age of 29 years, we would consider his fasting blood glucose as reasonably well controlled, however, his post lunch ( post meals) glucose of 176 is suboptimal. However, we need serial glucose monitoring to decide further. A single reading is not enough. So kindly do regular blood glucose monitoring and maintain a chart. Please take the glucose reading chart to your doctor. In addition, your doctor need to do an Hba1c test as well. As far as jaundice and diabetes diet is concerned, it is best to discuss with a dietician. In general, in Jaundice, it is good to eat a diet which is low in fat. For diabetes, he should take a diet low in simple carbohydrate and rich in green vegetables. Please do not get depressed, his blood sugar readings are not very bad and can be easily controlled.
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Suggest treatment for shoulder pain along with excessive phlegm formation
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hi i have a sharp pain that seems to be coming from my right shoulder blade bone or under neath it, my back is inflamed on the right side at the moment and some times the pain spreads to the right of my chest neck and arm. I also cough up spit or phlem from time to time which contains black spots, please help.
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Hi,Welcome to health care magic,As you have mentioned you have pain in your shoulder to back.Here, I would like to know that whether you have any history of diabetes or thyroid illnesses or any injury to that joint.There could be several causes of shoulder pain such as rotator cuff injury or tear or rotator cuff tendinitis (inflammation of its tendons).The initial treatments for all these are, 1. Avoid repetitive overhead activities 2. Do not carry any heavy object or bag on affected shoulder or arm.3. Apply ice packs for about 15 minutes twice or thrice daily. 4. If you have learned how to do shoulder exercises then continue with that it's could be effective . 5. Apply diclofenac based topical ointment which is more effective than paracetamol based.(available over the counter)6. Can take oral pain killers if pain is very severe. 7. There is no harm in taking Re-nerve Plus,as it is just a multivitamin supplement which is good for nerves (more useful in diabetic patients).If still pain is persisting then proper examination of shoulder joint is required to find the exact cause and if needed x ray and MRI should be done. You can consult nearby doctor or orthopedician who can write X-ray and MRI of the shoulder after taking complete history and thoroughly clinical examination.
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How long can a person survive with an enlarged heart?
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My mother-in-law is 58 years old and she has diabetes and in 2008 she was diagnosed with heart disease. She just found out she has heart valve leakage and her heart is enlarged. Her doctor said she is not a candidate for surgery. What is her lifespan?
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Hello!Welcome and thank you for asking on HCM!I passed carefully through your question and would explain that we can not determine what her lifespan is, only based on what your refer. There are some stages of heart failure. Besides, this is a clinical syndrome. I would like to directly review her cardiac ultrasound for a more professional opinion. I would also like to know if she has leg swelling or shortness of breath. An optimization of her current therapy may be needed. Hope to have been helpful!Wishing good health, Dr. Iliri
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Foreskin tip started stinging after sex, thick swollen vein seen on penis. What treatment should be done?
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After sex 1 month ago the very tip of my foreskin started stinging. Its only a very tiny piece on the right hand side of the loop. There are no boils or scabs and no noticeable cuts. I have however noticed that I now get a very thick swollen vein right along the top of the shaft and it leads to what looks like lots of dark swollen veins at the top of the foreskin. A month on and I still can t walk without my clothes touching the stinging part.
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HelloThanks for your query,based on the facts that you have posted it appears that you have developed infection of the foreskin (Posthatitis) after having ( ?unprotected )sex.Since it is a presenting symptom of diabetes ,get your blood sugar levels test done to rule out diabetes.You need 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.Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely.Dr.Patil.
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Can a diabetic and hypertensive individual contract chronic kidney disease?
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I just went to me ortho doc for a follow up on a knee surgery, And they printed out a paper with all my problems, There was Chronic kidney disease Stage 111. I didn't even know, Why wouldn't my family tell me this, Or am I suppose to know that because im a diabetic with high blood pressure
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Hi!Welcome to HCM!Possible! if both the diabetes and high blood pressure are not controlled!!!Kidneys are one of the target organs affected if the blood sugar and the blood pressure are not controlled and maintained with in the normal limits.Since you have been diagnosed as Chronic kidney disease stage III, you will have to take extra care in controlling your diabetes and hypertension.Consult your GP for further evaluation and management.Regards!
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What causes dizzy spells with stiffness in neck and back?
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I am diabetic, and yesterday I had a dizzy spell and after felt a little woozy, This morning I woke up with stiffness in my neck, leading from the top to the bottom right side where the neck and back meet. The dizzy spell happend to me a month earlier with no soreness or woozy feeling. Can you please help to see what may be going on?
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HIWell come to HCMWith history of diabetes and symptoms of dizzy feel it is better to get done CT brain and blood pressure whether it is normal one or not, condition must not be neglected, if test comes unremarkable then this is nothing to worry, then your glucose level need to be managed on tight rule basis, hope this information helps, take care.
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How to overcome the pain in my toes?
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yes pls my toes sarted to burn yesterday in the afternoon then it progressed to pain in the evening and now i just woke up with searing pain in 3 of toes on the right foot and 2 on the left. i have diabetes type 2 controled, high blood pressure (very high) on meds for both of the ailments. sometimes the pain subside and then comes back very painful again with searing pain i cant barely walk right now the pain is so bad. thank you for any suggestions.
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In my opinion if there is unexplained coldness or blue /black color or red line at begining of toes , you should do a doplar on your foot arterys Good Luck
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Can medicines for diabetes and aspirin be taken in combination?
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I am prescribed Metformin ER 500 mg (2,500 mg total daily intake, 2 in morning 3 in afternoon) for diabetes, Effexor 75 mg, Simvastatin 20 mg, Ambien 10 mg, Women s 50+ multivatamin, Super B-Comlex vitamin, 500+D Oscal and I take a baby aspirin every day. Can I combine this medication when I take them or should certain drugs not be mixed? My last cholesterol check this January was 83. Is 2,500 mg. per day considered excessive?
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Hi,Metformin, simvastatin, multivitamin and ambien 10 mg can be taken together and do not cause any major interactions. You can take these drugs without any issues. Effexor 75 mg and aspirin may have some interactions when taken together.Risk of bleeding may be increased when these drugs are taken together.Always use low dose aspirin which is 75mg and discuss with your doctor before increasing any drug dose and monitor any adverse effects.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician
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What causes pain in the coccyx region?
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hello Sir I am working in a motel as a front desk clerk, my height is 180 cm and my weight is 115kg, i have a problem started from 2 days, i have pain on my tail bone near to coccyx in between the butt, not exactly on the butt, it is on the tail bone near to my coccyx.
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Your age please? This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.X ray of tail bone is indicated. 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.)--. Sit in a tub of warm water for 15-20 mints.--. Avoid constipation.--.Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do perineal exercises --.(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. (phone.91 xxxxxKindly 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 does ammonia smell in breath and urine with pain in upper back suggest?
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I have a strong ammonia smell to my breath and urine. I have pain in my upper back and where I use to have a gallbladder. I'm also very tired and feel like sleeping a lot even though it hurts when I lay down. Any help on this would be appreciated. Thanks.
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Hi, The urine odor is due to the variety of metabolites excreted by the kidney. Sometimes, when urine is too much concentrated, it will give a strong ammonia smell. Urinary tract infections including cystitis can also cause such a strong ammonia smell. The presence of ketones in urine might be due to infection, loss of appetite apart metabolic diseases (or diabetes) that were resulted negative. Foods you consume can also be possible causes of urine smell: e.g. spices, coffee, etc. I advise continuing the regimen you are following now with plenty of fluids and cranberry juice. I usually recommend fern stone tea to my patients. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
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Suggest treatment for vertebrae collapse
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Hi, my father is 85 years old and has had a partial collapse of D12 vertebrae. This is causing a lot of back pain and he is not able to get up from bed. This happened in last one week and prior to this he could walk with support. Any remedy suggested please?
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Hi, If the collapse is less than 40 % ,with no neurological involvement then conservative treatment with complete rest ( with change of positon every 2 hourly / air bed) is the treatment.But if the collapse is more than 40% and if there is neurological involvement and if If your father is medically fit with no other co-morbidities ( cardiac, diabetes,hypertension) i would suggest surgical stabilization with pedicle screws ( since this can allow early mobilization and bed ridden complications can be avoided ) One more newer modality of treatment in this age group which deserves a mention here is a minimally invasive procedure called VERTEBROPLASTY which reduces pain significantly.
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What causes cold fingers with numbness and terry s nails?
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I have what appears to be Terry s Nails on both my toe and finger nails. Along with that I have cold fingers and toes that never seem to warm up. Last but not least from the tip of my finger to the pad I have numbness... Just got back all my labs testing for kidney, liver, heart, diabetes and thyroid. They all look good. I am wondering what to do next... Or who to see... Any ideas would be helpful.
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hi,thank you for providing the brief history of you.A thorough clinical examination is advised.as you have already performed all the test and came out negative I feel this could be a neurological issue. Like the nerve pinching. As nerve carries the functions of the sensory system any disruption in the nerve route may lead to such symptoms.I will advice you to perform core stability exercises and also spine muscle Strengthening exercises by which the nerve pinch can be removed and the symptoms will be reduced as well.Since it is a harmless and no sideffects are there I will advice you to do exercises.Many cases in my clinical experience has responded well to physical therapy alone with exercises for the spine stability.Regards Jay Indravadan Patel
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Can high level of microalbuminuria cause problem to kidneys?
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Recently i have done blood test for Serum urea and serum creatinine. Both were within normal range. Blood urea was at 13 and serum creatinine was at 1.0 . i also did Spot microalbumin urea test the result was 49 mg. what should i do now. Does high microalbumin urea contents mean damage to kidneys. Kindly reply.
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Hello welcome to HCM. I have read your question and understand your concerns. Microalbuminuria is actually the earliest stage of kidney damage, mostly due to diabetes, hypertension or other reasons. It is a potentially reversible condition. So don't worry and control the risk factors like diabetes or hypertension (you haven't mentioned whether you are suffering from any disease or not.) Your s.creat report is normal. My advice to you is - 1. Drink plenty of water daily, avoid any kind of pain killers which can damage your kidneys. 2. Take regular treatment of any disease you are suffering with regular follow up from your doctor. 3 . Kindly repeat urine micro albumin levels 6 monthly. Don't worry at present your condition is potentially reversibl. Thank you.
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Blood test shows elavated liver enzymes. On Tramadol for many years for arthritis. Side effect?
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I have taken the medication Tramadol for the past 10 years for arthritis and pain from a severe injury from an accident,also 10 years ago-I am 59-female,no diabetes or other serious health problems. My last blood tests show my liver enzymes are elevated-a friend told me that Tramadol can cause this,even in therapeutic doses(I take 2 50mg. tablets every 8 hrs.)Is this true,that Tramadol can damge the liver?
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Hello, Tramadol is an opioid analgesic used for the therapy of mild-to-moderate pain. Tramadol overdose can cause acute liver failure.However pharmacological use of tramadol has not been associated with cases of clinically apparent drug-induced liver disease. It's continued use results in minor enzyme elevations which are usually mild, asymptomatic and self-limited, resolving even with continuation of therapy.However you should keep a regular watch on your liver enzymes by constant monitoring them at regular intervals and if you find that they are increasing,you should stop TRAMADOL at once. Since it is an opioid analgesic,it leads to addiction and it being a kidney toxic also,you should find ways to minimise it's consumption. Thanks
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How can muscle necrosis be treated?
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Diagnosed with muscle necrosis.diabetes 25 yrs..had a double transplant kidney & pancreas ..dialysis also..its in my left thigh..where do i go from here with this..what treatment for pain so i can work again im on disability leave..
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Hello, Muscle necrosis needs urgent debridement and removal of dead muscle part. Otherwise it may got infected and muscle proteins if they go into blood it may lead to kidney damage. Muscle protein myoglobin is excreted through kidney and since you have transplant you need extra care for your kidney. Diabetes also increases risk for infection. Multi specialist care is needed for you and please do not waste any time for reaching tertiary level hospital. Hope I have answered your query. Let me know if I can assist you further.
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Can blocked left heart artery be treated without surgery?
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Hello Sir, I am 54 years and am having a mild pain whenever i do jogging just under my clavicle.I visited the medical practitioner and it resulted in approximately 50% blocked left heart artery. I dont want to be operated.My height is 1m 72cm and weight 75kg I am a diabetic person ( since 14 years and i have not strict control on) and no other medical trouble What do you advice me Thank you
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Thanks for your question on Healthcare Magic. I can understand your concern. Yes, this can be treated without surgery. You are having single vessel disease. And stenting is the treatment of choice for single vessel disease. Consult cardiologist and get done coronary angiography. During this procedure, stenting is done to open the blocked artery. After stenting, you need to take cardiac supportive drugs like lipid lowering agents, blood thinners (ecosprin and clopidogrel) and cardiac protective drug (metoprolol). Strict control of diabetes is also needed. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest remedy for fileria
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Hi,I am JayaNaresh.My grand fa having nearly 70 yrs.He is suffering from fileria since 25 yrs.Frequently he is getting fever because of fileria.This problem is very civier since 5 yrs.Its releasing serum(like water and getting bad smell) from the effected area and its also swelling.The effected area is right leg below the knee.Please let me know the solution for this problem.
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Hello Jaya Naresh,I understand your grandfather's problem. He has swelling of the legs from the blockage of his lymph vessels and this can lead to oozing of lymph if there is any scratch or abrasion. This problem is produced by the dead worms in his lymphatic system especially in the lymph nodes. His fever can be due to two reasons. If he has an infection of his leg or if he has microfilaria in the blood. A night blood sample examined for micrfilaria may show it if it is present and then it should be treated with the medicine Diethylcarbamazine ( Hetrazan). If there is infection of the leg abrasion or ulceration he would require local and systemic antibiotics. The important way to avoid infection is to keep the legs clean and take care that he walks around only with protective footwear and to wash the legs everyday with water and mild disinfectant.Also please check whether he suffers from diabetes which will increase his chance of infection.If he is in good health surgical removal of the swelling can also be considered, for which you can consult a surgeon.If you have further queries, I am ready to answer them.Best wishes,Dr. Noble Zachariah
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What causes rise in blood urea and creatinine levels?
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My wife aged 46 is having blood urea 58 and increased to 78-80. Creatinine 3.2 reduced to 2.2 and increased to 2.9 and reduced to 2.8 in month's time (fluctuation). Sugar levels normal. for 8 years metformin is used.BP fluctuating 120/70, 140/90, now 120/60. pls advise what to do for treatment.
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Hello and welcome to HCM.As an Urologist, i can understand your anxiety.Your wife has chronic renal (kidney) failure(CRF), with diabetes.( DM).She should do the following tests for expert opinion and treatment :1. urine routine,culture and ACR.2. blood routine,FBS,HbA1C,LFT,sodium,potassium,uric acid,and platelets.3. ultrasound scan-KUB,with residual urine.According to the reports,treatment will be advised.You may send a direct question to me,with all reports,for expert opinion.Dr.Matthew J. Mangat.
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Will irregular periods and being on benforce m tablets for bilateral polycytic ovaries affect conceiving?
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i m priya. i m recently taking benforce- m tablet because i having bilateral polycytic appearence of ovaries. afterr marriage only i had this problem, before marriage i had regular periods within 30 -35 days . i had my period on 21 sep 2012 till now i didnt get my periods. i m planing for pregancy. this problem will afffect my pregrancy.
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Hi, Thanks for the query. I understand your concern. Benforce m tablet is thiamne supplement... used in diabetes to prevent complications of diabetes.... probably it was given to you to treat pcod (which is also an after effect of insulin resistance like diabetes) Benforce m does not hamper conception Actually PCOD is characterised by disturbance of ovulation (and ovulation is essential for conception)... so PCOD itself is the barrier in conception for you provided semen &other investigations for sterility are normal. Tretment of PCOD should be the answer for your problem.Thanks.
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Is Morr 3% solution safe to use for hair loss?
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Hi am 30 yrs(f) and from past 6 mths i have been having lot of hair fall..Recently i visited a dermatologist and he asked me to use Morr - 3% solution in the morning and night..Does this really work ? Cos i was treated for Cerebral Venous thrombosis in the yr 2002 after which am really scared to try new products..As the cause of my illness was due to wrong medication.
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hello, welcome i explain all about hair fall point wise 1. Poor nutrition, poor life style, poor sleep, stress and environment are the main cause of hair fall in female.2. Blood loss due to menstruation is also one important cause of less hemoglobine which leads to hair fall.3. straightening, re bonding etc also also weaken the root and cause hair fall4. Due to hair style in which hair is kept tight also cause hair fall later5. Long term disease,cancer, fever, thyroid, etc later cause hair fallTreatment.1. Check Blood, hemoglobine, if less then take iron, folic acid tablets2. Take multivitamines daily3. Take proper sleep, good nutrition4. Rule out diabetes, thyroid, etc
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What are the reasons for having stomach pain, lower back pain, metallic taste in mouth, frequent urination and loss of appetite?
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Hello,i have pain in my stomach which lingers into my ribs pain in my lower back also my mouth tastes like metal i have asore throat and a cough...im urinating quite often ive lost my appetite ive been on antibiotics for aweek but the symptoms havn't disappeared.could you advice me Regards
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Hi. It a course of an antibiotic has not helped to solve your problem , obviously you have to go for some tests. I would advise ultrasound of abdomen to know the condition of liver , pancreas, kidneys, gall bladder and other organs. A routine blood/ urine/ stool tests to rule out any general problems like diabetes. There can be a problem with the liver, some sort of hepatitis leading to these problems or related to urinary system. I would advise to go for the tests as per advise of your treating Doctor.
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What should i do to get relief from fatigueness?
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fatigue & malaise I have ankilosing spondylitis prediabetes hypothyroidism & fatty liver. I had west nile encephalitis 11 years ago. I was relatively healthy, all things considered, until I started having seizures a couple years ago. Then I had a tia a few months later. I go to the doctor regularly & they change my meds as necessary. My question is: lately I habe had SEVERE fatigue. I haven't been able to go to church & habe even canceled doctor appointments becauae of my fatigue. I am being treated for depression & anxiety & don't feel that is rhe problem. I have osa & wear a c-pap. I take sleeping pills to make me more confortable while wearing the mask at night. There was a problem getting a refill of my lorazapam so I went witjout anything to help me sleep for several nigts. I've been taking it regularly for the last couple of nights but still am so fatiqued I can narely get out of bed to use the bathroom. Is this cause for concern for me to see my dpctor, or could ot just be caused by not sleeping properly. My wife thinks I may have narcolepsy.
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I think you are having depression due to medical illness. Kindly dont neglect and visit the doctor. Sleep problems can be a part of depression.
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What causes recurring scalp ring worm infections?
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Hi, my daughter is 4 years of age and has been treated for scalp ringworm5-6 times. No one else in the family has gotten a ringworm and I don't think she has gotten it from anyone at school because she has since changed schools and yet they persist. I am a nurse, so I make sure she takes her full regimen of griseofulvin as prescribed, but yet the ringworm returns. This last time she went approximately 1.5 years without the ringworm because the doctor suggested taking the med twice a day to keep the levels in her system steady and give with whole milk, since we drink soy in the family. And this worked, and i thought it was gone forever, until this week when I noticed a new lesion in her scalp. Can she possibly have a genetic predisposition. Why does she keep getting this scalp ringworm? I'm starting to wonder if she has a problem with her immune system.
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Hirepeated scalp ringworm infection could be due to any of the underlying disease mentioned here..a. Type 1 diabetesdecreased immunity doe to continuous intake of steroids/ any other immunocompromised state- HIV, cancers etcor it could be due to some pet animal in the house which is infecting her repeatedly. Try keeping her scalp dry all the time. Try leaving her hair and not tying a pony/ plat, to avoid any sweat accumulation in scalp. Use anti dandruff shampoo twice a week. Try following simple steps mentioned above, if still the problem does not get solved, then check for Type 1 DM/ immuno-compromised stauts etc.
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What causes dizziness and faster heartbeat?
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Hi, I am a healthy 20 y old female who has been getting dizzy walking up/down stairs, standing up or sitting down, and even just sitting here. My heart rate goes up alot when I do these things too. I drink enough water and eat enough food. What is wrong with me? (I also am very pale alot so it might be anemia...?)
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Welcome at HCM I have gone through your query and being your physician i completely understand your health concerns. For how long u are suffering from it? Any other associated problem like diabetes or hypertension? any goiter or neck swelling? have you done your thyroid function tests? what is ur HB? what is ur heart rate? If i am ur attending physician i will definitely get your FBC ECG and thyroid function tests. I will rule out the ATRIAL FIBRILLATION first , before labeling any pathology . Anemia does cause rise in heart rate but you need to be examined by your doctor for proper management. Meanwhile stay calm Get well soon Hope your query is adequately addressed if you still have any feel free to ask RegardsDr Saad Sultan
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Can MRI findings of microvascular ischemic disease cause dizziness and light headedness?
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I had an MRI and along with other things they said I had Microvascular ischemic disease, and MS like symptoms and atrophy of the venticuler atrium hope this makes sense to you. I have been severely dizzy and light headed would this be caused by the above? YYYY@YYYY
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Dear microvascular ischemic isn't a disease.It is a radiological finding which need to be correlated with clinical findings.Anyway there is nothing to be worry because those MRI findings probably might be related to brain hypoperfusion due to chronic illness such as arterial hypertension or diabetes.You need to consult your neurologist and start treatment with antiplateled (aspirin 100-300mg per day). You can use betahistine for dizzy sensation and light headed.Wish you all the best don't hesitate to contact for further inquiry
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What is the prognosis for brain atrophy?
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My father is 65 years old and is Diagnosed with brain shrinkage , age related atrophy changes ..Now he is unable to do his daily activities on his own, lost speech.Now taking ayurvedic medicine but nothing changes in his activities.How long does he live ?
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Hello, Unfortunately, there is no good answer to the question of his life expectancy since that is much more dependent upon his overall state of health and other comorbid conditions he may have such as hypertension, diabetes, and renal function (among others). There are no known medications or treatments on the market to reverse the consequences of dementia. My advice is that he obtain a caregiver who can help with his activities of daily living. This will help much more than medication in keeping him safe and improving his chances at a longer life in order to avoid falls and make sure he gets medications, hydration, and meals daily and on time. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist
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Found high creatine level during blood test. Consuming Telpres -AMHI .Is it due to this medicine?
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I am a 64 year old male. Consuming Telpres -AMHI started this drug about 4-5 months one each daily. On recent blood investigation the creatine syram has been founf 1.4. It was, an year back around 1.2. I request that is the creatine level increase is due to the present drug? I have changed to this drug 4-5 months back prior to that period I was using Olmax 40 H for my hypertension .Kind reply is solicited.
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Hi, Thanks for writing in. The creatinine level has not increased due to Telepres-AMHI unless you have only 1 functioning kidney. It would rather be due to dehydration or due to the effect of hypertension on your kidneys. I would suggest that you get yourself checked for diabetes as well. Your GFR or glomerular filtration rate is 51ml/min/1.73m2. This represents a moderate decrease in GFR. At this stage, we should we getting a 24 hour urinary protein level done. Also, you would need influenza and pneumococcal vaccination. Please see your physician for this Regards
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Smelly metalic odour in breath, regularly brush teeth, changed toothpaste, listerine. Diabetes or high metal toxity?
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My 2.5 year old has the worst smelling metallic odor to her breath. I brush her teeth 4 times a day, I switched her toothpaste, I tried listerine , nothing seems to get rid of it. It is the worst when she has just woken up from sleeps or naps. Do I need to be concerned about this? Is that smell a sign of diabetes? High Metal toxicity or something?
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hi..welcome to HCM forum..please dont use listerine mouth wash... i would suggest you to not to use any kind of mouth wash...bad breath can be due to oral, ENT or medical problems... visit your dentist for complete oral examination... sometime, grossly carious tooth is the source of foul smell...brushing twice daily with pea sized tooth paste is enough... make sure to brush her teeth AFTER MEALS instead of before meals... make her rinse after every meal... also try to clean her tongue gently by using clean cotton cloth wrapped on your finger... tongue cleaners are advisable at this age...if still persists, consult general physician to rule out any metabolic disease... also consult ENT specialist also...hope it will help you..take care...
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Could the nerve problem in the tooth be the cause for numbness on left side from shoulder to foot?
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I have numbness on my left side,from the shoulder to my foot. Unable to feel hot or cold.It started a couple of days ago.I had an issue with a tooth, no cavity, a nerve issue, according to my dentist. Could this cause this issue. I was advised to take ibuprofen,which I have been doingPlease advise,thanks Bruce
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hi,thanx for your query.tooth has nothing to do with numbness from shoulder to foot.Peripheral neuropathy is a nerve condition of the extremities causing numbness, tingling, and pain. a physical nerve injury type condition (e.g. a nerve entrapment or some type of pressure being applied to a nerve directly or to the spinal attachment of that nerve), or a disease condition affecting the nerves (e.g. neuropathy, diabetic neuropathy, multiple sclerosis, diabetes.hope this is helpful. please visit neurologist .
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