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CHF, pacer defib. implanted-stents, overweight, stage 3 Kidney Failure, Hep C & acid reflux. Taking Amaryl. Suggest
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Dr. My Dr. recently changed my Glucotrol 10 mg for Amaryl 4mg 2X/daily. I have CHF,Have a pacer defib. implanted-stents,am overweight,have stage 3 Kidney Failure, 58 yrs. old, have been hypoglycemic in my 20's-rheumatoid arthritis, osteoarthritis,& Gout. Female. Also have Hep C & acid reflux. I don't think this drug is for me & am afraid to take it. Any suggestions?
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helloAs you have said that you are a patient ofChfdefib implanted/stentsdiabeteskidney failure stage threegoutostheoarhtritisrhumatoidhep camryl is glimipride and does causes recurrent hypoglycemia in kidney failure patientsi would suggest followingeither decrease the dose of amryl to 2mg daily, as you are taking high dose that is 8 mg, and main excretion of amryl is through kidneys and you have kidney failureamryl becomes almost 24 mg in your case inside your body causing hypoglycemiaOR the best drug in your case will be insulin as insulin as so many benefits over any anti diabetic drugtake care
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Does Glimepiride cause yeast infection?
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can glimperide (diabetic med) or farxiga (diabetic med) cause a yeast infection or rash that spreads after having taken it for several months with no issues.this rash started under both arms (of my husband) and has spread all over upper torso and beginning to spread to lower area now.
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welcome to hcm...yeast infection is due to uncontrolled diabetes ..but antidiabetic drugs cause simple itching in some patients ..both simple eczema and yeast are different ...so please see your local doctor for proper evaluation..
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How can vaginitis be treated?
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I have noticed a milky white discharge about six months ago. Went to my obgyn was tested for everything. Results came back as vaginitis. I took the antibiotics it cleared up and was back two weeks later. Took the second round of antibiotics and the same thing happened. What should I do?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Do the lab tests to rule out diabetes or any immune compromised state. Improve hygiene with full course of Rx. Hope I have answered your query. Let me know if I can assist you further.
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Can roxicodone medicine be taken for pain?
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I am a diabetic and have had three heart attacks and lost my left leg three years ago and my right three months ago. we recently moved and I cannot get my doc to prescribe me the pain meds I was taking for years for chronic pain Roxicodone 30 mg please tell me my options.. thank you
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Hello, Roxicodone is a rather high amount of opiate. Taken ONCE a day it would be at a point where someone should have a discussion about it. FOUR TIMES A DAY gets into a truly dangerous level. AND with multiple amputations, the pain is likely to be very bad. So, pain mgt.. but they are neither trained for diabetic management nor pharmacology nor--if relevant--addiction management. Ironically, any addiction center is pretty well versed on pharmacology and pain and usually has a doctor who treats diabetes. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
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What causes cloudiness in urine?
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hello sirfrom pas few months my urine smells and cloudiness is there in urine,from long time i have dark circles under eyes.....i feel thirsty..... if i drink water i have to go again nd agIN TO TOILET to urinate...........nd on some days if urine doesnt come much i feel dizziness
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Increased thirst and increased frequency of urine are symptoms of diabetes mellitus. Diabetic patients are at more risk of acquiring infections. This may be the cause of your cloudy urine. You should check your blood sugar level n do urine culture and sensitivity test. Thank you.
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What causes discomfort in the right leg during sleep?
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When going to sleep my right leg feels very uncomfortable . It is not pain, but a bad feeling. It makes it difficult to fall asleep. My left leg is not nearly as problematic. I have a bad lower back. My mother (90) has restless leg syndrome; I think she is prescribed valium for it. I wish I could better describe the sensations in my right leg, sorry. I wonder if the leg problem could be diabetes, which no one else in my family has ever had. I have been drinking 2 Cokes a day; several days ago I had 2 peaches after work and almost did not sleep all night due to my leg problem. Thanks for any suggestions.
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Hi, Taking cokes at a regular basis leads to a dramatic increase of blood sugars and may result in obesity, coronary heart problems, peripheral neuropathy (pricking, tingling in hands and feet, discomfort, muscle weakness, lack of coordination). Other reasons for RLS are kidney failure, Iron deficiency, spinal conditions. If you have a history of restless leg syndrome consult a PCP and get a physical examination and nerve conduction tests done, general laboratory tests (especially Hb%) done. Get clinically evaluated, get treated. In the meantime, exercise regularly, take lean meat, veggies, fruits, and whole grain. Sleep medications and muscle relaxants work well, narcotics for pain relieve are effective, you may need Gabapentin, under a consultant. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
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Why is my liver enzymes and Inflamed bowel tests elevated?
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Hi. My blood glucose has been very low, infact I was diagnosed with insulin resistance and polycystic ovarian syndrom and prescribed metformin 1000mg twice a day. My blood sugar continues to be low, frequently in the 30s -50s. Now my liver enzymes are elevateded and also Inflammed bowel tests were elevated? any thoughts?
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Hi and welcome to HCM. Thanks for the query. There are man ypossible causes and additional tests are required to define the ilness. It may be caused by viral hepatitis, cirrhosis or biliary stone and first step should be ultrasound and viram markers check. Also, fatty liver may go with diabetes and this is treated with dietary changes and lipid and sugar regulation. So lipid profile should be checked as well. I hope I have answered your question. Wish you good health. Regards
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Suggest treatment for a red rash on the legs
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I had total knee replacements about 5 years ago. Pressure stockings were used at the hospital. I developed a rash which extended from ankle to just below the knees. It has never gone away and i redder than ever, and even included my toes being dark red. No history of diabetes and 2 separate ultrasonic tests showed normal vein blood flow in my legs.
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Hi, It may be a contact allergic dermatitis. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take tab cetirizine. Apply mild steroid cream like mometasone cream. Avoid contact with suspected allergens. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
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What causes numbness from elbows to hands/legs to toes after ACDF surgery?
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I am post ACDF in neck and have sciatica with Lumbar L2 and l4 -S1. I had a nerve ablation done in Feb 2014. Ok since then but now numbness from elbows down to hands (hands aching) and numbness on both legs down to toes (no pain-except for regular left side pain from sciatica.
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Dear Sir/MadamI have gone through your query and read your symptoms.In my opinion, these are symptoms of peripheral neuropathy secondary to durgs , alcohol or diabetes. I hope that answers your query. If you want any more clarification, contact me back.
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Suggest prognosis of the health condition in oesophageal cancer
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my father haws just been diagnosed stage 1vb oesophageal cancer lymph involvement nodes affected in perineum aged 85 type 2 diabetes mature onset tablet and diet controlled but has only one kidney had bilateral caterracts years ago has regular laser rx to eyes having gastroscopy in a few days to hopeful;y put in a stent as dysphagic lost significant body mass last 6 - 8 weeks chemo unlikely due to kidney function i need a realistic prognosis i need to organise siblings living abroad outside EU to visit. thankyou
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Hi,Thanks for writing in.A cancer oesophagus stage 4b has a guarded prognosis and patient survival might be extended to 2 years. It will help to know which part of the oesophagus is involved. The esophagus is a tubular structure connecting mouth to stomach. It has an upper mid and lower third. The exact region of cancer and its extent is important to know.Placement of stent is done to clear the luminal obstruction. I guess the cancer is in mid or lower third and therefore stent is in place. Since chemotherapy is unlikely therefore the doctors might suggest radiation therapy as one of the treatment options. This might help to suppress the tumor for few months and delay progression of disease. The prognosis in his case might be 6 months to slightly over a year if he is able to have oral foods containing nutrients. Please do not worry.
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Suggest life expectancy of patients post Merk cell cancer
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My 84 year old father has been diagnosed with Merkel Cell cancer and just had a large tumor removed from the top of his head. He has dementia, high blood pressure, diabetes and has had two melanomas removed from the same spot. Per our request there will be no treatment except to keep him comfortable. What is his life expectancy with this aggressive form of cancer?
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As you already know it is agressive in terms of local recurrence after surgery and distant metastasis. The mean survival after distant mets is 5 to 6 months . only local disease without therapy 10 to 18 months.
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What are the chances of recovery in case of an infected gall bladder?
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My father in law has been in and out of the hospital for the past 6 weeks. He has CHF; 3 detected heart attacks; diabetes; has had renal failure three times, but the kidneys made a comeback; a diabetic sore on his foot (amputation delayed until stable); and now an infected gall bladder that they just drained. Is there any hope of recovery? If not, what is his life expectancy? He had previous renal failure and heart attack 5 years ago.
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Hi there,There's always hope for a recovery. I will say that the fact that he recovered from his renal failure gives him a better chance. A diabetic sore should be dealt with, but if it's not infected, then I'd agree it should wait until he's stable. As long as the infected gallbladder has been drained, then your father in law should be better. It sounds like he may be able to recover if all his infectious sources are dealt with. I wouldn't give up hope. I hope this answers your question. Please feel free to contact me if you have any further questions.
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Does Metoporal helps a person not to pass out due to low blood pressure?
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I was told that metoporal helps a person to not pass out due to low blood pressure. Is this true? I had passed out in 2010 and landed on my bottom and fractured my back. My history has included passing out once in a blue moon. It has been indicated that my blood pressure went up at that time, but since then, my blood pressure drops occasionally and I feel like I might pass out. I really would like to be taken off the metoporal medicine and put on BP meds. Would this not be a good idea? My doctor absolutely will not take me off this beta blocker.
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Hi,After going through your case there is likely possibility of cardiac arrhythmia (abnormal electrical activity of heart) that may be responsible for your episodes of passing out.For controlling heart rhythm and preventing cardiac arrhythmia you might have been prescribed metoprolol and not for blood pressure. For better advise I want to know-1) Your age.2) Presence of other comorbid conditions like diabetes.3) Any other medicines other than metoprolol going on.Following investigations may be helpful in decision making-1) ECG during period of passing out.2) Resting ECG.3) 2DEcho of heart.4) Holter's monitoring and electrophysiological study of heart.5) Complete blood count, Kidney & Liver function tests, serum electrolytes, calcium, magnesium, phosphorus.6) Thyroid function test.7) If nothing is significant in above mentioned test then there may be need for MRI brain with angiogram.From above test we can come to know about cause for your symptoms and accordingly appropriate decision cane be taken.Hope this may be helpful to you.If so do vote.
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Burning feeling, discomfort on torso. Ultrasound showed fatty liver. What causes fatty liver?
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I recently went for an ultra sound to check my gall bladder liver etc.. because I sometimes had a burning feeling, but I have also have discomfort on my left side torso pressing on my back. the results for my ultra sound said my gall bladder was fine but my liver had fatty streaks and I am soon doing a cat scan and I was wondering what causes a fatty liver
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Hello Thanks for writing to HCM Fatty liver is due to deposition of fat within the liver cells. There are many conditions associated with fatty liver like Obesity, Diabetes mellitus, Metabolic disorders etc. Fatty liver is reversible condition and it can be controlled by increasing physical activity, drugs etc. You should avoid saturated fat and fried food. You also do walking, exercise. Take Care Dr.Indu Bhushan
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Persistent cough, enlarged heart, high BP, brain hemorrhage and had seizures. Suggestion?
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Hi my brother recently got sick with a persistent cough and then it was discovered his heart is enlarged. He suffers from type 2 diabetes and high blood pressure do you think that caused his heart to enlargen or another factor? At present he is in the hospital under oxygen because he suffered a seizure and is alos heamorraging in the head and brain.
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Hi, Thank you for posting your query. Enlarged heart is often a sign of heart failure. Heart failure is more common in people with diabetes and high BP, especially if they are not well controlled. Another cause can be hypertrophy (thickening of heart muscle wall) due to high BP. An evaluation by a cardiologist along with echocardiogram would be able to sort out this problem and establish the correct cardiac cause. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
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Suggest treatment for burning and tingling sensation in the hip
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My husband began expressing pain in his right thigh on the front side. He said it felt like a deep burning. Over the course of a couple of days the burning has turned into a numbing tingling with severe pain in the right hip. The pain is constant. Walking is very difficult; sleeping is hard because getting comfortable is almost impossible.
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Kindly tell age of the patient?Rule out diabetes.Give himMulivitamin 1 ta OD X10 days & Acetaaminophin 250mg sos.If no relief, it will have to be investigated further.kindly keep me inform of his progress.
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Will fever during pregnancy leads to abortion?
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my wife got fever when she was 4months 2weeks pregnant and the next day he got abortion why It was 1st january 2010 morning at 10am she told me she back pain and he preparing foods in the afternoon she was eating little and told me that she had fever and feeling very cool i bring her to the hospital the duty doctor told me there are no expert doctors in the hospital.The duty doctor checked her and told me that she had 102degree fever she consult the expert doctor by phone and injected paracetomol after that fever lowered and at 2am january 2 my wife told us that she had pain in stomach and she womitted we bring her to the hospital before doctor checking she want wrining when she is in bothroom she saw legs of the baby and after 5 minutes she gave birth and the baby doctors told us that the baby died before birth.I dont know why it happened and my wife had thyroid problem is it happened because of thyroid.
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Hello dear, I understand your concern.Iam sorry for your condition.In my opinion there are various reasons for miscarriage like:-1)Genetic anamolies.2)Infections like Malaria,TORCH infection,CMV etc.3)Hormonal abnormalities like thyroid abnormalities,diabetes,progesterone insufficiency etc.4)Uterine abnormalities.So the fever can also be the cause for miscarriage.But the cause of fever should be found.And thyroid if it is under control does not lead to complications like miscarriage.Evaluation for TORCH and CMV might be helpful.Don't worry.Once the cause is treated it might not get repeated in further pregnancy.Relax.I suggest you to plan the next pregnancy after a gap of 3 months.Start taking folic acid supplements from one month before planning the pregnancy.Nothing to worry.Hope this helps.Best regards....
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How can forearm bleeding and discoloration be treated?
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Hi, I have had a problem with discoloration and bleeding on my forearms for approximately four years. First noticed when my sholder bag (heavy) slipped off of my sholder and hit my forearm. Next up was bleeding without knowing I was doing so. I couldn t bump into anything without causing myself to bleed. I am not a vain person but I DO have Diabetes, Fibtroymyalgia, hypothytoidism, and arthritis. and when my largest organ starts making holes for germs to enter it makes me very nervous. Thanks, JR PR I stopped taking Cymbalta after my doctors and I went over the pain relief cmpared to it s bleed factor.
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hi,thank you for providing the brief history of you A thorough musculoskeletal assessment is advised.As you are diabetic there is always a possibility of the bleeding to not stop. Tying the compression bandage to stop bleeding and stopping blood thinner for hypertension should work.Also, you need to be careful with the wound healing, as wound healing will be delayed in diabetic.Also, for your arthritic and fibromyalgia pain undergoing physical therapy should work well.you should be always conscious with your blood glucose levels as it should be always into control. As due to non-controlling of the blood glucose levels any smallest injury will lead to major symptoms.For skin discoloration you need to wait as it will go slowly. Due to high blood glucose levels the healing is slighlty delayed. With proper care the recovery is expectedregardsJay Indravadan Patel
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What causes severe calf muscle cramps and swollen ankles while on Insulin?
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Hello I m 46 years old got type 1 diabetes I take novo log insulin , also tresiba flex pin insulin 80 units daily then along with victoza flex pin 12 on the flex pin an lisprell for high blood. But I m having bad calf mussel cramps and swelling of the ankles what do you think
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insulin doesn't cause this u need to check status of ur heart and kidney functions for this to evaluate this swelling. high sugar affects the kidney . get ur renal functions , ECG, 2Decho done to rule out target organ damage by diabetes
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How can sore throat and acid reflux along with halitosis be treated?
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Good evening, I am suffering from a sore throat and burning in my chest, especially after I eat. I also have a bad case of halitosis. I went to two different dentist who told me that there is nothing wrong with my teeth nor gums to be causing this condition and that I should see my general doctor to find out what is going on internally that would cause these conditions. I went to my doctor and she told me to go to the dentist. Are you able to help?
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Hello,Bad breath is also known as halitosis can occur due to a number of causes like poor oral hygiene, oral and dental infections, postnasal drip, sinusitis, acid reflux, respiratory infections, diabetes etcetera. As you have an acid reflux problem, it can be a cause for bad breath. For this, you can take antacids like Milk of Magnesia and proton pump inhibitors like Omeprazole.As of now, you should start gargling with a flavored mouthwash twice a day. You should chew flavored sugar-free chewing gum. Do warm saline gargles twice a day. Limit the intake of high aroma foods like onion and garlic. Drink plenty of water and maintain good oral hygiene.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora
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Do high triglycerides cause psoriasis?
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Any connection between high triglycerides and psoriasis? I've dealt with psoriasis since high school; don't know how long my triglycerides have been high as I sort of avoided seeing a doctor other than for injuries for the past 20 years. 44 years old, 6'1", 220 pounds, no other health concerns.
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Psoriasis is no longer considerated a skin disease but a systemic one. It has been recognized the association of psoriasis, especially the most severe forms, with several diseases that share a common pathogenic inflammatory substrate (TNF-α ).In patients with severe psoriasis there is an increased prevalence of obesity, dyslipemia ( high Cholesterol and high trglycerides), adult diabetes mellitus, fatty liver. Also Psoriatic patients may have abdominal obesity, hypertension, insulin resistance with or without glucose intolerance. You must visit a Doctor.
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Trying to conceive, overweight and type two diabetes, on metformin, pcos, taking duphaston, missing periods. Suggestion?
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Hi, I am hoping you could help me. A month ago I saw a Gynecologist , as my husband and I have been trying to fall pregnant for 6 years with no luck, I am overweight and recently by blood test found out that I am a Type two diabetic, my Gynea put me on Metformin for that. I also have not had a period for 4 months and after an internal examination she aslo mentioned that I had PCOS and that is why I could not or having trouble falling preg. she then perscribed Duphaston to take 1 10mg pill 1x a day for 10 days, I completed this course. I have been intimate with my husband since, but have not had a period yet. Instead after intercourse on day 7 of taking duphaston I had a pale pink discharge asif a warning my period was due, but 5 days later still no period. is this supposed to happen?? I hopw you can help me or atleast give me some tips on conceiving, am growing desperate. Many many thanx Karushah
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Hello, Thanks for writing to us. You are having PCOS which is a hormonal problem leading to anovulation. Developement of Type II Diabetes is also a part of spectrum of PCOS. You will need medicines for ovulation induction. You need to keep you sugars under control before trying for pregnancy. The tablet duphaston given to you is not for ovulation induction. It was for you to get withdrawal bleeding.You can wait for upto 2 weeks after stopping this tablet for your periods. Once you get your periods, ovulation induction can start. Meanwhile, most imp thing is weight reduction with proper diet and exercise, along with all the treatment. You need to get evaluated fully. Hope this information was useful to you. Take care.
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Why was osteoporosis not diagnosed earlier?
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hi i have been recently diagnosed with osteoporosis. My endo doc wants me to get infusion of reclast. I take 81mg. aspirin daily as well as advair 3 blood pressure meds. I had bariatric surgery in 2012. Have been taking 1000mg. during this time. I have barretts, GERD and irritable bowel synd., diabetes,severe osteo arthritis, incontinence apnea and recent diagnosis or chordoma. I guess i want to know why if i have been osteopenic for many years nothing for my bones was suggested earlier. I read about jaw issues with this drug and I m concerned; for my dentist wants to start some root canal work. Help, I m looking for advice. I don t know what I should do.
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osteoarthritis can stay undetected for years with perfect posture and muscle power balance , key point in not having osteoarthritis pain even if you indeed have it starts by normal 10 -20 % ankle dorsi flextion while standing , to further explain what i mean try standing on heels with dorsi flextion (toes up) while slightly leaning forwards and maintain this position for 30 sec , all your osteoarthritis pain areas will be relieved for few mins to hoursGood Luck
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Suggest treatment for watery blisters in stomach during hepres lesion
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herpes lesion is the disease my father is suffering from. right side of stomach watery blisters have formed and have gone away now. And its now 1.5 after blisters are gone there is pain in the stomach for the past 1.5 months and can't sleep properly and have diabetes from past 6 yrs...Plz suggest something???
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Hello I have gone through your question and understand your concern. Abdominal pain post herpes zoster infection can be due to gastrointestinal involvement of infection. A very rare an unusual complication of herpes zoster seen mostly in individuals recovering from infection in old age and is very rare in children. Herpes virus mainly affect nerves, sometimes infection causes paralysis of abdominal muscle wall and may cause obstruction. This intestinal pseudo-obstruction leads to pain in abdomen, discomfort, abdominal distention and can be diagnosed by abdominal radiography and may require surgical intervention. Undergo ultra sound abdomen and pelvis along with abdominal X-ray for better prognosis and consult a doctor to get abdomen physically examined. Good luck. Hope your concern is answered. Thank you.
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What causes elevated high blood pressure levels post recovery from leg amputation?
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I am a52 year old male with a history of NO heart issues, but I have endured a Synovial Sarcoma, which did result in the amputation of my right leg, above the knee. In the past 3 months I have experienced uncharacteristicly high blood pressure. What other symptoms should I be on the lookout for?
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Sorry to know about your loss. High BP in your case may be caused by anxiety, emotional trauma, lack of good sleep or excessive smoking. Sarcoma usually does not cause high BP. Check whether you have1. Kidney disease-do urea/creatinine, renal ultrasound2. Diabetes- Fasting blood sugar3. Thyroid disorder- FT4/TSH4. Dyslipidemia- Fasting lipid profile5. Heart problem- ECG and 2D Echocardiographyare you satisfied? Hope you are...Thanks
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How can dry mouth along with cough and swollen gums be treated?
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Iam a healthy 80 year old male. I have a condition that won't go away. It is dry mouth, cough, phloem, sore throught, but it does not feel like ma cold. I also have swollen gums. and my back teeth rub against the inside of my mouth. thanks, Robert McGlinchey YYYY@YYYY
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Hi, All your symptoms can be due to Dry mouth or Xerostomia that can be due to a number of causes like causes like side effect of certain medications like anti-hypertensive medication, anti-depressant and oral contraceptives, salivary gland disorders, nerve damage supplying salivary gland,long standing dehydration, Sjogrens syndrome,smoking, diabetes etc. You should consult an Oral Physician and get evaluated and treatment of underlying cause will resolve the problem. As of now you can start taking supportive treatment like chewing sugar free chewing gums as it helps in stimulating saliva flow. Saliva substitutes named "Artificial Saliva" containing methyl cellulose can be instilled multiple times in mouth for lubrication and preventing dryness. Drink plenty of water. Use specialized mouthwash to rinse the mouth like Magic mouthwash. Use chlorohexidine gel to massage over gums to reduce inflammation and swelling. Do warm saline gargles. Hope I have answered your query. Let me know if I can assist you further.
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How can erectile dysfunction be treated after recovering from a stroke?
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Hi Dr I am 64yrs old and I m taking madication for high blood pressure and diabetic. One yr ago i had a mile strock on my left hand side.now i fill the left side body heavy.i can walk, drive car but no erection. Pls.advice me what should i have to do? Tq
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Hi, I think you should consult a urologist for complete evaluation. It can be due to diabetes or hypertension. Get a thyroid profile, prolactin level, serum testosterone and lipid profile done. Also do a a penile doppler test. Treatment is available accordingly.
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Why am I unable to lift my leg in sitting position?
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Hello. For the last 2 months I ve had major problems with my left knee. Can t lift leg up from a seating position. It feels like its going to hyperextend when I walk. Can t walk normal anymore. Not sure if I tore or separated a mcl or something. The main problem is that it s not getting any better.
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Hello, What I understand that the knee is too weak now to take the weight of the rest of the bones below the knee. Are you having any kind of pain? What is your age and are you having any signs of high blood pressure or diabetes? Kindly get it Physically examined by an orthopedist and do an MRI scan of the knee. The history sounds more of the full ligament tearing. Taking immediate action will be good as if avoided later the knee internal structures which are of course soft tissue will get damaged and land into the early signs of Osteoarthritis of knee and will demand knee replacement. The earlier the better. Take an MRI and meet up and orthopedist at the earliest for the better outcome of the treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
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Have diabetes, high blood pressure. Increased creatinine serum. Prescribed Lasix. Options?
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Hello, It s Faheem from Islamabad Pakistan. I need some advise from you regarding my father s Kidney . My Father is 57 years old,diabetic with high blood pressures usually 160/80 170/90. His sugar level is bit controlled but as per Doctors advise his sugar is maintained due to kidney issue. His latest creatinine serum is 4.16 which increased in last 3 months from 1.98. Medicine he is taking are Lipiget, Loprin, Stress tab, Ammryl,Lophos,Hydrolyzine. He was also using Aproval 300mg but doctor discontinue as increase in creatinine. After h doctor advised to take Lasix 40mg (2 times a day) and mini press 1mg (3 times a day) but creatinine goes to 4.16 from 3.07. Now the doctor is advising to go for testing tissues in the kidney , we have stopped using Lasix and Minipress for the time being could you please advise any option.
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Hello! Thanks for being with us. Diabetes and hypertension if not adequately controlled leads to gradual decrease in kidney functioning over a period of time. Here in father's case also same factors could be responsible for kidney injury and increase in creatinine level.Drugs like ACE inhibitors and ARBs also decrease kidney function further,hence these should be avoided. There is no harm in using lasix and minipress in this case.Lasix increases urine output,avoids fluid overload and help in decreasing blood pressure.Minipress is also safe to use in this case to decrease blood pressure. Following parameters should be monitored while being on these drugs: 1.serum k+,na, 2.serum calcium,po4, 3.serum uric acid. My suggestion is have strict blood sugar control and blood pressure control to avoid further kidney damage. Target blood pressure should be 110/70 mm of hg in this patient. Hence for better monitoring get a nephrologist opinion. Hope this will help you better. Wish you good health.
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What is the treatment for red,dry spots on penis after masturbating?
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I masturbate every so often and last week I think it was on Wednesday or Thursday I used soft soap as a lubricant and now I have this red, dry spot on the head of my penis close to where the shaft and head meet. I have never had sexual intercourse with anyone. What do could it be?
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Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or infected ulcer may be due to trauma during masturbationI would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashApart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply mupirocin ointment externally.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards
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Kidney infection from intake over the course of salt and sugar
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Is it possible to get a kidney infection from too much salt and sugar intake over the course of about a week?
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The reason of the kidney infection may be because of prevailing Diabetes or even hyperglycemia(excess of sugar in blood and/or urine; if you are suffering from hypertension(high blood pressure) or even the lack of intake of sufficient water. Thorough investigations can decide the exact cause of kidney infection. Excess of salt and sugar intake alone can hardly causes infection of thr kidney provided you are having anything which I mentioned earlier.
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Uncle having diabetes and high Level of creatinine in his blood, kindly suggest
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Uncle Having Diabetes and high Level of Creatinine in his blood Hello Sir, My uncle is suffering from diabetes and high level of creatinine in his blood. For your reference to study this case i m giving details of his recent report as below: Haemoglobin- 11.6g/dl RBC- 3.83mil/cmm PCV- 36.7% WBC- 5200/cmm Macrocytosis- Mild Glucose (Sugar) Fasting- 101.9 mg/dl Blood Urea Nitrogen (BUN).serum - 54.0mg/dL Blood Urea,serum [Urease] - 116.0mg/dL CREATININE,serum-6.11mg/dL Sodium,serum[ISE-IP] - 137 mmol/l Potassium,serum[ISE-IP] - 4.2 mmol/l Chloride,serum[ISE-IP] - 104 mmol/l Urine examination : Chemical examination-Proteins:+ , Glucose-Trace Microscopic Examinations Leukocytes(Pus cells)/hpf:1-2 Epithelial Cells/hpf:0-1 Sir please suggest us proper treatment or else any reference for proper doctor one who can treat and cure it. Thanking You Krupali Thaker
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Dear Krupali,thanks for writing things in detail.This reports are suggesting that diabetes has affected his kidneys and he need further evaluation and treatment.Please see a nephrologist in your city and take his advise.Please make sure he takes proper and regular treatment other wise he will lend up in more problems.take care .
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Can additional dosage of Levitra lead to erectile dysfunction?
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2 things. is there much current research that promotes findings that saffron gel rubbed on penis will significantly help ED - mostly in my case, getting totally firm and staying that way. I have type 2 diabetes, but under control through good eating. Last month A1c was 6.1 Other thing, I took 1 1/2 40 mg of Levitra - for that extra boost, but erection was not firm and didn t stay. Can too much of that work backwards on me? Seems that I have noticed that once or twice before.
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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.Kindly regards. Wish you a good health.
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What is the benefit of benforce m than benforce p?
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what is the benift of benforce m than benforce p? my age 22. i am getting menses once in 4 months. dr said take benforce m tab. i am having only irregular periods sir.usg finding s pcos.already i took plain benfofce but now doc prescribed benforce m thats y am asking sir.thyroid test also normal.
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Hi,Benforce-M helps to induce ovulation. Plain benforce tablet contains vitamin benfotiamine commonly prescribed to treat its deficiency states. Whereas benforce-M is a combination of benfotiamine and metformin. Metformin is basically used to treat diabetes mellitus however in women with polycystic ovarian syndrome (PCOS) it helps to induce ovulation (release of egg from ovary) and also decreases insulin resistance and thus used to treat infertility. Continue to take as prescribed. 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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Tiny red spots on feet and ankles. On peritoneal dialysis. Is it due to platelets?
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I am 72 years old and have been on peritoneal dialysis for almost 10 years. For the most part I am healthy. Recently I have noticed tiny red spots that have turned brown and look like freckles on my feet and ankles. My kidney disease was diagnosed as HSP and I had the red spots at the beginning of this diagnosis. I am wondering if this could be a reoccurence of the HSP or something else. I have mentioned it to my kidney specialist and he is testing me for something about my platelets. Do you have any advice?
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Hello. As per your information , you must be having Chronic Kidney disease requiring dialysis. The cause of kidney failure as commonly is, may be diabetes,Chronic glomerulonephritis, Chronic interstitial nephritis or it may have followed Acute kidney Injury. HSP is a condition of childhood with peak incidence in first decade of life and its unlike that the cause of the rashes you are having or the kidney disease is HSP. In Chronic kidney failure, the is usually platelet dysfunction that can cause the purpuric rashes that have appeared on your feet. You may have decreased platelets or some vasculitis. I guess your kideny specialist is going in the right direction. Take care and have a good health.
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Aplastic anemia, had blood transfusions and platelets transfusion, taking cyclosporine, feels tired, no blood pressure, no diabetes
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My Wife is suffering from Aplastic anemia since March 2011- had blood transfusions whenever her haemoglobin level went down below 7 and platelets transfuion whenever her platelets level went below 0000. Though Cyclosporine 100 mg morning and 100 mg in the evening is being given on doctors advice, her condition - blood picture has not yet reached a sustained normal level. The patient is otherwise normal without BP and Diabetes no allegy to any medicine etc. The patient is 73 years old . Though active she is feeling tiresome . Her body weight is 79Kg. Will you please tell me is it possible to cure her and get normal blood picture which can sustain for ever.?
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HiTiredness may be just due to less hemoglobin.Bone marrow transplantation is permanent cure for it.Plz consult haemetologist.Thank you.
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How to treat dark circles under the baby s eyes?
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My daughter is 3 years old. As of late she does not want to eat and as a result she is very lethargic and tired almost all the time, also occasionally she will say that her eyes are burning and stinging. Usually she drinks about 60-80 fluid ounces daily, craves salt excessively, and frequently during the day she bangs her head off the wall or on the ground for a few minutes at a time! She is our middle child, and yet at 39 months she weighs less than our 18 months old little boy. She looks malnourished, has dark circles under her eyes and her is very thin fine and not very long. She has been seen by a few different doctors but thus far NO ONE has been able to tell my wife and I what is the matter with her. Could you please help guide us, PLEASE? In the range of all possibilities, what could this be?
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Hi.... I understand your concern. There are very important points which you have put forth in your query.... faling to the, dark circles around eyes and craving for salt and water.These are the possibilities which you need to evaluate her about- 1. Renal tubular acidosis2. Diabetes insipidus3. Cystic fibrosis.Regards - Dr. Sumanth
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What do these blood test reports indicate?
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Hi, My father in law is 70 years old and has been detected with out of bound reports for some of the Tests related to Kidney. Attached are prescriptions and reports. I need your guidance on how to proceed further. Here are some artifacts: 1. He underwent Cataract Surgery on 27th Nov 2. He is Diabetic and undergoes regular medications 3. Due to Diabetes, his diet is restricted for multiple items. Looking ahead for your guidance and thanks in advance.
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Hello, No reports I got with your question. So write the report in the question or post a photo copy of reports. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Penchila Prasad Kandikattu
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Kidney failure stage 3, diabetes, high BP, have rheumatoid, osteoarthritis, GOUT, joint deformity on ankles. Take Toradol?
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I am in the 3rd stage of kidney failure. i have been taken off of any all pain meds,my question is how invasive is toradol to my kidneys. i have diabetes, high blood pressure, and have 2 toes on my left foot. My family Dr. didn't ever tell me i had problems with my kidneys, I have rheumatoid, osteoarthritis, gout, charcott joint deformity in both ankles& etc. I need to keep my creatinine level as low as possible. I'm doing as much as i can to help my condition. i have been very down since my dr. gave me such information. i am 58 w/fe. thank you for ur time cheryl smith .
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Hi Cheryl, Welcome to HCMI understand your situation. In general all analgesics have adverse effects on kidney function and are not indicated in kidney disease. Toradol also belongs to the family of analgesics that inhibit vasodilatory substance called as prostaglandins to elicit its action. Inhibiting such vasodilatory agent will further reduce your kidney function. Although such medications are contra-indicated, under unavoidable conditions such as yours (fore-mentioned inflammatory conditions) sporadic use of non-steroidal anti-inflammatory (NSAIDS) may be used but only under medical supervision. I will advice you to consult your primary physician for any use of analgesics. Regardless of any choice of pain killers please increase the amount of fluid intake and avoid any consumption of alcohol. Lastly, please make sure that your physician knows about all medicines you are taking, even over-the-counter medications.Hope this helps.
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Pain in left side of abdomen. Sonography shows vascular calcification in both kidneys. Next step ?
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SIR MY FATHER AGED 70 YRS ,HYPERTENSIVE WITH STUNT 5 YRS BACK,,,TAKING TELMA 40 MG,METXL 50 AND ASPRIN . ALL OF A SUDDEN HE WAS WITH LIGHT PAIN IN LEFT SIDE OF ABDOMEN AND DOCTOR(PHYSICIAN ) ADVISE TOTOAL ABDOMEN U/SONOGRAPHY...THE IMPRESSIONS ARE ............ VASCULAR CALCIFICATION IN BOTH KIDNEYS.,, SERUM CREATIN (1.0)...SIR PLEASE ADVICE US WILL THIS CALCIFICATION IS A VERY SPEEDY PROCRESS AND WILL HIS KIDNES AND HEART GET DAMAGED SOON OR WILL IT TAKE TIME AT LEAST 5 YRS ....WAHT SHOULD BE OUR NEXT STEP,,,,PL ADVICE US WE DONT WANT TO LOOSE HIM.
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Hi Andey, Thanks for writing in. Vascular calcification of the kidneys could be due to old age, chronic kidney disease and diabetes. I would like to know the size of the kidneys in the ultrasound report. Also, I would like to know the electrolyte level renal function test report and the complete blood count. This will help us know whether he has chronic kidney disease. Also, I would like to know if he is diabetic. If this is only because of old age, then it will not progress rapidly. However, regular monitoring of renal function is required. Your next step should be to consult a nephrologist. He would be the best person to guide you. Hope that helps Regards
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What is the treatment for hypokalemia?
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I have recently had a c-section and gallbladder surgery that have left me with a strange sensation of heaviness on the sternum and the need to breath "manually" . I have been previously diagnosed with Hypokalemia, but had the worst bout last night. I couldn't make my lungs expand enough to take in air for a short period of time, and breathing with the diaphram didn't help...in the mix of the episode, I lost movement of my right arm, and didn't regain use for over three hours...felt it beginning to move to my right leg, but took a potassium supplement to try to help things out...and then finally fell asleep...What could be causing all of this, including the potassium deficiency?
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Hi I did review your conditionThere are many things that can cause hypokalemia and a doctor needs to know much details before considering the special test to identify causes of hypokalemia. Do you have high blood pressure? Also have you been diagnosed with any other illnesss in the past like diabetes and are you on any long term medications?Let me know these anwers and I can tell you more about your problemYou can also consult a doctor for complete evaluationright diagnosis is essential for right treatment.I hope this helps. Wish you a healthy life ahead..
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Does elevated protein in the blood cause the kidney to lose its functioning?
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My son is 32 yrs old and has just found out through blood work that his kidneys are functioning at 45 per cent and he has elevated protein in his blood work. He also says that every time he drinks water he has to go to the bathroom right away. He was checked for diabetes and does not have it. What does this mean
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Thank you for choosing HealthCare MagicI have looked through the question and can understand the stress that you must be facing. Based on the question, nephritic or nephrotic kidney disease.There is a chance that there is a chronic renal failure in which the body is not able to excrete the waste substances in the body. This will be most evident with a high level of creatinine in the blood.There are a few modalities of treatment for this. You can start on conservative treatment initially and if your son is stable, then he can control his diet and lifestyle habits so that he can avoid dialysis. Dialysis eventually will start as the kidney function worsens. After some time, itching of the skin and rashes will become prevalent. At this point, I would recommend him to get treated with dialysis. You can also start dialysis early to help him not develop any symptoms. Do talk to a kidney specialist and you can confirm the Doctor's opinions with me. All the best for your son. Dr Vignan
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What causes vaginal itching and burning during pregnancy?
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39 weeks pregnant and i had a yeast infection and i did treat it...........a week after i had sex with a condom and the next day i start getting some itching and burning sometimes when you touch. could it be the yeast infection still but i dont have no discharge.
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Hi,Yes it likely that you have the yeast/fungal infection again. It is more common in pregnant ladies as their immunity is lowered .Also have you got your sugars checked recently.Repeated yeast is also noted in diabetics and it could be a sign of gestational diabetes in you. Please get sugars done if not done.You should take anti fungal pessaries to treat the infection.Also get a urine routine microscopy done for the burning sensation, drink plenty of water and if some infection shows up in urine get it treated before you go into labour.Hope this helps.Regards.
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What causes stomach ache and green stool?
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hi I'm 31, female, very sore lower tummy, couldn't walk before but lying on my tummy and pressing it down seems to work and after going to the toilet and poo green faeces made it feel at ease, but it was really hard pooing and only one piece hard green poo came out. Still sore but now so as my virgina......not sure what to do...what would you suggest?
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Hi.Thanks for your query and an elucidate history.Green poo is suggestive of an infection of the intestines and a proper course of antibiotics will help to cure this; which will automatically help the pain in abdomen to subside. You can certainly undergo tests of blood , particularly for diabetes, urine and stool- stool culture and sensitivity too. This will help if the infection is resistant to routine antibacterial agents.
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What could cause a bump near the urethra opening on penis?
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I have a small, painless bump near the urethra opening on my penis - I don t have any discharge, foul smell of STIs; and it definitely does not look like a Syphilis Chancre - The bump looks the same from last night, it has not grown in size or changed color - it looks like a red pimple -
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Hello I share your concern, i will try to help you out in best possible way.Looking at your description this could be STI or infection or inflammation may be due to trauma during rough sex or allergic reaction.I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the bumpApart from this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply antiseptic or antibacterial ointment like mupirocin ointment externally on bumps.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards
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Is it possible for children to have ovarian cyst or diabetes?
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My daughter is 2 months away from being 12. She has a dark ring around her neck. It is not dirt. The doctor said it could be she has cyst on her ovaries or diabetes. Could she really have cyst on her ovaries at such a young age. And yes she has periods.
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Hi there! Thank you for contacting us. If she has frequent need for drinking water or is thirsty all the time and frequent urination, I would suspect diabetes. However, there is a good chance she has a cyst on her ovaries. These cysts get larger to expell an egg. Once an egg is expelled, there shouldn't be any other side effects. If you wanted to know for sure, ask for an ultrasound or imaging of her ovaries. I hope this helps. I've have been riddled with ovarian cysts for many years. Many ruptured and are extremely painful. This all can be managed.
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Bleeding gums, pus formation, itchy face. History of abdominal and rheumatic pain. Cure?
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Hi, I am 34 year old man .I have been affected gum bleeding with pus and it become worse now. When I woke up in the mornig my mouth s saliva became filled with pus and blood; besides I have affected skin disease with itching on my face; when I press it causes a slight yellow pus and itching will be stop. Now in this week I felt rhrumatic problems ; I cheked with a doctor in my legs,tiredness and abdominal pain , back bone pain etc have found,please give me a good suggesion
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Hello Welcome to HCM I would like to tell you that you are having Periodontitis that occurs due to poor oral hygiene or any systemic disease like diabetes, hypertension or during pregnancy. It occurs due to inflammation & infection of gingiva. Best way is to get oral prophylaxis done. Do betadine gargles twice a day. Use chlorhexidine mouthwash once daily. Regarding other problems consult general physician. Take Care Regards Dr.Neha
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What could cause reduced BP levels and acidity while on medication for diabetes?
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I am a diabetic person, right now I am taking 3mg glimp and gliptamet 850mg everyday. At the same time I am taking m 3 everyday. The only changes in me right now is, it s seem that I became acidic I think. One day my blood pressure got lowered to 100/70. Please advise me what to do thank you.
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Thanks for putting your query over here.I have gone through your question and would like to ask you ,you feel you have becomes acidic means exactly what are you feeling?While on anti diabetic medications,what all important is just get yourself regularly checked for how good is your blood glucose control and for presence of any diabetic complication.While being on the drugs you mentioned,you need to keep an eye on warning signs of hypoglycaemia like giddiness,trembling of hands,palpitations,lightheadedness.If you frequently experience any of these symptoms,visit your treating doctor.BP 100/70 can be due to various factors.It can be due to any other medication you are taking especially anti hypertensive or hypoglycaemia.For some people,it may be also normal to have such BP.What all you need to do is just have an eye on all the hypoglycaemia signs I have mentioned and do regular follow ups with your treating doctor.Thanks and regards.
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Can eating too much sugar make skin itchy ?
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Hi, for a while now I have had constant itching to my back and arms and I have had diabetes testing but no glucose was find. I also had a liver test. I am trying to cut down on my sugar intake to see if it will alleviate the problem but it is very difficult. Thank you!
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Yes, one of my best friends is allergic to fructose (fruit sugar) and it causes rashes on her arms and she itches constantly. Try getting tested for specific types of sugar allergies... fructose, sucrose, etc. It also might possibly be a different food allergy that is found in a lot of sweets or sugary substances.
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Does asbestos cause cancer? History of skin and prostrate cancer, diabetes and heart problems
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I have had 17 skin cancers cut off and the dermatologist said it happened 50 years ago.That would have been when i was in korea on a ship 4 years in the Pacific. We didn t have suntan lotion. Now the VA want s to know if asbestos could have caused the cancers. I also have had prostate cancer and diabetes and heart problems?
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Hi, asbestos exposure commonly cause a disease called asbestosis, lung is affected, shortness of breath wheezing are the common symptoms . chance of disease increases with smoking at the same time. asbestos exposure may cause lung cancer. so if you have smoking history you should quit it. your other medical problems to be treated in a proper way . consult your doctor.
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How can back bedsores be treated?
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my mother had cerebral at last thursday 11/09/2014, her right side left, high bloode sugar detect 180 fasting & 300 pp tested. running medicine are decdan injection, amlokind 10 for pressure, vogomate v .3 for sugar , now last two days we noticed that she had bedsore back position what can we do?
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Hi,Thanks for writing in.Bedsores are the first sign of infection in a person who is immobile. Please inform her doctors and make arrangement for her to sleep on water bed to avoid more bed sores from happening. Since she is diabetic, there is possibility of the bedsore developing an aggressive infection. First medications are to be applied in the region of bedsore. A nursing attendant must be put in charge of turning her posture regularly and keeping the surface between the skin and bed dry. This will prevent sweat from accumulating and preventing new sore formation. Attempts are also to be made to lower her blood glucose. Diabetes causes infections to spread quickly to other areas and this must be prevented. Please check the bedsore wound every 6 hours and change surgical dressing to avoid bacterial multiplication. Make her change positions regularly.
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How to treat abdominal lumps which are round and hard?
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I have numerous (possibly) fatty tumors in my stomach. SOme are round and hard, others feel irregular and softer. THe round one is about 1 1/2 inches round. They do not move. I have had them a long time. I also had a fatty tumor on my left side removed 23 years ago, the size of a small hot dog. Should I be concerned. I would like to get them off. I am 52 female, a type II diabetic (A1-c 6.3). I weigh 185 lbs (35 over) and work out at the gym 4 times a week. I also take medication for high bp, high cholest., very low d, high triglycerides, but just went today and they are cutting my glucophage from 1000 a day to 500 a day. I have a doing much better than last year, but I am wondering about these tumors and would like to get them off. Is there a possiblility that they may be more than just fatty tumors? The entire family has endocrine problems. My sister and her daughter have pituitary tumors. My neice has half removed.
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HI.Thanks for your query and an elucidate history. Have a control of your diabetes well. The medicines is being reduced as you are exercises must have helped to control diabetes well. I would advise you to have FNAC of the few hard lumps and once your diabetes is under control and you are declared fit medically to undergo anesthesia, it is better that you get them all removed. There will be many benefits.1. you get rid of the lumps, which are growing into different varieties , making one suspicious.2. You get a histo-pathological diagnosis , which is very important to rule out anything else other than lipomas. 3. Psychologically satisfying as you get rid of the problem
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What does face swelling in a heart patient indicate?
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My father had 2 massive heart attacks in one year! The second one caused him to pass away and he was brought back after 45 minutes of recessitation. He has 15% capacity left in his heart as well as having diabetes! He smokes 2 packs of cigarettes.a day and doesn't eat properly! He is constantly sick and sleeps the days away! He has shut himself off from everyone but recently I ran into him and his face was puffy almost swollen looking. I remember his face looking similar after the second heart attack! Could this be a sign of arising issues?
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Hello I have gone through your question and appreciate Your concern. Ur father may be suffering from heart failure. Which is causing Accumulation of fluid in body.Is there any swelling over abdomen and legs.It is Better to get examined by cardiologist And echo done. His dose of diuretics may need to be increased.Don't ignore it and get consultation done as early As possible. Thanks.U can write me back for any query.
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How to clear blockage on superior mesentric artery?
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I have had type 1 diabetes for 46 years and been on an insulin pump for 29 years. I had a CT which showed I have a blockage in my Superior Mesentric Artery that is stopping blood flow to my upper stomach and pancreas. I do not have high chlorestal and have always eaten a healthy diet. A1C is 6.3. am having a ultrasound next week and probably a stent put in. When the radiologist did the CT I had a reaction to it and he said I would be better off not to have that or an MRI done as each time the reaction is worse. Don't they have to use the dye to put the stent in and what do I expect for my future health concerning this?
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Hello , Stenting the Mesenteric artery is the best way forward to establish blood flow to your pancreas and stomach . The other alternative is surgery which is far more morbid . Also the she used during stenting is similar to what they used previously in CT. So do discuss it with your doctor , so he may take precautions before the procedure and preferably use alternative dye . Yes follow up MRI would be better in your case for Evaluation. Regards Dr. Mody
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What causes high blood pressure and body shivering?
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Hello doctor, i am a fifty year old female. suddenly i find myself shivering and my BP is 154 by 86 which is unusual for me(i am not a bp patient) and my pulse is 98. i suspect this could be due to the suspect hotel food this afternoon which did seem to be stale; what could be the cause
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Hello, Thanks for posting your query on Healthcare Magic...* Brief Answer: Transient rise in blood pressure is indicator of nothing, stress or anxiety can raise your blood pressure, body shivering may be due to contaminated food .*Explanation: My opinion is that high blood pressure on many occasions is an indication for control .That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure.Then ,Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that dose not help, medications are a must .That is usually decided by your doctor according to your condition and comorbidities .Some drugs that are perfect for patients are not necessary good for others.Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started.I suggest my patients the following :follow up blood pressure on different occasions.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, hyperlipidemia etc 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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Suggest treatment for kidney dysfuntion when suffering from prostate cancer
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Hi,My uncle has been diagonized with Prostarte cancer a couple of years ago and had to undergo a surgery. His condition again became bad a month back and again had to go for treatment. His kidney is not working fine and ceratine level is upto 8. The doctors at Lucknow had found his conditions to be terminated ill and for Palliative treatment
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Hi,Thanks for writing in.Kidney is an organ which filters the blood of impurities like blood urea and creatinine. It is important to know that kidneys are important for the proper functioning of the human body. Any obstruction to urinary flow might damage the kidney. Kidney damage also occurs due to strong medicines given during chemotherapy. Chronic conditions like diabetes and high blood pressure also cause kidney impairment.It is important to know the underlying cause of kidney dysfunction in you uncle. Serum creatinine level slowly increases and 8 is high. It would not have occurred suddenly in a prostate cancer patient and earlier reports are to be reviewed and please discuss the same with his doctor. In emergency he might go for a hemodialysis and subsequently measures are to be taken to maintain the level of serum creatinine. His diet also needs to be controlled and fluid intake monitored as recommended. Please do not worry.
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Can Synthroid usage cause hypertension and heart problems?
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Hello, My question is about hypothyroid plus cardiovascular changes. Age 55, hgt 5 7 wgt 163 lb; hypothyroid since age 22 treated with Synthroid only. Recent M.I. with one sided hypertension now, and metabolic syndrome. I ve never felt clinically improved on Synthroid, just marginally, all these years.. still serious fatigued, wgt gain, leg/foot cramps, muscle weakness, dry skin/hair, brain fog moments, generally weak and weary. Could t3 supplement, like Cytomel, help me with these lingering hypo symptoms? Am I looking at high risks, due to heart attack recently? I understand that subclinical hypothyroid can eventually lead to hypertension and even some of these nasty cardiovascular deteriorations. Would like to correct any lingering under treated thyroid deficiency, as I ve modified to heart diet, taking gold standard cardiac meds now also. Thank you.
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Synthroid is safe in heart disease and there is no such evidence of hypertension caused by it.You have to set up your priorities,as you have multiple comorbidities like Diabetes , hypertension , high cholesterol , hypothyroid, overweight and most important recent myocardial infarction.Please keep your antiplatelets as the first and foremost priority and then continue statins , levothyroxine, beta blocker and ACE inhibitor if any and lifestyle modifications.Keep your sugars under control .Diet and Excercise are very very important part of you disease complex.I am not sure but T 3 is not of much help in your scenario.All the best .
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Cluster of lumps in my abdomen. Should I be worried?
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I have these what feels like a cluster of lumps throughout the middle region of my abdomen that sits on both sides of abdomen, about 2-3 inches from the center and goes down to just above my belly button. Only about 3-4 of these several lumps hurt when pressed, otherwise they are not seen or felt. I have assumed most of it is fatty tissue, but worried the ones that hurt, and seem grounded (do not move when pushed in or pushed around) are tumors, or what is very unknown to many in medical fields, dercums disease. It has been like this for the past 12 days. I am white, 26, male, in good health otherwise, eat fairly well, exercise 7 times a week, generally about 2-2.5 hours. No family history of diseases, except type 2 diabetes on my fathers side. But all who has it got it after they turned 60. Should I be worried? I have read a few forums where people complain of this, and complain their doctors and er doctors are absolutely clueless. I am in a bit of a panic.
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Hello.Dercum Disease is a pathology whose symptoms-signs are fat lumps under skin accompanied by pain and hematoma.The pathology is characteristic of obese women menopausal age. Initially, not seems that your pathology is that. However you must go to your doctor to examine you and request,if he deems it necessary,a abdomen ultrasound to rule out another fatty tissue pathology . I wish you good health. (In case the answer would have been useful please indicate this)
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Suggest treatment for calculi in kidney
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RAM BABU AGARWAL 58/M Sub.: Urine Infection from last 3 years Details of treatment are as under HTN - OLMESAR 20 1 Morning Diabetes - Amrayl M2 1 Morning - 1Evening PIOZ - 15mg 1 Night DOS 24/3/09 HOLEP (LASER PROSTATECTOMY) at Jaipur Frequent Urethral Calibration once in a month (8 times) T.LOXOF 500 mg/ 6 months with Gaps T.MOXIFFrom 24/4/09, E-Coli 10power 5, Inj. Amikacin 500mg - BD 3 days 30/8/09 to 23/9/09, Klebsilla, 10 power 5, Inj. Bristokacin 1gm OD 7 DaysFrom 30/9/09 -E - Coli 105 Problem in Urine discharge & PVR more than 80ml.DOS 7/10/10, Laser VIU done ( Bladder Neck Open at Jaipur) 4 Time Urithral calibration every month till January 2011 T Mosif 400 gm/ Loxof -E - Coli 105 regularly Urifast - 15 days M-Cin 400gm - 10 daysUroflow 418/23/13 PVR 6ml10/11/2011, Ecoli 10 power 5, Tab. Faronem -27Inj. Magnex 1 gm Total 48 Three Test were STERILE (30/3/ 2011 to 13/ 4/2011) 18/4/2011 onwards Amikacsin 1-1 = 12 daysKlebsilla 10 power 5 Tab Faronem 200 1+1 = 12 daysFrom 11/05/2011 Faronem 200 1- 1- 1Other in : Calculi of about 23mm & 07mm in the lower calys of left kidney from last 3 years.Uroflow - OK PVR - OKFever with cold for 1-2 days when Antibiotics stopB.P. & Sugar monitoring regularly both under control.All other Pathological test including creatinine is normal.
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2 cm calculi in lower pole should be treated with PCNL after the urine infection settles down because the chances of sepsis is high in infected urine.
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Blood report suggests Hypochromia. What are the things of immediate attention to be addressed in the report ?
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Hi Doctor,Here is my blood report, I am 36yrs Male, wight 108Kgs(I know I am Obese) ht 174cms, started dieting and some excercises, reduced wgt of 3kgs in 3months I am not under any medication so far....., plz refer to the report and advise, any immediate attention needed apart dieting and excercise...DIABETES SCREEN (BLOOD)HbA1c H.P.L.C 6.8 %Reference Range :Below 6.0% - Normal Value6.0% - 7.0% - Good ControlAVERAGE BLOOD GLUCOSE (ABG) is 148 mg/dlReference Range :90 - 120 mg/dl : Excellent Control121 - 150 mg/dl : Good ControlHEMOGLOBIN 13.3 g/dL Male : 13.3-17.7IRON PHOTOMETRY is 40.3 μg/dl Reference Range : Male : 70 - 180TOTAL IRON BINDING CAPACITY (TIBC) is 363.5 μg/dl Reference Range :Male: 225 - 535 μg/dl % TRANSFERRIN SATURATION CALCULATED 11.09 % Reference Range : 13 - 45Remarks : Alert !!! HypochromiaLipid Profile:TOTAL CHOLESTEROL 179 mg% Range 125 - 200HDL CHOLESTEROL - 31 mg% Range 35-80LDL CHOLESTEROL - 119 mg% Range 85 - 130TRIGLYCERIDES 160 mg% Range 25 - 200TC/ HDL CHOLESTEROL RATIO -5.8 Range Ratio 3.0 - 5.0LDL / HDL RATIO 3.8 Range Ratio 1.5 - 3.5VLDL CHOLESTEROL 32 mg% Range 5 - 40Thyroid Profile:TOTAL TRIIODOTHYRONINE (T3) C.L.I.A - 126 ng/dl Range 60 - 200TOTAL THYROXINE (T4) C.L.I.A 10.1 μg/dl Range 4.5 - 12.0THYROID STIMULATING HORMONE (TSH) C.L.I.A 3.84 μIU/ml Range 0.30 - 5.5Thanks for all your advise in advance...RegardsDiwakar
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Hi! Welcome to HCM! Your reports suggest diabetes and latent iron deficiency.in this your iron reserves are decreased while your hemoglobin is normal.You need to consult for starting treatment for diabetes and for adequate iron to ensure that your iron reserves in body are normal .hope this helps!Take care!
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What is the cause for elevated blood pressure after getting a refill of glimepride?
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Hi, on 2/2/14 I got a refill of 2mg glimepiride. The pill itself looked different than it had but I had noticed changes in the look of medications before and was told the pharmacy had changed manufacturer so I assumed that is the case. The old pill was green, small, oval and had the numbers 3 and 21 on one side and ROY on the opposite side. The refill is white, rectangular shape and has the numbers 37 & 45 on one side and what looks live a v or check mark on the other. Today my blood pressure was slightly elevated. Usually its abt 130/65 but today was 179/66 at the doctor s office. Earlier in the evening, my head didn t feel quite right and a little while ago I awoke and my head and neck are feeling tight. Do you think I might have gotten a wrong medication? or perhaps my blood pressure has elevated again? I don t have a blood pressure kit.
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Hey.. Hello . welcome. - tab. Glimipiride is a drug used for diabetes.. It can sometimes cause low blood sugar and gastric trouble, but it would not cause high blood pressure. So if the content written in your strip is Glimipiride it doesn't cause hypertension. So kindly regularly check your blood pressure from your doctor and get it treated if it is persistently high. Thank you.
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What are the symptoms of prostate problems?
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I have had difficulty urinating for the past few months, mainly before i go to bed. There is no pain, just the feeling like im not finished. Now recently, when trying to get intimate with my girlfriend, I could not get an erection. I've looked online and found these are both symptoms for Prostate problems.
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Hi welcome to the health care magic I appreciate your knowledge and awareness regarding your health You are right, urinary problem you mentioned and erectile dysfunction both suggest towards prostate enlargement Hence rule out your prostate problem like BPH by investigations like per rectal prostate palpation, USG pelvis etc.... According to cause further specific treatment given Smoking, alcohol, diabetes, hypertension, vascular occlusion of vessel of penis, High cholesterol etc are some another cause for erectile dysfunction Hope I have solved your query Take care
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What causes thickness in tongue and tingling of finger tips during sleep?
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My tongue has felt thick and mouth filled weird off and on sometimes. Finger tips go numb and tingleing during sleep, even while working. Why or what may be going on with me. I m 53, white and really don t know. I have Osteoarthritis in my neck and Anklylosing arthritis in my back.
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Hello!Thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to different causes: - an electrolyte imbalance- thyroid hormone dysfunction- diabetes- vitamin B 12 deficiency- chronic anemia- peripheral neuropathy. For this reason, I would recommend consulting with your doctor and performing some tests to investigate for the possible causes: - complete blood count for anemia- vitamin B12 plasma levels- thyroid hormone levels- blood electrolytes- a nerve conduction study (electroneurography). You should discuss with your doctor on the above tests. Hope to have been helpful!Wishing all the best, Dr. Aida
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Could shoulder and tingling fingertips pain be due to melanoma?
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So to begin with, I have major health issues specially cancer that curse the women in my family. My mother had ovarian cancer at 20 and another type at 25 that post menopausal women get, landed her in medical books. Anyway, so I m very cautious of my health especially since I ve had my daughter.. At 13 I had a large discolored mole removed from under my right shoulder blade, I don t remember further tests being done. I ve had several suspicious moles for years now (large, discolored, edgy borders, and growth to them). recently I ve noticed new large moles, I ve also been feeling unwell and fatigued for no reason. My right shoulder has been very achey, when I went to rub it I noticed a lump that hurt when I pressed on it.there was no markings in my skin that it was a pimple.but I tried popping it and it only bled. Now my shoulder hurts still it s a still pain that s moved down to my right elbow.whenever I push on it, it now sends a shooting tingly pain to my fingertips.I ve also noticed a dark line on my left index and middle finger nail. And yes I m concerned it s melanoma, that was my great nanas first cancer.
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hello, I can sense your anxiety of cancer as there is lot of family clustering of cancer cases.however there are many details which would have been more helpful such as your age and ethinicity. Also the initial mole removed histology report.I understand that the shoulder pain is really bothersome to you, however it is too early to attribute it to cancer less than 5% of melanoma are familial and most of the family clustering is due to common environmental factors like sun exposure.the best way to alleviate your fear of melanoma is to get one of the mole biopsied. It can easily be done by dermatologist on opd basis.Try to rule out other causes of shoulder pain such as uncontrolled diabetes of muscular sprain. Do revert back for any further clarification.
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Suggest homeopathic medicines for multiple cardiac blockage
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My father is 80 years old. He has multiple cardiac blockage as per angiograph. He does not have any other major ailments like Diabetes, very high BP. He has grown weak. He sometimes has bleeding piles, otherwise nothing. He feel icy cold like feeling / constriction in the neck /thoracic area, after walking half kilometre or so. Please suggest me homoeo medicines.
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Hello thereI'm afraid homeo medicines will not help him so much as a simple sorbitrate will. which he can pop into his mouth before he embarks on his walk.He can be put on certain other anti anginals which do not hamper much with the blood pressure such as trimetazidine which are safe at his agehope that helps
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What are the home remedies for burning urination?
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I have been experiencing a stinging/Burning feeling when I pee, and occasionally notice pink spots on the toilet paper. I assumed it was a UTI so I've been drinking cranberry juice for the past two days, but the burning has not gone away. I haven't had sex since the burning feeling started, 4 days ago. I can't visit a doctor due to not having health insurance. Are there any home remedies, I can use to get rid of this?
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**1. Ideally urine sample should be sent for culture- sensitivity and colony count, before initiating treatment. As soon as the result of sensitivity test is available, treatment is started [or changed, if already started] according to maximum sensitivity.2. since you don't have health insurance, even then predisposing factors to infection like: obstruction, calculus,diabetes should be properly identified and managed/treated [for which opinion of urologist is necessary since he may distinguish lower tract infection from upper urinary tract infection]3. take plenty of water and fluids.. avoid: hot/spicy foods, salt,garlic,mustard oil,citrus fruits,alcohol,excess physical exertion.. take: jaggery with cold water,coconut water,amla, dates, musk melon, water melon.. a few tea spoons of baking soda diluted in cup of water, followed by atleast 2 cups of water is effective.. you may ask for prescription medicines like: tab calcury, tab/syrup cystone, chandan assav, ushir assav.
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What causes sharp burning pain in the spine despite having spondyloarthritis?
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I was sitting on the ground and when I got up I hit my spine around my t10/t11/t12. The table s edge was almost between the two vertebrae and it caused a sharp burning pain. After the initial numbness and burning subsided I noticed I still have a dull throbbing pain and a welt on the part I hit. The welt has not decreased for an hour even with ice on it. I have spondyloarthritis as well. I m sore and throbbing in my back but it doesn t hurt to breathe or move only the pain mostly in the location I hit and the muscles around it. I do feel pain and stiffness coming on but I think it is the spondyloarthritis kicking in from the inflammation of the impact. Would you say it s safe to assume my pain is muscular? The welt concerned me. I m a 28 year old female.
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Pain & parasthesia are common immidiately after injury.pain killers usually give relief from pain.Mulltivitamin tabs.helps recovery faster.we must rule out hidden associated diseases like diabetes, high BP, Vit D deficiency etc.
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Taking carbamazepine for severe neuralgia, arms feel like fire burning inside. Vitamin deficiency? Side effect of medicine?
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Hi doctor,I'm taking carbamazepine for severe neuralgia,but when I relax to go to sleep at night my arms feel like fire burning inside but ice cold to touch,I get Charlie horses in my palms,and I have chronic pin and needles in my hands.my question is is this a vitamin deficiency or a side effect of the medication, or is my neuralgia progressing?
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Hi, thanks for using healthcare magic Neuralgia is pain along the distribution of one or more nerves due to change in structure and/or function of the nerves. There are a number of possible causes including: diabetes, trauma, chronic kidney disease, some infections such as herpes zoster and HIV, vitamin B 12 deficiency or as a side effect of medications. Carbamazepine is not one of the medications known to cause neuralgia. The symptoms that you are describing could be as a result of progression of your illness, they may also be attributed to other causes of neuralgia. Since they are severe and causing you significant discomfort, you may want to consider visiting your doctor for an evaluation. If another cause can be found then the initiation of treatment to this specific condition may be helpful to you. I hope this helps
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Pain in upper left quad. Endoscopy normal. Taking Zofran. Appetite loss, fatigue. Have type 2 diabetes
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Ive had upper left quad PAIN .. ENDOSCOPY WAS OK..and im STILL hurting. ranitidine HE S.Zofran helps.starving helps..eating HURTS.heating page helps..prepaid helps..I WAS ON PRESIDING a month.. BEFORE this this is happens.CT is clear.. LUNG MODULES ONLY..NO GAS..NO DIVERTICULITUS.. PAIN TRAVELS t center above navel AFTER 90MINUTES..LOSS APPETITE.FATIGUE.IRON DEFICIENT-FERRITAN TYPE 2DIABETIC.A1C-7.6
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Hi, Thanks for posting your query. Let me know the associated symptoms along with mentioned. Do you have acidic belching/ abdominal discomfort/ excessive flatulence/ gargling sound in abdomen/ abdominal bloating after taking meals? Are you getting burning sensation in upper abdomen and retrosternal in location? With the available described symptoms, there appears to be possibility of functional dyspepsia. Functional dyspepsia is a functional disorder of gastrointestinal tract and Organic disease must be ruled out. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for ultrasound imaging, serum amylase and lipase, thyroid profile, blood sugar level. You should also go for urea breathe test for H. Pylori. If Urea breathe test is found to be positive then you have to take complete eradication therapy for H. Pylori bacteria. Meanwhile, you should take proton pump inhibitors along with prokinetics for relief of your symptoms. You should also take antispasmodics. Your blood sugar must be in controlled range. You should avoid tomatoes, citrus fruits, tea, coffee, chocolates and oily spicy foods. Take care, Dr. Mayank Bhargava
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How safe is taking Novarapid and Lantus for diabetes?
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My daughter is 10 and a half years old. she was diagonised of juvenile diabetes and was in hospital for 6 days. Now she,s at home, but her sugar level are fluctuating between 80 and 250. She is on novarapid 3 times daily and lantus 1 time in the night. Please advise.
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Hello, Usually, low blood sugar is more dangerous than high blood sugar. In kids usually due to their playfulness and activities even value of 250 is acceptable and we should not aim at stringent blood sugar control because that can lead to hypoglycemia or low blood sugar. So based on this concept I suggest you adjust the insulin dosage in consultation with her pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
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Bleeding gums after brushing. Pain, burning in tongue. Was on antibiotics for dog bite. Suggestions?
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On sat night after brushing my teeth , I noticed my lower gums started to bleed . Since then, they have continued to bleed with brushing. The underneath part of my tongue feels very painful, like a burning sensation as well as the tip of my tongue. After brushing this morning, one tooth on each side...towards the back look as if I brushed off part of the gum! I was on antibiotics for 5 weeks due to a severe dog bite, but have been off of them for 3 weeks now. I have an appt tomorrow with a periodontist, but am seeking some type of clarification since my mouth has been hurting for 5 days now with no relief :0( I should also add that its been several years since I ve been to a dentist , due to extreme fear, high anxiety and I even fainted once walking into a dentist office. But at this point, it s a necessity to go. Thank you!
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Hi..Thanks for choosing HCM forum, I have read your concern. As you c/o bleeding while brushing teeth,your gums may be highly inflammed,ie,gingivitis. The gum infection may be due to- Plaque and food debris accumulation as a result of poor oral hygiene maintenance. Systemic diseases like diabetes mellitus,hypertension,epilepsy,autoimmune diseases. Improper brushing techniques. First of all I want to tell you that please do not be panic regarding dental treatments. If your dentist is doing any procedure,which will be painful,then surely he/she will administer local anaesthetic solution. Meanwhile,brush your teeth twice daily in proper manner. Get your teeth cleaned by your dentist. Include plenty of nutritious rich food into your diet. Bleeding from gums will stop,once the plaque underneath the gums are removed and gums become intact,firm again. HOPE THIS HELPS. TAKE CARE.
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Trying to conceive, diabetic. Pinching pain in lower abdomen, frequent urination, thirsty, nausea. What to do ?
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Hello doctor, I am married and its 3 years now. I am trying to conceive. Am diabetic. My ovulation period comes 19th of every month. and Had intercourse on 31st, 1st and 2nd of this month. TOday through out the day i had pinching pain in lower abdomen in the left side. Frequent urination, and feeling damn hungry, thirsty and nausea feeling ..though its there since 15 days. Kindly advise me what needs to be done. Regards, xyz
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Hello,If you are ovulating on 19th,then your most fertile days for pregnancy are from 15 th to 21st.So doing intercourse on 31st,1st and 2nd is going to be non productive and moreover these days should co incide with your normal periods days.Your other symptoms of nausea,increased urination,thirst hunger seems to be due to uncontrolled diabetes.Control your diabetes meticulously and do the sex in your fertile period to have the best chances of pregnancy.Thanks
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Can i have an angiogram to detect any silent coronary artery problem?
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Hi, may I answer your health queries right now ? Please type your query here...I do not seem to have any specific symptoms or problem to indicate to me that I may have a heart problem, but I am 61,very busy medical professional and I have strong family history of Diabetes and heart problem and I take crestor and ramipril. Do you think I can have angiogram to see if there is any silent coronary artery problem?
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Hello, Thanks for posting your query on Healthcare Magic... * Brief Answer: silent ischemia happens in diabeteic patient.basic clinical examination ,electrocardiogram and echocardiogram are more simple.Explanation: My opinion is that coronary heart disease sometimes is a tricky diagnosis,but basics are basics .Chest pain may be typical or atypical in some patients.In diabetes ,as for autonomic neuropathy, pain may not be present.Basic history taking and risk factor assessment is crucial .investigations like electrocardiogram and echo are important , In some borderline complaints stress testing may be done.I suggest my patients the following: invasive procedure as coronary angiography should be preseved to proved cases of ischemia or borderline cases with confusing results.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 any symptoms you experience especially in stress or with effort.*Conclusion: I suggest you start with basic assessment first, then proceed accordingly.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 could cause severe dark skin around scrotum with stinky smell?
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my skin around scrotum part and jocks is black like as if it is burnt and it smells very stinky when it sweats previously i had itching problem and i have consulted a doctor skin specialist it was rid when i have used the cream but slowly the skin turned black in color even pennis too my skin is white in color but that part is looking very black please tell me some remidies for it
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HelloThanks for query.Are you Diabetic?Black scrotal skin with stinky smell can be due to what is called as Fornier's Gangrene and needs urgent consultation and confirmation by clinical examination by a qualified General Surgeon. Please consult General Surgeon and get your blood sugar levels test done to rule out Diabetes.In the mean while take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil.
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How to manage Neuropathy with severe pain, constipation, fatigue and mobility?
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Dear Doctor, My dad is suffering so much from a neuropathy. He had this disease 15 years ago, got treated for it and he was ok. But since 1 year, this disease came back and it is getting worse and worse. He has now pbm with digestion, constipation, he is very tired,and he has lost 7 kilos in 3 weeks. And the worst thing is that he lost the motricity of his right leg! He is very weak and since 8 months the only treatment he s been having is 2 injections of vitamin b1&6 every week! But this just does not work. He doesn t eat and the pains have made his life so hard. We live in New Caledonia, and not only this disease is not wellknown but we have just 1 neurologist. So i would love him to have a second advice from you, and also is it possible to get an appointment with you? We have relatives in Sydney and one of my cousins works for the hospitals in Sydney so we could manage to be there whenever you could receive him. Many thanks in advance for you response Kind Regards, Stephanie Watt
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HIThank for asking to HCM I really appreciate your concern for your father, you did not mentioned the age of your father this was necessary here, looking to the history, this could be a general debility, if he has diabetes then this could be diabetic neuropathy, general nursing care and vitamin supplements some time gives very good response, hope this information helps you, have nice day.
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What do you suggest for limb muscle weakness,drooling,low pitched voice and urinary retention after a by pass surgery?
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68 yrs old male underwent coronary by pass surgery in August 2013. Past history of diabetes, hypertension and rec ent onset of schizophrenia. Patient post operative lay treated with seloken xL 25mg, aspirin, clopidrgel, metformin,amilodepin, cardace,liraglutide , atorvastatin 20mg,risperidone plus, solyus, Quetan developed progressive limb muscle weakness, drooling, low pitched voice , urinary retention, and unexplained weight loss of 17 kegs in 5 months. The muscle weakness progressed to facial muscles, pharyngeal musclea, laryngeal muscles , extra ocular muscles to grade 1. Presently in MICU with power grade 2 in limb muscles and on Ryle s tube feeds.vitals are normal. LFT and RFtT , CPK! ECG NORMAL. MRI cortical ischemia. No evidence of stroke.iCannot speak, mask like face. Suspected drug interaction between risperidone and atorvastatin.all anti psychoticsdiscontinued. Atorvastatin discontinued ?So too liraglutide.patient on insulin,aspirin, clopidrgel , antibiotics,and other supportive measures. Minimal improvement since admission five days back.Can treatment be specific?what else could be done.
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Hello There After going through your medical query I understand your concern and I would like to tell you that almost all drugs are good set of choice in your condition, for muscular weakness you can ask your cardiologist to lower the dose of statins.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap
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What causes a weak heart with no signs of blockage on treadmill test?
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i had a treadmill test last week, the dr said it showed no signs of blockage but my heart was weak sounding and i have to go get another test done, ive been feeling weak and tired, im a overweight 50 year old woman, i live alone, kinda nervous, just wondering about a heart attack with no blockage, if i should be scared to stay alone
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Hi,Weakening of muscles of heart could be because of lots of causes like:1) Blockage in the arteries of heart2) After viral illnesses3) Some connective tissue disorders4) Diabetes5) Chronic Kidney disease6) Cause not known (idiopathic) which is one of the most common causesSo it is not only blockage which can cause weak heart, there are in fact a number of causes. But we always rule out blockage in arteries of heart. In your case if you don't have blockage then you won't have a heart attack but keep taking your medicines to improve the heart function.Hope I have answered your query. Let me know if I can assist you further. Thanks,Dr Sameer Maheshwari
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Vomiting blood after receiving transfusion. Have pancreatic cancer, COPD, type 2 diabetes and cardiomyopathy
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My mother smoker, 67 with cardiomyopathy , Type 2 diabetes and end stage COPD has just been diagnosed with Pancreatic Cancer , small intestine and possible liver cancer. Blood work has shown abnormalities in Liver. Her father passed at 71 from Liver Cancer. She is in the hospital and is jaundiced. She was vomitting blood has received 2 transfusions in the last week. She is scheduled for an upper scope on Tuesday and we are wondering how much time she may have left
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Dear friend, welcome to HCM. I am deply concerned about her critical status. with all these problems together and liver failure, and if pancreatic cancer has spread to in testines and liver (I suppose), prognosis (outlook) is not good. pl. be advised by your treating team if anything definite can be done, or they feel that it needs only palliation due to advanced nature. if palliation is advised, I think , with all these disorders, you should agree to comfort measures, in consultation of your treating team of doctors. ny sympathies with you. god bless. take care and keep me posted on your progress.
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Suggest treatment for recurrent genital infections in a diabetic patient
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Hi, my husband is a diabetic and has been having severe issues with inflammation around the penis after the foreskin is retracted. It has been making intercourse impossible and the foreskin keeps cracking when he starts to retract it to clean himself. A circumcision is on the plan list but his doctors won't schedule because his sugar levels are on the low side of high. HELP
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your husband is suffering from balanoposthitis which is the inflammation of glans penis and foreskin and it is very common in men who are not circumcised, the additional problem in this case is uncontrolled diabetes which is making it difficult to heal the inflammation and infection, i agree with your doctor regarding circumcision but it would be difficult in wound healing post circumcision. You should first try to have strict sugar control of your husband that's the only possible way right now to deal with his symptoms. Hope I have answered your query. Let me know if I can assist you further.
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How long after c-section delivery can the second child be planned?
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hi i am 30 year old.height 5 ft 7 inches, weight 83 kgs and no history of diabetes or blood pressure. and have 1 and 8 month old son by c-section , c-section done because my blood pressure was 80/142. now when should i plan for second child so that i can have normal delivery?
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Hi, thanks for writing..Minimum of 2 year gap is advised after c section.. If BP goes up at the time of delivery, then again C section would be opted.. It would be advisable to take antihypertensives as soon as high BP is detected in pregnancy.. Hope I have answered your query.. good day..
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Can AKT-4 and Adliv Forte be taken along with medicines for diabetes?
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Hi Doctor, I am taking medicines for Blood sugar high for more than 10 years. Morning Janumet 50/1000mg Neurodex Lunch Glibbenclamide 5mg Metformin 500mg Dinner Simvastatin 20mg Metformin 500 mg Levemir injection 10 points Now TB treatment Morning AKT-4 Adliv forte Lunch No medicine Dinner Adliv forte Alamin-FeZ Is it ok to consume all tablets. Is there any side Effect ? Please help me YYYY@YYYY
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hi you can take akt4 with diabetes medicine no any contraindication keep it up.Because you are taking medicine for akt4 in morning empty stomach and another medicine for diabetes you are taking afterwards.so,no any problem at all.
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Suggest treatment for thrush and discharge during pregnancy
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hi I am 32 weeks pregnant and the whole pregancy i have suffered with what we have believed it's thrush. I have had numerous treatments for thrush but i still have discharge, the area is sore and itchy if i do not use the cream. today I've found a small lump on my labia. it's not sore, it's white and soft. do you know what can be?
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Hello,The compromised immune status during pregnancy predisposes to increased infections. You should also test for the possibility of gestational diabetes and iron and protein deficiency since these are the other conditions that predispose to increased infections. Oral treatment can be given if needed absolutely since you have long passed the organogenesis stage. If you are sexually active, your partner also should be treated after proper examination. Abstinence should be followed until after your delivery since you are in the third trimester. The lump needs to be examined to give a decision as to what it is. It can be a clump of the flakes discharged from the vagina. Please maintain proper genital hygiene. Hope this helps.
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What causes tiredness and sluggishness after a triple bypass surgery?
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My 66 year old husband is feeling tired and sluggish, getting worse in the afternoon. He has high blood pressure, diabetes, and has had a triple heart by-pass and has had 7 stents and a by-pass in his abdomen, thighs. lately he's been very tired and sluggish in the afternoon. Any ideas? Thanks
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majority people get post cardiac surgery blue for a few days ..if all medicines are being taken properly and BP etc is proper ..this thing may pass ..or thing does not improve in a week or deteriorate please request your doctor to add some antidepressants
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Suffering from chronic liver disease, cirrhosis, esophageal varices. Treatment?
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My Husband, 48 years old is suffering from chronic liver disease , Diagnosis: Cirrhosis - Child B ( CTP 9/15), Baveno Stage 1v Portal hypertension- recurrent UGI bleed. Grade iix3 columns esophageal varices , fundal varices Post endotherapy status -EVL bands applied and glue injected. Decompensated ascites , no hepatic encephalopathy Diabetes mellitus . Now he is suffering from sleeplessness in the night. Now under diet control and taking following medicines : Lactulose, Ciplar 40mg, sucral Please guide us, I am under great tension. Regards,
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Hi Cirrhosis with decompensated ascites and esophageal varices is not a good sign. You are already in an advanced stage of chronic liver disease. Patient with chronic liver disease sometimes tend to have an altered sleep pattern. You must continue lactulose as prescribed and I would also add another medication are Rifaximin to your existing meds. Discuss this option with your doctor. A piece of personal advice, start thinking about liver transplant, dont go around looking of quick fixes and herbal solutions because they dont work and make the liver condition worse. Liver transplant is the only solution at really works, trust me. I am not trying to scare you but I just want to give a reality check on the prognosis. Regards Dr. Om Lakhani, MD
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What causes burning in lower arms and legs and dizziness and nausea?
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I have low bp, a slightly leaky heart valve ( not serious) - had pain in legs then abdomen, then chest, last August & told had sludge in gall bladder (now cleared). Had 2 Uti s since then & have had thrush twice. I experience burning in lower arms & legs & at times i have dizziness & nausea.
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Hello, It is important performing some tests to investigate for the possible causes underlying your complaints: - complete blood count, PCR, ESR for inflammation - uric acid plasma levels - HbA1C for diabetes - nerve conduction studies. If all the above tests result normal, I would recommend considering fibromyalgia as a possible cause underlying your complaints. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
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Suggest treatment for mrsa in bloodstream with diabetes
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Fiance has mrsa in bloodstream. Antibiotics are unsuccessful in treatment. He s has been in hospital since May 22 and is worse and worse. I m afraid he is dying. He is only 43. He is type 2 diabetic as well. Never been ill until now. He has lost about 75_80 lbs from just my view. He is weak and has had blood transfusions. I m not sure what is happening. I m very scared.
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HI Thanks for posting your query . MRSA is a very strong bacteria. Most of the common antibiotics will not act on it . So strong antibiotic has to be used . Ideally a culture sensitivity of blood has to be done and antibiotic has to be used as per the culture sensitivity report. If you can let me know what antibiotics has been used I can advise which would work as better as alternative . Kindly revert back .
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Passed breast cancer treatment. MRI shows periventricular white matter which can indicate microvascular ischemic changes. Serious?
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I am a 47 years old female who passed a breast cancer treatment (surgery, chemotherapy and radiotherapy ), I have some dizziness and done MRI, the result is: Some T2 hypersignal foci are seen in deep and periventricular white matter and centum semiovale. This appearance is not specific but can indicate microvascular ischemic changes. Please help me to know what does it mean and is it serious or not? Thank you in advance.
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Hi there, These changes may mean that the small blood vessels of brain have ruptured or clotted in very small areas. These findings are common in elderly population with longstanding hypertension or diabetes. Your dizziness may be explained by this finding. Seeing a neurologist would be a good idea, but important to control hypertension and diabetes if you are suffering from them.Take care
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Abnormal bilirubin levels, frequent urination, low libido. Prescribed for kidney test. Reason, treatment?
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I have something wrong with my blood rubin levels not to sure what that means, but yeah if possible help. A doctor said I should go get my kidneys checked out I still haven t but I will like some advice and information. Also, with the frequent urination I am not only losing my sex drive, when I was being sexually active once my penis became dis-functional for about 10 mins and I couldn t get erect if you would know what s going on please tell me. I would like to also add that I go to the bathroom to urinate about 6-8 times a day maybe more and when I drink caffeine I can t stop urinating.
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hello.there is nothing like blood rubin its bilirubin and its related to liver and not kidneys.you have not mentioned your age.if your urinary frequency has increased and so is the amount you should definitely get yourself examined a evaluated to rule out common conditions like diabetes which might also affect your sexual life unless treated.also if age is the factor even prostate enlargement can lead to similar symptoms.and i would advice you to stop drinking coffee for a while till your problem comes to a diagnosis.all the best.
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Could redness and itching under foreskin be due to silicon gel?
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Hi, I have noticed redness and itching under my foreskin. Very small bumps are also there but they are almost non-visible. My partner and I have recently experimented with silicone gel during intercourse and I am not sure if that is the reason. Also, this has never happened before. Please advise
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HelloThanks for query .Itching and redness of foreskin strongly suggest infection of foreskin (Posthatitis) However can be due to allergic reaction to gel that you are using during intercourse as a lubricant .Are you diabetic?You need to check your blood sugar levels to rule out /confirm diabetes .You need to take broad spectrum antibiotic like Cefotaxime 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 daily.Ensure to avoid sexual encounters till it heals up completely.Have protected sex and avoid using Silicon Gel .Dr.Patil.
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What causes memory loss and fuzziness in the morning?
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Its clearly difficult for me to put things in words when I wake up every morning I forget Things. I feel fuzzy and confused. I feel tired and fatigued. Slowly and slowly I revive my self but there are times when I can t really recover and feel disconnected. I don t remember name at times. Its getting exceptionally complicated to write these days
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hi dear,first of all what is your age and since when you have such complain?is there any medical illness you have like hypertension , diabetes etc.any history of head injury?without detail history one can not say anything.hows your mood and sleep and appetite pattern?consult psychiatrist Thank you
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Can sugar levels of a diabetic be reduced only by regular exercises?
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can i reduce my sugar level only by doing exercise,as i m walking daily 1 hour in the morning and 1 hour in the evening but taking tea six full cup of tea a day, right now i m taking glimister m1, as i m diabetic patient from oct-2010 earlier daily 1 tablet an half an hour before lunch but recently my sugar level increase du to bunk in tablet and taking high sweet during diwali festival and serval marriages hence doctor double my dose right now as on 05 dec 2016 pre is 230 and post 430 doctor has double my dose on acccount of recent report my cell no is 0000
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Hello and thank you for asking!I have gone carefully through your concern.To give information about the long term treatment of Diabetes is very important to know you BMI (weight and height), the HbA1c level fluctuation during the last year, liver and renal function, the presence or the predisposition for other pathologies (coronary heart disease, hypertension, high lipid profile ect), ect.If you are overweight, with HbA1c levels not at very high levels (under 8%), you can start physical activity and see a dietitian for an appropriate diet and the treatment recommended by your physician.The postprandial levels are too high, that means the actual meal you are taking is too large.For a personalised comprehensive evaluation, treatment recommendations, or individual therapy, ask me at HealthCareMagic at this private link: HCM Dr. GuniBest wishes,Dr.Mirjeta
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How can I get my longer erection to go back to normal?
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Hi, I'm a male 30 yrs, working as a professional. I feel my penis erection is not normal and it is not enough for intercourse.. while I had my first sex at 2007 found that it was due to anxiety, but later sex experience consistently confirmed the abnormal dysfunction and of late I cannot insert at all... please tell me whom should I consult and what could be the root of the problem? (I had normal erection in my adoloscent age until 2007 and not had any accident/injuries related to the reproductive area.
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DearWe understand your concernsI went through your details. Erectile dysfunction causes are many including diabetes and depression. Anxiety and obsession are some among most serious health conditions. Some drugs also cause erectile dysfunction. In the case of you, you are overruling the cause of anxiety and other allied psychological disorders. Are you diabetic? For the trreatment of erectile dysfunction, you are supposed to consult an urologist. You need to consult a physician first and get your vitals checked. Then if required, can consult an urologist.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Please feel free to post follow up queries. Available for further clarifications.Good luck. Take care.
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Suggest whether herbal or allopathic medicine is effective for lowering triglycerides
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Dear doctor, my doctor told me that I have high triglycerides and subcribed SIMVOR 10. A herbal medicine called SUDDHA GUGGUL also has claimed to reduce triglycerdes .Which is better,the first or second?First is chemical and the second is herbal.Thank you sir.I am 64 yrs old 88 kilos.I am hypoglocimea and hypothyroid.I am active,just returned from Everest base camp/Kala patthar and walk about 8 km 4 times per week.Thank you.
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**1. since you have underwent investigations and there is dyslipidemia [high triglycerides], thus taking only simvor [simvastatin] will not help since it is drug of choice in high cholesterol, so you have to combine it with a prescription drug which lowers triglycerides also like Simvas-EZ [simvastatin with ezetimbe], and since values are not mention it will be difficult to comment on the subject: which one is best since by looking at the values one can have a rough idea about cardiovascular problem, thus you can practice following healthy diet and life style:. avoid ghee,butter,cheese,cream, deep fried foods, sweet potatoes,beet,nuts, bananas,mango, chickoos,grapes,chocolates,cakes,pastries,ice-creams,jams, processed and tinned foods. 2. take soup, salads of green vegetables (cabbage,cauliflower,lettuce,cucumber, sprouted pulses), take green leafy vegetables,onion, lady finger, mushrooms, turnips, radish, black tea PS. items that actually help to reduce cholesterol are- Onion,garlic,soya bean,curds of skimmed milk,apple.3. develop healthy eating habits: eat slowly,chew thoroughly, and use non stick cooking ware for cooking.4. Consult a Yogic expert regarding Pranayam and Yogic Asans regarding breathing exercises and managing stress and consult with a cardiologist regarding any other lab. tests (E.C.G) to rule out any Ischemic heart Disease.PS. If you have diabetes or an underactive thyroid, you may need a dose adjustment and should consult your prescriber.
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Suggest medication for an allergy
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My doctor prescribed me metformin - in my record there is information relate with my allergies, like for example sulfa. I had all posible adverse reactions. then he prescribed januvia and the same thing happened. now I have diabetes 2 and I'm without medication and afraid. thanks
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HI, thanks for using healthcare magicThere are a few drugs that are not antibiotics that contain the sulfa moiety (small portions sulfur related).At present, there is little evidence to suggest a cross reaction between persons with a history of allergies to sulfur antibiotics and drugs with sulfa moiety though every one is different. Many can take these meds with no effects.If a reaction occurred with your use then they would need to be avoided.You may need to consider the use of insulin if there are no oral medications that you can take.I hope this helps
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Gastric problems, stomach pain. Ultrasound shows fatty liver. Stomach condition?
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i had gastric problem for the last 5-6 months accompanied with stomach pain sometimes. I had consulted a doctor who advised me to take ultrasound . the result shows that i had a fatty liver and accordingly prescribed some medicines. wanted to know whether it could be stomach problem. would it be advisable to take endoscopy for this problem? please advise
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Hi, Welcome to HCM, You have gastric problem which may not be related with fatty liver so visit a Gastroenterologist and see if you have Acid Peptic disease and may be evaluated by upper GI Endoscopy. You must also be investigated for H.Pylori if there treat with triple therapy. Take care of your diet and if you take alcohol stop it and if you smoke quit it. Many times fatty liver is asymptomatic and detected in routine screening tests,It is commonly associated with Alcohol,Diabetes,Obesity,and Dyslipidemia but there are many other causes If you are obese reduce your weight . Many drugs can cause it so try to find out cause because treatment depends on it. Please Take care Good Luck.
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High GGT and albumin levels. Have alcohol addiction. Need medication?
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I just had my liver function test as a requirement for the renewal of my working visa.i have ahistory of drinking abuse and even now I still drink a lot though only beers but a lot.the result was my GGT is very high-113 and my albumin -51.other function results are within range.my sugar is normal coz iam taking metformin twice aday and iam eating a lot of fruits and veges everyday.please tell me something about it.what would be the immigration doctors' decision about it?will I be given medication and still my visa be approved?tnx a lot and GOD bless you and your family always...
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Hello,thanks for using health care magicA GGT test is non specific and is seen in a variety of medical conditions. Most often it is used to confirm suspected problems with the biliary tract. However, it could be elevated in the case of diabetes and alcohol intake and you are diabetic and a chronic alcohol consumer. Alcohol causes dehydration which could give the false albumin elevated values. However, at 51 your albumin level is okay and bad abnormalities of albumin is generally when the value is low indicating malnutrition.Where you could have problem is base on the issue of chronic and excessive alcohol intake but then, each nation has its own immigration policies laid down by law and its not the immigration doctor who will decide if you will be granted visa or not. He simply makes a conclusion based on your results.Hope this helps youBest regardsDr Achuo
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What causes leg pain in summer?
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Hello, My Name is Imtiyaz Ahmed i am from India. I am 36 years old every year during summer i get pain in my legs resulting in feeling weekness, dull. I take Zincovit tablet for 7-10 days during this time and the pain gets vanished within this time. I would like to know why this pain in my legs occur during peak summer?
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hi, thank you for providing the brief history of you.A thorough clinical examination is advised.As the pain is in the legs this could be due to two factors either a muscular pathology or a nerve impingement. As the pain vanishes with the drug therapy this could be a temporary reaction of the drug to control the inflammation. Having a thorough clinical examination will help understand further. As the legs are involved we need to check your age, Diabetes, Blood pressure, spine etc.Based on the complete clinical examination and laboratory investigation we may come up to a provisional diagnosis. Also , sometimes the pain is due to fatigue and needs a thorough physical therapy for improving the muscular endurance.As physiotherapist can help you will all such problems you can definitely find one to undergo the therapy.Regards Jay Indravadan Patel
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What causes dizziness and unsteadiness while having micro vascular ischemic disease?
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60y/0 female who just had an MRI which showed micro vascular ischemic disease of the brain. She has been having dizziness when turning on left side and rt temporal h/a. Hx of falls, unsteadiness, SOB on exertion plus other symptoms. What does this mean for me in the fiture
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HelloMicrovascular ischemic disease of the brain result from involvement of small blood vessels.Ischemic changes results from blood vessels changes in diseases like hypertension,diabetes mellitus,dyslipidemia.So,you need monitoring of conditions that leads to ischemic changes like hypertension,altered lipid profile,diabetes mellitus so that further progression of disease can be halted.You need investigations like routine hemogram,RBS,LFT,RFT,Lipid profile,ultrasound of abdomen.Dizziness and unsteadiness may be due to increased blood pressure.Proper treatment depend upon findings.Take CareDr.Indu Bhushan
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Suggest treatment for prostrate pain
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my husband has pain in his prostrate or scrotum area painful and burning on the head of his penis and little slits that looks like little cuts which or painful after sex.he also has frequent urination at night and he is not circumsized and has diabetes.
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Thanks for contacting HCMI am sorry to hear that you husband is having problems with painful penis. From your description it sounds like you husband has balantitis. This is a fungal infection of the foreskin and penis. This is frequent in men who are uncircumcised and are at greater risk with diabetes. The foreskin is a warm and moist place that allows for fungal infections. To help treat this I recommend patients start Lamisil cream. This will help reduce the swelling and splitting of the skin. If that does not help then he may need an oral antifungal like diflucan. His other problem could be prostatitis. This again is a common condition in men and will need 2-4 weeks of oral antibiotics to help treat the infection. I recommend that he seek medical attention for the oral antibiotics and antifungal treatmentsHope this answered your question. Please contact HCM again with your medical concerns and questions
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After oral surgery developed rash from right arm to left leg. took bactrim. Positive for staph aureus. Suspect contamination. Suggestions?
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I had oral surgery in June 2011 and developed an itchy skin rash within a week after surgery around the iv site..the surgeon missed the vein the first time so got it on the second try....the rash spread from my right arm to my left arm and then to my legs ....went to a dermatologist and he took a slide of one of the sores and it came back positive for staph aureus..he put me on bactrim...all I know is I went into his office rash free and came out with a very significant rash.... I am a nurse and acupuncturist..i suspect contamination of something...equipment..iv fluids...would their,office document it...also my 4 extractions with 2 dental implants went terribly awry with pain and infection until I lost a row of teeth and the 2 implants abscessed..what are your thoughts
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Hi,Thanks for asking the query,According with your clinical history i suspect that you have developed an infection at the site of i v infusion, i would suggest you to continue with the medications.Abscess at the implants and extraction site can be because of amny reasons like poor oral hygiene, food lodgement ant the extraction site, hormonal changes like diabetes, i would suggest you to visit the Dentist and get the checkup done take an x-ray . Take complete course of antibiotics and analgesics.Use antiseptic mouthwash gargles twice daily. Maintain a good oral hygiene.Hope this helps out.Regards..
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