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How an schizophrenia and bipolar disorder be treated?
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My brother who is 57 is both schizophrenic and bipolar. These disorders began when he was in his early teens. He always takes his medication. There are times when he does a lot, helps out a lot and times when he says he just can t. One of my brothers thinks he is lazy and that he should force himself esp when he hangs around all day smoking a cigar. He doesn t bathe often. How do I make him understand that he just can t do certain things at certain times? Thanks
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hi MadamI have gone through your question and understand your concerns regarding your brother.As per the history provided by you, your brother is suffering from a disease which needs somuch of personal care.Schizophrenia is a chronic disease where medications should be used regularly. Mostly, this disease can't be cured completely.With medication, we only suppress the symptoms of the disease similar to diabetes or hypertension. So, when medication stopped suddenly or taken itregularly, disease revert back. So, my advise is to take medication regularly and in prescribed form as advised by the psychiatist.Regarding course of illness in schizophrenia, we commonly talk about drift hypothesis. In schizophrenic patients, they gradually deteriorate in all fields involving social, emotional, occupational functioning. so, gradually they don't study, don't participate in family interactions, lack judgemental capacity, stop going to job, soon...so, my final advise: 1)never discontinue medications.2)gather information and understand disease process in schizophrenia3) please understand that he's not pretending4) always be emphatic and caring towards schizophrenic patients in any time and in any situation.5)be ready to accept the truth that he will have problems with judgemental capacity, contact with reality and insights regarding his disease.
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What are the adverse effects of Follihair and omnicartil tablets?
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Sir, I am using Follihair tablets alongwith omnicartil 20 tablets for the last 3 months, but these have not shown good results. Are these not suiting me ? or Have these tablets any bad effects on my health as otherwise I am healthy person but tired of falling hair?
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Hello, Follihair is an (overpriced) vitamin. Omnicartil is a steroid. There aren't many problems with vitamins. The other well 20 mg of prednisolone a day can make diabetes and weight worse, it can cause degeneration of bones and muscle but these aren't going to work on hair loss in most people. 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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On metformin for PCOS. Elevated triglycerides and SGPT levels. Due to medication?
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I have pcos and have been on metformin therapy x6months. Just had blood drawn and my sgpt is elevated as well as my triglycerides and my vitamin d is deficient. All things that whereby. Problem prior to the medication. I have a Callisto my md but haven't heard back if this could be due to the metformin and if I should continue the education mynextmd appointment is Tuesday
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Hello,Metformin has no relation to increase of SGPT levels and TRIGLYCERIDES levels.The two most important cause for increase in SGPT are pain medications,anti cholesterol medications and herbal medications and conditions like obesity,diabetes and high triglyceride levels in blood.METFORMIN helps in reduction of blood sugar levels and weight also.The most important treatment for you along with metformin is...Regular aerobic exercises for 45 minutes a dayReduction of calorie and weight.Yu must take adequate VIT D to counter VIT D deficiency and it can be done by regular intake of VIT D supplement.Thanks
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What treatment is suggested for random hot flashes on right foot?
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I m 26 with high blood pressure and no diabetes... I get these random hot flashes in my right foot.. always my right foot.. it happens at any time of the day and lasts for several minutes.. its not painful but it is annoying and I don t feel like its normal.
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Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.u r right,its not normal..U should get a color doppler of ur right leg done to find out the exact cause.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
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How can blood clots be healed?
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I am diabetic. Fell badly about month ago into front of leg. Been dianosed with blood clot top shin area. Told not prone to move toward lungs due to positioning. Over weekend in sun. Exposed an hour. Clot area very red, swollen, extremely tight.
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Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Prolonged rest increases risk of thrombus formation in deep veins. It is called as deep vein thrombosis.2. Avoid extreme movements of leg so that thrombus is not dislodged. Color doppler of vein will confirm presence of thrombus.3. Thombolysis can be done through catheter directed thrombolysis. Otherwise ultrasound accelerated thrombolysis can also be tried. Avoid prolonged rest. Take regular medications along with balanced diet to control diabetes. Not to worry. It will heal soon.Hope it helps.Any further queries, happy to help again.
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What causes ankles to be tight after hip replacement surgery?
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Hi I feel like my ankles are very tight as if held in a tight vice (both ankles). I had a hip replacement a few months ago and they were fine for a few weeks but now they are so tight. The skin on the ankles look tight. My hip is great but both ankles are so painful
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Hello,I read carefully your query and understand your concern. The ankle may swell after hip replacing surgery. This represents the normal process of healing and can last for several weeks to months, depending on factors such as circulation, body weight, diabetes, and other variables.So,You should not be worried. I suggest using anti inflammatory medications such as Acetaminophen to relieve the symptoms. Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
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What causes tightness in gum after tooth removal?
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I am 34. I had a cracked #4 molar removed 4 days ago. The gum feels like it has recessed into almost a U shape and it feels tight. I do not have any pain. I can feel a few hard spots in between the gum with my teeth, but no pain and air sensitivity like the symptoms of drysocket. Is this normal?
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Post-tooth extraction dry socket often has no obvious cause. But known risk factors are:Difficult tooth extractions.Extractions of back teeth in the lower jaw, especially wisdom teeth.Smoking before and/or after the extraction.Diabetes.Oral contraceptive pills.Previously having post-tooth extraction dry socket.
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Need medication for Nocturnal polyurea
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I have DM 2 for past 10years and essential hypertension for over 15 yrs. Both are by &large under control withoral medicines. S Cr is 1.2 ,24 hr urinary protien is 220, lipids quite low (total chlostrol only 98,triglyceride below 100). My problem is night frequency of urination say 5 times in 8 hrs with about 66% urine output (of total24 hrs output).Urologist had advised to take MINIRIN 1mg tablet(demossprin) before going to bed for 2 wks.Same did not work as I mightnot be suffering with Diabetic Inspedus.Urologist has diagonised my disease as Nocturnal Polyurea.Request advise treatment.treatment
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HelloThanks for query .You have not mentioned following facts in your query 1) Your age 2) Whether you have done Ultrasound Scanning of abdomen and have ruled out/confirmed enlarged Prostate .Nocturnal polyurea may be most likely to be due to Enlarged Prostate associated with diabetes .Taking Tomsulosin once daily and proper control of Diabetes will help to reduce the nocturnal frequency to some extent .Dr.Patil.
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What are the fatty tissue lumps under my skin?
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I have very many fatty tissue lumps under the skin, all over my body. I was told by a GP, about 20 years ago, that they were polyps ....fatty tissue that some people are more prone to than others. Since that time the numbers on my body have increase and the sizes of some have increased. They are not painful, more unsightly in the summer as I have 3 or 4 on my arms. I recently read an article identigying 9 Types of Polyps ...none of which described mine (which are all external, not internal. So what are mine & what is the cause?? I am female, age 60,no health problems other that well controlled Diabetes Type 1, for 40 years.
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Hi.Thanks for your query and history.Oh, These are not polyps.These are called lipomas. There are few indications for their removal as follows" *unsightly* on pressure points like buttocks, back.*on Joints*going into muscles*Sudden increase in site or if they become painful.If you have any of these reasons , you may well get them removed surgically. You have diabetes Type 1 and is under control. Please remember there are no medicines for this conditions.
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What causes abdominal cramps with pain in anal region?
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Hi, my fiance just got over the flu last night.when I woke up this mOrNing I had really bad stomach cramps like I needed to poop and I can't.my butt hurts and I did thrOw up the ford from the night before so I don't know if its the flu or food poisoning, but my butt hurts and its giving me stomach cramps bad.isit normal
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Hi.This may be due to gastroenteritis / food poisoning. Could occur as the body resistance goes down due to preexisting flu. The pain in the anal region can be due to proctitis as part of gastroenteritis. I would advise you the following.Get physically examined and for the vitals from your Doctor as you have to get a prescription for treatment. Antibiotic, metronidazole, domperidone and PPI; also take probiotics, activated charcoal tablets, banana with curds, a spasmolytic. If you do not get results with this , you may need further investigations to rule out any underlying cause like diabetes or so.
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Suggest treatment for cuts on foreskin
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hi i have had cuts like paper cuts on my foreskin for over a week, and have had it before a few times over the years, they just seem to clear up eventually and leave small scars. I havnt got got swollen or sore penis so its not balanitis just small cuts on foreskin whats the quickest way to get them to heal up as ive just started a relationship?
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Hi, It may be due to phimosis. Can be caused due to - Diabetes - blood sugar check-up will help you confirm the cause of cuts on the foreskin - Injury during sex or masturbation. - Infection due to bacterial and fungus causing dryness. Simple painkillers and local steroids can help you if there is no infection. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist
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Suggest treatment for low Hb due to microcytic hypochromic anemia
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My Father is diabetic for the last ten years,but during last 3 years his hb value is varying from 7.6-8.8 gm.He has hypothyrodism,htn,.Test indicate microcytic hyprochromic anemia with 600 ferritin level.His serum electrophoris,no abnormal cell detected in blood test, ultrasound normal.
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Hi,Hemoglobin appears to be maintaining a bit on the low to moderate side and at this age, could lead to cardiac failure due to hemodynamic stress on heart.Microcytic hypochromic anemia with raised ferritin level and normal serum electrophoresis usually indicates anemia of chronic disease.Its a condition in which iron cannot be used up for production of RBC and hence RBC production gets affected resulting in microcytic hypochromic anemia.Possible cause could be hypothyroidism, if untreated and chronic inflammation secondary to maybe diabetes. If you get back with more information, further discussion is possible.Any further queries, happy to help again.
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What causes concussion?
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My daughter is 16. Fainted in a mall, ambulance came. Bp 80/57 at the time. History includes concussion in late July and broken sesamoid bone in foot. Mild headache for 3 days. Went to Er said maybe a virus. She had visual disturbances for 30 min , dizziness and nausea. Otherwise healthy individual, playing soccer for yrs before broken bone. History of a great Aunt with stroke at 26 , diabetes in grandfather. No fever, actually, 96.5 at hospital. She seems fine now. Has had periods of dizziness before but no fainting with it. Had eaten breakfast 4 hours prior. No history of drug use, not pregnant and no alcohol. Seemed neurologically fine on initial exam. Grandma feels blood work should be done for thyroid and diabetes and mri because of concussion in July. She did not pass out from that head bump but was incoherant at that time and unable to move her limbs. She took time off from sports mild headache and no further symptoms.
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concussion is a syndrome that occurs when the brainstem suffers a torsional force that disrupts normal function. the post concussive syndrome does not usually cause dizziness with low blood pressure. it can cause vertigo but not usually problems with blood pressure. this is most likely related to something else.
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What causes pain in the abdomen and buttocks while on medication for diabetes?
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Thanks a couple of quick questions. First of all I'm a Type 2 Diabetic.Taking:12g of Insulin shot at nightMetformin (1000mg) twice a dayGlypizide (10mg) twice a dayGabapentin (600mg) three times a day for Diabetic Nerophthy I'm unable to gain weight. * I have to use the restroom shortly after eating.* My sugar is under control* Skin discoloration (lighter than normal)* Get sharp pains in abdomin and buttocks areas, even anal areaWhatever information you can provide would be very helpful. Thank you
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Hello and Welcome to ' Ask a doctor ' service . I have read your query and here is my answer . You should take Methylcobalamin along with Gabapentin . Get lab test for vitamin D and vitamin B12 level . Urine examination and stool examination . Avoid dairy products . I hope I have solved your query. Let me know if I can assist you further in this query . With Regards Dr Varinder Joshi .
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What causes knee-jerk type reaction?
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once and awhile an episode where a very brief sharp pain, like jolt, run from my lower right stomach area near the bottom of my ribcage across my torso to my back near the bottom of my left shoulder blade. It is only momentary but the pain is very quick and sharp causing me to jerk somewhat as in a kind of knee-jerk type reaction. This has happened maybe a half dozen times within the past 6 months. Any idea what this might be coming from?
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Hello, Such type of sudden pain can be due to- -Minor crack in lower thoracic area -Compression of nerves in lower thorax area due to disc prolapse or early infections -Kidney issues -Stomach problems -Diabetes I shall advise you to consult to your doctor & get yourself investigated with x ray and if necessary by CT SCAN & USG.Till then you may take acetaminophen for at least 2-3 times a day for relief. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mukesh Tiwari
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Does putting braces in teeth related with sugar level?
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Hi, I am 37 years and i want to put braces to straighten my teeth. Is it advisable to go for this treatment at this age. Does it have any side effects and is it painful. Also to keep you informed that my sugar leve keeps fluctating between 110 to 130 before food. Does this have to do anything with putting braces in my teeth?
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Hi! Welcome to Healthcare magic.I read your query. For braces at the age of 37, you first need to consult an orthodontist. Braces give best results betwedn ages of 14 and 28.However, adult and old aged orthodontics is practiced as well. Otlrthodontist will study your dental casts as well as your OPG and lateral cephalogram. Treatment may take little longer time than usual.Diabetes or high blood sugar dont effect this treatment except at times high sugar may lead to gum bleeding and bad breath. After starting the treatment, maintain your sugar level, maintain good oral hygiene. Get regular oral prophylaxis done. Use special orthodontics brush, mouthwash and sugarless gums. Your orthodontist will guids you accordingly.Hope the answer helps you. Thank you!
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Is drinking redbull safe while having fatty liver?
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Hi! I had my ultrasound lately and find out that I have fatty liver. 5th year ago I had cancer. I'm feeling good now and 1.5 yrs ago I had an accident and had been operated at the head. In one year I had this ultrasound for the whole abdomen and I got fatty liver. Is taking redbull not good for me? I'm taking USANA Hepasil DTX.
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Main riks facors for fatt yliver are alcohol and fats in food. However, hofg sugars may also contribute by increasing risk of diabetes so I suggets to drink it only in moderate amounts.If you have alcoholic liver disease and you are a heavy drinker, quitting is the most important thing you can do. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. Even if you have nonalcoholic fatty liver disease, it can help to avoid drinking. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week.Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn.I hope I have answered you query. If you have any further questions you can contact us in every time.
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What are the side effects of taking ayurvedic powder for allergy?
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Hi doctor,my husband is taking aurivadic powder for allergy.he is taking this for one year.Now,he is saying that iam feeling laziness .Actully he is very active .and iam noticing that he has some black spot on his finger joint not on other area of body.doctor please help me. I m wating for your answer.thanx.
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Hello,Dark spots on the finger joints are indicative of the side effects of the medicines your husband has been taking. You have not mentioned for how long he has been taking it. However, it can also be due to some underlying pathology which needs to be detected & treated. Like developing diabetes, joint damage, blood pressure issues, depression, fear or stress.You are suggested to help him take adequate rest & stay away from stress, give him home made nutritious food, rich in protein, iron, calcium & minerals. However, he should get a complete medical check up done. Get blood tests, urinalysis & imaging tests done. The treatment will depend on the pathology detected & treatment will be done accordingly.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
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Diabetic. Scan report shows blood clot in brain. Serious?
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My father found to have guidiness yesterday. He is 60 years old and is diabetic.It was 222 last week. Suddenly it dropped to 72 yesterday and he was unstable. Went to hospital and was told there is blood clot in brain. Right lentiform nucleus infarct was there in the scan report. what does it mean ? Is it dangerous. is it curable
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Hello,It looks like a Cerebrovascular Accident, A small infarct ??. This infarct itself may not be dangerous if it is not evolving to a larger infarct. But you need to see a neurologist to get started on prophylactic medications to prevent similar events in future. Cardiological check up in view of uncontrolled diabetes and rule out a source of clot.Wish your father an earlier recovery.
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Imaging states chronic microvascular ischemic change or demyelinating plaques. Meaning?
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My imaging states t2 and flair signal seen within the sub corral white matter ofthe right frontal lobe These findings may be a result of chronic microvasular ischemic change or demyelinating plaques I m 44 These are non specific but may be related to demyelinating plaques in this patient with a history of multiple sclerosis What does this mean? Also had muscle biop and showed may be mitrochrodial myopathy
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HiMRI brain reveal subcortical white matter changes in R) frontal lobe.This can be due to ischemia of brain (small vessel disease changes), or demyelinating plaque ( significant in patient with Multiple sclerosis).There are many other causes of white matter changes ( vitamin b12 deficiency, hypothyroidism,mitochondrial disease etc .Age of the patient , associated disease ( MS, diabetes, hypertension ,) all helps to know the cause of this changes in MRIConsult neurologist for further plan and management
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MRI of brain showed a prominence of adenoidal tonsils, flair signal within the subcortical white matter. Meaning?
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A recent MRI of my brain showed a prominence of adenoidal tonsils and several subcentimeter foci of increased T2 and Flair signal within the subcortical white matter . When I asked my primary care ,who ordered the test, about the results, I was told everything was fine. When I obtained my own copy of the report, I was unable to make any sense of these findings. The report states that correlation with physical exam is strongly advised .. Should I seek a nuerologist on my own, or is that even the specialty practice I should be looking to help me?
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Hi,Based on the reports adenoidal tonsils are prominent, that can be accidental finding. It has to be intervened based on the clinical symptoms you have.Similarly the subcortical white matter changes which indicates minor ischemic changes.One can assess the cause based on clinical symptoms,and risk factors (diabetes, hypertension, Smoker, alcoholic and other )I would suggest you to consult neurologist for further plan and managementRegardsDr Sandhya ManorenjNeurologistHyderabad
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Suggest treatment for nerve damage
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hi, had knee surgery which got infected 2 days latter, spent 2 weeks in hospital, had a pic line in for 4 weeks ,nand pills fpr another 2 weeks, my main problem is above ancle to just below th knee is painfull, very sensitive , can hardly touch, even the sheet on the bed hurts when touches it, been told nerve damage, any ideas on treatment and lenght of problem,
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HI I had understood your problems and concerns, With nerve damage there can be a wide array of symptoms. Which ones you may have depends on the location and type of nerves that are affected. Damage can occur to nerves in your brain and spinal cord. It can also occur in the peripheral nerves, which are located throughout the rest of your body.In many instances, nerve damage cannot be cured entirely. But there are various treatments that can reduce your symptoms. Because nerve damage is often progressive, it is important to consult with a doctor when you first notice symptoms. That way you can reduce the likelihood of permanent damage.Often, the first goal of treatment is to address the underlying condition that's causing your nerve pain or nerve damage. This may mean:Regulating blood sugar levels for people with diabetesCorrecting nutritional deficienciesChanging medications when drugs are causing nerve damagePhysical therapy or surgery to address compression or trauma to nervesMedications to treat autoimmune conditions.here you need to wait and watch, mean while take vitamin B6 with multivitamin tab. do regular pranayamas... recovery may come with 2years duration...
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Will taking Novastat be safe to control the cholesterol levels?
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Sir, I am having tryglyceride 375,HDL-38,LDL- 173,Total Chlestrol -287, Wt-65 kg,hieght-hieght 5 ft 3 inch and doctor advised me to take Novastat TG 10. Please suggest me whether i am taking right medicine and are there any side effect of this medicineThanks,Avdhesh
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Thanks for contacting HCM. Dear Avdhesh you have not mentioned whether you have associated Diabetes? Your weight is obviously on the higher side. If you have diabetes then you need to keep blood glucose levels in check. lowering body weight will benefit too. Medicine prescribed to you is the correct medicine. All drugs have some side effects but one need not worry unnecessarily over them, rather not taking drugs and letting the disease get out of control can be more dangerous. Abnormal lipid profile requires diet modification and regular exercise in addition to drugs. regards
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Can shingles on scalp cause hair loss?
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I am a 65 year old female, 4'11", 113 lbs with diabetes that is under control. Five years ago I had shingles on the left side of my face and scalp. The ichiness and sensitivity on my scalp has never gone away and now I'm beginning to lose my hair. Could the shingles be the cause? What can I do about it. Thank you
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Hi! Welcome to Healthcaremagic. com.I have read your query in detail and do understand your concern.Yes stressful physical and mental conditions may cause severe hairfall , but since your problem is 5 years old I would doubt it being the predominant cause now.Excessive hair fall can be due to , physical or mental stress, anaemia or nutritional deficiency or certain medical conditions like thyroid disorders, low serum ferritin etc. Take a nutritious and protein rich diet(pulses, milk products, eggs). Use of hair supplements containing biotin will be of help . Avoid routine application of gels or frequent blow drying of your hair. Use a sulfate free shampoo for your hair twice a week. A hair growth lotion or serum can be prescribed to you depending on the cause and severity of your hair fall. Minoxidil 2% lotion can be applied over the affected area twice daily. Hope this helps!Good luck!
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How can severe fatigue and high lymphocyte level be treated?
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My sister recently had her blood tests done and her lymphocyte level is 43 and eosinophil level is 8. She has extreme fatigue and weakness at times and says that her head feels like its being pulled from behind and she feels nauseous. She had suffered a bout of fever and cold recently. However, she doesn t have pain in her bones
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Dear, There are several causes for severe fatigue. If is because of anemia, a hematologist can treat your sister. Fatigue can also be due to other causes such as hypothyroidism, chronic heart failure, chronic infections such as TB, Addison's disease, electrolyte imbalances, myesthenia, diabetes etc. In such case appropriate specialist can treat your sister. It will be great if you can send complete hemogram report. Lymphocyte and eosinophil percentages are marginally high. We need to look at absolute counts, before coming to any conclusion. Hence I need total WBC count. Anyhow, such marginal rise in counts are generally is not significant. Fatigue may also be due to the viral infection that she had recently. Please send me the complete hemogram report, so that I can let you know, if at all there is any hematological issue. If there is any hematological problem, I can suggest you the treatment. Hope I have answered your question. If you have any further questions I will be happy to help. With regards, Dr. Girish Kamat
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What could numbness and prickly sensation in arms with blurred vision indicate?
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I am 57 female 135 pounds 5 feet 6 inch tall. good overall health. no medical problems. but now, i have a chronic numbness in right arm worse at night. during day too. also some blurry vision comes and goes. the arm numbness goes from whole arm down to hand. there is a prickly feeling too like pins and needles. what could this be?
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Hello,Prickly sensations with blurring of vision can occur with following:- High blood pressure- Diabetes- Thyroid disorderYou should not delay and should consult to your doctor & get yourself investigated. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
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What causes swollen gums when suffering from diabetes?
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respected sir,i am mr.patel.i m 58 years of age suffering from diabetes since last 5 years.also suffered from hypoglacemia 4 months back.recently i have developed swollen gums which are bleeding sometimes and there is presence of pus also in it.i am a regular bidi smoker.please guide
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Thanks for your query, I have gone through your query.The swollen gums, the bleeding and pus could be because of the gum infection secondary to deposits over the teeth.The incidence of gum infection and periodontal abscess is more in case of diabetics. Consult a oral physician and get yourself examined and get the teeth cleaned.You can take a course of antibiotics and analgesics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). You have to get your blood investigations (to check the blood glucose level) done and radiographs like OPG done to rule out any tooth infection and see the status of the surrounding bone.Then you can get the scaling and root laning done, and if there is abscess that can be drained under local anesthesia.I hope my answer will help you, take care.
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What causes heart shivering feeling in diabetic patient?
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hi my mother is 50 year old and she have a diabetes from last 15 year but few days ago my mother have problem that she feel that heart is shivering very fast and i met to doctor and done some test blood sugar is 281 mgl and blood urea is 52 mgl and urine have pus cell 4 mgl and epithelial cell 2 mgl and she take medicine Zart-H and gloconorm PG2 so please doctors tell me what i should od
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Hello, This can be a autonomic instability which can occur in diabetes, cardiac arrhythmia like psvt or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, blackouts, sometimes syncope. Usually ecg is normal as it is usually done in between the episodes. ECG done during episodes will show abnormality. She will need 24 hour holter monitoring. So visit nearby cardiologist for these investigation.Also, hemoglobin and thyroid test should be done. ln order to abort such episodes you should try to cough hard.Is there any stress or anxiety associated. Till the time your evaluation is complete, you can ask your local doctor for tab ciplar LA 20 mg once a day. If none of the above is successful then last option is of electrophysiological studies which is invasive test which can diagnose and treat the arrhythmia permanently in most of the cases.
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What causes rashes and joint pain with fever?
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After having fever, Two months has past and i m in bed till now. my legs joint and knees, arms joint & shoulder is paining a lot. I cannot even walk. what is this disease i m having. and my full body is having rashes. It has left some marks also. In this my diabetes was also more. now it is less. I m talking medicines for the diabetes.
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Hello, It could be a viral exanthem. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Kakkar S.
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What are the neuropathy symptoms and signs?
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yes what are the signs and symptoms of neuropathy? I have a burning sensations and needle feelings in my feet and hands as well as cold hands occasionally. I don t have diabetes but I do have high blood pressure and I am taking hctz 25mg once a day. please help
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What you are describing is small fibre neuropathic probably diabetic. Assure strict blood glucose control. Try tab Pregaline 75 mg od and tab elca forte. Hope my advice will help you. Take care. Don't forget to rate me.
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How to cure pressure of head?
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I am a 36 year old male. I have had blood work. CAT scan on my brain negative. I am always dizzy or off balance. I get head pressure (sometimes). My feet have pins and needles. I am at wits end, I don't know what could be wrong. I am scared and unsure. I have researched it online tons of times.
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HI.. Thanks for using HCM for health queries. From your history i understand you have unsteadiness,dizziness and needling of feet. The diagnosis most probably is PERIPHERAL NEUROPATHY ..( SEVERE). Peripheral nerves are the one that takes and brings neurological signals from and to the central nervous system. When peripheral nerves are at compromise it does give proper input to CNS that results in unsteadiness and dizziness and also improper perception leading to needling. Take up investigations for peripheral neuropathy like diabetes.thyroid,Vit B12 and heavy metals and get treated accordingly. Hope this helps.. Take care
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What causes stomach pain after eating?
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I have been having stomach aches several times a day. The usually occur about 20 minutes after eating. I also have profuse sweating while feeling cold. This has been going on since May and my doctor has not been able to identify the cause. What do you think? What are some of the less invasive tests I should have?
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Hi, Having stomach aches several times a day, about 20 minutes after eating and associated with feeling cold might be related to: - duodenal ulcer- post-prandial hypoglycemiaI suggest to: - run upper endoscopy- do abdominal ultrasound- measure your blood sugar at the moment when you have the pain episode and run other diabetes testing to exclude hypoglycemia. - do a complete blood work to exclude anemiaDepending on the tests results, specific treatment will be prescribed. Unless, you are taking any medication on regular basis. Hope it helped!Dr.Albana
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What causes placental abruption?
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Hi, Am Rajeswari aged 25. I had a miscarriage in Feb 2009.My baby was just 2-3 months.The foetus heartbeat stopped suddenly and hence i underwent a D&C. Again i was pregnant in October 2009.Last month i had bleeding and severe abdominal pain.Upon hospitalization , the doctors told me that my placenta had abrupted and labor pain had started for me.My baby was just 23 weeks and hence we lost our baby.Please let me know the reasons for palcental abruption and guide me on the tests/procedures i need to follow to ensure for a healthy and safe pregnancy the next time. Thanks
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Hallow Dear,Placental abruption is premature separation of placenta due to which the oxygen supply and nutrition of the baby gets affected leading to foetal death. Placental abruption is always due to some cause. High blood pressure, Pregnancy induced hypertension, eclampsia, Folic acid deficiency, diabetes, trauma on the abdomen, severe anaemia, severe psychological trauma, too much or too less water around the foetus, Rh incompatibility are some of the commoner conditions which can cause placental abruption. You may get investigated for conditions like diabetes, blood pressure, blood examination, etc. before the next pregnancy. Please start Tab. Folic acid immediately for protecting the future pregnancy and the baby. Please report to your Obstetrician with a detailed history so that proper steps will be taken to evaluate you and manage accordingly. I hope this gives you initial guidance. For more detail guidance, you may ask me Direct question.
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Does asthma cause headache and moodswings?
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Hi, I'm an 18 year old girl, I'm 5"5 and 136lbs. I have asthma (symbicort inhaler) <I'm tired and weak all the time, i find it hard to get to sleep and when i do i don't get a good's night sleep, I'm always thirsty and craving sugary and salty foods. I have really bad mood swings, i often feel vulnerable and emotional and my concentration is very poor especially with school work. I get headaches quite a lot, and feel faint from time to time, and when i close my eyes i see red or blue colours and sometimes my vision can be a bit blurred. do you know what might be wrong with me?
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HI, thanks for using healthcare magicThe difficulty sleeping, moods swings and problems with concentration may be related to a psychological condition but you may be able to be initially assessed by your general doctor.Increased thirst, food cravings and abnormal vision would also need assessment.These can be due to different possible conditions for eg diabetes, electrolyte disturbanceBlood tests may be needed.It would be best to see your doctor for examination and investigationI hope this helps
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Is knee pain after a surgery a concern?
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Hi, I have cellulitis in my legs and am recovering from knee surgery. I twisted my knee the other day and it has been constantly throbbing. Today I had an opening on my upper shin that was oozing pus and the throbbing has gone away but I don t know if I should pack the pussy wound and use compression or just bandage over it and elevate it? Please help
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Hi, Considering your clinical history you were having abscess formation over leg which has ruptured and pus has drained itself. Rupture of abscess relieves pain. But underlying pathology leading to abscess must be treated and local debridement is needed. The intravenous course of antibiotics as per culture and sensitivity report of pus should be started followed by oral antibiotics. Random blood sugar level should be checked for diabetes. This all treatment needs a visit to the surgeon. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopedic Surgeon
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What causes a scar on the chest X ray?
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My husband had knee surgery in Jan chest xray was clear, he had another a week ago and the surgeon said there was a "spot" on his lower left lung and he is going for a ct scan tomorrow, he has been having headaches mri on head was clear, he also has type to diabetes and diabetic neoropthy, he is a smoker, has not been sick at all, what could be causes of the spot
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Thanks for your question on Healthcare Magic.I can understand your concern. Since your husband is diabetic and active smoker, we should definitely rule out lung cancer and lung infection for his spot on chest x ray. Diabetes decreases lung defense system and so makes individual prone for lung infections. Smoking is biggest risk factor for lung cancer. So get done CT thorax and bronchoscopy for the diagnosis of lung cancer and lung infection. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
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Is it ok to take patassium and magnesium supplements with BP medicines?
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My doctor has recently put me on 5 mg of Norvasc at night, and I am on lisinipril 24/20 in the morning. Is it okay to take a potassium supplement and a magnesium supplement with these meds? I have legs cramps almost nightly, but do not want to keep taking the supplements if they don t agree with my BP meds.
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Hi,It is not safe to take potassium while on Lisinopril. Taking potassium supplements while on BP medication lisinopril may cause hyperkalemia (increase potassium levels in the blood). Hyperkalemia can lead to kidney failure, muscle paralysis, irregular heart rhythm, and cardiac arrest. You may be more likely to develop hyperkalemia while using these medications if you are elderly, dehydrated, or have kidney disease, diabetes, or advanced heart failure. It is better to avoid potassium supplements while taking lisinopril. For the the leg cramps occurring at nights I advise you to:* To do frequent stretching your leg muscles or riding a stationary bicycle for a few minutes before you go to bed* Flex your foot up toward your head* Take plenty of fluids to avoid dehydration* To take warm baths or showers* Keep the bed covers loose and not tucked.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
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What causes chest pressure while suffering form diabetes and asthma?
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I have diabetes, asthma, hypothyroid. My father had heart problems. I was having chest pressure that was not getting better with pain that I thought might be pleurisy. I went to the doctor and they gave me meloxicam which seems to have helped quite a bit. They sent me to a cardiologist just to make sure nothing was wrong with my heart since I am diabetic. I saw the cardiologist and from everything I told him he does not feel it is my heart. He wants me to have a echocardiogram and a stress echocardiogram to make sure everything is okay. Does this really need to be done at this point?
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hiwith diabetes, asthma, hypothyroidism, positive family history of heart problem & chest pressure symptoms it is better to get evaluated totally accordingly as suggested by your cardiologist.slightest doubt in the ECG in your status is also an indication, especially being diabetic.you can go for an echo-cardiogram, thread mill test, or stress echo cardiogram,if these are all uneventful,with no positive signs , then not to worry.requirement of an angiogram will be decided by the cardiologist based on these tests.all the besttake care
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What is the treatment for cortico medullary differenciation in a ckd patient?
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Dear doctor this is for a ckd patient. Our scan report says right kidney size 10 .2 x 3.6 centimetres and left left kidney sizes 8.9 x 3. 3 centimetres both kidneys are normal in size and shape and position no calculus in the kidneys and cortico medullary differenciation poorly decreased. can it be treated? and how? And also says no as cities, no pleural effusion.
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Hello,I have gone through your query and understand your concern.In Ultrasound, the cortex (outer portion of the kidney) and medulla (inner portion) can be differentiated due to specific cellular and tissue structures. But due to any long standing medical conditions which caused chronic kidney disease, can result in tissue changes, with reduced renal function, and this results in appearance of both the cortex and medulla as similar zones and cannot be separately identified.This is called decreased Cortico-medullary differentiation.Treatment in such a condition, would be to treat or control the underlying cause like Hypertension, diabetes etc.. for the chronic kidney disease.Take all the medications prescribed by your treating nephrologist,Reduce your sodium intake.Exercise regularly.Do not smoke or use tobacco.Do not drink alcohol.Hope this helps.Please write back for further queries.Wishing you good health.
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What causes sudden pins and needles in leg with low heart rate?
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Hi, I experienced a problem on my last flight - it has never happened before. I woke up and felt I had to move. My legs were pins and needles. I began to panic and they put me on oxygen, my heart rate was only 40, taken by a nurse on board. I had a heart attack 8 years ago and am 62 yr old female
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HelloI understand your concern and i want to tell you that you should get your blood sugar levels checked for diabetes. As pins and needles are the presentation of diabetes. Also you need to consult your cardiologist as your low heart rate can be due to the medicines which needs to be adjusted.Kind RegardsDr Bhanu Partap
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How can a recurring pilonidal cyst be treated?
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I have a pilonidal cyst 3 months back, treated with full dose of amoxicilin and got cured, it has now recurred and at a primary stage. need to know which antibiotic to treat this time other than amoxicilin??? surgery is not an option at this point, want to treat it with antibiotic
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Hello!Thank you for the query.Pilonidal cyst can not be treated with an antibiotic. The only thing that can be treated with antibiotic is an abscess due to infected pilonidal cyst. Moreover an antibiotic can be given only in case of diabetes or weak immune system. Otherwise, abscess incision is the correct treatment.Please note that pilonidal cyst is caused by ingrown hair. This hair irritates surrounding tissues and lead to recurring abscess. To get it permanently cured you need to have the cyst removed by a surgeon. Please consult one with this issue.Hope this will help.Regards.
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Pancreatic cancer, gastroparesis, increased sugar levels, pancreas burnt, painful abdomen. Taking metformin. Is it common?
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I had a whipple two years ago on Agust 5th for pancreatic cancer. I had diabetes before but food controled and one 500 metformin a day Now my pancreas has burned out and my sugars are out of control. I tried Bydureon for 6 months and it worked great except it slowed my motility down and I started having gastroparesis. Stopped the Bydureon and now I take andtibotics for the gastorparesis when it occurs...The pains I get across my abdomen and diaphram are severe and it takes about 24 hours to get over the chills and fever and weakness. My question : is this common for post surgery patients and what can I do to prevent the problem?
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Hi, it appears that the gastroparesis might not be due to the bydureon, but may be due to the diabetis. There are so many medicines which can be used for gastroparesis, like domperidone, and so many gastro kinetics, which you can use with the advise of gastroenterologists for relief from the paresis. Thank you.
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What causes abdominal pain and bloating while on Insulin for diabetes?
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I am type II diabetic on 2 types of insulin, overweight by about 80 lbs, and live a mostly sedementary life. With that said, my eating habbits and exercise has not changed dramatically or even slightly, yet in the passed 6 months I have gained almost 50 lbs, have abdominal bloating after every meal, whether it s salad or pasta, and in the passed month or two have noticed increased abdominal pain when bending over to pick up something whether it be sitting in a chair or standing, and the pain is severe and sharp like a charlie horse cramp in my intestines, my gall bladder was removed 12 years ago, i have never had bariatric surgery. The pain feels like my guts twist and is happening more frequently, whether I have just eaten or on an empty stomach. Have not been tested for thyroid issues, but the fact that i have been anywhere from 40-60lbs overweight most of my adult life, it concerns me that i have gained an additional almost 50lbs and now suffering abdominal pain constantly. last A1C was 9, but I have since upped by insulin since august, seems to keep sugars much more controlled.
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Diabetic gastroparesis is a well known complication of diabetes. To overcome this problem you should start taking Tab. Itopride 50mg before each meal for 2 weeks. It will improve your symptoms
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What causes pus filled lump on the sutures?
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i had my appendix removed october 17th now my cuts have healed but one of them lower under my bellybutton healed with a bump i thought no big deal as it was nothing on the sheet that said i should worry after discharge now i pressed on the pump and i felt somthing pop like a pimple could this be PUS?
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Hi Dear,Welcome to HCM. Understanding your concern. As per your query pus filled lump on the sutures post appendix removal is because of persistence of infection in that area. There are chances you have underlying systemic disease such as diabetes which is delaying healing in that area. Take a proper course of antibiotics to subside infection. Visit oral pathologist once and go for Gram's staining, culture and sensitivity from the pus discharge. Maintain proper cleanliness of that area. Apply betadine cream and polysporin ointment to heal the infection faster. Drink plenty of fluids to maintain hydration levels of body. If symptoms keeps on persisting visit dermatologist once for proper examination and start treatment accordingly.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
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What causes headaches and frequent urination?
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hello dear ,i am male with 46 years old,i had about 2 months ago headache and after i check ct scan and complete diagnosis test mmy tsh is about 6.4 and cholestol 210 and fbs about 113 ,my doctor said i can begine 50 euthyrox(leothyroxine),but i dont and i stay,one week my foot and hand a little oedamtose and i am very now frquent urination it is my problem now ,iafraid for another adrenal disease or nephropathy ,please say me what i do and what test can i do?
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HelloFrequent urination may be due to diabetes mellitus,UTI(urinary tract infection),enlarged prostate etc.Your fasting blood sugar is raised.You may need post prandial blood sugar,glycosylated hemoglobin percentage. You may need proper clinical examination and routine investigations.Investigations include routine hemogram,renal and liver function test,ultrasound of abdomen,urine RE/ME and culture/sensitivity.Proper treatment depend upon findings.Pedal edema may be due to raised TSH. You are rightly suggested to take tablet thyroxine 50 microgram daily.You may need to take hypoglycemic drugs for diabetes mellitus.You should do exercise and avoid fatty food.Get well soon.Take CareDr.Indu Bhushan
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Diabetic, stopped Tradjenta, seem to be allergic to carbs. Is it due to stopping Tradjenta?
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I seem to be allergic to almost all carbs after having taken and being taken of Tradjenta. I was diagnosed with type 2 diabetes 6 months ago. I took the med for a month but was able to control the BGL with diet and exercise. In Sept, I started to react (miled, prolonged itching in face on arms or hands) to carbs and a few other foods (kidney beans, wild rice, white potatoes, ritz crackers, yogurt, vinegar) and meds (statins, cardura, miralax, colace, losartan, nitroglycerin .02%). That has me a avoiding anything with these products in them. That means I have a hard time with needed meds and I have very few foods I can eat. I have lost 55 lbs in those 6 month and need to find a way to eat enough carbs to level off my weight... Can discontinuation of or taking Tradjenta cause people with a history of food (cinnamon, nectarines, cayenne, wheat bread [drowsiness]) and chemical allergies/intolerances ( lexapro , neurontin , biaxin , penicillin) to develop a slew of other allergies that fast--all in September? Oh and allergist cannot detect most of the food intolerances.
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Hi welcome to Health care magic forum. Thanks for calling H.C.M.Forum. You have got diabetis, got treated, and now you could controle with diet and exercise. You are thinking so after some time with natural remedy you will get recurance of diabatis . with out your knowledge. So every diabetic with medicines or with out should get the blood sugar test done every month. Your symptoms appears to be more of diabetis rather than the allergy. I advise you to consult a physician for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards.
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Diagnosed with Mixed connective tissue disease. Trouble in sleeping as it hurts when head is turned
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hello I am a 41 yr. old woman, just diagnosed with mctd. a problem that I am having is occasional sharp pain at the base of my head atop my neck. im now starting to have trouble sleeping because it hurts when I turn my head. I was first of all trying to find out what this could be and if it has anything to do with the mctd. sometimes it feels as though my upper spine is going to just pop out especially with any sudden movement.
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HIThank for asking to HCMI can understand your problem, you have not stated here the treatment which are taking, your problem is related with your immune system, If I would be your Doctor then I would definitely put you on steroids this gives excellent result in such cases for long term basis, if you do not have diabetes or renal disease then you can have word with your doctor for this, have great day.
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Diabetic, assumes he has cancer. Anything can be done about the mental condition ?
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I have my question ,,,,, My Husband name Is AAAA live in AAAA. I want know about his mental evaluation / my husband sss# AAAA. Also his blood work result if is ok , bec. according to my hubby he has cancer . For blood work check up it is everyday Doctor bec. before my hubby always go to your clinic for blood check up. Right now I observed my hubby health specilly his mental health is not ok . I want to know bec. I don't my hubby bit my son self or punched my son head .Actually , my hubby has a problem for diabetes,etc.at this time were temporary separated bec. he harm me too much so with his mother too. This is my problem , bec. my cousin in California Which a doctor too told me to tell my hubby doctor if I can ask or more information about his mental condition . I do love my family although my husband family is a problem .... please Doc . thank you so m uch and hava a good evening to all !
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Hi,Thanks for using healthcare magic.I have gone through your available history. It seems that your husband might have psychotic depression but other illness like adjustment disorder or schizophrenia etc need to be ruled out.You should consult psychiatrist for detailed evaluation and management. Doctor may rule out physical causes including intra-cranial causes of psychiatric symptoms.Treatment would be directed as per cause. Doctor may advise you to take anti psychotic agent like risperidon,or arippirazole to control his anger. He may get benefit by counselling and psychotherapy also.I hope It may help you.Thanks.
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Does steroid-induced elevated blood sugar return to normal after steroid cessation?
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sir myi mom suffering with colitis ulcers she is using steroids omminocortil 40mgand saaz 500mg and other steroids she has no diabetes till now when she started using this tablets her blood sugar level increased to 238mg/dl after eating below 1hr we took the test before 15days her sugar level is 112mg/dl these steroids course duration is 1month after 1month can it be a normal again or is she belongs to diabetics
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Steroids are known to cause temporary elevations in blood sugar. You mother should be tapered off steroids if she has been instructed to be on them for one month. After she has stopped taking steroids, her blood sugar should return to what it was before taking steroids. She would not be diagnosed with diabetes based only on having elevated blood sugar levels while on steroids.
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Diabetes, high BP, swelling in throat, lost voice, fever. Had brain scan, clot seen. Help?
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HELLO SIR ,my father is 64 leaving in guwahati suffering from uncontrolled diabetes high pressure recently was not taking proper medicine and started some ayurvedic medication, 3 days back he had fever swelling in throat ,lost his voice and cud not even stand he is having giddiness.today been shifted to delhi fortis after a brain scan he is started with injection strocit as a minute clot is seen. i want to know is his ailment curable
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not cure preeventing nopt degrade his health further :) he will be ok shortly :) smile please
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What might cause sharp pains down the spine to head?
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Hi, I am 21 years of age, about 6 feet tall around 162 pounds. I have had asthma, something that has gotten less severe over time.I have been experiencing pin and needle like pain that shoots up or down my spine. Sometimes into the right side of my head, my right arm and even the right side of my chest. The last few days it has been happening more frequently. What could it be?
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HI, thanks for using healthcare magicAbnormal sensations such as the ones that you are experiencing are due to neuropathy. This refers to damage to the nerve due to changes in structure or function of the nerves. It can be central (related to the brain or spinal cord) or peripheral (related to other nerves in the body).Peripheral neuropathy is more common. There are different possible causes such as: (1)vitamin b12 or folate deficiency(2)diabetes(3)trauma(4)exposure to toxins(5)liver or kidney disease(6)some autoimmune diseases(7)stroke, MSIf it continues, it would be best to visit your doctor for an assessment.I hope this helps
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Is there any connection between osteoarthritis, congestive heart failure and type 2 diabetes?
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i was just dianosed as having osteoarthrosis,generalized, multiple sites. I just recently was in the hospitial with congestive heart failure. I also have type 2 diabetes. Is there any connection between these illness's? Thank you, Carolyn Whitmire YYYY@YYYY
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dear patient diabetes mellitus is very dangerous disease.it is slow poision for patient if blood sugar is not controlled.it affects every organ of the body..though there is no direct relation between these clinical profiles but diabetes mellitus can cause and aggravate it
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Suggest treatment for a vascular disease
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My husband aged 69 had a heart attack 6 years ago, followed by 5 way bypass. He developed vascular disease 2 weeks after surgery. With the harsh pain killers his kidneys were working only 40% With life style changes, exercise and diet he has been healthy after that and his kidneys are working much better than before. The only medication he has been taking for the last 6 years is Plavix and Xyloric. He was on Diovan after the heart attack and after the bypass but we had to discontinue it as his blood pressure was going as low as 85/53. So for the last 6 years his blood pressure has been normal without Diovan. Recently however, his blood pressure has risen to 189-94 etc during the day. In the mornings it is 124-70 etc. His cardiologist put him on Diovan-80 10 days ago. His pressure is 156-94 but at night it goes as low as 88-53. His doctor asked him to take Diovan after breakfast because it goes so low. What can we do to stabilise it? How long does Diovan take to kick in? He is still working as we have our own business.He has borderline diabetes which he keeps in check with alternative therapy.
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At night when patient sleeps BP tends to reduce.....you can speak to your doc about reducing the dose of antihypertensives,or to start less potent antihypertensive
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Can diet change and exercise help in bringing sugar level and live size low?
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Good evening Doctors. I m an overweight male, 26 years of age with no general complaints. I ve got a family history of diabetes, hypertension, hyperlipidemia and prostate and colon cancer. 1 year ago my fasting blood sugar was 80 mg/dl. I was a heavy smoker and my blood pressure started to go up to 140/90 occasionally. I quit smoking and unfortunately started eating excessive fat and sugar daily for the last year. My fasting blood sugar today was 100. Moreover an abdominal ultrasound (done due to acute prostatitis) revealed only incidental liver enlargement of size 170 mm(with no other abnormalities) which wasn t there 1 year ago. My question is if I change my diet and start exercising will my fasting blood sugar and liver size go back to normal or is it too late. Thank you so much.
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Hi thanks for asking question.Mostly you could have fatty liverIf alcohol history present then hepatitis can be there.Complete LFT profile with viral marker done...Yes dietary control will help you in normalising liver....Take low fat diet.Regular exercise.Don't eat refined sugar more.Use very minimal oil in diet.Avoid trans fat diet like cheese, butter, meat , chips etc.....Fruits more.With your LFT reports further comments can be done.Regular follow up needed for colon cancer detection as you have positive family history.Take care.Dr.Parth
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Should a BG monitor be bought to track blood sugar levels?
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Recently, I have noticed a black moldy-like substance growing in my toilet. It floats when I flush. I was diagnosed with pre-diabetes a number of years ago and am wondering if I have passed the pre phase. I am now retired and have a different PCP. Should I purchase a BG monitor to bring to her if it shows high numbers?
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. My opinion is preferably not to buy a BG monitor. Because it is usually intended for checking blood glucose in patients who are on insulin. So as to check and adjust dose according to their blood sugar levels. I don't recommend it for patients who are newly diagnosed or in pre-diabetic stage and are on oral diabetic medication as it becomes a regular obsession to check BG on and off even though not required. Also, medication can be initiated or changed only depending on your vein blood sample (i.e. FBS, PLBs and HbA1c) and not on basis of BG monitor as it is capillary blood and it's reading depends on the way sample is taken. Hence, I advise you that rather than buying and checking BG with BG monitor, preferably get the above tests done. Until you are initiated on insulin therapy, there is not much of a requirement of BG monitor. Hope I have answered your query. Let me know if I can assist you further.
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Can monocef be given in case of scrotum cellulases?
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my cousin has scrotum cellulises. His platellete count is going down. Doctors are giving him monocef 2g injections morning -evening.Will it control the count and the infection? How long will it take? right now the count has come down to 70,000. I dont have a credit card . What do I do?
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Hi,Dear!!Thanks for your query to HCM.Read and reviewed your query facts in context to your health concerns.Based on the facts submitted in your query,You seem to suffer from-Scrotal Cellulitis.You are getting the Maximum dose of Monocef.Though I am devoid of any info on extent and severity,your blood count seems to be 70,000 and indicate extensive cellullitis.Hence it would be 1-5 days time,without surgery.If proper surgical care is taken,this would be under control in 2 days time.Diabetes needs to be ruled out for better results,as it may extend the period if present,due to delayed control of infection.Other supportive measures-like-diet/plenty of fluids/ and anti-inflammatory / vitamins need to be monitored carefully.Hope this would resolve your query and anxiety accompanied with it.This reply would also help you to plan right treatment combination with timely surgical intrevention.WElcome for any further query in this regard,which I would love to reply 24x7.Good Day !!Dr.Savaskar N
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What is the prognosis for complete blockage in heart arteries?
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my 85 year old aunt went to the Dr. on Fri, she was referred to a cardiologist on Mon., and scheduled for open heart surgery the next day. She had almost complete blockage, very difficult breathing, high blood pressure, overweight, but otherwise pretty good health. What is her prognosis
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HelloI understand your concern and I would like to tell you that prognosis depends on lot of things like age presence of diabetes, heart function any kidney or lung disease. All these things deteriorate the prognosis especially in patients above 70 years of age.I wish her good health
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What causes uncontrolled hypertension?
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my husband suffers from high blood pressure. 0n medication to control. losing weight and eating right. 3 weeks ago it spiked to 145/160 Doctor doubled his med's 2 weeks ago. Last night his blood pressure is 162/200. No stressors that would justify the change What could be happening??
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Hello there. I have read through your question and can understand your concern. Your husband seems to be having high diastolic pressure which definitely needs to be investigated. there are many reasons of high blood pressure like atherosclerosis [hardening of arteries], kidney disorders, diabetes or thyroid disorders. i would suggest you to get the following investigations done for your husband. 1. EKG2.Kidney function tests3. chest X ray4. Thyroid function testi hope that answers your question. Pls feel free to write if you have any further queries.
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Diabetes, high blood pressure, prostate cancer. Colonososcopy, blood transfusion and 5 iron iv transfusion done. Any suggestions?
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73 yr old diabetic and has prostate cancer who is a black male which all os inder control but mow has a growth pn scrotum he has had o e blood transfusion and 5 iron iv transfusion he is also taking fiber vut he co tinues to bleed from recrim had colonososcopy and mo problem there as well. He has high blood pressure also
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Hi, Sorry to hear the condition. If more details were available it will be easier to answer your queries. The colonoscopy report is not clear to me. Is there any separate pathology or prostate cancer invades the colon should be mentioned. If the disease is advanced there is a scope of palliative radiotherapy to control the bleeding but that can be decided on the basis of colonoscopy report. Please consult your oncologist. Other medical problems like diabetes hypertension to be treated by respective superspecialists.
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Feeling fatigue. Have diabetes, thyroid, used drugs. COPD, asthma. Am depressed. Cure for symptoms?
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I am feeling fatigue, low temps, 96.5 to 97.2 I can lay down and sleep for about 1 hour and feel better, I have sugar diabetes.... bad thyroid, (blood tests say I am ok with taking drugs.copd, asthma. High blood pressure (controlled) But Generally not feeling good at all, I am usually very active and hard going, but in the last 3 months something seems to be drawing my energy down and it is getting worse each week that goes by. I don't feel like doing anything, I am beginning to be very depressed to a point I don't care about living. Not sure I want to go on if I keep feeling this way, Stress free life, 64 years old.
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hithanks for your queryi can feel your concernsyou seems to have a depressive illnessi advise you to consut your doctor and take antidepressants after consulting your doctoryou may need a few sessions of psychotherapyhave some healthy physical activityhave a morning walk and keep yourself busyi also advise you to have a complete blood profile since low hempglobin can also cause ethargy,weakness and low energyhope i have ansewered your querywishing you a speedy recoveryi am available for your helpregardsdr.imran
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Pain from wrist to the fingers and from ankle to the toes with severe constriction and tightening
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Both hands from wrist to fingers and feet from ankle to toes severly constrict and tighten with great pain. Lasts from 2 to 15 minutes. Getting more frequent. Have HIV/AIDS, HepC, Diabetes II, neuropathy, liver cancer (under control thru TACE) and severe edema of legs, foot and waist (mid-section).
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Hello,Get an urgent EMG/NCV of all of your 4 limbs as this is possibly due to nerve compression and a release in due course of time would prove helpful in preventing further damage to the nerves. Get in touch with a neurologist or a plastic surgeon for more details.Dr. Souvik Adhikari
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Suggest remedy for hypomenorrhea in a diabetic
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I will be 46 next month. I am also a diabetic on pills twice a day. My recent mentrual cycle has been really spoty in the 1st few days and the flow was light and sometimes not at all for a entire day. It has stopped and started twice within 7 days and had lots of clots in it then it would stop.
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Hi Thank you for the query.I would like to inform you that the information provided by you is in complete on the basis of this I cant surely clear your query.You need to provide some more information whether you are on any other drug ,since how many years you have diabetes, how frequently you got this kind of episode? Also any investigations done . Kindly provide some more information so that i can help you .Regards.
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What causes dizziness while on medication for Alzheimer s disease?
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What name brands are exporting,Alfa? My mom with kidney problems already, diabetes, and high blood pressure, cholesterol problems is also being treated for Alzheimer s has complained for months of being dizzy. Now she s not walking for fear of falling. She s not walking very well anyway, even after surgery, because she developed gout. I thought her meds might now be making her feel drunk a, as she calls it.
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Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Dizziness is known complication of alzheimer's medications such as donepezil, rivastigmine. In case if she developed dizziness after starting the anti alzheimer medication there is need to review so the medication can be changed to suit her needs. Hope I have answered your query. Let me know if I can assist you further.
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Panic attacks in night, waking up gasping for air, with cold and drenched in sweats. Is it due to stress?
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hi my name is SPC Brandon, Cody A i am in the army and i am away from base on vacation i am working throug a very stressful time.. i have developed what i think are panic attacks and at night i am waking up gasping for air like i held my breath in the pool or something.. when i wake up i am drenched in sweat and cold at the same time.
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Hello, Thanks for posting a query in health care magic. If these episodes are occurring only at night,then they may not be panic attacks. Some cardiac conditions also present with such kind of symptoms. It depends on your age and if you have hypertension/diabetes or any other risk factors. You should undergo an ECG and echocardiograhy to rule out any cardiac cause. Hope I am able to solve your concerns. If you need any further details, you can contact me directly by using the below mentioned link: http://bit.ly/dr-srikanth-reddy Wish you good health. Regards, Dr. Srikanth Reddy M.D.
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I have bad diabetes, high blood pressure, and lower back fusion
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i have bad diabeties, high blood pressure, and lower back fusion do u think i will get my disability im 53? my blood suger will go over 600 and bottom out to 40. blood presure shoots up to 169/125. and lower back pains goes down my legs and hard to walk sometimes. wondering do ya'll want me to drive and 18 wheeler in this condition
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You may qualify for Social Security disability benefits. Your impairments have to render you unable to do any type of work. The fact that you may be unable to perform the duties of your regular employment will not, by itself, qualify you to recieve SS disability benefits. This is an important factor because the Social Security Administration will look at what you "can" do as well as what you "can't" do. If you go into it saying well i could do a light job, if I could find one, you are essentially telling them that you are not disabled under their rules. You have to have a disability or combination of impairments that prevent you from doing any type of work. All that being said, how your hypertension, diabetes and spinal problems effect you (symptoms you experience that effect your ability to work) will determine whether you qualify. Make a list of all of your symptoms and keep a diary of symptoms. Be sure and report them to your doctor at every visit and don't forget to report any side effects of any medication you are taking, because this will be considered as well. Hope this helps. Good luck,
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How to treat urine ketones in children?
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My 7 yr old son has ketones and protein in urine. complains of stomach ache daily also back ache. His teacher called today and said he was very tired and not himself. Pediatrition wants bloodwork if he s not better in a couple days. What will the DR. look for?
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Hello. i just read through your question.On rare occasions, ketones in the urine could be a sign of diabetes. Your pediatrician is correct in taking these precautionary steps. I think it would also be a good idea to repeat the urinalysis to confirm the original findings.
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Am I prone to diabetes as my sugar level was low suddenly?
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after a 50 km cycle I didn t eat and woke up during night with a blood sugar of 2.3 mmols . I was nauseated and weak . it raised to 14 mmols by eating a few dates and I was fine . I am not a diabetic . am I prone to diabetes ? I am thinking of going on a pilgrimage for 3 days which involves total fasting . is this a bad idea ?
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With exercise and fasting your blood sugar dropped pretty lowand with high caloric food it jumped overboard- reaching quitehigher than normal.This does not seem to totally normal.Possibly you are secreting more than normal sugar controllinghormone insulin which lead to low sugar and there is resistance to itsaction so sugar went higher than normal after food.I feel you are having Prediabetes state called IGT Impaired GlucoseTolerance which should be confirmed by GTT test.If so the diet,exercise and Metformin may help you.Lastly it is not good idea to go for 3 days fasting whenyou have Prediabetes.You may land up in low and subsequent highsugars
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What would cause erectile dysfunction after a prostate biopsy?
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I had a prostate biopsy done last November. Full recovery was pretty fast; took just a few weeks. However, since the procedure, I started to experience some sorts of ED (i.e., lost of sexual desire, lack of full erection, involuntary semen dropping). That seemed to go all away after 6 months. I basically went back to normal. Then I went for a follow up check up with my urologist. He did the routine prostate check (with the finger). That happened about 3 weeks ago; since then I have been experiencing the same ED problems that I had right after the biopsy was performed. I wonder if these problems are still temporary side effects or they are permanent?
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Hi actually prostate is the cause for ED in your case but smoking,Alchohal and diabetes also effect for such situation and Psychlogical effect also cause ED.1st take good diet,just relax your mind it may helpful if not than sildenafil 25mg may start if there in no contraindication like you are taking any nitrate containing medicine angina stroke or peptic ulcer you can start the sildenafil for ED,and some lab test like U and E,LFT,glucose LH and FH ,lipids and testosteron required if it remain permnanat
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Suggest treatment for swelling due insect bite
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I HAVE BEEN BITTEN BY SOME INSECT AND HAVE A SWOLLEN HAND IT REALLY IS ITICHING AND PAIN FULL I HAVE SWELLING AS WELL I HAVE BEEN TAKING PIRITON AND ANTHISAN CREAM ON THE BIT THE THING IS I HAVE TYPE 2 DIABETES AND A WORRIED THAT IT WELL TURN INTO WORSE
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HelloWelcome to HCM,Insect bites are actually rare occurrences and bites from most insects cause local redness, irritation and pain that usually can be treated at home.These local reactions usually resolve without treatment over a period of 7-10 days.I would suggest you to followWash the site of the spider bite well with soap and water.Apply a cool compress or ice pack over the spider bite location.Over the counter pain relievers may be used to relieve symptoms.Thank you.
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What causes white spots in eyes, constant headachea, body aches and erectile dysfunction?
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my boyfreind gets these white spots in his eyes, has constant headaches, and his back will sometimes hurt so bad he his body just freezes and he falls to the ground, he also has bad back pain and when we are having sex his erection gets soft and he takes the longest time to come. when my boyfreind was about 6, he was in a serious car accident that almost killed him and he had a broken ppelvis and had seizures for awhile after his car accident. he just recently went to the docters, and they said he might have a hole in his heart, but i don't think that might be the case and he was refered to a cardiologist can you help me
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HI, I can understand your concern for your symptoms, It can be due to diabetes, hypertension and autoimmune disease. Rule out for ultrasound abdomen and pelvis to investigate anatomical injury. I Hope I have answered your query. If you have further doubts , I would be happy to help you. Happy day
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What to do if I feel weak and have low temperatures in the morning while being diagnosed with cervical spine stenosis?
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I feel weak when I wake up in the morning and experience low temperature- around 97 degree F.I get pangs of hunger. I had a blood test done recently. Diabetes and Thyroid are ruled out. My haemoglobin is 11.9. Lympocytes is 44%, Neutrophil (stab) is 0% Neutrophil (segm) is 52% Platelet count 2,20,000 Total R.B.C is 4.4 milliom/cumm P.C.V is 35% I have been suffering from Cervical Spinal Stenosis for the past 3 months and was under medication of pain killers and muscle relaxants. I was advised surgery but Osteopathy treatment improved my condition.
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Hi, Sometimes screening blood work for thyroid disease is not entirely accurate since most primary doctors will only check a TSH to detect an abnormal state. In your case, since it appears as if low metabolic function may be to blame for your symptoms I would recommend expanding the bloodwork a bit to include several other thyroid tests such as a FREE T4, Total T3 and Free T3. I might even check a random cortisol and also look at your Vitamin D, B12, and folate levels due to the very mild anemia which may or may not be relevant to the rest of your symptoms. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
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Suffering from high BP & high blood sugar levels
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Last night I was in a car accident that totaled the suv and all I remember is someone asking me mam do you know where you are? I had hit a man in the back of his car and landed myself in a ditch but I don t remember anything. I was taken by ambulance to a hospital. They did a ct scan and did xrays but fount nothing wrong with me. My blood pressure was 200/100 and my blood sugar was 188. I will be going to my family doctor in the morning. I have a history of myofascial pain, sacroiliac arthropathy and lumbosacral spondylosis. I am a diabetic and I also have suffer from high blood pressure. What kind of test or what kind of questions should I ask my doctor to do? I need answers.Thank you in advance.
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Hi welcome to HCM.I understand your query and concern.High blood pressure should me monitored regularly to avoid complications like stroke in the brain.Uncontrolled blood pressure could be related to inadequate drug dosage or non compliance of your Anti hypertensive drug intake.Best treatment for elevated blood pressure is through drugs like beta blockers and Ace inhibitors.Before that adequate management and work up is needed.I advise you to have a baseline 2 dimensional echocardiography,ECG and lipid profile as a part of routine screening of your heart.Restrict the intake of salt to less than 6 g/day.Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful.Reduce the intake of fatty and fried food.One pomegranate a day will help . Stress management is most vital in your case.Monitor blood sugars,hbA1C levels regularly.Drugs like Metformin 500 mg will be helpful to control your diabetes.Regular screening of your Eye,Renal profile is mandate to prevent complications of diabetes.So Consult a Cardiologist and Endocrinologist for further expert management.Post your further queries if any.Thank you
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What is the treatment for tonsillitis in a child ?
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My granddaughter is 6 years old, we have just been told she has severe tonsilitis and ketones in her urine her temp is high, she has been prescribed antibiotics, calpol and ibuprofen, but will not take the antibiotic, it took 2hrs to get the calpol into her tonight, her temp is not lowering she is very shakey in her speak, she has eaten half pot of jelly 2night and drank a small bottle of juice all day, worried sick about the infection getting worse and can all this be causing the ketones in urine
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Helloketones in the urine can be due to other causes like diabetes.I would recommend to get her baseline sugar profile done.Antibiotics will have their effect after 24-48 hrs but get her BSF and BSR checked
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Suffering with PCOS. On Meprate, Siphene and Pause MF. Medication affects pregnancy?
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Hi.. I have PCOS because of which I do not get my periods regularly. We are planning for a kid and consulting a doctor who gave me Meprate to get my periods on time and once I get my periods he has told me to take SIPHENE 50 mg. I am heavly bleeding because of that.. now my doctor has given me PAUSE MF. Please tell Is this safe to take Pause MF because I am planning for a kid.
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Hello Thanks for your query. It is safe to take Pause MF. It does not affect conception in any way. You are not having heavy bleeding due to siphene, but because patients with PCOS, have irregular and delayed cycles, but when they do bleed, bleeding is generally heavy as the thickened endometrium is shed off. You need to consult an infertility specialist, as PCOS is associated with irregular ovulation and sometimes no ovulation. If siphene fails to give you positve results, you would need injections such as gonadotropins etc. You also need to be evaluated for diabetes, hypothyroidism, adrenal hormone status, lipid profile levels and vitamin D deficiency. Take care.
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Worried about having kidney stones. Urge for frequent urination
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For the past few days, when I urinate, it feels like there is a bit of urine stuck in my urethra, like right below the tip. Therefore, I do not feel much relief after urinating. What do you think could be wrong? Do you think I have kidney stones? Kidney stones are my greatest fear. I have had no other symptoms of that. In fact, other than that feeling that I just constantly have to urinate, I feel fine. No other problems at all. I am a 23 year old male. I would sure appreciate anything you can offer about this. I am starting to really worry.
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HI,Your symtoms could be sec to many reasons, but not because of Urinary stones. They do not usually present this way. so i would suggest you drink more water and get yourself checked for Diabetes. ThanksSrinivas
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Is galvas Met safe to take while having diabetes and on BP medication?
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I am advised Galvas Met 500 today. My sugar level is 197 before fast and 298 after two hours of breakfast. Hb 1 Ac was 12%. I was on medication for BP since last 10 years. Though with home remedies I am able to bring down fasting sugar to 150 with home remedies. Is new medicine is ok for me
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Hi, Based on the history you seem to have uncontrolled diabetes for which your doctor has prescribed Galvus Met. Galvus Met is a combination of two anti-diabetic medicines Metformin & Vildagliptin. Metformin works by lowering glucose production in the liver, delaying glucose absorption from intestines and increasing the body's sensitivity to insulin. Whereas Vildagliptin works by increasing the release of insulin from the pancreas this reduces both fasting and postmeal sugar levels. Together, Galvus Met provides better control of blood sugar. Generally it is well tolerated by most patients however it may cause abdominal cramps, diarrhea, metallic taste and sometimes decreased blood sugar level. These side effects usually subside over a period of time. Continue taking Galvus Met and have regular follow up lab tests as advised by your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician
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What causes restlessness while suffering from high BP?
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I am suffering from restlessness. I consulted several doctors nobody diagnosed appropriately. I consulted a neurologist and he referred me to stress and anxiety psychiatrist. But by checking on the internet I have understood that I may be having restless legs or Akathisia. I do not want to take medicine because they could be habbit forming. what can I do ? I am also taking medicine for blood pressure that is Prolomet XL 25 and is it aggravating the restlessness symptoms. Can I change to a different blood pressure medicine other metaprolol based and will it reduce the restlessness effect. I am helpless .. Please advice....
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restless leg is not a side effect of metoprolol, we use sometimes betablocker drug as metoprolol in treatment in restless leg syndrome. for diagnosis of this disease , ther should be feeling of restless or leg cramp on sleep but improve with leg movement or walking.check your blood sugar for diabetes as diabetes causes it. also avoid taking coffee or tea night time before sleep,avoid smoking, do some exercise. id you have anxiety ar depression than take mild sedative or antianxiety clonazepam 0.5 mg night time or consult your doctor
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Why ESR increased after having antibiotics for suspected infection?
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I am 45 years old with controlled type 2 diabetes , pco, pain in left top side of my back. I have been having severe headaches. My esr increased from 35 t0 55 even when i had taken 250 mg proximexa as advised by my doctor since he suspected infection. why did my esr increase after 3 days of antibiotics?
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ESR is a nonspecific test indicating the presence of an inflammatory condition. This could be due to an infection or to many other causes. The inflammatory process and the change in ESR could be due to the infection and would occur regardless of antibiotic treatment- it is part of the body's response to the infection. If the infection clears up with treatment, the inflammatory process will start to clear up, but signs of it such as the ESR may take some time to return to normal. The ESR is not useful for following the course of an infection. Again, it may also be due to an entirely different condition from the infection, such as arthritis, lupus, response to injuries, etc etc. Hope this helps.
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Continuous increase in sgpt inspite of medicines and diet. Alarming?
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hi doctors.. last dec.4 i had may medical examination the result of my sgpt was 132.. my doctor gave a godex 3x day, she said that i would lower my sgpt. after a week i had taken again my medical exam but the result of my sgpt goes higher it is now 489. should it be alarming the continues rise of my sgpt in spite of the medication and diet? is there any effect or symptoms if u have a higher sgpt and does it mean that i have a hepatitis because of my sgpt?
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Dear sir, Elevated sgpt can be cause by hepatitis of any kind, biliary diseases, diabetes, some medicines and other liver damage. 489 is pretty high and thid definitely means something. You dont need to have symptoms during the early stage of disease. You can feel tired, have pain in right side of abdomen,nausea and other non-specific symptoms. You need to do liver US or CT to find is it just fatty liver or some more serious disorder. Also you need to check viral markers and chabge you r lifestyle,avoid food and drinks which are bad for liver and do sport. Also repeat your enzymes tests constantly to see the dynamic of it. Wish you good health. Dr. Ivan Romic
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Less motility of my sperms
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I am having the problem of less motility of my sperms when I tested with my doctor. wht food stuffs i can take to correct that.
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Hi.. A well balanced and healty diet is needed. Diet with plenty of vegetables and fruits are needed.. A dose of multivitamin pills will also help.. Presence of any other associated medical conditions such as diabetes has to be addressed.. Reduce alcohol consumption too...
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Have bulge in abdomen. Have diabetics. Ultrasound test done. Had liver problem. Is it because of liver problem?
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I'm diabetic for around 3 yrs and Hba1c level is at good control for past 6 months, However, I have a problem in my abdomen with small bulge around right side of my belly button, so thought of some problem with Gallbladder, and did a Ultrasound scan every year and came up with the report normal and couple of times with fatty and enlarged liver and final report says fatty liver became normal in size. I personally feel swell and pain near belly button is intermittent, thus reports are also fluctuating, might some problem in the liver causes this fluctuation. please advise...
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Hello, Thanks for the query to H.C.M. Forum. Once again get in ultrasound with emphasis over head of pancreas . In your query , you mentioned that you are a patient of diabetes , so full report about pancreas is very important. Pancreatic enzymes assessment is also very important , so please get in after the consultation of physician. Hope I have answered your question. If further any question I will help. Good luck. Dr. HET
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What is the treatment for chronic pain?
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I am 67 yo female with chronic pain} fractured L2/healed. various bad disks. inflamation is high. Bad pain on top of my hips, waist level bilateral. For 10 yrs. docs are treating with narcotics. I m on 37 mcg/hr fentanyl patchs with Dilaudid for break through pain. Docs say I m not a good surgery pt. as back surgery is so failed. Is there something better then just taking drugs, meditation & exercise?
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This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Diabetes. Any way it may be tried,--. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. Avoid painful acts & activities.-- .Do mild exercises for Back. --.(Take help of a physiotherapist or visit www.drncgupta.com). --. Use no pillow under the head.Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.
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Can Canesten pessaries with external cream be used for vaginal thrush?
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Hi, I may be three weeks pregnant (early stages, I know), but I have developed a severe case of Thrush. I ve only had Thrush twice in my life so this isn t normal for me and I m 37. Is it ok for me to use the Canesten pessaries and external cream? Thanks very much! Liz
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Hi,Yes its alright to use vaginal pessary in pregnancy, it does not harm the baby.Local applications of anti fungal like pessary and cream can be used in pregnancy.Oral preparations are contraindicated in pregnancy and should not be used.have you checked for diabetes? women with diabetes usually present with repeated thrush.Hope this helps.Regards.
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Suggest treatment for low grade fever despite taking medication for pneumonia
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Hi,got pneumonia,1month ago.had hemoptasis,positive blood culture x1.have been treated with erythromycin x5days,clindamycin x10 xays,then levaquin,x10days,and prednisone.I have been thru with medications for 5dags,but have had low grade temp(99) a couple of evenings since.I still feel horrible,but my NP hasn t done anything since.I did contact my Pulmanologist today,and waiting for response.is there anymore I can do?really don t want to go back to hospital.thank you
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Hello,Go for vaccinations given below:- flu vaccine- staphylococcal vaccine - improve immunity Do exercise daily and take citrus food. Rule out diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Chandra Shekhar
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What is the cause of a poor memory?
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my father had a weired situation when he missed out home and come back after 4 hours and he cannot remember what happened on these 4 hours and he has diabetes type 2 and has acute respiratory infection and is treated with antibiotic ...i suspected the antibiotic may cause that ...can u help me here
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Hello...i understand your concern.Can you tell me how old he is? Does he have such memory lapses frequently or was this the first time this has happened?Without jumping to conclusions there are a few things that need evaluation.It is possible that he is developing alzheimers disease which commonly presents with memory disturbances initially.He could be also be having age related dementia.It is best that you get him examined by a neurologist. He will probably need an mri scan of the brain to look for age related changes of cerebral atrophy.It is very unlikely that an antibiotic caused the memory lapse.Hope this helps....Regards,
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Is there any side effect for metformin?
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I am taking metformin for pcos. Since i been taking it pretty much every stool has this oval either off white or translucent shaped object that comes out. I have never seen this in my stool except when i take the metformin. What is this and should i be concerned?
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Hi, Commonly used in the treatment of type 2 diabetes and polycystic ovarian disease, metformin is well tolerated by most of the patients however its common side effects include abdominal cramps, diarrhea, deficiency of vitamin B12 and a serious condition called 'lactic acidosis'. Based on the history given the 'oval-shaped white or translucent shaped' objects in the stool appear to be the outer shell of the undigested tablet of metformin. The actual drug has been absorbed into your bloodstream and it is only the inactive ingredients that are expelled upon defecation. This is a harmless effect which can be minimized by swallowing whole table without crushing, dividing or chewing it. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician
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Could the production of urine in a dialysis patient is a good sign?
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my mother was in the coma 2 weeks ago and thank God came out of it. She was diagnozed with type 2 diabetes, said to have had hepatic encephalopathy and has been on dialysis since then. She is able to produce urine though, she recognizes family and friends, is aware of her surroundings but still extremely weak. She has been able to take a few steps and sit up for about 10 mins last week. Today her blood pressure is high and she needs dialysis as the doctors say its still not back to normal levels. Her speech is barely there but she can communicate by shaking her head and saying yes or no. I would just like to know if the fact that she can produce urine even though she still needs dialysis is a good sign that her kidneys would be fully functional again? also is she still supposed to be this weak given that she is able to eat her food? Since she has been out of the coma two weeks now, shouldn't she be about ready to be discharged? i am not trying to be impatient but out doctors aren't telling us anything and she is in Africa. How long should we expect her to be in the hospital (please an estimate) and when should we expect her to regain back her strength? thank you
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Hello and welcome to HCM. As an Urologist,i can understand your anxiety.You should write your mother's age.She's diabetic,has hepatic encephalopathy,Hypertension,with renal failure and just out of coma.That's not a good history to begin with.Dialysis is done in kidney failure ,when the creatinine or potassium rises,or body fluids increase.Urine draining out will be minimal,as kidneys are poorly functioning.She can take only salt and protein restricted foods.Liquids as urine output.It would take about a month for discharge,depending on progress.If you've any doubts,send the reports to me,as a direct question.Dr.Matthew J. Mangat.
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What is the effect of a O positive, diabetic person marrying AB positive partner?
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Hi.. My age 31... & my blood group is o possitive... I have a diabities around 190 points. My partner age is 25... & her blood group is AB possitive.... we are plan to marry in november 2014. Please advice reg. our blood group... & my diabetic problem.
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Hi, Welcome to Health Care Magic. I have read carefully and analysed your concern. I understand you are worried about that some problems might inherit to your chilren. Let me assure you there is no harm to your marriage, if you are a diabetic or what blood group you have. Regarding your childrens i must say, if you are a man with type 1 diabetes, the odds of your child developing diabetes are 1 in 17.If you are a woman with type 1 diabetes and your child was born before you were 25, your child's risk is 1 in 25; if your child was born after you turned 25, your child's risk is 1 in 100.If both you and your partner have type 1 diabetes, the risk is between 1 in 10 and 1 in 4.In general, if you have type 2 diabetes, the risk of your child getting diabetes is 1 in 7 if you were diagnosed before age 50 and 1 in 13 if you were diagnosed after age 50.Some scientists believe that a child's risk is greater when the parent with type 2 diabetes is the mother. If both you and your partner have type 2 diabetes, your child's risk is about 1 in 2. In my opinion, there is no harm in marrying her. I wish you best of luck.Hope I have answered your query. If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health.
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What causes enlarged spleen and parathyroid in a 9 year old?
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i have a 9 year old son, who has been overweight since two months of age. he had trouble eating as an infant, colic, jaundice and hypospadia. then he started overeating all the time and having projectile vomiting. he was obese by the time he was 1. we have never been able to get his weight under control, despite close watch on his diet and daily exercise. in the meantime, he still has retractable testicles, low hormone levels (esp testosterone). his doctor found a thyroid nodule on his last year which was 1mm. it is now 2mm with a possible abnormality in the parathyroid. he also has an ast of 71, alk phosphatase of 471, and alt of 207 and an enlarged spleen. no one here can figure out what is going on with him. he is being referred to a specialist out of state in a few days. any idea what i should expect or what other tests i may ask to have done on him? any insight at all? any guidance would be appreciated!
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Hi...By what you quote I feel that your kid is having all the features of Prader Willli Syndrome. If I were your pediatrician I would suggest working up in the lines of Prader Willil Syndrome. These are the tests i would suggest - Genetic testing for Prader-Willi syndrome (PWS) includes chromosomal or microarray analysis and assessment for methylation patterns in the Prader-Willi syndrome region. Fasting measurements of serum insulinlike growth factor-1 (IGF-1) and insulinlike growth factor binding protein-3 (IGFBP-3) levels are good screening measurements for underlying growth hormone deficiency. Measure glycosylated hemoglobin inpatients with Prader-Willi syndrome who are obese to assess for the development of type 2 diabetes mellitus as clinically warranted, especially if the patient is taking growth hormone supplementation.Evaluate patients with Prader-Willi syndrome for biochemical evidence of pickwickian syndrome (eg, hypercarbia, polycythemia) as clinically warranted.Regards - Dr. Sumanth
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Suggest remedy for swollen labia in diabetic people
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I have type 2 diabetes and my sugar level has been over 200 all week. Now my labia is swollen, itchy and sore and there are bumps. As well. I tried apple cider vinegar wash and just had a bath in colloidal oatmeal which calmed it down but its still itchy and sore. Any other home remedies or maybe an otc I can try?
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Hi,Firstly your diabetes is not under control which might precipitated any infection in the body.There is likely of having infection in lower genital tract causing all these problem.Keep your blood sugar under control after consulting your doctor.Go for proper treatment of lower genital tract.Keep local part clean, dry and airy.Apply triple acting cream locally.Ok and take care.
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Why there is pain in femoral nerve?
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pain right lower abdomin history of abdominal hernia s many surgeries in last 7-8 years.now femoral nerve is acting up pain front of thigh and down lateral side burning sensation when gone for walk 4-6 blocks,noticable bulge large right abdominal wall does NOT go into groin.
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Hello, You may be suffering from femoral neuropathy may be due to diabetes or obesity or tight innerwear or intraabdominal or pelvic tumor etc. Until examination is done it is difficult to say what it is. Avoid wearing of tight clothing. Weight reduction may helpful. Use tablet Pregalin M may be useful. If symptoms not improved please consult your neuro physician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
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Suggest treatment for current sensation in the chest
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i m having current in my right side of chest which goes up to my mid. fingure of right arm .there is no tikling no numbness and it happens occationaly but is bad please help? i m 28 years old..hight is 5'6 ft and weight is 59kg.i suffer from high prolactine levels but proper medication has been started..cabgoline.5mg
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current sensation usually occurs due to some nerves problem.do u have any neck pain , trauma to nec, diabetes etcwe need to run some test like x ray cervical spine ap and lateral view to look for cervical problems.I would have run some test if These are negative to detect the cause.I would have tried tab pregaba 75 mg at bedtime have to my patient in a clinic after ruling out risk factors and seeing sideeffects.
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What causes numbness and tingling in left hand after having mammogram?
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I have numbenes or tingling in my left hand. I notice4d it when i awoke at 7:45 a.m. this morning Saturday. I went to the bathroom about 6:15 a.m. and took meloxicam 7.5mg tablet that I was taking since March 15 one tablet in the morning. I had a mammogram on both breasts Thursday afternoon. Friday I did a core conditioning class and played pickleball. I also did a yoga move called the plow? I am 71 and weigh about 165 pounds and take vitamins only except for the meloxicam. I had an injection by right knee on April 9. I never experienced this before. Alsoon Tuesday I had a full body massage but a licensed massues. My Name is Joy Kirchens Thank you
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The tingling &numbness in hand is co-incidental & has nothing to do with mammography.It could be because of cervical spondylosis at your age.This treatment is being suggested on bases of the information provided.I would like to examine & investigate you in detail.Rule out Diabetes. Any way it may be tried,--. Dolokind Plus (Mankind) [Aceclofenac 100mg +Paracetamol 350mg] 1 tab. OD & SOS. X 5days.--. Caldikind plus (Mankind) 1 tab OD x 10days.(You may need help of your local doctor to get these medicines.)--. Fomentation with warm water. Avoid direct flow of AC or Cooler.--. Sleep on a hard bed with soft bedding.--. -- .Do mild exercises for neck & shoulders. --.(Take help of a physiotherapist or visit www.drncgupta.com). --. Use no pillow under the head.Do not ignore, let it not become beginning of a major problem.Do ask for a detailed treatment plan.If no relief in 2-3 days, contact me again. (phone.91 9810012688)Kindly make sure, there is no allergy to any of these medicines. (Contact family doctor, if needed).For emergency treatment visit nearest hospital.-Hope I have answered your question, If you have any further question, I will be happy to help.-Kindly rate the question.-Wish you good Health.
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Elevated liver enzymes. Taking omnitrition, zolpidem, losing weight. Advice?
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Just received my SGOT and SGPI results. They are 47 and 112. They have been normal all my life. The only thing that has changed is I started the Omnitrition diet 3 months ago and I have lost 60 pounds. There is 100mg of niacin in the product. I also take zolpidem, and birth control for menopause. Really worried about my liver!
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Hello, Welcome to Health Care Magic Forum..Do not worry about liver.. You have to modify lifestyle as liver is regenerating one before it get damaged sooner..Fatty liver is a reversible condition where large vacuoles of triglyceride fat accumulate in liver cells via the process of steatosis.As the name suggests,it means the build-up of excess fat in the liver cells.It is mainly caused as a result of obesity .Fatty liver may cause no damage, but sometimes the excess fat leads to inflammation of the liver. An inflamed liver may become scarred and hardened over time. This condition, called cirrhosis, is serious and often leads to liver failure. In addition to losing weight gradually and safely(losing no more than one or two pounds a week), lowering triglycerides through diet or medications,diabetes control and eating healthy diet will help.I feel that you should get screened for Viral Hep B and C and autoimmune heapatitis also as both cause increased SGPT levels. Continue taking Omnitrition and Niacin as it does not injure liver function.A consultation from a gastroenterologist or a hepatologist will be helpful.Hope I Provided Useful Information.Take Care.
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White liquid oozing out from gums, causing a lot of pain, started after taking thyroid medicine. Suggestion?
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My mom is having this oosing white liquid coming out of her gums behind her top front teeth . It is bitter and salty tasting and her whole mouth is in alot of pain. She just had her teeth cleaned so there are no infections in her teeth. This begain when she started taking a thyroid medicine she has stopped taking it and her gums are still oosing and in alot of pain. Do you know what this is?
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Hi, Thanks for asking the query, Pus discharge from the gums can be because of bacterial infections of the gums and surrounding tissues leading to abscess formation, this can also be because of tooth infection . Drainage of pus into the oral cavity leads to nausea, vomitting , halitosis and stomach infection. It is aggravated by poor oral hygiene plague and calculus deposition , systemic conditions like diabetes , hormonal disorders, use of certain medications. Visit to the Dentist and get a checkup done. Take an OPG x-ray. Get complete mouth scaling and polishing done . Use saline water gargles 3-4 times a day it will give a soothing effect . Apply metrogyl oral ointment topically over the affected area. Hope this helps out. Regards..
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Suggest treatment for hair follicle infections after c section
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hi my wife had gone through c-section delvery last month. Now she has suffered from hair follicle infection near the skin got operated. Though she continues treatment the healing ratio is very slow and she is having seer pain due to that....Pls advice to recover from that also how to avoid the same infection on other locations as well
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HI, thanks for using healthcare magicIt must be difficult for her to be in so much pain consistently.The doctor may need to rule out an abscess in the area, this is a small collection of pus. If this is present, it would need to be incised for healing to occur.If there is no abscess, then treatment would involve : (a) improving generalized health by rest, using multivitamin supplement and controlling any other illnesses such as diabetes(b)applying warm compress to the area, this would also help with pain(c)a swab may need to be taken to make sure the correct antibiotic is being used(d)cleaning with an antiseptic soap or cleanser . Anti septic soaps can also be applied to other areas of the body as well(e)applying topical antibiotic and using an oral antibiotic as well(f) anti inflammatory pain killers would help with the discomfort eg ibuprofen, cataflam, naproxenI hope this helps
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Does swelling in tongue after having vinegar and diabetes have any connection?
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I have been noticing that my tongue swells after I have used vinegar, not so much in a salad dressing, but pure malt or wine vinegar on fish and chips specifically. This has occurred over the past four months. I have just been diagnosed with diabetes, though suspent it has been coming on for a few years now. Is there a connection?
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There is no connection of it with DM, I think this is purely food allergy . kindly avoid the products having vinegar content . Hope this helps.
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Is it safe to take Montek LC with high BP and cholesterol?
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HiMy mother is allergic, got severe sneezing,cough and running nose and she is been taking from one week Montek LC. She is suffering from B.P. Cholesterol and her blood sugar is also at border level. is it safe for her to continue with the medicine and if yes for how long she has to continue with the medicines??
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Thanks for your question on Healthcare Magic. I can understand your concern. Yes, she can take montek LC tablet along with antihypertensive, cholesterol and diabetes drugs. Montek LC is having combination of montelukast (anti allergic) and levocetrizine(anti histamine). Both are safe with above me drugs. Usually these drugs are safe for long term use. Normal duration of montek LC is 6-8 months. In my opinion, along with this (montek LC), you should also get take intranasal spray containing steroids (fluticasone). You are mostly having allergic rhinitis and steroid spray is the best treatment for this. So discuss with your doctor about starting this spray. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Suggest medication after an operation in a child
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Hi, Doctor.My name is mayuri sunkasalkar.My son age is 8years .so last year is done craneferongyoma operation in sahyadri hospital in pune .The doctor name is Charudutt pate.so i giving some medicine name is 1.Hysone 5mg. 2.Livipil syrup.3.Thyroxin
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Hi...Following cranipharyngioma surgery, child develops hypopituitarism like hypothyroidism, diabetes insepidus and adrenal insufficiency. .. so child must be on nasal desmopressin spray to controle excessive urination, thyroxin, hydrocortisone.. Later child may require mri brain to look for recurrence.If u agree with my suggestion kindly rate me.Regards- Dr.Surendra
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Is glyburide causing rashes during pregnancy?
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i have gestational diabetes. I m taking glyburide and i noticed that ever since I ve been getting this rash that won t go away. At first they looked papule like. My dermatologist prescribed me some sarna cream and now i am getting a blotchy rash with irregular borders all over both of my arms spreading now to my upper thighs. Is this a pregnancy related rash that will go away after I deliver or is this due to the glyburide? i read that one of glyburides side effects is hive like rashes. Help....i ve never had a rash this itchy before and it is impossible to get a good night sleep. What do you recommend? I have one more week before I deliver. Thanks
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Hi dear, I have gone through your question and understand your concerns.Glyburide can cause itchy rashes.However, pregnancy induced papules and rashes should be ruled out by proper examination and investigations.I would suggest you to consult a dermatologist for proper examination and treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma
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