instruction
stringlengths 3
196
| input
stringlengths 2
1.76k
| output
stringlengths 24
1.71k
|
|---|---|---|
Suggest medication to stop itching on penis head
|
hi, I have itching uncircumcised Penis at the inner most head region. If i rub it pains thereby have burning sensation while urinating. Please suggest some medication. I am 27 years old unmarried and have no past history of any problem related to penis.
|
HelloThanks for query .Itching around glans penis is presenting symptom of Diabetes .Get your blood sugar level test on emty stomach and 2 hours after lunch to reule out the same .Consult qualified Urologist with reports for clinical examination i person .He would be the best judge to decide about further treatment.Maintaning proper personal hygiene by cleaning your genitals with warm water twice daily is equaly important to resolve the issue .Dr.Patil.
|
What can i do for the itching caused by food allergy while having a fatty liver and high cholesterol?
|
Hi. I am 32 years male and suffering from itching since few months. I also have fatty liver (mild) with high cholestrol.After checking blood reports and symptoms doctors said this is due to some food i have to find. But Still i was unable to find the root cause.
|
Hello,Welcome to HCM,As you are have itching following intake of some food, it should be identified.Mild fatty change in the liver is may due to alcohol,diabetes, hypertension, obesity, and dyslipidemia.As you are having high cholesterol it may be leading to fatty liver.Itching and rashes for few months may be due to allergy to food,dusts,chemicals and mite.Reason for the itching should be identified by undergoing Skin prick test for different allergen to which you are been exposed.Thank you.
|
Semen analysis shows azoospermia. RBC and pus cells found. What could be the reason?
|
I am a 36 years old male from India I went for SA( Semen analysis ) and as per the result the sperm count is 0 ie I have azoospermia . Detials of SA report are as follows 1) Volume - 2.5 ml 2) Colour - Whitish 3) Reaction - Alkaline (pH - 8.4) 4) Viscocity - Normal 5) Liquification Time - Normal 6) PUS Cell - 20-22/HPF 7) Epithelial Cells - 0-2/HPF 8) RBC 1-2 /HPF 9) Sperm Count - 0 I went for Scrotum USG (Doppler) and Hormone Test and results are as follow A Scrotum USG No Varicocele or Hydrocele . A small Cyst in Right Epydidymal Head. Spermatic cords are normal Testicular Size - Right - 3.29X1.53X2.32 cm Left - 2.9 X 1.55 X 2.47 cm B Results of Blood Test for Hormones are as 1) FSH - 8.29 mIu/mL 2) LH - 2.96 mIU/mL 3) Testoterone- 2.98ng/ml Based on these information could you please let me know 1) Whether my problem is due to testicular Failure 2) Whether my problem is related to some kind of infection. Additional Info - 1) I am not a drinker but a smoker 2) I never had Chicken pox or Malaria but sufferred from mumps when I was 9 years old 3) Sufferd from high fever and allergy. 4) I have type 2 Diabetes.However it is currently in control fasting sugar 87 and HBA1C - 6.2 Thanks in advance
|
Hello, I am not certain why you have posted your question in the Allergy forum but it is obvious that you have low testosterone levels that can be secondary to diabetes. Overweight, stress, lack of sleep, alcohol, Vit A/D def, uncontrolled diabetes are some causes of low testosterone (among many others). Did the previous mumps episode affect your genitalia? Please get in touch with an Endocrinologist for further management. Thanks.
|
How can a hard leg lump with itching and pain be treated?
|
my 17 year old daughter has a red bump on her leg. It is hard, itchy and painful to touch. she had a similar bump last spring. She was put on antibiotics and we used a salt and hot water poltus to draw out the infection. At the time we thought it may have been caused by a spider bite but she really didn t remember being bit. This time she also cannot remember anything biting her. What could it be? Thank you, Sheila
|
Hi,Dear,Thanks for your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts,You seem to suffer from-chronic boil with recurring activated infection-which is giving painful itchy lump on the leg,which is comparatively hard, due to its chronicity.USG / Blood tests to rule out Diabetes ,as a cause of recurrence is needed in your case.Treatment-Antibiotic+Combiflam+with Surgical Excision to reduce its recurrence would be the solution to your recurring problem.This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
|
Suggest treatment for septicemia due to shoe bite
|
Hello Doctor My Father is admitted to the Hospital. He was suffering from Loose Motions, later his BP went down to round abt 25 and was admitted,also he is having diabetes. It was observed that his left leg the Feet part was swollen upon investigation it was revealed that he had a Shoe Bite due to which he got infected with Septicemia, WBC count was also high around 31,000. Last week he had a surgery on his leg by which the toxins were removed. Now the Doctors say we might need to do a surgery again by tomorrow i.e. 06 July 2010as the toxins are getting created again. It's been a week since the admission date. Now his condition is, BP is normal, Loose Motions are settled down, Hemoglobin count is low, Platelets count is low, Neck (part below the Chin) is swollen.Please advice.
|
is he on any antibiotics he will need this second debridement followed by broad spectrum antibiotics
|
Suggest treatment for itchy mouth ulcers
|
I have had mouth ulcers for over 2 weeks which have almost cleared with using an anti inflammatory mouthwash and anti bacterial mouthwash. My lips would swell at night and I am still getting slight numbness on the outside of my lips. However now I have stopped using the mouthwash my lips have started itching and I can feel the inside getting lumpy. I have only ever had the occasional ulcer and have never had anything like this before. I am 54 have type 2 diabetes (hereditary, not due to obesity) and have hypertension (also hereditary).
|
Hello,Thanks for consulting HCMRead your query as you have ulcers dont be worried so much ulceration can be due to nutritional deficiency , vitamin B12 deficiency , hormonal influences , stress induced . For this I will suggest you to consult oral surgeon for examination and you can apply ointment like Mugel or Mucopain on ulcers . You can also take vitamin B supplements by consulting with your local doctor .Hope this will help you.
|
What organs are affected with nocardia infectious disease?
|
Yes, have been diagnosed with Nocardiosis (state laboratory New Mexico). Have probably had this infection for over 25 years.My pulmonary specialist had me on bactrim ds 6 pills daily for one year. Then one pill daily - the Nocardia returned.I need to be under and Infectious disease specialist control. But none of my doctors(pumonary or internal medicine) would recommend any of the two inf disease doctors nearby. It may be that I am simply too old now. I had been requesting a brocoscopy since 1995 - from various pulmonary doctors in Texas, California, and Arizona. They all denied my request - claiming what I had was COPD.Well my diabetes, and my COPD cleared after a weeks worth of Bactrim DS -two years ago.The disease is now diseminated - I'm concerned about what other organs are affected (brain, heart). This is the beginning of my third year on bactrim. I am now taking 3 pills of Bactrim DS daily. This is the minimum that keeps me stable.Can you refer me to a Infectious disease specialist????
|
Have you done HIV serology status? Please let me know first. If reactive then need different short of action like initiation of ART. If non reactive then you should get admitted for confirmation of diagnosis. If confirmed you have to go for IV antibiotics.
|
Looking for orange county nephrologist willing to allow patients with Hb 12-13
|
I am a currently licensed M.D. with ESRD on dialysis. My current nephrologist does not value a patient's desire for quality of life and insists on keeping patients anemic. I am looking for an orange county nephrologist who is willing to allow patients to have a hemoglobin 12-13. I am willing to accept cardiovascular risks (if any). My B.P. is under control and do not have malignancy or diabetes. My internist has put me through a full speed treadmill test and echocardio. and all tested without ischemia. I play tennis, walk 2 miles daily, plus a variety of other exercises.
|
Hi, you are with ESRD,and on dialysis, and had threadmeal test, with out ischemia, you play tennis, walk 2 miles daily and do many exercises. So it appears that you are not at all anemic, other wise you can't do the above things . So dont worry about the hemoglobin, feel free to live comfertably.Don't invite any probles into your life. Thank you.
|
What kind of diet should be followed by a person having high SGOT and creatine?
|
my husband recently undergone blood chem. found out that sgot was higher than normal. same with creatinine.. He seldom drink alcoholic beverages liek beer. he never smoke.. he frequently exercise.what would be the best food to take and thing to do to lower those things other than taking meds..
|
Dear Friend ,Raised Serum Creatinine and SGOT , requires attention.They don't increase without a reason. I suggest you for his comlete liver function tests , kidney function tests , urine routine and ultrasound abdomen , that will give a clue to what's wrong with him.I need to know if he has any medical history , any diabetes , hypertension , hyperuricemia.Now , about your question , answer would depend on the cause , if his kidney functions are declining and he is passing protein in his urine , he will require a low protein diet.At present , don't ignore , get the tests done and get them from a reliable lab.Stay Healthy
|
Drug test shows positive for cocaine. Have diabetes, copd, reoccuring MRSA, irregular kidney function. Any possible metabolic disoreder causing positive for cocaine?
|
My husband has diabetes, had quadruple bypass, copd, reoccuring MRSA, irregular kidney function and was recently drug tested. The test show positive for cocaine but he doen't use cocaine. It is my understanding the is no possible way for cocaine to have a false positive. I was wondering if he has a metabolic disorder causing this result. His latest A1C was over 11.
|
hi,as for as i know, there is no metabolism in the body producing cocaine. there is chance that he may be using, try to ask him in cool way, without loosing cool. he has to control diet, regular in medications, and regualr physical activity, if possible any alternative system along with that and insulin may be as his Hb A1C is very high.wish him good health
|
Suggest treatment for thigh pain and tiredness while having RA and diabetes
|
My husband has been suffering with thigh pain for about four or five days. It started as an ache, feeling like a pulled muscle and developed into sharp pains in his upper leg. For. The past thirty six hours it is a dull, persistent and painful ache. He finds it difficult to weight bear . He is also feeling very tired and is generating a lot of heat from his body as if he has a fever but doesn t himself feel feverish. He suffers with RA and takes large doses of methotrexate. He also has mild diabetes which is stabilised with medication. We are presently on hols in Australia and he flew here from the UK two weeks ago. He is aged 64 and weighs approx 17 stone. He is circa 5 9 tall. Any ideas or what should we do?
|
Thank you for your query.Basically Methotrexate interferes with the growth of cells of the body namely skin cells, cancer cells etc and also used in treatment of rheumatoid arthritis, as in case of you.Methotrexate do causes joint pain as a side effects. Kindly mention the dose which your husband is taking for his ailment, as it should exceed 20mg a week. He can take either 7.5mg once weekly or 2.5mg in three divided dosage 12 hourly in a week. Also get the kidney function test, liver function test, lipid profile, CBC.I advise you to start taking vitamin BComplex along with pregabalin, also start vitamin c. Since he is a diabetic so he can take short frequent meals (low carbohydrate), ask him to take milk products (skimmed).KINDLY GET IN TOUCH IF REQUIRED.GOD BLESS
|
Experiencing sensation in legs due to nerve endings
|
my 87 year old mother has a sensation in her legs which she describes like standing in nettles I have brought her to her Doctor who referred her to a specialist they have tried different medication but no relief they say its a nerve ending. any answers would be greatly appreciated. Thanks a lot
|
Hi. Thanks for coming to HealthCareMagic.ComI'm sorry to hear about your mothers difficulties. There could be a few causes to this kind of pain.At this age anyone (but most commonly diabetics) can start developing a disease called Peripheral Neuropathy. This is a problem where the nerves in the leg are damaged. The damage can be caused by diabetes, but sometimes it is idiopathic (which simply means, "we don't know").Spinal cord issues including a pinched nerve in the lower back can also cause this kind of pain. Does your mother complain of back pain by any chance?The best thing for her to do would be to head to the doctor and have her pain looked at directly. At the office they can examine her legs and general health and maybe even get some testing done. tests like ElectroMyoGraphy (EMG) can be used to test the fucntion of the nerves in the leg. I am not saying that she needs this NOW. But after being examined the doctor may wish to get this done.So all in all. If you would like a more detailed personalized discussion of your mothers issues, you can use our ask a Doctor or Ask a Specialist service. Or you can take her to the local doctor and have her examined directly. I hope this helps. Thanks for coming to HealthCareMagic.com
|
Suggest treatment for coughing spells
|
During colds, I get coughing spells that are nonstop, to a point of breathlessness. At the point I don t feel I can catch the next breath an eletric shock starts in the center of my chest and runs thru my vessels into the shoulders and down both arms. Both arms drop with great weakness, almost paralized. The last time, I dropped to a cold tile floor (naked) and lay there until the stining pain eased off and my strength returned. Lasting aout 10 minutes, The attacks worsen with age. Now 50 DAV,SC with hoshimoto s. Sjogren s syndrome, Fibromyalgia, GERD,Tpye 2 diabetes, chroinc severe dression and mood swings. Living with most of these 25 years now and my only child (daughter) has most of the same since 9, now 28. Both of us nonsmokers. No drugs, rare alcohol intake. I think the shocks is related to the dry lungs caused by Sjogren s and increade fluids.
|
Yes your lung condition may be because of sjogren`s and aggravated by GERD. Discuss with your doctor about the inhalers and antiallergics in your case. Also steroids may help both in sjogrens and lung problems if you are not already taking them.
|
How to lose weight before having a knee replacement?
|
I have type 2 diabetes and about 3 to 5 years I m going to need both knees replace, but first I need to lose weight. What is the best flaxseed I need to use to help me lose weight. Right no I am walking to help with weight lose, but sometimes these old knees hurry so bad I have to stop. Please help
|
Hello , Thank you for using healthcare magic . I read your question and understood your concern .I think you can loose weight with diet and instead of walking I suggest you to do stationary bike and swimming or other sport in sitting position and not stranding position like you are doing in walking. So, by avoiding weightbearing , your knees will heart less while you train.See a dietician to change you diet.Dr. Selmani
|
What is the medication for hypertension?
|
my father is 80 plus and is known hypertensive and Niddm type II for the last one decade and has been using amlodepine for bp but since two weeks bp is 170/90 and losar h was prescribed bid. will there be any potassium loss ? He is not known heart patient. please suggest suitable drug for bp.
|
Losar H is a good addition to amlodipine, it will protect the kidney in diabetes apart from controlling the BP. Now losar H, has two components losartan which increases potassium and hydrochlorthiazide which decrease potassium, henceforth achieving potassium balance. Lastly I would like to add my clinical experience that many a times in 80 plus pt there are electrolyte imbalance with the hydrochlorthiazide. So do monitor potassium and sodium both atleast after 3 weeks of starting the drug
|
Have diabetes. Should I extract all teeth together? Scared about healing and anesthesia due to diabetes
|
I m 67 years old male. I have diabetes and am taking 2 500 mg pills of metroformin a day for about 2 months. My dentist suggested me to extract all my teeth - 18 (eighteen) of them including 4 wisdom teeth - in a single operation and next put denture , next after healing put 8 implants (2 up, 6 lower), next make a permanent bridge on lower jaw supported by 6 implant and removable denture in upper jaw supported by 2 implants. Of course I am scared, and don t know how my diabetes can affect healing and how anestesia medication will affect the diabetes. Should I extract all teeth on one time? I will definitely appreciate very much any opinion and suggestions. Thank you so much for your time and consideration. Regards, Edward
|
hello, sir if your dentist is advising you to extact all your i would suggest you to take second opinion also .if all ur teeth are really in bad condition and need to be extracted then i would suggest extract of your upper and lower teeth of one side at a time.first as a doctor i would suggest you to preserve your real teeth and extract them only in a condition they cann ot be treated at all. regards dr.sapna dr.sapnai
|
Does Interferon help to treat thrombocytopenia?
|
My name is sharon, I have had essential thrombocytopenia since I was 30 years of age,I started talking anagrelide for a couple of years but they didn t really do much so then I started taking hydroxyurea but after reading studies it said long term affect they basically wood stop working,I have a 24 year old son and my girl is 7 I lost a few baby s before having Alex I am using interferon now,do you think this is the safest option. S.colcutt aged 44
|
Dear , This is Dr. S. Tomar from healthcaremagic.com's medical team and I ll be your medical adviser for this question. First of all thank you for sharing your concern with us and showing trust on us.Interferon are not used in treatment of thrombocytopenia but they are used in essential thrombocythemia . So I am quite sure after analyzing your question that you are having essential thrombocythemia not thrombocytopenia. Treatment of essential thrombocythemia differs from person to person depending on individual risks of blood clotting and previous medical history.If a person is younger than 60 years and has no symptoms and has no previous blood clots , TIA , high cholesterol , diabetes and hypertension then periodic medical check ups are needed only . But if a person is older than 60 , had blood clot in past , TIA , HYPERCHOLESTEROLEMIA ,Hpertension , diabetes then medications should be started. A low dose aspirin with hydroxyurea or anagrelide or interferon alpha or PIF Alpha 2 a are best options . All medicines have some side effects but your healthcare providers prescribe any medicine because the benefits are higher than any possible side effects. As far as interferon rtherapy is concerned so I would like to inform you that it is one of the best medicines and you should continue as your healthcare providers have prescribed. This is my initial response and discussion is open until you have any query or need further clarification.I wish you good health .sincerely,Dr. Shardendu Tomar
|
What causes large bumps on the scalp?
|
I am a 45yr old african american. I have shaved my head for several years. Within the last year I have developed large bumps filled with blood and puss. I've been to the doctor and the medicine they given me makes the blisters,. bumps larger. What can I do and what could they be? there are about 5 of them should I be concerned?
|
Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you are suffering from -multiple furuncles on the Scalp with boil-hairfollicles.-Cause is due to the -unhygienic shaving blades.Recurrence after the medicines is due to the incomplete treatment with improper drugs given.-Your bump progressed from a early hard lump /boil which lead to abscess.-You need to consult your family doctor-and get fbs/pps done to rule out the diabetes issue with you-which could be causing recurrence.-You should definitely be concerned of this issue.Hence I advise you to take care as advised.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
|
How to treat lower back pain with nausea?
|
For the past few days i've been going to the bathroom, CONSTANTLY and it hurtsreally bad to pee and I feel like I ALWAYS have to pee!!! Just today my lower back has been hurting and i'm having nausea, i'm also having hot flashes!! Ican't get into my doc for a week and now that it's the weekend I dunno what to do!!! What do you suggest???
|
Dear patient Are you having burning sensation? Frequency of micturition mostly Is due to urinary tract infection and uncontrolled diabetes Mellitus. So if you are not diabetic only thing remains is UTI. You need to be investigated with urine routine and microscopy examination for pus cells. It helps in confirming diagnosis. If it's positive start tab levoflox 500mg once a day with tab metronidazole 400mg thrice a day for 7 days. Also take syrup alkali 5ml thrice a day. If you are diabetic need to consult expert diabetiologist and ask for medication for strict diabetic control.
|
How long is it possible to live with one kidney?
|
my aunt was diebetic for years, it was serious that she was taken to the hospital. The doctor found out that one of her kindneys was bad. Operation was done to remove it, and presently she is living with one kidney since 2006. She is 56years now and wieghs 62kg. Doctor, how long can she live with the remaining kidney?
|
Eg:any person can live with one kidney all life but she is diabetic and diabetes afect kidny so she must controlDMand measur urea and creatin every 6month
|
Suggest treatment for joint stiffness in shoulder and elbows
|
Im 57 yrs old and suffering from joints stiffness in my shoulders and elbows. Have lab tests which resulted in negative for RA but a small osteo in my 5 and 6 cervical spine which my doc told me is not the cause for the stiffness. Right now i have difficulty in my range of motion and strength in my elbows. What could this be and what is best treatment or supplement for me? Thanks. Lolan Novero, Philippines. YYYY@YYYY
|
hi,Thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.By your symptoms and other complaints, i will recommend you to undergo physical therapy. The joint stiffness in the shoulder and muscles can be due to various musculoskeletal factors, systemic illness like diabetes, etc.Undergoing physical therapy like - hold relax, contract relax techniques should help you. Also for getting the ROM of the shoulder and elbow you need an assessment and post which the physical therapy. Most cases respond well to physical therapy.Also, for you cervical spine issues, taking physical therapy will of choice, as due to any nerve pinching symptoms things can trouble later stages, like pain, numbness, weakness etc.Most patients respond well to physical therapy in my clinical practiceRegardsJay Indravadan Patel
|
Is HbA1c level of 6.9% a cause for concern?
|
Hello, I took my first A1C test. The results is 6.9% My doctor want's me to retake the test next week. I have a family history of diabetes. I'm 48 years old, don't smoke, 6ft tall and weigh 240 lbs. I exercise at least 5 days a week mainly cardio - some strength. And, I make good efforts at eating healthier meals. My total cholesterol is always in a good range (140 MG/DL taken 3-23-17). My HDL is 34 MG/DL. Should I be concerned so fast about this first A1C test?
|
Hello, Thanks for the query.HbA1c% is considered normal when it is less than 5.9%, between 5.9 to 6.4 % is considered as pre-diabetic. >6.5 % is confirmed diabetes. So your HbA1c% of 6.9 is showing that there is presence of diabetes. Therefore it needs treatment.Further looking at your weight and height it is clear that with a BMI of 32.59 kgs/M2, you have grade 1 obesity. Your ideal body weight should be 182 lbs. That means you are over weight by about 58 lbs. This itself can be a major contributor for inducing diabetes. HbA1c% hardly changes in just few days. If you start treatment for diabetes then it takes about 3 months for HbA1c% to show the change. My suggestion is, better to start treatment for diabetes in consultation with your physician or a diabetologist. Plus follow all the dietary advise and consider weight reduction seriously. Thanks.
|
Spinal stenosis, scoliosis and chronic venous insufficiency. Tingling fingers, swelling, itching. Need to see endocrinologist?
|
Email address: YYYY@YYYY Hi!For the past 3 years or more, I have shared my concern numerous times with my primary doctor. I am 66 years old but look 40-45. Recent Lab work: Weight 152, Glucose level is 89, LDL 153, Total Cholesterol 235. Treating cholesterol with a modified diet, Red Yeast Rice and exercise. Diagnosed with mild spinal stenosis and scoliosis and chronic venous insufficiency. Do I need to see an endocrinologist? My feet, arms and fingers are tingling. My fingers are swelling and I am itching. Last night I was very restless due to the acute tingling of my extremities. Please advise.Thanks you,Joan
|
HI, thanks for using healthcare magicEndocrinologist specialise in treating persons with metabolic or hormonal problems such as thyroid diseases, diabetes, addisons , to name a few.The speciality does not include spinal diseases and venous insufficiency.The tingling sensation that you are experiencing in the limbs would be best treated by a neurologist if they have not been addressed by your primary care doctor.I hope this helps
|
What is the treatment for hypertension and cholesterol?
|
I am 73 yrs old, male, 170 cm tall and 74kg. I was diagnosed of hypertension around 140/90mmHg and slightly elevated cholesterol nearly a decade ago, and have been taking treatment throughout since then. About an year ago the doctor was changed and the medication changed to 50mg Covance & 40mg Proponalol (taken morn and a'noon) and at night Amlong 5mg, Astrix 75mg & Atolip 10mg. My cholesterol is OK now but FBS averages 118 mg/dL. Since 2 months I have been having slight swelling of feet with numbness and about a week ago an urtecarial reaction on my arms and legs (between waist and knee)have developed. My exercise regime is minimal and spend much time at the computer. I need to get rid of the u'carial reaction, the swelling and numbness of the feet. Thank you.
|
HIWell come to HCMI really appreciate your concern, auto immune disorder needs to be ruled out first, else the given symptoms may not be due to medicines or hypertension, if it is not the diabetic then better to rule out this because diabetes may be the cause of allergic symptoms, condition can be managed with Tab Livocetirizine 10 mg three times in day and hope this information helps.
|
What is the recovery time for 6th nerve palsy?
|
Hi Doctor, i am 31 years ols and having diabetes diagonised 2 years back. I am on insulin and my diabetes are on right track. One day it got very los below 44 and from next day onwards i felt double vision. I went to opthamalogist and Neurologist. That tols me its 6th nerve palasy. Can you please tell me how much time it will take to recover. Is Prism lens is recomendable.
|
I read your question carefully and I understand your concern.Recovery can take several months, most improvement happens in the first 3-6 months, but in some rare cases may continue beyond that. As for using a lens that depends on how bothering the double vision is for you. It won't affect recovery serves only to alleviate your discomfort.I hope to have been of help.
|
Is moderate carb diet advisable for high A1C test result?
|
our pediatrician for our 15 yr. old has tested blood work for my son three times and the A1c is ranging high according to the index .....last test it was 5.9, before that 6.2, we have him on a moderate carb diet. This driving all of us nuts.....doesn t his age and hrmone production have anything to do with this? Is our doctor overreacting? Help.
|
Hello,The American Diabetes Association has now recommended that children under the age of 19 diagnosed with type 1 diabetes level of A1C should be maintained lower than 7.5%. Higher levels of A1C are associated with more complications. Your pediatrician is correct in striving to maintain low level of A1C and should continue medications and diet as advised by him.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad
|
What is the suggestion for blood in the urine due to kidney stones?
|
i am a 65yr old woman i have 1 kidney, loss due to stones, i now have stones and infection in other kidney have been having blood in urine for several days now, going to another new specialist next week can this wait or what can it be ,have diabetes,fibromylagia, psoriatic arthritis,sleep apnea weigh 230 and5'5"
|
HelloThanks for query .You have lost one kidney due to stone disease and now has stone in existing kidney with infection .In view of you having only one kidney it is vital important to get investigated and take necessary treatment to remove the stones by appropriate modality at earliest .Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Renal function tests 4) Intravenous Pyelography (If Creatinine levels are normal )Further treatment will depend upon result of these tests as regards sizeand site of the stones and final diagnosis.Dr.Patil.
|
Does missing one dose of meds really have an impact?
|
I have Afib. I take digoxin and diliiaz 180. I had a bout of kidney stones which raised my creatinin level to 6.5. They cut my digoxin dose to 125 from 250. I also have type 2 diabetes so they cut out my metformin and cut my glipizide form 10 to 5. My numbers are 130-200. I also take warfarin because of the afib. I skipped last nights dose and will miss tonights dose because of dental work tomorrow. My last level check was high (3.6). I just suffered a dizzy spell. I feel a little better now. Should I be concerned?
|
Hi, No, there is no need to concern. As long as you return back to take your medication again, as soon as you finish your dental work. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
|
Is it advisable to wait for the treatment of intestinal hernia till dental surgery?
|
I was told by my PCP that the large lump on the upper right side of my stomache is an intestinal Herna, The Dr. told me to wait until Iam done w my major Dental surgery. then we will look at it closely. WELL IV BEEN LEAKING A POOP FLUID AND POOPING IN MY PANTS (WEARING A DIAPER) 24/7 IS THIS A SYMTOM THAT I SHOULD EXPECT? WHAT SHOULD I DO? IAM ALSO A DIABETIC INSULIN DEPENDANT. SUFFER FROM PANCREAS DOES NOT PRODUCE ANY INSULIN
|
Hi ! Good morning. I am Dr Shareef answering your query.Out of your symptoms, the leaking of poop fluid might not be related to your intestinal hernia. This could be due to an uncontrolled diabetes and so I would advise you to get your blood sugar tested before undergoing any kind of dental or any invasive treatment. The answer to which surgery to be done first depends on a clinical assessment of your treating doctor for the urgency of the condition and has to be judged by him carefully. Once the sugar is well controlled and you are made fit by the physician, any of the surgery could be undertaken depending on the priority.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
|
What causes heating up of body, sweating and shaking of hands?
|
I just had a weird hot flash...I was sitting down and all of a sudden my whole body felt hot, then I began to sweat and my hands were shaking. I also felt weak like I needed to eat. I ate a chocolate cupcake and some gatorade and feel better, but now I m cold. I ve never had issues with diabetes and I m almost 40... what could be the cause if this episode?
|
tanx for asking me the qn...i read your query...i donoo your age..if you are female more dan 50 yrs ,you may get these symptoms..dats coz of menopause...or another posibility is thyroid..you shld check TSH. ...hypothyroidism is d disease which causes same symtopms..do check TSH. first..lemme knw the results..tank you ! i hope i answered your qn.
|
How dangerous is it to have increased level of cholesterol while suffering from hypertension?
|
Dr,Morning my name is shashi iam a male 46yrs,i have diagosi for diabetics&hypertension,i have check with angiograpy is clear,&now diabetics is normal.but yesterday i have check my choloestrol is shows210mg/dl.(serum Triglyceride)42.0 mg/dl.(serum vldl choloestrol sir pls what is risk&how control with excise&diet.
|
Sir, diabetes hypertension, heart problem, deranged lipid profile, obesity are all part of a disease complete what we call, 'metabolic syndrome' , all these problems are interrelated, and a person having one is at a higher risk of another. Happy to know your angiography is clear it means that there is no permanent damage, and life style modifications now will give rewarding results. Some modifications I suggest Loose weight if you are obese, obesity is the primary reason of all your problem s Cut down on fried/ fabrics /oily /preserved foodsBreakfast is like a king, lunch like a prince and dinner like pauper, that is have a good breakfast and light dinner At least 2servings for fruits a dayIf you are a nonvegetarian, St least 2 servings of fish per weekDiet rich in omega 3/6 fatty acidsDrugs like statin, atorvastatin /rosuvastatin may be added as it has benefitial role in diabetes and with your lipid professional, just borderline high. (2015 American guidelines recommends it) 45 mins of aerobic exercise a dayRegards
|
What is the difference between diabetic neuropathy and fibromyalgia?
|
Excruciating pain in lower extremities, chest and back this is pain in skin feels like I am on fire sharp stabbing pain and feels like shocking pain My PCP started me on Neurontin has helped a little. I am a diabetic. what is the difference between Diabetic Neuropathy and Fibromyalgia?
|
Hi,Thanks for writing in.As per medical literature, Diabetic neuropathy is a type of nerve damage that occurs in patients with diabetes. Though it can occur anywhere in the body, but diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your limbs to problems with your digestive system, urinary tract, blood vessels and heart. For some people, these symptoms are mild and not much of a concern while for others, diabetic neuropathy can be painful, disabling and even fatal.Fibromyalgia is a disorder characterized by widespread musculoskeletal pain accompanied by fatigue, sleep, memory and mood issues. It might be that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals and there are no specific features like those seen in diabetic neuropathy.
|
Is heating pads the only solution for freezing due to non working of thermastat in body?
|
In start of Jan. I started freezing. I was checked for everything-all lab reports normal. Finally went to neurologist and she said for some reason my thermastat on my body is not working. she says no known solution- just heating pads. Can t find anything about it. Have diabetes and parkinsons. Am 81 and freezing.
|
Hello!Thank you for asking on HCM!Regarding your concern, I would explain that parkinson disease can cause autonomic dysfunction including these changes in body temperature. Unfortunately there is no treatment or cure for this disorder. These symptoms are caused by a progressive degeneration of the brain cells in this region. I agree with your doctor that heating pads would help relive your symptoms. Avoid staying in fresh or cool places would help too.Hope you will find this answer helpful!Best wishes, Dr. Aida
|
Will Cocor 2.5mg be safe to control high BP of around 90/133?
|
hi i am diabetic, last week i was stressed my BP rose upto 100/140 then it was fince the next 2 days with BP reading as 80/120 . again i went thru stress and my bp got slightly elevated to 90/133. so the doctor advise me to take concor cor 2.5 mg. for 10 days. is it ok to take it?
|
hello,I have gone through your query.your fluctuating BP is related to stress,actually you may not have frank hypertension.since you are diabetic you need tight control of pressure ,keep it below 140/90.preferably below 130/80.concor is beta blocker and anxiolytic too.low dose 2.5 mg will help you.but you should measure BP regularly and keep in contact with your doctor for its continuity.please maintain good control of diabetes too.yoga and meditation will help to control anxiety.My best wishesDr.Rajesh Teli,MD
|
What causes degenerative joint pain with vertigo?
|
I ve had dizziness/vertigo for some time now...also degenerative joint disease primary in knees....over the past year i ve been loosing my balance and the power in my legs to keep me upright..in the past week has become a daily thing...any idea how i explain this to my doc?
|
Hi, Degenerative joint disease is due to wear and tear of joints as the age increases, vertigo has no relation with your knee pain, there are many causes of vertigo like high blood pressure, diabetes, ear problem, compression of nerves in the neck. The joint which suffers a lot of wear and tear due to aging needs to be replaced for complete pain relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
|
What is the normal level of albumin in blood?
|
Hi, may I answer your health queries right now ? Please type your query here...Hi i want to ask about albumine in urine i have a little amount of albumine in my urine i want to know how much the amount of albumine is normal in urine if it is in traces then.
|
Hello and welcome to HCM,Albumin should not be present in urine.The total amount of protein in urine should be less tha 150 mg/24 hours.Presence of albumin between 30-300 mg.dL is called microalbuminuria.Levels above 300 mg/dL suggests increased permeability of glomerular membrane.Albumin excretion in urine is seen in diabetes mellitus and its presence is suggestive of diabetic nephropathy.Thus, get your blood glucose levels checked and consult your nephrologist.Thanks and take careDr Shailja P Wahal
|
What is meant by enlarged liver and renal parenchymal changes?
|
my mother has been diagnosed with Acute renal failure, infection, severe gastritis. She is a diabetic since 19 years and was on insulin since 5 yrs. Creatiine is 2.0mg/dl. Since 2 weeks value was in the range of 2.2 to 1.4 mg/dl. Ultrasound showed enlarged liver and renal parenchymal changes. How severe is the renal failure
|
Hello,Due to prolonged diabetes renal changes are usual but creatinine seems fine. Although, not absolutely normal and take care of diabetes.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh
|
Why do I have nausea, lower back pain, abdominal pain and weakness?
|
I have pain in the left side of my stomach that goes to my lower back,it also radiates to my lower abdomen and my left leg sometimes. I also feel nausea,sudden weakness, i'm hardly eating what use to and i'm using the bathroom more than twice for num 2.I also feel an urge to do num 1, even if i just finished
|
Hi.Thanks for your query.From the careful evaluation of your history; I can think of an inflammatory process going on in the left lower abdomen.The causes can be an inflamed mass, lymph nodes or a mass or abscess of the deep muscles like psoas or so.The best way to get a diagnosis is :-Blood tests to determine the hemoglobin, WBC count for infection, blood sugar to rule out diabetes.-Urine test: routine, microscopy, culture and sensitivity to determine whether there is an associated urinary tract infection as a basic cause or secondary to the problems I have enumerated.-Ultrasonography of the abdomen to screen for the cause and -CT scan to confirm the diagnosis.The treatment will start as antibiotics and anti-inflammatory medicines.Surgery will be needed if there as an indication for diagnosis and/ or therapeutic importance.
|
Suggest natural remedies for fungal infection in ear
|
Hi. I have chronic ear fungus for almost 3 months now. the fungus is black. I have been to an ENT a day ago but today the pain is extreme. I have drops and he suctioned my ear. is there a process that I can use at home to flush my ear?? I know I can t use water. tDo u know of any natural remedies we can try? thnx JP
|
**1. As you have been seen/examined by ENT specialist who has confirmed fungal infection [otomycosis] thus following points are worth noting:. clean the area with ear buds or cotton stick and put ear drops [with you] till lesions are cleared.. since pain is extreme today, make sure there isn't any furuncle or boil in external ear.. if external ear looks normal, ear pain could be due to otitis media [you might have to take higher antibiotic and OTC [over the counter] pain relieving medicine like ibuprofen]. If in a painful ear, external ear is normal, put drops in nose PS. Consider re evaluation and examination2. It is important to consult a doctor, but for immediate relief you can try some natural treatments:. Warm Water Bottle: apply some heat to the infected ear, which will quickly relieve some of the pain and will also prevent micro-organism infestation.. to get rid of the fungus that might be the cause of ear infection, apple cider vinegar is a good optionPS. aged people who are suffering with diabetes mellitus, have higher chances of spreading the infection through the external ear going into the inner ear to the extent of the base of the skull, thus expert intervention is required
|
What causes mild dizziness, low BP and burning sensation in the face?
|
I am 59 years old female and my blood pressure usually runs 115/68. Lately Ive had some spells feeling dizzy, light headed, feel like i'm gonna faint. 3 days ago i felt the same bad ways and also felt like i was burning on the inside and my face was red and felt really hot. Took my pressure and it was 105/50. Finally got it to go up to 109/57 after about 3 or 4 hours. Today my face was hot again and I feel slightly dizzy and took my pressure and it was 109/59 and in less than 10 minutes it was down to 100/54. is this bad?
|
Thank you for contacting HCM. your blood pressures are low normal and those should not cause dizziness. facial flushing with dizziness and low normal BP makes me suspicious for some hormonal imbalances.I need some more information. do you get any palpitations? do you feel dizzy when you stand up from sitting position ? some times autonomic dysreflexia can cause. have you diagnosed with diabetes. please answer these.
|
What causes stage three kidney problem?
|
My insurance changed providers. my current doctor have never discussed kidney problem s with me. So,recently i was in an auto accident,hit black ice and the car ended up in snow embankment. I was hospitalized and hospital records from previous doctor stated that I have stage 111 kidney problem. That supposingly was diagnose in 2010. It is now 2014. I m applauded that I was not contacted during insurance transitions with my employer. I called the previous doctor and she set an appointment for MONDAY. I m so scared. What should I have look for(symtoms). hindsite.
|
Hi,After going through your history, I can understand your concerns. Stage III chronic (lasting more than 3 months) kidney disease usually does not cause any symptom. Some diseases of kidney may produce flank pain, passage of blood in urine, swollen legs and hypertension early in the course of disease. When the kidneys lose some more function (stage 4 or 5), the following symptoms can occur: puffiness of face, swelling of legs, tiredness, dry skin, breathlessness, fullness in abdomen, easy bruisibility and loss of appetite. Please do not worry too much about this problem, since many patients do not progress to stage 4 or 5 if properly managed. However, regular monitoring of kidney function and following advice of your physician is important to prevent further worsening of kidney function. Do you have hypertension, diabetes or a history of long term intake of pain medications? The most important thing is to find out what caused your kidney problem and to treat the cause. Other things to take care are your bone health (calcium supplements), blood hemoglobin (iron supplements) and hydration (regular fluid intake after finding the daily fluid intake volume from your physician).I am ready to provide any further clarification you may need. Wish you good health, Dr.Raguram.
|
Should I be worried about small lumps below my rib cage?
|
hi.. im 31 female married with 3 kids,one toddler . one infant and a 3month old baby. all nsvd. lately i palpated below my right rib cage somewhat small nodules or a small lumps. if i press it , its painful. i dont have hypertension or diabetes or any other illnesses... im just afraid what is this. i dont feel pain but only if i press it. this appeared just recently about a week pls reply antthing serious about this?
|
Hi,Dear,Thanks for the query to HCM .I studied your query in depth.I feel concerned about it.In my opinion you are suffering from-Acne lump ? which is most common at this age ? or may be?dermoid if its in the center of your forehead / Acne is most probable as its painful.I would treat it with-Tb NSAIDs/ Antibiotics-to be taken under cover of your ER doctor.Hope this would solve your query.Please contact again and I would love to attend your queries promptly.Have a good time.
|
What causes an infected ulcer on foot after an injury?
|
I'm currently a 3rd year medical student and this case was presented to me today. I'll like your opinion; 45 years old male patience who on his job got injured on his ankle with a rusty steel. The next day he started with flu-like symptoms, fever. A few days later his ankle inflamed, and he notice an ulcer on his foot which was infected. He went to doctor and got antibiotics. The fever went away but the ulcer is curing slowly. I personally think that is he has Diabetes which started to manifest because of the infection, but I'm only a third year student with a long way to go so now....What do you think?
|
Hi,Going by the history and presentation alone, it could be a case of osteomyelitis in my opinion, however there are other conditions and risk factors too. Like his immunization status for tetanus is important but tetany is uncommon nowadays. So rusty nail puncture wounds can cause pseudomonas osteomyelitis. Diabetes, Low blood supply, neuropathy etc are the risk factors.Diabetic ulcer do not present with fever, so it points towards diagnosis of osteomyelitis, he should be treated with antibiotics and pus should be sent for culture & sensitivity, and treated accordingly.Thanks
|
What are the effects of uncoiled cord during pregnancy?
|
I am 22 weeks 37 years old and have gestational Diab...now I have an uncoiled cord. How worried should I be? The Dr is checking it every few weeks for now and then more closely later. Does an uncoiled always effect the baby? Dr. also said it would be later in pregnancy if it was a problem, how much later?
|
Hallow Dear,Gestational Diabetes and Coiled cord are not interrelated, except the water may be more due to diabetes hence more space for the baby to move around. The coiled cord may get in shape in due course during labour. If it remains around the neck of the baby and strangulates the baby, then caesarean delivery will be the outcome. Hope this helps you.Dr. Nishikant Shrotri
|
Is it possible to conceive while having diabetes?
|
I am 32 years old. I have a female baby of 4 years old. I have been suffering from diabetes for two years. My weight is 69kg.. I am taking Glimetes forte (200mg) tablets twice a day. Now, we want to have a second baby. Is it possible for me to conceive again?
|
Hi, it is possible for you to get pregnant with diabetes. Just get your sugar under control. You may have to switch over to insulin during pregnancy , if sugar levels are not controlled by oral medicines. Also, you may need to induce labour by 38 weeks. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo
|
What is the reason for sudden increase in creatine in the kidney?
|
my mom was having some kidney problem started in the year of 2006 at that time she was having 3.4 creatine then we met a doctore nephro she started treatmet we trust her today my mom is not well she is having 13.8 creatine i want to know that we had given proper treatment then its whose mistake patient or doctor? age 58 year
|
hithanks for posting in HCMI have understood your concern1.first diagnosis of kidney disease in 2006 but you have not mentioned about the cause of kidney disease at that time whether it is because of diabetes or hypertension or any other causes.there are so many causes to aggravate the kidney disease like1.uncontrolled diabetes2.uncontrolled hypertension3.use of NSAID group of pain killers4.use of nephrotoxic antibiotics5.uncontrolled diet6.urinary tract infection7.bladder outlet obstructionsome patients response to the medications is not complete.we can't blame neither doctor nor patient.I can suggest you to get done1.hemogram2.urine routine and culture3.USG abdomen and pelvis4.arterial blood gases5.cardiac evaluation with ECG and ECHOshe is in a situation that she needs renal replacement therapy like1.hemodialysis or2.peritoneal dialysis or3. kidney transplanthope this helps youany further questions please let me knowthanks
|
What does the presence of giant platelets mean?
|
My blood test results state CBC Giant Platelets are present. What does this mean? I am a 68 year old woman with diabetes, polymyalgia rheumatica, hypertrophic cardiomyopathy, last year had a heart attack (mild), stroke and migraine that lasted more than 72-hours, even with hospital ER treatment (can't remember exact name of diagnosis). I am 5 ft. in. and weigh 180. I also have Charcot Joint disease and am scheduled to have my left foot operated on to remove bone that has caused a sore on the sole of my foot - had osteomylitis last year, and had my right foot operated on. I'd appreciate any info you can give me. Sharon
|
Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Giant platelets do not have any significance with normal platelet count and bleeding time.2. Do not worry about giant platelets. Most commonly secondary to Vit B12 deficiency.3. Take Vit B12 supplements and keep checking your platelet count monthly once. If its normal. Not to worry. You can go for surgery, no problem.Hope it helps.Any further queries, happy to help again.
|
What causes sickness with variable blood pressure and tiredness?
|
I have been very sick for over 7 weeks , two weeks ago I finelly went to a doctor he said I should go to the hospital for tests they did a thing where you go through a machine it takes pictures of your head,I am 64 did not have the flue shot. I am really fighting right now took my dogs for a 10kl, walk and still feeling rotten said its in my head ran my snowmobile for 2 hrs. came back home took the dogs out for another run. My blood pressure has been going really high than dropping really low. I am just so tired. Help please we live off grid I have no vehicle except my snowmobile .
|
Hello,You should see your doctor again to see what came in your lab reports and imaging as well. agent yourself checked properly a d if you have high blood pressure readings you must seek treatment for your blood pressure as it is a silent killer. Also get yourself tested for cholesterol and diabetes as well.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician
|
What causes headache with a humming in ear?
|
I have had a headache for 4 weeks. It began after loosening of bridge work on the lower left side of my jaw. That has since been resolved. To further complicate things, I fell off a ladder 3 weeks ago and hit the back of my head. The headaches are unilateral and associated with humming in my left ear. I have no constitutional symptoms and the pain is localized to my frontal and temporalis region. It is always there and so far unresponsive to advil 600 3x day and 2 treatments of acupuncture.
|
Hello,How old are you? I think you may be suffering from tinnitus may be due to trauma or degenerative disease or sometimes diabetes or Meniere's disease or infection etc. Until examination is done it is difficult to say what it is. Use tab. B complex once a day for one week. use tablet gincobiloba twice a day for one week. If symptoms not improved please consult with your ENT specialist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
|
I have been having in lower gastrointestinal tract sudden onset of pain
|
Diagestive health Hello, Wondering if anyone else had this, and if you have how were you diagnosed and with what? I have been having in lower gi track sudden onset of pain, it feels like it is closer to my buttocks about 2-3 inches from the whole. It mostly comes at night and I wake up with sweats, nausea , and in excruciating pain. Then came the blood on my toillette paper that is increasing in amount, it is fresh bright red with what looks like either blood clots or some sort of tissue, though I did not see any blood mixed in with my stool. I feel weakness, and as if my body is exhausted. I have IBS with constipation , no anemia , no diabetes, low cholesterol, and low blood pressure . I also have researched hemroids, although most of my symptoms point to it being hemroids that doesn't explaine the weakness and feeling of being exhausted. I am in my high normal weight, 24yrs old, and female. thanks very much
|
Hi.. A few years ago, i had problems of fissure.. There used to be severe pain, difficulty in passing stools and blood in the stools.. I had suffered for almost one to two week.. I am still scared now, when ever I get constipated.. I would suggest you see your doctor to know if you too have siimilar problems..
|
Are symptoms of diabetes and MS similar?
|
I have a lot of nerve and muscle issues. Currently doing neurologic appts. Just did a skin biopsy for sensory fiber neuropathy, have an emg scheduled... I ve had 2 done already, all were negative for whatever they are looking for. I ve had mri s done every year... Brain shows normal activity with a bit of scar tissue that has not grown or shrunk. Have all the symptoms of ms... but, also just found out they could be similar symptoms for diabetes... help?
|
hi sir if all diagnostic tests is normal.then why to worry?go morning walk and do yoga in some easy step.
|
Kidney function test done. Prostate shows normal echopattern, bladder normal. What does report mean? Treatment required?
|
Good morning Dr. I want to know the further treatment and advise and seriousness of the below report Right kidney measures 11cms. Right kidney show normal echopattern with noevidence of calculi or calyceal dilation Left kidney measures 10 cms an shows increased cortical echoes. CMD is slightly decreased Prostate measures 4 x 3 x 3 cms and shows normal echopattern. Bladder is normal in contour. Both iliac fossae appear normal Diabetic Glucose serum/plasma (Fasting) 291 (Post Prandial) 488 Age 57 years
|
Hi... I'm dr. Charles... based on your blood glucose level... it suggests day u r a diabetic in d first place... secondly your right kidney is normal... but in your left kidney... its shows a few small cysts in d cortex and cmd being decreased... wat is cmd... it is cortico medullary differentiation... it isnd differentiation of the putter portion of the kidney called cortex and the inner portion called medulla due to specific cellular and tiasue structures. This cmd decreases in medical conditions like diabetes n hypertension. So this causes tissue changes wit reduced renal functions. So wat do we do next. U should first of all get your sugars under control. N secondly a blood test for serum urea and creatinine should be done to assess the kidney function. And a urine routine should also be done.These tests r done to rule out diabetic nephropathy. After dat u can go and visit a urologist for further management.. but ur sugars should b controlled. Hope this info was helpful for you.
|
What causes low hemoglobin levels?
|
Hi, I am a male 64 years old, 285 pounds, I have Low testosterone 2, low hemoglobin 7.4, Adema, high blood pressure medication, we heart, we kidneys 2.6, was on cholesterol medicine and diabetes medicine, was in the hospital for congestive heart failure her and low hemoglobin, doctors do not know why I have low hemoglobin/iron, I think my body just does not absorb iron? I try to be on a gluten-free diet! I do lack energy, if I exert myself I run out of breath, I am a plumber by trade that be able to do my work hardly at all , Been to a lot of doctors natural and MDs so far no answers any suggestions thank you kindly
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Low hemoglobin count can be associated with a disease or condition that causes your body to have too few red blood cells. This can occur if: Your body produces fewer red blood cells than usual. Your body destroys red blood cells faster than they can be produced. You experience blood loss. Hope I have answered your query. Let me know if I can assist you further.
|
What causes fluctuation in BP?
|
My 85 year old healthy grandmother went to the hospital for a check-up yesterday and they said she had a little high blood pressure. She had it read when she first showed up for the check-up and it was high but then after being at the hospital for a little while it dropped 20 points. My Grandma believes it was because she was nervous. The last few days she has an extremely dry mouth and isn t able to drink enough to make it not dry. Today she was at her house and she felt funny and called my mother who worked at a hospital as a candy striper type. She read my Grandmother s blood pressure and it was 165/95 which was higher than at the hospital she is also hot and sweaty. My Grandmother never calls and asks to go to the hospital so today when she asked for my Mother to call and ask for help we thought it to be more serious. So far the hospital is just saying to monitor her. Do you have any ideas what is causing the dry mouth and do you know if there is any medication that might cause that. She is taking a few different types and some vitamins. Thank you.
|
Hello There After going through your medical query I understand your concern and I would like to tell you that considering her age she can be a hypertensive and reading are also high , and cause dry mouth can be new onset diabetes so it is recommended for you to take her a physician for whole body check up management accordingly.Hopefully this information will guide you properly.Kind Regards Dr Bhanu Partap
|
Taken antibiotics for kidney infection, painful. Need help
|
since 2008 i am having kidney infection . my weight is 95kg. i have been taking different kind of antibiotics by my doctors instructions. Though some times i do self medication . but since that 2007 up till to date, i have never spent more than two weeks WITHOUT pains. i did differnt types of test, from urine culture to IVU exray. the urine culture always says stapp. coccus bacteria. please i need your help doctors.
|
Let me assure you that you are not ahving urine infection so stop taking antibiotics immediately.I want some more information from you-1. are you a male/female?2. Do you hace Diabetes mellitus?3. Have you undergone any urinary tract instrumentation?Most likely the problem appears to be that of iincoordinated activity of your urinary tract or that of Interstitial cys titis
|
Do contractions cause elevation in the blood sugar level?
|
Can contractions cause blood sugar levels to rise? I have gestational diabetes and have been able to control my numbers very well and today they have been much higher than normal even with eating the same meals that I have eaten over the past days/weeks and had perfect numbers?
|
Contractions don't cause rise in blood sugars .With contractions the blood sugar level decreases.Monitor your sugars for one more day to see if you need any increase in dose of insulin or adding of insulin
|
Is cirrohis contagious?
|
brother has cirrohis and has developed a uti from catheter-say he is in isolation now and visitors need gloves masks and gowns. is this contagious as I have RA and brother in law has diabetes. Have been visiting him for days with no precautions--he has been unable to talk or move for days--sudden onset a few days ago and we assumed it was lactulose and were not aware this was suspected
|
HiThanks for writing to healthcare magic.Do not worry cirrhosis is not contagious.But UTI can spread , so ensure the precautions advisedWIshing you great healthRegardsDR ARUN
|
Does traumeel help to reduce hip/back/sciatica pain when having C.A.D/angioplasties with stents?
|
I have C.A.D. and had two angioplasties with stents. I am on medication (Lipitor, Plavix, Lisinopril, Metoprolol, and Glyburide (for Type 2 diabetes). I have hip, back and sciatica pain that do not allow me to exercise. I am 65 and overweight. I loved to hike, fish and hunt, but I can t walk too long now. I was told by a friend to take Traumeel instead of aspirin, which I use heavily. Would Traumeel do anything for my pain and allow me to be more active? And would it interact with my heart medications? Thank you for your answer.
|
Your pain may be related to lipitor,many of my patients have sufferred severe pain over back,thighs and hips.so you kindly ckeck your blood for enzyme called CPK,if you find it abnormal please go back to your doctor for alteration in dose or medicine.the medicine traumeel you mentioned is not allipathic medicine and you should avoid.I also suggest you to take calcium and vit D in consultation with your doctor.you may take tramadol or another analgesic for your pain.
|
How to enlarge penis size?
|
My penis is short in length. During intercourse it creates some problem. How can he extend my penis. If any medicine is there, kindly mention and it should be without any side effect and also mention for proper erection of penis (because my penis is not properly erected during penis – sometimes it becomes soft) what medicine(without any side effect) should he use and for preventing early discharge of siemens what medicine should he use(without any side effect) . Another thing is that besides penetrating the penis into sexual organ, he wants to have a feeling of the inner passage of my sexual organ in order to satisfy both myself and himself. Doctor generally uses glabs with liquid medicine. But we cannot use that because we are not doctors/specialists. Is there any way for doing the same ? My age is 38 years. My weight is 45kgs. LFT report is normal.RE is also normal.
|
Hello, Please tell us what is the length of your penis. Erectile dysfunction should be psychological. Check your blood pressure, blood for diabetes or thyroid related problems. Hope I have answered your query. You can contact me for treatment options. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
|
What causes painful bump near vagina?
|
Hi- I am sexually active but i have not had sex for about three months ago. A month and a half ago I noticed this bump like thing by my vagina. If i touched it to was kind of painful. Then i squeezed it cause it looked like a pimple and then it went away. The lump came back today..but in a different spot. What is it?!
|
Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts,You should go to your doctor as You mostly seem to suffer from-Furunculitis of the pubic hair and Vaginal Labia Majora.The recurrent boils indicate poor hygiene or from diabetes,for which you need to check blood sugar levels (FBS and PPS)This reply would reduce your scare, hope so.This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
|
I am hbsag positive with out any treatment for 3 months
|
i am 34 years old and i am test positive for three month without treatment what to do
|
Welcome to Healthcare MagicYou should get other tests done like Anti-HbsAg, Anti-HbcAg whether IgM or IgG, liver enzymes like SGPT, SGOT, Prothrombin time. All this will decide current state of your liver and also help in deciding treatment. Acute infection may not require any treatment and may subside on its own but if patient is immunocompromised by Diabetes, HIV etc. the may require treatment. Chronic Hepatitis B is when 6 months has elapsed with the infection which needs antiviral and interferon therapy. Consult your Hepatologist or Gastroenterologist for proper investigations and treatment to prevent chronic state which can increase chance of spreading to sexual partners and increased risk of liver cancer in future. Eat fat free diet. Eat more protein rich diet and plenty of fresh fruits and green leafy vegetables. Drink enough water. Exercise daily to keep fit.
|
What causes excessive tiredness despite taking Cymbalta and Aspirin for high BP?
|
my doctor has me on Cozaar 100mg . i monitor my blood pressure every day. Every morning it s in the 165/102 or 158/90 before my meds. the rest of the day i m ok except around 3:00 or 4:00 it drops lower than 120/80. and i feel weak and awful. the only other px i take is cymbalta 50, + aspirin, and lasix 40gr. i just feel tired all the time and want to do so much but I can t. My legs are done by supper time and i can barely walk normal. I ask my dr. if my heart and everything is ok and after all test he says yes. so what s up with the blood pressure? I m 72 but i look and think like 62, love to garden but just too tired.
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Controlling blood pressure drugs differs every now and then according to guidelines. In ages above 55 years patients are preferred to be managed on calcium channel blockers as the first line and then combined with the second line which is ACE inhibitor or ARBs (Cozaar). You didn't mention how many years you suffer from hypertension. You should know that a long standing hypertension may affect some blood vessels especially the renal artery, the condition may worse if associated with diabetes. Cymbalta may produce high blood pressure in some patients as a side effect. So, you may need to visit your doctor for some studies. You have to checked whether that hypertension is due to Cymbalta or just inefficient hypertension drugs or complications. You should not be worry anyway as all these conditions are reversible and treatable. I wish this information helps. Wish you a good health!
|
What causes pain in the abdomen with heaviness in the body?
|
i suffer from abdominal pain,heaviness and tiredness in the body.when I sleep less my lower abdomen swells and face swells too.I also urinate excessively appox 18 times in a day when i slepp less .and on an average 12 times.i got my thyriod checked .it shows normal. I have polycystic ovary and hence irregular periods.My face looks tired all the time.I am under great mental stress too due to personal reasons.please help
|
Hi.First of all we have to find the reasons for polyuria ( excessive urination) .The probable causes can be : A simple test of specific gravity can tell. If less than normal this is called diabetes insipidus. The causes can be due to pituitary problem, diabetes, kidney infection. I would advise you to go for the following tests. Blood : CBC, sugar, urea , creatinine, electrolytes Urine - routine, microscopy, culture and sensitivity. Ultrasonography of the abdomen and particularly the genito-urinary system.CT scan to confirm the diagnosis .MRI of the brain and particularly for a pituitary s can The pain in the body, heaviness and the tiredness in the body can be due to excessive removal of salts from the urine or an associated infection . Facial and lower abdominal swelling can be due to anemia, hypoprteinemia or a more sinister cause of renal problems. You need to undergo a thorough clinical / physical check up for vitals like blood pressure , pulse, all the investigations and proper medical management.
|
Extreme exhaustion since puberty, normal test results for diabetes, iron, thyroid, lyme disease. Reason?
|
I am a 22 year old male with no known health problems, but I am always cripplingly exhausted. I have been tested for diabetus, sleep apnea , low iron, low thyroid , high thyroid, malnutruition, lyme disease , and like 20 other standard blood work things. It s been a problem for about 8 years, since I hit puberty . I need some new takes on this...
|
Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Fibromyalgia could be an illness that you are suffering from as this is the age when it actually starts. Rest all you have checked and are through.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
|
Diagnosed with obsessive compulsive disorder. Getting frustrated since not able to concentrate. Any suggestion?
|
hello doctor,I consulted one psychiatrist last to last year and it was detected that i have obsessive compulsive disorder.The problem is wenever i study any random song starts tuning in my mind and i because of this i a unable to concentrate and i get very frustated bcoz i am really interested in studying but unable to study.These days i am taking prodep 20mg but its not helping me out.Can u suggest me something?
|
Hi Chhavi.paul, Forum I can imagine what suffering u are going on.As u rightly mentioned that your diagnosis is OCD and currently it seems problem is uncontrolled - requires more intense psychiatrist attention. From points mentioned it was not clear time since your last visit with psychiatrist but from dose probably long time u not consulted to your doctor. Important points regarding this illness to understand is 1) This illness requires prolonged treatment and regular f/u 2) This illness is like Diabetes or Hypertension where it can be controlled by medicine and no complete cure available. 3) Available medicine gradually titrated in numbers of sessions to maximum dose with addition of another medicine to give possible maximum relief. 4) Along with medicine psychotherapy and behavioural therapy give additional benefit which help to reduce your compulsion So in this disorder improvement means able to reduce intensity of distress available with ur thoughts and decrease frequency of thought as minimal as. I hope this will clears in your mind what to expect from treatment. So please continue frequent f/u with your psychiatrist he definitely help to improve your problem. Best Regards.
|
Suggest remedy to reduce blood glucose after steroid injection
|
I had a steriod injection for arthritis today. I have been diagnosed as pre diabetic. I have been watching my diet and my daily glucose checks are in normal range. Today, when I checked two hours after eating my blood glucose was 261. I waited two more hours and checked again. It risen to 272. Will it go back down? Is there something I should do?
|
HI, thanks for using healthcare magicThe steroid injection could have an effect on your blood sugars but this effect should diminish within 24 to 48 hours .You can continue to monitor your readings during this time.If your blood sugars are increased due to progression of the pre diabetes then you may need to be assessed for possible treatment.I hope this helps
|
How can blisters in the mouth and tongue be treated?
|
I am getting blisters in my mouth on my tongue, checks & rough of my mouth. How do I get rid of them. My Dr. painted my mouth with some purple stuff which helped but still getting them. Now I am putting Triamcinloone Dental Paste on them but doesn't keep me from getting more. What is the next step?
|
Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It seems that you are suffering from RECURRENT APTHOUS ULCERS causing recurring sores in mouth. It can be caused due to a number of reasons like stress, nutritional deficiency [Iron, Vitamin B12 and Folic acid], hormonal changes, acid reflux, tongue trauma due to some sharp teeth or tongue biting habit, excessive intake of sour and citrus foods, uncontrolled diabetes and other immunocompromised conditions etcetera.You need to consult an Oral Physician or a general dentist in this regard to get evaluated and treated. For apthous ulcer, you can do warm saline gargles. Gargles with 1:1 solution of benadryl and milk of magnesia can help.Apply numbing gel over the sore for relief from pain especially during eating. Take a multivitamin tablet for a period of 15 days. Avoid spicy, sour and acidic foods.In case if still the condition does not subside then the physician can prescribe you to take a Steroid course as it is the ultimate treatment in case if nothing else works.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Honey Arora
|
Is heart pain with "non specific ST-T abnormality" something to worry about?
|
Sir/Madam,my mom has been having a slight heartache since yesterday...she went to see a doc today n did an ECG..The Reports showed Sinus rhythm normal but non specific ST-T abnormality...the doc said there is nothing to worry about n prescribed tranquilizers n ORS...Plz tell me is there something to worry about?
|
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that you can trust as per your physician prescription, but if your mother has any medical illness like diabetes or hypertension and symptoms of short breath along with chest discomfort then it's recommended for you to get her a basic cardiac workup done which includes and ECG, echocardiography, and treadmill test to evaluate if any heart disease is underlying. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Bhanu Pratap
|
Suggest treatment for trichophyton rubrum
|
Hi all, About two years ago about six weeks after sleeping with someone, my scrotum and inside of the groin started itch and burning , I have been to doctors several sti clinics and a dermatologist anyway I was diagnosed with trichophyton rubum I have tried all sorts of creams and had a short course of oral anti fungal medication, but I still cant get rid of it, can anyone suggest anything
|
Sometimes fungal infection becomes resistant to treat. Fungus thrives on warm and moist skin like groin. That’s why fungal infections are more common in summer. Contributing factors are high humidity, heat, perspiration, diabetes mellitus, obesity, friction from clothes. Fungal infection is contagious. Transmission occurs via infected towels, linens, and clothing. Infection can be avoided by lifestyle and hygiene modifications. Advice 1. Apply antifungal cream containing clotrimazole, steroid and antibiotic such as Lobate GM cream thrice daily 2. Tablet Fluconazole 150 mg twice weekly for 2 months3. Wear loose cotton undergarment4. Avoid sharing clothing, towels, or bed sheets5. Wash clothes and bed sheets in hot water with fungicidal soap6. Do not scratch to much7. Take high protein diet such as eggs and cheese to boost immunity8. Investigation – blood sugar (fasting & postprandial)9. Consult a dermatologist if you are not getting relief from these measuresThanks!!
|
Will removal of dental implants cause any problems?
|
Hi, may I answer your health queries right now ? Please type your query heresir. my mother had 6 dental implants out of which 4 were told rejected after 28 days and operated to remove and bone graft done and stitched . should the removed implant is a cause of concern?any tests to be done to see if removed implant may be some problem
|
Thanks for your query, I have gone through your query.The implant failure could be because of the rejection by the body or improper maintenance or systemic conditions like diabetes or smoking or immunocompromised state. Consult a oral implantologist and take a opinion. You can get your blood sugar level checked. We cannot do any investigations after removing implants. It has to be done before placing the implants. You should get a CT done to check the density of the bone to place implants.Nothing to worry now. If all the blood investigations are normal then you can wait for 6 months after grafting and place the implants again after 6 months.I hope my answer will help you, take care.
|
Why am I experiencing weakness in the abdomen even after taking medicines ?
|
i am suffring from left upper abdomen only weekness since 4 months ...i had taken all types of medicine ...like gastic medicine ......but no improvement ..... and no pain on the abdomen .....and stool colour golden some times not frequently...why please help me.......
|
Welcome to Healthcare Magic Kindly get your blood sugar tested to rule out diabetes as this can occur commonly. You may be having irritable bowel for which you will need proper medication. Kindly expand on what you mean by weakness. Are you losing sensation on that side.
|
Why do I have discomfort below rib cage with a throbbing along with numbness and tingling in feet post extensive spinal fusion?
|
55 year old male. For about six months experiencing dull discomfort just below and under the right ribcage. In recent days it occasionally throbs. My mouth is constantly dry (maybe from meds). Last year had extensive spinal fusion and since, progressive numbness and tingling in my feet. Help!
|
Hi,Thank you for posting your query.I have noted your symptoms. Progressive numbness and tingling of feet and legs indicates damage of peripheral nerves, a disease called as peripheral neuropathy.The common causes include diabetes mellitus and vitamin B12 deficiency.The diagnosis can be confirmed by ding nerve conduction studies.As of now, you can take pregabalin capsules for symptom relief.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
|
Is Gabapentin advisable for neuropathic pain in the legs of a diabetic person?
|
I have painful Diabetes neuropathy in one leg only. Doctor has prescribed Gabapentin 100 mg. I think just for some relief and its not like a pain med, but just for injured nerves ? So will I have to take this for the rest of my life and are there long term side affects from this drug ?
|
Hello, Yes, Gabapentin will help with the neuropathic pain caused due to diabetes. Taking methylcobalamin supplements will also help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon
|
Reason for bad breath?d\
|
HiI have a problem with bad breath. I have tried mouthwashes and even Corsodyl to no avail. I can brush my teeth in the morning have nothing to eat and drink and still have a problem. Should I see a dentist or doctor to discuss the matter further?
|
Hi! Welcome to Healthcaremagic.I read your query. Bad breath can be due to various reasons. Local causes like Improper oral hygiene, plaque and calculus, prolonged dry mouth, cavity and systemic diseases of lung,liver, gastrointestinal tract, kidney, diabetes, high starch diet, etc.Drink lots of fluid. Use sugarless gums. Brush twice daily and use mouthwash. Do not leave dry mouth for long duration.Rinse aftrr every time you eat and avoid acidic and spicy food and beverages. Visit a dentist and get oral prophylaxis done.If you have acidity and reflux problem, consult physician and take treatment as this also leads to bitter taste and smell.If the problem persists, i suggest you to see your physician and get furtger investigations done such as blood test done along with chest x-ray, KFT, LFT, urine test, etc.Hope the answer helps you. Thank you!
|
Why are insulin shots given when suffering from pulmonary embolism?
|
My dad is in the hospital for a pulmonary embolism. He is now getting accu checks and insulin coverage for blood sugar over 200. He has never been diagnosed with diabetes so why are they suddenly checking and giving him insulin. The highest it has been in three days is 227. Just not sure why he is being treated for that. Does it have to do with the heparin and Coumadin?
|
Thanks for your question on HCM. Pulmonary embolism is life threatening condition. And in any such conditions or severe infection glucose levels tend to fluctuate alot. So it is not recommended to use oral glucose lowering drugs. So insulin is preferred. Because action of insulin is immediate so better to control sugar spikes and avoid delayed hypoglycaemia. And high sugar levels are not due to heparin or coumadin. So no need to worry for this. No harm in insulin injection for high sugar levels.
|
Suggest remedy for in-activeness due to brain stroke
|
Namaste sir...myself Raghu,my query is from last two years my mother (aged 50)she is not active,she dont speak anything with us ,,simply sitting, even dont take food herself anyone one of us feed a foods to her ...before two she was very active, speaks a lot..for that we cheked her health in hospital they told her brain has small stroke due that blood is supply well for that she is not responding.... iam kindly requesting sir please make her as before how she was active. sir plz
|
hai raghu,As ur mother need mental fitness rather than any medical treatment. but still we have rule out Diabetes/hypertension/Heart failure etc. As ur history says she got hypertension that causes rupture in blood vessels in brain. her BP should monitor regularly.Elder people always feel loneliness and simply sitting and thinking nobody is there to take care even though u be humble to them.Coming to ur mother situation, She was active and talkative.. etc after that episode she felt her health become something wrong,whether she can live a normal life r not such things and thoughts occupied ur mother.So counseling need for her. better way is all ur family member should engage her as much as they can. Advise her to do some work without hurting her status.grand children should spent some time with her.Regarding her diet add more fiber and vegetables.,nuts,protein like nuts,channaHave regular check up with ur family doctor so that she can understand u are taking care.hope this will help u.thank u raghu
|
Is Atenolol tapering with Isoptin the correct treatment?
|
HI, I am a 50 yr old male and was suffering from PVC since my early 30s. I started taking atenolol 25mg 11 years ago (about age 39. Now taking 50mg). I recently moved overseas and saw an internist because I felt like I was urinating too often. Blood surger was fine, so they did an ultrasound on my batter and prostat. He says I have BHP. But, in the interview, I told him I was taking Atenolol for 11 years. He said that long term use of this drup can cause diabetes and screw around with hormones. He prescribed Isoptin SR 240 mg. He said I should take half the atenolol (25 mg) and half the Isopitn (apparently 120 mg) for one month and then take half again of the atenolol and increase the Isoptin so that after 2 months I am completely off the Atenolol. Does this sound like a correct thing to do? I was doing fine - as far as I can tell - on the atenolol but am concerned about long term use.
|
Hello Sir,I have read your medical history carefully, As VPCs are usually not harmful and need no treatment until unless they become bothersome for the patient. In your case as you are taking medicine for it from so many year and its doing its job nicely so i would like to continue with Atenolol 50mg as you are taking. Also it belongs to beta blocker class which is the first line drug class recommended for VPCs. No drugs come without side effects on long term use, isoptin has its own.If you were doing fine with atenolol just continue with it.Good Luck
|
Suggest remedy for fungal infections on scalp
|
Hi I am using SEBOWASH and 8x shampoos as I am facing fungal infection on my scalp. it is temporarily solving the problem but not permanant. Could you please help also I am experiencing erection issues because of these shampoos let me know if I should stop or continue. or suggest me what I should use to control the fungal infection at the same time it should not cause any side effects like erection problems
|
Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that because of fungal infection you are using fluconazole shampoo. Yes fluconazole has this side effect of causing erection issue as well as gyanecomastia. I think you should think for the selsun shampoo. It is good shampoo and help in mild to moderate fungal infection as well as dandruff. If you have problem for this fungal infection from many times I advice you to do your diabetes scan & HIV. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank
|
Gums bleeding non-stop. Became worse after using Corsodyl mint mouthwash. Suggestions?
|
hi, my gums keeps on bleeding non stop for like 5 minutes and once they stop bleeding the blood goes thick and gets stuck in my gums and between my gums giving me a really bad bread, i have been brushing regularly and using corsodyl mint mouth wash to help cure my gums but ever since i have started using it my gums seem to be even worse, what can i do to really help my gums to stop bleeding for good.
|
Hi, Thanks for asking the query, Bleeding gums can occur due to many reasons , like inflammation of the gums known as gingivitis , plague and calculus deposition , vitamin deficienceis , systemic conditions like diabetes and leukemia . Visit to a Dentist and get checkup done . Get complete mouth scaling and polishing done. Use antiseptic mouthwash solution like chlorhexidine twice daily. Take vitamin suplements . Develop a habit of brushing teeth twice daily with a soft bristle toothbrush . Develop a habit of using dental floss and interdental cleaners . Hope this helps out. Regards....
|
Are increased BP and chest discomfort a cause for concern?
|
I've had bp in the hypertensive figures for the past several days. I typically have been in the 120's/70's range until past 6 weeks or so. This morning at 6:30 a.m. I'm at 154/95 then again 10 minutes later about same with some chest discomfort (left side). Took an aspirin and trying to keep calm. Any concerns?
|
Hi,Wish you had mentioned a few more details like:your ageany history of heart disease in family.Any other disease like Diabetes, lipid abnormalityChest pain : any radiation of the pain, any relationship to exertionAnyways you should start to take low salt in diet and see a local doctor for proper assessment and necessary treatment.Can't say if it was of any help to you. Anyways do let us know.Dr. Pinak
|
Have diabetes and kidney problem. Does prostate issue mean prostate cancer may develop?
|
Hi doc, i need to understand what is Prostate issues? Is dis only develope if it is prostate cancer? Or ? .. also doctor suggested to go through Urine PCR test for TB-- why this test is suggested.. My father is diabetic / kidney pateince.. he has gone through kidney stents treatment as well. His creatinine levels are high near 5. Also twice dailysis to control creatinine level went high due to urine infection. Kidnly advise as our doctor suggested 3months before dat he will see if medicine are effective enough to control prostate issues? I need advice on is this always recommended to get prostate surgery done and also what are drawbacks of this surgery on daibetic pateince. My father is 55yr old and not healthy. Thanks Jassi
|
Dear friend, welcome and thanks for entrusting your query here at HCM! I am Dr. Prasad Akole (Critical Care Expert- http://bit.ly/Dr-Prasad-Akole) and am glad to address to your query here. I can understand your worry ! At the age of 55 and diabetes, infections can worsen the kidney function and hence need dialysis. Urinary infections can occur due to obtstruction of the urinary tract by prostate or stones. Prostate enlargement is usually non- cancerous (called BEP), though cancer can occur. PR exam and USG, PSA levels can detect that. Prostate surgery for what? depends on causes. Risks also depend on causes, co- existing diseases like kidney failure, diabetes, heart problems.common complications are bleeding, infection, damage to surrounding structures etc. endoscopic surgery is without external stitches. Open surgery is needed in select cases and needs anaesthesia and gets stitches. I hope you are fully satisfied with the guidance I gave. Hope I have answered all your questions. I would be glad to answer any further queries. Please ask for any clarifications before closing and rating this answer. Thank you and Good luck!
|
Bloodwork shows increased AST and ALT levels. Taking Tricor and Lovaza. Abdominal sonogram shows fatty liver. Serious issue?
|
I have received bloodwork back from my doctor showing AST 56 and ALT 94. I am 39 years old on tricor 145 and 4grams of Lovaza. I also take mutlivitamin, 2 cinnamon pills daily, 2000 IUs D3, and Urocit twice daily. I do not smoke or drink. I have shown on abdominal sonogram to have fatty liver . I am 5 10 and weight around 200 lbs. Recent labs show total cholesterol of 195, LDL 120, HDL 41, and Trigs 169. I am very worried- is this a serious issue? What can I do to reverse this?
|
Hello, In the absence of alcohol,the other common causes for increase in SGOT and SGPT are diabetes,high triglycerides levels,obesity,anti cholesterol medications etc. TRICOR 145 and LOVAZA are both meant o treat high triglycerides levels plus the TRICOR in itself can cause high SGOT and SGPT. what to do... Reduce your calories and weight. Avoid junk foods and colas Do regular aerobic exercises for 40 minutes a day. Try o bring your weight in normal range of BMI. Take a super B complex vitamin along with 1000 mg of VIT C daily. Your fatty liver shall reverse in next 4 to 6 months. Thanks
|
What causes chest pain while moving left arm?
|
I have chest pain located around the costal cartilage at rib 4. This pain in exacerbated with deep breathing. There is no pain in the upper limbs. The pain is also increased with movement of the left arm. Blood sugar is 4.5 and blood pressure is 100/120. There is not medical history related to heart conditions, with no family history. Mother has type 2 Diabetes. There is some feeling of nausea with no vomiting.
|
Thanks for your question on HCM. It seems muscular pain mostly as it is increased by arm movement. But we need to rule out cardiac cause first because pain is on left side.So get done ECG first to rule out cardiac cause. If this is normal than muscular pain is the cause mostly. Try to follow these steps for better symptomatic relief in muscular pain. 1. Avoid heavy weight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Take good painkiller and muscle relaxant. 4. Apply warm water pad on affected site.
|
What causes muscle spams with floating sensation?
|
I have been having this floating sensation for several months now, like a high, drunk feeling. I have one moment each day where I feel that I would pass out. Pressure in head, body has inner muscle twitching or spasm. MRI of brain is normal, diabetes and thyroid tests are norrmal
|
Hello,The symptoms can be related to many medical conditions. One of the common conditions is magnesium deficiency. I suggest to take a magnesium supplement to help with muscle relaxation.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
|
What causes excessive thirst and marks on the legs of a child?
|
My son just turned 2yr of age and he excessively drinks at night and urinates at night to the point of constantly soaking his pants and the bed at least 3x a night. There is no HX of Diabetes in the family and he only does this at night time. He also sweats really bad and I keep it pretty cold in the house. He recently started getting marks that look like big circles all up and down his legs but he doesn't itch them and they go away but come back. Can you please ease my mind a little. I am a nurse and have seen a lot so I am very nervous and worried.
|
Compulsive polydipsia comes to mind. There is no diabetes or kidney problem in this condition, and the child just seems to WANT to drink more fluids. The other problems that you have mentioned seem to be unrelated to this drinking and urinating problem. Excessive sweating can be a sign of vitamin D deficiency, but can also occur with significant heart conditions. The marks that he is getting on the legs - are they painful? It would be a good idea to send the photos of these marks to someone here through a paid query, so that diagnosis is easier.I am afraid that is the best I can do with this question. Do take him to a pediatrician for a complete evaluation. He is too young to go for counselling, but you can begin to gradually restrict his fluid intake after sundown. Also, wake him up after 1 1/2 to 2 hours after he goes to bed and make him go to the loo. This will reduce the problem of bed-wetting over time.
|
What causes burning pain in between the shoulder blades and suffering with Bulimia?
|
Hi I ve been a suffer of bulimia for a couple of years now and been doing really well until I had a bad week about two weeks ago since then I ve been experiencing a burning pain between my shoulder blades and sometimes moves to my lower back. I would appreciate any help.
|
HiTake nexito tab daily and rabeprazole 20 mg empty stomach in morning.Avoid fatty and spicy mealsConsult a physician for checking of thyroid,diabetes rule out..sometimes bulimia is due to thyroid and diabetic,depression issues...often worms are also a cause.Stool test for worms may be done and broad spectrum zentel tab one tab daily for 3 days only if stool is positive for worms
|
Does consuming lots of water have any problem ?
|
my son was met with an accident - DAI- He is still on bed after 6 months- he is being made to exercise by Physiotherapist. He drinks daily 5-6 litre odf water. Is there any problem?
|
hi well come to hcm Excess drinkin water if not due to DM, diabetes insipidus like pathological condition. No major wprry if he remains stable only what it can lead to hyponteremia.LOw sodium level in serum.which can give fatigue lethrgy lack of concentration etc. so look for sodium level in serum if it remains o.k. need not worry much
|
What is the treatment for skin infection on penis?
|
My hubbie has a Otocomb ointment for his penis for a skin infection of some kind where it is red and sore and whiite patches. It doesnt seem to be helping much. Have used a few tubes now and still no good result. Is there anything that could be making it not get better and is there any other things we can do both in conjunction or instead of this treatment to get it working?
|
HelloThanks for query ,Your husband seems to have developed infection of foreskin (Posthatitis).He needs to check his blood sugar levels to rule out diabetes .Ask him to take antibiotics like Doxicycline along wih Diclofenac twice daily for 10 days .It should work for him .Dr/Patil,
|
Suggest remedy for mildly postive TMT for reversible ischaemia with diabetes and high BP
|
My father is 58yrs old. His TMT was mildly positive for reversible ischaemia. He exercised for 8 mins 21 sec of the Bruce protocol and achieved a workload pf 10.1 mets. Peak heart beat of 146 beats/min. Ther was no S3 and S4 gallop in the recovery period. At peak exercise there was 1.4-1.5 mm ST segment depression in keas 2,3aVF. Changes reverse within one minute post exercise.He is diabetic with fastic sugar 155 and PP 244. He is smoker and with High BP. kindly advise.
|
Hi, changes of ischemia present.To prevent further ischemia and heart damage antihypertensive has to be started (enalapril or amlodipine).sugar level should get controlled.for that take low sugar diet.if still not controlled start metformin.Strictly avoid smoke to prevent heart attack.Avoid high lipid diet and fast foods.take more water.Low salt diet should be taken. Here damage to heart can't be reverted now.but further ischemic attack can be prevented.Take aspirin tablet regularly.If lipid high atorvastatin started
|
Ultrasound shows bilateral renal parenchymal disease, fatty liver. Suggestions?
|
my mother is 64 years old in ultrasound scaning report is showing right kidney 94X37mm,Left Kidney -90X44mm. Both kidenys are normal in size with increased echotexture. collecting system is normal no evidence of calculus is noted impression: BILATERAL GRADE-1 RENAL PARENCHYMAL DISEASE GRADE-1 FATTY LIVER pleae advise
|
Hi Thanks for your query. Bilateral renal parenchymal disease suggests kidney disease. This could be seen if your mother has long standing diabetes or hypertension. The appropriate tests to do would be urine analysis and microscopy and serum creatinine. Further investigations and treatment will be as per the results obtained. A nephrologist would be appropriate person to consult Good luck
|
How to treat blood blister on thigh?
|
i had a horse riding accident almost 4 years ago which resulted in me being trampled, i was left with a 10cm hematomer on the top of my thigh, which has never gone completely. I now have noticed a small purple lump underneath the lump it looks rather like a blood blister but isn t. What could this be? Should i be worried?
|
Hi, This treatment is being suggested on bases of the information provided. However, I would like to examine & investigate the patient in detail. Control hypertension, diabetes or any other metabolic disorder, if there is any. Any way it may be tried: - Dolokind Plus (Mankind) [Aceclofenac + Paracetamol] 1 tablet OD & SOS for 5 days. - Caldikind plus (Mankind) 1 tablet OD for 10 days. (You may need help of your local doctor to get these medicines.) - Fomentation with warm water. Let the part not be exposed to cold air. - Sleep on a hard bed with soft bedding. - Use no pillow under the head. - Avoid painful acts & activities. - Do mild exercises for neck and shoulders and hips and knees and ankles. (Take help of a physiotherapist.) - Do not ignore, let it not become beginning of a major problem. - Do ask for a detailed treatment plan. - Make sure, there is no allergy to any of these medicines. - For emergency treatment visit nearest hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nirmal Chander Gupta, Orthopaedic Surgeon
|
Sudden weakness of muscles and nerves, please suggest me
|
my mother is 54 yrs old. two months back she was admitted in a hospital with complain of abdominal pain. fearing UTI culture test was conducted but it turned out sterile. my mom was discharged after ten days ( pain had gone) . now she is very weak, when we consulted another doctor , the doctor told us that she may have some neurological + ortho problems. My mom cannot walk steadily for long and her muscles have gone weak ( visibly shrunk). my mom was pretty perfect before she was admitted for abdominal pain. her medical history is that she is a diabetic which was also a bit out of control.
|
With out of control diabetes, she will have her high sugar levels affecting all the systems, and causing lots of aches and pains, with weakness. Get her sugar levels under control and she wil feel better. Also get a orthopedic and a neurologic examination done in case she is not feeling better with sugar control.
|
What causes stomach ache and headaches with aches and fatigue?
|
My husband is home sick right now. He's just feeling "not quite right." He's a little weak, a little achy, has a headache and stomach ache, flashes from pale to flushed, and is a little "on edge." He felt like this a few months ago as well and was tested for all sorts of things including a UTI and diabetes. He had none of it. On paper he was healthy. Could this be caused by just a virus or even stress?
|
Hi, We can blame stress cause when we are sure to ruled out all medical cause or a psychiatrist can do that. For now, since you have done the test, we can think of think of nutrition issue. Share more details for appropriate diagnosis / discussion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
|
What causes prinzmetal and micro coronary deceased?
|
I had 3 left decending artery stents placed 4/11. I continue to be treated for Prenzmetal and micro coranary decease. Recently I was on vacation and took just a few strokes and started sinking to the bottom. Someone had to rescue me. Is there any correlation?
|
Less likely Ur episode with prinzmetal angina.... microcirculation problem may be due to previous heart attack. ???diabetes ??? Kidney disease ...get evaluated with ecg and echo.. so it can be compared with previous one ...and if any new changes may need angiography
|
How can very high blood sugar levels be managed despite taking Trivolib-2?
|
I am 52 years old and type2 diabatic since12 years.At present,taking trivolib-2 tablets 3 times a day. But my average blood glucose level is found 258 mg/dl and H.P.L.C value is beyond 10% which incidates the sugar levels are in uncontrooled stage.Kindly suggest the change of tabltes and diet.
|
lifestyle changes are very important to fight diabetes. diet low in sugar and carbohydrates should be followed. examples include berries, whole grain, proteins, etc. Avoid potatoes, rice, sweets, certain fruits like grapes and chiku that have high sugar content. exercise and weight control is another very important thing. If your blood sugar levels still are continuously on the higher side you may have to switch over from medicines to insulin injection like actaprid insulin or human insukin. the dose of insulin injection should depend on your blood glucose levels.
|
How can recurrent infection on the back be treated?
|
I have a recurring infection in my back, right side. Bactrim is the only med. that seems to do anything. It only suppresses the infection. Have to stay on Bactrim all the time. Two years now. As soon as I stop taking it the infection blows up. Have gone septic twice.
|
Hello. Thank you for your question.Well, I got that you've had some kind of recurring infection in your back, and you are using bactrim (sulphur containing antibiotic) for that. It'd be more convenient to answer your question if you describe your infection in a more detailed description, such as whether there are vesicles, any itchiness, macules (color changes), ulceration, bleeding, increased in size etc.. I would also like to know about your personal identification, such as age, sex, race, and residence region, because some infections or diseases have popularity according to the regions the patient lives. Do you have any associated medical conditions, such as diabetes etc., and do you have any long-term taking medicines. And... bactrim only for recurrent infection, not knowing the exact underlying cause, won't be the best medication. I want you to describe about the facts I just mentioned above, for more complete information. Thank you.Have a nice day!
|
What causes recurring chills?
|
Thia is the second day i had chills about this time. just had an xray. all fine echocardiogram. alll fine blood tests. my GFR is low. 35.8 had post nasal drip coughs for so long i have a jockey itch which wouldn t go away with lamisil, and other anti fungal meds can you help me?
|
Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.Usually jockey itch respond to antifungal drugs quickly. There are two reason for unresponsiveness first is the resistance of fungus to drugs, second is some underlying disease which is favouring the growth of fungus.I suspect some underlying disease in you like diabetes, HIV, or some condition like sweating which favors the growth of fungus. Look after of this cause along with antifungal drugs can help you.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.
|
Alcoholic, weight loss, blood in vomit, feels giddy, diabetes, not eating regularly. Cancer?
|
my dad takes excess of alcohol since 12 years..... the following symptoms are 1)weight loss 2) vomiting sometimes blood in it 3)redness in the eyes 4)not eating regularly feeling giddy he has blood pressure and diabetes ,i need to know what he is actually suffering from is it cancer please send me a reply as soon as possible thank you
|
Hi...cant say for sure...could be simple gastritis even...get an endoscopy done if possible...Dr. Ashish Verma
|
Suggest remedy for spot on chest with smelly pus
|
I have a spot on my chest that I originally thought was acne, but now it has some discoloration and if you squeeze it some really rank smelling pus comes out. It is only one spot and it is about the size of a dime maybe smaller. What is this and is there a remedy?
|
Is there any itching or pain on the area. it May be just an infection of the sweat or sebaceous glands. if u have diabetes just have a routine checkup and maintain the level. when the pustule is ripe, just remove the pus and clean it with dettol and apply a paste of Turmeric and neem leaves. it Will heal quickly.
|
How to treat fatigue and dry mouth?
|
I am 68 years old retired person and had by-pass heart surgery two years back. I am on dose of daily pills after my surgery and had been advised to minimize the water intake by 1.5 litres a day and drink only when thirsty. Since last 2 weeks I have following problems: 1) My mouth is getting dry. It is summer here so I am drinking small sips of water to quench my thirst but felling dry mouth very often. It leads me to drink more water and urinate without any relief from dry mouth. 2) I am feeling tired most of the time mostly after using stairs or short walk unlike earlier, so lie on bed to rest most part of the day. 3) Due to tiredness or I am sure the reason but I am feeling sleepy most of the time when lie on bed. 4) I am also feeling weakness now a days for no specific reason. Please note, I do not have problem of blood pressure and it is normal. I do not have diabetes with normal diet. Please advise if you diagnose anything unusual. I am remote part of small city and may need to travel distant place to see specialist in this summer, so your assistance would be very helpful for me. Y.P. Singh
|
Hi welcome to healthcare magic,I understand your query and concern.Your symptoms are suggestive of heart failure secondary to ischemic changes in the heart leading to heart failure.I advise you to get an ECG,2 D Echo,lipid profile,hsCRP immediately to confirm the diagnosis.Drugs like clopilet,ecosprin,atorvas ,inotropes like digoxin will be helpful.Coronary angiogram with or without stenting will be the procedure of choice.Consult your cardiologist for expert management.Hope I have answered your query at the moment,Post your further queries if any,Thank you.
|
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.