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Will antibiotics helpful for diabetic foot infection? | I have diabetes 2. I believe to be non insulin dependant. I have an infection in my right foot toe (second toe). The doctor said it was an infection of the bone. It shows on the xray that the very end of bone seems to be gone. Will anti biotics take care of this infection. | Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.It is likely to be the bacterial infection. taking the antibiotics can help reduce the infection.Please do culture and sensitivity testing from the discharge coming from it. taking the treatment according to the report will cure the infection early.Please do maintain cleanliness it help reduce taking antibiotics. frequent cleaning and dressing will cure the infection early.As it is a bone infection it requires a long time to get cured. Please do continue the antibiotics till the infection is eradicated. I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank |
What causes hard lump even after taking antibiotics? | got bitten at night in bed 5 weeks ago have been given anti biotics three weeks ago which seemed to clear the infection but now have a enflamed hard lump under the skin which is painful to touch. Been to hospital today after referral from doctor for xray what do you think it is as anti biotics cleared at first but this lump as re occurred. | Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.I understood your health concerns and feel Concerned about them.Based on the facts of your query, you seem to suffer from-Bed Bug Bite with late Abscess at the site of bite.This painful hard lump is caused from the incomplete treated bed bug bite,which got re-infected even after antibiotic treatment 3 weeks ago.I would suggest you to rule out diabetes,as a cause of this recurrence of hard lump.Tab advil 400 mg x 5 days timeand SOS- I/D(Incision and Drainage) -surgical drainage from Surgeon-for draining the abscess.This would help you immediately and would settle in next 3-5 days time.Hope this would help you to reduce worry with your problem.Take care and wish you to recover fast and Live healthy.Hope this reply would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS |
Is Glimepiride more effective than Bydureon? | my husband has been taking the Bydureon pen 2mg and our deductible has gone up and we can t afford it so our doctor suggested we call our insurance company to see if they had something else that we could afford and this this is what they suggested or should I say what would be cheaper, my and they said Glimepiride is the only thing that they could suggest that would be cheaper, my question is will this be just as effective as the Bydureon. | **Thanks for contacting HCM with your health concern1. Byderon [exenatide] is a member of GLP-1 [glucagon like peptide] and because of their glucose dependent mechanism of action, it is associated with low rate of hypoglycemia and Since glimepride is inexpensive but has no durability so please consult an Endocrinologist [Diabetologist] for other possible options.2. As people with type 2 diabetes have very high incidence of heart disease [associated metabolic problem] so one has to make sure that his blood pressure,blood sugar and lipid levels are adequately controlled to prevent long term complication(S] |
Suggest remedy for discolouring and tenderness in the shin | Hello...I fell in March of this year and banged up my shin quite a bit. It never really bled, but it bruised and got swollen. I went to the doctor a week later as it wasn t healing properly & still hurt. I was given meds for infection & told to wear a compression sock for swelling. I did that and the swelling is down. Here it is 3 months later and the area is still discolored and the leg is tender in that area. The feeling of my leg there is different than the rest of my leg. Is there anything I can do to make if back to normal? | Yes,fomantation with luke warm water should help you.Rule out diabetes or any other metbolic disorder. Delay in recovery can be due to these undiagnosed dieases.MULTIVITAMIN TABS. CONTAINING OMEGA 3 FATTY ACID help in recovery fast. |
Diabetes IDDM, have elevated S.urea and S.creatinine level post edema treatment, diagnosed with UTI, advised AV fistula fitting. Am I heading towards dialysis? | Hi I am Sujata 69 Female from India.I am DM type 2 IDDM since last 25 years. Taking Humalog TDS and Lantus in night at 11 pm.My S. urea and S. Creatine level had started to rise and with all possible control on Blood Pressure and Sugar my S.urea 88 mg/dl S. Creatinine 4.6 mg/dl on 21.6.2012 when I was hospitalised for EDEMA due to Anemia Hb 8.6%.After discharge swelling on my ankles and feet was gone,was put on Erythropotien injection 0000 iu every ten days.My Hb improved to 9.8%.But S.Urea increased to 112 mg/dl and S.creatinine 6 mg/dl. Was diagnosed with UTI.Prescribed Nitrofuraton Bd for 7 days and Amikasin inj250 mg OD for 7 days.These were found SENSITIVE in Urine culture report.I have been advised by NEPHRO to get AV fistula fitted.What to do now.Am I inching towards Dyalisis? | Dear friend, welcome to HCM !I am concerned with your uraemic trends. I think you have diabetes related chronic kidney disease which has worsened with UTI.rising urea, creat, oedema and overall trends suggest worsened renal function and as per your nephro advice, you may need dialysis soon.AV fistula is planned for dialysis. pl. go by your nephro. advice.hope you recover soon . and do not fall prey to gossips/ unauthentic advises.pl. keep me posted on your progress. |
What is mild diffuge cerebral atrophy ? | hai sir, my mother age was nearly 50 years and from last year she was often imbalance while walking. and her voice also ecoming unclear.we have consulted many doctors. and they advised as due to weakness. today back whan we consulted neuroogist, after ct scan told it was due to Mild diffuse cerebral atrophy . can u please explain what is mild cerebral atrophy. can we cure it. and can my mother walk normally again. please explain | In simple words, diffuse cerebral atrophy means generalized shrinkage of the brain tissue, which is detected in CTscan or MRI of brain. There are many causes for the atrophy like age related and alzheimer's dementia. Usually, there will be other problems like forgetfulness and difficulty in carrying out daily activities. Since your mother is aged only 50 (age related atrophy is unlikely) and has complaints like difficulty in walking and talking, a detailed evaluation is necessary to rule out brain damage due to minor strokes (hypertension and diabetes melitus are risk factors). Unfortunately, if the problems are indeed due to atrophy, chances of recovery are less. The priority will be to prevent further deterioraion. |
Suggest treatment for autism and diabetes | Hello, i took my 30th year daughter with autisum and type 1 diabetic,, as she had a red looking skin and very to touch no temperture blood sugars fine,, on the side of her naval,, gp precscibe canesten cream and dressing but has not impoved over weekend, what do u think i should do next, thank you | thanks for your queryas per your narration your daughter is having red looking skin on the side of her naval. it may be a bacterial infection, fungal infection or skin allergy. canesten cream is an anti-fungal cream. please consult a good dermatologist and he will diagnose it properly and gives treatment.thank you |
What does the RBS and semen analysis report indicate? | Doctor, I am married 11/2 year back and wish to have children.But couldn t succed in our attempts.Formally,i have checked for RBS & SEMEN Aanlysis. My semen test analysis is like this: Physical examination: Abstinance : 3 days Quanity: 0.5ml Color : Whitish Viscocity: Normal Odour: SEMINAL Reaction :Alkaline Liquification time: 30 min Microscopic Examination : Sperm count : 190mill/ml Motility a) Active Motile : 35% b) Sluggish Motile: 10% c) Non Motile: 55% Morphology : Norml forms: 40% Abnormal Forms: 60% Pus cells: 12-14/HPF EPITHELIAL CELLS: 2-3/HPF RBC : 10-12/HPF In RBS Test, Random Glucose level : 119 It s being a big impact on my lifestyle.Hence,Can u plz suggest the detailed information & problems based on my report.Is there any abnormality? what could be the medication and treatment. Thanks. Rithwik | HelloRead this carefully and you will get the answer .Normal fertility is associated with sperm counts of> 48 million/mL ( in your case it is 190 million/mL but volume is only 0.5 ml ( while normal quantity is 3-6-8 ml ),with a motility of >63 %( in your case total motility active and sluggish is 45 %)with >12 % exhibiting normal morphology ( normal in your case ).Normal pus cells are 2-5 ( in your case it 12- 14 ) and RBCs 1-2 ( in your case 10-12 ) . Glucose random is normal but upper limit , so for this I advise you get in blood for HBA 1 C examination and also repeat the blood sugar level for 3 consecutive day to rule out diabetes .Get in blood for sugar level first of all , there after consult infertility specialist .So in my opinion consult an INFERTILITY SPECIALIST and get his opinion.Good luck. |
How to get rid of calf pain in both legs? | I am having calf pain in both legs particulary descending stairs it is sharp and feels like I have hooks in my calf s. Ascending the stairs cause less pain. Not hot to touch and no redness but pain feels similar when you have cramp in your leg but can not get rid of it. Hx in family for DVT is strong in family but doesn t appear this is problem but is both legs which does not make since too me What could this be as I did nothing to overuse and strain them ? | Hello,I have studied your case. Calf can be due to muscle or nerve related causes. It can be due to below mentioned causes.1.Low serum B 122.Thyroid,Diabetes or knee arthritis3. Nerve compression in the spine. So I would recommend you to get blood investigations to check if you have low vitamins or any other metabolic causes of neuropathy. If there is no such causes than you can get spine x ray to see if there is lumbar spondylitis.I hope this answer will be useful for you. Let me know if there is any other follow up questions.thanks |
What causes blister on the underarm with foul discharge? | Hi, doctor. I just discovered a bump on the side of my breast and below my armpit area that resemblses (feels) like a pimple. when i squeezed the bump to release what i thought to be a pimple, it was instead a white sticky smelly secretion. it smelled very foul!!!! it was at least an ounce that was squeezed out. any sudea as to what this may be? | Hi,Good Evening.Thanks for the query to HCM.I studied it in depth and I understood your health concerns.-Cause -for the large foul smelling discharging breast tail lump-1- In my opinion -it is due to the -Abscess in the Lymphnode ? or -Abscess in the armpit Boil ? or Could be TB adenitis with Cold abscess.2-I would rule out the Possibility of Diabetes in your case because of the 30 ml of pus -being discharged without much of the inflammatory reaction around locally,as it is not reported by you.3-So I would advise you to Consult a Surgeon who would treat it accordingly.3-Dont get scared and uneasy,but be cautious and act fast.Hope this would help you a lot to relieve you.Wish you fast recovery-and healthy life.Wellcome to HCM with more queries till you are satisfied.Have a Good Day...!!Dr.SAVASKAR M.N.M.S.GENL-CVTS,Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer,Asthma,etc,Rejuvenation therapy and Tissue failure -reversal therapies. |
How can high blood sugar levels be managed apart from fatigue, left hand neuropathy pain and increased appetite? | OHlw sir ...my father is having sugar level before meal is 260 n aftr meal it rose upto 352 so wat wil i do to reduce my father sugar level ...he feels so tired n nowadys he is eatng more than his regular days..my father age is 48 n he is also sufferng from neuropathy pain in his left hand ...he colud not even his left hnd for any work n he is also loosing his weight nowadays ...so wat treatment i should provide him... Sir plz rply me as soon as possible ...i can t able to see my father lyk dis ...sir plz ...its a humble reqst | Hi, I appreciate your health concern about your father. But don't worry please tell me is he on oral hypoglycemic drugs or not? If yes, since when he is on drugs?? His blood sugar not under control so you have to take him to your physician/endocrinologist. Uncontrolled diabetes may cause increased appetite, increased urination and increased thirst also. Drug therapy may depend upon the body weight and other associated complications. Use tablet Pregabalin. Please do a dietary modification, regular exercise may help to treat the condition. So consult your physician, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist |
Can a 36 year old woman have a normal pregnancy? | I am 36 next month and had an ectopic in feb of this year ( surgery , but tube saved). I also miscarried at 5 weeks ( just a couple of days ago). I have a ten year old daughter from previous relationship. Is my body trying to tell me that I m too old for another pregnancy. Should I try ivf ? | Hello dear,I understand your concern.In my opinion the problem in your case is maintainence of pregnancy but not formation of embryo.Usually IVF is suggested to those who are not able to conceive naturally.But in your case the pregnancy occurred naturally both of the times but first one got terminated due to ectopic and 2nd one due to miscarriage.The cause for ectopic cannot be pinpointed but the miscarriage might be due to genetic anamolies or hormonal insufficiency like thyroid abnormalities or progesterone insufficiency,diabetes etc.So I suggest you to rule out thyroid abnormalities , diabetes etc.Also give a gap of 3 months for next conception.And start taking folic acid tablet starting one month before planning the pregnancy.And as you are 36 years get screened for Down syndrome and other anamolies by ultrasound, blood work up during early pregnancy.Nothing to worry.Untoward effects might not repeat in further pregnancy.Relax.Avoid stress.As stress also might hamper the normal hormonal balance in body leading to untoward effects.Hope this helps.Best regards... |
Suggest treatment for lumps on calf | hi, every month , a lump apperes on calf of leg, just the right leg, this has been going on for months now, lately its happening all the time , with really bad pain, im scared its clots, i have been trying to get my doctor to send me for smear but im not allowed until 2012, as i had one in feb 2009 which was normal, but 5 year ago i had treatment done for abnormal cells . what am i to do, i have 4 kids , and really worried and in a lot of pain, | Hi,thanks for the query to HCM.Dear,Based on the facts of your report,in the background of abnormal cells treatment 5 yrs back, and with a recurring painful calf lump in right leg,You seem to suffer from -chronic infected Venous Lump ulcer.A colour doppler study would fix the cause of it.Treat-Rule out diabetes by Fasting/and Post-meal Blood Sugar studiesContact dermatologist and treat it with antibiotics / antipyretics/ and anti-inflammatory,with a long term followup.If no relief Check with Color doppler and take treatment from Vasular Surgeon,for the resistant calf lump with pain.Hope this reply would help you to plan further treatment in your case.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS |
How long can diabetic with unstable angina survive? | I have recently been diagnosed with unstable angina. I have previously had an MI, I am 42, with a family history of Heart Disease and Type 2 Diabetes. I am a poorly controlled type 2 Diabetic, overweight and a smoker until 2 weeks ago. I have been told that a bypass or further angioplasty is not an option for me. I take about 24 tablets a day. Could I have a realistic estimation of life expectancy, as I`m guessing its not too good ? | Hello, I would like to review your cardiac ultrasound and coronary angiogram report, in order to be able to give a more professional opinion. I remain at your disposal for any further questions whenever you need. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist |
Is there any treatment for thinning of lining of kidneys | i am a 70 year old woman who have diabetes for the past 35 years. recently, i was sent to have an ultrasound done on my kidneys, and it was reported that the lining of my kidneys are thinning. are there any treatment for this? would it cause any pain in the future? | Thin lining of kidney as described by you may be termed as thin cortex whivh is usually due to chronic kidney diease and not possible to treat. You need to meet a nephrogist and monitor rensl parameters regularly and regular follow up is necessary... |
How to heal the torn foreskin after sex? | Hi Doctor, While having sex, my forskin was torn a little near the tip of the penis 3 days back. There was bleeding which stopped after some time.There is no pain as such except while sliding the forskin back for washing. How serious is this & what should I do? Should I consult a doctor? I applying betadine presently. Age 38. H 175cm W 70kg. | Hi, Yes, betadine will help you. But if there was a scar formation every time you have sex there will be bleeding or if the foreskin tear due to forceful sex or dry sex, drugs will do. If it's due to infection or diabetes then need doctor consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist |
Have undergone MRI for head after suffering giddiness and vomiting. What do the findings suggest? | I am BP,sugar and Thayroid ( all in control through regular medicine (Telma AM for BP,Throx 100 for Thayroid and Glizid M for sugar) TSH is 1.852,BP140/80 and BS F 91&PP154. 4 days back in afternoon ( after lunch ) I felt Gliddiness and vomitting after 1 hr. Suddenly I felt uncomfortable. My doctor advised for Brain MRI In brain MRI all are normal except one finding which states " A few T2/FLAIR hyperintense foci are noted in bilateral cerebral hemisphere representing chronic microangiopathic ischemic foci( Report attached) | HIThank for asking to HCMThis is the pretty common finding seen in patients those are having Hypertension, Diabetes, the microcirculation get disturbed and does not reaches to the tissue and that tissue became ischemic, it is nothing to worry it does not effect your health, have nice day. |
Had dental bone graft. Having orthostatic hypotension issues. History of migraines, Hashimoto's. Related to oral surgery? | Hello, I received a dental bone graft (actually 2 side by side) during oral surgery to remove several impacted wisdom teeth first week of Nov. 2012. First week of Dec. 2012, I began having Orthostatic Hypotension issues (confirmed at clinic & ER). Could this be related to the oral surgery or graft? Age 39, other potentially relevent history, migraines (under control with meds from Neuro), autoimmune connective tissue disease undifferentiated (not currently showing ANY signs of flaring) up to date with Rheum. Hashimoto s Hypothyroidism & just had labs for Endocrinology-all is well there. Up until this, I ve been very active, healthy-enough in appearance (about 20 pounds above my ideal weight but, slowly working on bringing that down the right ways, no crash diets, etc), 5 3/4 & 150lbs, mom of a 4 yo, extremely busy stay at home mom & wife, thank you in advance for any insight. | Hello and welcome to HCM , Orthostatic hypotension or postural fall in blood pressure is often related to other medical problems as you have stated like diabetes, autoimmune disorders ,endocrinological disorder and it is even a side effect of antidepressant drugs.your physician can better relate these two. Fall in the blood pressure cannot be related to placement of dental bone grafts or removal of wisdom tooth. though i suggest you get an OPG radiograph done which will show if there is any infection near the placement of graft or other vital structures. i suggest you to consult a physician and evaluate the symptoms. take care. |
What is causing miss beating in my heart? | iam 43 year man and from 10 day iam feeling miss beating in my heart iam daibitic and hypertensiv too and i have psoriasis my blood pressure is under control but my sugar is not in under control i regularly exercise 40 mintue on cycle tell me the cause plz | Hello!Thank you for asking on HCM!I understand your concern, and would explain that your symptoms may be related to a cardiac arrhythmia. Based on your cardio vascular risk factors (hypertension, psoriasis and diabetes), a cardiac check up is necessary. I recommend consulting with your attending physician for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests : - complete blood count- fasting glucose and HbA1C- PCR, sedimentation rate- kidney and liver function tests- blood electrolytes- thyroid hormone levels, etc. An ambulatory 24 -48 hour ECG monitoring and a cardiac ultrasound are necessary to rule in/out a possible cardiac arrhythmia. Hope to have been helpful!Best regards, Dr. Iliri |
Suggest remedy for lump in jaw line | I had a tooth absess removed and prior to the removal they felt it and it was liquidity and somewhat soft day of tooth extraction it became hard and painful and was in cheeck. They removed tooth 4 days ago I still have soft liquidity lump now in jaw line where tooth was removed. | Hi.Thanks for your query and an elucidate history.Noted your history of tooth extraction, tooth abscess and lump in the jawline. This is most probably an abscess or a lymph nodes secondary to an abscess. Get a proper antibiotic and anti-inflammatory medicines again and see the results. You can get your blood tested for WBC and rule out diabetes as there is a small chance. Ultrasonography helps to decided whether this is a mass effect like a lymph node, antibioma or a true abscess. IF a true abscess is present , this needs to be drained properly by an Oral or an ENT Surgeon. |
How to treat the condition of klinefelter? | Hello, after 10 years Diabetes (I am 25 now) I found out that I am a klinefelter patient. My hips are very feminine in fat mass. If I start using testosterone, is there an option the fat mass there will be thinner? My hart rate is 210/m with cardio exercizes, is that often with klinefelter syndrome? | Hello, Consult an endocrinologist and get evaluated. Hormone replacement therapy can provide some benefits. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician |
Wake up at nights for toilet, sensation in abdominal area. All tests normal, raised fasting sugar. Is that a cause ? | Hi. I am getting up at night to go to toilet and it often feels like there is sometimg in my abdominal area. I have had Psa test, prostate test and ultrasound on bladder and all is normal. Just had bupa test and I have raised fasting blood sugar levels. Can this be the cause. It s driving me mad. Im a 36 year old male | Dear Steve hello Thanks for writing in. Diabetes i.e. increased blood sugar level result in polyurea, a condition where frequency of urine increases. This can be noticed more at night. Please also have your HbA1C test done to check more details about your sugar levels. Control your diet by restricting sugar and carbohydrates under medical supervision and get yourself fully examined and investigated accordingly. Thanks. |
How to treat full right side body and speech paralysis in a 53 years old male? | Hi Doctor,My Name is Ganesh Sharma, from 365, Street No. 13, Phase-6, Shiv Vihar, Karawal Nagar, Delhi 110094, INDIA. My father 53 years got paralysis on wednesday 04 Dec 2013, on right side full body and speech is effected. He can’t speak from that day. Allopathic treatment is ongoing. Please help us in this regard. Regards,Ganesh Sharma | Hi... From what you have written I gather your father may have had a stroke in the brain. Generally cerebral stroke is due to bleeding in the brain and patient presents with paralysis and loss of speech Associated conditions like high blood pressure, diabetes and high cholesterol may be present. The nature and severity of the stroke has to be ascertained with CT scan and treatment planned accordingly. Some cases improve with medicines whereas some need surgery. But whatever the case, recovery period for these patients is usually long. Systemic conditions like BP have to be controlled with medicines. Paralysis and speech take a long time to recover and require physiotherapy and speech therapy. So you have to be patient and remain positive.Hope this is helpful |
What causes confusion and muscle spasms in the shoulders and legs? | Husband is 62 w/o Caucasian male with DX. of Chronic Progressive MS x 17 years. Today he is very confused, says he can t distinguish reality from dreams. Has been sleeping very poorly for past several weeks due to severe muscle spasms in shoulders, legs. Medications; Low-dose Naltrexone, Tramadol (never together), Magnesium, Curcumin. This confusion is very about normal for him, and has lasted the entire day. He does know date/day of week/ current President, etc., no drooping of face, can stick out tongue, smile widely. TIA? | Hello, But this is probably not due to TIA as it lasted the whole day. however it could be due undiagnosed diabetes , electrolyte imbalances and kidney dysfunction. So I would recommend that he gets a blood test for blood glucose levels both fasting and postprandial, kidney functions test including urea and creatinine and blood gases test. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist |
Have developed dark patches on chest, back, arms, itching, after taking januvia, trajenta, diabetic. How to get rid? | I am diabetic for over 45 yrs .Now I'm 81 yrs of age . Some months ago I was given januvia (sitagliptin) tablets . After taking it for 4 weeks I started developing dark patches on my skin, chest, back & arms with itching . Medicine was stopped as it was suspected to be allergy. After a couple of months, the diabetologist prescribed Trajenta (linagliptin) to be taken one daily . This also aggravated the allergic skin patches causing severe itching & I discontinued the tablets . How to get rid of the dark YYYY@YYYY | the black patches are drug allergy spots whenever you will take any medicine it will falrfe on the samespots your other medicines might cauing allergies even diabetes drugs may cause allergy so you have to be sure which drug group causes allergy and change the salta accordingly you can get drug allergy tests and shedule drugs accordingly if there is no recurence of allergy inside your patches will be recovered slowly othewise whenever we try to clear it any medicine taking or will we take off and off will again make those spots dark |
Which medicine is better Janumet or Geminor for an elderly patient with diabetes? | I was having geminor 1M morning and evening one tab ,two months back it was changed to galvus met 50/500 dame dose with img of glemipride in the morning is addition with tab envas 2.5 mg once a day today instead of galvus met , i have been given janumet50/500 my question is in the overall scenario what should i do should i continue with geminor or janumet iam dabetic since 2012 and my age now is 69 years | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Geminor contains Glimepiride + Metformin. Glimipride is known to cause hypoglycemia, which you need to be careful with. Janumet contains Sitagliptin and Metformin. Sitagliptin is not known to cause hypoglycemia. You can switch over to Janumet as advised by your doctor. Kindly monitor your Glycated hemoglobin (HbA1c) level after 2 months to know about the blood glucose control. If the control is good, you can continue with the medications along with balanced diet and regular exercise. If not, then you need to consult your doctor for change in medications. Hope the information provided helps. Best wishes. Regards, Dr.Ashakiran.S. |
Suggest management of occluded aorta, brain shrinkage, strokes and blindness | My 69 year old husband has a totally occluded right aorta and has been for several years. He is not a candidate for surgery according to surgeons. His last MRI showed significant shrinkage of the right side of his brain and he is experiencing severe issues with walking and falling. He has had several strokes since 2005 and is now blind and has random periods of even finding his arms and will flail unknowingly. Is there anything that might help at this point or what can I expect to happen in the future? | You are having severe atherosclerosis with is is chemical brain damage. Please control your vascular risk factors like diabetes and hypertension if any and consult cardiovascular surgeon for opinion regarding surgical intervention.Hope my advice will help you. Take care. Don't forget to rate me. |
How should arachnoid cysts in the brain causing tremors be treated? | I have had an arachnoid cyst on the left side of my brain for about 6 years. There is a hole there as well. Just had an MRI and now I also have an arachnoid cyst on the right side. What s going on? What should I do? What should I expect? I do have tremors and have depression. Recently diagnosed with diabetes. I am 74 yr old woman. | Hello, I have gone through your question and understand your concern.Arachnoid cysts are common findings in MRI and considered incidental, generally not responsible for any symptoms at all.The tremor you are having is probably an essential type of tremor and not related to the arachnoid cyst, nor does the depression has anything to do with it.Thus, the arachnoid cyst does not need any treatment.Hope this answers your question, I wish you good health. |
How can ischemia with breathing problems be treated? | i am suffering from breething from past 30 years i met dr krishnan he told that i am diabtic and finally told stress positive for icshmeia at adequate workload in 2008 and in 2009 dr hareshkumar of moorthys hospital told the same after TMT i am poor aged 63 years unable to spend more | Thanks for your question on Healthcare Magic.I can understand your concern. Positive TMT report is suggestive of coronary artery disease (CAD).Diabetics are more prone for CAD. So you have to undergo angiography to identify severity of CAD. Based on the this, you will need either angioplasty or bypass surgery. I know these are costly procedures. Yoi can consult government setup or satya Sai heart institute in Bangalore whereas they perform such procedures free of charge. Strict control of diabetes is also needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
What causes cold hands, sensitive skin, tiredness and sore muscles? | My husband is suffering with cold hands , no energy, weak and sore muscles. his skin is very sensitive. He is a diabetic ..Over a year ago he had four teeth pulled and hasn t seemed to bounce back after that .What can I do for all of the symptoms he has ? | Hello!Thank you for asking on HCM! His symptoms may be related to an autonomic neuropathy or another metabolic disorder besides diabetes. Chronic anemia, thyroid gland or adrenal gland dysfunction can mimic a similar clinical scenario. I recommend performing a routine blood test for anemia or inflammation, blood electrolytes, HbA1c to see if it is a well treated diabetes, thyroid hormone levels, cortisol plasma levels. A nerve conduction study may be necessary to exclude a motor and sensory neuropathy. Hope to have been helpful!Greetings! Dr. Iliri |
What are the side effects of dioxin exposure? | I have been exposed to dioxin daily for a year in 1970 to 1971 from agent orange. 1997 to 2000, problems started. Now 62, 5'10", 260lbs and have hypertension, hypothyroid from Graves treatment, Diabetes Mellitus type2, sinusitis, headaches, apnea, skin rash. I have info from board certified doctors that agent orange (dioxin) can cause DM2, Hypertension and Graves. Does it really? Is this true and Could it also cause headaches , sinus problems and apnea? | HIWell come to HCMI really appreciate your concern, no medicine could cause the diabetes and thyroid disease because this is endocrine system dysfunction and not due to any drugs neither such drug could cause any sinusitis the reason for that all could be something else, hope this information helps. |
What is the survival rate with last stage of renal failure? | 78y old congestive heart failure, severe breathing issues, three time breast cancer survivor on meds, high blood pressure, high cholestrol, diabetes, stage 5 renal failure 15... is dialysis really going to improve or destroy quality of life she has left?? and what is life expectancy on dialysis if she can have it | HiThanks for choosing HCM. Dialysis will improve some of her symptoms and the shortness of breath will definitely decrease after dialysis but based upon her previous history I suggest you to manage her with medical management.RegardsDr.Alekhya |
Colon cancer, metastasis in liver, diabetes. Have yellow eyes. Done Chemo therapy. Should I worry? | Hello....I was diagonised with stage 4 colon cancer which had metastasis to the liver ...they removed the signoid colon in June 2010...at that time they said my liver was too far gone to do a resect...and chemo would not prolong my life...I do not have good insurance,so have been seeing my GP,who is helping with my pain...at present my diabetic numbers r increasing,though my diet is the same...alos I have no yellowing of eyes or skin...but my pain seems to be increasing....Is there anything new or hopeful in the past 2 years? I feel blessed for the good days i have had. Sorry to have taken your time.Do not have finances to pay at this time..Things have been very hard financially . This is a good site for people who can afford .May all of you be Blessed with your help for others. | Hi and welcome to HCM. i am sorry about this serious diagnosis but I see you are a fighter and this is a good sign. In these cases blood sugar isnt something that determinate your life expectancy. Also it can be pretty easily managed by certain medicines. Only important findings are liver function tests and liver morphology. So you will be fine till your liver works good enough and it means that there should be more than 20% of normal liver tissue. It is obvious that all you need is palliative care and sometimes GP can be more helpful than any insurance or institution. You just need to use adequate painkillers, prevent ascites accumulation and prevent weight loss. Everything else isnt in your hands. |
What does micro vascular Ischemia mean? | I had an MRI which showed stable microvascular ischemia white matter changes without demylinization. I am a 34 year old, 284 lb woman with a hx of migraines with aura. The MRI was done because the aura prior to a migraine changed from the electrical current type to seeing tracers. For the past few months I have had chronic headaches, not just the hormonal migraines I typically see. I take Fioricet for my headaches because nothing else has seemed to work. I do not have high blood pressure or cholesterol issues despite being morbidly obese. I do not have pre-diabetes or other blood sugar issues. My mother has a hx of TIA s, diagnosed when she was 40. I am still waiting for a neuro appt because the neurologist wants to review all of my medical files before setting the appointment. 1. How does the radiologist know the changes are stable when I have never had these show up on an MRI before? 2. Could this be migraine related as opposed to TIA s? 3. What can I do to prevent the changes from becoming chronic? | Hi, Regarding your concern, I would explain that these MRI findings could be related to the migraine attacks, which is known to lead to microvascular dysfunction and brain white matter changes. The fact that they are stable is related to the fact that they are not enhanced on DWI images (a specific MRI technique), which means that they are older than three months. The only thing to prevent those changes would be daily baby aspirin and a close monitoring of your blood pressure, fasting glucose and blood lipid profile. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist |
What causes low sugar levels after switching from Novorapid to Eurepa? | hi doc. i need to ask that my mother age 62 is under renal treatment. She was on insulin novorapid before breakfast lunch & dinner & lantus at night (5units each). 3days before dr. stopped insulin (both) & presribed eurepa 0.5. (bbf, bl, bd) but yesterday night her sugar was 108(around10:30). her sugar is gettibg low. around 3:30 her sugar was 36 only. i gave her one spoob of glucose & measured her sugar lever after 45 minutes that was 63. i gave her glucose agan. after 45 minutes it become lo 60. i gave her glucose agan & aroun 7:15 in morning sugar level was 57. i didn t gve eurepa to her & after breakfast her sugar isto her & | HIWell come to HCMI really appreciate your concern, as matter of fact if this is the diabetes then it need to be managed on tight rule basis but care need to be taken for that the dose of antidiabetes need to be choose with great care particularly for insulin else this could cause the hypoglycemia but this is seldom happens hope this information helps, take care and have a nice day. |
What is the procedure for a coronary angiogram? | I am George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact. | Hello, After going through your medical query I understand your concern and I would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist |
Diabetes,tuberculosis in kidney,urine infection,pus cells,fever | hii.. my father is a daibetic pateints from last 20 year... his age is 52 yr. From last 2 yr he is also suffering from tubercolousis in kidney bt now it get cure bt still he has urin infection ( pus cells ). nd get fever in very few days of gap. from last 3 days again he is in fever around 102 wht the reason for this problem? plzz rply fast.... | hi, your father has persistent (pyuria) pus in urine associated with fever , suggests that he has recurrent urinary tract infections. Possibilities are- 1) he has persistent ureteric obstruction / reflux secondary to tuberculosis. since he is diabetic , makes him prone to urinary tract infection. 2) he has bladder pathology secondary to tuberculosis or even longstanding diabetes. 3) his tuberculosis is resistant to treatment. What you need to do is to consult a urologist who can evaluate any urinary tract pathology, as well a physician who can evaluate his tuberculosis and diabetes . |
Suggest treatment for kidney calcium and mass | My husband has Kidney Ca, mets to lung, and now new mass in area of nephrectomy. Persistent fever, fatigue. They suspect bldg. into Psoas. ( flank pain). He has diabetes, CHF, 2 open heart surgeries, a-fib, CVA history. Any suggestions? He is 64 yo, 250 lbs. Also on meds for HTN, hyperlipidemia. We elected no chemo. Diagnosed 11 mos. ago | Hi, dearI have gone through your question. I can understand your concern.He had carcinoma in kidney and now it spread to lung also.It is stage 4 cancer. So surgery will not helpful. Moreover he had open heart surgeries, hypertension and other co morbid condition. So surgery is not an option.Chemotherapy and radiotherapy can be given but again it has its own side effects which will worsen the remaining life.So in my opinion no definitive treatment should be given. I am sorry to say but it is true. Life expectancy is very low.Hope I have answered your question. If you have any doubts then feel free to ask me.I will be happy to answer.Thanks for using health care magic.Wish you very good health. |
What causes lethargy and nausea after a short period of exercise? | I frequently feel dizzy and neasous after short periods of excercise or even for no apparent reason. My feet sometimes tingle. I am always sleepy and can hardly stay awke for 8 hours at a time. I have recently started eating more than usual and I am constantly hungry even after eating large meals. Is there something wrong? | Hello, Dizziness, nausea, tingling sensation in feet and increased appetite are suggestive of impaired glucose metabolism or even diabetes mellitus. I suggest you get blood glucose levels fasting and postprandial. Fasting glucose levels below 100 mg/dl are normal, between 100-125 suggests impaired glucose tolerance and above 126 mg/dl suggests diabetes mellitus.Postprandial glucose levels (after two hours of having food) below 140 mg/dl is normal, between 141-200 mg/dl is indicative of impaired glucose tolerance and above 200 mg/dl is suggestive of diabetes mellitus. If the test results are abnormal appropriate treatment can be started, and thus the symptoms will relieve.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shailja Puri |
Can gallbladder be the reason for throwing up after eating? | i am had dinner at a local resturant with my family and friends. One is a doctor at LSU medical center. talking about our order I explained that i would have the spring rolls because if i ate the fried eggrolls I would be in the pot within the hour throwing up. He said it might be my galbladder. | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Yes, this is one of the symptom of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbaldder stones are ruled out.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. |
What does this ECG report indicate? | what is beside the code, an nonspecific abnormal electrocardiogram, Diagnosis: benign hypertension, hyperlipidemia, obstructive sleep apnea, unspecified hypertensive heart disease with heart failure, pure hypersholesterolemia, type 1 diabetes - vitals 144/88BP, 57 Pulse, Height 5'6, weight 310, BMI 50.04 -lost 40ilb in past 3 months with gastric sleeve, age 58 | HelloI can understand your concer.These prescription mean that the person suffers from as follows:HTAHeart failureDislipidemiaDMThe treatment should be according to relevant specialists,cardiologist and the endocrinologist.Wish you good health.Thank youDr.JolandaPulmonologist |
Suggest treatment for non stop out break didn t work with anti viral | I was told by my dr threw a blood test that I had the mouth kind. How ever I have never in my life had issues with there however I have had a none stop out break that gets increasingly worse for about 6 months. I have taken steroids. then the three pill at once anti viral then a pill a day anti viral and now 5 800 mg 4000 a day anti viral and nothing is helping could I have something else they are not figuring out? Please help I am at wits in... | HI, Herpes can sometimes cause frequent outbreaks. This more commonly occurs: (1) When the virus has been recently acquired(2) If the immune system is impaired or not working well in some way(3) Fever or excess sun exposure(4) If there is another infection present.You should consider holding off any steroids because these reduce the immune system and may increase the frequency of outbreaks in some persons.If you recently got this infection then this is likely the reason for the frequent outbreaks, they should decrease with time.If this is not the case, then you should also be screened for diabetes, infection, HIV and, very rarely, any cancers that may be affecting your immune response. This would require physical examination and blood tests as well.I hope this helps. Let me know if I can assist you further.Regards,Dr. Michelle Gibson James |
What causes the frenulum to harden and the foreskin to toughen? | What causes the frenulum to harden and the foreskin to toughen, thicken, and have a burning sensation when pulled back, causing the outer layer of skin to tear? Drug and still free. Worried about other types of infection, or posable diabetes (not diagnosed as a diabetic) | HelloThanks for query.You have not mentioned your age in your query.Difficulty in retraction and thickening of foreskin can be due to Diabetes or Phimosis..Please get your blood sugar level estimation done to rule out the same .Please consult qualified general surgeon for clinical examination If required you may need to get circumcised .Dr.Patil.If |
What could be the reason behind Night sweats and extreme bad breath? | I have severe night sweats... It can be cold in the house but I still have them and I also have extreme bad breath, it's not due to dental work or poor hygiene because I do everything right..I went to my primary care doctor/dentist and they both can't find anything wrong with me...I even changed my diet,brush/rinse with oral probotic mouthwash and tooth paste,take a probotic twice a day,brush my teeth thru out the day as well as floss....I'm losing hope and going broke trying to fix this...What can it be | HI, THANX FOR YOUR QUERY . DON'T GET WORRIED ,REASONS MAY BE IMPROPER TONGUE CLEANING, HAVING FOODS WHICH HAVE STRONG ODOUR SUCH AS GARLIC , ONION.DRY MOUTH[ XEROSTOMIA] DUE TO INADEQUATE SALIVATION , OR CHECK IF YOU HAVE THE HABIT OF BREATHING THROUGH MOUTH, HAVING ANY ACIDITY PROBLEM, DIABETES MIGHT BE ALSO A REASON,TAKING ANY MEDICATION SINCE SO LONG. CHECK THIS OUT ,HAVE MORE WATER, TAKE BALANCED DIET,MAINTAIN GOOD ORAL HYGIENE.HOPE THIS IS HELPFUL. |
Done surgery for prolapsed thrombosed hemorrhoids. Difficulty swallowing, thirsty, dry mouth due to anaphylactic shock | After surgery for prolapsed thrombosed hemerroids external and internal had analaphytic shock from pain killer intravenously given. Hydrocortisone and xycal intravenous administered. Left hospital 24 hours ago. Prior to operation blood sugar was 5.7 and post operation 7. Issue is after analaphytic shock swelling on both sides of throat and difficulty swallowing continued for 24 hours plus extreme feeling of thirst that no matter how much water is drunk does not go away. Appears to be dry mouth no saliva generation not full dehydration . At hospital they said all is normal and no harm in drinking water. Kidneys and bladder functioning well. Need to know about dry mouth post operation symptoms. Do not have diabetes.. Thanks S | Hi Zjaber, Welcome to healthcare Magic! The anaphylaxis is a life threatening phenomenon, you should remember the name of the painkiller and avoid it in future. The dry mouth may be related to stress of surgery or the remnant allergic reaction. You should take frequently the house hold liquid diets like warm soups/tea etc. Lemon water would also be good. I would advise to continue tablet levocetirizine 5mg for 5 days to come. I hope the advise would be informative and useful for you. Take Care! |
Suggest remedy for pain and burning sensation in finger | What medications can cause painful burning and swollen fingertips (to the first joint). I do have diabetic peripheral neuropathy in my hands but did not expect the almost blister-like swelling of my fingertips. they are extremely painful, I take Tylenol, Naprosen, gabapentin and Cymbalta for the pain | hishow a doctor, keep diabetes in control, do hot fomentation and your doctor may add methycobalamin tabs.Also get arthritis profile done, just in case some arthritic problem if developing or flared up,it should be ruled out. sugar levels in blood should be kept seriously in checkbest wishes |
Upper quadrant abdominal pain. I had my gallbladder removed | History: 49yr old black female, 5 6”, 220 lbs, diabetes/ hypertension . For about 3 mos now, I ve had constant, intense 24-hr pain in the right/left upper abdomen (sometimes felt in my back at the same points). It feels like my belly muscles are tightening to the point where I feel severe pinching sensations. I ve had x-rays, CT scans, an ultrasound, and an MRI , which came back negative. I also had a colonoscopy/EGD test followed by a CLO test that showed positive for the “H pylori” virus. I was treated with a 14-day antibiotic regime for the virus. On April 14, 2011, I had my gallbladder removed, but the pain still remains. On May 17, 2011, my appendix ruptured, had surgery and was hospitalized for 11 days. My upper pain still remains and is a thorn in my side. Pain killers do not help, only allows me to sleep. I read a post that mimics my pain symptoms in which she was diagnosed by a pain mgmt dr that she was suffering from tendonitis in the diaphragm. Could this be my problem? | Hi, You must take rest. Don't take any rich food enriched with oil. You must take Sufficient water daily - minimum 15 glasses per day. Never use pain killers because it may produce gastritis which also create excessive pain in your upper abdomen. Rx, Fer.Phos 6x - 6tabs Twice daily before meal. Arn.Mont. 1M - 4D - Twice daily for Two days. Carb.Veg. 1M -6D -Twice daily for 3 days. |
Suggest treatment for sharp pinching pain all over the body | For the past couple of months, I have been experiencing feeling of pins and needles on different areas of body. It does not feel like when your hand or leg falls asleep, but instead like someone taking a needle and just pinching you with it. It can be in my arms, legs, stomach, hands, anywhere. When it happens I feel like I need to scratch it or rub it. I m very concerned because I don t know if it is pinched nerves, allergy or something else. It does not happen everyday but happening more and more. Has anyone experienced anything like this? | Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have sharp pinching pain all over the body. Well there can be many reasons for symptoms you mention in query like radiculopathy, neuralgia , nerve dysfunction , diabetes , herpes simplex virus or insect bites . I would suggest you to take over the counter antihistamine like zyrtec twice a day , bath with hot water having epsom salt in it , drink plenty of water and take ibuprofen or acetaminophen for pain . Consult general practitioner for proper examination . Doctor may order blood test , check vitals , take history . Doctor may also refer you to neurologist for nerve problem , who may order nerve conduction test along with other test to confirm the diagnosis . Doctor may give supplement like vitamin B 12 along with other treatment . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari |
Is elevated liver enzymes while having pneumonia serious? | My father is diabetic,he has been complaining of fever and chest pain,he has been admitted to the hospital and it seems that he has pneumonia his liver enzymes also seem to be elevated I just want to know how serious his situation is. Thank you in advance | Hi welcome to the health care magic In diabetes chances of infection are more... Opportunistic fungal infection chances also present So detail clinical history taken work up done in following ways.... -Chest x ray -Auscultation -CBC -Sputum examination esp gram and AFB stain If x ray shows consolidation than pneumonia can be there and antibiotic given... You might be kept under observation in hospital for three to five days and if needed intravenous medication can be given For pain paracetamol will be given and if pleurisy leads severe unbearable pain than tramadol sos can be prescribed Take care Pulmonologoist consultation advisable for examination |
What causes the death of sperms before ejaculation? | hi i m 30 years old lady married last 8 years i have no kids i have problem of irregular periods and my husband is fertality patient he has sperm but bfore realeze they r dead drs recommend us I V F he was treared in BDF hospital by surgery and medicins dueto over heat in testicl v r faceing this problem pls tell me the best DR to IVF in BAHRAIN and cost of IVF IT VLL B successfull to us in this condition DR JAIN pls help me to make my periods reggular and growing eggs in overies i m waiting ue reply thanx how i can get ny ans and live chat with a dr tell me | Hi, It can be due to diabetes, hypertension, thyroid imbalance and stress induced. Check your blood glucose level and blood pressure. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist |
What is the remedy for pain in upper part of the foot? | I ve heart my foot kicking the wall, toes up, right foot, now the upper part of my foot is hurting, i can t walk at all, it happened a little over 24 hours ago and iv e been icing it banding it and elevating, the part the hurts is the area where if u looking at your foot and u go from the little finger and the one next to it up towards your body it is right before you get to the leg, it hurts all the time, very deep, i feel like it is not a bone but yet i can t move my foot, what can it be please help me i am in a lot of pain. only took 2 advils in order to fall asleep but woke up twice at night from pain, leg was elevated most of the night as well. | HIWell come to HCMI really appreciate your concern, such pain could be due inflammatory changes and it could due to infection or it could be some diabetes too, on tentative basis anti-inflammatory and anti-biotic can be tired and best drug would be Tab Ibuprofen 400 mg and Amoxicillin 500 mg three times in day, if this fails to work then clinical examination and investigation would be advisable hope this information helps. |
How can diabetes be managed while on chemotherapy? | My husband has pancreatic cancer, he had the Whipple procedure in September, 2016. He started chemo Oct.31, 2016. he is now in remission and no longer taking chemo. He is eating very well, but, continues to lose weight. I have done everything I can to add calories to his diet. He is now diabetic bc of his pancreas being removed. We are having a hard time controlling his blood sugar levels. He is very insulin sensitive. Any comments on what else we can do? | Hello,Sad to hear that your husband is been recovering from such a serious Illness, give him the Diet as advised by the Dietician/Oncologist.Please adjust the Insulin dosage levels based upon the lab values FBS,PLBS & Hba1C please see a general physician or Diabetologist for dosage or you can contact me on my number.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mohammed Abdullah |
Does Ayurvedic medicine helps in relieving the pain in the chest? | thank u,i am a heart patient on a waiting list for a bypass surgery n i am a diabetic too.i want to heal myself in a natural way,i am actually using ayurveda arjuna powder,extranase n emanzen forte together but i still have rugular chest angina with a single effort. | hello sir,chest pain will varies on the level of coronary artery block (main vessel or peripheral vessel) and ishaemic changes in the heart muscles (myocardium).if the blood supply to area affected,then pain will occur.ayurvedic medicine will help up in heart disease depends upon the disease severity and your diabetes also should be within control.you should consult your ayurvedic specialist to reassess your medication for your complaint. because assessing a pain(severity) cant be done in a single visit.depends on your feedback and assessing your severity medication can change or increase.thank youHope i answered your query. |
What could be the reason for lack of sleep and misshaping during bike ride and office work ? | Sir I am 31 yr old man serving in military engineer services as a junior engineer. Sir I was suffering from mental problem in 2001 I got checkup my self from AIIMS IN Phyciatry DEPT IN MAY 2001 DOCTOR TELL ME THAT I HAVE OBSESIVE COMPULSION DISORDER THEN I TOOK MEDICINE FROM 2001TO2005 AFTER THAN I GET RID OFF FROM THAT PROBLEM .NOW FROM SIX MONTH DUE TO FAMILY PROBLEM AND OFFICE PROBLEM , I HAVE FACING LACK OF SLEEP,FEARING OF MISSHAPPENING DURING BIKE RIDING AND OFFICE WORK ,MIND BHARI HO JATA HAI . what is the theproblem now. PRASANT AMBALA | Hello Mr. Prashant,From your symptoms I think it is possible that you may be suffering from another exacerbation (worsening) of obsessive compulsive disorder (OCD). OCD is usually a chronic illness, which means that it does not get cured completely. With medicines, it can be brought in control (like Diabetes or Hypertension), but during stressful situations the symptoms may return. You seem to be facing some stress at home and at work; probably this stress has triggered another episode of OCD.Another, though less likely, possibility is that you are currently having an anxiety disorder other than OCD. A confirmed diagnosis would require a face-to-face consultation.It is very likely that you will benefit from the same medicines that had helped you earlier. I recommend you visit a psychiatrist for a face-to-face evaluation and consider restarting those earlier medicines. More importantly, please do not stop the medicines on your own in future.Regards,Dr. Saifuddin KharawalaMBBS, DPM |
Suffering from obesity and stress. Family history of cerebral hemorrhage and heart attack so check up required? | My sister is 54 yrs of age and obese. Has not been to a doctor for a number of years. Has had detached retina surgery around the age of 40. Is under a great deal of stress with her job. Father and older sister died of cerebral hemorrhage, other parent of obdominal annyorism, and an older brother of a heart attack. Should we head to the doctors or hospital? | Hi,,yes, it is good to take her to your Doctor. Your Doctor will do clinical examinations, Investigations specific to her need. If there would be any warning symptoms or Signs, he or she will refer her to the specialist or Hospital. If everything comes out normal, her stress level will reduce, and will have to concentrate on healthy way to reduce weight by diet and regular exercises. Her retinal detachment at early age indicates also some chronic disease like Diabetes, hypertension or vascular disease, specially Aneurysm.Better to be proactive, rather then stay in fear.Wish her good healthDr H Hamdani |
Is defibrillator implant causing chest pains? | HI. MY DAD IS SUFFERING FROM CHEST PAINS RADIATING OUTWARDS . IT HURTS MORE ON THE RIGHT SIDE OF HIS RIB CAGE. HE CURRENTLY WAS ADMITTED TO THE ER FOR CHEST PAINS AND WAS TOLD HE HAD A MILD HEART ATTACK. HE HAS HISTORY OF CARDIOMYOPATHY & DIABETES. 3 YRS AGO HE HAD A DEFIBRILLATOR IMPLANTED IN HIS CHEST. PLEASE ADVISE WHAT OTHER POSSIBILITIES THIS CAN BE. | Hi, A heart attack is mostly the cause of this pain. I don't think there might be other factors according to the history you provide. My advice is to do a full check up and blood tests. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist |
Are mild diffuse brain volume loss and mild chronic small vessel ischemic changes serious concerns? | I am 66 years old, and have bipolar 1 disorder. I just got the results of an MRI: HISTORY: Dementia; Cognitive impairment without underlying source identifies.. Symptoms for 5 years COMPARISON: None. TECHNIQUE: 16 mL MultiHance was injected IV. Precontrast and postcontrast multiplanar MR images were obtained of the brain. FINDINGS: Brain and dura: There are a few scattered nonspecific punctate foci of increased white matter signal. Brain volume loss is present. No bleed, edema, or mass/mass effect. Ventricles and sulci: Normal. Vessels: Vascular flow voids are preserved. Calvarium: Marrow signal is normal. Craniocervical junction is intact. Orbits, sinuses, and facial soft tissues: Normal. IMPRESSION: Mild diffuse brain volume loss and mild chronic small vessel ischemic changes. I also had 7-1/2 hours of testing with a neuropsychologist. I m waiting for an appointment with a neurologist. I m starting to be scared. | Hi, The report means that there are very small blood clots in the brain. Due to this the brain size is slightly reduced. This is not very uncommon with increasing age. If you have diabetes or hypertension you should control to avoid a further stroke. Also, you may be advised to take a baby Disprin if not contraindicated. There are no major abnormalities like any a tumour or infection in your brain. Hope I have answered your query. Let me know if I can assist you further. |
Swollen jaw under ear causing tingling while eating from that side. What could be the cause? | Hello, i have begun to get a swollen jaw right under my left ear. It s only on the left side and doesn t cause much pain. I have a weird sensation like tingling when i eat something on that side. My teeth don t hurt at all and yes i do have my wisdom teeth in and have had them since i was 18 years old. I am now 36. This is the first time this has occurred. I also sleep on my left side most of the time and was wondering if this could be a cause. | hello dearyou look like you are having parotid salivary gland swalling, and there multiple causes for thatyou shoud know that there is systemic conditions like diabetes, caushings disease ,alcoholism, hepatic cirrosis , gout ,and myxoedema can cause painless swalling on the salivary glansalso we put in mind mumps, it is aself limiting viral infection, it can cause the same symptoms you have especially if you already took mummps vaccination, but in your mind if you had previosly infected by mummps then it is very unlikely to get second infectionfinally , if your condition would not subside within 14 days then i recomand you to visit your doctor for clinical examinationhope you all the healthiness |
Can Candida infection be contagious? Does this lead to constant mucus production? | Hello, my name is Vugar. I am suffering from bad breath over two years now and my doctor had told me that i have yeast infection and sinus infection. Now my girlfriend has started having bad breath. Do you think this could be a result of contagiousness or? Can candida be contagious? Please help. I also have mucus attack and constant need to swallow. There are swollen parts in my throat too. Thanks for reading ! I will be waiting for your respond! | Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that, yes candida is contagious infection. But candida usually occurs in persons whose immune system is suffered like HIV, Diabetes, Prolonged antibiotic treatment. I advice that you and your girl friend should tested for HIV. You can take the fluconazole tablet for the yeast infection kindly take it under doctors guidance.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease. |
What could be the reason behind burning,pain between shoulder blades,skin sensitivity on chest,internal itching for a patient with multiple myeloma and diabetes? | Is there such a thing as Shingles without a rash? My husband has all the symptoms (burning, stabbing pain between shoulder blades, skin sensitivity on chest and under arms, internal itching) but he has no rash! What can this be? He also has multiple myeloma and diabetes. | Initially pain can appear in Shingles and latter rash can occur. pain is high. Just itching is rare both can occur together. if no rash then it is not shingles. He needs to be checked for other conditions, fungal infections commonly cause itch, also parasitic infestations, both need to be excluded |
How to maintain the sperm levels even while medication gives temporary relief ? | hello doctor my husband is 37 years old. he has low sperm level about 25%. he is taking medicine for almost one year. after taking medicine his sperm level was become 45%. but before one month in his test report sperm level was again low about 15 %. i am so much worried. how he can maintain his sperm level. please help me out thanx | HelloI appreciate your concernin my opinion your doctor should identify and address the underlying cause for low sperm countthus could be due to any of following chronic UTIprostate diseaseNutritional deficiencymetabolic disorder like diabetes or hormonal imbalancesIn my opinion he should consult a GP or general surgeon for check up and investigation like blood for hemoglobin CBC blood sugar liver function test thyroid test urine for culture and sensitivity or an ultrasound scanI will suggest following guidelinescomplete abstinence of smoking and alcoholregular exercise and a healthy balanced diet with multivitamin supplements is recommended lots of fresh fruits and fruit juices hope.this help youplease feel free to ask for more clarificationbest wishesDr BR Hudda |
What causes back pain and pain and redness in finger tips? | hi Making this query for my father, who is 58 yrs his HB count shows 19. He is facing some problems like redness(mixed with purple) on the finger tips and pain, fatigue, low back pain etc. Would like to know what will be the reason and treatment. | Here as per your explanation, having HB 19 is some thing really good. But I need to know what about other parameters like is he having sugar ( diabetes)?Well if he is not diabetic then next is what about hypertension, cholesterol or any other medical history.?If he is healthy and this is first time some thing happening different then I suggest to check on his back pain. Is it coming from back to leg along with numbness and tingling sensation. If yes then his problem is at spinal level which is affecting the nerve coming from that particular level and so that he has pain and sensory changes at lower end of the leg where ever the nerve supplies.But if there is no symptoms of radiating pain then it could be some thing related to vascularity where his lower limb circulation might be affected. Now to have conformation on this there is physical test that is hold and squeeze his calf muscle and check about pain if he complain of pain then the test is positive showing abnormality in circulation for lower limb. How ever the conformation can be done only after dopler test for lower limb.Here just with symptoms of redness in finger tip, fatigue, pain is not enough for any diagnosis it can also be related to simple fever where you will have similar symptoms. soni suggest to take him to doctor in case the symptoms are not going on its own and get him examine properly and do needful.Take care. |
Suggest treatment for a painful rash on the penis | I had a rash on my penus that was very painful. I went to see the doctor three weeks ago and he gave me antibotics and a fungle cream. That did not clear it up, so I went back about a week and a half ago. He gave me an oral anti fungule. Slight improvement but rash still not gone, and there is a white /clear discharge from the head now. What is goin on?? | Hello I share your concernLooking at your description this could be STI or infected ulcer I would like further informationto help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex?You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rashApart from.this blood sugar fasting and post prandial and Blood for CBC and liver function test are also advisable.Maintain good hygieneWash and clean it with antiseptic solution or soapYou can apply mupirocin ointment externally.Use condom during sexHope this answers your question please feel free to ask for more clarificationThanks and regards |
Are high potassium levels a normal progression of kidney disease? | my friend has been told his potassium is to high. He is 4th stage kidney problems, diabetes and is 84 years old. He had open heart surgery 15 years ago. I don t know how to find foods with little potassium. Is there anything I can do to help him out with foods or is this a normal progressions of the 4th stage kidney disease? | Hi,Thanks for writing in.In any patient with kidney disease there is potassium, phosphorus and sodium level abnormalities and this requires to be controlled. There are medicines which might be given to drain the excess of potassium from the body. Please give him foods which have less potassium content and avoid those which are rich in potassium.High potassium foods from natural food sources like beans, dark leafy greens, potatoes, squash, yogurt, fish, avocados, mushrooms, and bananas. Please give these in smaller amounts. Please do not worry. |
What causes a lumps in the pubic area above the penis? | Hi i have found what looks like a pimple in my pubic hair region above the penis. It had a white head and i popped it and blood came out as well. It looks blackish color... Im just a lil worried. its been there before and came back a long time later inches away from that spot. | Hello!Thank you for the query.Such lumps are nothing more than hair follicle inflammation. It may appear due to shaving or insufficient hygiene in this area. Sometimes diabetes can make you prone to such lumps.This lumps are not the reason to concern. To prevent this lumps you should wash this area with water and soap regularly and keep it dry and clean. If you shave it, please use sterile shaver.Hope this will help.Regards. |
Is it possible to be hyperglycaemic and not be diabetic? | Can I be hyperglycemic and not be diabetic? I am a nursing mother who has been losing weight (due to nursing). Recently, I have seemed to have excessive urination (some very, very clear) and seem to be more thirsty than usual. My mind seems foggy and I am irritable and weak. Leg muscles are lethargic. Sometimes I experience a heavy chest and heart palpitations. My lifestyle is high stress due to homeschooling my 6 kids and I am a carb. eater. There is conflicting info based on type 2 diabetes in thin people who consume carbs. Other than getting my blood sugar tests next week. What can/should I eat to feel better sooner. Should I stay away from all sugar and carbs or do I need to eat them when I am shaky and weak? | Hello,if I understood well, you're not diabetic but you're concerned about the risk of being diabetic due to your symptoms... The classical diabetic symptoms are excessive urine production, weight loss and excessive thirst. You should definitely do a fasting blood glucose test. Did you have gestational diabetes? Do you have a family history of diabetes type 2? The test will be decisive for the diagnosing or excluding diabetes.Since there is suspicion for diabetes because of your symptoms, I suggest you try to avoid too many carbohydrates (particularly simple sugars), eat more fiber and avoid gaining weight. If you do have diabetes and high blood glucose, then there is no reason for you to feel shaky because of hypoglycemia. You may feel shaky and weak because of dehydration. This means that you should drink enough fluids (so as to relieve your thirst) and avoid the carbs. I hope I've been helpful for you!If you have more questions, please ask again and I'll be glad to help you more.Kind Regards! |
Is alopecia areata and lichen planus curable? | Hello Dr.,I have been diagnosed with Alopecia Areata & Lichen Planus. Just wanted more info on the co-existence of these two conditions and whether it is curable. I have hair loss across my body & also patches in my skin which look like it has been burnt.Also, What is Vitilex 150 used for?Regards,Reza (M/34/Hyd) | hi, welcome to HCM,alopecia areata is a autoimmune disease.etiology of lichen planus is unknown, but it is thought to be a T cell mediated autoimmune disease. but these two disorders are rarely associated.alopecia areata is associated with thyroiditis, diabetes, vitiligo etc.vitilex 150 contains levamisole commonly used to treat parasitic worm infestation. it is also a cellular immune enhancer and this property is utilized in some disease like vitiligo, chronic wound, lichen planus etc.hope this will help you.thanks |
What causes redness under the skin,atrial fibrillation, bell s palsy with history of MRSA? | My Nephew has been in the hospital for 3 days and they have not found what is causing these symptoms. He now has A-fib, a redness under the skin which is burning like a bad sunburn, bells palsies, low energy. He recently had MRSA. They thought diabetes, stroke, lyme disease, but then ruled them out. He is home now and miserable. | Hello!Thank you for asking on HCM!Regarding your concern, I would explain that his symptoms seem to be related to a chronic infection. An autoimmune reaction could also be the cause of his symptoms. I would recommend performing a nerve conduction study to exclude a polyneuropathy and some tests for inflammation (PCR, sedimentation rate, fibrinogen levels). Hope to have been helpful!Kind regards, Dr. Aida |
Will symptoms of erectile dysfunction improve after aortic valve replacement? | I have been advised to have an aortic valve replacement. My symptoms I can not walk for more than 2 hours and I suffer from erectile dysfunction other than that I feel fine. Do you think these symptoms will improve after the operation.I live in Thailand is there any American hospitals that offer medical tour services that can do this operation? | Hi, Erection problems can have many causes. These include Physical problems, such as injury to nerves or loss ofblood supply to the penis. Other health problems, such as diabetes, high blood pressure, anxiety, anddepression. Side effects of certain medicines. Stress. Drinking too much alcohol or smoking. The exam, lab tests, and sometimes mental health tests can help find out the cause of the problem. Treatment is based on cause and includes avoiding tobacco and drugs and limiting alcohol. Also, talking about the issue with your partner, doing sensual exercises, and getting counseling may be beneficial. Finding and then stopping medicines that may be causing the problem. In some cases, you can take a different medicine that doesn't cause erection problems. Taking prescription medicine that can help you get erections. These include pills such as sildenafil (for example, Viagra), tadalafil (for example, Cialis). In most cases, this is sufficient for treatment but you should just be patient and do necessary tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ivan R. Rommstein, General Surgeon |
Could heavy workout lead to high blood pressure? | Hi, I am 30 years old female with good BMI and no BP history. Over the past 6 months I started going to gm and last 2 weeks I worked out more than usual.Now when I checked my BP it is 160/ 90. Is it very unusual. Would it be due to over working out as I had nos symptoms. | Madam you have no history of any hypertension and diabetes .Your blood pressure keeps on changing whole days as per your activities and hormonal response.Please check your BP thrice a day in resting and sitting position and then only you can come to a conclusion whether you have Hypertension or not .If your BP is more then 140/90 mmHg as median average then you need lifestyle modifications and may be medications.Do not check you BP post Excercise it will definitely show high readings. |
Advise on the pneumonia,pseudomonas and red itchy rash in my groin | I have just been diagnosed with klebsiella pneumonia and pseudomonas. I presented to my dermatologist with itchy, flaky, very red rash in my groin area and right below my belly button. I do have lupus and diabetes. She has put my on 2 weeks of Levaquin and some creams for the areas. What is your opinion and can you explain the seriousness of this to me. | Hi,As you described about your health status having different infections, Lupus and diabetes, I think you must be having poor immunity. So, I feel that due to poor immunity, you may be having fungal infection dermatophytosis in groin areas.,, may be called tinea corporis and tinea cruris. For the perfect diagnosis and proper treatment, you must consult the dermatologist. I would recommend you to apply anti-fungal cream like sertaconazole cream, and take cap itraconazole 100 mg twice a day. Tab desloratidine 5 mg may be taken twice day to relieve itching.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist |
Is a long lasting Insulin dose for elevated blood sugar levels advisable? | My sister s Blood sugar is 201.I have given her a long lasting dose if insulin 2 hours ago..Is that still too high and what should I do? Also she has issues with high blood pressure and her heart Her vitals are ad follows 101/71 and her heart rate is 67 Is that ok? | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. From your description, I can deduct that 201 mg/dl is not a fasting blood sugar result. (because she had a long lasting insulin injection 2 hours ago.) It is not too high, don't worry. This result is not dangerous for your sister. My advice is to increase 2 UI her insulin doses (you can start tomorrow with the increased dose) and to check her fasting and post prandial (2 hours after meals) blood sugar again. If the result do not return to "normal diabetic range", I suggest to consult her treating doctor because your sister may need to change her insulin schedule to control her diabetes. About her vitals, her blood pressure is "a little bit" low, but is can be normal for the females. Anyway, if she take anti hypertensive drugs, I suggest to lower the doses of the medication. Her heart rate is OK. Hope i have answered to all your questions. If you have other doubts,feel free and ask. |
What causes frequent urination and leg ache after a rotator cuff surgery? | I just had a rotator cuff surgery. when I got home, from the outpatience hospital, I notice that I have to use the bathroom more than the norm. In Addition, when I sit down on the camoe, and get up, I get an excruciating pain on my left leg. I am not sure what is happening. I was not experiencing this symptom before the procedure. Please advise what is going on Please confirm | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A urinary tract infection is a common cause of frequent urination and this is the first thing to think of. An overactive bladder is another common cause but usually seen on elderly,although it may be seen in youngs as well. Overactive bladder is usually a collection of symptoms that can lead to frequent urination. These include: urinary urgency, or the sudden urge to urinate, caused by muscle contraction, urge incontinence, or loss of bladder control. Excessive caffeine, nicotine, and alcohol may also irritate the bladder walls and can worsen frequent urination symptoms. Treatment for frequent urination depends on the cause. Your doctor will first treat the primary disease responsible for frequent urination, such as diabetes. If an infection is at fault, your doctor will prescribe antibiotics for getting rid of the infection. Medications that control the muscle spasms in the bladder can help reduce urinary incontinence, or loss of bladder control. Your doctor also may suggest doing pelvic exercises, such as Kegels or bladder retraining exercises, to help delay urination. Hope I have answered your query. Let me know if I can assist you further. |
What causes episodes of seizures? | I have been diagnosed with fibromayalgia but for the past year i have been having seizure like episodes. i have pased out causing a car accident, i frequently space out, even burning myself without knowing it, and i am always falling down and very dizzy. I have had all tests done to check for seizures but the doctors can't find a problem. Could all this simply be from the fibro or is it something more? Please help | Fibromyalgia is not the cause of the seizures. There is need of more history to answer your question more appropriately. I need to know your age, any history of diabetes and hypertension. Based on your symptoms you could be suffering from transient ischemic attacks which can occur due to blockage of small vessels in brain. I suggest you consult a near by neurologist and discuss the need for an MRI brain and carotid Doppler examination if you have already not undergone them. Thank you. |
Are elevated liver enzymes normal after pregnancy? | i went into the dr for dizziness after pregnancy. i delivered by c section, it was not scheduled and was very trying. i didn't take any medications for recovery, and havent really taken any tylenol or had many drinks since my son was born in March. The dr ran blood test for anemia,thyroditis and diabetes and came back with elevated liver enzymes almost double "what they should be". Is this common after pregnancy? | eg:no not common do viral marker lipid profile before lactiting if free follow liver enzymes after one month stop drink alchol avoid smoking diet restrict lipid drink water alot |
What causes red bumps on penis with layer of skin after intercourse? | Sometimes after I have sex or masturbate and don't wash my penis I will end up with a red bump on the head of my penis. It doesn't hurt or sting or burn it's about 4mm round, and forms a head or flakes off a layer of skin. I've been to the STD clinic they say it's nothing. Any thoughts? | Thank you for query.It may be due to fungal infection.Please take following precautions.Use loose cotton clothes.Keep area dry.Apply antifungals like clotirimazole.clean the area twice daily with warm water.oral antifungals like flucanazole 150 mg weekly once can be taken.Treat your partner also to prevent recurrence.Good control of diabetes is most important to prevent recurrence.consult doctor if does not subside.You can get back to me for any clarifications with the photos.Dr Bharatesh D Basti Dermatologist. |
Can an enlarged liver shrink back to its size after treatment? | Hi, I just got some test results about my enlarged liver and spleen. My blood work was done a few months back and all was very healthy. Cholestrol was great. I am 33 and I am very nervous right now until I see the doc Jan 6!!! Does a liver ever go back to normal after being enlarged. Should I be exercising? And should I be worried? | Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.It depends on exact cause if this is caused by diet, obesity and diabetes then dietary and lifestyle changes will be beneficial in every case. however if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health. |
How long does it take a broken hip to heal in elders? | i just got word of my 85 yr old mother falling and xrays show a broken hip.. i am a ways away, have sisters and brother following her to hospital.. being transferred for surgery.. she is type 2 diabetic. on blood pressure meds.. had a stroke with little effects about 15 yrs ago.. concerned about anesthesia... she stays quite active.. just concerned... | Hello dear,I can understand your concern regarding your mother .I will say you have patience ,it usually takes much more time to heal in elderely patients.Since your mother is known case of diabetes type 2 ,it will furthermore slows the healing process .As per Anesthesia is concerned ,I think her anaesthetist must knows about her history ,they will manage it well .please rate my answer if you found it helpful .Best wishes for your mother 's health .RegardsDr.harpreet Kaur |
Spondylotic and disc degenerative changes, mild disc bulge, pain from neck to arms and legs. Taking wysolone, voveran. Side effects? | hello dr, iam nandini 26 yr old . iam diagnosed with early spondylotic and disc degenerative changes with mild disc bulge with right paracentral disc protrusion at c3- c4 section. i was on medication for 1 month. i also wore soft cervical collar . iam having pain from my neck to both arms and legs. the pain shifts alternatively, ie one day its left side, the next day its right side. Now i have been prescribed wysolone 5 mg 3 times a day for 5 days, then reducing it to 2 times a day for 5 days and then once daily for 5 days. also 1 tab voveran sr100 for 15 days. iam taking wysolone for 1 day now and my pain is reduced, but iam worried of its side effects by taking it for the prescribed days. | Dear Concerned., Thanks for writing to us., The T.wysolone is a potent steroid which can reduce non infective or sterile inflammation of the nerve root in radiculopathy and thatswhy your doctor would have prescribed the same and tapered it.The potential benefits do not overweigh the risks or side effects of this class of medicine. You have to bear in mind that Wysolone causes Gastro intestinal problems such as Nausea/Vomitting/Peptic Ulcers/Osteoporosis/Cataract/Premature onset of Diabetes/Hypertension/Harmonal Imbalance in women/Menstrual Irregularities/ In addition to Wysolone ,you are taking Diclofenac which in turn increases the corrossive effects on Stomach. Kindly avoid this Wysolone in future. Please consult a Neurosurgeon/Spine Surgeon for all your needs. Please Start a Soft Neck collar/Physiotherapy/Neck Extension Excercises and ultimately minimal access Neuro Endoscopic Surgery to Cure the disc lesions. Wishing you a speedy recovery., Best regards, Dr Lt Cdr ASN Bhushan. |
What causes low BP and headache while on Invokana? | Hello! Just got diagnosed last year with type 2 diabetes. Was prescribed metformin 2x a day 500m. Blood sugar readings were bouncing between 137-217. My endo perscribed invokana for 30 day trial. I ve noticed my blood pressure drops when I take my meds (also sertraline and Astro for chloresterol). I notice headaches and dizziness sometimes. Is this normal? My sugars are around the 130 s now but don t like the spells I have. Any advice? | Hi ThereAfter going through your query I understand your concern. I would like to tell you that as you are taking two antidaibetic drugs and possibilities of being hypoglycemic is there and that triggers headache. You require a medicine dose adjustment. Kindly consult with your Endocrinologist for further management.Hope this will help.Kind RegardsDr. Navneet Mahajan |
What are the symptoms and treatment for brain hemorrhage? | My husband has a 49cm brain hemmorage he is experiancing vision loss and loss of motor functions he was in the hospital they did a few ct scans gave him pain meds and checked his blood sugar levels they sent him home without any meds,does this sound right or should more be done he is scheduled for another ct scan in a month | Brain hemorrhage... Bleeding into the brain..the bleeding is from the arteries supplying the brain.These arteries are very small and effected by many factors which damage the wall of arteries like diabetes ,hypertension etc.Once these artries are ruptured then the particular site of the brain lost its function e.g vision loss,sensory loss ,motor loss and ....eventually death.Well there is no specific treatment once the area of brain is damaged...the Nimodipine, a drug name is prescribed to avoid the spam of ruptured artery to avoid further damage.Your husband only need supportive treatment I.e sideways nursing to avoid bedsores and aspiration pneumonia and healthy diet. |
Suggest medication for a skin infection on the stomach | . I am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days. | Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Neosporin Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxycillin or Cephalexin, thrice daily for a week. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S. |
Had astrocytoma brain tumor removed. Had radiation therapy after surgery. Getting seizures, numbness in one side of the body. Reason? | In 1985 I had a astrocytoma brain tumor which was removed. Following the crainiotomy I had 30 radiation treatments. About 10 years ago, I began having petit mal seizures, which my doctor said are caused by the scar tissue from my operation and radiation therapy . After trying every anti epileptic medication I am currently on Felbatol and Onfi. In October I experienced a different type of seizure becoming basically numb on 1 side of my body. I went to the hospital: One of the doctors said I may have had a stroke and another said I suffered from Todds paralysis . I went for an MRI and my friend who is a doctor said the results sounded like a stroke they saw a new white spot on my scan. My corrodoted arterty test came back ok and the EKG they did in the hospital was normal. I just went for both tests again. | Hi, Thank you for posting your query. It is good to note that you have no recurrence of astrocytoma, after surgery and radiation therapy, nearly three decades after the initial diagnosis and treatment. Your current symptoms are due to a small stroke, as per the new MRI. Treatment is mainly with blood thinners such as aspirin. In addition, any risk factors such as diabetes, high BP, cholesterol etc, should be looked for and treated, if present. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist |
Diagnosed with hypercholestrolemia. Liver test shows elevated ALT, alkaline phosphates. Due to fatty liver? | I have recently diagnosed with hypercholestrolemia with my cholesterol being 6 mmol/l. Trig 4.2. My liver enzymes are increased ALT 75 U/l. GGT 120. Alk phos 151. My age is 35 I m a smoker but don t take alcohol. Are these alterations in liver enzymes due to hypercholestrolemia or it suggest fatty liver or something else?? | Hello, zaraarshad, The condition called "Metabolic Syndrome " is associated with overweight, Type-2 diabetes, elevated lipid levels, and fatty liver in it's complete form. If you have these it is possible that your liver enzyme elevation may be due to mild fatty liver based on the levels of elevation. But you need to have a good ultrasound of the liver to find out the degree of fatty liver (Grades). In it's early stages, if appropriate measures are taken, your liver can be perfectly normal. Losing weight, controlling blood sugar,proper excercise, diet, and reducing the lipid levels. Having said that, there are a lot of reasons for enzymes to be elevated. Drugs, including over the counter ones, viruses such as Types-A, B,or C, Autoimmune diseases, some metabolic disorders, some genetic enzyme deficiency conditions, heavy metals, poison mushroom etc. etc. Start taking a good super B-Complex Vit. daily along with 800 i.u. of Vit-E and 1000mg. of Vit-C. along with a high protein diet. I wish you the best. |
Suggest treatment for polycystic ovary | Doc, I am Mrs. Chatterjee, aged 38, married abt 3 yrs don't hv any baby. I hv gone through lot of tests, which shows there is no prob in my fallipine tube and Uteraus. The prob is I am having Polysystic Ovary and overweight. Local Doctors asked me to go through IVF, pls suggest me wht should I do | Hi welcome to healthcaremagic.I have gone through your question.You have polycystic ovarian disease PCOD. As it cauae andregen excess, insuli resistance, small follicles which dont mature.So pcod can be treated with medicines,1 control diabetes with medicines2 stimulate ovary with drugs like clomiphene.3 reduce weight, avoid cheeze, fatty diet.These steps help in conceiving.So coonsult gynecologist and discuss these measures.Hope i answered your question.Would be happy to help you further.Take care. |
Sonographic findings shows enlarged liver, grade 2 fatty changes. Is this critical? | Sonographic findings: Lever is well visulasied.it is enlarged in size.It measure 13.5*15cm.Far beam attenuation is seen in the liver suggestive of Grade 2 fatty change in the liver.Echo texture is normal .No evidence of any focal massis seen in the liver. Is it critical ?Could you suggestIs me treatment and precautions? | Hello, Fatty liver is commonly associated with alcohol or metabolic syndrome (diabetes, hypertension, obesity and dyslipidemia), but can also be due to other causes like various types of hepatitis. Untreated fatty liver may cause hepatitis and may lead to cirrhosis. Fatty liver is a common condition. No drug has been approved for its treatment. The best approach is to do the following: Quit alcohol completely. Maintain your weight at normal level, in required range of your BMI Regular exercise (e.g., brisk walk for 1/2 hr, 4-5 times a week) Maintain your blood glucose and lipid levels within the normal range. take a super B complex vitamin having 800 mg VIT E and 1000 mg VIT C take green leafy vegetables and fresh fruits Avoid junk foods like maggie,pasta,burgers,pizzas,colas etc. Avoid sweets and deep fried items. Thanks |
What are the symptoms and treatment for bipolar disorder? | I am a 34 year old male who has symptoms of bipolar disorder. I observed while on a low carbohydrate diet that all of my bipolar symptoms seem to have gone away. I am having troubling excepting a diagnosis of gluten intolerance or diabetes since my blood sugars are not remarkable or irregular. I have read about some fungus and other diseases which may attack the CNS by exploiting the sugars from carbohydrates. The manic episodes from the carbohydrates are GONE (no racing thoughts) please help me I am a school teacher who is unemployed now because the only medicine which allowed me to control the racing thoughts was lithium. It is hard to be effective when medicated to such a degree. Please share any thoughts or suggestions. | Hi.I had gone through your query.Bipolar disorder is defined by sudden changes in mood along with irritability.It has two phase. 1. Depressive phase. 2. manic phase.Line of treatment is different for both phases.Diet like you mentioned has very limited role. It has no effectiveness as medicines.Lithium is gold standard molecule that working in both phase of bipolar disorder.Mood stabilizer is the choice of medicines in this conditions.It can be treeated with medicines like lithium/sodium valporate/lamotrigibe/olanzapine but choice of drug depends upon clinical presentation.So consult properly and get further help.Thank you.I hope i have answered your query. |
Will ketones during a pregnancy cause a baby to have low IQ? | I am 37 weeks pregnant and I have had Gestational Diabetes - this morning I found a large amt of keytones in my urine- this would be the first time- I am very concerned since I have read that having large amts of keytones can cause a very low IQ in babies later in life- should I be concerned? I have a call in to my endocrinologist- | Hello,I have gone through your query and understood the concern. The effects of ketonemia on the unborn fetus are not clearly known. Though it has been stated that there can be low IQ in the babies born after maternal ketone bodies are high, it is suggested that the actual reason behind this finding is the inability to maintain the insulin levels that could be causative. To this effect, maintenance of an effective diet is helpful to control the ketone bodies. Moreover, since you had only one episode and also as the baby is term, you need not worry. Hope this helps. |
What causes extreme lethargy after having food? | hi im 25 years old men.today i felt very drowsy after having my lunch.i felt like i will fall down.i skipped meal yesterday.i want to know can this be the diabetes.i dont have any other symptom.im not diabetic but i checked my sugar level few months ago and it was normal.can someone get diabetes in short duration. | Hi, dear. I have gone through your question. I can understand your concern. You may have post prandial hypoglycemia. It doesn't sound like diabetes. If you feel same thing repeatedly then you should investigate for insulin level. Consult your doctor and take treatment accordingly. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you. |
What are the chances of recovery from asthma requiring oxygen therapy? | hello, i have had asthma for over 32 years now, since 3 y/o. over the past year my symptoms have continued to worsen, i have been hospitalized 3 times in less than 6 months....i am dependant on oral steroids now, as well as the largest dose of inhaled steroids (Symbicort) I take neb tx's with xoponex and atrovent 6 times daily, I have steroid induced diabetes, and was just d/c'd today from hospital on home 02 at 2L via NC, my sats were 79-82% on room air with ambulation....my question is once you are home 02 what are the chances of every coming off ? my CT of the chest was negative and my CXR's continue to only show bronchitis....I watched my mother die a horrible death with emphysema in november...just wanting to know what my chances are of ever leading a normal life again....should I go on disability as I have a job which requires a lot of running around....any advice would be greatly appreciated....I also have RA if this makes any difference at all....Thanks | The requirement for oxygen can be assessed ideally by arterial blood gas analysis done at an interval of 2 weeks twice to say wheather you will require long term oxygen or not. Your history of frequent admissions suggests that either your asthma has worsened or your RA has started affecting your lung function. I would also like to know what was your latest lung function test like to tell you more about your prognosis. |
How to conceive while on insulin and Thyronorm? | Hi Doctors ...i am 30yr old and married since 20 months ..i have diabetes and hypo thyroidism .current i am on insulin with follwoing doseages humolog 50 25-0-30 and thyronorm 125 .i want to have a baby ASAP ..can you suggest how i can deal with this though i have above health issue | hi healthcare magic user, you need few blood tests to check hormonal status, please also get test for tubal patancy done. strict control of diabetes is required in order to prevent abortion or any complications in baby. if everything is normal then you can plan with follicular study.. |
MRI scan of spine shows lumbar spondylosis. Taking calcium and painkillers. Have diabetes | DEAR DOCTOR, I GOT MY MRI SCAN DONE FOR MY SPINE DUE TO FALL ON 6.12.0000. MY AGE IS 51 YEARS. MALE. * IMPRESSION OF SCAN REPORT; WEDGE COMPRESSION FRACTURE OF D10 VERTEBRAL BODY. *THE FRACTURED D10 IS MILDLY COMPRSSING THE THECAL SAC . * SPINAL CANAL AND CORD ARE NORMAL. *MILD CHANGES OF LUMBAR SPONDYLOSIS AT L4-L5; L5-S1 MY SPINAL PAIN STILL EXIST SINCE 5 MONTHS. I HV USED CALSIUM TAB FOR 40 DAYS AND PAIN KILLERS FOR 15 DAYS. I AM NOT ABLE TO SIT FOR LONG TIME. KINDLY ADVICE ME SUITABLE MEDICINE. I AM ALSO DIABETIC. REQUEST YOUR QUICK ADVISE. THANK YOU AND REGARDS. SURESH/ INDIA. MY MOBILE NO; +91 0000 | Hi Suresh, If you are interested in taking alternative treatment like Homeopathy you can express your interest by contacting me through this site.Calcium and painkillers only will not help in all the cases more so in a case liek yours. Homeopathy is a painless, harmless and effective form of treatment especially where the conventional system seems to have failed. Regards |
What causes urine retention after prostrate mapping? | My partner had prostrate mapping(perenial) after normal biopsy s found cancer . 2days after he was hospitalised with severe urine retention 8ltr s came away when catheterised . He has had it in one week tomorrow. He is still bleeding from the penis and in alit of discomfort . Will he be able to have it out or are the risks to high. He has enlarged prostrate and nerve damage due to diabetes type 1 for 30 years . Please help linda | Hi,Thanks for writing in.It is possible that due to the combined effect of nerve damage and diabetes, the urinary bladder function is compromised and he had got an autonomic bladder. In this condition the bladder muscles malfunction and do not contract when required. Having 8 liters of urine drained using a catheter is a large amount and having that kind or urinary retention is a serious concern.The bleeding through penis can be due to injury as a result or urinary retention of during drainage. He should be taking a short course of antibiotics and the bleeding is also to be controlled at the earliest. He will improve over next few days. Please do not worry. |
How to treat hair loss in a diabetic female? | hai good evening madam / sir, i m jnn,mhi from kurnool and i m a diabetic patient and also having hair loss probelm my doctor suggeted me to use the following tabs 1. curzlvit, 2. minokem 2% lotion and 3. ebexid tabs ( for reduce weight ) by using the 3rd tab can i reduce my weight? | HIWell come to HCMHair loss may not be due to diabetes but this could be due to something else and possibilities of fungal infection of scalp, thyroid dysfunction, some systemic disease need to be ruled out, what ever medicines give can be taken, but better try to reduce the weight with low calorie diet, exercise, rather than medicines, hope this information helps, take care. |
I got a urinary tract infection, and i am using bathroom so often | hi in 2007 i got a urinary tract infection and went into a pharmacy and bough some small round reddish brown tablet. it help a lot however i ended up visiting the Gynecologist because i ended up getting a yeast infection and i was informed by my doctor that it was a result of the tablets i used. However the problem was rectified. However, after that first incident it is like i am prone to it now and i am always getting a yeast infection. also i use the bathroom frequently. if i use the bathroom now i would want to urinate again in about an hr to hr and half. i don t understand why i am using the bathroom so often. i would like to know why as well as why i am always getting an infection so easy now. please please help. it is becoming on bearing now. thanks | Hi there, You definitely need a urologist and gynecological evaluation. 1.First I would like to ask you of any history of unprotected sexual activity or any history of sexually transmitted disease. If that's the case, it could give rise to chlamydia or gonorrhea which could be persistent unless you treat it.I would advise gynecologist evaluation for that. 2. Diabetes could give rise to recurrent UTI. You need to test your blood sugar levels 3.There is also something called Diabetes insipidus which is due to a.hormones in the brain or b.some problems in kidney or c. as a result of stress. It could also be found out by blood testing under specific test conditions. 4.Any birth defects in your urinary tract can make u go often. 5. There is something called spasmodic bladder which could cause you to urinate more often without any obvious structural defect. It can be treated as well. Regards, Joey |
Can gum bleeding is a side effect of the medicine ramipril? | I have chronic kidney disease in right kidney, border line diabetic, age 48 my doctor put me on ramprill 2,5mg last month. I have problems with my gums, I see a hygienes every 6 months to keep it under control. But My gums have started to bleed badly and toungue is a slight yellow, could ramprill be causing this? | Hi, Ramipril is an angiotensin-converting enzyme inhibitor commonly prescribed to treat high blood pressure and also to protect kidneys in patients suffering from diabetes. Its common side effects include dry cough, swelling of the lips, eyes or tongue. It is not known to cause gum bleeding. Gum bleeding could be due to any bleeding disorders, hormonal changes, infection, vitamin C deficiency, or blood cancer such as leukemia. You are advised to consult your treating doctor to rule out the possible causes of gum bleeding and appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Mohammed Taher Ali, General & Family Physician |
What is the treatment for small red waxy spot on the head of the penis? | about a month ago i discovered a small red waxy mark on the head of my penis. it s not at all painful and there s no discharge or anything. i was wandering if this seems like an std, maybe herpes or syphilis? or does it sound like something else? also for the past few months I ve had small painless white spots in the corner of my lips, i saw a dermatologist about this when i first noticed them and he said it s nothing but now I m worried that the 2 may be linked. is this a possibilty? What do these symptoms suggest? ... | HelloI share your concern Looking at your description it seems to be caused by infection, Local allergy or an injury during sex or masterbationI would like more information.to help you better likeAny history of exposure to unprotected sex?Relevant medical history like diabetes or other metabolic disorder ?In my opinion you should consult a dermatologist for physical examination and series of investigations to establish a diagnosis.You may require a course of antibiotics under supervision of your doctorMeanwhile wash it with antiseptic soap or solution and keep it moist by applying antibacterial ointmentMaintain good hygieneAvoid sex or use condom until it heals completelyThanks for your questionWish you good health |
Does Rifampicin,Isoniazid medication help to cure abdominal TB? | I am 44 years old and have undergone treatment for abdominal TB for 6 motnths in 2007. there was relapse and again put on anti TB drugs in 2009 (Rifampicin, Isoniazid, Etambutol,Pyrazinamide) till now. TB is only controlled and not cured till now. Again put on 4 drugs + oflaxicin since Mar 2011. Is the treatment correct? I have developed diabetes during the treatment. | HI.Thanks for your query. Diabetes has to be well under control for the effectiveness of any antibacterial treatment including that of Tuberculosis. The treatment was correct in the initial phase. After the relapse you may need a second line of treatment under the guidance and observation of a Physician. This is important as the same drugs may not be effective when there is relapse. Secondly, you need to have a proper diagnosis done by Laparoascopy and confirm whether there is relapse or aftereffect / sequel or complication of TB. This is the most important aspect. |
What causes muscle weakness, dizziness, and slight tremors? | my husband recently developed muscle weakness, dizziness, and slight tremors. He has had a litney of blood tests, emg and is scheduled for a muscle biopsy. so far all results have been normal except for emg and ebv. he also has elevated ck levels. what could this indicate? | Hello, As I was going through history it missed too many things like - is he having high blood pressure? Diabetes? kidney infection? etc. Tremors of upper limb or lower limbs or in general of the body.? His age and body weight? Did you try meeting up a neurologist for the same? As tremors are HMF related issues and it definitely needs a brain scan. Has it been done? Tremors can occur due to end number of factors. We need to have a thorough examination - physical as well as diagnostic procedures so we can come to a better conclusion. As EMG and NCV are abnormal there is a definite need for the Scan once as per what it appears. Medical therapy will begin once we get hold of the reports and then exercise therapy to not lose muscle strength. Hope you take the guidance of neuro physician. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist |
Does Tamsulosin affects sleep or cause mental confusion? | Yes, please help. my husband was given a prescription from his Kidney specialist called Tamsulosin HCL 0.4 mg (taken @1 capsule at bedtime. I believe to help his prostrate. Does this pill interact with his heartmedicine? his heart medications are amiodarone 200 mg, also metoprolol tartrate 25 mg, Torsemide 10 mg. ? since taking these medications I find my husband not having a good night sleep because of strange things he seems to see. such as seeing things that are not there, having strange dreams, and talking very strange when he is sleeping. To narrow it down he is also taking glipizide for his diabetes 2. please help my husband has always been right on with his mental thoughts and actions. this scares me to death with his mental state now. | Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I don't think that Tamsulosin has to do with these new changes. This can be given with the cardiac medicaments but at a lower dose when uses with amiodarone. I suggest you to control the blood pressure and to see if it gets too low,and to see a doctor if these problems continue, because it can be a new problem,unrelated to heart. Hope I have answered your query. Let me know if I can assist you further. |
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