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Description: What causes slanting of the braces on teeth? | Patient: I have a question about my braces. So I recently noticed that my slanted downwards from the right to the left, and when I asked my orthodontist about, she told me the levels of my teeth are changing. Does that mean by the time I'll get my braces off, my teeth won't have the slant to it?Thanks! | Doctor: Hello, Thanks for consulting HCMRead your query ,as you feel slanting of your braces yes this can be due to change of occlusion of your teeth due to orthodontic treatment dont worry do regular follow up and disscuss your treatment if you notice change with your orthodontist in your regular follow up.Hope this will help you. Wishing you good health. |
Description: Leg pain, burning sensation in feet. Previously had surgery for spinal stenosis, herniated disc and repaired spine | Patient: my wife had back surgery in july for spinal stinousis and a heniated disk. after the surgury she fell and fractured her spine. the spine was repaired and they had to go lower in the spine since the orignial location was fractured. now for the past 3 months she has very bad leg pain and foot burning when she sits in a wheel chair. YYYY@YYYY | Doctor: HIThank for asking to HCM All kinds of spinal injuries and surgeries always becomes very painful and last very long pain management is the only option is there, some time physiotherapy may help and worth trying this, take a good care of your wife and have great day. |
Description: What causes racing heart beats? | Patient: Hi There,I am 49yrs I go to the gym at 5 times a week.. My last fitness test said I was fit... But I get a racing heart beat and it feels like someone is sitting on my cheast.. This is random... I can do a full spin class with out stopping. I get the odd twing but no pain... I have been to my dr who refered my on to Cardo at the hospital but they dont want to see me. (too many peopel to see was the reply). I am on medicatin for depression and colestral.. I was a pain meds for artritis & am await surgery for a hip replacement.... Please help ColleenSorry cant aford to pay.. So I will need to just put up with it.. Thanks anyway. | Doctor: it looks you are having paroxysmal [ occasional] tachycardiaMedicines you are popping in for pain and depression can also add to your problem but I would surely like to rule out any heart related issue firstMinimum is ECG ehile palpitation, Better a holter monitoring for 24 hrs or 48 hrsIf you are anemic get checkedSmoking can also complicate the issueDr Mohan Kalra |
Description: Hoe effective is cannabis oil in treating cancer? | Patient: I have been diagnosed with lung cancer just a month ago having surgery to remove the right upper lobe which is now in my lymph nodes. I just started radiation today will also be starting Chemo. I have heard about RSO as a treatment from a friend who had ovarian cancer. Would cannabis oil be effective for my type of cancer? Reaching for straw THANKS | Doctor: Well, you have actually put it best. You are actually clutching at straws. cannabis oil has never and will never cure any cancer in the human body. There is no literature or data to support this. You will always find people and sites claiming otherwise, but as an oncologist, there is no scientific reason for you to believe this. You should concentrate on the conventional forms of therapy that are tried and tested, namely, surgery chemotherapy and radiotherapy. |
Description: Heptitis b. what is my status whether it is accute, chronic, active carrier or inactive carrier ? | Patient: I am 34 years old. my blood test result is absag-positive, abseag- negitive, hbcab(total) - positive. SGPT- 18. what is my status whether it is accute, chronic, active carrier or inactive carrier ? can u estimate the age of disease ? I got married in 2002. I have two child. my wife and child are have absag- negetive while thier lft are normal. is it possible since the hsv is a dna type virus. please advise me what type of medicine is avaialable to my disease. | Doctor: Hi Welcome to healthcaremagic.com HBsAg + denotes acute HBV hepatitis. It may occur before icterus is clinically evident. Persistence beyond 6 months defines a carrier. Anti-HBsAg - rises once the acute disease is over and convalescence has started. These two indicates you are a carrier. This can also happen with vaccination. I can not estimate the duration of the disease. Regarding treatment options, there are certain indications. Viral DNA should be >20,000 IU/ml+ ALT should be elevated or id you have liver biopsy there should be significant histological disease. HBeAg negative indicates you are infective and virus is not replicating. Regards Dr. Jagdish |
Description: Will the local orthodontist be able to continue treatment after getting braces done in Ethiopia? | Patient: Hello, im 14 years old and I am currently in Canada but I will soon be residing in Ethiopia. I have consulted an orthodontist in my area and I am in need of braces. But I would really like to get started with my treatment in Ethiopia. I have many friends who have got their braces done there and I am well aware that there are clean, good quality places. I will be staying there for a while and I believe I will save a lot of time by getting started. But the thing is, I am going to come back to Canada. So my question is, will my local orthodontist be able to continue my treatment? | Doctor: Hello, Thank you for consulting with HCM.Yes definitely your local orthodontist will be able to continue the treatment in Canada, you just have to keep all the records of your previous orthodontist, as it will help him to know the current condition of your treatment.Hope it will help you. |
Description: What causes muscle cramps while on Quinine? | Patient: I am 68 years old and get leg muscle cramps in my legs when I m sleeping. Very painful when they wake you up in pain. I drink Tonic water with quinine and in a few mintues they are gone. Why am I getting these and is there something I can do to prevent them? | Doctor: Hello,Muscle cramps are often from either dehydration or not getting enough of the proper vitamins and minerals. I suggest you take a multivitamin/multimineral supplement daily and make sure you are drinking plenty of water. Avoid alcohol and caffeine. Stretching daily may also help.Regards |
Description: Is Telma 20 a good medication for BP? | Patient: i am 57 wt 80kg ht 5.9" my bp is 136.80 I was advised atten50 which I took for a year. ECG revealed some minor deviation and the doctor attributed that for atten50. he advised me to take telma20 once daily after dinner. is it a better advise and ok for me? | Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.Atenolol belongs to the class of beta- bllockers.It lowers heart frequency and through a secondary mechanism it lower blood pressure.He has this effect..he might lower heart frequency to much.You explain that your doctor saw something on ecg.Maybe he sow low heart frequency and this is why he exchanged it whith something ellse.Telma is a good medication.He belongs on arb class and lowers blood preassure, so keep taking that becouse its fine.Hope I was helpfull.Best regards,Dr.Ervina. |
Description: I gotten some Mosquito bites/ Bug bites ? | Patient: I gotten some mosquito bites withing the last 24 hours. I put some Triamcinolone Acetonide cream onto it to make the itchy stop. Instead, the itching keeps going and the bites just seem to get bigger and bigger and now its hurting my leg very badly. Is something wrong? Should I go see a doctor? Is this an allergy reaction? | Doctor: Hi Welcome to healthcaremagic It looks like an allergic reaction See the doc at the earliest for clinical exam and you may be requiring some injections and and some antihistaminics. Bye take care |
Description: Are redness, soreness of throat, clusters of red bumps related to each other? | Patient: hi there i am a 29 yr old woman who had a tonsillectomy when i was 18. recently i am experiencing a sudden strange feeling in th left side of my throat on and off for some monthes when it happens it feels i cannot breathe properly and am forcing a cough to clear it my throat is constantly red and on the left side there is a cluster of small red bumps i also suffer with asthma but i am unsure if these are related to one another. please can someone advise me please. many thanks | Doctor: Hello,Welcome to HCM,Your history and symptoms suggests me that you are having upper respiratory tract infection (URTI). It may be due to allergy or viral infection of the respiratory tract.As you are having these symptoms for few months know, you need to test your blood for absolute eosinophill count (AEC), this will help us to know whether you are having any allergic reaction.The allergic symptoms tend to continue for longer period of time because of frequent exposure to the allergen.I suggest you to identify the allergen causing these symptoms by skin prick test and try to avoid them. If you are not able to avoid those allergens, you can take immunotherapy by consulting your doctor.Thank you. |
Description: What causes gallbladder sludge? | Patient: I have been diagnosed with sludge in my gall bladder. Pain has been fairly well controlled via a low fat diet, but since last night I have been having a burning sensation that has been fairly constant in, the same place as always - upper abdomen slightly to the right side - no other symptoms. I take omeprazole for acid reflux, and blood pressure meds. | Doctor: HelloYour symptoms may be due to gall bladder sludge.It is a mixture of particulate solids that are precipitated from bile.Gall bladder sludge may be seen in pregnancy,rapid weight loss,after surgery etc.Clinical course of biliary sludge varies.It often vanishes with treatment of underlying cause,other cases wax and wane and some form gallstones.Asymptomatic patients with sludge or small calculi require no therapy where as symptomatic or complicated cases may need cholecystectomy.You need proper clinical evaluation.Get well soon.Take CareDr.Indu Bhushan |
Description: Itching and hives in the groin area after shaving. No pain. Reason? | Patient: I have shaved the same way with the same products for years..down there. and today immediately after I started kind of noticing an itcy feeling and then looked and my whole pubic area was inflamed with not really bumps, more like hives. I am so confused and haven't been able to find any answers online please help! it's not terribly painful, but it looks awful and is just really uncomfortable. | Doctor: hi seems like you have developed an allergic reaction to some of the components used for shaving the area.. This kind of allergy can develop to any cream, gel, ointment or lotion used during the procedure. Such an allergy can develop anytime to anyone..Even if u are using the same products since years, still there is a possibility that you can develop allergy to any of the components anytime...So first of all , i would advice you to refrain from using anything like dettol ,savlon or any oils over the area. You can apply something like calamine lotion which can be soothing and you will need to take some oral antiallergic medications.. If it doesnt settle down still,, consult a skin specialist for proper assessment and management.. Hope it helps Dr Geetika Paul |
Description: What causes itchy, lumpy swelling on my knee area? | Patient: i fell 2 wks ago hurt my knee had very bad bruising an swelling on knee an area around to the back of my knee went to er an took xrays no bones broken thank god but now bruising better but the area around my knee lumpy swollen an numb an itchy an warm to the touch. | Doctor: Hello, The changes in the local skin after the fall has made the area itchy. Should keep it well clean. Apply analgesic cream locally. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Albana Sejdini, General & Family Physician |
Description: Does taking Deviry during pregnancy cause any complications? | Patient: I use to have my periods on 21 every month. ON march 22 i got periods and upto now i didnt get again. I tested using prega news but result in negative. i consulted doctor and she suggested to take deviry 10 mg. My friends and parents are telling for some people pregnancy result might get late. As i am using this Deviry 10 mg is that going to effect if i am pregnant? | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If I were your treating doctor, then I would rule out other causes of irregular menstruation. In my opinion, first pregnancy should be ruled out with investigation e.g. USG. There after your line of treatment should be defined. For that you must consult your gynecologist. And yes, Deviry can adversely affect your growing child, if you are pregnant. Hope I have answered your query. Let me know if I can assist you further. |
Description: How to treat severe shoulder pain post 7 surgeries in a 58 years male? | Patient: hello. my name is Ron and i am 58 years of age. in 1986 i was shot 6 times in a cross fire between the police and a subject they were attempting to apprehend. Consequently i laid my motorcycle down resulting total reconstructive surgery of my left leg. Here we are 7 surgery s later with a limp leg a shoulder that only exists in appearance and pain that wakes me up, has had negative impacts on my social, spiritual and employment life. My doctor told me i was a lost cause and can no longer help me. I am scared and in pain that i do not have the words to described. I live in cincinnati ohio and do not know where to turn. please help.... | Doctor: dear sir/mamYou have to meet an orthopaedics surgeon there are difernt option for a damaged shoulder in order to lessen the pain. From injection of steroid to shoulder prostesis.but i need more info |
Description: Suggest treatment for panic and insomnia along with mood swings | Patient: Due to cruel and derogatory treatment of failed lover from previous 3 years , I usually feel panic and sleeplessness which leads to watching pornography and consequrnt masterbation and therby emotional guilt uneasiness fatigue .Though I am trying hard to offset these problems by physical exercise and yoga but cannot prevent such mood alteration especially in night. Age- 30 years , medical student | Doctor: Hi.I understand your concern .Mood swings with insomnia may indicate stress .Stress may be a part of underlying depression .Mild depression has symptoms like insomnia and mood variability.panic is part of anxiety.It can be treated with medicine like combination of SSRI and benzodiazapine .But 1st you have require detail evaluation .Consult psychiatrist for better evaluation and assistance .Anti depressant like escitalopram is choice for mild depression and panic.Mild anxiolytic likr etizolam can help to reduce stress .Sleep problem can be treated with medicine like benzodiazapine .So take medicines after proper consultation .Still if you have a query then feel free to ask .Happy to help you further .Thank you . |
Description: Suggest remedy to remove gallstone | Patient: i was dignosed with gallstone . 20 mm and is easily seen in simple X-ray(KUK) and ultrasound.it is completely silent stone(its free floating). i rarely get a feeling of like some air trapped in that region(very rare).doc suggested to remove gallbladder.BUT MY ONLY WORRY IS THAT THE STONE IS 20 MM IN SIZE AND DOUBT THAT IT MAY GET STUCK IN THE DUCT, WHICH IS AGAIN A PROBLEM( I THINK A BIG PROBLEM). HAS ANY PASSED SUCH A BIG STONE WITH FLUSH AND CONFIRMED THE RESULT WITH ULTRASOUND? | Doctor: Hi there,Thanks for using HCM.Bile flows through bile duct.The maximum diameter of bile duct is about 6 mm.So a gallstone of 20 mm can never get flushed and pass through the bile duct.It has to be removed only surgically.The gallbladder can be removed laparascopically.But we generally do not advise surgery for a silent gallstone.Only when it causes obstruction or inflammation causing a 'sore' gallbladder, we advise surgery.Is this answer helpful? |
Description: Q. I have a growth in pubic area like extra skin. What is it? | Patient: Hi doctor, I am a 48 year old female. My weight is 58 kg. I have noticed a round flesh color growth that hangs externally on my pubic hair outside my labia majora. It has been there for two years. It does not hurt but it is bothering me because it became a bit bigger. I have attached a photo. I am taking medicine Zoloft and Valium. Please help me. | Doctor: Hi. I have noted the description and observed the attached picture (attachment removed to protect patient identity). I will attempt to solve your health concerns as best as I can. I have dealt with a good number of cases having similar presenting features. In all such cases, a close visual examination was generally sufficient to arrive at the proper conclusion about the identity of the problem. The picture you have attached is not that clear. I will request you to kindly send a better set of pictures limited only to the lesion, as well as describe how the lesion feels to touch whether soft or hard. Also give me additional details like release of any cheesy material upon pressure from the sides, any oozing of pus, firmness at its base, any satellite lesions, any relationship with similar condition in your partner, and finally if you notice that there is any small depression in the center of roof of lesion. I am considering the possibilities of a wart, molluscum, benign skin lesions or sebaceous cyst. Most of the stated problems should be easy to tackle. I will await your response. Revert back with clear photographs to a dermatologist online --> |
Description: How to treat constipation in a 2.5 years old child? | Patient: my daugther is 2.5 yeras old... now a days she is constipated and her poop is dark brown in color..... she has been dring milk with noproblem all these days but off late she gets diahorea when i give her whole or 2% milk..... wonder if she is lactose intolerant..kindly help | Doctor: HelloConstipation is a fairly common problem at this age coz of habits like less intake of fluids, inadequate toilet training and fear of using the toilet.However if you have to rule out organic causes is she thriving well-her weight and height -if thats normal lactose intolerance less likely and even so primary is less likely at this age.Give her -plenty of fruits and vegetables , less of biscuits and maidatoilet train her for morning hours as thats when our body reflex is trying to eliminate stools. i would say observe her with above measures if she is growing well !! |
Description: Need medication for pain during breathing due to dog allergy | Patient: I have a dog allergy that makes my lungs close up. An inhaler used to work, and now I am up to 3-5 breathing treatments a day but the treatments are becoming less effective. 1. Are the breathing treatments hurting me, and 2. Is there a shot for this allergy? | Doctor: Hello dear,The symptoms as mentioned in your post can be attributed to Tracheo-bronchial allergy.The causative agent being dog's hair.Management involves:1. Avoidance of the allergen- dog's hair2. Asthalin/Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs)So, it can be used during an acute attack.3.Antihistamine preparations like Allegra & Cough expectorant syrup for symptomatic relief.4. Montelukast preparations- used as a maintenance therapy.5. A course of antibiotics may be taken to prevent secondary bacterial attack.6. Maintain adequate hydration & take a healthy balance diet.7. Deep breathing exercisesWishing you a good health.Take care. |
Description: What are the vibrations in my abdomen close to rib cage? | Patient: Good day Dr. I am a 36 year old male. Recently I had an endoscopy and colonoscopy and was diagnosed of gastritis. Two polyps were also removed. Now for over 24hrs I have been having a kind of vibration on my upper right abdomen, close to the center beneath the rib cage. It s not painful, but just intermittent vibrations/movement. Very uncomfortable. Pls help. Thanks. | Doctor: Hi,Welcome to HealthcareMagic.I have read your query and understand your concern.Those vibration could be the gas in the bowel, as during endoscopy and colonoscopy, a lot of air in inssufulated to distend the intestinal coils for better visuilization.This air might be moving in the coils to find a way to escape. Its harmless. It will go off in two days. Hope I have been helpful.Regards,Dr. Ashish Verma |
Description: Can an abnormal hippocampus cause short term memory? | Patient: Hello, I was told by a Neurologist back in the 70 s that I had a slight abnormality in my Hippocampus, and He also, was treating me for Migraine which I was known to have ever since I was 7 yrs of age. I was put on Dilantin, as a child, this Doctor, put me on Topamax, which seemed to help for years, 120mg for years until the year 2001 , and I am progressively suffering, and getting worse with boughts of Short term Memory Loss. I also Suffer from PTSD. I have been treated from a Psych. standpoint, however, I am thinking, and looking back to what was told to me years ago about the slight abnormality in my Hippocampus, and wondering if over the years it is just getting worse, I am on the same dose of Topamax, and my Short-term Memory does get worse related to my PTSD issues around my Trauma Period when my Trauma occured, which is around the Holidays, but this year my Short Term Memory issues are lasting way into August, and aren t clearing as usual. Any thoughts on this? I also thought it could be some other things, but what do you think? Are there any meds that can help? Am I headed truthfully for Alzheimers/Dementia should I increase the Topamax? | Doctor: hAINo doubt ---hippocampus is involved in memory Do a MRI BRAIN with consultation of neurologist.take adequte food,fluids green leaves to prevent nutitional causesthank you |
Description: Swollen and painful breast and nipples, swollen hands. Taken Avil and Vicodin. Have headache | Patient: I have no health insurance and need to know if my symptoms warrant a trip to the ER. I am a 24 year old female and I Just moved to Prescott,AZ almost a month ago and am at a very I elevation. My symptoms are, very swollen and painful breast and nipples. All my joints and bones are beyond painful and stiff. I have noticed some swelling in my hands and haven t slept in 24 hours because of the pain, I have tried advil , hot baths, and even half a Vicodin and nothing touches it. I am also having a lot of asthma attacks and find my self waking up have to take heavy breaths like I was just running around. Originally these where slow onset about 2 weeks after being here but they hit me incredibly hard the last week. I keep waiting for it to go away but it just gets worse. Also I have celiacs , however I am religouse about my diet and haven t had ANYTHING with gluten in it for years. I am also having alot of dull, throbbing headaches. | Doctor: the allergy asthma ad other problems slowly and slowly involves joints which is mis diagnosed by arthritis if you have celiac disease you might be allergic to whole wheat proteins rather then gluten totally avoid wheat and wheat products not take even gluten free wheat you can get blood serum tested for food specific antibodies for wheat and other foods to rule out interference by other food yo can start twice weekly dose of neotrextate tab methotrextate 2.5 mg twicxe a week this is immunosupressent and i have used in my cases of asthma skin sinus and bone problems i am still using and has got excellent results to prevent allergies in this dose and there are no side effects on long use others medicines can continue with this in pain killers avoid paracetamol brufen dispirin dietry suppliments as they increases the problem rather curing it |
Description: Q. Does a pancreatic growth with nephrotic syndrome indicate malignancy? | Patient: Hello doctor, I am super scared. I am 30 years old and have been in the hospital for nephrotic syndrome which was discovered to be membranous nephropathy. They tested my blood for many conditions which could be a secondary cause including hepatitis and autoimmune and nothing came up. Now, they are searching my body for malignancies. I am terrified that an MRI showed a growth on my pancreas. I have no symptoms of pancreatic cancer. No jaundice and no pain. However, a paternal great grandmother died of pancreatic cancer in her 60s. Please look over these notes from my chart. Worse case scenario, if the biopsy finds a malignancy, in your opinion is this something that can be operated on? Does it appear to have been caught early? I am terrified. I am an only child for my mother and I do not want to leave my mom. | Doctor: Hi. There can be many idiopathic causes of a nephrotic syndrome which respond good to medical management. As far as pancreatic mass is concerned, there are high chances for your mass to be benign lesions. So there is nothing to worry. Follow proper instructions for nephrotic syndrome. There is nothing seeming to be alarming. |
Description: Child having allergic rash with minimal itching. Rash present even after medication. How to remove it? | Patient: My granddaughter is 7 years old and has an allergic looking rash on both arms, cheeks and a little on her thighs. The itching is minimal, but partially due to the Benadryl I ve been giving her. She has a couple bug bites (look like misquito to me) on her upper thigh that she said she got last Friday or so. The rash started Sunday morning. I m giving her Benadryl oral and topical but it s still there. I will also say for about 2 weeks prior she has been carrying a mild fever , no energy. Also, She her mother and me & my husband just made a big move from NC to OH and she is now living with her mother only (which she has had me in her house since birth) and is missing her cousins a lot - maybe a little depressed..... | Doctor: hi thanks for posting here,your grand child may be having atopic dermatitis and insect bite reaction.In my practice I prescribe emollients and a mild topical steroid like hydrocortisone cream. You can continue bendryl syp for a couple of weeks. Avoid harsh soaps.Keep the house dust free.Hope she will recover soon.Regardsdr shilpa bhatBangalore |
Description: Why is my PAC s painful? | Patient: I am 45 yr male morbid obese intermittent atrial fibrillation w frequent PACs. Tonight my PACs are painful. I have had 2 MUGA scans (EF 61) 2 chem and 1 tmst. No indication of angina or blockage. Current daily meds 250 mg Atenolol (150 mg A.M. and 100 P.M.) HCTZ/Triamterene, Aspirin (325mg) pantoprozal sodium 40mg | Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. PACs (premature atrial contractions) in atrial fibrillation (AF) are suggestive of poor rate control in AF. And you are taking only atenolol for rate control. So in my opinion, you should consult cardiologist and get done Holter monitoring (24 hours continuous recording of ecg). If rate of AF is high or frequency of PACs is high then you will need Radio Frequency Ablation (RFA). This will treat your problem permanently. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Description: How can severe pain in the back and neck be treated? | Patient: Dear Dr. I am an RN (48 yrs) who is my husbands case manager and advocate. He has been on Fentanyl patches 100 MCG/Hr since 1993. His dosage has never changed BUT when he was treated at UCI and UCLA he was noted to be a early drop off patient who needed q 48 hour dosage. He was on that regimen for years. He now is stuck at 72 Hr intervals due to fear of the state BOM and DEA on the part of his drs. here in NM. I investigated this problem before and was successful in getting his intervals changed. I just saw three papers about a Fentanyl Citrate TAPE called Fentos which is DAILY application and erradicates the peaks, Troughs and drop off phenomena. Is it available in the US? Is conversion to it common and reliable? Looking for solutions to having him basically nonfunctional (ADLs etc) 2/3 or the time due to severe neck and back pain. He has been to pain clinics (Loma Linda, UCI, UCLA USC) and there is concensus he will be on opiates the rest of his life. What about Fentos? | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Surgical decompression of the disc can help. Hope I have answered your query. Let me know if I can assist you further. |
Description: Anxiety, depression, tingling sensation in face, lack of focus. Taking xanax. Treatment? | Patient: I ve been suffering with anxiety for 18 months, which has lead to some depression . I am taking pregablin and xanax and have just started to feel quite odd in the past hour - lack of mind focus and I now have tingling in one side of my face - much like when coming round from a dental anaesthetic. Is this most likely a nervous problem? Thank you | Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. Your symptoms are likely to be anxiety-related, and don't seem to be typical of specific medical problem. Now, it is important to understand that anxiety can manifest itself with not only psychological symptoms, but with physical symptoms also. If you are having recurrent such symptoms or having difficulty managing your anxiety / depression, then I would advise you review with psychiatrist for further treatment. There are other effective medication like SSRI antidepressants which can help you with both your anxiety as well as depressive symptoms. In addition, there effective psychological therapies like CBT (Cognitive Behaviour Therapy) which can help you deal with your problems. Trying relaxation techniques, like deep breathing, and engaging in regular physical exercise can also be benefial in controlling your symptoms. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist |
Description: Can we give cefspa to an asthma patient? | Patient: my sister having fever with flue since yesterday morning, my mother took her to a doctor and he has prescribed some medicines but unfortun. she was feeling tightness in chest and having problem in breathing, actually mom forgot to tell doctor that she has allergic asthma (allergic from dust etc..) as she has taken the pills few min. later she feels breathing problem as well as having pain in stomoch and in legs. then i took her another doctor at night she nabolised her with AFROVENT and given an inj. AVIL after she felt better but still having problem in breathing and pain in legs. Doctor advised CEFSPA (antibiotic) but i am puzzled either is it good for her or not because of her asthama problem. pls help me thanks. | Doctor: Hi welcome to health care magic... Your mother having allergic asthma problem... In which inflammatory bronchoconstriction can occur... Take nebulization with levolin respule and budecort respule two times a day to relieve inflammation fast.... Than after CBC done.... If it is suggestive AEC more than 400 than start Allegra M tablets for 10 days... Than after regular peak flow measured and if needed inhaler like foracort can be started.... Take turmeric powder with milk daily Antibiotic can be taken as advised... Advise :Consult pulmonologist for auscultation ....and further work upTake care |
Description: Suggest treatment for pain in the lower back and leg | Patient: Hello, My name is Ron Zurawski I am experiencing some lower back pain on the left side, and having intermittent sciatica pain in my leg. Currently taking a Medrol pack as of yesterday. Ant over the counter creams, gels that may provide some relief?? Thanks | Doctor: Hello,What I can understand from your complaints is that you are having symptoms of lumbar spondylosis? It is nothing but the aging of your spine, which is a common condition. The pain and radiation are due to the pinching of nerves present in the spine. You can apply over the counter pain relief gels and also start physiotherapy. You are already taking Medrol for which condition you have not mentioned? I would suggest you visit your physician if the pain increases. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Santosh S Jeevannavar |
Description: Severe upper abdominal pain during pregnancy, increases on baby movement, vomiting. Reason for constant pain? | Patient: What could be the cause of severe upper abdominal pain that is constant and wave like in nature at 38 weeks pregnant. She was vomiting all night and said there was lots of undigested food from two days previous as she had not eaten yesterday due to feeling unwell. When the baby moves and when My daughter has Braxton Hicks contractions she says it is excruciating. Any ideas please. | Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. At the gestation of 38 weeks, there will be little space in the abdominal cavity as the womb, occupies the major space in the upper abdominal cavity, it especially true in case of short statured people, and the stomach can't move freely, and there could be abnormal movements of stomach. Other wise the gastric irritation could be the cause of the pain due to irritant food or ulcer, or indigestion due to hard food. Or it may be due to power full contractions of the uterus. I advise you to consult a surgeon for diagnosis and treatment. Wishing for a quick recovery. Best regards. |
Description: What are the chances of kidney failure while having high blood pressure? | Patient: i am a 54 yr old male . height 5.4 &weigh 158 with no clothes. do not smoke or drink.do some walking but not regular exercise. my blood presure though not steady is 145/ 85. have cut salt at home but still get some when i eat out during the day.only the last 3-4 months noticed my BP.should i insist my doc gives me BP pills or try to work out every day first! do i need to worry about kidney failure ? Thanks....joe | Doctor: Hey, Kidney dysfunction with hypertension occurs late and that too when bp is uncontrolled. You just have to control your bp and that will be just fine.To monitor kidney involvement, there is test called urine microalbumin. If that is present in urine, kidneys are involved. ThanksDr Sameer |
Description: Pain and swelling persist after taking medication for epidermis orchitis | Patient: hi my name is Ajmat khan i have been sufeering from epidermis orchitis on both side .Though i am getting medical treatment the result is not satisfactory .as per guide line from our medical doctor am taking medicine stiil i am paining and swelling remains unchanges | Doctor: HelloThanks for query .You have been diagnosed to have infection of Epididymis and Testis(Epididymo-Orchitis) and have been taking medications prescribed by your family Physician .However you are not getting desired relief from symptoms This could be due to either the organisms may not be sensitive to antibiotics that you have been prescribed or may be due to inadequate dose of the medications..You need to do your routine urine test and urine culture done to find out the organisms causing this infection and antibiotics to which they are sensitive to.Please take broad spectrum antibiotics like Cefixime along with urinary antiseptic like Nitrofurantoin and anti inflammatory medicine like Diclofenac twice daily.Later on switch on to appropriate antibiotics as per culture report.Please note that Epididymo -Orchitis takes long time to get cured hence you will need to take medications for 3-4 weeks .Get the prescription of medicines from your family Physician.Ensure to drink more water .Dr.Patil. |
Description: Suggest treatment for soft tissue cancer in the legs | Patient: Dear Sir, My brother was detected with soft tissue cancer in his leg about 6 months back and CT scan done after 6 months has revealed nodules in his left and right lung..He was underhgoing treatment in Hinduja Hospital Mumbai can you please suggest the best doctors available in Apollo Cancer Hospital Teynampet | Doctor: soft tissue cancer but which type .it's a tell megive me historyin leg but where to legpain is present so which type of painwhere is worsewhich better |
Description: Having lower abdominal pain, feels like period cramps. Not cured by paracetamol. What is going on? | Patient: Hello, I have lower abdominal pain , it feels like period cramp but my period passed 2 weeks ago and I almost never suffer from it. It is worse on my right side but I can also feel this in my lower back. I am usually very healthy and am 37 year old mother of three. I have tried paracetamol but it has not eased it at all. It has also got slightly worse as the evening has progressed. | Doctor: Hi, It will be better to have a check up with gynecologist /surgeon . The pain is not related to your period . There may be some other reason like pelvic inflammation . appendicitis to be excluded .A CLINICAL CHECK UP AND INTERNAL EXAMINATION WILL HELP REACHING A DIAGNOSIS .AN U S G WILL BE HELP FUL IF REQUIRED . For the pain you may take dicyclomin tab. Get a check up and be all right with treatment . |
Description: Q. Is there any new medicine for anxiety as SSRI not helping me? | Patient: Hello doctor, I cannot get any SSRI medicine to work anymore after 25 years. I have anxiety only from morning to mid-afternoon. Doctor put me on Oxcarbazepine 300 mg daily for anxiety but this seizure medicine is making me dizzy and very tired and off-balance. My head feels weird. I just weaned completely off Zoloft three days ago. What new family of medicines do you suggest for me to try for my anxiety? Lately, I can get it under control for four to five hours taking 1/4th of a 0.25 mg of Xanax. I take a Sliver tablet of 0.25 mg three to four times a day or maybe once. Anxiety ends every day at around 3-4 PM each day and I sleep fine too. | Doctor: Hello. Considering your age, it will be difficult to try a low dose of TCA (tricyclic antidepressant), but if nothing works that is always an option. Apart from an SSRI (selective serotonin reuptake inhibitors), there is always SNRI (serotonin-norepinephrine reuptake inhibitor) like Venlafaxine which is pretty effective for anxiety. Also instead of Oxcarbazepine, you could try a low dose of may be 200 mg of Sodium valproate. Also, there are some dietary supplements like L-Theanine 200 mg which can be taken two times a day or on SOS basis. Finally, instead of Xanax (Alprazolam), you can try Tofisopam which is a different type of benzodiazepine with lesser addictive potential, no sedation or impairment in work performance. Also, consider doing deep breathing exercises daily and when you have an anxiety attack do more repetitions of deep breathing. Also, consider starting with yoga, meditation, progressive muscle relaxation or other types of calming exercises. |
Description: Can asthma cause stomach bloating and inflammation? | Patient: Hi My daughter is 13 months old. At 3 weeks she was diagnosed with GORD. She has been on losec since 6 weeks. She has always had bloating of the stomach this started when she was about 3 weeks of age. She has never slept properly. We put her on an asthma preventer a few weeks back as they think she has early signs of asthma. Last week she was hospitalised with bronchiolitis and underlying asthma. She has responded really well to the meds steroid, preventer and ventolin. Funny since the steroids/or high dose of ventolin her bloating has eased and she is sleeping much better. Could the bloating be related to the asthma and breathing issues? or is it more likely to be an inflammation of the stomach? Any thoughts would be appreciated. | Doctor: HI, thanks for using healthcare magicGERD is one of the triggers for asthma, uncontrolled GERD can cause worsening of asthma symptoms.This is the connection between the two. Asthma does not usually worsen gerd, just the other way around.I hope this helps |
Description: Suggest treatment for mild cough in an infant | Patient: baby is four months old has heart defects pulmonary stenosis, asd and vsd and has the cold, just a slight cough is due to have surgery for the pulmonary stenosis in one weeks time, how can i help get rid of cough before this time. Anesthetic evaluation is on Friday 18th March 2011. Looking foward to a detailed answer. | Doctor: Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15mg/kg/dose (max ceiling dose 500mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.For cold you can use Cetrizine at 0.25mg/kg/dose every 12 hourly for 3 days.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed)., |
Description: Is it safe to masturbate frequently? | Patient: a friend of mine has been complaining he cant stop jacking himself he does it twice a week and his habitual after trying to explain him that he might suffer ed and also urged to get married ASAP he still doesnt understand pls help he is in mid twenty by age | Doctor: HelloThanks for query .Your friend is indulged in masturbation twice a week .Masturbation is a normal act of a human being to get sexual satisfaction without an physical intimacy with a female partner and it is natural for every individual to get into it at the age of adolescence .First of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body .However one should observe that he does not get addicted to it .One can restrict it to twice a week without any harm.Dr.Patil. |
Description: Should i go for a chest surgery? | Patient: This question is for an Orthopedic doctor. I was born with severe Scoliosis, because of that I also have deformation in my ribs. The front of my chest sticks out as well as the right side of my back. Due to that, my breast point in opposite direction, rather than straight. On top of that they are also small so they sit in such away that they are almost non exstistant. So I decided to get a breast augmentation. My question to you is if I should wait to get the breast augmentation until after I have a Thoracoplasty surgery and surgery on my chest or if i can get breasts first and then later go back and get Thoracoplasty and the chest surgery? Would it make a difference which one I did first? Would I potentially mess up the out come if I did one before the other? Thank you for your time and I do apologize for the long question. | Doctor: Hello, As per my surgical experience, the priority of scoliosis surgery is most important before breast augmentation, because the results of scoliosis surgery will give you a definite answer to the question, whether you require breast augmentation or not. I hope I have answered your query. I would like to assist further at anytime. Regards, Dr. Bhagyesh V. Patel General Surgeon |
Description: Suggest treatment for painful sores in intergluteal cleft | Patient: I have 3 open sores in my buttcrack. I m not sexually active. No recent illness. But lately I ve been sweating alot in my sleep. They appeared about a week ago. And they are very painful and sometimes itchy. I rub witch hazel on them to stop the throbbing pain. Please help | Doctor: Hi, Localized breakdown of skin usually occurs from the combination of wetness and rubbing. Working on either would generally fix the problem. Sores can be on top of very deep infections that are quite dangerous. I can provide general information but not specific to your condition without directly examining the area. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist |
Description: What causes hard stools with mucus in a 2 year old? | Patient: I just found two bean like balls in my 2 year olds, nappy. She had diarrhea earlier today but when i changed her nappy just now it was just two little balls with a bit of mucuos. I have thought about her diet over the past few days and I know she hasnt eaten anything like this | Doctor: Hi...Thank you for consulting in Health Care magic.Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth |
Description: Suggest remedy for high blood pressure | Patient: hi,im 30 years old Indain female,I weigh 94 kgs,my height is 5 4 .I m hypothyroid also,taking thyronorm 75 mg,since few days im tasting blood in my mouth and numbness in my limbs,headache,bodyache,the feeling was terrible,I visited a doctor he gave me levoday 75 mg,pan-d ,ebast dc,my blood pressure was 140/80mgI have taken the medicine bt still the problem conitues,i feel like some blood vessel getting ruptured although there is no blood outside | Doctor: HIWell come to HCMI really appreciate your concern, it seems to be the functional type of symptoms you have and it could be hallucination, try to control your thoughts, because it may not be the actual symptoms that your are feeling or thinking, hope this information helps. |
Description: Suggest remedy for red rashes due to garlic application on pimples | Patient: Hi, I am having pimples. Iast night I massaged my face with some ice cubes. Later I applied some garlic and it stayed overnight.this morning the whole face looks red and rashes.(I have been applying garlic since three weeks no complaints).can u help me? I am 35 yr old.physically healthy. No history of any allergies. | Doctor: First of all i want to make it clear that it is not necessary that an allergic reaction develop at the first exposure of any substance..sometimes it develops after a repetitive exposure...so it is a good possibility that u have developed an allergic reaction to the garlic paste as garlic is a known allergen..i suggest you to stop the garlic and consult a dermatologist, nowadays acne can be cured easily with treatment then why to go for these uncertain(garlic) remedies...thanks |
Description: What causes dry mouth with white stuff accumulation on tongue and gums? | Patient: hi I have really dry mouth with white on my toung and white around the gums by my teeth I have had this now for 3 weeks I been on 2 different meds but I still have this it is somewhat better but its still there any ideas what I can do or any ideas what it could be | Doctor: hiii....dry mouth can b either due to some medication...wich u take...or it can b congenital...n white patches on tongue can b fungal...candidiasis mostly....so u can drink lots of water n use chewing gums so that ur mouth is wet...and take topical antifungal. .for few weeks...it will b cured...go to ur near dentist...hope u gt the ans...thank u..n hav a nice day..!! |
Description: I have problem of neck and back pain,please suggest me to get rid of these! | Patient: Am a mechanical design engineer, i work 10 -11 hrs daily in front of computer. Am facing now neck problem and back pain. I went to doctor thrice, they have given tablets which reduces the pain temporarily. Am bugged up by this pain. Please suggest me any medicine or food routine which reduces neck pain and back pain. | Doctor: There are a few things that I did and it benefitted me.I set up a reminder in my Outlook calendar to remind me every 10-15 minutes to get up from my PC and move around in the room. Another thing which i did was started stretching exercises in the morning and also for some time in the evening. You may find the following link useful: |
Description: Can masturbation addiction cause any problem in future life? | Patient: Well..I am 30 year old man ,who is currently single and have never got married.I used to ejaculate so often though! That started around 8 years ago.At the beginning ,I did that like once a week ,but within the past 3 years ,I used to do it nearly everyday.I tried to give up ,but every time I decided that ,I only gave up for a week or maximum 9 days then back to the same dirty habits.My question is: I heard that people who ejaculate so often will become barren and can not give birth to a baby. If I totally give up although I have done that for nearly 8 years ,is it still possible to give birth to a baby if I marry soon like within 6 months or after a year? I have never checked my semen ,so I do not know whether ejaculation has driven me to be barren or not ,but I recently heard that it is terrible and decided to give it up.And would be there any negative effects if I give it up forever? Somebody said one time of ejaculation equals to making love with a lady for 12 times ,is that true?I am worried about myself.Please reply me asap.You should take into account that I have no girl friend and I do not have sex with ladies,because my tradition prohibits me to do that with a lady who is not my wife. | Doctor: Hello dear,First of all, remove all myth and misconception from your mind regarding masturbation.There is no any harmful effects of masturbation as such.However, if it is done regularly then it will result in thinning of semen with low sperm count.Since you are feeling that you are addicted to masturbation and it is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extra-curricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts & honey.4. Avoid fast foods & lipid containing diet.5. Avoid smoking & alcohol.6. Stay away from pornographic materials.7. Keep away stress, think positive.8. Exercise regularly & practice meditation.Wishing you a healthy lifeTake care. |
Description: Q. I got injured while playing football. Is there any ligament damage? | Patient: Hi doctor, I was just playing football and got stamped on rather severely. I always get studded, but this one is much worse than the rest. The top side of my foot and a bit to the right has large swelling and pain. Is there any ligament damage? I hope not as it was only the first game of the season. Attempting full range of motion is difficult with pain. I never had the same issue previously, but have torn the ligaments in my other ankle. | Doctor: Hi. I saw the photo that you have attached (attachment removed to protect patient identity). X-ray as soon as possible. Revert with the reports to a physiotherapist online.---> |
Description: What does duodenal cancer with retro-peritoneal spread mean? | Patient: Hello, my nan recently died of cancer, it was very sudden and from being told it was turminal to the day she passed away was only 5 days. However on her death certificate it states the cause was a) Duodenal cancer b) with retro-peritoneal spread I was wondering if you could explain what these both were/mean? Many thanks Sam | Doctor: Hi,Thanks for writing in.Sorry to hear about the death of your nan from cancer.Duodenum is part of the small intestine just after the stomach. She had cancer of the duodenum. The duodenum is attached to the abdominal structures with the help of fat and behind it there is the retroperitoneum which is a space in the abdominal cavity where kidneys are located.In her case, there was cancer of the duodenum which is the beginning of small intestine and this is adherent to the structures behind it which is called the retroperitoneum. May her soul rest in peace. Such cancer is difficult to treat. |
Description: Treatment for stuttering | Patient: i have a problem of stuttering from my childhood. i feel it is a seasonal problem. pls suggest me about that. my psychatrits sugedt me to take pexidep cr 25 & provanol 10. can i overcome this disorder. i am very ambitious about my future. i feel that this problem restricts me from bright future.. pls can u you tell me why this disorder occurs? | Doctor: The mention of Seasonal itself indicates that it is psychological. Develop good language skills. parctice speech in smmoth flow format as if it singing. Practice short speeches in front of the mirror. Learn nad practice some realxation techniques or get the help of a psychologist or a speech therapist regs R.Manoj Clinical psychologist rmanojcp@gmail.com |
Description: How to treat esophageal cancer? | Patient: My husband was dignosed with esophageal cancer 3 years ago. He had his sophagus removed. He went through chemo and radiation. He was cancer free for 2years and 9 months. Then cancer was found in his thoratic lymph nodes. The doctor removed what he cou;d. My husband has gone through chemo and radiation again. Do you think his cancer can be cured? | Doctor: Hi, dearI have gone through your question. I can understand your concern. He has esophageal cancer and now it is spread to the lymphnode. Treatment of choice is surgical excision followed by chemotherapy and radiotherapy. Chances of recurrence is there if there is incomplete removal of cancerous tissue. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: Suggest treatment for swollen and painful neck with history of broken disc | Patient: In 2008 I fell off a wall and broke c-5 and c-6 in my neck yesterday I woke to my neck swollen and very painful I tried ice pack 15 mins on then heat pad 15 mins and 600 mg ibuprophen today the swelling continues and the pain is worse should I go to the emergency room? I have Medicaid coverage. I am male 57 y.o. Otherwise in good health. My b.p. 184 sys 96dia heart rate80 bpm. I am experiencing tingling and some numbness in left arm and hand | Doctor: HiU might be having acute disc prolapse with nerve compression If d pain is worse u shud consult and get an MRI doneTill then take analgesics. .rest n use a cevical collar.. local hot fomentation Have a good dayTake care |
Description: Is 164/86 normal level of BP? | Patient: I had what I thought was a migraine last night, Vomited violently which usually makes it better, not this time. Still had it this morning and checked my BP which was 150/92 and I am usually right at 120/80. I had an average BP today of 164/86 is that bad? I am 41 with a 50% blockage of the RCA and SVT as well as many other spine problems and I have to take a lot of pain meds. | Doctor: Hello, thanks for posting a question on our site.A normal blood pressure is 120/80 mmHg. A blood pressure above 140/90 mmHg is defined as hypertension. A blood pressure of 164/86 mmHg is not good couple with your history of blockage. I advise that you consult a cardiologist for a physical evaluation, so you can be started on the appropriate medication. Stay healthy. Warm regards |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: Are persistent nasal congestion and running nose allergic symptoms? | Patient: Hi...I have had a cold for well over a week, no cough no fever, just nasal congestion, sneezing nose running like a faucet at first, now less congestion but sinus rinse still showing white, blood tinged mucus. Also, very stiff neck and shoulders. I was treated for resp. allergies for 5 years (shots) but last year was re-tested and showed only reaction to sycamore and cedar, none of which have much presence here so we agreed to stop. I m 73 almost 74 and generally healthy. Is this just a new cold virus or do you think my allergies are coming back? | Doctor: Hello,Your problem can be due to allergic rhinitis. Doing blood routine examination is good to rule out any other problems. Taking antihistamines and corticosteroid nasal sprays will be helpful. I would also suggest a short course of antibiotics.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishad BN |
Description: What is the hard lump on my son's head? | Patient: We just noticed that our 4 year old son has a very hard lump that feels like a bone on the back of his head about 1 inch from his ear underneath his hair. Otherwise he looks and feels fine. The lump is painless and does not seem to bother him. What could it be? | Doctor: Welcome to HCM!Hi, If I were your son's treating Doctor for this case of hard, back of head lump, I would come up with three possibilities, these include: 1. benign and simple conditions like lipoma or neurofibroma; there is nothing to worry about these! 2. a sebaceous cyst or dermoid cyst or some other cysts like branchial cyst or lymphatic cysts! Nothing to worry about these also!3. a hemangioma or dermatofibroma: Nothing to worry about these also!Therefore, overall it is a benign and not serious type of lesion still I would suggest you to go for an FNAC and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you son good health. |
Description: What causes tightness of thighs and abdominal pain? | Patient: I have. A tight feeling in both thighs at the front and was awoken during the night with severe abdominal pain on the lower right side which went through to my back. The pain eased with gravies on and ibuprofen but I still feel a slight sore sensation there | Doctor: hi,thank-you for providing the brief history of you.A thorough abdominal examination is advised.As the pain is in the lower right side of the abdomen a ultrasonography of the abdominal muscles is advised to see any systemic pathology. Example either a kidney stone or either a appendicitis.The pain can come down due to the drug therapy but the actual pathology will not subside so after a thorough examination and ultrasonography the diagnosis can be made and treatment can be initiated Regards Jay Indravadan Patel |
Description: What does this semen analysis report indicate? | Patient: my husband semen Analysis report is volume is 3.5 millions/ml, pus cells are 2-4/HPF, Spermatazoa count are 35 millions/ml., active motile 10%, sluggishly motile is 30%, non motile is 60%, normal sperms 72%, abnormal sperms are 28% tell me it is normal report or not ? | Doctor: Hello, I'm sorry it's not a normal report it says active motile sperm is only 10%. Low motility can be due to: 1. Infection due to sexually and non sexually transmitted infection 2. Injury 3. Inborn errors 4. un-descended testicles 5. Previous surgery 6. Testicular malignancy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist |
Description: What could lumps on septum with sensitive nostril suggest? | Patient: Hi I am a 27 year old female and I've discovered a lump on my left septum. It doesn't hurt when I touched it but my left nostril is more sensitive and it get runny at times. I already had sinusitis since I was young but not severe. Just wondering that this could be. I will be seeing a doctor very soon. Thanks a lot. | Doctor: HI,Dear,Thanks for the query to HCM.1-I have studied your query in depth.2-DEar,IN my opinion, this left septal nose-lump which doesnt hurt on touching but runs down when touched, could be hypertrophied inferior nasal turbinate/or choncha.3-history of sinusitis since childhood,confirms this diagnosis of the nasal lump with sesitive nostril.4-Consult Surgeon who would fix the diagnosis as above or other cause.5-Hope this would solve your query to your satisfaction.6-Wellcome for more queries to me On HCM.7-Thnks once again for your inquisitive query.Have a Good Day..!! |
Description: What causes lump above collar bone along with numbness in throat? | Patient: I have a small lump above my collar bone. It s been there for 6 years. When I went to the doctor she said if it doesn t hurt don t worry about it. Well off and on during this time it s moved a little bit and has gotten more sensitive. It s starting to make my left ear feel like it s harder to hear. Also my throat feels like it s going numb. Any ideas of what might be wrong? | Doctor: Hi, dearI have gone through your question. I can understand your concern. You have lump over collar bone. It can be enlarged supraclavicular lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or it can be some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: Should medications be used for high BP? | Patient: My blood pressure is around 150 - 90 in normal condition. But if I am tired it goes up to 180 - 10 mg. In this context do you think that I must use drug?. If I use drug and drop the blood pressure figures to 120 - 80 can I leave to use drug? | Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that your blood pressure should be under 140/90, and is recommended for you to monitor your blood pressure and consult a physician for a written prescription. You can do some lifestyle modifications to control high blood pressure 1. Low dietary salt 2. Physical activity for 45 min daily 3. Stop smoking/limit Alcohol 4. Avoid junk and deep fried food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist |
Description: Q. Can I use Metformin for diabetes prevention and weight loss? | Patient: Hello doctor, I read over the internet that tablet Metformin helps decrease the weight and prevents the onset of diabetes. Both my parents are diabetics and I weigh 70 kg. Hence, I want to use Metformin for diabetes prevention and weight loss. Yesterday, I took 500 mg and I do not feel any problems or side effects. I want to take it for another six months. Please guide me well in this. | Doctor: Hello. Hope this information was helpful. For further queries consult an internal medicine physician online --> |
Description: What does this sonography report of kidney indicate? | Patient: Dear sir I am 28 Year male . My height is 5.5" and weight approximate 65 kg . i am suffering from kidney stone. My sonography report says " RT Kidney:- it is normal in size shape, Position & outline. parenchymal echogenicity is normal with the corticomedullary differentiation are well defined. pelvicalyceal system & upper ureter are dilated with a calculus of =12 mm in upper ureter two calculi noted and mid lower poles (Larger =7 mm )Left Kidney:- is normal in it is normal in size shape, Position & outline. parenchymal echogenicity is normal with the corticomedullary differentiation are well defined.No evidence of hydronephrosis in left kidney. A small calculus of 6.5 MM at upper pole.Impression :-# Fatty Liver # Right Hydronephrosis & Upper Hydroureter due to calculus in upper ureter # B/L nephrolithiasis | Doctor: Hello and welcome to HCM.As an Urologist, let me opine, that your scan report shows, 1.A 7mm stone in lower part of Right kidney.2. A 6.5 mm stone in the upper part of Left kidney.3. The right upper part of tube draining the kidney, shows 2 stones, which are obstructing it. This will need treatment, as they're large in size. The right ureteric stones must be cleared first, as that side kidney is blocked, and kidney function will be affected. This can be done with endoscopic surgery.(URS-lithotripsy). If you've any other doubts, you may contact me with a direct question.Dr.Matthew J. Mangat. |
Description: Suggest treatment for fatigue,chills and heaviness in legs | Patient: Ok, that is great, thank you so much!! I got some sort of bug at the end of August which included dizziness and nausea. After a week or so, the stomach problems subsided, but I have this incredible fatigue that does not go away. I sometimes have slight chills but no real fever. Every time I am infected or exposed to a bug, I always end up with this fatigue. Heavy legs and knees. Swollen lips. Incredible fatigue. | Doctor: Hello there,Post an illness when the body is in a rebuilding/convalescent phase some fatigue is normal. Now How to overcome it? Eating a diet rich in protein, Taking plenty of fresh fruits and also a multivitamin. Also some source of simple sugars like juices or tang or bananas also helps. Avoid caffeine based drinks like colas or coffee. In your case since you have swollen legs do get your Hb levels tested and also an ECG. I want to rule out any anemia as a cause of fatigue.Thank you for your query,Dr Arun A |
Description: How to treat the pain of shin splints? | Patient: I ve been having a pain in my shins so bad it wakes me from a deep sleep.My Dr. said I m having shin splints so I started taking more potassium supplements & eating more bananas. I do have D.D.D. & H.B.P. which I take meds. for.Idon t know how to make the pain stop when it happens.Last night I was in tears & today my leg is sore.I have recently been diagnosed with a brain aneurysm so while I wait for them to get a stent to put in my brain,I do not lift more than 10 lbs. & I m not allowed to do any strenuous activity for fear of a rupture.I m worried when I have surgery I m going to get a shin splint. | Doctor: hi i am Dr Ahmed Alyusually diabetic patients undergo higher sensation of pain due to the neuropathic pain ( nervous tissue feel pain more with minor stimuli and a bit longer duration ) so, you should measure your blood glucose level and try to monitor it with equivelant dosing by your diabetologist physician will be very helpful , these splints comes from vigorous or stress moves or sports so try to avoid any type of activities that may cause it tell you finish your brain stent operation and dont worry shin splints wouldnt come while your surgery tat is incredibly very rare dont worry hope everything will go fine with you. |
Description: TTC. Diagnosed polycystic ovaries. Delayed periods after taking Eltroxin. Prescribed Ovacet. Will this help? | Patient: Yesterday, my gynecologist did a base line scan and said that I have Poly cystic ovaries. My period was very regular [30 day dot] till April 2013 when I started my Eltroxin [25mcg] for Thyroid as my TSH was 8.9. After taking Eltroxin tab my period went on to 35-36 days in past 2 months. Unfortunately this month I have not got my period so went to the gyno who said I have PCO. she has given Ovacet for a month. Will that help doctor ? I want to conceive and have been trying completely from past 7 months. Please help.Thank you in advance ! | Doctor: Hello,You are already taking tab for hypothyroidism. For your TSH level the thyroxin dose may not be sufficient. Recently you have been diagnosed with PCO.Insulin resistant inhibitors like tab metformin can be given for PCO.You need complete thyroid and ovarian hormone analysis and hormonal treatment as per your need. First your cycle has to be regularized.Do a USG abdomen and assess the PCO - unilateral/bilateral and extend of PCO.PCO and Hypothyroidism are interlinked.Take proper treatment - There are every chance for you to get pregnant Only patience and proper treatment are important.Best wishes |
Description: Can Amoxillin 500mg, Klacid 500mg, KLAVOX 625mg can all be taken together? | Patient: hi Dr. Im asthmatic and 5 days ago i got too much pain in my chest when i cough... 1st Dr. prescribed Amoxillin 500mg ... no changes... 2nd Dr. Prescribed Klacid 500mg ... light changes, a bit better 3rd Dr. now prescribed KLAVOX 625mg ... but i didnt take yet ..... im afraid with all this mix.... please advise | Doctor: Hello, Seems like you are changing consultation too often. Though you have every right to do it, your responsibility also includes making the next consultant aware of your present medications. In you case, both amoxicillin and klavox need not be taken together. As klavox is a combination of amoxicillin and clavulanic acid. But if you have already finished the course of amoxicillin, you can take klavox as prescribed by your consultant. Without further details about your severity of the infection, I am unable to comment whether klacid should also be combined. My advice for you will be to continue Klavox for the duration prescribed. If you haven’t finished your klacid, please check with your consultant on it. Hope the above info helps you. Thanks. |
Description: How to cure pain on head and nose due to a external injury? | Patient: My son 3+ hit his head or nose on wall last week. We did not notice we just heard the sound and he cried for few minutes and stopped. There was no external injury. Since the now and then he hold his head and cries for a 1 minute and stop crying, as if he feel shock for a second. Please advice. I am working in Jeddah saudi arabia. | Doctor: Thank you for consulting in Health care Magic .Paracetamol can be given in the dose of 15 mg/kg/dose every 4-6 th hourly. I suggest -1.Consult your pediatrician and neurosurgeon2.She might require a neuroimaging especially MRI brain. Best regards Dr.Svetlana |
Description: Suggest cause for movement of the eyeball in the upper direction | Patient: My son is 3 years 7 months today suddenly his eyeball was move on upper direction and same time he was semi unconceious stage after few minutes he vometed then he is chewing his teeth. We taken him to hospital Doctor recommended tests. According to u what will be the possible cause for same | Doctor: Hello, I think he is having a seizure according to your description. Epilepsy is possible. Possibly the doctor should recommend you to visit a neurologist and do an EEG to check the brain function. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olgeta Xhufka, General & Family Physician |
Description: Q. Medicines I took for ear fullness are causing tinnitus since a month. Please help me. | Patient: Hello doctor, I was having a severe headache and ear disturbances (fullness). After consultation with an ENT doctor, Augmentin antibiotic and Actifed cold were prescribed for me. In the process of taking the drugs, I started having tinnitus (ringing and buzzing in the ear), which has refused to stop for about a month and two weeks now. It is very disturbing, even more than the previous ear fullness. I find it difficult to concentrate. Since then, happiness has eluded me. I need a medical advice. So, please help me. | Doctor: Hello. Please let me know the following: Please revert with these answers, so that I can help you better. Please attach your prescription as well. Revert with more information to an ENT otolaryngologist online --> |
Description: How can severe cramps in the arms and legs be treated? | Patient: i have fibromyalgia and myastenia gravis.today ihad severe leg cramps it was like incredible hulk squising every muscle that was my legs arms ,and fingers and something was going on with my left eyebecause i have the myastenia gravisin my eye too ,what can ido for this? the pain is so badthers just no words forwhat i went thru today please help m | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Can be due to electrolyte imbalance or a nerve related cause. Increased intake of electrolyte rich fluid can help. I hope this information has been helpful for you. Regards, Dr. Praveen Tayal |
Description: What causes testicular pain and purple color on entire scrotum? | Patient: I have had slight testicular pain for about 2-3 days. I just went for a 3 mile run (which is not a unusually long run for me) and when I returned to shower it was hurting more. I checked and there was fairly significant purple coloration to my entire scrotum. I have had no trauma to the area | Doctor: Hi there! .Does the purplish discoloration disappear after some time? Do you notice it just after exercise? or does it remain the entire day? The reasons for the discoloration could be a fungal infection, or an infection of the tube draining the testis or even a disorder impacting the nerves of the scrotum. Since you seem to be in pain I would suggest that you meet a urologist and get a thorough checkup done.Take care! |
Description: Suggest methods to handle sleeplessness | Patient: Hi, my friend is haveing a real problem trying to sleep haveing a wierd dream over and over again he says he remeber the dream perfectly and its always about somthing about his room, like a nightmare. He wakes up in the middle of the night knowing he half asleep but cannot control the dream hes afraid to go to sleep and he cannot sleep in the room I heard of lucid and insomia, bhe has the symptoms but hes scared and panics hes not on anh meds or does any drugs I reall need help please | Doctor: Hello dear, your friend is to be evaluated by professional like a psychiatrist about in detail of that dream and what he feels during daytime?He can be improved by counseling only.IF in any case his problem is somewhat severe that it requires medicine for few days , you or he should not worry as medicines are quite safe.Initially you can suggest him to have a cup of warm milk before going to bed, which can help him in good sleep. |
Description: Q. When will my grandmother recover from stroke? | Patient: Hi doctor, My grandmother's right hand and right leg were affected recently, and she was unable to walk or lift the hand. We admitted her to a hospital where CT scan was taken. The doctors discharged her in three days with some prescriptions. She is doing physiotherapy at home daily. She has a history of BP and diabetes. How long will it take for her to become normal? | Doctor: Hi. For further queries consult a neurologist online --> |
Description: Is teething in infants, related with loose and smelly stools? | Patient: my baby tummy has been very runny since last Friday,and they gave me Adco-Loperamide for it but it does not seem to be working,the stool is very loose,water all the time and smells very bad,she is 11 months now and teething,but to me this is very abnormal and does not want to stop with the medication. is this normal and what must i do if not? | Doctor: Hello,Loose stools are a very common problem in children who are teething.Keep the child well hydrated during this time and keep washing his/ her hand at regular intervals.Hope the little one is back to normal. Take care |
Description: Could the red rashes on the penis head with extreme irritation be herpes or yeast infection? | Patient: hey, i got a blow job from a stranger and maybe a day or two later i began to get a rash on my penis head leaving it with red spots they looked like little bumps but werent raised at all and were not blister like or contain pus and then it became scaly and dry and my testicles itch like crazy as well as my penis with a little stinging which by research online seems to a yeast infection but i was scared it was herpes so i went to the er thats how scared i was and the doctor examine my penis and said that the spots did not look infectious at all and it was probably just irritation of the glands in my penis head i also went to the clinic and got tested for other stds but not herpes because they didn't do blood test their but she said it didn't look like herpes, mean time i used cortisone ten cream and it began to clear i also used this organic cream for rashes containing tea tree oil i was just wondering if it was herpes would those creams clear them up, although i didnt take any medicine it cleared up in about a week and a half. do you think this could be herpes or just a yeast infection | Doctor: HelloI don't think it could be herpes . I think your doctor was right to say that it could be irritation of glands of penis . I would add the possibility of Gonorrheal infection in addition of yeast infection . you need to relax now and try to avoid getting blow jobs in future without condoms.good LuckDR SAATIISH JHUNTRRAA |
Description: What causes nasal bleeding with bowel movements? | Patient: My son is having frequent nose bleeds. Some come randomly, some with the slightest bump, and last week every single time he had a bowel movement. We just moved from MI to ND. Should I find a PCP in ND or take him to the ER soon? Appetite, sleep, and color are good. No blood or dark color noted in stool and no straining. | Doctor: Hi...this is an unusual coincidence and I suggest get his blood pressure checked and also a blood test to check his clotting efficiency of the blood and rule out bleeding disorders. Its not an emergency as he is active and of normal color, but definitely he needs further evaluation. You can be rest assured if everything is normal.Regards - Dr. Sumanth |
Description: Suggest treatment for deranged TLC and joint pains in case of viral fever | Patient: I have recently taken my mom s blood test since she is not feeling well and affected from viral fever ....in tat report stated her tc. &DC level ranges 19000. Could you pls explain me about that...and she is having sever joints pain too...suggest me some good treatment.... . | Doctor: Hi,Thank you for your query. I can understand your concerns.Her raised Total leukocyte count of 19,000/c, mm suggests secondary bacterial infection probably of the respiratory tract following viral fever. She should take a course of broad-spectrum antibiotic preferably amoxycillin & clauvulinc acid combination (Augmentin) in standard doses for at least 05 days. Her Joint pain following viral fever is most likely due to reactive arthritis. NSAID (Non-steroidal anti-inflammatory drug) e.g piroxicam 20 mg orally daily with antacid like omepraole 20 mg orally daily for 3-5 days will give relief.Regards Dr. T.K. Biswas |
Description: Allergic reaction on legs. Blood test shows high WBC. On antibiotics. Follow up required? | Patient: Hi, I recently travelled to Zambia and had to go to the hospital to treat an allergic reaction I had on my legs. They conducted a blood test and determined my white blood cell count was higher than it should be at a count of 10,400. They explauined it was unrelated to the allergic reaction and placed me on antibiotics for 5 days. I ve recently returned home and am wondering if I should see my family doctor to follow up with this. I m 28 female and otherwise healthy. Thanks, Kyla | Doctor: tHERE MIGHT BE INFECTION IN THE BLOOD OR ANY HIDDEN AREA wBC COUNT HAS NO LINK WITH ALLERGIES IF THE CONDITION HAS SUBSIDED AND YOU HAVE NO PROBLEM THEN IT IS OKAY aLLERGIC REACTION CAUSES INCREASE IN EOSINOPHIL COUNT WHILE TOTAL COUNT IS NORMAL |
Description: How can a lump on the neck be treated? | Patient: My 19 year old daughter has a half inch in diameter lump that is under the skin on the right side of her neck. It does not cause her pain and it can be manipulated a few centimeters from side to side. She just noticed it today. She is freaking out and says I need to take her to an ER. Please advise. | Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There is possibility of lymph node or sebaceous cyst swelling most likely .* Nothing to panic , can take consultation with your doctor by appointment no need of ER visit .Hope this clears your query .Welcome for further guidance .Regards . |
Description: Is there any chance to get pregnant with minimal penetration? | Patient: I had sex with my boyfriend with very minimal penetration. the next day I found a big gulp of mucous so that leads me to believe that i was ovulating, he didnt come inside of me however should I worry about getting pregnant, also the next two days my womb was hurting.. | Doctor: yes there is a chance that you get pregnant you should take the plan b pill to reduce chances of getting pregnant |
Description: What causes sore arms and legs with fatigue and light sensitivity? | Patient: i ve got sores on my legs arms head. they are red ,round and when heals leaves scarring. i have taken tests to determine autoimmune diseases, but keep coming back negative. i am inflammed in arms legs hands. extremely fatigued, sensitive to light ,achy joints. sores in nose. also the sores when healing are leave a deep whole in the skin. thank you for your help. | Doctor: You could be having Porphyria and light sensitivity due to that. Also SLE and Sjogren syndrome need to be ruled out. You may need a course of steroids for your therapy. Kindly consult with a Rheumatologist. |
Description: What causes stomach pain and chills after hitting on the belly? | Patient: Hi , My husband was hit with a grinder in the beneath the belly button, There is small patches of bruising and a tiny cut. This happened 2 days ago and has been complaining of stomach cramps and chills.Is this somthing he should go to the hospital with. Please let me know.Thank you Manda | Doctor: Hi, your husband had an blunt abdominal trauma. In blunt abdominal trauma external injury will be less but internal trauma to the organs could be grevious. And they may present like this kind of pain immediately or in later stages.Get an ultrasound done. It is good to go to hospital just to rule out internal organ injury. For any furthur issues please contact us. Thank you |
Description: Q. How to heal the muscle pain over the chest? | Patient: Hi doctor, A few months ago, I had pain in my left chest. I was referred to a cardiologist just in case it was the heart problem. All the tests, including CT, treadmill, echo, 24-hours Holter returned negative. I was informed that it was likely being sports injury, possibly tennis and nothing to worry about. This pain has been a kind of on and off and I wonder if there is any way to help my muscle to heal. Should I have this further investigated by a specialist? | Doctor: Hello. I have gone through your history. For further doubts consult an orthopaedician and traumatologist online --> |
Description: What causes persistent fever and a painful lump behind the right ear? | Patient: Having fever since last 4 days 101.5 to 104 degree Fahrenheit:Doctor prescribes Augmentin 625 twice Dolo 650 every 4 hours Betadine gargle for throat 3 times A to Z 1 tab But no relief from fever it is on and off.Noted lump slightly painful behind rt ear neck portion .Doc said it is fat tissue CBP WIDAL MP CUE Above test not yet done doc said it will be done after1-2 day | Doctor: Hi, Thanks for your question. I do understand your pain and discomfortAs per your clinical history is concerned you are taking right medication for secondary infection but primary infection is a virus and that lump is a lymph node. So I request you to discuss with your treating doctor to add a prednisone orally. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best for a quick recovery Thanks |
Description: Q. What is the treatment for ringworm? | Patient: Hi doctor, I have ringworm on the thighs, arms and chest for four months. When I used Fourderm, it was fine for two weeks. But again, it came back. I have not taken any oral medicines yet. I am on BP medicine Stamlo Beta. My age is 59 years. | Doctor: Hi. Dermatophytosis or ringworm infection is caused by fungi that invade and grow in dead keratin. Tinea corporis is the fungal infection of body, including trunk and arms. Well, apart from the medical management following preventive measures are to be followed. Good nail hygiene, good skin hygiene, avoid dampness or wetting of the skin. Wear loose-fitting and clean undergarments as well as clothes. Coming to medical management, topical antifungals are effective for treating most cases of tinea corporis. Systemic therapy is given in immunocompromised individuals, extensive skin lesions and those refractory to topical therapy. Now for you ,as you are responsive to topical agents and that your lesions are not extensive, I would advise you to take the following therapy. Revert back with the answers if yes to an internal medicine physician online --> |
Description: What does the urine test result-Specific gravity:1.015 indicate? | Patient: Hi, my wife s age is 32 years and she s 5 months 2 week pregnant. She is carring her first baby. Her last urine test result below: Colour: straw. Appearance: Clear. Sediment: Nill. Specefic Gravity:1.015. Chemical Examination : pH:8.0, Albumin: Trace. Sugar (reducingsubstance: Nill. Keytone Bodies:Done on request. Bilirubin: Nill. Urobilinogen: Normal. Excess of Phosphate: Nill. Nitrite: Negative. Microscopic Examination: Pus Cell: 1-3 /HPF. RBC: 15-20/HPF Epithelial cell: 4-6 /HPF Spermatozoa: Nill. Crystal: Calcium Oxalate/Triple phosphate/ Uric acid/ Amorphous phosphate/ Amorphous urates: All are Nill. Casts: Granular/ Cellular/ Yeast cells: All are Nill. Please suggest. ... Note: her EDD is 27/07/2014 & last urine test date is 20/02/2015. Please please advice here or my mail id. Thanks & Regards SAZID. | Doctor: Hello,I have gone through your query and understood the concern. The urine examination report can be analyzed as follows: 1. It is of almost normal specific gravity, slightly alkaline, and mostly normal. 2. The presence of red blood cells is of significance and calls for further investigation to rule out infections, trauma etc. 3. The pus cell count is within normal limits. In the current scenario, an advice by a general physician would be valuable to plan further management. Contamination with vaginal discharge also should be excluded. Hope you find this information useful. Take care. |
Description: Need information about knee replacement surgery | Patient: Hello, I m having knee replacement surgery next month, and I have questions: 1. Will I have to shave my pubic hair? 2. Can I request that catheters be put in when I m under the anasthesia? 3. What is the hardest part of this event? 4. How long until I can dance again (ballroon)? Thank you. | Doctor: Hello, Preparation is a private part is essential in all major surgeries. The catheter will be inserted only after the anaesthesia. Generally, the recovery time will be two to three months. You can probably do almost all of the routine activities. Physiotherapy is essential after the procedure. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician |
Description: Q. My home pregnancy tests are positive, but I am spotting. Should I be concerned? | Patient: Hello, I’m a 25 year old woman who recently discovered they are pregnant. My period was due on 1st of this month, that same day I took a test that came back positive. I’ve tested several times sense and all have been positive. However on the 6th, I noticed some bleeding. The first time it was on the napkin and a bit made it into the toilet. Then it went away for several hours and then came back but only on my napkin. It’s now almost 3am and I noticed I’m still spotting but very lightly. I do have an appointment today to confirm if I’m really pregnant but I am concerned. | Doctor: Hello, Welcome to Icliniq. I would like to let you know that any spotting or bleeding in early pregnancy is a sign of threatened miscarriage. You need to visit your doctor so that she can perform a scan to check if the pregnancy is still viable or not. Also if your previous cycles were totally regular, then you would be mostly around 5 weeks gestation. So please visit your Gynaecologist as soon as possible. Wishing you good luck and a great health. - Ultrasound for viability and also. - after the ultrasound, to consider progesterone support as advised by your Gynaecologist. avoid sexual intercourse till 1st 3months of pregnancy. |
Description: Is a high bilirubin reading dangerous? | Patient: Dear Sir, Hi, My Bilirubin reading is high, even though I have no symptoms of any thing and am perfectly healthy. Is there any reason for worry ? Total Bilirubin = 1.22 Direct Bilirubin = 0.33 Indirect Bilirubin = 0.89 SGOT = 42 SGPT = 37 Alkaline Phosphate = 112 Proteins: Serum Total Protein = 6.69 Serum Albumin = 3.89 Serum Globulin = 2.80 A/G Ratio = 1.39 | Doctor: Hi there,You have slight increase in indirect bilirubin. This can be due to excess destruction of RBCs. Please get a hemogram, LDH and reticulocyte count done. If all these are normal, then there is no need to worry.Hope I have answered your question,With regards,Dr. Girish Kamat |
Description: Having pituitary tumor. Having severe headaches, limping for pain management, pain in left side of neck. Suggestions? | Patient: Hi My name is Angela, I am 5 2 197 pounds.....I have 3 putuitary tumor surgeries in the past 6 years... the last one they wasn t able to remove it all because it is around the left cartoid artery ..... well for the past 1 1/2 I have been dealing with severe headaches that have become progressively worst and Im always at the ER... Around Nov of 2012, I started limping on my left side... it feels like if I stand all the way up my head hurt bad... feel like stabbing like pains.... the doct at Medical College of Georgia diagnosed as Migraine .... but I feel like it some thing else..... As of now I feel a pain on the left side of my neck and I have to hold my arm down... so my head won t hurt.....Please help | Doctor: Angela, I'm sorry to hear about all your trouble. Its hard to answer your questions with the limited information. Couple of more questions. 1. putuitary tumor? what was the pathology that they found? 2. severe headaches? have had these prior to the surgery? do you have a history of headaches? what have you taken for the headaches? can you tell me more about this? 3. pain on the left side of my neck and I have to hold my arm down? - could you be a little more specific and tell us what happens? 4. what kind of imaging studies have they done? MRI certainly, what about MRA and MRV. Stay well! |
Description: Could weight loss be due to masturbation? | Patient: hey doctor i am araf from bangladesh.i am musterbrating daily twice a day..thats why i am getting thinner and my skin becoming black.i am musterbrating from the age of 12.what should i do now to become a healthy and good looking person????????please give me a sollution doctor..i need a happy life please doctor | Doctor: Dear userWe understand your concernsI went through your details. Masturbation consumes energy and daily two masturbations along with other daily routines including your stressful education could be the whole reason for your negative health. Reduce the masturbation frequency to three a week. Consult a doctor to check your vitals and follow his advise. If you require more of my help in this aspect, please use this URL. . Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. |
Description: What causes diarrhea, yellow discharge, frequent urination after IUI? | Patient: I am 4dpiui .Had pregnyl injection day before treatment.this is my 3rd iui.Symptoms are abit less than last 2 iui.But do have a touch of diarrhea,am thirsty .Have had alot of yellow discharge,also peeing lot which is also very yellow.Had a touch of heartburn in my throat,oh and some growin pains in my legs | Doctor: Hi, I think these are side effects of progesterone which you might be taking to support the implantation. Yellow urine and frequent urination can be an indication of UTI. So, get your urine checked for routine and microscopy and a culture. Drink around 4 litres of water per day and take some urine alkaliser. You may need some antibiotics. Gastritis also occurs due to progesterone. Yellow discharge can be due to infections. Get yourself examined by your doctor. Hope I have answered your question. Regards Dr khushboo |
Description: Had root canal done. Removed tooth after severe pain. Noticed slight pain. How long will the pain exist? | Patient: hi,i ahve done root canal for my left upper firsat molar 2 mtnhs agao as i was having sever pain, and the doctor said it was infected.then he fixed cap for the same. but the pain didnt subsidzed. i was on contrionus pain killers.then he removed teh cap and he called a endodontist. he also did soemthign on my tooth. but yet pain was not going. one day it will not be tehre next day it will cumat last teh doctor decided w ell remove the tooth. and he extracted the same.1 week wound pain was there and after that it was better. i was not eatign that side.but these days i do slight sensitivity and pain over there.i feel pain over the next tooth also. but whne took xray he said ther eis no infection in any other tooth.after extraction how many days the pain will be there. | Doctor: Hello there , Thanks for writing your query, Extraction of tooth often ends with complications like pain and swelling post extraction . usually it takes 7 to 10 days for the extraction wound to heal and close completely provided if there is no infection . After extraction antibiotic and analgesic coverage is must to prevent infection of the extraction site and to promote healing. i would suggest you to start with a antibiotic and analgesic course consulting your dentist , which helps in subsiding the swelling and relives post extraction pain. follow all the post extraction instructions and rinse the mouth with lukewarm saline or antiseptic mouth rinse. i hope this helps , take care. |
Description: Molar tooth got chipped twice due to metal implant and buffed out. Underlying cause? | Patient: A new pfm bottom full bridge molar tooth got chipped due to the top metal implant just showing through the temporary top bridge, and was buffed out, then a couple weeks later that same bottom molar chipped again, can anyone be sure the structural integrity of that botttom molar is sound? Actually hasnt it now been compromised due to the repeated pecking of the top metal several hundred if not thousand times when some of the highest pressures are created? Even if a potential weak spot is not obvious, can anyone truely know how much damage was done to that molar? I wouldnt want a metal beaten ceramic tile installed on my floor, would you? | Doctor: hello thanks for your concern the metal implant is putting pressure on your pfm bridge .you need to get your bridge replaced.. the implant should crowned with porcelain so that it does not harm the opposite crown. the structural integrity of molar will remain sound unless the tooth preparation was done ideally.. even if the molar becomes weak there is a option to place post in the distal root of the molar to make it stronger enough to hold the bridge and pressure as well.. please visit your dentist for further treatment... hope it helps |
Description: Trying to conceive, PCOS. Prescribed metformin. History of abortions. Will medication help me in conceiving? | Patient: I m 28yrs old,its been 3yrs tht i gt married... N had abortion twice in d first 2yrs of my marriage.. Planning fr a baby nw n diagnosed with pcos n my doc prescribed me wid metformin 850mg i hve taking it since a mnth.. Hw does it help me in.conceiving.. Pls let me knw.. V r worried abt my pregnancy... I want a healthy baby | Doctor: Hello, Thanks for posting. Metformin will help in conceiving indirectly by first of regulating your menstrual cycle (hence ovulations). The presence of PCOS will require a medication that could regulate hormonal balance of your body since imbalanced hormoone with PCOS will not be very good if you are planning to conceive. Metformin does not have any known negative effective on your future baby ( no contraindications during pregnancy). It was probably prescribed because of your size (you are probably overweight or have obesity) and this would reduce your size and hence effectuate your cycles. Metformin might require stopping by your gynobs after you have taken in (gotten pregnant). So consultation with your treating physician will be recommended. Hope this helps |
Description: Suggest treatment for BPD | Patient: Dear Dr.Gautham my sister is 24 year old. She is under treatment for last six years .various specialist treated her .But 4 of them daigonised her disease in different manner. first they told bi polar depression. then told its due to some chemical changes in brain. finally they are saying that its borderline personality disorder.hope you understood her symptoms now. is there any correct way of determination of the illness in psychiatric medicine. many of them applied ect on her for several time. a total of 25 ects in 6 years. from my experience with these doctors i understood that psychiatry is a medical branch which treats the patients with only 9 medicines.and from the patients i met in these hospitals i understood that the mental illness cant be cured completely. the episodes came once in a year for the life time. Am asking you for a complete advice. And my question is Wat is the solution for the complete curing of BPD . Pleas help me. | Doctor: Let me explain clearly.She is having borderline personality. Diagnosis is bipolar dissorder with depression. In which chemical changes as neurotransmitters like dopamine and serotonin levels changes.Borderline is a typeof personality. Its not a disease.Treatment is valproate she have to take for. Go side by side counselling to prevent relapsing.So dont worry. Hope my suggestions helpful and thankful to you. Take care. Don't forget to give ratings. |
Description: Does molestation at 7 affect an adult at 50? | Patient: so does a molestaion at 7 affect an adult at 50 usually I had a cousin molest me and I told my father HE told my brother that he knew something had happened but he couldnt do anything because it was his brothers son..my mother wrote a leetr to the molester cousin and didnt tell me until afterwards tSO then the other brother died twwo yrs later and he also tried to moleats me at 13. thats when it all cmae out and I felel like Im in a dark hole The funeral facilitated my talking to the other one and I even wnet out to dinner to talk about it to him but he didnt say much and I didnt say much I said I would never do anything to him but I wnated a settlemt for counseling and damages he wanted to know who my counslelor was THAt infuriated me hed taken all of my power awya already and then I told the police and my family has alienated my daughter form me using other things as an excuse for the wya I am .. or was kind of timid and not tolerant to arguing always letting my father intimidate em and she was creul and told me no one would ever want me my mother NIce after all I went through | Doctor: HiThanks for using healthcare magicYes, sometime such kind of sexual abuse at childhood, effect on personality development and could later lead to psychological problem in form of depression, anxiety disorder or schizophrenia. Better to take help of a psychologist to keep mental balance maintained. Try to share your feeling would someone, whom you can trust. That would help you.Thanks |
Description: What could be the life expectancy of 97 year man with bleeding due to prostate cancer? | Patient: I am a care giver for a man of 97 who is very fit for his age...sharp mind etc., gets around well for his age...however, he has prostate cance...never had any radiation or penitrating treatments of any kind but takes good care of himself holistically and eats very healthy. He is increasingly bleeding more from this condition. How long might he have to live...ballpark guess with you kowledge and experience? | Doctor: HiSince he has got prostate cancer and now is having bleeding average survival time will vary from 6 to 9 months.I would advise tab pause for him which he can take with doctors advise to control the bleeding.RegardsDr de |
Description: Could itchy skin be due to grape seed oil allergy? | Patient: My skin itches in patches on my arms, thighs, and stomach. When itching little bumps occur and my skin gets red in that's area. I've scratched so hard on my thighs that I'm bruised. I've been using grapeseed oil as moisturizer lately. Could I be allergic? | Doctor: HI, thanks for using healthcare magicIf the moisturiser is new and your symptoms occurred only after you started using it then it is possible that it is the cause of your symptoms.You can consider eliminating it to see if your symptoms improve. The short term use of a topical steroid and also an oral anti histamine would provide some relief.These may be available over the counter.I hope this helps |