Datasets:

Sohaibsoussi

/

patient_doctor_chatbot

like 3

Description: What causes chronic cough after sleeping in cold weather?

Patient: My 8 year old grandson has a chronic hacking cough after sleeping outside in a tent in damp weather three nights in a row. When he woke up each a.m. he was soaking wet as was his sleeping bag and tent. I am very upset that my daughter and son in law let him sleep outside after the first night of symptoms. What could be wrong?

Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out pneumonia in your grandson's case. He Is having severe wet coughing, perspiration etc. All these started after sleeping outside in cold weather. Actually cold weather can cause lower respiratory tract infection (pneumonia). And this is quite common in pediatric age group because of poor lung immunity. So better to consult pediatrician and get done clinical examination of respiratory system and chest x ray. He may need antibiotics and other supportive drugs. Avoid sleeping in cold weather. Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your grandson. Thanks.

Description: Suggest treatment for back pain

Patient: DEAR SIR, I WOULD LIKE TO ASK FOR HELP REGAING MY LOWER BACK PAIN. I HAVE A PAIN AT MY BACK AND ITS FEELS VERY HOT INSIDE. IT HAS GOING FOR FEW YEARS NOW. I HAVE DONE LOTS OF MEDATICAN BUT DOES'T HELP. WHE I SLEEP I FEEL LIKE I AM SLEEPING ON FIRE. I AM 30 YEARS OLD AND JOB IS VERY EASY I DON'T CARRY HEVY STUFFS. I HEED YOUR HELP PLEASE THANKS

Doctor: welcome to Health care magic.1.Get a simple x-ray lumbar spine AP/LAT done to see if there is any gross abnormality, or where the problem lies.2.If necessary a MRI to see the condition of the disc, nerve , chord.3.For remedy, you try lying on a flat surface (avoid bumpy/pits mattress) and do the exercises recommended for back pain.4.If you try it on daily basis, you will be free of pain - keeping mind your age and job.5.Dont simply take medicine, first evaluate the cause.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.

Description: Q. Will taking Atarax for itching during pregnancy cause any complication?

Patient: Hello doctor,I am 8 months and 10 days pregnant. I am having itching in my whole body from the last eight days. I also tried Aloe Vera lotion for it. Is taking Atarax tablets safe for me at this time?

Doctor: Hello. Do you have itching with rash or without rash? And do you have itching palms and soles as well? You may have obstetric cholestasis and you must see your obstetrician immediately and do not self treat the condition. You need liver function tests. Get checked to see if the liver is working properly because it is a serious condition in pregnant women and may have adverse effects on your baby as well if left untreated.

Description: Suggest treatment for loose stool during teething

Patient: HELLO SIR MY CHILD AGE IS 2 YEARS...NOW HE IS SUFFERING GUM MOTIONS FROM LAST 3 DAYS ONWARD..PL TELL ME GOOD SYRUP OR TABS...NOW WE R USING WALAMYCIN AND ORS REGULARLY...BUT STILL GOING GUM MOTION 4 TIMES R ABOVE PER DAY...PL TELL ME GOOD SYRUP R TABS SIR

Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. You need not worry unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting.There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic-associated diarrhoea.I suggest you use zinc supplements (Z&D drops once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your pediatrician).Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Sumanth Amperayani

Description: Q. I need a second opinion for my skin pigmentation.

Patient: Hi doctor,I am seeking a second opinion on an issue. Recently, a doctor at a skin cancer clinic observed my hands and arms and noticed sunspots on my hands. I have something similar on my right inner forearm. In the past, I have noticed a spot growing adjacent to this. Another, dermatologist felt this was due to the lotions I have been using. I do have sensitive skin prone to rashes and breakouts and so, he recommended to stop using lotions. What is your opinion here?

Doctor: Hi. 1. Macular seborrheic keratosis. 2. Solar lentigo. 3. Elastosis secondary to aging. 4. Stellate pseudoscars and pigmentation of aging Sunscreen with SPF greater than 30 in the morning and good moisturizing lotion at evenings. 1. Avoid occlusive cosmetics. 2. Consume vitamin C rich foods. For further information consult a dermatologist online.--->

Description: What causes long term memory loss?

Patient: I am 44 years old and have a memory issue. I cannot remember a lot from my past. I have heard of people blocking out bad experinces but I don t remember happy occasions either such as the birth of my children or my wedding day. I can t remember some past relationships. My short term memory is fine and I can do daily functions perfectly so I don t think it falls into dementia category. Should I seek medical attention or is this normal aging?

Doctor: Hello. I have been through your question and understand your concern.Dementia generally begins with short term memory. Any way you should get a neurological consult, and more important have a brain MRI. If that comes out normal, then you should not worry about. You are too young to have dementia. Still, since you are concerned, you better have a brain MRI.Hope this helps, please feel free using MHC again

Description: Q. What is your opinion regarding my diabetes treatment?

Patient: Hi doctor, I am 45 years old. I have been suffering from diabetes for the last 10 years. Initially, I was on Metformin 500 mg plus Glimepiride 1 mg twice daily. For the last two years, I am taking Metformin 500 plus Glimepiride 2 mg plus Voglison 0.2 twice a day. But, currently, my sugar level is high. So, my doctor added Pioglitazone 15 two times a day. After starting this drug, my fasting sugar level is 212 and PPBS is 250. Please suggest what I should do now.

Doctor: Hi. Revert back after seven days to a diabetologist online -->

Description: What causes pain below the scapula?

Patient: I have discomfort with mild pain in my back right side below scapula. Only goes away when I m sleeping and back again in the morning for 3 days. I m 29 female,210lbs. This has been happening for the past 3 days day, I have taken an ibuprofen daily but that hasn t fixed anything.

Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Shoulder blade pain may be due to rotator cuff tear or arthritis of joint or fibromyalgia or Vitamin D deficiency, etc. Until examination is done it is difficult to say what it is. Avoid sleeping on that side use arm support braces, use pain killer medication. If symptoms not improved please consult your doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu

Description: Mild dilation of the right pelvicalyceal structure. KUB ultrasound done. Treatment?

Patient: hi, my name is froilan villamia from manila , a month ago i attended to my annual medical check which i practice year every 1st quarter of the month . all the result passed the required medical units .except 1 result from my KUB ultrasound there is a MILD DILATION OF THE RIGHT PELVOCALYCEAL STRUCTURE as stated on my result .cuold you give a short information on how i could treat that .thank you very much , your reponse is highly appreciate.truly your,froilan c. villamia YYYY@YYYY

Doctor: Hi! Many thanks for the question!It may be due to several factors like PUJ obstruction, asymptomatic small upper ureteric stone etc.You need to do further investigations to come to a specific diagnosis, I would suggest to get an Intravenous Urography (IVU/IVP) done.Wish you a good health. Take care.

Description: What causes pain in area where stone was removed?

Patient: I had a kidney stone removed surgically in Oct.2011. I had the stone for several months.The doctor told me I am stone free in December. About a week ago I began to experience some pain again especially after physical activity. Could this be residual pain or a new stone?

Doctor: HelloThanks for query .Based on the fact that you have undergone surgery for removal of Kidney stone in 12011 and again have a pain on the same side .Please note that it has been proved by various studies and research that the person who had urinary stone once is more prone to get recurrence of stone 50% more than normal individuals .Since your Dr has declared you to be stone free there ise no possibility of residual stone I would suggest you to consult Urologist and get following basic tests done to confirm the diagnosis 1) Urine routine and urine culture 2) Ultrasound Scanning of abdomen 30 Renal function tests 4) Serum calcium and Phosphorus Further treatment will depend upon the results of these tests and final diagnosis as regards site .size and status of renal function .Dr.Patil.

Description: What does a lump under the jaw on the right side indicate?

Patient: Hi I recently found a small lump under my right jaw and it feels like nothing and when I press on it it gets hard to breathe for me and I am just honestly a little confused. It's definitely not a lymph node because it has a firmer texture and it's bigger (about three times the size of a swollen lymph node)

Doctor: Hello,The lump under jaw is mostly submandibular salivary gland swelling from some sort of viral or bacterial infection. In our clinic, we recommend taking a confirmatory ultrasound examination.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel

Description: Is eosinophils count of 10.4%, OK for a 65 years old women ?

Patient: sir,my mother is 65 yr old . haematology test report (eosinophils-10.4%) other report normal.ples conf what is this?

Doctor: Your mother is suffering from eosinophilia which can be generally caused by allergy,hay fever,reaction or viral or parasitic infection. For this you need to consult your nearest homeopath who would consider your case in depth and give you some medicine which will cure the case. For immediate relief in symptoms you can take one dose of 4 tabs of medicine psorinum 1m. Hope this helps,' thanks, dr jignesh

Description: What could constant itchy clitoris and labia, post pregnancy suggest?

Patient: Hi, I'm 38 yrs old.I have a very itchy clit and sometimes the labia too.There is no abnormal discharge nor smell. This started sometime last year when I was pregnant with my 4th baby.My baby is almost 4 months now,but the itching still persist.Recently I noticed a new growth below it.

Doctor: Hi, Thanks for posting in HCM. I have read your description and understand your concern. What problems you are encountering with itching sensation in the vaginal region could be an inflammation of the skin. Kindly do the following to overcome it. 1. Wash the area with mild antiseptic solution like Savlon twice daily. 2. Take Tablet. Levocetirizine once a day to control itching. 3. Apply Neomycin with Hydrocortisone cream over the region twice daily after drying. 4. Apply Ointment Clotrimazole over the lesions at bedtime. 5. Use pH balancing solution like 'V Wash' regularly. 6. Wear loose fitting undergarments to provide proper ventilation and to avoid friction in the area. Maintain good personal hygiene. Your symptoms should get better gradually. Hope the information provided would be helpful. All the best.

Description: My friend has been suffering with discoloured semen, please suggest me

Patient: Hi, my friend has been suffering with jaundice for 5 weeks now the latest blood test showed 165 for a bilirubin count. Anyway he has had dark urine and light colour stools, he is now getting discoloured semen it has a yellow tint to it and is a bit thicker than normal. It this ok ?

Doctor: these are almost all symptoms of hepatitis, ESPECIALLY the jaundice and light stool. This might be life threatening, he should see a doctor. Also, he should be considered possibly contagious.

Description: Suggest alternate method to floss between teeth

Patient: A few days ago I had some fillings in between my teeth. However, with one tooth, I'm afraid to floss. I always end up tearing the floss with that gap and want to know if I shouldn't floss that gap and should do something else instead if there is an alternative.

Doctor: thanks for your query, i have gone through your query. you can floss if there is any catch it means there is some overhanging restoration consult your dentist and get the filling replaced. if the filling is fine then you can use interdental brushes that will help in cleansing the teeth. i hope my answer will help you take care.

Description: What does blood from ear after using qtip indicate?

Patient: my son is two and a half. i don t use qtips on him very often, just in the front part of the ear. well he jerked when i eas doing it and it went far down. he cried bad for a few min. he was fine the rest of the night, until he got up around midnight. i saw dried blood in his ear. i am so worried. should i take him to the er tonight , or go to the doctor in the morning? please help!

Doctor: hi! this blood might be due to trauma to the ear canal. but a deeper injury cannot be ruled out.you should consult an ent specialist to look for any deep serious injury. injured Area are raw and more prone to infection so make sure you keep his ear dry. if any discharge occurs immediately go to doctor.

Description: What is the medicine to reduce esr level?

Patient: My sister has an esr level of 120mm which is extremely high in her right hand.....she is going to face her public exam the following week...she was taking tablets for this..but suddenly she gets severe stomach pains if she continues the medicine.how to reduce her esr level and make her feel easy to write her exams?...Please help

Doctor: Hi and thank you so much for this query.I am so sorry to hear about this high esr level. This in itself is not a disease but raises the suspicion of an on going inflammatory process. The exact cause of this condition has to be investigated and manged probably. No doctor would be bto lower the rate unless he knows the cause and treats it fully. I am afraid she has been taking anti inflammatory medications that is causing this stomach pain. Please, let her discontinue this medication, talk to a doctor and get this problem investigated and managed appropriately.I hope this addresses your query fully. Feel free to ask for clarifications and more information if need be. I wish you well.Dr. Ditah, MD.

Description: Suggest treatment for recurrent fever

Patient: my son has reacurring high fevers for almost a year now last month he had strep throat that was un diagnose for two weeks he keeps getting high fevers he has been on antibiotics twice this year and we keep alternating tylenol and motrin for his fevres

Doctor: Hi, I have gone through your question and understand your concern. I will tell you fever is just a sign of disease so the actual problem inside can only be discovered after complete blood report. If infection is seen in reports proper antibiotics. Many cancers causes recurrent fever. you must consult your doctor and get full investigation and be treated accordingly.

Description: Can passive smoking affect brain with AVMs

Patient: I have 2 brain avms, one of which takes up a quarter of my brain and in addition to this I have one large coiled (13 coils) varix. A friend of mind has a sister who also has a brain avm and she has been told to avoid cigarette smoke at all costs. I do not smoke myself but wonder what effects inhaling secondary smoke can have on my brain? I would be grateful for any advice you can offer.

Doctor: Hi, Passive smoking does not affect AVMs. However, it is a major risk factor for stroke, heart attacks and cancers. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist

Description: Liver cancer, weight loss, gas. High calorie vegetarian food?

Patient: My relative is suffering from Liver cancer and is undergoing Chemo for about 3 months. He has lost about 18 lbs in 3 months and a constant challenge is to provide him foods that are high in calories to give him energy and low in sugar (for cancer) that is vegetarian as well. Also as the problematic area is liver, it has been very difficult due to gas. We have been many small meals, but not making much dent in weight management . Please help suggest high calorie vegetarian foods that would be easy on liver and not harmful for cancer. Thanks.

Doctor: Understand that no diet is harmful for cancer. i dont understand why low sugar diet is being given when he is not diabetic. Sugar has nothing to do with cancer, it is restricted only in diabetics. If he not a diabetic best think would be to give plenty of home made fruit juices with milk and glucose added to it. Glucose is very good for liver and helps in rejuvenate. Avoid fatty foods and oil as they are difficult to digest. Porridge with jaggery and milk shakes help him a lot

Description: Is lower right-sided back pain along with stiffness a serious concern?

Patient: Hello, I am a 33 year old male who is morbidly obese and who recently started having pain in my lower right side of my back. Pain is sharp and roughly a 7 or 8 on a scale of 1 to 10. It is made worse by trying to stand, move, stretch or move my arm in various ways. The area of pain also feels stiff and tight. I ve taken pain killers and its done very little to help. Is this serious enough to warrant a trip to the ER?

Doctor: Hi i am Dr Ahmed Aly thanks for using HealthcareMagic site ,I had gone through your question and understand your concerns .. In my opinion i think you have a kind of sciatica due to nerve compression , sometimes such neuropathic pain subsides simultaneously with rest and even without medications . You may try to avoid heavy lifting , bad sleeping or sitting postures , over weighing , obesity and vigorous movements will be helpful . Physiotherapy sessions with a good chiropractor , spinal straightening exercises , hot massages and even yoga are of very good value in most of cases also decreasing your weight prevents further pressure on your spine and thus lowering the compression on your spinal nerve roots . For my patients i recommend painkillers like advil tabs when needed , hot massaging with topical gels of anti-inflammatory , B12 vitamin supplements , muscle relaxants will be helpful in most of cases , in more severe cases steroid tabs or injections are prescribed . If pain persists after physiotherapy and medications i recommend MRI on spine to exclude disc herniation or any spinal injuries and follow them up with your neurologist for proper evaluation and management . Please click and consider a 5 star rating with some positive feedback if the information was helpful. Wish you good health,Any further clarifications feel free to ask.

Description: Q. Why do periods get delayed after first time sex?

Patient: Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?

Doctor: Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->

Description: What is the suggested treatment for skin rashes?

Patient: hello, I am lightskin however my underbutt, inner thighs knees elbows and other creases tend to be a darker bluish colour. Is there any remedy to this? Ive tried, exfoliating, lemon, honey, and even tone cream but nothing seems to work. Please help. thanks.

Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Darker skin creases or body folds, such as neck, axilla, groin folds, and elbows are commonly seen in a condition known as Acanthosis nigricans. It is due to insulin resistance causing the skin to turn darker and thickened—velvety textured in body folds. Acanthosis nigricans is more common in obese/overweight individuals and is due to underlying insulin resistance. I suggest you to address weight issues if that is a factor in your case. For the skin I suggest you to use Tretinoin 0.025% cream once every night for a few weeks. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S.

Description: What does this ultrasound report indicate?

Patient: I had a ultrasound done on what I thought was 6 weeks 1 day pregnant. No fetal pole but the gestational and yolk sacs were visible. My HCG level has been increasing but very slowly. It s at around 17,000 right now and I m 7 weeks today. I m going for another ultrasound tomorrow which will clarify if the pregnancy is viable or not. I m just extremely nervous about the outcome. I pray everything is fine but I m also preparing myself for the worst.

Doctor: Hello,Basically, fetal pole abdomen gestational sac is expecting till now. But sometimes there is slow progress also only the next can clarify it. Just stay positive, and things will be fine. Only in genetic abnormality or where gamete quality compromise, it will land up in an embryonic pregnancy without a heartbeat.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Mandavi Rai

Description: Suggest effects of Clarithromycin on fetus during pregnancy

Patient: Hi, I am 12 weeks pregnant. I was prescribed Clarithromycin 500mg at 11 weeks. I took it for 3 days (5 tablets in all) before my midwife strongly advised me to stop taking it. What risk has my baby had as a result of taking this?I had taken Amoxicillin 500mg for 3 days before this but it had no effect on a severe sinus infection, hence my doctor changed over to the Clarithromycin.

Doctor: Hello, and I hope I can help you today. Clarithromycin is in a class of antibiotics that can be used during pregnancy, however the risks of taking it are less known than a penicillin-based antibiotic like Amoxicillin. However, there is no evidence that Clarithromycin is harmful during pregnancy, so you do not need to worry about the doses you already have taken. If your infection has not cleared from Amoxicillin alone, I suggest you either finish the Clarithromycin or consult with your physician about an alternate choice for an antibiotic.I hope I was able to adequately answer your question today, and that this information was helpful. Best wishes for the pregnancy,Dr. Brown

Description: What methods are suggested for lump removal in thighs?

Patient: i have small lumps in the thighs that feel like small knots on touching.i get relaxed only after long oil massage. they are not going from 3-4 months and get smaller after massaging.continious massaging relieves me from the pain in the invisible lumps.

Doctor: Hi ! Good afternoon. I am Dr Shareef answering your query.If I were your doctor, I would refer you to a general surgeon for a final opinion following a general physical examination and related investigations like an FNAC or an excision biopsy under local anaesthesia to arrive at a definitive diagnosis.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

Description: What causes persistent spotting while tested positive for pregnancy?

Patient: Hello Dr. my wife last saw her menstral cycle in august 2010. but just last week here she started seeing some blood stains uptill now. we then went ahead to do a pregnancy self test using accurate testing kit and it was positive.pls. we need your counsel.

Doctor: Hello dear,I understand your concern.In my opinion the spotting in pregnancy is seen in case of hormonal abnormalities like progesterone insufficiency,thyroid abnormalities,any excess physical strain,bleeding from cervix etc.I suggest you to get thyroid profile and ultrasound done torule out the cause of bleeding and to know pregnancy status.Avoid physical strain,intercourse and take rest.Consult doctor.Dont worry it will subside with apt treatment.Best regards...

Description: What causes swelling and pain in right knee?

Patient: I have knee osteoarthritis in left knee for last 4 years and I m taking treatment for it but for last one month my right knee gradually begins to swell and pain.I did icing and elevation for reducing swelling but could not succed much.my question is -what factors and reasons may be responsible for this swelling and pain and what lab tests should be done.

Doctor: Hello and welcome to HCMSwelling and Pain is the common problems faced by the patient of osteoarthritis involving any joint.Swelling is due to the exaggeration of the process of normal synovial fluid formation in the joint. normally a small amount of fluid is present in OA patient in can reach above 100 ml this causes distension of joint capsule causing pain in addition to the preexisting pain. there is immediate relief of pain.lab test required are-Plain Xray both knee joint- anteroposterior view full weight bearing and lateral view with 30 degrees of flexion.Only after seeing the x-ray and physical examination can the joint condition be assessed and further test prescribed.There can also be co-existing Vit D deficiency and Osteoporosis or Osteomalacia which can cause pain in OA patient. These diseases would also be apparent on Xray and accordingly blood test for Vit D, calcium be prescribed.My recommendation is to visit Orthopedic surgeon to drain excess fluid if present as knee effusion leads to wasting of Vastus medialis obliques( part of Quadriceps muscle) exaggerate knee OA.Please follow me at HCM for further query/second opinion.RegardsDr. Sumit Chawla

Description: What causes breathing difficulty and pain under ribcage?

Patient: Hi, im 18 years old female my height is 5ft.5, I've lost allot of weight in 2 years from being 12 stone going down to 7.5 stone , i think i have an eating disorder , i used to only eat 200 carlories a day but recently over the last year ive ate and ate untill ive been sick , i make myself sick about 7-10 times a day and i cant stop , recently my breathing and under my ribcage hurts allot and ive been to the bathroom and found blood in my stools , is this anything to worry about or cause for concern ?!

Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, blood in stool is serious condition and you should definitely consult gastroenterologist for this. Blood in stool can cause anemia (low hemoglobin level) and this anemia can cause breathlessness and chest pain. So better to consult gastroenterologist and get done 1. Complete blood count (CBC) to know hemoglobin level 2. Lower GI (gastrointestinal) scopy for the search of bleeding site. If hemoglobin is very low then you might need blood transfusion and iron tablets. Also get done chest x ray to rule rule out lung related cause for breathlessness and pain. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Description: Suggest remedy for sharp pain in leg causing numbing effect

Patient: I have been diagnosed with a right-side L4/L5 herniated disc. I ve had a sharp and persistent pain for about four months; a sharp pain which shoots down my leg and causes a numbing effect (in the leg/foot) due to sciatica. Bending backwards far enough also causes pain in my right lumbar area. Once I m fatigued, it becomes extremely difficult to walk and stand up straight. I ve noticed that my body tries to compensate my body-weight by shifting to the left (away from the right side) making me look crooked. I can t sit comfortably or for a prolonged period of time. The pain is most severe in the mornings upon awakening; my back becomes stiff and and the pain in my right lumbar is usually what wakes me up. I ve been treated with two epidural cortisone injections on the site of the problem (about a month apart) to no avail of alleviating the pain (the pain is still as persistent as before). I ve been exercising my core on a routine basis, have done stretching exercises and have gotten therapy. I ve been researching spinal decompression through a decompression machine and wanted to know if it s implementation on the site of the injury can potentially be beneficial in my case. I do not want to get surgery in that area due to the potential of further complications. I used to live a very active lifestyle and I am an avid weightlifting and this injury has really put all of that to a screeching halt and the pain is unbearable at times.

Doctor: hi,thank you for providing the brief history of you.A thorough neuromuscular assessment is advised.As you have herniated disc and nothing worked till date. I will advice to undergo proper physical therapy. As by the use of proper therapy you can get help.Using the therapeutic ultrasound therapy and TENS therapy will help reduce the pain. McKenzie exercises are more successful as per research to centralize the pain. post which the TENS therapy works better.once the pain is centralized and reduced the further course of action is advised.Usually ,in my clinical practice my patients recover in 3 weeks of time if the proper therapy is applied.RegardsJay Indravadan Patel

Description: What causes severe pain on the right hand?

Patient: hi doc I have some question for you,my right hand was paining too much most especially early morning I went to a doctor and he give me a pain releiver and after finishing my medicine jusy for around one month then again the pajn from my hand comes back this time is more worst.please tell me what I should to do.its paining too much with numbness.thank you so much doctor.

Doctor: Hi,Thanks for your query. According to your description , pain over your right hand seems to be inflammatory in nature.I advice you to give you rest to the part affected, take anti-inflammatory drug like motrin 1tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.I do hope that you have found something helpful and I will be glad to answer any further query.Take care

Description: What are the home remedies for the night sweats, irregular periods and panic attacks?

Patient: Hi, I have been dealing with night sweats since my third child. It has been about 3 years since I have noticed now it has been nights and morning sweats. I am only 36 lol but in the past I have dealt with irregular periods. Cycts... im moody an i have panic attacks that i have never felt before. Is there anything natural that i Can take because my doc says birth control and my body does not do well on that

Doctor: **1. Irregular periods, night sweats are common in the mid 40s as perimenopause approaches and is also associated with panic attacks [anxiety/or felling if anxiousness], and is collectively called as ASD [acute stress disorder]2. prior to taking treatment for the same, check with gynecologist/attending physician regarding hormonal profile for irregular periods/mood swings: mainly estrogen/progesterone balance and thyroid profile, ultrasonogoraphy for PCOD/PCOS [since cysts were there], likewise night sweats can also be due to some underlying medical condition.3. avoid caffeine & alcohol, excess physical –mental exertion, sun exposure, corrylium, smoking, errhine therapy, betel leaves, gruel, soup, day time sleeping, garlic, ginger, onion, spicy-heavy- junk food, mustard oil, pickles.4. Take: mint, coriander, tomato, cumin, plenty of water, vitamins and mineral supplements, apple, banana,grapes,dates5. You can practice: bhujangasana,halasana, paschimottasana, sarvangasana, shalabhasana, shavasana and vakrasana and pranayamas like bhastrika and kapalbhati.6. Lemon juice mixed with sugar in a glass of water helps release stress removing hormones from the body and bring mind at peace/rest.PS. drink plenty of water/fluids to remain well hydrated.. Apple, almond, banana, broccoli, cantaloupe, melon, carrot, cashew nut, corn, cauliflower, grapes, guava, lemon, mango, orange, pineapple, soybean, spinach have anti oxidant and detoxifying properties so take them in plenty.

Description: What causes a lump on the shoulder blade?

Patient: I have a lump deep in the skin of my right shoulder blade. It started out as the size of a pea a few years ago and didnt bother me. Last month, it grew larger and became red and inflamed as well as hot and tender to the touch. I put hot compresses which made it go down, but it looks to now be bruised for the last few weeks and is throbbing on and off and I believe causing shooting back pains in the area. I was told by a P.A. that it is a cyst, that they wouldn't cut it open because it could risk infection. It is tender to the touch and I am worried.

Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This is infected sebaceous cyst most probably require surgical intervention without delay .Hope this clears your query .Welcome for further assistance .Regards .

Description: What causes lower abdomen, stomach pains?

Patient: Hi for 4 days now i have been having pain in my stomach/lower abdomen and back. the pain is constant.. I find it hard to sit at my desk at work as i have an office job... originally the first day of the pain i woke up out of bed and thought i pulled a muscle or a nerve.. but i still have the pain. i cannot pick up heavy objects (i.e my 1yr old son). Last week i can remember i felt dizzy for a few minutes like i could of fainted but not felt faint since. Also i am a smoker and have been doing a lot of coughing, but i have quit smoking so far for just over 2 days as i am constantly coughing up phlem. Also this morning while i was getting ready for work i had to stop as i had an agressive shooting pain in my lower abdomen. I have no idea what it could be? It's a very achey but severe pain.. i don't know if this will make sense but if it feels like a heavy pain like being 8 months pregnant carrying a weight.. i am on contraception pill cerazette.

Doctor: Hi ! Good morning. I am Dr Shareef answering your query.From your symptoms specially the feeling of fainting with abdominal pain and being sexually active, I would suggest you to see your family physician/ER of the nearest hospital for a clinical examination and related investigation like a CBC, a urine routine/microscopic/culture sensitivity test to rule out UTR, serum HCG estimation, and an ultrasound abdomen to rule out a unsuspected intrauterine/extrauterine pregnancy. All the precautions including birth control pills are not 100% fool proof in protection against a pregnancy. And I would like you to report to your doctor at the earliest possible time to avoid any complication.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

Description: Q. What is the best method to avoid pregnancy if I missed using a condom?

Patient: Hello doctor, I am a 28 year old male and my partner is a 22 year old female. If I skipped using a condom during sex, what is the best option to avoid pregnancy? Also, please mention the side effects of the medicine.

Doctor: Hello. For more information consult an obstetrician and gynaecologist online -->

Description: Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?

Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?

Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->

Description: Q. I cannot read anything. How to reduce my eye dryness?

Patient: Hello doctor,What must I do to reduce my eye dryness? I cannot read anything for a long time. Please help.

Doctor: Hello. Dryness is a prevalent complaint encountered in your place because of climatic variation, dust, and prolonged use of a computer. Sometimes dryness is associated with convergence weakness of eye muscles. If you are a computer user then better take frequent breaks preferably after every 20 minutes for say about two minutes. If you travel a lot then use protective UV goggles. Better to get your tear formation checked by an ophthalmic surgeon on Schirmer strip and check for the wetting of strip. Normal is 25 mm degree of severity of dryness depends upon the maximum limit of wetting of strip in five minutes. Also please get your fusional range checked for muscle weakness so that necessary eye exercises can be advised accordingly. Also, get your refraction done so as to be sure you do not have a refractive correction. A minor cylindrical error can also disturb while reading. Dryness associated with convergence weakness. Use lubricating eye drops. A very good lubricating eye drop is Systane Ultra (Propylene Glycol) which is needed to be used at least four times a day for a month by the meantime get you investigations done and revert anytime. Avoid prolonged computer use, dust. Use good light while reading preferably a table lamp. Use protective UV google while going out.

Description: Can an infected tooth cause headache?

Patient: I’ve been having a pain right on my left temple that feels like the worst headache of my life for the past couple of months and also an infected tooth on the same side. I can't sleep because the pain hurts so bad it keeps me up. I've gone to the hospital, a headache specialist, and 3 different dentists. The only thing that has completely relieved this paid is when the dentist numbed my tooth and Penicillin the 2 different times I've taken it. I'm wondering if the Penicillin is stopping my infection in my tooth and that's why my headache goes away. Can an infected tooth be causing this pain in my temple?

Doctor: Hi Dear,Understanding your concern. As per your query you have infected tooth which could be due to abscess, pulpitis and dental caries. Yes infected tooth leads to headache due to associated nerve supply.Need not to worry. I would suggest you to consult dentist once. Doctor may perform oral prophylaxis . Doctor may take x-ray of tooth to confirm the diagnosis . Doctor may also check the tooth for tenderness and check level of infection . If infection has already affected the pulp then doctor may recommend root canal therapy along with crown on it. For now do warm saline rinses several times a day and maintain proper oral hygiene. Take proper course of antibiotics to subside infection.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari

Description: What causes stomach ache, fever and vomiting in a child?

Patient: hi my 11 year old son had come 2 weeks back from school complaining of headache and weakness then in the evening he vomitted.he complained of stomach ache .He had cough and we told him to take rest after giving digene and crocin.By Sunday he had fever around 99-101 fever.So we took him to our doctor who gave him crocin and he was off school for 3 days.Again after a week on monday he vommitted in school and i rushed to get him back.he vomitted around 7 times.no loose motions.he was given ondem inj and put on light food diet.he was fine.today(friday) again he is complaining of stomach ache and he vomitted once.wwhat could be the reason.

Doctor: Thanks to HCM I can understand your son concern headache ,recurrent vominting and stomach pain fever in children generally have infection here I would like to suggest just undergo once fever profile like CBP. ESR, WIDAL and MALARIA test along with chest x ray you can give the paracetamol,along with antiemetics like vomikind , antibiotic like cefixime for 3 days try avoid oily food ,sweets in diet let him drink plenty of water don't worry in children it is commonest problem once with report consult your family doctor or HCM OK .

Description: What are causes & treatment for lumpy rash in tounge & sore inner nose?

Patient: hi my daughter is 6 and last week she had a lumpy red rash on her body i took her to doctors and they said it was a virus which i am not to sure it was since then she has really chapped lips a sore inner nose and white lumps on her touge which is hurting . Where she had this rash her skin is now pelling

Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query lumpy rash in tongue & sore inner nose could be due to allergic reaction known as allergic dermatitis as it is occurring on your skin, tongue , nose and becoming generalized. Need not to worry. I would suggest you should gargle with a numbing solution containing Lignocaine for relief of rash on tongue and pain. Gargle with warm saline water. Avoid spicy , sharp and hot food substances. You can take anti-inflammatory painkiller like Ibuprofen. Take nasal sprays or decongestants to prevent any congestion. It will start improving within a week but in case if the condition does not resolve consult an dermatologist first and then ENT specialist and get evaluated and start treatment accordingly.Hope your concern has been resolved.Get Well Soon. Best Wishes,Dr. Harry Maheshwari

Description: What can cause pain in the lower abdomen on the right side?

Patient: Ok earlier I had pain in my lower right abdomen now I’ve had this pain before over the last couple months but today was more severe I googled it and it’s saying my appendix but the pain starts in the middle of my stomach but I did have pain in my middle stomach but very brief and it was hours after my right abdomen pain

Doctor: Hi, Pain starting near umbilicus and shifting to the right lower abdomen is most probably due to appendicitis. Hence I would advise you the following in such a situation: Consult a General Surgeon for clinical evaluation, examination and investigations as follows: Tests of blood, urine and stool. High resolution of abdomen, CT scan of abdomen is usually diagnostic of appendicitis or any other things. If appendicitis is diagnosed then go for surgery at an appropriate time as advised by your Surgeon. Hope I have answered your query. Let me know if I can assist you further.

Description: What is the cause of tiredness and mood swings?

Patient: i think i might have some type of depression and i dont no what to do. Im tired all the time, no energy, look at the bad side of everything, feel drained and sore, snap at little things, pick fights all the time. i never use to be like this and i dont no why im like this.

Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you are going through a difficult time due to your recent problems. From the description of your symptoms, it appears that you are suffering from a depression.However, you need a detailed evaluation to arrive at a definitive diagnosis and initiate appropriate treatment. So, I would advise you to consult a psychiatrist for a detailed evaluation and further treatment. Effective treatment is available in the form of medication or counselling. So, please don't hesitate to seek professional help.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant PsychiatristWish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist

Description: Suggest treatment for cold,runny nose and sore throat in winters

Patient: respected sir,i m anil..from gurgaon (haryana) n i m 25 years old..i m suffering from in winter like cold..runny nose, sorethroat,,from 5 years in winter whole..and i did not take any long treatment i always use some antibitics when i suffer..so, sir i want to ...is there parmanent cure of this diseases such allergy in homeopathy..plz tell me..

Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have cold,runny nose and sore throat in winters which is due to upper respiratory infection due to poor immunity of your body. I would suggest you to take Allium Cepa, Arsenic Alb, Causticum as homeopathic treatment for 7 days three times a day. You should avoid use of spicy, sharp oily and fried food substances. You should take combination of antobiotic Levofloxacin along with anti histamine such as Levocetrizine. You should take cough expectorants. You should do warm saline rinses 3-4 times a day. You should avoid cold carbonated beverages. You should visit ENT specialist once and get it examined. You should get chest x-ray done along with pulmonary function tests done so as to detect level of infection and treatment can be started accordingly. Apply mist humidifiers in room. You should take throat soothing agents. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari

Description: What causes tightness in gum after tooth removal?

Patient: I am 34. I had a cracked #4 molar removed 4 days ago. The gum feels like it has recessed into almost a U shape and it feels tight. I do not have any pain. I can feel a few hard spots in between the gum with my teeth, but no pain and air sensitivity like the symptoms of drysocket. Is this normal?

Doctor: Post-tooth extraction dry socket often has no obvious cause. But known risk factors are:Difficult tooth extractions.Extractions of back teeth in the lower jaw, especially wisdom teeth.Smoking before and/or after the extraction.Diabetes.Oral contraceptive pills.Previously having post-tooth extraction dry socket.

Description: How to treat tonsils and stomach upset in children?

Patient: my 9 yrs baby girl suffering from cough, main tonsils & stomach upset as eaten more chocolates & cold drinks during janmasthami - can silybon syrup help to cure this do your prescribe a i had given her long back once before a month she was suffering from thyphoid & after a month of to be continued after thyphoid but sinc than the tonsils just effected in june last month after 2 years

Doctor: HIWell come to HCM If this is recurrent infective condition of tonsil then this need to be treated properly and total eradication of infection need to be done, and in my opinion the condition could be tried with Tab Erythromycin the dose need to be adjusted according to age and weight, hope this helps.

Description: Have RSD/CRPS, fibromyalgia. Have tumor in maningies, hair pulling pain, jaw pain. Caused by tumor?

Patient: I m Ladonna young, I am a 71 year old woman, I have rsd/crps, and Fibromalgia, also have had three abdominal surgeries in less than a year, the second one was gangrene emergency, last was to put my muscles together through the belly wall. I have a a tumor in my maningies, have hair pulling pain and left jaw pain, does my tumor cause any of the head pain?

Doctor: Hi, Thank you for posting your query. Tumor of the meninges- meningioma- could cause headaches. If it is possible to send the MRI/CT report of the brain, it would help me advise you better. It is useful to note that meningioma is a benign tumor and there is no risk of fast growth in the tumor size. Also, surgery may not be required if the size of tumor is small. For now, you could take analgesics such as ibuprofen or diclofenac tablets to relieve the headaches. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL:

Description: What causes shooting pain in my head after sudden moment?

Patient: Hi. Ok so since i was little i always had this sharp pain in the back of my head. Like if i turn it too fast just right it feels like ive been shot in the head. I thought it was normal but apparently its not. Its on the nape of neck. when it happens, my head jolts the side that it happens on and the pain lasts about a minute. What is this pain? Is it a pinched nerve?

Doctor: Thanks for contacting healthcare magic. You have problem of headache and back pain that after sudden movement may be because of nerve compression problem. Cervical disc problem cause pain after sudden movement. It may cause nerve compression problem. MRI give exact idea about nerve compression. Cervical disc bulging may cause neck pain while sudden movement of neck.This pain can refferred to back or head region also.Physiotherapy is helpful for severe back pain because of nerve compression. Consent a physician for further diagnosis. I hope my guidance is helpful to you. Take care.Thanks.

Description: Mosquito allergy, itching, dark spots on healing, occurs in fair complexioned people. Cure?

Patient: hello sir, i have an allergy to mosquitoes and if they bite me, i get a lot of itching, and later spots which wont heel for days also, after its gone it leaves a dark spot, one doctor i consulted before said its a rare dermatological condition which occurs on fairer skin people. i desperately need to know the cure, its only on my hands and legs, n i feel embarrassed to wear small sleeve dresses

Doctor: Dear Shinie, This is a normal response to an insect bite, especially mosquitoes, that you get. The response to fiery red ants, wasps and bees may provoke an anaphylaxis (severe allergic reaction) response but not against mosquitoes. A mild potency setroid cream (betamethasone) and anti-histamines taken over 3-4 days usually suffices as treatment of skin reactions to mosquito bites in adults. However, if you are getting bruises or dark areas on severe scratching, you need to ensure that you do not have an abnormal platelet number (low) that leads to the bruising. A complete blood count test should tell you the platelet number. Thanks.

Description: After how many days of using levofloxacine for typhoid gives negative for widal test?

Patient: Hi Doctor,I have diagnosed typhoid by widal test on last week. the widal result was salmonella typhi H 1:320. the doctor gave me levofloxacine 500 mg daily for 7days & today is the 7th day. Doctor after how many days the widal test will become negative?

Doctor: Hello, Welcome Thanks for consulting HCM I have gone through your query, as you have positive test of typhoid fever , dont worry as you have consulted with your doctor also,as you have taken proper course of antibiotics given by doctor, now if you feel like you have no symptoms as you have before you feel releif , go to your doctor again and consult if he tolds you then go for blood test again for typhoid , Hope this will help you. Wish you good health

Description: Suggest treatment for night sweats after the knee replacement

Patient: I had total knee replacement 2 weeks ago. I m getting little sleep because of the terrible night sweats I ve started having. They did a urine test for infection no results yet. I talked to my pharmacy to see if my meds or any combinations of my meds would cause this. Answer no. I am 69 female. They think my hormones are messed up, which they say happenes sometimes after surgery. What are they talking about? I am going to the Dr. tomorrow looking for answers. This has been a very hard 2 weeks. I have bowel problems, told them and they still did not help me. When through a mess getting them going. Had trouble with med. Now these sweats. Hard to do therapy when tired.

Doctor: Infection needs to be ruled out. Consult your Surgeon for a thorough examination and workup. Take Acetaminophen for the fever and night sweats.

Description: What are the side effects of Clonazepam and Topiramate?

Patient: my 17 yr old daughter is has been having blackouts and psudo-seizuresfor about 3 months and the Neurolgist has had her start taking Clonazepam 0.5mg and Topiramate on June 12 and has been having swollen and hurting throbbing hands for the past 4 days is this a side effect of one or both of these meds

Doctor: Swelling and throbbing hands are not common side effects of these medicines but they can definitely be side effects in your daughter. I would have her see the prescribing doctor and consider stopping one of the medicines to see if that one is the cause. Afterwards, he/she can reassess the swelling and throbbing. Thank you.

Description: Lower back pain, leg pain. Taking Tylenol and Advil. Used heat and ice. Suggestions?

Patient: My husband is really suffering with severe lower back pain and pain radiating down the front of his leg..he has been taking tylenol 3 s for a week with Advil q8 hours....what would be better? ...he has a prescription for Celebrex but stopped taking it when he started the Advil......he has tried heat...ice....tried doing the back excercises but he is no better. He is never sick and never misses a day of work but this week he missed 4 days. Please , any suggestions would be appreciated.

Doctor: Hi,From history it appears that your husbund might be having some degenerative changes in his lower spines giving rise to this problem.Go for x-ray lumbo-sacral region.Consult orthopedic surgeon and get examined.Physiotherapy will give better relief.Do back extension exercise.Ok and take care.

Description: Is it safe to take Miconazole for yeast infection?

Patient: I am currently taking antibiotics for a teeth extraction. I have 1500 mg left to take, but have developed a yeast infection in the process. I went to the pharmacy and purchased miconazole 1. I started reading a lot of reviews where other women had very bad experiences. I know it is a high dosage, but what should I expect from it? Should I still admisnister it?

Doctor: HelloWelcome to HCM See for teeth extraction we usually provide 3 to 5 days safe antibiotic course which hardly leads to fungal infection but still if you are having then so start with anti fungal or fluconazole is more safe. Go to dentist get to know what kind of infection it is and the severity then according to that dosage will be decide, meanwhile keep that part clean.Thank you

Description: Having noticed loss of skin color & roughness with sharp pain in leg due to broken vein

Patient: If you have broken vain in your legs and thigh which is very bad until it causes a lot of sharp pain running up and down your thigh and poor circulation where the legs is loosing it skin color and the skin feel ruff like alligator skin would that cause for amputation if not taken care of in the long run.

Doctor: Hi,A broken vein (varicose veins) leads to poor lower limb circulation that will affect your bones, muscles and each and every aspect of the limb as per your history. I would suggest you to get treated immediately to prevent further complications. Amputation is only in very severe condition that have developed big ulcers that won't heal over time.Treatment generally includes self help like elevating legs above heart level, ankle toe movements thought the day compression stockings laser treatment foam sclerotherapy. Again I would like to say nothing to worry about as of now but you need to take treatment to prevent further complications.Hope you find this helpful. Let me know if I can assist you further.Regards,Jenis Bhalavat

Description: How can I confirm a tear in lower back?

Patient: It is my belief that I torn a tendon in lower back 13 years ago, I have recurring LB pain 5 days in duration, 4-5 times a year with low grade L4 rights side pain. I was told by two chiropractics that I have bi tropic facets L4-L5. All tests and neuro surgeons say my back looks good for a 53 yo. I believe I have facet sydrome and rotational instability,subluxation. What or who would you suggest. Bill

Doctor: Hi, Welcome to HEALTHCARE MAGIC. MANAGEMENT OF chronic back pain is exercises ,analgesics(diclofenac) ,vitamin supplementation. Sometimes root cause of pain vitamin D3 DEFICIENCY. Checking of your vitaminD3 may be helpful.If low it can be supplemented. You can get your MRI lumbar spine done to get further information. I think my answer will be helpful to you.

Description: Suggest treatment for recurring allergic rhinitis

Patient: I was suffering from allergic rhinits a month ago for which i took relent OD(dr reddy) containing levocet.. + ambroxol and one steroidal nasal spray both for 21 days - both one per day. i got completely cured. now after one month i have again started sneezing. mild earache also.

Doctor: hi, first of all consult an ent specialist and get your oropharynx examined for inflammation of your pharyngeal tonsils which is a common cause of recurrent midle ear conestion and ear ache, it can also cause rhinitis and breathing problems. you should also go for xray of paranasal sinuses for detection of chronic sinusitis , polyposis or any other pathology.if you are sensitive to cold and environmental pollution then avoid exposure as much as possible, you can go for complete pannel allergen test and subsequent desensitisation if possible, you should also go for total and differential count of WBC for eosinophilia and its subsequent management.your developing allergy can be managed completely if not ignored otherwise. thanks.

Description: Rashes on buttocks, spreading to legs, face. Taking treatment for ALL. Treatment options?

Patient: My daughter has a rash on her buttocks that we have been treating with nystatin . She is undergoing treatment for ALL and the oncologist believes this to be the proper treatment. The rash (small red bumps) has now spread to her leg and her face is getting splotchy. We hope to see the oncologist tomorrow. What should we be looking for.

Doctor: Hello Welcome! I would be pleased to answer your question . From what you have described in your history , it looks very much like acute papular urticaria . most episodes of acute urticaria are self limited within 4-6 weeks of onset of symptoms, it is not imperative to do so. I would recommend taking an anti histamine once or twice a day for 2 weeks +calamine lotion over the affected areas whenever symptoms occur and seeing whether they recur on stopping the medicine after 2 weeks. If they do then restart treatment for another four weeks and then stop and see. If they still recur then you will require some blood tests and will need to see a doctor in person. Please note that if you have any lip swelling or difficulty in breathing you should see doctor right away. Hope this information is useful, please feel free to ask if you have any queries. Please feel free to ask if you have any queries.

Description: What causes lymph nodes?

Patient: I have a lmph node under my left ear,my left ear crackles and pops when I breath,and pain in my left shoulder for the last month,and I also have the worst dizzy spells I ve ever had, to where I feel like I m gonna pass out. So bad I have to close my eyes. The doc I don t think either cares or didn t hear what I told him. Is there a bug of some kind going around? I m 63 and have never had dizzy spells like this . I m afraid to drive alone.

Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some upper respiratory tract infection. Thats why your lymphnode is enlarged. You should take a course of antibiotics with antihistamines according to your doctor's advice. If it doesn't respond to treatment then biopsy diagnosis is advisable. 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: How to swallow food after diagnosed with esophageal cancer ?

Patient: sir my mother is suffer from oesophagus cancer only a small amount of food she can take there is no pain in the foodpipe when she take meal the the foood is stuck in the throat what can i do for the treatment food stuck in foodpipe then inhale by water,no pain, back pain a little bit,age-50,sex-female,treatment-in ultrasounthere is a barium swallow and in x-ray thera is a type of toumer in the foodpipe so tell me the solution but doctor said we will bind it by clipping and make a space in throat by which mom can eat the food without stucking in foodpipe

Doctor: Hi, Welcome to Healthcare Magic Forum. She may need a Endsocpoy to do a biopsy of the growth to rule out the type of cancer. Because there are two main types of esophageal cancer which exist, squamous cell carcinoma and adenocarcinoma. When the cancer is only in the esophagus and has not spread, surgery is the treatment of choice. The goal of surgery is to remove the cancer. Sometimes chemotherapy, radiation, or a combination of the two may be used instead of surgery, or to make the growth smaller so that surgery is easier to perform. If she cannot tolerate surgery or the cancer has spread to other organs, chemotherapy or radiation may be used to help reduce symptoms. This is called palliative therapy. In such cases, the disease is usually not curable. Speak to her Doctor about all these aspects and Discuss it with your Family and friends to come to a Final conclusion. Good Luck.

Description: What causes pancreatitis suddenly?

Patient: Hi my fiance is in the hospitol right now he has pancreatitis...the doctors are not sure why...he doesnt drink excessively and had an ultrasound done to check for gallbladder stones, which came up negative. We have been in the hosp since tuesday night and his amalyse and lipase went down yesterday and now have slightly elevated again...? WHY

Doctor: Hi and welcome to Healthcaremagic. I understand your concerns.Well, biliary stones and alchohol are the most common but not the only causes of pancreatitis. It may be caused by metabolic issues such as hyperlipidamia, hyperglicemia or hypercalciemia. Also, some medications may cause it as well so these should be checked by his doctor. . However, at this point it is improtant for him to recover as soon as possible andthen right cause can be established. He should later check his hormonal and calcium levels and in next 2 months have low fat diet.I hope I have answered you queryKindly regards. Wish you a good health.

Description: Are there any after effects of antibiotics taken for nausea and bronchitis?

Patient: I have a disconnecting feeling from my body as if I have come off anesthesia the only thing I've done was take antibiotics and nausea medicine for bronchitis and a bacterial infection in the lungs but after I got my ability to sit up now I feel like I have trouble focusing my body is trying to catch up with my mind is racing constantly

Doctor: HelloAs you explain the situation no I don't think your concern is related to antibiotics you have already used.Probably this is a recovery time after infection and it will soon passDon't worry and try to have a rest.RegardsDr.Jolanda

Description: Can viral infection be the cause of runny nose, cough and fever?

Patient: My daughter is 2 years old and lately has had a viral infection causing runny nose, eyes, a chesty cough and a temperature. Today she has been much better but the two times she has had a bowel movement they have come out very light/grey in colour. I would like to know if this is any cause for concern? Thank you

Doctor: Hi....you need not worry. This is quite common in recovering viral illness. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Regards - Dr. Sumanth

Description: How can one conceive with hormonal imbalance?

Patient: Hi,this is Pauline,i am 23 now and i have been married for about 1year. My husband and I were trying to have a baby,but we failed because I have hormonal imbalance. I want to have baby this year. What shall we do? please advice me what to do. Thanks and more power. God bless

Doctor: Hi, I think you can take some medicines like clomiphene for the growth of your follicles and track your follicles growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Just do a thyroid profile and prolactin levels for yourself and a semen analysis of your husband. You can also do a tubal patency test. Discuss with your doctor regarding this. If it is normal, you can go for IUI also. Hope I have answered your question. Regards Dr khushboo

Description: What causes fluctuating blood pressure readings?

Patient: hellow doctor, thank you very much for trying to help us. my mother is 76 years old , she have some difficulties in walking , she use to walk with a stick , her stomache is a bit big and we dont know the reason , she dosent eat to much at all and without salt in the food , sometimes she have a high blood preasure and sometime she have a low blood preasure and some time she feels some heart beats but thank to god that she havent got a cancer or something dangerous , thats why i am asking you doctor about her because i love her very much and i dont have exept her in my life . thank you very much , i am ready to answer your questions to me. ELHAMY KHORSHED.

Doctor: Hi,BP varies beat to beat. So the BP in morning, afternoon and night is different. It's different in various postures and also from minute to minute. It differs in different arms as well. So don't worry till your mother's BP remains less than 140/90 mmHg.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Vihang Shah

Description: Suggest treatment for baldness spot on head with hair thinning

Patient: hi DOC, SUDDENLY FROM PAST 2 WEEKS ,I SEE LOT OF BALDNESS ON MY HEAD - I HAD A HAIRCUT AND CUT IT QUITE SHORT AND FELT THAT I AM JUST ABT TO GET BALD AND MY HAIR ARE THIN FROM BEGINING AND WE DO HAVE A HAIRLOSS HERIDETARY IN FAMILY - I M STILL NOT THAT BALD - ATLEAST STILL GOT CHANCE FOR HAIR GROWTH, PLZ ADVICE - I NEVER TAKE STRESS - BUT DIET

Doctor: Hello, I have gone through your query and you seem to be having androgenetic alopecia. I would recommend you to apply minoxidil 5 per cent lotion on the affected areas of the scalp twice daily and take hair supplements like tablet follihair A once daily. You need to continue these medicines for at 4-5 months to see significant results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist

Description: Have internal blood loss, received blood. Done Blood test. Taking iron supplements. What is going on?

Patient: I have interal blood loss. In Aprial 2013 I received 2 units of blood while in the hosptial. I had low H&H, 7.6. I have had blood test, bone denisty, upper and lower scopes. Still no cause. Taking iron supplements which increase my Ferritin level. What can you tell me about my condition? Thank you very much in advance for your reply. JL

Doctor: Hi, the cause of the hemoglobin not increasing might be due to hook worms in the intestines, micro bleeding at the site of blood loss, malnutrition,etc. Take more of green leafy vegetables, pulses, sprouts, and proteine rich foods. Thank you.

Description: What causes thirsty, headache and ketones in urine of a child?

Patient: My 6 yr old has been very thirsty and hungry lately. She also has been peeing alot more too. She has occasional complaints of headaches and stomach aches and she has had a decrease in energy. I took her to the doctor and he did a urine test and said she had some ketones in her urine. We went for bloodwork today and I am nervously awaiting results. Any thoughts? She is hot all the time too...

Doctor: Hello. I just read through your question. many times this turns out to be a harmless virus. however, what your doctor is investigating is the possibility of Diabetes. If the blood work confirms this diagnosis, treatment will begin immediately. Keep in mind that if this turns out to be the case, your daughter's daily activities (ie: school, social life) will not change. This is treatable. Good luck.

Description: How can OCD symptoms be controlled?

Patient: my 18 years son is suffering from OCD. At present most of repetitive symptoms are undr control. But he is getting angry very frequently. Starts shouting and beating family members. Uncontrolled anger . After some time gets cool down, starts weeping abd feeling sorry about his bad deeds during anger. How anger to be controlled in OCD patient? He is taking Daxit -100 mg at present. Thanks & regards C B Singh 0000

Doctor: hello Mr. C B Singh, this is Dr. Chintan Solanki here. Thanks for using healthcaremagic.OCD is very common illness nowadays. Daxid(sertraline ) 100 mg is good drug.As you didn't mention type of OCD symptoms , I would like to tell you following options.Is anger part of obsessive symptoms or it is secondary to frustration of OC features that must be differentiated.If is part of OC symptom , daxid dose is to be increased up to 200 mg per day as most of the OCD patients require SSRI medicines on higher doses.If it is secondary to frustration of OC symptoms, anti anxiety medicines and cognitive behaviour therapy is quite helpful.Another rare possibility is intermittent explosive disorder, which is different problem and should be treated with anti epileptic medicines.You should discuss these things with his treating doctor and take treatment accordingly.I hope I have answered your concern for your son, if still anything to know you can ask me.Regards.

Description: Q. I have a rash that is red with a smaller dot in the center. What could it be?

Patient: Hello doctor, I have Raynaud's phenomenon and cutaneous vasculitis. I am concerned about a rash on my finger that is red with a small darker dot in the center. The rash does not itch or hurt. The tissue is soft.

Doctor: Hello. With your description, it seems like a target lesion which is seen in erythema multiforme. Erythema multiforme is a hypersensitivity skin reaction due to underlying infections, some medications, systemic diseases, and autoimmune disorders. Or it could be purpura - blood leak underneath the skin. I am very sorry I cannot make a precise diagnosis unless I see the clinical picture. I would like to know few more details: I would suggest you attach your clinical picture along with your query so that it is convenient for me to comment on your condition and give you appropriate suggestions. Revert with more information to a dermatologist online -->

Description: Want to get misoprostol for abortion

Patient: i don t want to get pregnant . i had my menses before 1 weak.i want to know how to get misoprostol in kerala. is there any dr. s permission needed for this..?

Doctor: Hello Sanal, I understand from your query that you are pregnant and want to take some pills for abortion. Kindly visit a gynecologist at the earliest if you want to undergo an abortion. It is not safe to take such medicines without prescription. Take care and do not take any medicines without proper consultation and prescription !!!

Description: Is locozade drink safe to drink with heart and kidney problems?

Patient: My elderly mother drinks a lot of Lucozade. She is in poor health, she has Parkinson s, a pacemaker, angina, kidney disease to mention just a few problems. She takes 16 pills a day as part of her treatment. Should she be taking this energy drink?

Doctor: HelloIt would be best for her to avoid any beverages with caffeine and that would include lucozadeGatorade and juices are fine, though

Description: Can continued use of Venotin and Montelukast reduce chronic cough with mucus due to flu?

Patient: HI DR. Grief, my name is Roberta. At the end of February I had the flu. After the flu started to go away I developed a chronic cough accompanied with mucus. I went to my a physician`s assistant who prescribed Benzonatate 200 MG take 1capsule by mouth every 8 hrs. as needed. I did this for a few weeks and this did not help. My cough was atill persist and accompanied with mucus. I coughed so hard and could not breath when trying to clear the mucus from my throat. I have gone back to my Dr.s office after a month and was seen by a nurse practitioner who prescribed Ventolin HFA 90 MCG inhaler, 2 puffs by mouth every 6 hrs as needed, and Montelukast SOD 10 MG, 1 tablet at bedtime. I was told that this won`t take affect right away, that I have to take this over a period of time before it does! Does this sound right to you?

Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are not taking right treatment. By your history and description, possibility of post infectious bronchitis is more. This condition is common after common cold due to flu infection. And treatment of choice is inhaled corticosteroid (ICS). Ventorlin is short acting beta 2 agonist (SABA). It's action lasts for 1-2 hours. So frequent dosing is required. Montelukast is anti allergic and it has no role in post infectious bronchitis. So better to consult pulmonologist and get done PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. Better to stop montelukast and start ICS after discussing with pulmonologist. Hope I have solved your query. Wish you good health. Thanks.

Description: What causes painful bump on upper inner thigh?

Patient: Hi I am a 21-year-old female that works as a cashier. When I changed into my PJs tonight I noticed I had a bump on my upper inner thigh. I have gotten them before and usually with time they go away. This time though there's this light red liquid coming out of it. The bump hurts when it is touched and feels hard.

Doctor: Hi. The area you mentioned is prone to have such bumps , may be due to friction or so.One of them must have been transformed into an abscess and opened up giving light red liquid. Pain is due to inflammation, the sensitivity of the skin does increase . Id the swelling is small , local application of anti-bacterial lotion like povidone iodine will help. If necessary take a small course of an antibiotic.

Description: Will it be safe to take wysolone for high neutrophils?

Patient: i have a son of 18 year old and his neutrophils are showned high enough in heamogram test . some doctor suggest me to give single dose of wysolone to him. so i just want to know is wysolone is safe for him.? and he is going for a recruitment in airforce so is there is any problem for his medical fittness... while taking wysolone..?

Doctor: Hi, welcome to HCM.High neutrophil in blood is mostly related to infection in body.It is not advisable to take wysolone for that.Wysolone has many side effects- high BP, high Sugars, weight gain/obesity, skin stria, bone loss, peptic ulcer etc.Check complete blood count, basic urine report.Monitor temperature.Take Physician's opinion and physical check up with him.I think this would be helpful to you.Best wishes. TC.Dr Jay Patel.

Description: Is Liver Abscess likely to recur after having it treated?

Patient: Hi, My father is getting treated for Liver Abscess, He is 53 years old. He went through needle aspiration twice, however when the repete ultrasound was done, the puss was found again ( 200 ml). It started in December 2011. I was wondering if I could know what could be the right treatment for the abscess not to reoccur. The puss report seems to be normal everytime though. Please advise !! Thank You!

Doctor: hi.noted history of liver abscess and drainage thru aspiration twice, and possible recurrence. is your father experiencing any other symptom, such as fever, nausea, vomiting, abdominal pain? it is best if you bring your father to a doctor, preferably a general surgeon, for physical examination and clinical evaluation. an underlying pathology (infective or obstructive) must also be ruled-out. diagnostics (such as ultrasound, blood counts, liver function tests, blood culture, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. a course of proper antibiotic regimen (IV/oral form), accordingly with the blood and drain culture, must be prescribed. if the symptoms are persistent, it is best to discuss with your doctor, sugical intervention for exploration and drainage of the abscess.hope this helps.good day!!~dr.kaye

Description: Q. My grandmother had a brain hemorrhage and is in ICU. What are the options that we have now?

Patient: Hello doctor, My grandmother is 90 years old. She had a brain hemorrhage two days back. She is in ICU. She is unconscious from the last two days. There is toe movement and sometimes, there are some leg movements. She has high blood pressure. The doctors in my place are saying nothing can be done. What are the options that we have now?

Doctor: Hi. External ventricular drainage. For further information consult a neurologist online.--->

Description: What causes sweating and odor between legs?

Patient: I sweat between my legs...after a while i have a bad oder between my legs,,,my sweat is milky and thick...I am handicapped and sit alot...I do not wear underwear so my balls can breathe... I sleep nude as well ...the smell is nasty...I wash 3 times a day and use medicated powder,,,,Please help!

Doctor: Thanks for posting your query to health care magic .Sweating between leg is a common phenomenon as this is a normal physiological process of body. why are you worried about that .odour of sweat is different for every individual and it depends upon your metabolic activity . the only point of concern is thick and milky sweat ,but if it is not causing any problem no need to worry or you can consult to a General Medicine physician for that . I donot think any kind of infection in this condition so donot recommend any microbiological tesing .further I donot recommend use of medicated powder routinely as it disturb your commensal flora , so use such kind of powder only when infection is there or chances of infections are high .thank you .feel free if any query .

Description: What to do for egg sized swelling in head due to fall in childhood?

Patient: Hi Sir! Myself,Sandeep viashwakarma from Dhanbad,I want to say that my father had once fallen from a tree during his childhood due to which his back head part swelled a little and now he is 48 years and the swollen portion has enlarged which has become like egg shaped.So sir what advices would you like to give us.Sir it is a matter of great concern for us, for my father is only earning person in my family.

Doctor: Hi ! Good evening. I am Dr Shareef answering your query.With the history it looks to be an organised hematoma of the scalp. However, the final diagnosis could be done only by a clinical examination and a MRI if need be. Therefore, I would advise you to to take an appointment from a general surgeon for your father and get him assessed.I hope this information would help you in discussing with your family physician/treating doctor in further management of your father's lump. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.

Description: What causes soreness in chest and head with left arm pain?

Patient: I had a spell Tuesday morning and I ended up in the ER I was on my way to work and I started feeling light headed and some discomfort in my left arm by the time I got into town I was panicking and breathing hard from being scared and my whole body felt like I didn t have control over it like it was shutting down I had to call the rescue squad! They checked my heart at the hospital and my blood work and said I was fine that it had to be a panic attack! I came home and ever since that day my left arm has been achy and I feel a little soreness in my chest and my head and I just need to know what you think?

Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of stress, anxiety and panic disorder is more. Since your cardiac work up is normal, no need to worry for major heart diseases. Your all symptoms are mostly due to stress and anxiety. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. So avoid stress and tension, be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

Description: On implanon, taking trimethoprim, nauseous, stomach pain, negative pregnancy test. Antibiotics affects birth control?

Patient: I've been on implanon for around 2 years, and I was taking some antibiotic's called sulfameth/trimethoprim last month, and for the past few days I've been feeling nauseous, tired and having pains in my stomach, though they don't lest very long,. but I took a pregnancy test and it had came up negative. and I was just wondering if it would affect the test. and if that antibiotics would affect the birth control.?

Doctor: Hi,Trimethoprim can affect contraception to some extent. I suggest getting a pregnancy test. Please repeat a urine pregnancy test if you see your cycles and have missed them or go for the serum beta-hCG estimation which is more sensitive and specific. You should also get a trans-vaginal sonogram to review the pelvic organs. Please also remember that the antibiotic itself can cause some amount of gastric distress. Please see your doctor for further suggestions. Hope you find this information useful. Take care.

Description: Suggest treatment for knee pain & insomia

Patient: HI Doctor: I suffer with severe knee pain (need a replacement on my right knee) but why my pain goes thru my legs and severe foot pain and specially at night is worse. suffer also from imsomnia i can t get to sleep until 5 - 6 or 7 a.m. I go to bed at 3:00 a.m. because I am not sleepy and stay in my computer trying to get tired to go to sleep. how I can get help with all these problems. I take pain medication and sleepy medicine but doesn help. Thanks for your help. Maria S.

Doctor: Hello, I have studied your case. Radiating pain upto feet can be due to spinal nerve compression.Due to compression of this nerve root there is pain in your leg.I will advise you to do MRI spineFor these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.

Description: What causes numbness in arms and difficulty walking?

Patient: My daughter lives in florida...Active, dietician/ nutritionist age 39 has recent symptoms of numbness first on one side, now on both sides. Sometimes difficult to walk and arm numbness. Some had tremor...feels like she is carrying a heavy pocketbook. Difficult to concentrate lately. MRI without dye was negative.. Possible upcomingt MRI with dye. Any possibilities. She was also on vacation in Costa Rica last month. Regards, Lin YYYY@YYYY

Doctor: This could be problem in the cervical spine or brain. She needs balanced diet to avoid deficiencies. She needs to get the MRI with contrast done to tell further. Also Cervical spine Xray can be done to rule out spondylosis.

Description: What causes shortness of breath after a thyrodectomy?

Patient: Had a Thyrodectomy three years ago I am a Female 56 years old my vocal cords were cut during this op take Orixine daily 100 mcg shortbess of breath i expirincing more than after this op I feel my chest is very dry feeling no caugh, sore and inflamed clavicle what could this be? thank you

Doctor: Hello dear, thanks for your question on HCM.I can understand your situation and problem.In my opinion you are having upper respiratory tract cause for your breathlessness.Vocal cord edema is common after surgical handling during thyroidectomy. And this can cause shortness of breath.So better to first consult ENT doctor and get done vocal cord examination. If this is normal then consult pulmonologist and get done1. Chest x ray2. PFT (Pulmonary Function Test)To rule out bronchitis and aspiration pneumonia.As both these conditions are common after thyroidectomy.So better to first diagnose your situation and then start appropriate treatment.

Description: What medicine is suggested for unprotected sex to avoid pregnancy ?

Patient: Hi,I have had unprotected sex and was wondering if I could use Falmina as an emergency contraceptive. I took 3 pills immediately after intercourse ( I'm sure that is wrong, but I have no idea). Basically what is the proper dosage of Falmina if I am trying to use it as an emergency contraceptive? (how many and when should I take it???)

Doctor: Thanks for query on HCM.Emergency contraception is effective only in the first few days following intercourse It should be taken within 72 hours after unprotected intercourse.Falmina is combined pill and can work as a emergency pill but you have to repeat it after 12 hours to prevent pregnancy.Now wait and watch for next cycle or withdrawal bleeding.Otherwise consult gynecologist for further guidance.

Description: Suggest treatment for blisters on foreskin

Patient: Hi doctor,On Last week after I masturbate, my foreskin sudden have kinda like blister appeared. I thought it will clear out after a few days but it didn't until yesterday I went consult doctor where nearby my hostel. The doctor let me try out steroid cream for 1-2 weeks, if it persists he ask me to have a blood check up. He suspect my blood has infected some virus. I am very scare right now. What do you think doctor on your view on my situation? Thanks

Doctor: Thanks for contacting HCMYou are concerned about blisters on your penis and what could they be. If you have been sexually active at any time with another person then you still run the risk of having contracted herpes simplex infection. You did seek medical attention which was a good idea but I think your doctor should have taken cultures of the blister to determine if it was herpes. If the blister was already healed then a culture would not be helpful.I agree with using the steroid cream to see if it helps. I also recommend that you do have the blood work done to determine if you have been exposed to HSV.I hope I answered your question. Please contact HCM again with your medical questions and concerns

Description: Q. I masturbate only by rubbing the tip of the penis. Is it a wrong way?

Patient: Hi doctor, During masturbation I just rub the tip of the penis and not the entire penis. Is it a wrong way of doing? I do not get excited during sex and unable to ejaculate. Only, rubbing the tip of the penis gives me excitement. Also, two weeks ago, I have undergone circumcision as my foreskin did not retract. Before circumcision too, I have the same problem. Please help.

Doctor: Hi. For further doubts consult a sexologist online -->

Description: Suggest treatment for chest discomfort while bending down

Patient: hello gopi sir...i need a second opnion for my mother... she had 2 stents last oct'09 but she is complaining of chest discomfort while bending down... i wld be grateful if u can mail me ...at YYYY@YYYY thanking u and looking 4ward for ur most precious medical advice... i have learnt that u r one the best CARDIOLOGIST IN TOWN...regards and happy and fun day tara

Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Chest pain on bending down is mostly due to musculoskeletal pain. No need to worry for cardiac cause for such pain. So tell your mother to follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid movements causing pain. Avoid sudden jerky movements of chest.2. Apply warm water pad on affected areas of chest.3. Take simple painkiller like paracetamol or ibuprofen.4. Avoid heavyweight lifting and strenuous exercise.Don't worry, she will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.

Description: Suggest treatment to control blood pressure

Patient: A 5'6", 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was >180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet (<2 gm/day sodium), prudent exercise, and a reduction in alcohol consumption (<3 oz whiskey/day). This change in lifestyle did little to change the condition. Medication was initiated in the form of an oral diuretic and progressed to a beta-blocker; eventually a vasodilator was included to reduce the blood pressure to <140/90. 1. What is the diagnosis for this individual?

Doctor: Hello there I have read through your question and would like to tell you that Your diagnosis is Hypertension secondary to atherosclerosis. Increased peripheral resistance, decreased cardiac output are due to the loss of elasticity of the arteries which happens due to deposition of salts and cholesterol in the intima of the arteries. Left ventricular hypertrophy is due to the increased pumping the heart has to do due to low cardiac output.I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing healthcare magic.

Description: Q. I am reluctant to take medicine for insomnia. Please help.

Patient: Hi doctor, I am suffering from insomnia for the past one year. I do get sleep, but around 1 or 2 AM, I used wake up and unable to sleep again. I am 30 years old. I am a married female and have a kid aged 3 years. I am a dentist and now, I am in stem cell research. I do not have any other health problem. My thyroid and estrogen levels are normal.

Doctor: Hi. For further information consult a psychiatrist online -->

Description: Excessive mucus production, foul taste in mouth, thrush diagnosed. On liquid oral medicine. Previous bronchitis, acute sinusitis. Suggestions?

Patient: Hello. I have recovered from bronchitis and acute sinusitis. I continue to have excessive mucus production in my sinuses but my nose doesn't run. I am not sneezing as one would with allergies. I feel as though there is a big ball of phlegm or mucus posterior and superior to my uvula, and I feel as though I am constantly swallowing mucus. I can taste food but as soon as I am finished eating the foul taste in my mouth returns. My tongue has a coating on it that my doctor diagnosed as thrush and put me on a liquid oral medicine. The thrush is better but not all the mucus. I also seem to have heartburn when I lay down to sleep at night. Your thoughts?

Doctor: the acute attack turns to chronic in allergyyou have to treat sinuses after getting xeay doneat moment take metrogyl 200 mg bdtab allegra 120 mg bdsyp gelusil 2 tsf tdsneomycin h eue ointment in nose bdsea water 2 drops at ight each nosethis can clear this episode take for 2 wkthe water can clear back of throat

Description: What causes dizziness and numbness in legs?

Patient: I haven t been feeling right lately. I ve been weak and confused and dizzy lately. My legs went completely numb for 3 days in a row and then had that pins and needles sensation after something falls asleep but worse. I ve always had migraines. Their a bit worse lately. I can t eat because I feel full and it makes me nauseous. It s hard to lift a plate too. I have a doctors appointment Wednesday but should I wait that long? I m so dizy right now I wanna. Pike.

Doctor: Hello Pike!My name is Dr. Aida and I am glad to attend you on Healthcaremagic! Your situation could be related to a viral infection or a metabolic disorder. The fact that you have not been eating well, could lead to electrolyte or vitamin deficiencies, which may exacerbate the situation. Polyradiculoneurtis can not be excluded either. For this reason, I recommend going to the ER for a physical exam and some tests: - a nerve conduction study- complete blood count- PCR, sedimentation rate- blood electrolytes- vitamin D and vitamin B12 plasma levels - a resting ECG- a chest X ray study. Hope you will find this information helpful!Best wishes!

Description: Q. Please specify the foods that can negatively affect arthritis.

Patient: Hello doctor, What are the worst foods for your arthritis? Mention the name of the first food and why it can negatively affect or worsen arthritis symptoms? I am hoping to highlight inflammatory foods, foods high in sugar, foods high in saturated and trans fat, and dairy which may be a cause for arthritis for some people due to its casein proteins. Please try to name a specific food (i.e. yogurt) and not a group of foods (i.e. dairy) and reference studies when possible. Please specify the name of the second and third food and why it can negatively affect or worsen arthritis symptoms.

Doctor: Hello. There are some lifestyle and nutrition recommendations that can be given to any patient suffering from arthritis that may help reduce the pain. Diet rich in omega-3 and antioxidants. Some studies have shown that omega-3 help decrease swelling or inflammation and the antioxidants help reduce the free radicals in the body. Avoid alcohol and red meat. Some patients suffer from high uric acid levels, which may worsen arthritis symptoms. Red meat contains high levels of purines, which are then metabolized in the kidneys and may affect and increase the uric acid levels. Alcohol dehydrates the body and this makes it even more difficult to eliminate the purines or toxins from the kidneys. The easy way to achieve a healthy weight and include omega-3 and antioxidants in the diet is by a Mediterranean diet. This means cutting back on red meat and eating fish and legumes (beans, lentils, chickpeas) as the protein source. Omega-3 rich foods are healthy fats like avocado, olive oil, nuts, seeds and olives, and also salmon. The Mediterranean diet suggests that you eat lots of vegetables and fruits, which are rich in antioxidants. Stick to natural grains like quinoa or brown rice and avoid processed foods like white bread or pastries.

Description: Q. Will Kalarchikai cure multiple ovarian cysts in PCOD?

Patient: Hello doctor, I have multiple small cysts in both ovaries (PCOS). Our family friend suggested me to consume Kalarchikai medicine, powdered mixed with pepper and honey to have it for one mandalam (48 days). I have completed nearly 44 days by consuming one small ball of the mixture every morning and before two weeks I got my periods. Then I had checked whether the cysts were dissolved by having an abdomen scan. But still, small multiple follicules have been seen in it with both ovaries enlarged. Kindly suggest me what I can do further. I got married before one and a half years and I am much worried about my pregnancy. I have gallstones as well.

Doctor: Hello. I just read your query. See Kalarachi Kai choornam is helpful in amenorrhea. As far as small cysts are concerned they are unmatured eggs which failed to induce menstrual cycle previously, as a result, they got collected in the ovary and they will remain in the ovary. Now, you have got your periods you can start trying for conception. But I advise you to do it under the supervision of a nearby gynecologist because egg size is important while conception and that you can know by ovulation study. Ovulation study is performed under the supervision of a gynecologist. For gall stones, surgical intervention is required generally. Medicine is not of much help.

Description: Suggest medicine for increased neutrophils count

Patient: My Daughter, she is 3.6 yrs old after getting her blood test Doctor found that she has infection coz of high neutrophils count it is 82% in her blood. the rate is almost double. The anti biotics are not working . Can you please suggest what should i do?

Doctor: Hi, neutrophils increase in infection. If antibiotics are not working then you should do blood culture test and CRP levels. Based on the report antibiotic needs to be changed. Take care.

Description: Is it safe to get pregnant if husband is on Isoniazid treatment?

Patient: hi, my husband has recently started a 9 month treatment for being exposed to tb but not having tb. We were trying to conceive and I was wondering, while he is on this treatmeat of taking isoniazid should we postpone trying? i did not know if this would have any harmful effects or be any birth defects due to him taking the medication.

Doctor: Hi, I think you can try for pregnancy now. Isoniazid doesn't have any side effects on fetus. So, you can try naturally. Be in contact with your husband every 2 to 3 days after your periods stop. Hope I have answered your question. Regards Dr khushboo

Description: Is there a type of traction system that could help relive this debilitation problem?

Patient: Back and leg/foot problems; X ray and MRI reviewed by doctors: Seemingly not too severe damage to T 12 / L 1 in spinal column (due to a mild fall onto her left hip) has approximately 75% interfered with apparent brain access to legs and feet. Result continues to be extreme leg weakness, i.e. 75% +/- debilitated walking after 8 months recuperation and carefully followed rehabilitation exercises. Walking is limited to a wheeled walker and for not too far a distance (100 feet +/-). Before this condition walking was normally good. Debilitation has been diagnosed as “pressure on the spinal cord” or “pinched nerve”. Ongoing Physical Complications: 1.     Right leg experiences consistent and complete “drop foot” 2.     Numbness in both feet 3.     Occasional (25% of the time) sharp, debilitating pains in upper and lower portions of both legs 4.     Constant weakness through entire leg area Is there some type of traction system that could help relive this debilitation problem - before any back operation may be attempted? Ruth is my mother in law and beloved matriarch to all in our extended family. She is 90 years old, a competition bridge player, always stayed in good physical condition. Other than this current, grievous, physically debilitation condition Ruth seems capable to continue for years once past this hurdle. She continues to live independently and due to this debilitating condition receives any assistance necessary from family and friends.

Doctor: Hi, Question: Is there a type of traction system that could help relive this debilitation? Answer: No. This condition Requires Surgery. Hope you found the answer helpful. If you need any clarification /to have doubts / have additional questions / have followed up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bruno Mascarenhas, Neurologist, Surgical

Description: Suggest treatment for ankle pain

Patient: Last night i was at cheer practice and while I was tumbling, i landed on my ankle/leg weirdly. It hurt a little whenever i landed, but the pain was not too bad. I kept practicing and my whole leg would hurt when i would do certain things, but it was not too bad. By the end of practice, i could not walk on it at all without tons of pain. I iced it this morning, and last night and also took advil this morning and last night. Today my ankle, knee, and thigh area are swollen. I can put some weight on my leg without too much pain, but I can not walk normally without TONS of pain. I have had problems in the past with patella tracking, but it has not bothered me recently.

Doctor: Hi there thanks for your question. If you have any pain when you stand or walk on your injured ankle, it suggests severity of injury and warrants further work up whcih wil include a X ray at the least. Ice and rest usually give relief in pain and swelling over the first two days. But you are not expected to have pain on standing or walking in mild injuries.Such pain should suggest you to take your injury seriously to avoid long term ligament related pains. Hope this helps All the best. Regards.Dr.SBK

Description: What causes warm lumps in knee with soreness?

Patient: I have a slight soft painless lump behind my right knee, ultrasound shows nothing. Now I am getting a painless warm sensation in that same leg. I do have lower back soreness, could this warm sensation be due to sciatica or could this lump be something the ultra sound is not showing like a blood clot?

Doctor: Hi.Thanks for your query.*Blood clot is very well shown in ultrasonography.This is probably fat the Sonologist can miss easily.Morent Baker cyst is easily picked up and is never warm.Painless warm sensation can be due to sciatica as you have rightly suspected.Get a clinical examination as this can not miss the swellings like lipoma. If required and if you are sure about the soft painless lump behind the right knee, you can get the diagnosis confirmed by an MRI.

Description: What is the cure for auditory hallucinations?

Patient: my mom 74 has been diagnosed with schizophrenia since last 2 months. she is taking medicines from psychiatrist,aggression controlled but auditory hallucnations remain main concern.can it be cured? is there any medicine to cure auditory hallucinations?

Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you must be quite concerned by the persisitent auditory hallucinations which your mother is experiencing. Now, auditory hallucinations is a psychotic symptom which is seen in Schizophrenia. So, the treatment of auditory hallucinations would be with the same medication used for treating Schizophrenia - namely anti-psychotic medication. If she is already on anti-psychotic medication and the auditory hallucinations are persisting, then the dose of medication may need to be increased in order to control the symptoms.Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist

Description: Can schizophrenia be treated?

Patient: my son 21 yrs old was just diagnosed with some type of schizophrenia -don t know yet which specific type. He might probably started showing some weird behavior since around 18 months ago -& worsened due to his father verbal abuse towards him, more than anything else. It must be on it s beginning, so Can schizophrenia be treated? My son is very smart, but the shy/quiet type, Can he have a normal life (married, working, enjoying life)? Will he need to be on meds for ever? Is schizophrenia a dangerous issue?

Doctor: Dear userWe understand your concernsI went through your details. Schizophrenia is a mental disorder that affects a patients ability to think, feel and behave clearly. There are many reasons but genetics, environment and altered brain chemistry and structure may play a role. The treatment depends on the severity of the disorder and in most of the cases, it is curable. 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.