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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: Have bipolar, other mental illness, don't take medicines, gets functioning blackouts. How to help? | Patient: my husband is a black male in his mid 30's and drinks heavy also he is bipolar and several other mental related illnessess- he is manic most of the time and severally depressed the other times living with him is almost impossible-he doesnt want to take his meds half the time and gets in functioning blackouts fuled with rage-help me with suggesting what i should do to get him the proper help. | Doctor: hello, I can imagine what you are going through but it will be very difficult handling him on your own. I know you may feel it is your sole responibility to take care of your husband bu the best you can do is fiind him help. the episodes of rage and depression suggets he may have an addiction problem. I will advice you to try to get him in a cleaning home f possible but make sure you visit very often to keep him intouch with family. I wish you the best |
Description: Is pregnancy, possible with pelvic inflammatory disease? | Patient: hi. My name is Lisa. My boyfriend and I want to have a baby. I contracted clamydia a few years back and was treated. I was told it turned into p.i.d. Is it still possible for me to conceive? Should I be checked for tube scarring? How would I do that. | Doctor: HelloThanks for your query .PlD can cause infertility but not always. You can conceive as your infection is already treated. To conform your uterus and tubes are in healthy condition you can undergo ultrasonography .Regards |
Description: Is there any problem for taking higher dosage of Refzil-o? | Patient: Hello Doctor, My Son 6 and half year old. he his prescribed to give Refzil-o 250 mg, but I din't noticed that i got 125mg from the medical shop. So inspite of giving 5ml I gave him 8ml. I couldn't able to contact doctor. Can you give me a suggestion. | Doctor: Hi...it you have got a medicine at half strength of what your doctor has prescribed then you have been right. You can double the dose of 125mg strength when the kid has been prescribed a 250mg strength basically by the pediatrician.Regards - Dr. Sumanth |
Description: What causes lower back and abdominal pain with e.coli infection? | Patient: on the 2nd of last moth i was diagnosed & treated for e coli.the day i finished the meds i began haveing suvere groin lower back &abdominal pain.i waited a couple days before returning to the hospital only for them to treat me as though i was a drug seeker.i do have a history with cancer.i had a complete histerectomy 13 years ago??????pls help regina.f | Doctor: Hi Regina.Thanks for your query. I can understand the plight you must be going through. E coli infection can be just a small part of the major problem as you are rightly suspecting.Since you have undergone the full course for E coli, you yet have severe pain in the groin, low back and pain in abdomen. I would advise you the following:investigations: Stool - routine, microscopy, culture and sensitivity , urine and blood.Colonoscopy.CT scan of the abdomen. The investigations will guide us for further treatment. |
Description: Q. I have BDD and anxiety disorder. Will my baby procure my illness? | Patient: Hello doctor, I am a 30 year old married male. I suffered from BDD, general anxiety disorder, and major depressive disorder for the past 8 years. I take Fluoxetine 60 mg and Oxcarbazepine as a mood stabilizer. Things are in control now with little ups and downs. My main concern is that I am married and should I have a baby or not? Is there any chance that my baby will procure my illness? | Doctor: Hi. For further information consult a psychiatrist online --> |
Description: Suggest treatment for Aspergers | Patient: My 3 sons all have cognitive impairments and behavioural abnormalities. My 8 yr old son was recently diagnosed with Aspergers. My eldest son and myself have a chromosomal duplication on 17q12. I had an Acoustic neuroma removed 5 years ago. My question is, is there a connection between the 17q12 duplication and Acoustic neuromas or nf1/2? I m very concerned. | Doctor: To now there is only research about 17q12 duplication associated with the incidence of breast cancer. We need more investigations. |
Description: How to treat bronchitis in a 11 years old child? | Patient: Hello Dr, My baby got infected with bronchitis at age of 9. he was dehydrated and was hospitalized, Dr started antiboitic along with nebulization with medicine ventolin, clenil and aterment/atem . may be got better in a week and after 2 to 3 week nebulization process he was 100% well but as he is turn 11 he got infected again with, dr said its same sort of illness with some effect of pneumonia ( may be bronchiolitis ) this time, may be stopped taking milk , it was very difficult for us to handle, as we were worried of dehydration. then we use Salinase drop and he started taking diet. What i wanted to know, is it normal to get infected with such issues like we do with flu , cough etc? or getting infected again and again is an issue ? its not easy to find baby breathing very difficulty so i am very worried, please advice, what we can do avoid such thing later, do formula milk cause this. also dr this time started piriton syrup. THanks | Doctor: It appears that your baby is 11 months old and not 11 years old. If this is correct, attacks of bronchiolitis are due to virus known as RSV and this can happen recurrently and even lead to childhood asthma. You should follow your doctor's advice and use nebulisation as often as needed to stop his breathing problems. No one really knows whether food or milk can contribute to the problem as the major cause is the RSV virus and not milk. Do not change his milk unless you have had your son tested for milk protein allergy. Dr. Taher |
Description: Lower back pain, nausea, bloated, cramps. Had intercourse during periods. Pregnant? | Patient: Just got done having my period on a Monday its now Friday.. recently started feeling nausea sometimes once a day but not everyday and it goes away. I recently just got some lower back pain n now I feel kind of bloated n a little cramping. I had sex with my boyfriend at the being of my period n he pulled out and Thursday I had sex with him we used protection n then did it again without protection and he pulled out. Could I be pregnant | Doctor: Hello,Unprotected sex with pulled out method just before and after period is very much safe and chance of pregnancy is extremely rare.Some women feel weakness after period or sex. Other reasons are pelvic or vaginal infection, indigestion problem, stress etc.Take balanced diet, drink more water, avoid stress and take adequate rest. Practice safe sex in future. Good luck. |
Description: Will Ginkgo Biloba improve blood circulation to brain and eliminate my speech impediment? | Patient: I was diagnosed with a mild Speech Impediment disorder when I was a child, and still sustain its effects to this day. There are certain days where I can verbally express my thoughts and ideas freely, with little to no error. However, on other days, my speech reverts back to how it s consistently been with a constant stammer and incoherent speech. I have decided not to consult with an Audiologist or Speech Pathology Specialist, for the associated Therapy isn t always an effective approach to the extent of curing the disorder. I ve compiled extensive research, and came across an herbal supplement known as Ginkgo Biloba . Considering the fact that it significantly improves blood flow to various sections of the Brain, I confidently assume that this could potentially eliminate my Speech Impediment. Is my observation correct? | Doctor: Hello,Ginkgo is a very good herbal medicine used more commonly to cure brain degenerative changes. There is however no proven therapeutic claim, some conditions show significant improvement but the study is still limited to memory related problems. In your case, speech problems are usually traced back to childhood development, such that, any management done currently might not have high success rates. While it is not a hopeless case, speech therapy is still the main management of choice in your case.Thank you.Dr. Eric |
Description: Q. What causes bleeding after sex? | Patient: Hi doctor, Last night I had sex with my wife. It was the last day of her periods. She bled light red color with some watery fluid in it. I would like to know, is that from menstruation or virginity defloration? Does she lose her virginity? | Doctor: Hello. For further information consult an obstetrician and gynaecologist online --> |
Description: Need medication for nausea | Patient: I have had nausea daily for 7 months. my doctors have done a mri, catscan,ulturasound, treated for bacterial infection,and I have taken over the drugs and rx and nothing has helped. I keep it partially controlled with anti nausea meds but they don't work too good. can you help? | Doctor: Hi,Thank you for posting your query.I have noted your complaints and I realise that no definite diagnosis has been made regarding the cause of nausea.You would realise that the success depends on the accuracy of diagnosis. I request you to discuss the possible diagnosis with your doctor.If you are looking for only symptomatic treatment, then, ondansetron tablets are a good option.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: BLOG: |
Description: What causes chest pain followed by vomiting in a cancer patient? | Patient: My girlfriend is in I believe end stage breast cancer, she has developed chronic/malignant ascities, it is progressively getting worse, she is filling up more rapidly with fluid, about every 2 to 3 weeks she has to have the fluid drained, they are getting over 6 litters each time, she has lost a tremendous amount of weight, she now is having trouble eating, trys small amounts, maybe once a day, maybe some applesauce, beef broth, half of an English muffin, as the day progresses she developes pain in the center of her chest and it just sits there, within a few hours she is vomiting and then feels better. She is sipping on warm water as much as she can stand to try and stay hydrated, but she appears very dehydrates, she is very weak, not jaundiced but a ashen look almost. She thinks she has picked up a bug but I think her body is starting to shut down. She chose to treat the breast cancer which she discovered about 11/12 years ago with alternative methods. She was never officially diagnosed by a physician, but its certain the cancer has metatisized through her body, her eyes have been progressively sinking back into her skull and look very small, light bothers her very much, this has been going for several years now. She is considering seeing a rheumatologist. I think its to late for her. What can she expect at this point, is there any chance these new symptoms can be reversed? Thank You. | Doctor: HiYour girlfriend is having end stage breast cancer and now she needs only supportive care.For chest pain she can do a echocardiography test and take paracetamol tablets twice daily.For her vomiting she can take ondansetron tablets twice daily.RegardsDR DE |
Description: Does radiation have any effects on the heart? | Patient: I have thyroid cancer and I have liposacoma cancer. I had 3 high dose of i-131 radiation and can have only one more dose in a life time. Also my heart ejects 20 percent. My question is can radiation or a damage vagus vein cause me to have problems with my heart and bowel problems? | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Yes, certainly radiation can certainly damage the heart and may worsen the function. So radiation should be given carefully to reduce cardiac exposure. It can also damage vagus nerve, but it's relatively less susceptible to damage. Hope I have answered your query. Let me know if I can assist you further. |
Description: What does severe pain on foot after an injury indicate? | Patient: In anger I kicked a metal filing cabinet with my right foot. I cannot walk on that foot, though I do not see any bruising or major swelling. It is exceedingly painful and hard to bend on either side. It is especially painful on the left side of my foot. Is my foot broken? | Doctor: Hello, As mentioned that in anger you have hit are your foot to the hard object, you forgot to mention which foot actually it is; the right or the left? As you mentioned on the left side of the foot it still makes unclear that which left the side of which foot right or the left? But to make it simple if you are getting pain at the ankle level then there will be a ligament sprain. Which will heal in 2-3 weeks of time provided you use a foot brace which is something like a hard socks. In case if the pain is in the phalanges then also you need to take the brace as with just hitting the foot on the hard object we never develop a fracture. As the intensity of the hit from outside is actually far less because we control the movements. In case if it was a non controlled movement than we could have expected a fracture. Use hot water fermentation and use the foot brace for 2-3 weeks. Later slowly follow ankle toe moments and try walking on the toes - forward and backwards. You should perform well. On a safety note, I would advise you to take up a quick x-ray to make sure you haven't made any big injury. In case you have any other questions please feel free to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist |
Description: What causes lump under muscle? | Patient: I have about 3-5 lumps under the skin on each muscle on each side of my groin. On each side they are in about a 2in square. They don't hurt and cant really move around. They also don't hurt. Size is about 1/4 - 3/8inches . They seem to be more flat than round. | Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged inguinal lymphnode. It can be due to reactive hyperplasia, tuberculosis, lymphoma, metastatic carcinoma or some soft tissue tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: Suggest remedy for sinus issues with hair fall and dandruff | Patient: am 38 years old i had sinus problem,so i cant drink liquid item,it mean drinking only boiled water.so i cant eat butter milk,fruits,wn i ate buttermilk or fruits immidiately headche and cough coming.i had so much dandruff my head all hair falling,so wt can i do.my son have esnophylia problem.he have cough.cold | Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of hair fall and dandruff which is mainly due to fungal infection, improper cleanliness and stress leading to telogen effluvium. Sinus issues could be due to upper respiratory tract infection.Need not to worry. I would suggest you to consult dermatologist for proper examination. Doctor may order skin patch test, blood test and physical examination and may prescribe finpecia at least for 3-4 months along with antifungal medications. Take Indian gooseberry powder (half spoon) with water once a day and use almond oil for hair massage. Avoid use of hard cosmetic products, gels, sprays and shampoo's. Do nasal saline rinses for sinus issues and avoid intake of outside food. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari |
Description: What are the treatments for left atrium expansion? | Patient: Hello Doctor,I would like to explain to you about a situation and know chances are there that an ECG report can detect incorrect conditions. I have a friend who is a non smoker, non alcoholic and follows a realy healthy lifestyle. And he took a medical test two days back which reported left atrium expansion, from the ECG reports. we were so shocked and startled. for someone being so good at health, why would this occur.and here goes, my idea if the ecg cud have been a misinterpretation. He does a lot of strength training and aerobics. he did not get continuous 2 hours sleep too 24 hours before the medical test. I thought this would have increased the blood pressure and for an aerobics person heart muscles get thickend as per my knowledge. Due to this, the combinations of the report would have given such a result. Is it? and he had taken such test 8-12 months back and found perfectly fit. All I want to know now, how serious condition it is and is there a cure. Im really worried.I would be grateful for you response. Thanks,Suchitra | Doctor: Hey suchitra, you are very true when you say that. Left atrial enlargement is of no relevance in isolation on the ecg. Also it must be the self interpreting machine which many rather most of the times misinterpret. Also a athelete massive physiological left atrial enlarged and left ventricular hypertrophic. It's to accommodate more blood for endurance exercise. It's healthy heart. Tell your friend to continue his good life and not to worry. Regards Dr priyank mody Lilavati Hospital, Mumbai |
Description: Can ultrasound during pregnancy cause harm to baby? | Patient: I am currently 17 weeks pregnant. I have had to have many ultrasounds in this pregnancy due to early stong cramping. All together in my first trimester, I had 6 ultrasounds and 5 of them were vaginal ultrasounds.Also, with two of them, I had to have ultrasounds on back to back days because of the cramping. I am very worried that I am have harmed my baby and his developing brain. Because I had many early ultrasounds, could I have harmed my baby or caused any brain damage? Also, I have been using a fetal doppler about twice a week for a few minutes each time. Are these safe? | Doctor: Hallow dear,So far, after substantial studies, ultrasound frequencies have not been proved to be dangerous for the baby. It is considered as a safe and very useful investigation during pregnancy. It provides health and progress of the baby as well as the mother and pregnancy. Hope this helps you.Dr. Nishikant Shrotri |
Description: Can spitting up blood and weird taste in mouth be attributed to lacerated liver ? | Patient: I have had diarhrea for the for last few months, lower back pain and pain on my right side below my rib cage. I fell in September and broke two ribs and they said, @ ER, I had a lacerated liver. Tonight I came home from work and I was spitting up blood, just had a weird taste in my mouth. (Dec. 31st.). I do not have health insurance, so, I can't afford to run to Dr. or an ER again. I hope you can please help me? | Doctor: hi, thanks for your query. get an ultra sound done. it could be liver abscess and spitting up blood is not because of laceration. hope this is helpful. |
Description: Is it safe to masturbate while suffering from jaundice ? | Patient: Hi. I am 20 yrs old and suffering from jaundice.is it safe to masturbate coz i did once and sperms were yellow.please reply fast | Doctor: Dear Sir, Masturbation is a natural process and you need not unnecessarily worry for the fact that you have masturbated once and its color is yellow. How ever you should take a lot of rest during jaundice period as it improves your health fast. Please do not become a compulsive masturbation during period of jaundice and please take as much rest as you can |
Description: Suggest suitable therapy for jaundice | Patient: Hi, 9 days back, I underwent LFT test and came to know my Bilirubin, SGOT and SGPT levels were quiet high which indicated Jaundice. Since then I am on proper diet with no oily/fatty foods, lot of fruits and juices. Now I think I am recovering. What s the best way to know that I have recovered fully? Should I go for LFT test again and if those levels are normal, should I assume I have recovered ? Thanks. | Doctor: Hello, I had gone through your question carefully and can understand your concern very well. In case of jaundice, treatment of underlying cause is required. Mostly it may be due to viral hepatitis and requires only supportive treatment. So in your case, i guess it might be mild hepatitis and does not require any kind of medications. Have a proper diet containing high glucose, avoid oily foods, have a fresh fruit juices and take sufficient rest. The best way to know the recovery of jaundice is to measure ALT levels, which will slowly lower down as the recovery is in progress. So i would suggest you to go for serum ALT levels and if its in normal range, then you have recovered fully. So don't worry and take enough precautions, so relapse will not occur. Hope this answers your question and let me know if you have any further relevant queries. |
Description: What could cause constipation in a breastfed infant with rashes and fever? | Patient: hi my name is Rachel!I have a 8weeks old baby boy and he is breastfeeding and has not passed any stools for 2days now so I thought maybe he might be having stomach cramps coz he has a fever around the abdomen and when he cries he pulls his legs towards his stomach and is now developing a rush around the face!I have given him Panado syrup for the fever and Hyospasmol syrup for cramps!What could be wrong with Him??? | Doctor: As a pediatrician I would like to examine the baby... Crying episodes for 2-3 hours daily in infants less than 6 months old is normal in many cases... Some infants pass stool only thrice weekly... That is also normal... If baby is taking breastfeed properly... Baby doent have vomiting... Baby is passing urine 5-6 times in 24 hrs... Then doesnt need medications... However baby needs clinical examination by pediatrician to see everything is normal... So visit a pediatrician.... |
Description: My period is irregular. Help me out | Patient: hi, my menstrual cycle for thius month had been delayed. | Doctor: Hello.Welcome.You have not mentioned your age.Is this problem of irregular periods is a regular feature or you are having it for the first time?If it is first time then you must get your urine test for pregnancy done.If negative then wait for some time before going to your Gynec.If it is a regular problem then consult your Gynec for investigations and treatment.Good luck. |
Description: Should i be worried as i am having abdominal and lower back pain? | Patient: I had a colonoscopy a week ago due to ongoing constipation these last 5 years making sure everything was ok. My colon looks fine and my gi doc prescribed me lizness to help keep me regular. The first 3 days it gave me diarrhea, but these last few days I haven t been able to go and am suffering major abdominal pain and lower right back pain. I ve even been taking miralax with lizness and nothing. Should I be worried it is something more serious? | Doctor: Hi.The best thing is that you had colonoscopy a week ago , hence this pain can not be due to colonoscopy.The pain in abdomen and back can be due to constipation itself.Try a soap water enema and see if the pain is relieved. |
Description: Is it normal to have breast tenderness followed by light period a month after being on implanon contraceptive? | Patient: I have been on the implanon contraceptive since mid December 2012 and haven't had a period since mid January 2013 not even spotting or colored discharge. And all of the sudden I started having breadt tenderness and then light period bleeding. Is anything wrong/ should I expect this to continue. | Doctor: HelloImplanon is a progesterone containing hormonal contraceptive. Menstrual irregularities are very common with its usage. Prolonged amenorrhea, scanty periods are due the progesterone contraceptive action. Breast tenderness before periods is also due to progesterogenic action. |
Description: Q. My daughter has stomach pain and foul smelling farts. Please help with the treatment. | Patient: Hi doctor,My daughter is 5 years old. Her weight is 10 kg. She had on and off pain in her stomach and a terrible smell when she farts. Please help me out in this problem. I gave her Cyclopam but was not so effective. She is currently on Colicaid. | Doctor: Hi. For further information consult a paediatrician online --> |
Description: Am type 2 diabetic, losing weight, liver function abnormal, high GPT. Due to losing weight? | Patient: I am a type two diabetic on insulin . I have been purposefully slowly losing weight. Now my Endroc. Doctor tested my liver funtion and it was abnormal it was GOt 43 and GPT of 66. Is it due to losing weight? I do not have a gall bladder and only have one kidney. The diet I am on is two High Protein drinks based on Whey protein 30 grams of protein with vitamins approved by the diet person in the clinic and then I eat a nice very healthy salad of all kinds of veggies with vinegar and two teaspoons of olive oil dressing. I also have some sort of berry or apple for snack as well as 5 oz of V8 and maybe a very small handful of pinenuts, almonds, or walnuts as snacks. what am I doing wrong? | Doctor: Hello,I have read your history.You have marginally elevated liver enzymes, these could be related to fatty liver. I would suggest you get tested for hepatitis B and hepatitis C.I case the above tests are negative I would suggest to keep following your diet and keep the diabetes under control. I would suggest regular exercise 20 to 40 min per day. I would advise you to repeat the shot and sgpt after 3 months and if theynare still high . consult a gastroenterologist who will guide you furtherHopenthis helpsRegardsDr Samir Patil |
Description: What causes dizziness, acid reflux and severe back pain? | Patient: I found out i was pregnant 2 weeks ago and a week later I had Brown stringy discharge, the next day I had heavy dark red blood with clots for 2 days then Brown the next day. I still have pregnancy symptoms nearly a week later including bad back, dizziness, a lot of gas, feeling exsausted, heaving when brushing my teeth etc and my vagina is a purple colour. I had no pain when passing blood at all either. Could I still be pregnant it was this a misscaraige? | Doctor: Hi, Given the symptoms, there is certainly still a possibility that you are pregnant if you had a definitive urine test 2 weeks ago which was positive. The only way to truly prove the lack of a pregnancy is to visit a gynaecologist and have an ultrasound performed at the appropriate time to discover the presence or lack of an embryonic sac along with appropriate blood tests. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Dariush Saghafi, Neurologist |
Description: How to treat the infected draining toe? | Patient: hi my right foot has the great toe draining from it being infected it looks alot better it had a calis that busted well my foot has edema and now my toe is pushing alot of fluid out i to be using prisma been doing that keeping it covered but now cant keep dressing on from leaking way to much what do i do and why is it doing that | Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.It is infected by the organisms.In response to the infection it is drainig the pus.It is very advance infection that is why it is draining.I advice you to start your therapy with cefixime 200 mg three times a day, pantoprazole half hour before meal two times a day, and aceclofenac three times a day. Please take above medication under your doctors guidance.Also start doing Grams staining, culture and sensitivity from the discharging pus. Once the report available taking the drugs as per the report will cure you effectively and rapidly.Please do good dressing and cleaning over the wound by dettol and betadine. You can also apply polysporin ointment over the wound.Hygiene is very important is such case as it can treat the infection as equally as antibiotics do.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM. |
Description: Ovaries in pain after consuming water, have back pain, had gall bladder removed. Help? | Patient: After consuming half a gallon of water, (to lose weight,) in 3 hours, I m hurting I assume where my ovaries are located. I used images off the Internet to locate what was in the pain area. I thought it was my kidneys but when I googled that, most people seemed to have back pain . My back feels great, no pain. It hurts to walk, sit, ect. I had my gall bladder removed 8 years ago. I do get most relief after urinating and I know not to wait. All pain subsides when I slack off on liquids. | Doctor: Welcome to HCM!You need to do few investigations to come to a diagnosis- USG (Abdo-Pelvis), Urine (R & M), CBC, RFT, X-ray KUB.Till then take antacids, antispasmodics, analgesics with your doctor's advice.Drink only that amount of water that will lead to voiding of2 liters of urine in 24 hrs.See your doctor once for physical examination for pain while walking, sitting etc.Wish you a speedy recovery.With warm regards.Thanks! |
Description: Can MRCP be successfully treated by surgery? | Patient: Hello Doctor, Please hep me with general information regarding MRCP result for my mother. Please advise on below areas. 1. Next step, things to look for while getting 2nd opinion based on MRCP images. 2. Some info on this disease, complexity of diagnosis (can there be multiple reason for this disease, which would be found during surgery only ?), complexity of surgery (chances of complication)3. Suggestion on best hospital for this surgery in/near Mumbai, India Report text is below.Diffuse dilatation of entire CBD is seen with maximum diameter measuring 10mm at porta. No evidence of any filling defect is seen. Intrahepatic and extrahepatic bile ducts show normal luminal signal intensity, No evidence of any calcui or stricture seen. Pancreatic dust is normal in cliber and contour. No evidence of any side branches are seen. Pancraticobiliary junction / confluence / ampullary regions are normal. Gall bladder and cystic ducts are normal.Impression : Diffuse dilatation of entire CBD s/o choledochal cyst - Type Ic | Doctor: dear friend its a congenital condition and its really rare to find that she has not been treated till nowthe cyst will need to be excised and a Y anastomosis need to be done in lay man's term she will need to get that portion of common bile duct removed and removed portion will need to be rejoined to let the flow of bile continue from the liver.its not a very complicated surgery so say and any proficient GI surgeon or minimal invasive surgeon can perform it your local general practitioner will be able to guide you to the best options available |
Description: Frequent sinus infections, bronchitis. Had gall bladder surgery. Are these related? | Patient: I had my gall bladder out in July, and I ve had three sinus infections (that each seem to have led to bronchitis ) since then. With each sinus infection and bout of bronchitis lasting weeks, it seems like I ve been sick ever since I had the lap coly. Could there be any link between the two--gall bladder removed and increased sinus infections? | Doctor: Using all my imagination i cant see any relation between these two. just treat this with antibiotics and avoid trigger factors (smoking, cold, allergens). Wish you good health, Dr. Ivan Romic (Rominho) |
Description: How does one regulate periods for conception? | Patient: Hello, I am Banu 29 yrs old. I have PCO laprosopis operation in 2006. I got married 6 months before. Still before my cycle was regular. now it's again irregular but not pregnant also. Can you pls suggest me some tips or medicines to get pregnant soon.pls | Doctor: Thank you for posting on HCM.To regulate periods - first thing you need is to have hormonal test twice in cycle & may also need Ultrasonography to see if PCOS has come back again - if so you will need clomid to kick start natural ovulation.Other way to get regular cycles is course of birth control pills for 3m though this will defeat your purpose of conception - hopefully after 3m cycle periods will regularise.Also you must start taking preconception folate daily.Thanks again & hope this helps. |
Description: What is the normal count for erythrocytes? | Patient: Hi I would like to ask about rbc in stool .i had ameba histolytica since 3 years and 3 times i took medicine fureside without benefit i had erythrocytes 5-6 from 3 month in stool and now 7-8 erythrocytes .my doctor made occult blood and it was positive .is this a serious condition as my doctor asked meke cplonoscopy after he found occult blood is this occult blood related to the rbc stool Thanks | Doctor: Normal count of erythrocytes4.52-5.90 x1012/L in adult male4.10-5.10 x1012/L in adult femaleNormal values may vary depending on the individual laboratory and ages. RegardsDR De |
Description: What is the cause of a lump on the side of hip? | Patient: Hi ive been havin trouble in my tailbone for a week . Cannot sit or bend .I used to get relief wben standing . Its been almost a week however I m feeling a lump on my left butt cheek on the side . It hurts so much like a pinched nerve . Im using some warm water on the arsa and feels slight better .I took ibuprofen but hesterday it worked today not so much . What can this be please | Doctor: Hi! Good evening. I am Dr Shareef answering your query.Your history points to an inflamed lesion near your tail bone, could be a boil or cellulitis in the perianal region. And also the lump could be an abscess which is not responding to the Ibuproffen. This needs a clinical examination of the lump with possible investigations to arrive at a diagnosis for avoiding complications later on. Therefore, I would refer you to a surgical specialist for further management of your problem.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: Suggest remedy for nocturnal emmission | Patient: dear doctor, I am 22 years old , from the age of 15 to 20 i had practiced masturbation many times,due to over masturbation i am now worrying with problem of nightfall at least once in a month.due to this problem sometimes i felt better to masturbate and done again. how can i cure the problem of nightfall with natural food and with out medicine.can you suggest me? | Doctor: Hi, It can be due to increased erotic stimulus mentally or physically or visually without sex or masturbation. yoga and exercise can help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist |
Description: What is the treatment for a puss filled cyst in the back? | Patient: My father has what started out to be csyst in the middle of his back, 3 weeks later it was the size of a marble and ozzing yellow creamy puss. I wiped w sterile gause drained onto e 4x4 gauze applied triple antbiotic (bacitracin) Add covered w 2 4x4 gauze. Changed dailey 3rd day today. | Doctor: Dear friend, Your father having a back cyst with discharge from it. I would like to know the duration of that swelling. If it was there since long time and recently showing a discharge, then it may be infected sebaceous. And history of swelling of few days with discharge, mostly a boil or simple abscess. Simple abscess may healed with dressing and antibiotic. But if it is infected sebaceous cyst then it need surgical excision, because remaining cyst wall may leads to recurrent cyst.Thank You. |
Description: How to prevent vertigo? | Patient: four years ago I had vertigo. I saw a physician who did tests and confirmed vertigo. For the past two mornings when I get out of bed I am very dizzy for about 2 minutses. When I turn in bed I am dizzy for about 15 seconds. I have my annual physical next week. Should I see a doctor before then? What can I do to prevent this? | Doctor: to prevent vertigo you can take antivertigo drugs . but befor this check your blood pressure, blood sugar level. if normal than take antivertigo dizitac two times per day. do antivertigo exercise |
Description: Suggest treatment for numbness in arm,headache and neck pain | Patient: Hello. I was diagnosed worth a small syrinx without chiari in my neck at C6 through C7 right where all my pain is. Before the mri I suffered from numbing my right arm and hand and severe headaches at the base of my skull, also of course neck pain. It only got worse despite therapy. Ten months later my doctor still insist it s my muscle. Does it take longer than ten months for a muscle to heal? And does the pain often get worse? My doctor is not a specialist with syringomyelia as few only are. He is also 86 y.o. I m concerned I m being treated incorrectly. Thank you. | Doctor: HI, Small syrinx in the neck is managed conservatively and with serial MRI.In your case pain has increased , so I advise you to repeat MRI of brain and whole spine screening to see the cause and increase in size of syrinx.Treatment will be decided on MRI reports.Surgery is not always recommended for syringomyelia patients. For many patients, the main treatment is analgesia. Medications to combat any neuropathic pain symptoms such as shooting and stabbing pains (e.g. gabapentin or pregabalin) would be first-line choices.Thanks |
Description: Q. I am hearing sound and voices. Is it auditory hallucinations? | Patient: Hello doctor,I am 23 years old. I have been hearing sound and voices for a couple of weeks. I think I am having auditory hallucinations. Experienced this before when I committed suicide eight years back. Then it stopped until now I am hearing them again. No medication. | Doctor: Hello. Hearing voices when others are not hearing, hearing running commentaries or as if someone is talking about you could be due to auditory hallucinations. Auditory hallucinations are seen commonly in psychotic disorders. This should be treated on an emergent basis. Please consider consulting psychiatrist as soon as you can for the best treatment. For more information consult a psychiatrist online --> |
Description: Dark toes, pain in the small toe. No injury | Patient: Hi, My toes on both of my feet are darker than the rest, around the little joint (on the pinky toe) and it hurts sometimes when i wear my sneakers. I don't really engage in much exercise and i don't think i hurt my toe with any gym activities. I am an African American teenager and don't want to have nasty looking feet. What can i do to make my pinky toes look like the rest of my toes? | Doctor: Welcome to healthcare magicI feel that the pigmentation that you have is because of constant friction. Use a shoes which is one size larger. Because of shoe bite it will pain and leave behind a pigmentation.Apply a moisturiser containing 10 % urea. Even salicylic acid 5-10% containing creams also will help.Trichloroacetic acid chemical peels one by cosmetologist will help decrease the pigmentation. Hope this helpedTake care |
Description: Feeling of brain moving along with movement, have stress. Suggestions? | Patient: Hi!! When i lie on my right side my right side of the brain moves i feel it like my skull is also moving.. When i change my position it stops .. But again wen i mice my head towards right it starts again.. I have been through tremendous stress last month .. Even u can say for last three years my life is under severe stress.. So u suggest anything | Doctor: Hi,Thank you for posting your query.Based on the symptoms, it seems to be a case of peripheral vertigo due to benign paroxysmal positional vertigo (BPPV). This is due to a minor dysfunction in the middle ear.You would benefit from betahistine tablets. We expect recovery in a few days time. An ENT consultation would be helpful. As you said, stress management would also help you.I hope it helps.Please get back if you require any additional information.Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,My personal URL on this website: My blog: |
Description: Q. Do I need vitamin D and iron supplement? | Patient: Hi doctor, My 25-OH vitamin D total CLIA test showed result of 13.36 ng/mL. What supplement should I start and for how long? Also my iron is 41.2. Do I need a supplement? | Doctor: Hello. Revert back with the reports to an internal medicine physician online --> |
Description: What causes productive cough and shortness of breath at night? | Patient: Hi I am 36, I woke up in the middle of the night, coughing and gasping for air. This has never happened to me before, shortness of breath, coughing up mucus, I took some cough medicine to see if that would help, but after half an hour, I feel like I can't lay down to sleep still because of the symptoms. I feel like I still can't breathe no matter how much I cough. I dont suffer from sleep apnea, and the cough is new. | Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Midnight sudden onset breathlessness, coughing and expectoration are commonly seen with heart failure and other heart diseases.So we should definitely rule out heart diseases in your case.So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test).Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Description: Side effects of ovanac plus medicine | Patient: I have been prescribed ovanac plus by my gynac (before we attempt IUI) but i feel dizzy since i ve started taking it. i stopped taking it for a few days while travelling and i was alright. now i ve re-started taking the medicine and again feel discomfort esp while traveling in metro etc. is this normal? are there any side effects of ovanac plus? | Doctor: Welcome to Healthcare MagicOvanac plus is known to increase the chances of clot formation. This means travelling long journeys can increase clot formation in the legs which can send clot to the heart and can be very dangerous. I suggest you visit the Doctor immediately and tell him this problem as if not detected early it can be fatal. Stop taking the medicine and request alternative medication from your Doctor. |
Description: What could it be if leg is sore, painful and swollen after falling? | Patient: Hi, I have a question regarding my recent accident, I slipped in the bath it was my right foot I put in and both my legs split. On the side of my leg I got a bruise it is quite big and painful and I realised it was swollen and compared to my other leg sticking out. And now it has turned red and is very painful and it s like pulling my leg. Do you know why this may be? Thank you | Doctor: Hi welcome to the health care magic I can understand your concern You have to consult orthopedic surgeon without delay This could be fracture swelling or it can be compartment syndrome Local part x ray done first and if needed needle inserted and pressure can be monitored In compartment syndrome pressure within muscle compartment increases and immediate fasciotomy needed Meanwhile Ibuprofen also given for pain and inflammation relief Avoid any work and consult doctor for examination Hope you will recover fast Take care |
Description: Suggest medication to reduce pain from bad sciatica at back | Patient: Hi my name is Chris. I am 36. I have had a bad back sciatica since 16. I have tried every pain relief possible. I am active and hate pain killers. So I have smoked meth for 20 years. It really helps. The pain I have would make a normal person scream. Y does it work. Is there another drug I can try. Thanks. | Doctor: pain killer is also help it..but I can suggest u do regular massage to ur leg with ayurveda oil such as mahanarayna..etc thanku.. |
Description: Suggest treatment for depression and anxiety | Patient: i am 25 year old i have been living in major depression since last 7month . i feel huge anxiety without any specific reason in this anxiety i feel problem in breathing and my heart is pounding this type of symptom exist always and i have also sleeping problem and most important thingh is that i feel that i am in not fully consusness what should do now please suggest me | Doctor: Hello and thanks for writing in.I understand that you are going through a difficult time due to your depression and anxiety problems. Most of the symptoms that you have described are suggestive of a Mixed Anxiety Depessive disorder. Don't worry, there are effective treatment options available to control your symptoms. There are medication called SSRIs which have good antidepressant and antianxiety properties. In addition psychological therapies like Cognitive Behavioural Therapy (CBT) can also be very helpful. So, please consult a psychiatrist for a detailed evaluation and further treatment.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist |
Description: Could taking MMR vaccination while conceiving affect the fetus? | Patient: I am wondering what the results would be if I received an MMR and got pregnant? I am also wondering, I have to get the MMR for my job and I am also taking Metformin to stimulate ovulation. Do I have to stop taking this medication or do I just need to use a form of birth control for 4 weeks? | Doctor: Hi,It is not safe to take MMR vaccine while becoming pregnant. As per the Center for Disease Control and Prevention, measles, mumps, rubella (MMR) vaccine, should be given a month or more before pregnancy because of the safety concerns. It can also be safe for you to take MMR right after giving birth, even while you are breastfeeding. If you need to get vaccinated for MMR avoid becoming pregnant until one month after receiving the MMR vaccine. So, in view of the above you may need to take birth control pills for at least one month after taking MMR. Metformin is safe during pregnancy hence it can be taken as prescribed by your doctor.Hope these answer your queries. Let me know if I can assist you further.Regards,Dr. Mohammed Taher Ali |
Description: Suggest treatment for a sting on the arm | Patient: Hi there I ve been stung/bitten on my arm It was either last night or early this morning. I ve taken antihistamine but it s got worse through out the day. My whole are has swollen up, it s very painful, it s making me feel sick and my arm feels like it s starting to go numb. Is this normal? Thanks Brioney | Doctor: dear, donot worry. sometimes bite injuries take time to get ok.. so, you should take an antiinflammatory & an anti histaminic. it will get alright in 1-2days |
Description: 80 years old, renal failure. History of diabetes, hypertension. Treatment other than kidney dialysis? | Patient: My father is 80 yrs old, he has end stage renal failure and is reccomended for dialysis in the near future. Are there any medicines or treatments he can take to stall the progression of the disease or improve the health of the kidneys? Because of his heart condition he may not be able to tolerate dialysis. He is a diabetic and has mild hypertension . | Doctor: if diaysis is recommended then the kidney actualy is not able to support the life of the person. dialysis should be done such situation. whether your patient is suitable for hemodialysis because of cardiac condition can only be judged after detailed evaluation. but if not suitable you can go for peritoneal dialysis. in any case there is no way to avoid dialysis once it is clinically indicated. |
Description: How can a ruptured eardrum be identified? | Patient: my sons father punched my son earlier today. he is 21years old. He just told me his ear is bothering him and I was just curious how to tell if there was damage that we should be concerned about. he is worried he ruptured his eardrum? what are the symptoms? | Doctor: Hello,With a ruptured ear drum he would have a decrease in hearing in that ear, some pain and perhaps a blowing sort of sound in the ear. If he has pain he should see a doctor for an ear examRegards |
Description: Q. Can protected oral sex transmit HIV or STD? | Patient: Hello doctor, I had a protected oral sex with transgender yesterday. Before we started the oral sex, she showed me her STD and HIV test results and they were negative (I have doubts about the results as it was sent to here by SMS and there was no date on it). At the start of the oral sex, I sucked her cock with a condom (she was wearing a condom) and then she sucked my cock and I was wearing a condom as well. There was no pre-cum, no cums, no transmission of body fluid, nothing, just the scenario above. I have a simple blood clot in the sublingual salivary glands for the past six months and I am still taking medicine for it. Is there any chance to get STDs or HIV based on the scenario above? I need a direct answer to my situation and no general information, please. | Doctor: Hi. To be clear, HIV will not transmit through oral sex. No possibility for HIV infection. Coming to STDs, there is no transmission of STDs through a protected act. So, there is no possibility for STDs also (including syphilis, chlamydia, gonorrhoea, herpes). Finally, no chances of transmission of either STDs and HIV. |
Description: What to do about lump under the skin on penis? | Patient: Hi, I recently shave my genital area (about 2 months ago), a week or so after I notice a small lump under the skin on my penis shaft...... Regretfully, I have tried to squeeze this, and it has becom larger and slightly tender...... It is not attached to the penis, and can be move around under the skin, therefore, I presume that it is a sebacious cyst....... As it is now larger, has it become infected? shall I just leave it alon for a while or do I need to see a doctor? | Doctor: Hi ! Good morning. I am Dr Shareef answering your query.You possibly might be correct in presuming it to be an infected sebaceous cyst. Even though it might subside with anti inflammatory and antibiotic drugs, I would suggest you to see a general surgeon to avoid any other complication, and recurrent infections of the cyst.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: Suggest treatment for esophagus cancer | Patient: My mother is suffering from esophagus cancer and she underwent concurrent chemo radiation treatment in Appolo Chennai but the deasease is still there as shown by CT Scan and endoscopy report done after two month of treatment.Stenting was done in her esophagus as she was not able to take after treatment now she is suffering from acute pain and only taking liquid. What are the treatment option now and what will be her survival. Please advise if there is any alternative treatment such a ayurveda etcthank u | Doctor: Hi, dearI have gone through your question. I can understand your concern. Your mother has esophageal cancer. Treatment and survival rate depends on stage, type and grade of cancer. In early stage surgery is useful. In late stage chemotherapy and radiotherapy are the only treatment options and despite of treatment prognosis is poor. Consult your doctor and plan 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: Suffering from fatigue, HTN and Diarrhoea. Have high WBC, SED rate elevated. Suggestion? | Patient: For the last year I have been having WBC with diff done every 3 months due to a high WBC of 19,000. This count has fluctuated throughout the year, but never been normal, also no illness to account for. I do have symptoms of fatigue, petechiae (hands, arms, and chest-occasionally), HTN, and some diarrhea. EKG from 5 years ago normal, LFT normal, CMP normal, Rheumatoid normal, kidneys normal. Been to an allergist and told I do have even more allergies, but would not account for the high WBC. Sed rate slightly elevated. Please advise. Jen | Doctor: Hi and thanks for the question, Chronic elevation of the WBCs deserves a more critical evaluation. In your case especially, the association with increased ESR, fatigue and petechiae suggest exclusion of a bone marrow malignancy, especially a leukeamia. A bone marrow biopsy might be compelling. Secondly, I would to suggest to carry out Anti nuclear antibodies, HLA27 and antiSm antibodies for your symptoms are also very compatible with systemic lupus erythematosus, which is an autoimmune disease. the symptoms as I said are very suggestive of a leukemia. An appropriate diagnosis is critical, for the setting up of an appropriate treatment plan. Delayed diagnoses my make the prognosis more faint. I suggest you book an appointment with the hematologist, to rule out a leukaemia or any possible blood malignancy, and possibly systemic lupus erythematosus. Thanks for your question and hope this helps, Luchuo, MD. |
Description: Suggest treatment for lumps in breast | Patient: Hello , in july 2013 i had lump in my left breast and had FNAC done result came out as cyst.I had also done mammo and MRI for both breasts in aug 2013 and result was 2 small cysts in right breast and 6 small to medium cysts in left breast.Iam not talking any medicines except evion 600 and multivitamin.I sometimes have left breast pain (not severe),but sometimes worries me.Pain transfers to right shoulder too.Is something i have to worry,please advise.... | Doctor: Hi, thanks for sharing your health concerns with HCM!If I were your treating Doctor for this case of bilateral breast cysts, I would tell that surgery is the best way for treating the cysts; other options are repeated aspiration of them and preventive measures to avoid infection!Always use tight-fitting inner garments...and pain-killers if necessary!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
Description: Tongue bite, stitched, laceration swell, noticed no taste buds. Is this all normal after a tongue laceration? | Patient: I bit my tongue during a grand mal seizure about 2 weeks ago so bad that they stitched it back together. It pretty much healed in 10 days and stitches removed. However. I cant feel the side of the tongue that was bitten and have noticed any time I eat the place were the laceration swell i have also noticed the part that was almost detached their is no taste buds. Is this all normal after a tongue laceration? | Doctor: Hi,Thanks for asking the query,Different type of taste buds require different duration for their regeneration after lacerations, they require time of about 15 days to three months.I would suggest you to take lukewarm saline rinses.Start with the course of antioxidant suplements.Avoid hot, spicy carbonated foodstuffs.Avoid smoking and alcohol consumption as this may worsen the condition.Take care! |
Description: Suggest treatment for second stage of blood cancer | Patient: Hello Sir, I have a friend who just entered the second stage of blood cancer.He skipped his prescribed medicine once which led to severe blood vomiting.Is this condition curable by treatment?.I do not know much about his condition but I just wanted to ask whether such kind of conditions are curable or not. | Doctor: Hi,Thanks for writing in.Blood cancer is of many types and the treatment depends on the type of cells which are causing the cancer. If his disease is in stage 2 then chances of recovery are high. He did a mistake by skipping the medicine even if for a short time. He must strictly follow recommended treatment.He is still in early stage and with follow up and treatment he might get cured in a year or two. However it is important to maintain good general health during treatment. The treatment for blood cancer involves chemotherapy and this can cause some side effects. Missing treatment is can cause cancer to progress to advanced stage and delay recovery. Please give support to your friend and help him get treated. Please do not worry. |
Description: Does masturbating cause trouble in conceiving? | Patient: Hi doctors!! Im 32 yrs old now i begun masturbating when im at the age of 10 till now, i do masturbate a lot now that im married and planning to have babies u think i can still have the chance to get pregnant pls help as im so guilty and really want to have a childrens!! Thank u | Doctor: Hi There is no reason to feel guilty. Masturbation is something that most normal women do.Masturbation does not cause inferlity.You have not given me some details like how long have you been married, your BMI, whether your cycles are regular etc.Since you are 32 years of age, if you have been trying for pregnancy since 6 months then see a gynecologist and do hormone test and tubal patency test for you and semen analysis for your husband. The results of these tests will guide in further management.I hope I have answered your questions.If you have any further concerns do contact me through Healthcare Magic |
Description: Q. A 68-year-old diabetic woman lost most of her teeth. Is dental implant suggested for her age? | Patient: Hello doctor, My mother is 68 years old. She lost most of her teeth. Our doctor suggested full mouth dental implants. My mother has diabetes, and she is worried about the surgery and pain. I would like to know if she can go ahead with full mouth dental implants at this age? Will her diabetes create any issue? I have listed the last three blood sugar levels taken two months before. Fasting 73.8 mg/dL, after meals 124.5 mg/dL. Fasting 278.9mg/dL, after meals 206.2 mg/dL. Fasting 175.5mg/dL, after meals 109.2 mg/dL. | Doctor: Hello. One can go with full mouth case with dental implants when the underlying bone conditions are ideal, which means patient's boney ridge should have adequate height and width. As per the age, there should not be any bony resorption. Bone conditions are important for implant stability. Systemic conditions like blood pressure and blood sugar levels should be under normal levels. After going through your given reports, patient's blood sugar levels are not constantly under control. So, need to check HbA1C (glycated hemoglobin) and follow up with diabetologist for strict diabetes control. Blood sugar level is important for the proper healing of bone during the process of implant placement. It will be beneficial if you upload image of an OPG (orthopantomogram), or give further details about the bone condition for proper treatment planning and management. |
Description: Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Description: What causes pain in chest, faster heartbeat with difficulty in maintaining erection? | Patient: hello doctor, i am kibria from bangladesh, i am 37, 5'-4" height, weight 78 kgs. I am having problem with my heart. it pains most of the time but not acute. it beats so hard when something wrong happens in front of me even when i sleep in the day time. the cot keeps moving with my heart beating, i can feel it. besides of that it hampers my sexual life, gaining an erection 70%-80% but maintaining that erection after 3-4 minutes becomes tough. my hair is growing white faster my elder brother has no white hair. if i am tensed i cant think much about anything. may i have a solution to these problems? please help me. thanking you kibria | Doctor: Hello,Please get your electrocardiogram (ECG), ambulatory blood pressure, thyroid studies are done. Don’t take street drugs for erectile dysfunction. They also cause these effects on the heart. Get your stress echo also done and revert back to me.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. RS Gulati |
Description: What are the risks of heart failure? | Patient: Hi, I am a 39 year old transplant patient(heart). I now have heart failure. I have been in the hospital almost all summer. I have been home for a week now and know i ned to go back due to my breathing and swelling. My question is how long do i have left?? Every night I am afraid to fall asleep. I am 5 foot 10 and weigh around 200 pounds. | Doctor: Hi,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.heart failure is clinical syndrome in which patients heart is unable to make enough CO result pressure inc in the ventricles which lead to inc pressure backward like atria n pulmonary artery.. this lead to pulmonary n pedal edma which causes SOB ,fatigue and others features.. u having risk factor like transplant obesity which can lead to heart failure .. if u were my patient I would run some test like echo , n do good examination , to check ur status of heart n then treat u accordinglyI hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.. |
Description: Dizziness, fainted. Why does head feel strange after sneezing? | Patient: My sister hit her head when she got dizzy and fainted and hit her head on the sink she is now REALLY sick and she claims the when she coughs or walks or sneezes her head seriously hurts she says it hurts so much she need to got to the hospital should I take her to the hospital and get it checked or is this really normal. | Doctor: Hi Thanks for your query on HCM. I think its better to go to hospital and should have a contrast enhanced computed tomography (CT) scan of the brain. Probably there will be no bleeding spot but contusion may be there. Therefore don't waste your time and go to hospital for consultation. Thank you. |
Description: I have kidney stone. Is it curable by medicine? | Patient: Hi Doc, a CT Scan have shown 1.2cm of stone in my right ureter , pls. suggest if it can dissolve thru medicine | Doctor: Berberis Vulgaris-Q homeopathic mother tincture helps to dissolve kidney stones. But I am doubtful whether it will work for a 12 mm stone or not. Drink 20 to 25 drops in warm water 3 to 4 times a day. Also drink lemonade soda daily. Ayurveda has dissolved stones up to 18 mm. Contact Dr.M.S.Zambre, BAMS-AMA, Shree Gajanan Clinic, Near Datta Mandir, Dhayari,, Pune – 411041, Phone: 09423533301 |
Description: Q. How can the presence of toxoplasmosis be checked in pregnant woman and fetus? | Patient: Hello doctor, My wife is 28 years old, and her weight is 49 kg. She is on Thyronorm 75 for past one year. We did some blood tests a year back as per our gynecologist's advice in view of positive ANA two years back which came normal in the same year. According to that, her IgG for antiphospholipid was normal, and IgM was positive. Also, IgG and IgM for toxoplasmosis were positive. Our doctor started tablet Rovamycin Forte and Ecosprin 75. She took Rovamycin Forte for two months. Eight months back we again checked for toxoplasmosis which was found negative, i.e., IgG and IgM for toxoplasmosis were negative. Hence, the doctor stopped Rovamycin but continued Ecosprin 75. Two months later, my wife became pregnant, and her LMP was at the end of the same month. Two months later, the doctor again advised for antiphospholipid and toxoplasmosis. IgG and IgM for antiphospholipid were negative, but IgG and IgM for toxoplasmosis were dramatically high. Hence, the doctor started Rovamycin Forte again. Now, we are taking Rovamycin Forte for past six months again. Please guide me on the below queries: Is there any other way to check the presence of toxoplasmosis in view of dramatic results of tests found? Is it necessary to take Rovamycin? If yes, for how long it should be taken? Will Rovamycin prevent infection to the fetus? Will Rovamycin affect baby’s growth? (double marker test was done five months back and was normal). Is there any way to check the presence of infection of toxoplasmosis in the baby? | Doctor: Hello. Yes, to rule out acute infection or re-infection there is a role of IgM avidity testing and once the toxoplasmosis IgM is negative and IgG titers are high, then IgG titer is repeated every four weeks.The rising titers are suggestive of active infection, and amniocentesis is done to detect congenital toxoplasmosis infection in placenta and baby. If an active infection is there, then to prevent the transmission of infection to the baby, Rovamycin (Spiramycin) in a dose of 1 to 2 gm daily for three weeks and then one week off for three to four months is given. It is the infection which affects the baby's growth and not the drug itself so much. Yes, the answer to the question is amniocentesis to detect PCR (polymerase chain reaction) in the placenta and baby. For more information consult an obstetrician and gynaecologist online --> |
Description: What causes swelling on the foot after treating a wound on the toe? | Patient: I recently had a large blister on my small toe, it broke and caused damage resulting in an wound, I have been treating it correctly with proper cleaning, antibiotic gel and dressing, it is healing but at the same time I am experiencing swelling on the top of my foot and ankle, there is no signs of infection but I am experiencing pain, the swelling does subside once I prop it and apply a cool wrap | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It may be boil or furanculitis with secondary wound infection. Other possibilities like diabetes with secondary infection or actinomycetes infection etc. Until examination is done send the discharge to culture sensitivity it is difficult to say what it is. Continue antibiotic like Amoxicillin clavulanic acid 625 twice a day for five days. Tab.Metronidazole thrice a day for five days. 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. |
Description: Suggest treatment for fatty liver and pain under the rib cage | Patient: Dear Doctor, My Mother (Age : 56 yrs) has been diagnosed that her liver is mildly enlarged in size (15.6 cm) and also mild increase in echotexture, Proximal CBD is dilated and measures 9mm. she had a surgery for gall bladder stone 9 yrs ago. She also experiences slight pain under her right rib cage. she is also undergoing treatment for high cholesterol and sometimes after taking any pills she gets pain in the liver area. The Doctor did endoscopy and scanning but was unable to determine the cause. Please advise as what might be the cause and treatment for this enlarged liver? | Doctor: hi.noted history of gallbladder surgery and recent ultrasound results. the patient may be having a case of recurrent stone causing the obstruction somewhere along the hepaticopancreaticobiliary tree area. this obstruction causes the presenting symptoms. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. diagnostics (such as ERCP, ct-scan, blood exam, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!! ~dr.kaye |
Description: Itchy swollen skin after eating mushrooms. Taking Romilast tablet for allergy. Is it an effective medication? | Patient: Hello Doctor, Good evening (or Probably good morning) I had mushroom 4 days back. Then I started developing sort of allergy . Itching, and those parts which I scratch are becoming red and little bit swelling , becoming hot... I consulted doctor. He gave me Romilast tablet. I just want to know how it really works. Could you please help me? | Doctor: You seem to be having allergy to mushrooms. Continue taking romilast as it is an anti allergic drug. Add a tablet of cetrzine or allegra also. If it still remains troublesome, a short course of steroids for 5 to 7 days will help. |
Description: Q. What does abutment of the nerve root mean? | Patient: Hi doctor,I am just wondering what is abutting and abutment of the nerve root means in a back issue. Please explain. What treatment is required for annular bulging and tear? | Doctor: Hi. I have gone through your query with diligence and would like you to know that I am here to help you. For further information consult a neurologist online --> |
Description: How to conceive with PCOS? | Patient: I have beeen tring to get pregnant for 2 years, HCG test shows that the tubes are patent,i was diagnosed for pcos after which i took a metmorphin for 6 months yet no pregnance.After which i took clomid yet nothing my husband sperm is about29 million. i am confuse what should i do | Doctor: Hi,Welcome to HealthcareMagic .I would suggest you to go for IUI along with clomid tablet. IUI is intrauterine ingestion of sperms . So it will help in fertilisation. I would suggest you to try for 3 cycles. If 3 cycles fail then I would suggest to go for laparoscopic ovarian drilling. Here 4 to 5 ovarian follicles are ruptured manually. This will help in reducing severity of pcos and also normal egg formation and normalise hormonal imbalance. Hope I have been helpful .RegardsDr.Deepika Patil |
Description: What causes painful lump below navel after gall bladder removal? | Patient: I had my gallbladder removed in May and I am now experiencing pain in my belly button. When I touch it, I can feel a lump inside where the incision is. Years ago I had a hernia removed and had to go back and have another surgery because of scar tissue. Is this the same thing occurring again? | Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some incisional hernia or tumour arising from scar tissue. You should go for examination. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: What causes black patch on the upper back? | Patient: Hi. I have a big black patch on right and mid of my upper back. I acquired it 7-8 years ago. I first noticed it after I d been swimming for 2 weeks and assumed it was sun-burn. However it never went away. I ve seen dermatologists and they say that change of skin color is irreversible. That it s probably genetic. However nobody in my family has any issue like this. Recently a doc has diagnosed it as macular amyloidosis. She says it s due to use of loofah(excessive friction). She s prescribed ointments: xerina and kojivit. I have acne, sensitive skin, hairfall. My cycles are regular. Could this pigmentation be hormonal? | Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here by you I would say that this hyperpigmentation patch is normal and just nothing to worry about this as this is asymptomatic, neither this related any of your health issue so in my opinion just forget about this, take care and have a nice day. |
Description: Suggest remedy for severe toothache | Patient: I've severe toothache in one of my molars the pain increases as I lie down to sleep. I've been taking 625 mg amoxicillin clavulanic acid tablet twice daily for 4 days but the infection doesn't seem to go. I've tried taking paracetamol+ibuprofen/Ketorolac/zerodol but nothing helps. the only relief is keeping ice cold water in my mouth. Please help! | Doctor: Hello:)Welcome to HCM.Pain while lying down suggests you have a irreversible pulpitis.I suggest you to get the x-rays done and root canal therapy.Medication will subside the infection , but the source of infection(your tooth) needs to be cleaned, to clear the infection completely.This cleaning is done in a root canal treatment.A root canal will completely eliminate pain.You can complete the course of antibiotics for a total of 7days(you already completed 4 days).Take ketorol 10mg DT,you have to dispense the sachet into half glass water and have it thrice daily for 3 days.Regards. |
Description: What causes smelly discharge from ears of a baby while having eczema? | Patient: My 9 week old was diagnosed with ezcema and has an oozing smelly slime like substance constantly coming from behind her ears and in the creases of her neck. It smells really bad and never seems to dry no matter how many times I wipe it. What is going on with my baby? She was given an oral med for five days and a cream. It seemed to clear up while she was taking it. Right after, it came right back | Doctor: Thanks for the questionBy your description it seems that your child is suffering from Seborrhic dermatitis. Such children needs local application of medicine on regular basis. Usually this condition subsides by the time the child reaches two years of age.Wiping will not help. These lesions are very itchy and scratching causes flaring of the condition. Keep nails of the child trimmed, always (they grow very fast at this age).Keep in touch with your pediatrician and skin specialist. |
Description: Joint pain, nausea, throat redness, brown spots on face. Tested positive for Ross River fever, strep A. Treatment? | Patient: Hi, I ve been sick since 2009, previously health fit and active. My symptoms include Joint pain , weakness, nausia, fatigue , dizziness , pain in the abdomen, rashes , continuous red throat (not always sore) allergies and I have developed brown spots all over my face. I have been tested and told that I had Ross River Fever and Strep A, both of which were elevated for a long time. | Doctor: you are having allergies and in allergies the immunity is low and low immunity leads to virals and infections easily so positive for ross fever and streptothese are food allergies according to symptomps written by youyou need to get blood serum test for specific antibodies for milk wheat potato chana rice nuts egg and after test when you eliminate foods immunity styart improving and after few week your disease will rverse back |
Description: Suggest medication to improve sperm quality? | Patient: hello doctor, can coq forte improve the sperm quality? my semen analysis reports sluggish sperm as 50% and immotile sperm as 50%. this is inspite of taking coq forte for 2 months. the sperm count has increased. but, i am concerned about the sperm quality. is there any treatment for improving sperm quality? | Doctor: Hello,The Coq Forte and hey Forte like tablet helpful in improving sperm count and motility. I need to know your exact count and motility to comment further. If count is more than 20 million and motility include more than 32% active motile sperm then no need to worry.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician |
Description: What causes fever,stomach pain and dizziness in a child? | Patient: hi my five year old has had a temperature of 39 for the past 3 days its all over not just the head? he also says he has got tummy pains a headache n dizzyness? he did suffer with hsp last year and im a bit worried that he might get it back as hsp starts off with an infe3ction i.e cold | Doctor: Hi,I understand your concern. But this could as well be a viral illness. Every fever with dizziness does not mean that it is an acute central nervous system infection or HSP. The danger signs include severe headache with vomiting, loss of consciousness and seizures, blood in the urine.I will explain you how viral illness behave so that you can be more confident. 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.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr. Sumanth |
Description: How can pain in the finger joints be treated? | Patient: after a long day of using my hands today, my distal inter-phalangeal joint of the middle finger on both hands really hurts :( I have been soaking them in epsom salt bath for an hour or so, but now I am considering hitting them (gently with a low force blow) using a rawhide mallet | Doctor: Hello, As a first line management, you can take analgesics like Aceclofenac or Tramadol for pain relief. If symptoms persist you can consult an orthopedician and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician |
Description: What does high ANA levels in blood mean? | Patient: I have had chronic hives for over a month along with fatigue and headaches, have a history of autoimmune issues. My primary dr did blood work and my ANA TEST WAS VERY HIGH. I live in Maui Hawaii and there are no specialists here so do I go to the mainland? What type of doctor should I be looking for? | Doctor: Hi, dearI have gone through your question. I can understand your concern.You have some autoimmune disease. That is the reason for high ANA. You should go for complate ANA profile for typing of your disease. Steroid is the treatment of choice in most of the cases. You should consult physician and take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health. |
Description: Suggest treatment for stuck broken molar teeth? | Patient: Hello. I removed a molar a year ago and the Dentist broke it during the process..half stayed in. No problems till now that it seems to hurt my right ear is risky to go back and do it. I am scared to see the Dentist. It is covered by my gums...my email is YYYY@YYYY | Doctor: Hi! Welcome to healthcaremagic.I read your query. As you mentioned the molar fractured while extraction, are you sure it was not removed entirely? Usually no part of tooth is left in socket intentionally unless it is small enough to resorb over a period of time. Still for clarification or if you are having any symptom, i suggest you go to an Oral surgeon and get an X-ray of that area done. It will confirm if its still there and whether it needs to be removed or not.If it is causing any infection or pain, it needs to be removed. Do not worry, it will be painless under local anesthesia. As you had an unpleasant dental experience once, please dont keep that fear forever and go ahead.Hope the answer helps you. Thank you! |
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: Trying to conceive, have period like cramps occasionally, had taken clomid, ovulation injections. What does this indicate? | Patient: hi doc , last march i lost my 9week baby ,babies hv no heart beats after DNC i took clomid for 2 week but not successful then my doc gave me ovulation injections and then that was successful for me i had one mature follicle from that and she gave me hcg injection to release from that im having period like cramps occationally now today my period is coming exactlyy what happened ? i want baby pls advise | Doctor: Hello. Thanks for writing to us. Formation of follicle is not confirmatory of pregnancy. there are many other factors also present which are responsible fro fertilisation. You need to have a follicle in every cycle for at least six months to have a successful pregnancy. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com |
Description: What to do for locking of the joint near the palm and index finger? | Patient: Hello, the joint nearest the palm on my index finger keeps locking up and is extremely painful. I do have small joint arthritis which is fairly well controlled by medication. This may be associated but I have never suffered from this before. The lock eases by itself after a period of time. I am concerned that it is happening quite frequently and is debilitating when it happens. Any help would be appreciated. Regards, May Richards. | Doctor: HiIts condition called tenosynovitis. In this sheath of tendon get inflammed. Pain and swelling occurs. Start ice packs in affected area, anti inflammatory medicine. If it doent work we can offer injection at the site with success rate more than 95 percent.Thanks |
Description: What is the prognosis for cholangiocarcinoma with low HB and platelets? | Patient: This question concerns my mother in law:She is a 71 year old woman, and she is a smoker. 2 years ago, she had breast cancer, but it was cured through radiation therapy. This February she was diagnosed with cholangiocarcinoma. She has been following chemotherapy treatment since April to October. The liquid in the bile duct has reduced, but there are still lesions on the liver, it is inflamed, and there are now lesions on the spleen. The oncologist said that a resection was out of the question, so he is trying a new drug combo of Irinotecan 180mg, Folinique Acid 400mg and Fluorouracil 400mg and 46 hours of Fluorouracil 2400mg followed by a week of rest. During all of the previous treatment, she has had very low haemoglobin and platelets. My husband and I would like to know a rough estimate as to the prognosis, as our oncologist seems to go back and forth with his answers, so we are seeking a second opinion. | Doctor: Thanks for your question on Health Care Magic. I can understand your mother in law's situation and problem. Since she is having lesions in liver and spleen, she is having stage 4 cancer. And only palliative treatment in the form of chemotherapy and nutritional supplements is advisable. Life expectancy in such cases is less than 2 years. Five year survival rate is approximately 40-50%.If nutritional support is good than survival rate also improves. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother in law. Thanks. |
Description: How long should intravenous immunoglobulin infusions be taken? | Patient: The recent oncologist has stopped IVIG as of October. The first oncologist in another state told me, when first diagnosed with cancer that I would be on the infusions the rest of my life. While I am 90 years of age, I am wondering the possible reason for eliminating the infusions. I have been diagnosed x-linked immunoglobulin. | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. If your disease it’s in remission or stable than your doctor can stop the medication and put you in follow up examination. Hope I have answered your query. Let me know if I can assist you further. |
Description: Q. For how long should I take Kalachikai powder to overcome PCOD problem? | Patient: Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem? | Doctor: Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online --> |
Description: Blood in urine, no infection in UTI test, no malignant cells, kidney stone in ureter, urinary urgency, bladder biopsy | Patient: I just had a series of tests because I had blood in my urine for one week. The urologist did a UTI test and found no infection. He also did a urine cytology at the same time and found no malignant cells. Then today I did a CT Scan which showed only a very small kidney stone in the right ureter , and then a cystoscopy which was aslo fine, except for a little red spot the urologist found and took tissue samples from for a biopsy. Another symptom I have had is urinary urgency. I m very worried and depressed as I await the result of the bladder biopsy, which the Urologist said will take about a week to come. Any idea what could be wrong with me? | Doctor: HelloThanks for your query.Based on the facts that you have posted it appears that you have urgency for urination with hematuria and being investigated .Your CT Scan shows stone in the Rt ureter and cystoscopic examination revealed area of congestion in bladder ( Cystitis) and he has taken biopsy of the bladder.Loking at the findings it is likely that hematuria could be mostly due to stone in the ureter.and urgency is likely to be due to cystitis .Do not worry this will get cured with a course of antibiotics for a couple of weeks .Dr.Patil. |
Description: Suggest cream to reduce scars on face of a child | Patient: my son is 4 years old, he had atopic eczema at the age of 18 months old (only on the face) and because of a wrong prescription/treatment, he has a scar on his face (similar to an acne scar/hole). He's doing very well now, healthy and does not take any medicines. The dermatologist suggested a feeling once the scar starts disturbing my son, since now he's still a child and does not pay attention to it. Can I use a cream to reduce the scar? if so, what would you suggest? Many thanks in advance. | Doctor: Hi...Mederma cream is supposed to reduce the Scars formed due to any reason like pimples or eczema or injury. I suggest you use this cream and see results after 4 to 6 weeks.Regards - Dr. Sumanth |
Description: What causes pain in buttock area during pregnancy? | Patient: I am 33 weeks pregnant and yesterday morning I started getting a sharp pain in my buttox area. it comes and goes during the day, but when it does come, it is unexpected and It makes me jump and it is a very sharp pain when it does happen. it also feels like I am constipated and need to make stool, but I don't need to.what could this be? | Doctor: Hello, and I hope I can help you today.Pain in your buttocks is likely caused by compression of nerves in your pelvis by the growing baby. The position of the head or a sharp body part (like a knee) can hit your sciatic nerve, which exits your pelvis in an area near your lower buttcoks.Lying down and elevating your legs can help relieve this, or wearing an abdominal support (like a girdle or pregnancy "belly band"- sold in Western maternity stores) can support the baby and take pressure off your pelvis.I hope I was able to answer your question and that my advice was helpful.Best wishes for the rest of the pregnancy, Dr. Brown |
Description: Are there any side effects of taking Ramipril 75mg everyday? | Patient: my mum is 85 and on 10ml ramipril for over fve years thyriod 75 mg each day, she is experiencing when eating feeling very hot, also more troubling is headache dizzness each time i move her onto the commode she cannot walk well she has spondpylosis, these syptoms of headach etc are happening after lunchtime until around seven thirty when she takes her blood pressure meds, in the morning and last thing she is aazing fine bright etc bt not between these other times we are seeing her gp next mon what do you think it is | Doctor: hello,I have gone through your query.Thanks for using HCM.you must check BP of your mom while she has these complaints,if you find that her BP is on lower side then you should discuss with your treating doctor for lowering dose of Ramipril.Otherwise these symptoms may be due to other cause like cerebral insufficiency,My best wishesDr.Rajesh Teli,MD. |
Description: Baby diagnosed with urinary infection. On antibiotics. Blood tests normal. Serious internal problem? | Patient: Hi Mr Stephen, My little baby boy was born in Norway on the 5th of dec 2012 is about 2 months old.He was recently diagnosed with urine infection and is on an antibiotic course for 1 week.He had a fever about 38c but the blood tests came normal. He was admitted in the hospital for a day where they started his course of antibiotics and also took and ultrasound in which the doctor could see that the left kidney was slightly larger than the right one.Although she was not sure as the baby was moving alot.They have advised us to get another urine test done for the baby after 2 weeks and have told us to get a scintography done after 6 months from now, just to check if the kidneys were fine. I am very worried with all these developments in my baby.He is having very severe rash in his bumps and poo s every time he is drinking milk due to the effect of antibiotics. My question is according to your experience,is it common for babies in this age to have urine infection and since the blood tests are all normal do you feel that it could be an external infection or any internal problem. Also, if their is any serious problem is it treatable. Thanks for your expert advice. Regards Sona Email- YYYY@YYYY | Doctor: HiThanks for the query.It is not very common for young boy to get a urine infection.It may be a sign of underlying structural problem in the urinary tract. The most common of these is VUR which means urine going upwards in the kidneys.So the urine test has to be repeated and if there is evidence of infection again, more tests are definitely required.Hope this helpsGood luck |
Description: What is the treatment for stress and BP in a 19 year old boy? | Patient: Concerned about my son s BP. He is a 19-year old athlete ... plays football & throws for track in small town college (about 2 hours away from home). He is 6 1 and weighs approximately 250 lbs. He had several black out episodes during his weight lifting this week. The trainers have been checking BP daily. Fairly normal when sitting ... 120/80, but spikes to 149/96 when standing. His pulse rate remains in the 60s. Trainers say no need to see doctor ... that he is just stressed. Does this sound like anything to be concerned about? | Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. His trainers could be right. When our body is in the influence of exercise, it is natural that the blood pressure reads on the upper side. You are concerned about your son's BP. At the same time, is your son worried? If so, that could be another case of anxiety induced hypertension. In both these cases, there is nothing to worry. Taking enough rest should clear the problem. Diagnosis of hypertension is made usually with every 2 hours readings over a period of at least three days.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck. |
Description: Infertility, biopsy tissues not working. Next steps to improve fertility? | Patient: in biopsy tissues did not work what i have do ? is there any thing to help me i wish to be father now i am 31 year of age | Doctor: Hi, Thanks for your query. I have read your query & I understand your concerns. If you have no sperms in biopsy tissue then you must be suffering from azoospermia. I request you to consult an infertility specialist for donor sperm insemination option. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist. |
Description: Does cortisone injections cause a fast metabolism? | Patient: I have had two ESI injections In November 2011 within 13 days of each other. After the second injection I gained 10 pounds within a week, I am 120 pounds and have been consistent with that for 20 years and before that I weighed less. I am 5 6 and 46 years old with exercise as part of my life. I have always had a fast matabolism but since this injection I cannot get the 10 pounds off, not even one ounce. How long does this cortisone injections last in your body and what has it done to my metabolism? | Doctor: Hello,Cortisone half life 6-8 hours. Three to four half lives 95% of the drug is metabolise and excreted. Don't worry present condition may be due to some other endocrinal problems. Please consult with your endocrinologist he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist |
Description: Suggest remedies for blocked fallopian tubes | Patient: Hello doctor,my both fallopian tubes are blocked and cannot conceive naturally only option given ivf. But we cannot afford cost of treatment .peariods are regular 30-32 days .so now I want if some thing in traditional Ayurveda is there to unblock the fallopian tubs and to conceive naturally and medicinal directions also .I would be thankful to you. | Doctor: **1. since not able to conceive, but as periods are regular, thus hopefully ovulation is also regular, and if diagnosis is through investigation [ultrasound] then check up with Gynecologist is necessary to rule out any other concomitant pathology.2. As you have not mentioned your age, but it can be deduce from your history that you are in your fertile period, so it is/will be a good option to opt for IVF because if you delay or opt for it in later decade it may result in congenital anomalies.3. In Ayurveda, Panchkarma Procedure "Uttar Basti" has shown encouraging results in blocked fallopian tube cases, you may consider it after consulting an experienced Ayurveda Physician there.4. God bless the couple with healthy baby and happy family life. |
Description: What causes elevated lymphocytes in blood test? | Patient: Hi Doctor, I have undergone Blood Test recently as part of general check-up. The reports tell that i have 42.8% Neutrophils, 45.5% of Lymphocytes, 4.2% of Monocytes, 7.3% of Eosinophils and 0.2% of Basophils. Total WBC is 9970/cumm. PCV 37.7%. RBC count 4.6million/cumm. Is this result normal? because i counld find that Lymphocytes is .5% more and Eosinophils is 1.3% more than reference range. Thanks and Regards, Sushma | Doctor: Hi, dearI have gone through your question. I can understand your concern. Your lymphocytes and eosinophil count is slightly higher. But it is considered as normal variation if you don't have any symptoms. Many healthy people have this count without any disease or abnormality so don't worry about your count. You are normal. No need to worry. Just be relaxed. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: Suggest remedy for loose tooth and difficulty while eating | Patient: I had this problem about thirty years ago. i constantly swallowing. he called it farenchittis I'm not sure. but he gave suddafad/ but I''m sure. but i think i am panicing because i have a loose tooth and i can't get it out and i can't eat anything soild right now. I can't aford a dentist right now. | Doctor: Thnakd for uisng health care Magic.Read your query.Loose tooth has usually nothing to do with pharyngitis. This can be due to periodontal reason ( if you have not been maintaining your teeth well).I would advice you to stop panicking and visit your local dentist(do not try to remove it yourself as you may end up doing ore harm) and have it evaluated.If very loose and hampering your eating process ,have it extracted .Missing tooth can be rehabilitated with a denture.Have your teeth professionally cleaned.Hope this was helpful.Thanks and regards. |