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Description: What causes vomiting and pain in right side of body post lithotripsy? | Patient: my husband had a lithotripsy on Friday. He had severe pain and vomiting yesterday and was in the ER for 4 hours. He was feeling better and now all of a sudden the pain is back and he has the chills and his teeth are chattering. He took his pain meds and is taking a hot bath. Should I take him back to the ER? | Doctor: Hello and welcome to HCM.After a lithotripsy session, i.e. fragmentation of stone, the tube leading from kidney to bladder, can get clogged up with the stone fragments.This leads to pain and vomitting in several people.But, having chills, suggest that he may have fever, which requires medication, including anti-biotics.This will be decided after your Urologist sees you.Hope you recover soon. |
Description: What is the cause and treatment for redness all over the body? | Patient: hii'm a female 34 years old. for 2 years i suffer from feeling extremely hot in my hands , face and all my body as if i have high temperature. All my hands , face , & body change into red. I've to sit in cold area otherwise the heat get more. I'm worried.most doctors surprised from my case. what might it be? | Doctor: Hello, Your case needs further investigations. First, we should rule out hormonal problems. So, get thyroid function test done together with sexual hormones balance. Next, should check your cardiovascular system to rule out pathologies related to blood vessels. And, of course rheumatologist to consult further to rule out rheumatological problems. Discuss this further with your caring doctor. Regards, Dr.Albana Sejdini |
Description: What medication should be taken for sore throat,running nose and slight bronchitis? | Patient: HiI had 2 old monk drinks between 8.30 and 10 pm. Now I have pain in the throat, a flowy noise and slight bronchitis. Can i take an Azicip 500 now (It has been 4 hours since my drink). Also, can I have a cetrizine and a theo asthalin with the azicip. I just came to Mumbai today for a holiday and the humidity is not suiting me. The theo asthanlin is for my bronchitis and the cetrizine to not have any sneezing kind of allergy tomorrow. Please let me know what medicines to take.RegardsAKash | Doctor: Hi Akash. You have rightly noticed that Mumbai humidity does not suit many. No need to take antibiotics at the moment if you do not have fever. Continue with cetirizine and theoasthalin. Try to leave Mumbai if it is for holiday and can enjoy at a better place. |
Description: SGPT 80, SGOT 56, fatty liver, high uric acid level. How to take care ? | Patient: Hello, I m AAAA , 40 yr Male having SGPT 80, SGOT 56, GRADE-I FATTY CHANGE IN LIVER (as per recent USG ). PLEASE ADVISE HOW I SHOULD TAKE CARE OF MY HEALTH. ALSO URIC ACID LEVEL HIGH 8.9. I don t feel any problem due to the above. Whether I should take medicines? My email address is YYYY@YYYY | Doctor: HELLO SIR, Well , you have got a little elevated liver enzymes and a fatty liver. I would like to know if you are a alcoholic and if so please abstain from alcohol use. But your uric acid levels are high, so i would advise to take a low protein diet and reduce non vegetarian food . You may have to take a few uric acid lowering agents like allopurinol after consulting your physician. A life style modification is the most that is required. good luck |
Description: What could stock like growth on tongue suggest? | Patient: I just found a stalk like growth on the back left side of my tongue. I had a sensation that I had something in my mouth (like a piece of food or something) but i couldn't dislodge it. Looked in the mirror and was shocked to see this 1/4 inch long stalk like growth coming out of my tongue | Doctor: Hi,As you saw in the mirror and found out the growth, it suggests that you do not have pain in the area. Any unusual growth on the tongue or any other area in the mouth should be physically examined by the dentist promptly.There are many reasons that can cause growth on the tongue. I can explain you some of them here:- our tongue normally has many papillae on tongue that give us the sensation of taste and temperature. If these papillae get irritated due to some foods, hormones or stress, they might get enlarged and show the growth. It usually requires no treatment and disappears on its own.- A viral infection can also cause such growth, mostly Human Papilloma Virus (HPV). It usually has a stalk like structure as you described. It can be removed with surgery or laser. - If there is continuous irritation in the area, it can give rise to traumatic fibroma. It is pink and painless. For the treatment, the irritating factor has to be removed along with fibroma.- There are lymphatic glands present in the area that may get enlarged due to bacterial infection. The growth resolves when the infection is treated with antibiotics.- Last but not the least, it could be cancerous though most growths on the tongue are not. In that case, it may need to be biopsied, and according to the stage of the cancer, surgery, chemotherapy and/or radiotherapy are given.However, a growth on the tongue should not be ignored and should be diagnosed and treated as soon as possible.I hope this information helps. Thank you for choosing HealthCareMagic. I wish you get cured of the swelling soon.Best,Dr. Viraj Shah |
Description: Q. I feel like a total loser. I do not have any talent. I am so fed up. Please guide me. | Patient: Hi doctor, I am a 21 year old male. I am currently studying civil engineering. I feel like a total loser all the time. I do not only feel, but it is also true that I am good at nothing. I do not know how to make good friends. I do not have any talent. I do not study well, and I failed in many subjects. Starting from my childhood, people call me a loser. My life is hopeless. My father is a government employee, and his earnings are sufficient. He has lots of hopes and expectations on me, but I do not think I can fulfill them. Because I suck at everything, and I am so fed up. Wherever I go, I try my best. But, my best is not even the average of other people. I do not know what to do. Please guide me. | Doctor: Hi. Thanks for the question. Take care. For further queries consult a psychiatrist online --> |
Description: Suggest treatment for COPD and low potassium level | Patient: my mother is 87 and has not eaten in 2 weeks drinks 8 oz of gingerale per day she is home with me on hospice. Before she came home her potassium level was low and then she stopped the iv s and blood work and denied the feeding tube How long can her heart survive this. She also has copd her sats are 75-83 she refuses the oxygen she had a fall 3 months ago broke humerous requried surgery then her eating got worse. They did discover through a CT that she had a previous stroke ( the fall I think) and dementia plus PAD | Doctor: HiSerum potassium levels above 3.0 mEq/liter are not considered dangerous or of great concern; they can be treated with potassium replacement by mouth. Depending on the patient's medical condition, other medical problems, and the patient's symptoms, serum levels lower than 3.0 mEq/liter may require intravenous replacement. Decisions are patient-specific and depend upon the diagnosis, the circumstances of the illness, and the patient's ability to tolerate fluid and medication by mouth.Over the short-term, with self-limited illnesses like gastroenteritis with vomiting and diarrhea, the body is able to regulate and restore potassium levels on its own. However, if the hypokalemia is severe, or the losses of potassium are predicted to be ongoing, potassium replacement or supplementation may be required.In those patients taking diuretics, often a small amount of oral potassium may be prescribed since the loss will continue as long as the medication is prescribed. Oral supplements may be in pill or liquid form, and the dosages are measured in mEq (milliequivalents). Common doses are 10-20mEq per day. Alternatively, consumption of foods high in potassium may be the first option in replacing potassium. Bananas, apricots, oranges, and tomatoes are high in potassium content. Since potassium is excreted in the kidney, blood tests that monitor kidney function may be ordered to predict and prevent potassium levels from rising too high.When potassium needs to be given intravenously, it must be given slowly. Potassium is irritating to the vein and is usually administered at a maximal rate of 10 mEq per hour. Moreover, infusing potassium too quickly can cause heart irritation and promote potentially dangerous rhythms such as ventricular tachycardia.The body is usually able to maintain potassium levels within the normal range as long as there is adequate potassium in the diet. When the body loses potassium due to a short-term illness, the body is able to compensate for the loss. When the potassium loss is be ongoing, it is important for the patient and health-care professional to anticipate the loss, and consider routine potassium replacement.The most essential step in any treatment plan for COPD is to stop all smoking. It's the only way to keep COPD from getting worse which can eventually reduce your ability to breathe. But quitting smoking isn't easy. And this task may seem particularly daunting if you've tried to quit and have been unsuccessful.Talk to your doctor about nicotine replacement products and medications that might help, as well as how to handle relapses. Your doctor may also recommend a support group for people who want to quit smoking. It's also a good idea to avoid secondhand smoke exposure whenever possible.MedicationsDoctors use several kinds of medications to treat the symptoms and complications of COPD. You may take some medications on a regular basis and others as needed.BronchodilatorsThese medications which usually come in an inhaler relax the muscles around your airways. This can help relieve coughing and shortness of breath and make breathing easier. Depending on the severity of your disease, you may need a short-acting bronchodilator before activities, a long-acting bronchodilator that you use every day or both.RegardsDr De |
Description: My husband had done a spinal surgery 6 weeks before | Patient: Spinal surgeons - Bangalore contact details & My husband had gone a spinal surgery 6 weeks before:- I want to know how many days it takes time to get relief from back pain and leg pain. After the surgery L5 & S1 spinal. Please suggest me. It is now already 6 weeks ago still he have some pain in the right leg and seems to be not very health. Regards, Ramya Muralidharan | Doctor: Hello, welcome to HCM. Spinal surgeries are very delicate surgeries and patients can take up long time in recovery. The pain may be present usually upto 4 to 6 weeks depending on the surgery performed and the method choosed for it. You must consult your doctor and continue recieved physiotherapy. Avoid heavy work and limit yourself to mild walking and very light exercises. Take a good healthy diet and recovery would be faster. WIsh you good health. |
Description: Suggest treatment for cholesterol crystals in gallbladder | Patient: Five months ago I was diagnosed with cholesterol crystals in my gallbladder . Then my gastroenterologist prescribed me Ursocol 300 twice a day after meal for three months. But I have taken this medicine once a day for four months. Was it a right process I followed ? should i take ursocol 300 any longer? My recent usg report shows negligibly smaller cholesterol crystals are there in my gallbladder. Please help me. | Doctor: hi.noted history of gallstones and prescription of ursocol. what your doctor did is what you call conservative management of your gallstones. and yes, nothing is wrong with that. are you experiencing any signs or symptoms (abdominal pain, nausea, vomiting, fever, jaundice, tea-colored urination) recently? and how frequent do these symptoms occur? if there are occurrence and/or progression of symptoms despite the decreasing size of stones in your ultrasound report, it is best if consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. other diagnostics such as liver function tests, blood count, bilirubins will be recommended as needed. management (medical and/or surgical if indications are found) will be directed accordingly. definitive management of gallstones is cholecystectomy or surgical removal of gallbladder. it may be done laparoscopically (goldstandard) or thru open technique. low fat low salt diet is also advised.hope this helps.good day!!~dr.kaye |
Description: What causes recurring praeuricular abscess? | Patient: im 35 years old with height 5'6 weigth 73 kgs.i have history of praeuricular abscess when i was young.my mother told me they did minor surgery for me that time.me i ask now because at present its happen again to me this case my dr.make drainage for twice but until now still have pas.i want to know now if can be make surgery for me under general anesthesia. | Doctor: HelloWelcome to Health care magic.I reviewed your history.Preauricular abscess indicates infection and requires treatment by the use of antibiotics and anti-inflammatory drugs.Hence I advice you to consult your doctor for examination and treatment accordingly.Thank you |
Description: Suggest treatment for lack of desire to live | Patient: my mother inlaw is 90 years old, she was in coma last year for 20 days her, since may 2010 she is bed ridden, she is currently on this medication thyronorm, papntadoc, doxobit, tozaar, dytor, clopitab, stamlo budecort,duolin. she was also on atorlip romilast my husband convenced the doctor s here to stop atorlip and romilast and stoped budecort and duolin on his own, we are trying to help her the rest of the family is going against her will she has no desire to live, please help me as to what we should do to help here | Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Your mother in law is already 90. So many researches were conducted and even in the latest on in 2013 concluded that people nearing very old age naturally will have low desire to live. How ever you try to motivate them, they always feels that all these treatment are just of no use. How ever, your duty is to keep her motivated. You are doing perfect. God bless you.If you still need my help, please describe the whole problem in detail and post a direct question to me. I shall definitely help you with psychotherapy techniques to over come your problems.Hope this answers your query. Available for further clarifications.Good luck. |
Description: What causes persistent upper jaw pain post lower molar root canal re-treatment? | Patient: I had a root canal re-treatment on 7 Feb on a lower bottom molar on the right side of my mouth. Following the procedure I experienced basically no pain for the first 6 days and ate everything but attempted to chew on the left side. On 13 Feb while traveling out of town, I felt severe pain in my right upper jaw joint when opening my mouth to eat. I returned to the dentist as a walk-in on 22 Feb and saw another dentist who took x-rays and examined my mouth. He determined there was no infection or fracture but assumed I had strained a jaw muscle. I instructed me to eat soft foods, take Motrin and muscle relaxers to treat the problem. It is now 24 Feb and the pain still exists and I don t know what to do. The main problem is experiencing pain in the upper part of my right jaw joint area. Can you please tell me what I can do to relieve the pain? I am scheduled to return to the dentist on 28 Feb to have the procedure completed but I don t know how or if I will be able to open my mouth wide enough with dying of pain to have it done. Please help? | Doctor: Hi..Thanks for the query..I have gone through your query and can understand your concern..As per your complain it looks like there is problem with the jaw joint that can be either due to dislocation in the jaw joint or the soft cushion present between the two bony ends of the jaw joint known as Articular disc is displaced..So my advice to you is to consult an Oral Physician or Oral Surgeon and get evaluated and a clinical examination and investigation like Panoramic x ray can help in ruling out the exact cause and treatment can be done accordingly..You can be advised painkillers and muscle relaxant and along with it Physiotherapy, night guards will also be advised..Also avoid excessive mouth opening like during yawning laughing etc.You should take a soft diet..Massage the sides of the face with round gentle movement of finger tips..Hope this information helps..Regards.. |
Description: What can i do for high blood pressure? | Patient: My husband is 35 yrs old and high bp patient from last 2 yrs , I m not satisfied from dr. because the Dr.prescribe the medicine that can't the pressure repace h , repace n and 2 medicine other and now Dr. Gave today Oslo-tel2.5, ltd 12.5, etizolam 0.5 what can I do now today pressure of my husband is 160/110 and before 1 week it was 170/110 | Doctor: Hi, dearI have gone through your question. I can understand your concern. His blood pressure is very high. He should take salt restricted diet and anti hypertensive medicine. Many options are available. Losartan is the drug of choice. Calcium Chanel block like nifedipine or beta blocker like atenolol can be used in combination according to need. All are prescription based medicine so consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health. |
Description: Q. Please explain the poisonous effect of phenol ingestion. | Patient: Hello doctor, My friend aged 30 had two drops of phenol mistaking for milk. He vomited and had lot of salt water. Please advice for any side effect. | Doctor: Hi. I want to assure you not to worry as everything is going to be fine if proper care and treatment is opted in for. I have thoroughly gone through your case and can well understand your genuine health concerns. 1. No, there is not much problem right now as he vomited and also had a lot of water. It is fine because it was only two drops. 2. We usually do not go for emesis (vomiting) for phenol poisoning cases. Because, it is a volatile compound and causes vapors entering the lungs through the airways. 3. As it was only two drops, I do not think it may cause much trouble. If he feels short of breath contact me back, otherwise fine. 1. He should avoid re-exposure. 2. Rule out if there is some sort of suicidal ideation due to depression or anxiety and take him to a psychiatrist for physical evaluation. For further follow up consult a general practitioner online.---> |
Description: Does methamphetamine lower sgpt ? | Patient: im 24yrs old,male.. height 5 7 . weight 83kg. i had a high sgpt of 130. my blood pressure , sugar, uric acid are normal. i had no bad medical history . i dont knw what medicine should i take.do methamphetamine lowers sgpt? what medicine should i take? | Doctor: Hi, Welcome to Healthcare magic forum, SGPT is not significantly high, get complete liver function tests to know better picture. If all other tests are normal, no need for any treatment. If any abnormal readings then consult ur doctor for the treatment. Hope I have answered ur question, Regards |
Description: I have few small bumps over my face, how to get rid of these | Patient: Hello doctor.. I have few small bumps over my face like forehead, cheeks, near nose.. some times i'm getting pimples but its dried out soon and made a marks.. suggest me some cleanser to keep my face glow and bacteria free.. | Doctor: Just a cream will not help you get rid of those skin issues. What you need is a regular cleaning, every hour atleast with normal water. Do not touch your face other times. Take good amount of water and then also do a regular exercise. It shall help the circulation. All these things shall see to it that you shall improve. Along with this a topical cream is good. Dont go in for too many creams. |
Description: Suggest treatment for osteoarthritis | Patient: I have osteo- arthritis( 2 hip replacements --but in the past 6 months-\I have hands that are swollen in the jonts, deformation in the fingers, huge knuckles and lots of pain-- both hands== goes back and forth-otherwise healthy-Does this mean rheumatoid?? | Doctor: hiYou may consult a rheumatologist and have arthritis profile done with tests like CBC,ESR,ASO titrethanks |
Description: What does minor inferior repolarization disturbance in ECG mean? | Patient: hi my ECG result saysminor inferior repolarization distrubance may be normal for axis/but consider ischemia/LVover load or specific change Flator low negativeT in aVF with negative T III Please tell me what is this and if it is heart disease, who serious it is | Doctor: Their is no special diet to repair damaged cells of heart. If it was due to heart attack, the cells will gradually repair on their own once the artery is open. The diet to prevent further cardiac events include fat less diet. |
Description: Will transderm-V patch help for seasickness and vertigo while travelling in cruise? | Patient: Hi,I recently had a very bad case of flu extremely congested, and then I got vertigo it was really terrible. I'm over itnow and feeling pretty good, my question is this just before I got sick I had booked a cruise to the caribean I havebeen seasick in the past my dr. thinks that if I get seasick I may get the vertigo again, I purchased transderm-V patchand thought I would try it now before I go on cruise to see if I get any bad side effects. Or should I cancel my cruiseand make sure I am really heathy | Doctor: HI, thanks for using healthcare magicIt is possible that you experience sea sickness and/or vertigo on your cruise but if you feel as normal now, there is no reason to delay your cruise.You can consider using the patch before hand to see if you have any side effects related to it.If you do experience problems then you can consider using an alternative agent.I hope this helps |
Description: Anemia, breathlessness, chest compression, gastritis, headaches. Prescribed vitcofol. Suggestions? | Patient: I am a 54 year old male and do not consume alcohol and vegetarian My B12 level is 148 PG/ml. I have been prescribed 2ml Vitcofol ( cynocobalamin 500 mcg/ml ) injections every third day for 7 days. Is this good enough? I have symptoms like Anemia - (Hb - 12.9) breathlessness and chest compression gastritis slight giddiness Unexplained head aches Investigations: ------------------ CT Angio is normal with a clacium score of 0 and no vascular stenosis Brain MRI is also normal Thyroid hormones are normal USG Abdomen shows fatty liver grade 2 with mild hepatomegaly Gastroscropy revealed gastritis, mild deuodinitis and Inlet patch Question: ------------ Is the prescription for B12 good enough or should I alter this? Sundar | Doctor: Hi Sundar,You seem to be having a low B12 level, but since the haemoglobin is good it shouldn't be a major problem. The dose of B12 injections that has been prescribed is adequate.The other symptoms that you have are unlikely to be due to B12 deficiency and you seem to have been investigated thoroughly.You might want to get a cardiac evaluation done for the chest tightness.Regards. |
Description: Q. I have increased ringing in both ears after diagnosed with post nasal drip. Why? | Patient: Hello doctor, I have increased ringing in both ears. I have been diagnosed with post nasal drip. The left ear feels blocked and the left side of the throat feels clogged as well. I had taken antibiotics on the prescription but that is not working. My ear testing results were normal. | Doctor: Hello. Your problem seems to be due to sinusitis. Sinusitis itself can cause clogged feelings in the throat or sinusitis can cause secondary pharyngitis which can cause throat problems. Do you have a headache or nose block or excessive sneezing? I will want you to send me a clear picture of your throat where I can see your tonsils and posterior pharyngeal wall. Also, please let me know the name of the medicines you have been taking and also the duration. I am enabling free follow up. Please revert back. |
Description: What causes shaking/pulsating feeling in head while laying down? | Patient: When i lie down my head feels like it is shaking/pulsating .... it is very disconcerting. i had the same feeling while at the movie cinema last night..... my head felt like it was slightly bouncing off the chair. i am 27 years old, anglo-saxon male. | Doctor: Hello,This seems to be pretty normal to have palpitations while watching a movie in cinema, I would like to know its episodic nature duration and frequency of such episodes along with other features like feeling of increase amount of urine after this event. or any cough or shortness of breath or any swelling on your ankles. You need to investigate this problem for a disease if any by doing your ECG/EKG and echocardiography. and free T4.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Muhammad Faisal Bacha, Internal Medicine Specialist |
Description: Q. I am suffering from acidity and uneasiness when I take spicy food. Please help. | Patient: Hello doctor, I eat out a lot and take junk food very frequently. I am suffering from acidity now. If I take spicy food, I feel uneasiness in my stomach. I am a 25 year old male. Please help. | Doctor: Hi. Please consider the following suggestions to get rid of your acidity: If you have further questions consult a medical gastroenterologist online --> |
Description: Dry skin on face , abdomen after taking ipill. Side effects? | Patient: hi , I had to take an I pill ( morning after pill ) on the 19th of this month. on the 21st I developed dry skin on my face, today ( the 23rd) my face seems a lot better but i ve got a bit of dry skin on my abdomen . I normally don t have dry skin and i would like to know if this could have anything to do with me having taken the pill . thank you , Sarah | Doctor: iHello itchyfleas, Morning after pill is a method of emergency contraception, there are many combinations of drugs available which are used for this purpose. This kind of drugs consist of hormones in different proportions which are normally secreted in body. So some drugs may cause skin dryness. It is normal and it will revert back on its own. Hope I explained your doubt BYe |
Description: What causes stomach pain, loss of appetite and vomiting? | Patient: Respected SirThis is to inform you that patient Mrs. mnk,mee from Jamshedpur (Membership no.- 1mjmlkm89) who was seen at Dr.Mol,lns Diabetes Specialities Centre in Chennai on 23 march 2011 for diabetes problem is suffering from some symptoms(problems) after coming back from there. Dr. M.Ramu prescribed her medicines. The blood sugar level is within 200-356.The symptoms are:-1. Stomach pain2. No desire to eat3. Non clear latrine(3-4 times a day)4. VomitingKindly give some suggestions as soon as possible. Thank you in anticipation.Phone no.- 0000, 0000 | Doctor: Hi.Your are a known patient of diabetes.The level should be around 150 of the blood sugar. Unless Diabetes is well controlled, no disease can come under control in spite of the treatment you may be taking. SO Get the Blood sugar monitoring done, consult a local Diabetologist or ME, Medicine to get adjustment of the dosages...Your symptoms of stomach pain, no desire to eat, no clear latrine and vomiting is suggestive of a complication of Doabetes in the form of :Gastroparesis- meaning slowing of the movement of your intestines as a whole; added on some sort of an infection of the GI tract in sub-clinical form. Get a 5-day course of an antibiotic, metronidazole, probiotic and Domperidone.I hope you will be fine.If no response, you need further investigations under the cover of your Doctor to get more appropriate diagnosis and treatment accordingly. It is possible that you may need to be started on Injection Insulin till you get alright. |
Description: Q. Can puffed up nipples with slight hardness under it be gynecomastia? | Patient: Hi doctor, I am a 38-year-old male, 174 cm tall and weight is 73 kg. I have been having puffed up nipples since long and can feel slight hardness under the nipple surface. It is painless and there is no discharge. I suspect gynecomastia. I can provide you photographs. Need your advice on treatment. | Doctor: Hi. You have bilateral grade II gynecomastia. Medical treatment, diet and exercise cannot reverse it. The correction will require liposuction with gland excision. It is a day care procedure. You can get discharged on the same day. |
Description: What could cause gall bladder calculi and dilation with pain? | Patient: hi,i am 26 year female it was found that i am having multiple calculi seen in the gall bladder lumen largest measuring 14mm.now i also having mild dilatation of pelvicalyceal system after i had sevier pain.pls kindly sugest me and explain the problems | Doctor: HiRisk factors for gall bladder calculi areFemale gender, fatty,fertile person.Two types of stones seen in gall bladder1-cholesterol stones due to high cholesterol2-pigment stones due some blood disorders such as haemolytic anaemias etcPelvicaliceal dilation means that your urine is not able to evacuate properly through your urinary system hence back pressure of urine to the kidneys has caused its dilatation.For gallbladder problem i will suggest you restrict fatty diet i e cream, cheese , butter etc.you will probably need surgery for it at any stage.In my opinion you should meet general surgeon for gallbladder and urologist for kidney problem who will ascertain cause of obstruction by doing ulttasonogram or computed tomography or intra venous urography.Thanks |
Description: Suggest treatment for swollen stomach and kidney stone | Patient: Hi Dr good Evening, my mom is suffering from Gastric problem from past two moths we did all scans and tests but doctorsais she is having small minute stone in her kindey but in her left side stomach some times small sweeling is there may i know what to do next step | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The small stones in the kidneys are not that much significant and nothing has to be done now. We have to evaluate the swelling in the stomach in detail as it can be an early sign of serious conditions like stomach cancer. Consult a gastroenterologist and get an endoscopy done to look for the lesion and a possible biopsy. Additional investigations like CT scan may be required based on the initial evaluation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain |
Description: What causes little bump under the tongue from where the pain extending towards the neck? | Patient: Hi DR, I am inquiring about the little gland thingy under your tongue. This last weekend mine tweeked and it sends a pain down the side of my neck when it happens. Usually it just lasts for like 15 minutes then the pain goes away no more problems, but not this time. It hurts, if i eat anything it hurts or stings, what is going on??? | Doctor: Hello,Welcome to HCM,The symptoms suggest me that you may be having blockage of the duct of the sublingual salivary gland,gland stones or swollen veins in the floor of the mouth.I would suggest you 1.Reduce swelling and pain you can use ice and topical anesthetic agents. 2.Follow good oral hygiene habits. 3.Oral NSIADs.Thank you. |
Description: Can paint fume inhalation causes numbness of lower and upper extremities? | Patient: parts of the right side of my body are numb and there was tingling but that went away after two days. I ve seen a neurologist and they say my brain is fine so its not a stroke, and the numbness seems to be worse in my lower leg/foot and my arm/hand and a bit in my neck and face. The only thing i can think that i might have done to cause this is that either a few hours or the day before the tingling/numbness started i was spray painting . Could the paint fume inhilation have caused it? and if so how long will it take to go away? and what kind of doctor should i see about it? | Doctor: Hello,Welcome to the magical world of health care, I went through your query, and you have consulted the right person already, its unlikely that fumes can cause unilateral symptoms, so do not blame that.An advise is to stay vigilant and get your BP checked, and if it does not settle in a few days time re visit the neurologist.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks. |
Description: What causes difficult breathing while on dialysis treatment? | Patient: I have been a dialysis patient for a little over 7 years. During my last treatment, I found it difficult to breathe. I did not go in to treatment feeling this way, it happened close to the end of treatment. I don't frequently have a lot of fluid retention. What can this be caused by? | Doctor: Hi, welcome to HCM.Dialysis removes toxins and water from your body.Breathing difficulty during dialysis is common complaint. Don't get panic.Check your BP, do ECG and get assessed your dry weight with your nephrologist.You can get back to me also with these reports.Best wishes. TC.Dr Jay Patel. |
Description: History of miscarriage. Irregular periods. Trying to conceive. Treatment? | Patient: Hi dr. I m 33 n my husband is 39. 5 years of married. 4 year befor i had an miscarage. Now We r ttc for last 2 year. I have an irregular period currently I check my thyroid n my tsh is 8.75.my husband have low sperm count it's 8 ml only what can we do for baby. Can we try natural way or other artifical treatment what is the success rate of ivf in this case. I have also done iui 1 time it's unsuccessful | Doctor: Hi, How many times semen test was done? If only one time, he can repeat the test once more with 2-3 days sexual abstinence, as one semen analysis is not sufficient to draw any conclusion. If its already done more than once, IVF/ICSI is best option for you for conception. IVF will give you decent chance of pregnancy between 30 & 50% per cycle, depending on your ovarian reserve & the center's success rate where you are attempting it. Wish you good health. |
Description: What is the treatment for an enlarged liver? | Patient: My father is suffering form chronic liver problem due to the intake of alcohol for past 30 years but in april month of 2012 because of an accident he suffered form multiple hemorrhage and hematomas due to this problem he lost his memory but now he is better but has not fully recovered he is undergoing neuro treatment and recently his liver ultrasound was done in which it was reported that the size of the liver has increased and i have attached the reports of the ultrasound. Doctor has advised only udilive 300 mg, Rifagut twice a day. Is this the only medicine available if not pls suggest. | Doctor: Hi thanks for asking question...30 year alcohol drink is a very long history and your father might have cirrhosis...But here in history you have written enlarge liver so it can probably hepatitis here...Anyhow udiliv good drug that help in dissolving cholesterol in bile..Give him less fat diet and avoid refined food.Fruits juices given more.Give him daily green leafy vegetables...Take one tsp cumin seed powder and mix it with butter milk one glass and given orally daily.....Papaiya fruit useful.No more drug need.If edema occurs then diuretic drug might need.Don't self medicate any new drug.Low salt diet taken....I hope your concern solved,..... |
Description: Could intake of femulen cause hives? | Patient: Hi, I started taking the pill about 6 weeks ago - cerazette, but it gave me hives. After 5 weeks on it, the doctor changed me to femulen, which stopped them for about 3 days but now its worse than ever. Is this still the cerazette in my system (been off it for a week now) or am I reacting to the new pill? Thanks | Doctor: Hello,cerazette should be completely eliminated a week after it's been ingested. If you're still having symptoms then it could be one of the following cases:(1) none of the drugs is responsible and you should try (with your doctor) to figure out the real cause(2) you're allergic to more than one substances(3) the two pills share a common (at least one) ingredientI can't say which of the three applies to your particular case but is sounds like it's the first one...If you can't relieve the symptoms with an antihistamine, then you should talk to your doctor. I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis Zografakis, Internal Medicine Specialist |
Description: Q. I have scars and spots on face with hair fall and dry hair. Why? | Patient: Hello doctor,I have scars and spots on face, hair fall and dry hair. Please help. | Doctor: Hi. I request you to kindly upload a few images of the affected area on the face so that I can guide you better. You may use Radant lite cream for dark spots. However, for scars, I suggest either chemical peeling or laser resurfacing. Kindly let me know if you have dandruff? As dandruff is an important cause of hair fall. Get a few basic investigations like thyroid screen, serum ferritin levels, vitamin D3 levels, vitamin B12 levels as deficiency can cause increased hair shedding. You may in the mean time take an oral Biotin supplement like tablet Revilus once a day. Use Renocia hair solution on scalp skin every night. Take care. |
Description: Stage 4 colon cancer patient diagnosed with tumours on bladder. Advised collecting bag outside body. More details? | Patient: What type of collecting bag on the outside of my body would I been given? How does this all work? I am a stage 4 colon cancer patient who has been diagnosed with (2) malignant tumors on the bladder which has caused some type of urine to seep out of my rectum. This is a constant event that happens 24/7. Would this surgery enable me to pass urine through the device explained. I am wondering about the risks involved. I am a 75 year old white female and besides my colon and now bladder cancers, am in good health. Can you shed some light on this matter for me. I am looking for information that will help me get a better idea of what I am to expect with and without the surgery. Please let me know if there is any information that you need to help answer some of these questions. I will try and answer them as best possible.Thank you,Linda Lew | Doctor: Hi Linda and welcome to HCM. I am sorry about your condtion and want to encourage you for future. This is serious but I am sure you will get used to this new situation. Many eople are afraid of colostoma, ureterostomas etc. but they soon realize that there is no some big deal and problem about it. There will be a bag which can be easily and attached and removed form your stoma hole and you should change it once in 2 days depending on size. it is usually not seen underneath the clothes. everything else is the same as before. You just wont need to go to bathroom. I am sure you ll adapt very soon. Wish you good luck and good health. |
Description: Can I be pregnant if my second line in HPT is very light ? | Patient: Hi My last period date was 19th may-2011. I had Unprotected sex with my husband . Today is 17th june. still now I am not having period.I am pregnant?? I have done a Home Pregnancy Test Today. I saw 2 lines comes out. One is very dark and other one is light but not much light. I am Pregnant?? | Doctor: Welcome to Healthcare Magic Good Day Usually when two lines are visible, it means you are pregnant. You may repeat the test with another Pregnancy kit to help you. If still in doubt, consult your Gynaecologist and get an ultrasound to confirm. |
Description: Recovering from umbilical hernia surgery with mesh repair and abdominoplasty. Abdominal pain wit bulge in the stomach. How long should I wear the belt? | Patient: I had undergone Umbillical Hernia surgery with a mesh repair and abdominoplasty on 20.04.2012. I am still wearing abdomin belt. Untill last month I was not bending and doing any sort of work which involves bending. But in case something falls down i just take it by sitting in a chair and then taking those item. Very often there is a mild pain in my upper abdomin. And moreover my upper abdomin is bulged than my lower abdomin where the surgery is done. How long should i still wear abdomin belt ? Why is my upper abdomin paining when i do some work bending. THere is also slight pain in the lower abdomin towards right side. What all precautions i need to take. Pl. advise. | Doctor: Hello! Generally it takes 3 months for the scar creation which is strong enough to hold your abdomen. However complete scar creation process and tissues remodeling is over after a year from the surgery. After that time, if there is no hernia, abdominal belt should be useless. However if it is still necessary in your case, it is possible that you still have a hernia present. That is why I suggest you to visit general surgeon, have physical examination and ultrasound if any doubts. You should also know that when you do wear abdominal belt, back muscles (so important for spine stabilization) are getting weaker and weaker. So such belt should be used only temporarily (when lifting or bending). And after 3 months of surgery it should be not used at all. Hope this will help. Regards. |
Description: How to treat gum bleed? | Patient: I have been prescribed a five day course of 500 mg zinnat. Two days in I feel better but my guns appear to be worse. I have also started to bleed a little from my gums and noticed a little more white puss on them. I was wondering what I should do. Thank you | Doctor: This medicine is cefuroxime which is in the cephalosporin group of antibiotics. it is a broad spectrum antibiotic. The antibiotic needs to be completed to have the full benefit. You need to be rinsing, brushing and flossing with gentle, but effective care. Warm salt water is an effective rinse. Often some increase in sensitivity can occur as the gums heal. I do not know the condition of your gums when you started the antibiotic. I suggest you discuss this with your doctor. Have you had a cleaning or are you scheduled for more cleaning or a deep under the gum cleaning? Puss on the gums is a sign of infection. You may need an additional perscription. Rinse such as chlorhexidine may be needed to help tissue healing. Please consult your dentist. Some anti-inflammartory medicine may help healing and make you feel better. |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: Can high blood pressure cause vision problems? | Patient: I am not able to read small letters. I am wearing a specks and went to check eye for new specks. He asked me to check my left eye with a eye doctor. I am a diabetic and take medicine regularly. But my BP is on the higher side. PL advice My phone is 0000 and email YYYY@YYYY My Name BHAMINI MOHAN | Doctor: This is a little too brief to offer counsel.If someone counseled seeing an eye doctor while you were being fitted for glasses, the worry may be related to diabetes, the lens of the eye or some observation of blood vessel disease. Excepting the lens, you should get the eye doctor to see you soon.with respect to your blood pressure, higher side of what. Record your blood pressure twice daily. Write it down and bring a two week record to your doctor for review. |
Description: What causes chest pain, shortness of breath, dizziness and loss of appetite? | Patient: I have been having chest pain and tightness shortness of breath dizziness loss of apatite sleeplessness bad taste in my mouth feeling of zaps throughout my body mainly in my chest and left arm tingling and numbness in my left forearm and fingers for almost a year. I have had several ekg s a scan of my heart with dye contrast an echo an endoscopy several x-rays and blood tests all of which have been normal. I have been told I have acid reflux which was told to take 2 nexium twice a day and was given a few different anxiety meds that I no longer take because of the side effects. I have a hard time believing anxiety can cause all these symptoms every day. The chest tightness is always in one spot and I m dizzy everyday. Do you believe this could all be anxiety? | Doctor: Anxiety can have variety of symptoms and it can mimic any serious disease including heart attack!in your case it is quite likely that you have anxiety neurosis with panic attack.you may have additional acid reflux.In my clinic i often advise my patients Tab.Alprazolam 0.25 mg thrice a day for atleast 4 weeks.you may use mouth dissolving Clonezepam 0.5mg duirng acute spell of symptoms for quick relief.Nexium along with domperidone will help you to get relief in acid reflux.But have patience give some time to medicine.And remain cheerful,involve yourself in activity of your choice.Yoga and meditation will also help you.my best wishes. |
Description: Suggest medication for severe toothache | Patient: Dear Sir I have been experiencing severe toothache for the last three days. On consulting a dentist, I was informed that there is an infection on the tooth and root canal is required. For the time being, I was prescribed Azimax 500 mg(once a day) and Ibugesic plus(twice a day). In spite of taking this medicine for two days, I still experience unbearable pain.Now my dentist has advised keterol dt twice a day. Pse advise | Doctor: Hello,Thanks for consulting HCMRead your query as you have severe toothache dont worry treatment of your pain is root canal go for treatment as early as possible , in meantime you take medicine keterol dt dissolve in water that will give you instant releif . Do warm saline gargle two - three times a day. Consult your dentist and go for treatment. Hope this will help you. |
Description: Have gained weight, taking birth control pill, not losing exercising also. Weight gain stopping pill? | Patient: I have been on the birth control pill since August. It messed with my hormones and I gained about 10 pounds when I first went on. For the past few months I have been eating very healthy and going to the gym every other day but the weight wont budge. Its all in my midsection. Im considering stopping the pill if it will help me to lose the weight, but then I read a bunch of forums and people are saying I will gain weight if I stop the pill, which is it; because I cannot deal with this weight anymore... | Doctor: Hi, Welcome to HCM, You are taking OCP (Oral contraceptive pill) for last 8 months and gained weight that too central obesity, please understand that these low dose pill do not cause obesity or weight gain. It is possible that you are free of anxiety of unwanted pregnancy and if this is coupled with high calories intake and less physical activity can cause weight gain. You have not mentioned your age as increasing age slows down metabolism and may cause weight gain. Please visit your Physician and after examination proper investigation to exclude Hypothyroidism , Cushing syndrome, Polycystic ovarian disease, or even metabolic syndrome with the help of appropriate investigations if there is any cause it can be treated and stopping pills you can discuss with Gynecologist and can use alternative method of contraception. If every thing is fine just take care of your healthy and low calories balanced diet with exercise regularly you will lose weight and regain shape. Take care Good Luck Dr.Akhilesh Dubey M.D. |
Description: Can Ibuprofen be taken for recurrent pain in the hips when scheduled for a hip replacement? | Patient: I am scheduled for hip replacement in April 2018. I had a cortisone shot in November but the pain has returned. I have a left over 800 mg ibuprophen from my daughters gall bladder surgery and am thinking of taking it. My doctor is not in today so what do you think? | Doctor: Hello, If there is more pain yes you can definitely take Ibuprofen. You can try other painkillers like Diclofenac, Tramadol, Pethidine, etcetera. Since you might have an obvious reason for hip replacement and it's not good to tolerate more pain before surgery. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Archana |
Description: What medication is suitable to cure PCOD ? | Patient: hi,m 33 years old suffering from pcod last 10 years,i m trying for another baby,started treatment for this,my follicular studt on 19 day shows small follicular size and endometrium size is 7.1mm, doctor has advised me to take duphastone tablet to conceive,for 8 days from 20 day of period and when period will start ,i should start letoval on 3 day pf period.my problem is that i m going out ofstation this month and will come back in june & my husband will not be there with me,can i take these tablet after one month,when i will be back and then only i can try for pregnancy . plz advice me. | Doctor: Hello sonu; welcome to HealthcareMagic If you have regular periods then yes you should start the course of the medicines as advised from next cycle.The reason is even though you take those medicines if your husband is not with you there will be no result with the medicines.All said but still you should consult your treating Gynaec for opinion and advise as she/he will be expecting to see you after the course prescribed;so please consult and then follow the advice. Thanks |
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: Q. Why does the skin around my anus have white spots? | Patient: Hi doctor, For about a month or so, I have been dealing with what I thought was hemorrhoids. I have used preparation H suppositories and some cream and they seem to help some. The pain starts after or during a bowel movement and there is blood on the toilet paper almost every time I wipe. Today, I decided to take a picture of it because it has not gotten any better and I am really scared it is something worse than hemorrhoids. Also, the irritated skin around my anus has some white spots. | Doctor: Hi. For further information consult an obstetrician and gynaecologist online --> |
Description: Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Description: What causes itching,pain with urination and painful ejaculation? | Patient: Hi. I have been having a problem for quite some time. When I pee my urine pipe sometimes burns and sometimes it just Itch s from the inside. Lately when I ejaculate I sometimes feel the burn, not too much but still painful and very uncomfortable. I started to pay attention a few months ago what happens after I pee if it burns, and I noticed that sometimes or most of the times in the end, a milky liquid comes along with the last drops of the pee. | Doctor: HelloI share your concernLooking at your description it could be caused by number of reasons including Genitourinary infection or small renal stoneIf I were your treating doctor I would have advised you for a battery of tests like routine blood profile and urine culture and sensitivity test and an ultrasound.You may require a course ofantibiotics under supervision of your doctorMeanwhile maintain good hygiene and have plenty of fluids orally including clean water and fruit juices.Thanks for your questionBest wishes |
Description: What causes spongy lump above the ankle with pain? | Patient: I have a lump on my lower left leg, above my ankle - it appears to be part of the ligament running along the outer part of my leg. I do have Crohn s disease, and have had a history of colitic arthritis in my left ankle and top of my foot, which has been sore recently. The lump is hard, slightly spongy when you press on it, doesn t hurt. I am experiencing chronic pain in my ankle and foot right now, I suspect it s related. Any thoughts? | Doctor: Hi! Good afternoon. I am Dr Shareef answering your query.The lump on your ankle might not be related to your Crohn's disease if you exert chronic pressure on that location of your ankle inadvertently. This could result in a benign cyst called a bursa, which might also be related to the joint cavity. However, this could also be a manifestation of the extra intestinal manifestation of the Crohn's disease. I would advise you to get it clinically assessed along with related investigations by your treating doctor, and this would depend its further course of action, if need be. Till that, you could go for a mild anti inflammatory drug along with a proton pump inhibitor drug for a symptomatic relief of the pain.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. I wish you an early recovery. Dr Shareef. |
Description: Should thyroid gland tumor be surgically removed? | Patient: My wife has got a tumor in thyroid gland. after doing FNAC, the report showing there is a possibility of papillary carcinoma. Histological examination is mandatory for confirmation. Should I go for the thyroid surgery? After surgery is there any possibility of further cancer? | Doctor: Thanks for your question on Health Care Magic. I can understand your wife's situation and problem. Treatment of any cancer is based on its staging. Staging includes tumour size, lymphnode involvement and distal metastasis. So before deciding treatment options, we need to decide stage of tumour. Same thing is true for thyroid cancer. So better to first get done CT scan of neck to know the exact size of tumour and involvement of cervical lymphnodes. Also get done PET scan to rule out distal metastasis. On the basis of these investigations, staging is determined. There are four stages for thyroid cancer. Stage 1 and stage 2 thyroid cancer needs surgical removal and post operative chemotherapy. While in stage 3 and stage 4 cancer, only palliative chemotherapy is advisable. So better to consult oncologist, first determine stage of her thyroid cancer and than start appropriate treatment. Hope I have solved your query. Wishing good health to your wife. Thanks. |
Description: Hard hit to stomach, given tylenol and an ice pack | Patient: Hi, my 6 yr old son was on the riding lawnmower with my dad. They took a sharp turn and they both fell off. My dad weighs 270pnds and landed on my son. He says his stomach hurts. He was complaining it hurt bad but after 45mins he says it doesn t hurt that much. I had him jump up and down and he said it hurt a little. He s now acting ok, says it hurts slightly. Is there anything i should watch for with his stomach? Just want to be careful. I will take him to the ER if he seems to hurt worse. He said his lower stomach around the belly button hurts. Gave him tylenol and an ice pack . Just want to know what to look for that he d need to go to the ER. Thanks | Doctor: hello you should look for his pulse regularly, every 3-4 hourly, if it is rising u should consult ER u should also look for abdominal distension , abdominal tenderness by touching his abdomen gently in lying down position, also look for blood in urine, stool, and vomitus if any |
Description: Cannot breastfeed from left breast, only few drop of milk, buttermilk comes out. What should I do? | Patient: Hi,I've been breastfeeding my baby since she was a new born she had some weight loss in the beginning and she would cry every time I would put her on my left breast so I told the pediatrician and he told me let's give her formula and breast milk. I noticed only 2drops of milk would come out of my left breast so I told my prescription theirs something wrong with my left breast I'm only breast feeding with one breast my right side and I told her breast cancer runs in my family she said don't stop breastfeeding it heals breast cancer does it?Well I haven't stop breastfeeding then all of a sudden last week buttermilk started coming out. What should I do? | Doctor: HIThank for asking to HCMMam ! Breastfeeding is God given gift to a mother as well as to a baby, no formula being made like milk of mother, the information given to you is wrong, you just keep feeding the child even with breast which is lack in milk the sucking action of baby may induce the lactation or else try Domeperidone tab, one tab. thrice in day. feel proud while feeding feel happy when baby start crying for feed have nice day. |
Description: Am I hepatitis positive ? | Patient: what iam hepatitis positive? LFT- BILIRUBIN DIRECT-0.35,BILIRUBININDIRECT-1.27,BILIRUBIN TOTAL1.62,SGPT-121.8,SGOT-76..2,GGT-79.2 AND HSV-0.93IU/ML(0.10-REACTIVE.SUGGETME MAILID -chandrama25@yahoo.com | Doctor: yes your LFT is deranged. But make sure u have any medications, or fever. This is a common cause of derranged LFT. But you are certainly not suffering 4m hepatitis if u do not have any other symptoms. |
Description: Will vitiligo go completely with medication? | Patient: my son is 25 yrs old .he is having white spots in his scroutm .he tested it and doctor said that it is vitiligo .he is taking medicines for the past one week and the white spots also changes slowly to the body colour.willl it go completely? | Doctor: Hi ..dear Reena., Thanks for choosing HCM.., White spots on SCROTUM.., it is mucosal area...good treatment is there.., but respond is poor.., Now for scrotum... 1) Intralesional diluted steriod..TRIAMCIOLONE.., affected part will give very good result., 2) Topical Clobetasol on white patches.., 3) Avoid sour items..... 4) Take Iron preparations to replace the .., supplements.., ok thanQ |
Description: Will I get pregnant soon after taking Cyclonorm-E for irregular periods and PCOD problem ? | Patient: Hello sir, i'am 23 years old female, and recently married (5 months), my question is, still i dint become pregnant, i'am having irregular periods, and also have PCOD, i want to conceive soon within one year,after knowing the problem of mine, my docter suggested me to take cyclenorm-e and p for 6-12 months, after taking, she said me that i'l get pregnant soon, so sir i'm little worried, i'll become pregnant know. my weight is 59 and height is 163 | Doctor: Hai welcome to hcm check your fsh, lh, prolactin and thyroid profile and serum insulin levels to know the severity of pcod. Hysterosalpingogram will reveal your tubal patency. Semen analysis should be done .Ovulation induction with drugs or hormoinjeinjection with follicular monitoring will help you to conceive soon .Consult an infertility specialist .Regards Dr. Vanitha devi |
Description: Suggest treatment for pain in teeth and gums | Patient: I had a crown put on a tooth last November and it has hurt ever since. It is very sensitive to cold. While doing this the dentist's tool slipped and hit my tooth underneath the one being crowned. It knocked the filling loose and I couldn't stand the pain anymore. So almost 3 weeks ago he did a root canal on that tooth. I have experienced terrible pain on the top and bottom of my teeth and gums since. The pain is now going toward my front teeth and ear. Antibiotics and Ibuprofen are not working at all. Warm compress helps but doesn't make it go away. | Doctor: Kindly get your filling and root canal re-evaluated. As for the pain a trial of new antibiotic and a stronger pain killer is needed. |
Description: Tested hepatitis B positive, feel fatigued, have acidity. Prescribed Interferon, another Dr doesn t go with it. Confused ? | Patient: I have hepatitis B positive. Hepatitis B first identified in 1999 as inactive mode. last checkupwas carried out in 2010, it was also inactive. But recently it isidentified as active and replication mode from HBV DNA test. HBV DNA test report is Virus detected with 0000 copis/ml. HBe Ag is negative and Anti HBe is positive. SGPT is 57. I am notsuffering any difficulties in this regard now. I have acidity problem.I have neither blood pressure nor diabetics.But my parents have. I didnot ever transmitted (taken) blood. I had an operation in lowerabdomen for removal of ceast (flash of meat like tumor but not tumor)while I was 6 years old. I do not drink or smoke. Sometimes I feelfatigue ( being so tired after office or journey) , sometimes I feelback pain (may be due to soft bed). Now, one of BD Dr. prescribed meinterferon for 24 weeks or antiviral medicine. Another Dr. is notagree to prescribe any medicine unless liver biopsy is done. Thoughthe Fibroscan of liver report is good (stiffness 5.7 Kpa), one Dr.suggest me not go for Biopsy. One Dr. prescribe me to take interferon injection or antiviral tablet and another Dr. told me not to take any antiviral. He just suggested to take Udiliv 300 mg (Ursodeoxycholic Acid) twice per day.I am confused. What should I do? Does interferon injection or antiviral tablet is required to take while my medical investigation reports are as above-mentioned? please suggest me the suitable treatment. | Doctor: Hi and thanks for the query,The first thing to note is that the work up from your reports with respect to replication, SGPT and negativity of the HBe are all consoling. Remember that 10% of patients that shall contract Hepatitis B do heal spontaneously. Considering the fact that you are stable, there is a possibility for spontanoeus healing. Your past surgical history is not problematic of does not increase risk for anything in this case. Control tests for liver function and abdominal ultrasound to check liver size and structure every six months could be sufficient. Interferons and liver biopsy with an apparaently good liver is not really needed at this point in time.Thanks and kind regards hoping this helps.Bain LE, MD. |
Description: What are upcoming risks with Stachybotrys exposure? | Patient: I am a toxic mold victim and through out the years i have became more ill and now i have tumors and a lot more life threaten health problems for life time.I was exposed to Stachybotrys a very deadly and a Toxic Black Mold.What kind of help do i need and treatment??? | Doctor: hello and thnx for your queryas Stachybotrys is known as a toxic mold because it produces toxins called mycotoxins.The solution is to remove the toxic black mold from your environment or remove yourself from the environment. Once you are away from toxic black mold your body will start to recover and most of your symptoms should go away over time. However some of the damage from toxic black mold can be permanent. |
Description: Should i be worried of low HDL level? | Patient: 47yr old male, recently diagnosed with high blood pressure, Total Cholestoral 151, HDL 43 and LDL 91. Not obese, but could easily stand to lose 10lbs, 5' 10" 190lbs. Active individual, but not as active as I used to be. Should I be concerned about the low HDL. | Doctor: Hello, Thanks for using Healthcaremagic. i had gone through reports. HDL is little low compared to normal and LDL is also normal. so you need not worry about your cholesterol. but to increase HDL- good cholesterol in our body there are no medications except regular physical activity.do brisk walk or jogging daily. as you have hypertension inculcate lifestyle changes that will help to bring down your blood pressure also.Weight reduction: Maintain normal body weight ( BMI 18.5 to 24.9 kg/m2) this can reduceBP by 5 to 20 mm hg per 10kg weight loss.Adopt DASH eating plan : (DASH- Dietary Approach To Stop Hypertension) consists of fruits, vegetables, legumes, low fat diary products with reduced saturated and total fat.This can reduce BP by 8 to 14 mm Hg Dietary sodium Restriction: Reduce dietary sodium intake to no more than 100meq/day(2.4 gm sodium or 6 gm of sodium chloride). This can reduce BP by 2 to 8 mm Hg.Physical activity: Engage in regular aerobic physical activity such as brisk walking (at least 30 min per day, most days of the week). This can reduce BP by 4 to 9 mm Hgmoderation of alcohol: Limit consumption of alcohol to no more than 2 drinks per day in most men and no more than 1 drink in women and lighter weight persons. This can reduce BP by 2 to 4 mm Hgchoose your cooking oil, it should be rich in MUFA and PUFA omega 3hope this helps. |
Description: How to cure stomatitis ? | Patient: hello. i m 18 yrs old, male, and suffering from severe tooth ache for the whole week.. for the 1st 3 days, all my teeth(up and down) at the left side is aching for just a min. and it happened almost 3x. and in the 4th day, the pain was localized at the upper left 1st molar and on the 5th day, i went to my dentist but sadly he is not there and will be back on 27th of february and another dentist ask me to toke clindamycin 300 mg 3x a day and mefenamic as needed. the dentist saw a stomatitis at the front jaw exactly where my toothaches and now, it s more painful and the stomatitis is bigger and the part of my hard palate where the toothache is located is already painful too. mefenamic acid, lessens the pain but it still hurts. what should i do Doctor? It really hurts. thanks.(I also suffer from fever for 1 week) | Doctor: heloo.pt-Search for a possible cause of your stomatitis. 1.A common cause is a sudden increase in the consumption of fruits like melons or berries when they come into season. Beginning a new vitamin, drinking more hot coffee, drinking more soft drinks, increasing alcohol consumption, having recently been on an antibiotic, or having had recent dental work are other causes. Basically, you must do a thorough "Sherlock Holmes" inventory to see if there has been ANY change in what you put in your mouth.2Discontinue any possible causes that you have defined. This should significantly improve your mouth soreness within 3 to 5 days.3Practice good hygiene. Improve your symptoms and speed recovery by practicing good mouth hygiene and avoiding trauma. Rinse your mouth 3 to 4 times per day with a salt water solution--not a mouthwash. The goal is to allow the mucous membranes to heal, and mouthwashes can be irritating. Avoid traumatizing foods like peanuts, chips, hard candies, hard vegetables and tacos as well as chewing gum. Use a soft bristled tooth brush. To numb your mouth, you can gargle with a mixture of an antacid and elixir of diphenhydramine.4See your doctor. If you cannot isolate a cause for the stomatitis, if it has not cleared in 3 to 5 days, or if it is interfering with your ability to take fluids, you should consult your doctor. This is important because there are many illnesses, some serious, that can cause stomatitis. Your doctor may need to do testing or prescribe specific medications.5See your doctor if you have recurrent ulcers. These small ulcers can be exceedingly painful, particularly if they occur on the tongue. They respond well to cauterization.6Treat angular chelitis (cracking at the corner of your mouth) with a mixture of an antibiotic cream and 1% hydrocortisone applied frequently during the day. This particular form of stomatitis is most often caused by ill-fitting dentures. |
Description: What causes repetition of same thought in mind? | Patient: Hi there. I just wanted to get an answer, I have the same thought reapeat over again all day and in the morning i get random songs playing in my head which slowly wear off to a word then that word repeats for few hours then goes away is this OCD I also have fear to touch things sometimes. | Doctor: Hello,The symptoms point towards possibility of having OCD.Please see a psychiatrist in person, he will interview you in detail to pin point the diagnosis. Undetected and untreated this will persist and increase. Had i been treating you, i would have given you clomipramine 25-100mg daily at night along with therapy session for thought stopping and ERP.Both meds and therapy are essential for complete cure of this illness.Wish you good luck.Dr. Manisha GopalMD psychiatry |
Description: Q. Can Yasmin birth control pill be used as an emergency contraceptive pill? | Patient: Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage? | Doctor: Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online --> |
Description: Suggest treatment for tooth sensitivity in a 2 year old | Patient: i have a daughter who is 2yrs 8 months old.from past 1 month she is having pain when having old or hot stuff in her teeths. we took her to the dentest who told us 3 of her front teeth have a cavatity & need to go through root canal treatment.we got her checked from 2 other dentest. problem is each one is have a diff procedure. first dentest told us that it will take 20 - 30 minities & only injection to be given on the teeth nerves, secount doc said root canal not reqd will just do it like that third doc says we will need to treat her at rainbow hospital where they will give anasthesia. just confused what to do & were to go. if u can suggest something to us ? | Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concern.... As per your complain in case if there is pain in teeth on taking both hot and cold foods then it is most probably due to deep infection or decay in teeth and will need Root Canal Treatment..Yes, it is true that for Root Canal Treatment, the dentist has to give anaesthesia but it is a local anaesthesia and only the area of the treatment is made numb in this case..If you are asked to go to Rainbow hospital for getting anaesthesia then it is possible that he wants to do the treatment in general anaesthesia to make your child sleep..Although nothing is wrong in even that as toddlers are anxious and will not co-operate in treatment, so general anaesthesia eases the treatment procedure..But my suggestion is to consult a Paediatric dentist or Pedodontist and get evaluated and first you should get an attempt to get the treatment done in local anaesthesia or conscious sedation..In case if the child does not co-operate at all then only proceed to General Anaesthesia..Hope this information helps..Thanks and regards..Dr.Honey Nandwani Arora.. |
Description: Q. My sore throat and discomfort while swallowing has not subsided on antibiotics. Why? | Patient: Hello doctor, I have a sore throat since this Wednesday. My dad is a doctor and he gave me Augmentin every 12 hours. The pain has not gone yet, but I feel like an object anytime I swallow. It hurts and it feels dry and sore. Just on the left side, it is been a few days but nothing new yet. It hurts everytime I swallow and it feels full and pressured. There is some yellow mucus close to the crypts but cannot understand if it is a stone or infection. I tried to remove possible stones but ended up making my tonsil bleed every time I try to clean possible stones and gargled with salt and water. I am really afraid it is something bad. I am 24 years old. | Doctor: Hello. Your tonsil looks infected (attachment removed to protect patient identity). I can see pus coming out of your tonsil. You complete the course of Augmentin (take it for seven days, 1 gm 12 hourly). Along with that take plenty of fluids (at room temperature i.e. not very cold and not very hot), do mouth gargles (combination of Chlorhexidine and Benzydamine) three times daily for five days which will soothe your throat as well as remove debris from the crypts. Take proton pump inhibitor (Pantoprazole 40 mg twice daily on empty stomach for a week) and also Paracetamol 650 mg thrice daily for three days. Do take all the medicines, just Augmentin is not enough. Do not touch your tonsils and do not try to remove the debris with fingers. Also, if possible send more pictures of your throat. I want to see your right tonsil and posterior pharyngeal wall clearly. |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: What causes a lump with white patches on the right side of the mouth? | Patient: Hi there.I have a lump (looks like a cyst) on the right side of my mouth at the base of the palatoglossal arch and younger with a few white marks on the infected red area? Also, my sinuses have been a bit blocked. What do you think this could be? Thank you Adam | Doctor: Hi..Thanks for the query..A lump on palatoglossal arch with blocked sinuses can be due to Infection and inflammation arising from the sinuses that might be causing infected post nasal drip..Other causes can be mucous cyst or Mucocele or abscess..So a clinical examination should be done by an Emergency doctor..A course of antibiotics and anti inflammatory painkillers can help..Also do warm saline gargles and antiseptic mouthwash gargles..Take soft diet..Watch for a week to see the improvement..Hope this helps..Regards.. |
Description: Suggest treatment for dust allergy | Patient: I am 43 years old ( male ) i am allergic to dust i am doing my best to avoid, i have taken all treatment but no use, once in a 3 months i am suffering from cough and converting into flum and suffering for 15 days,i have no Astma no suger over all no other problem, i have this problem from my birth, i am suffering a lot please give me a solution and lifetime releafe. Dinesh 0000 | Doctor: Hello Dinesh,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I usually prescribe my such patients regular montelukast & levocetirizine for 30 days minimum.2. I would suggest you allergy testing, especially for air-borne allergens like house dust mites, common molds and pollens. This will help you identify the substances you may be allergic to and also to know the measures to avoid them.3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which gradually improves allergy symptoms by working on immune system. This can be considered as long term solution of allergic rhinitis.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. A healthy diet rich in vitamins and minerals will also help you in a long run by improving your immunity.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards. |
Description: What could cause difficulty in conceiving with all tests being positive? | Patient: Hello Doctor, I am 29 yeras old. i married 2 years and we are trying for baby from past 1.5 years . i have regular periods, we did all blodd test its positive, folicular study with positive result, HSG also positive. but still am not conceived what could be the reason ? | Doctor: Hi there are many reasons for not getting pregnant even when everything is field some of which can't be explained. So you can try medicines for ovulation and track your follicles growth by repeated ultrasound and when your ovulation is about to occur you can be in contact with your husband. Also you can take some medicines to support implantation. |
Description: What causes tiredness, weight gain and right-sided discomfort in the rib cage? | Patient: I have been very tired the last couple months, I experienced weight gain, I get these discomforts on the right side of my rib cage. For the last week I have been waking up with a headache. A few months ago I was having a lot of debilitating muscle spams on back on the same side as where I keep having discomfort. What is going on with me? | Doctor: Hello there I have read through your question and would like to tell you that sudden weight gain can be a sign of Hypothyroidism. I would advise you to get a thyroid profile done . Regarding the right sided discomfort and occasional pain , it can be a sign of cholecystitis. An USG abdomen will help to diagnose it. I hope that answers your question . If you have any further questions please feel free to write. Thank you for choosing healthcare magic. |
Description: What causes severe cramps in the thigh muscle? | Patient: Last night, as I arose from my couch after watching television, I had SEVER cramps with the inner muscle (from the knee to the groin) of both thighs. No matter what position I took, the pain remained, or worsened, til I nearly fainted. After 5 minutes, it all went away and hasn t returned. What happened?? | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your symptoms seem to be related to muscle cramps.Some suggestions that I can give to you are:-Stretch the cramped muscle and gently rub it to help it relax. -Apply heat or cold. Use a warm towel or heating pad on tense or tight muscles.-take vitamin b and magnesium supplements Hope I have answered your query. Let me know if I can assist you further. |
Description: Suggest remedy for mood swings in pregnancy | Patient: Hi, may I answer your health queries right now ? Please type your query here... my daughter 34 weeks and experiencing mixed emotions some days she eats well and another not the mid-wife says its turned and getting ready. The male mid-wife said she would be monitored over the next four weeks what do you think? | Doctor: Hi dear, I have gone through your question and understand your concerns.Slight mood swings are common in pregnancy, especially in the third trimester.However, if the condition is severe and affecting the daily routine and diet, then she should consult a psychiatrist and get appropriate treatment.Hope you found the answer helpful.Wishing you good health.Dr Deepti Verma |
Description: Suggest treatment for chest pain,wheezing and difficulty in breathing | Patient: Hi, may I answer your health queries right now ? Please type your query here...47yo 5'8' 220 lbs started sneezing wednesday night was nasally congested thursday and friday today I have painful lungs when inhaling, wheezing crackling and hard to catch my breath small bits of sputum but nothing significant yellowish green, its getting harder to breathe each hour like the pipes are closing up I tried the hot steam from the shower for a few minutes but didnt help | Doctor: Hi welcome to the health care magic According to history provided bronchoconstriction present... Hence rule out acute bronchitis or asthma like allergy inflammation of bronchi... Your work up done as follow... -first thing needed is Auscultation -CBC with AEC value -Chest x ray -Spirometry if needed after seeing x ray -sputum examination only if x ray shows consolidation According to reports further treatment decided You will be given decongestant for Symptomatic relief like diphenhydramine... Avoid excess spicy foods and fatty meals Drink more water Stream inhalation done three times a day If AEC High then monteluksat and fexofenedine combination might given If bronchoconstriction much severe then nebulization of levosalbutamol and budesonide can be given Take care Hope your concern solved Consult pulmonologoist for examination and discuss all these points |
Description: What causes to ejaculate blood with semen? | Patient: I am a 57 year old male. I have hep c and hemachromatosis. Recently during sex I ejaculater a small amount of blood in my semen. Since.then the amount of semen has diminished to a few drops. Is this just something that comes with age or is it something I sould seek medical attention. | Doctor: HiI have gone through your query. It may be due to UTI, prostatitis, injury to urethra. I would asked you to do routine urine analysis. If it continues to happen I would suggest you to see doctor for examination and further help.Take care |
Description: Q. I have dark circles, fine lines and aging spots. Please suggest relevant medication. | Patient: Hello doctor,I had some eye problem for which I was asked to do warm compress around the eyes. As a result, I am suffering from dark circles, fine lines, and aging spots. Please suggest any relevant medication. Also, I am not able to understand my skin structure. In the winters, it is too dry and in the summer it is too oily. | Doctor: Hello. I can understand that there has been damage to the skin. White spots on the sides of the right sides are called miliaria crystallina. In simple terms, it is the enlargement and plugging of the sweat glands. You will need to go to a dermatologist to remove the plugs or blockage with a needle. Then it will be fine. It is a very small procedure and takes about 15 minutes for me and not painful also. Another issue is of the skin quality being different for different parts of the face. Trust me, 90 % people have this problem and you are no different. Acne is a result of that nothing else. With daily travel and dust and other environmental factors, this problem becomes bigger. Just use a good gentle face cleanser to wash your face. In your case, I will recommend Avene cleansing foam. Just apply it to wet face and wash away. Do not rub or do anything else. As for the aging problem, a majority has to do with skin damage. Damage makes the skin look more old and tired. I recommend Reverzo undereye cream by Glenmark at night. If you cannot find it then you can use Auriga Flavo-C cream instead. Apply gently under eyes and let it stay overnight. It should improve the quality very soon. Skin of the face is oily near the nose and forehead and cheek and sides of face are dry. Keep this in mind next time you wash face. It is very important that you use a good sunscreen. If the face is oily, then I recommend Isdin fusion water and if it is normal then La Shield fisico (this might be a little oily but for normal skin, it is absolutely fine). Use it everyday after shower and 20 minutes before going outdoors. It will prevent any sun damage that can make the skin look old. Rest all seems fine. I have other solutions too for under eyes but they are more expensive. So, first improve the quality of the skin. It will make a lot of difference. You can revert back if you have any questions. For more information consult a cosmetologist online --> |
Description: Bump on gum burst open while brushing. Now shrinking . Is it curing? | Patient: OK so you see i have a pretty big bump on my gums ( not pus filled) along side a cavity and it s been hurting quite a it it s hard for me to eat anything and ive had it for a week now and suddenly ( with out me touching it ) it burst open with blood flowing this happened when i was brushing my teeth . and it has begane to shrink ever since. IS THIS GOOD?????? | Doctor: Hello, Thanks for sharing your concern with us A ruptured abscess is a collection of encapsulated inflammatory material that breaks open, releasing pus and other fluids into the surrounding area. Depending on the location of the abscess, a rupture may make a patient feel better by allowing the abscess to drain. Most gum abscesses will heal quickly after three things happen: The area is cleaned thoroughly. The trapped pus is allowed to escape. The infection is treated. Regards. |
Description: How can follicle size be increased? | Patient: i have 1.2 cm follicle size on day 11.is there any chane to increase its size to ovulate in 5 days?please help.I'm 26 years old with 5.2 inches height and 78 kgs weight with one lap ovarian drilling done on june19,2011.2 months on overall(contraceptive) to remove one remain cyst. | Doctor: Hi thanks for writing to health care magic.I have gone through your question.As far as your 11th day ovulation study suggest 1.2 cm size follicle is good. In next 3-4 days it can go upto 16/18 mm then it can rupture and can become helpful for fertilization.To increase follicles size there are many medicines available like clomiphene cytrate.But it should be taken after gynecologist advise.Have a healthy life. |
Description: Suggest treatment for back pain due to herniated discs | Patient: Hi I have been having herniated disc and experience back pain, I have tried yoga, pysiotherapy, chiropracter and medicines but still nothing seems to cure it completely. Is surgery my only option ,if so how far is it safe ?im a male 26yrs old ,suggest alternatives. | Doctor: HiThank you for asking HCMI have gone through your query.For herniated disc i advise muscle relaxants like cyclobenzaprine NSAIDs like Aceclofenac or Opiods and Neurotropic drugs.I also send them for proper physiotherapy and muscle strengthening exercises along with this.Lumbar supporting belt for lumbar heniated disc is helpful also.It will take 1 month to maximum 6 months to get improvement.If no improvement after 6 months or if there is severe nerve compression syndromes you can go for surgical correction.Minimal invasive surgeries are available now.Microdiscectomy,chemonucleation,Laminectomy are some of surgeries done for this.Hope this may help you.Let me know if you have any further queries. |
Description: What causes abdominal pain, headache and diarrhoea? | Patient: What do you think can be wrong, my girlfriend is 18 years old 130ilbs and about 5’3. A couple days ago she was sick. She felt weak she was vomiting, stomach pains diarrhea, head ache, and was experiencing hot cold flashes. What can be some causes | Doctor: HI. Vomiting , pain in abdomen, diarrhea, headache and hot-cold flashes are suggestive of a Gastroenteritis , a waterborne infection. You need to take your friend to the ER, get intravenous fluids and antibiotics and may have to stay till getting alright. Do not force oral fluids if vomiting. Dehydration and septicemia are the complications you have to worry about.Once the vomiting stops , oral fluids, curds, banana, activated charcoal and probiotics can be started . |
Description: Had pamidronate infusion therapy after having prostate cancer removal. Surgeries following a broken jaw. Healing time? | Patient: my husband was getting pamidronate infusion therapy after having prostate cancer removal, which had spread outside the gland . His jaw broke over a year ago, and he has had 3 surgeries so far. he goes to a dental surgeon. I would like to know how long does this take to heal and if he is going to the right kind of doctor. | Doctor: Hi, actually pamidronate is a bisphosphonate specially used to treat metastatic bone disease to reduce skeletal related event. your husband probably has bone metastasis from prostate cancer. this injection has effect on bone healing and it may delay your surgical healing. consult your oncologist regarding this issue. this is not a serious problem . he may undergo surgery. |
Description: Does Betavert and Telma has any side effects on the body? | Patient: Hello, I was detected with High BP two years before and I was taking Cardace 5 mg for some time and then took homeopathy medicines. I did not find a relief and stopped taking all the medicines for two months. Now I am having high blood pressure (145 / 100) constantly with mild dizziness. Doctor recommended Telma 20 for BP and Betavert 8 mg for mild dizziness. I do not recollect any signs of vertigo except for very mild dizziness especially after i take my bath. Does these medicines have any side effects. Can I continue these - please advise. Thanks, Venkat R. | Doctor: I think the dizziness is due to the blood pressure being on higher side, taking telma should take care of it. Betavert is just for symptomatic relief and you can avoid if no giddiness/dizziness Telmisartan is similar group like care, take same care that you used to take with cardace, very well tolerated drug with minimum side effect However don't stop anti hypertensive drug without yours doctor s advice Regards Dr priyank mody |
Description: Q. Having painful sex six weeks postpartum and cervix closed too soon. Please help. | Patient: Hello doctor, Having painful sex six weeks postpartum and five weeks after my obgyn had to suction blood out of my uterus because my cervix closed too soon. Wondering if this is normal or if I should set up an appointment to be checked out. I am female, 23 years old. I am 5 feet 9 inches tall and weigh 300 lbs. | Doctor: Hello. Yes, it is normal, sometimes body takes a little longer time to heal especially if there was instrumentation being done with the uterus. If you do not have any pain otherwise or any never, discharge or excessive bleeding then you do not have to worry. It is just that your body is not ready yet to bear sex. I would suggest you to wait for one more week or so and see how the condition stays and even then it is the same then please do not forget to book an appointment with your local doctor. |
Description: Suggest treatment for lower back pain due to severe scoliosis | Patient: Hi I have been having pain in my lower back, Buttock area right side for several weeks now. I had a massage and that helped but it didn t go away. Went to Chiropractor and he thought it was between my tailbone and Pelvic joint. I have severe Scoliosis and I m 60 years old. I know I have arthritis and have had Scoliosis surgery at the age of 31 and had a fusion of the lumbar vertebrae s. Just never had this pain. It doesn t go down my back like Sciatica. Just in my rear near tailbone. Suggestions d | Doctor: Hi, I had gone through your question and understand your concernsScoliosis in your age needs no further surgical treatment but really it may cause symptoms like pain .You should do new x ray for your lumbosacral spine or better to do MRI.FOr my patients in just condition I will advise them to wear a supportive brace,Avoidance of any heavy activities,receiving muscle relaxant and strong analgesia when needed. |
Description: What causes bleeding after taking primolute? | Patient: Hi, I was prescribed Primolut for migraine management and have bled every day since taking for about 14 days. I thought it was suppose to stop periods. Do you know why I would be experiencing constant bleeding. Prior to this my menstrual cycle was usually fairly regular and normal? I have also had tender abdomen/light period pain. | Doctor: Hi,Premenstrual symptoms such as headaches, depressive moods, water retention, a feeling of tension in the breasts, may be relieved by one tablet Primolut 1 to 3 times daily during the luteal phase of the cycle. If missed one day or when taken at different times of the day during the course of pills may cause such effects.You have not mentioned when are you expecting your periods. I would suggest you to stop the drug and visit your your gynaecologist for further management. A pelvic ultrasound may be required.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician |
Description: Is there any problem if I do unprotected sex after taking i-pill? | Patient: Hi, i had unprotected sex and then had an i-pill within 24hrs and then I had sex and found the condoms were damaged, and the time gap between the pill and the 2nd sex was for 4hrs. So should i take the emergency contraceptive again for the 2nd act or will it not be required?...Plzz help | Doctor: No need to take i-pill againThe pill you have taken is effective for 5 days.However in case you are having multiple episodes of intercourse than it is advisable to use some form of contraception like oral contraceptive pills. |
Description: Is it common to have restless legs and tremors from a back issue? | Patient: I have had back problems for years. It s to the point I can not deal with it. And is it common to have restless legs and tremors from a pack issue. I am to the point of not being able to do or try anything. For fear of hurting for days. Although I hurt every day for the last year. | Doctor: Hello,I had gone through the case and found that it might be due to mineral deficiency amd vitamin D3 & b12 deficiency.So go for d3 & b12 blood test.Take multivitamin rich with mineral like calcium, magnecium and zinc.Also take meganeuron once a day and Vitamin D3 once a week.Hope my answer will be effective for you.Thanks |
Description: Suggest treatment for severe abdominal pain | Patient: My daughter (34) was admitted to hospital with severe lower abdominal pain, (10 out of 10) and stabbing right shoulder pain. No fever, UTI symptoms or discharge. Initial diagnosis was ruptured ovarian cyst and no treatment, apart from pain medication given. She was discharged 2 days later (pain still 7 out of 10) and told to see a Gynae specialist in a month. After checks by her GP, Urinalysis revealed citrobacter koseri (she is now on Cephalexin). Why would this cause so much pain? And will the pain come back? Thanks | Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Yes ! Severe neglected UTI could also give rise to severe abdominal pain, which might be co existing with pelvic inflammatory disease. If I were your doctor, I would also go for a repeat ultrasound of the abdomen if it was already done over there. In case of a lone UTI only, the antibiotic treatment would have to continue for a longer duration (atleast 2 weaks) for a permanent relief.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. I wish you an early recovery. Dr Shareef. |
Description: Q. Every time I eat spicy food, I poop blood. Why? | Patient: Hi doctor, I am a 26 year old male. I am 5 feet and 9 inches tall and weigh 255 pounds. When I eat spicy food, I poop blood. Sometimes when I have constipation as well, I poop a little bit of blood. I am really scared that I have colon cancer. I do have diarrhea often. I do not have a family history of colon cancer. I got blood tests done last night. Please find my reports attached. | Doctor: Hello. I have gone through your information and test reports (attachment removed to protect patient identity). So, in view of that, there are a couple of things that I can opine upon: Hope that helps. For more information consult a general surgeon online --> |
Description: What could non healing, itchy, swollen, red sore on knee while being non diabetic suggest? | Patient: non healing sore dime size, back of leg, three inches above knee, red, slightly swollen, itchy at times, six months old, only bleeds if scab is scratched off (even then, not very much) I believe it could be bug bite related. I am 60 yrs old, non diabetic, slightly overweight but active. Medicines I take: simvastatin, omaprozole | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Any non-healing sore should be examined by a physician. These can be infections or a type of skin cancer. Please see a doctor locally so that you can have this examined and evaluated to obtain appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. |
Description: What causes fever, cold and cough in a child? | Patient: My child is having fever, cold & cough. He is 3.5 yrs old, i gave him combiflam suspension 2.5ml, dilobm syrup 2.5ml & alocet xl 2.5ml. Is the medicine right as i am out of station not able to visit doctor. As i have this medicine with me. Need ur suggestion | Doctor: Hi dear welcome to the HCM,Child is suffering with RTI ,usually of viral in origin, which is quite common in this rainy season.Antihistaminic and decongestant medicine on 8 hourly basis.along with this paracetamol @ 15 mg / kg to be given 4 to 6 hourly for the relief of fever and headache,Tepid water sponging when fever is high or do not respond to the medicine.Take care of hydration and nutrition.Hope the query is answered.thanks |
Description: Q. Kindly suggest medicine for burning and itching skin rashes in private area. | Patient: Hi doctor, I am facing skin rashes in private spaces for three days and it is very itching and burning situation. Kindly advise me medicine. I am staying abroad for a project. | Doctor: Hi, Welcome to icliniq.com. Itching over the private area has multiple causes. The most common cause is a fungal infection which presents as red annular patches which keep on increasing or as redness with itching and burning with whitish deposition over the glans and foreskin. The second most common cause is scabies which presents as red itchy bumps over the penis and scrotum. If you would have shared the picture, then it might have helped me to correctly diagnose the problem. Anyway, for now, I will prescribe you medicines for both. Fungal or mite infection. ? Tinea cruris. ? Candidiasis. ? Scabies. Tablet Levocet (Levocetirizine) 10 mg one tablet in the morning and one at night. Capsule Itraconazole 100 mg one in the morning and one at night. Luliconazole cream apply at night over the rashes. Clotrimazole cream apply in the morning. Tablet Ivermectin 12 mg one tablet once a week for two weeks. 5% Permethrin cream apply all over body except face from neck to toe at night and wash in the morning. Complete one cream in one application. Apply once a week for two weeks. After one month. |
Description: How to treat asthma with dust allergy? | Patient: hello sir,my son is 8yrs old.he is having asthma since last 6.5 yrs.as he is growing older his condition is getting worst.his wt is 24 kg.height is 132 cm .after d age 5 he was completely out of d condition for almost 2 yrs.suddely d condition relapsed.since then condition is gettig worsen.citrus food cadburies,oily food and dust causes spasm, but still he never required steroids or spray. The trouble occurs during rainy and winter season only. | Doctor: Hello,Welcome to HCM,As you are known allergic to dust, you should be very careful otherwise it may be dangerous to the life. I would suggest you to undergo absolute eosinophil count (AEC) which will be raised in the allergic condition.For the present symptoms you can take Tab Montek LC which helps to control the symptoms, but it is temporary. You need to avoid these dust allergens to protect yourself from getting these allergy symptoms.I would suggest you to undergo skin prick test (SPT) to identify the type of dust causing these symptoms and you can prevent yourself from exposing to these dust. Otherwise you can prefer immunotherapy either with subcutaneous immunotherapy (SCIT) or sublingual immunotherapy (SLIT).Thank you. |
Description: Is taking focalin for add advisable? | Patient: I have add and was prescribed focalin. I never really used it. but I just started a new job and want to be completely focused. I found my old prescription, it expired 11/13/08. my question to you is, it it still safe to use? I really don't have the money for a new script. I just want to make sure Im not seriously harming myself after taking it. | Doctor: HIThanks for using healthcare magicFocalin is a mild stimulant and it has a lot of side effects like nervousness, insomnia, angina, arrhythmia, palpitations, pulse increased or decreased, tachycardia, psychosis etc. I think, it would be better to avoid this drugs to so many side effects. In case you need further help, you can contact us.Thanks |
Description: What causes painful small lump on right side of neck? | Patient: I found a small lump on the right side of my neck kind of in the back of my neck a couple of weeks ago. It did not hurt at first but yesterday it started hurting when I am sitting down HOWEVER, when i lay down and put a pillow behind my head, the pain subsides. It does not hurt to touch. I sleep on my side a lot and wonder if it s a knot in my neck. the pain is sometimes sharp and last a couple of seconds but the sharp pain keeps coming back every 5 minutes or so but no pain when I am laying down. It s weird. I am getting my yearly physical in two days but wondered if I should go to the ER | Doctor: not to worry much as this is benign condition like sebaceous cyst or neurofibroma; could be a lymph node also!if really worries you can go for an FNAC test for confirmationall the best! |
Description: Suggest natural remedies for persistent cough | Patient: i have tow kids, boy and a girl and even me my sulf we have coughing habit or almost every now and then, esp. at night. it seems like somthing from the upper track not our lungs. we have chronoic allergey how can i stopp this and esp. not to give then anitboitic (i hate it when the doctor prescribed it even without fever. how can things at home help home | Doctor: HelloThank You for contacting HCM.There is no need to give antibiotic unless there are signs of infection. I would suggest you following things:> Take Diphenhydramine + Dextromethorphan for cough.> Take hot water in a cup, add 1 table spoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.> Take boiling water in a pot, put your head over the steam and cover whole with a sheet. Take deep breaths in it.(Avoid getting closer else it might cause burn). Do this twice a day.AVOID:> Chilled water> Drinks> Spicy foodHope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health. |
Description: Reason for abnormal bilirubin levels despite recovery from jaundice? | Patient: Doc i was diagnosed with jaundice on 17th feb and the got LFT done in which serum bilirubin was 4.51, conjugated bilirubin 3.57, unconjugated bilirubin 0.94, SGOT 3939.3 and SGPT 3240.2. Last i got test done on 7thMarch and my serum bilirubin was 2.38. Plz tell if everything is ok because its going to be one month soon and i also feel little uneasy on my right ribs. | Doctor: Hi, dearI have gone through your question. I can understand your concern.You have very high bilirubin level with extremely high level of SGOT and SGPT. It suggest hepatitis. It can be due to viral hepatitis or due to other cause like toxins. You should go for complete hepatitis test to search the cause. Then you should take treatment accordingly. Your bilirubin level is decreasing but it is still high and your liver has inflammation so right side abdominal discomfort is obvious. You should take fat free diet with high protein diet. Tab Liv 52 and ursocol tablets are useful. Consult your doctor 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: What are the early signs of pregnancy? | Patient: well my question is i got married on june 30 this year me and my husband are trying to have a baby seen then every month we try but the test became (-) Until this monday i check the test became (+) can the be possible ?i have had symptom but i not have the shedding of the linging?can i be pregnant? | Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Following are the early symptoms of pregnancy:- Most common is missed period- Variable symptoms are nausea, tiredness, increase white discharge, breast soreness and enlargement, darkening of areola and increased urinary frequency.If your period will delay by more than 8 to 10 days then go for urine pregnancy test. Pregnancy test will give positive result only 8 to 10 days after delayed period. Sometime pregnancy test give false positive test. You can also go for blood HCG test as it is very sensitive and specific test, and detect pregnancy just 10 days after unprotected sex.Hope this may help you. Contact further if follow up needed.Best regards,Dr. Sagar |
Description: Suggest medications for rashes on the inner thigh and testicles | Patient: Hi,I have a rash on my inner thigh { crotch }, next to my testicles { on either side }. It looks like a heat rash , red in color. You would never see it except with a mirror. It can itch a little, so I am using cortizone cream during the day and before bed. I ts not getting any worse, but dosn t seem to be clearing up. It is not on my genital area.I am active athletically....walking, biking, weights almost every day, so I m thinking this may be some sort of jock itch. Is there anything over the counter that would clear this up, before going to a doctor. It dosen t seem serious, just aggravating at times .Thanks,Robbie | Doctor: Hi, In my opinion, you are suffering from Tinea cruris (fungal infection of the groin). You can apply clotrimazole cream twice daily followed by application of clotrimazole dusting powder. Take an antihistamine tablet along with it for 2 weeks. If you do not get any improvement in 2 weeks, I request you to consult your Dermatologist for further management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Siva Subramanian, Dermatologist |
Description: Can vacuum used child delivery cause bump on back of infant s head? | Patient: my 2 month old infant just developed a lump on the back of his head the doctor said it was due to the vacuum used when he was born but that lump went away in a few days after he was born its been 2 weeks and the bump which is big hasn t gone away my baby seems fine | Doctor: Thanks for your query.The pressure of the vaccum could cause blood to come out & get entrapped in between the layers of the scalp. It is of normal occurance & could cause a bump on the baby's head. Please do not worry. It may take some time to get absorbed but eventually would go away. It should not have any other effect.Hope that helps. |