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Does positive ANA mean that one has SLE?
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Patient: I have been diagnosed with SLE in October 2011. Since then, I am on a regular immunosuppressant medication with prednisone, HCQS, folitrax and folic acid. My ANA test and butterfly rash were considered as symptoms for the diagnosis. I did not have any complaint of joint or body pain. There were no other symptoms. But after having the prednisone, I was feeling more fatigued than usual. I recently read in an article that a positive ANA does not mean that one has SLE, although the butterfly rash was indeed a symptom. I wondering whether there is even a faint chance that I might not actually be suffering from SLE. Also, the year before that is from February 2010 to February 2011, I was taking a year-long course for homeopathic medicine to improve my immunity against my allergy to cold and dust. I had chronic cough too, which got cured with the homeopathic treatment. Please advise me appropriately. Doctor: Most of the time it is SLE. However it might be other autoimmune disorder in few cases. But butterfly rash is the symptom of SLE. There are many symptoms required for diagnisis. Total 4 out of 11 criteria is needed tk diagnosed as SLE. Malar rash, butterfly rash, photosensitivity, hematologicak, neurologicak, renal, autoimmune etc are the criteria. If you have doubt then go for anti ds dna and anti sm antibodies or immunofluorescence test.
| 117,956 |
Have stage 4 lung cancer. MRI shows silent strokes. Have pain in right side, tremors. CT scan shows infarcts. Meaning?
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Patient: I have stage 4 cancers in my lungs,and liver.my dr did ct,and MRI on my brain.i did not have cancer but was told I had 3 silent strokes.i had strange pains on my right side in spots,Ive been having tremors.my MRI said bilateral periventricular hyperintensities ,mucosal thickening within the maxillary sinus.impression.stable intracranial atherosclerotic vascular disease.what does that mean? My ct scan said I had 3 small infarts.i have pain in that right temporal area,and sometimes my blood pressure goes very high out of the blue. Doctor: Hithanks for your question.infarcts mean tissues which are necrotic( dead) because blood supply and oxygen was cut off in that area due to various reasons for example obstruction by embolus, thrombus. Most likely the lung cancer must have spread to your brain as well.Hope I answered your question, will be happy to help you if you have more queries.
| 149,480 |
Is surgery essential for a knee ligament
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Patient: hi...doctor.....my left leg knee s ligaments are broken before 11 yrs....after that incident... sometimes my knee is dislocated..... sometimes it may turn into correct position by automatically... otherwise i correct it....after that incident i treated in traditional ayurveda treatment for a week....for last some yrs i have no problem ..means only 4 or 5 times dislocated and it turned into correctly...my question is when the of 50s or 60s this condition will be worst or same?....now i am 31 yrs.... am from INDIA....Is surgery is essential ? Doctor: Hello, As you are belong to a younger age group, surgery will be a better choice. You can opt for arthroscopic repair. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Shinas Hussain
| 120,715 |
How to improve semen count?
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Patient: hi im 27year old i need uhelp me my weddingday on tuesday soineed my semen anabout my timing i use before hand job some time soap or sometime oil pls i need good solutioni haveno time now im need semen goodbcozmy wife want baby me also so which tabletgood for us Doctor: Hello, No need to worry masturbation won't be an issue in your marriage life. Almost all the men masturbate and get married and have kids. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 194,352 |
Suggest treatment for swelling in legs
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Patient: I had 16 stitches in my leg four days ago. Leg swelling went down now back up. And foot swollen and a bit of redness and I was just walking and blood is trying to come out of stich area. Which is the first time it s done that n four days. Does this indicate a infection? I have no fever no red streak. Doctor: Hello,This does not mean an infection yet.What you have is swelling which has tracked down to the foot by gravity since you are walking around.blood from the wound also means some traction on the wound from walking.Since you have 16 stitches in the leg you should be walking with crutches keeping the foot off the ground. The limb should be elevated while sitting and at night.An elastic bandage will help to decrease swelling.If however the wound edges become red and bloody discharge persists you will need a culture exam and a suitable antibiotic to be prescribed by your doctor
| 138,189 |
Does ecosprin and ceruvin have any effect on heart?
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Patient: hi, my father is 69 yrs old, having CBD AND GALBLADDER STONE....he is to be done ERCP. He is taking ECOSPRIN 150mg AND CERUVIN 50mg. Surgeon has suggested to stop ECOSPRIN AND CERUVIN....but the cardiologist is against it....pls advice what should we do. Doctor: Hello Aspririn and ceruvin are blood thinners and are essential cardiac medicine . If any stent in the heart has been put in the last 6 months , its not wise to stop the blood thinners . In other possibilties you may consider stopping the same after a discussion with your doctor about individual risk benefits . A way forward is yo keep atleast aspirin on board and stoping ceruvin for minimum duration possible . Regards Dr. Mody
| 23,438 |
What could be cause of swollen penis after intercourse?
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Patient: Me and my girlfriend have been together for a long time and never had problems after intercourse, however after going away and having sexual intercourse my penis has become extreamly swollen finding it hard to urinate unable to pull forskin back over penis and blood in urine as well as being quite uncomfortable as i mentioned this has never happened before and me and my partner have been sexually active for years? Doctor: Hello,,Your history suggest me that there is a minor tear in the frenulum of the penis, this can occur in any sexually active person.During the act of coitus there will be minor trauma to the genitals, sometimes the vigorous movement can land up with minor injuries in the skin.The swelling will come down in 2-3 days, put some ice packs over the swelling.You can take serratiopeptidase tab to reduce the swelling and the pain.If the bleeding has not stopped and symptoms are getting worse, you have to consult your surgeon to find out the exact reason for the bleeding.Thank you.
| 203,376 |
Why am i having tiredness, achy joints, bloating and headache?
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Patient: I have been very tired, have had achy joints, bloating, stomach aches, headaches, bruising on fingers. Have had an upper endoscopy, colonoscopy, blood work for lyme and RA, and everything is normal. Could there be something else wrong, or is this just what it feels like to get old...am 57 female. Doctor: In my opinion you should check your kidney(do a urine test to check for proteins) and spleen (ultrasound and CBC to check for increased lymphocytes)Good Luck
| 131,008 |
What causes congestive heart failure?
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Patient: my dad recently was stung by a bee on the ear. He did have some swelling from the ear to below this chin (neck area). 24 hours latter he was in the ER and they were treating him for symptoms of CHF. His ejection fraction was 35%. The ER couldn't believe he had never been diagnosed with CHF because of this (and his doctor has always told him all was good). In 2008 we checked a previous test and it was at 65%. In 2011 in the hospital was the next test which showed 35%. During this time his doctor also had him taking avandia and it took us confronting this doctor before he agreed to change meds (his comments were his heart was fine and the avandia wasn't an issue). With all this info, do you think that the bee sting could have caused symtoms of CHF or the avandia could have change the ejection fraction? He will be seeing a specialist in July so I am trying to get info to review during this visit Doctor: hi as per your query bee sting has nothing to do with congestive haret ailurethere are a numbe of causes of chf, in most of the people it takes many year for the ef to lower from 60% to 35% but there are diseases like cardiomyopathiesavandia (rosiglitatzone) has been banned in the market because it has serious side effects like causing a heart attack and precipitating chf...this rapid detoriation of your father lv functions can be because of rosiglitazoneif there is no findings of any particular cardiac disease in his echo,it can be a chf caused by rosiglitazoneif echo reports of your father showed some regional wall motion abnormality then another possiblity is that your father got a silent heart attack(as a side effect of rosiglitazone) (in diabetic due to neuropathy many times chest pain is not there),so as the heart attack passe un noticed his ejection fraction decreasedby timetill the time you see a specialist tab lasilactone 50 mg once daily tab carca(carvedilol) 3.125mg twice dailytab cardace (ramipril) 2.5 mg once dailytab flavidon mr 35mg(trimetazidine increases the ejection fraction ) should be given
| 23,510 |
Suggest treatment for bridge between teeth
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Patient: My friend had a bridge done near the canine teeth on the right side. The bridge broke and she had gone to a dentist to take an opinion. They had asked her to take a x Ray and the doctor says that she has to redo all the root canals which has already been done. She is confused as to what to do. Is it possible to have a permanent bridge. Plus she has dentures in the front six teeth can they be done permanent. Will it give problems in future. The cost is rs.40,000. Can you advice. Doctor: Hi.Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain as the bridge has broken and if there is no pain associated with the teeth over which the bridge was cemented then redoing of root canal treatment in all the teeth seems a bit questionable and I would like to see the x-ray of the region for guiding you better as then only I can rule out that whether there is need of repeating the root canal treatment or not..You can also take an advise from an Endodontist who can take an x-ray and and advise you what to be done..After the confirmation only that whether the teeth needs root canal treatment done again or not, the bridge can be replaced..For the front 6 teeth which seems to have removable dentures a permanent bridge can be placed only in case if the remaining teeth over which the bridge will be cemented are in sound condition or not as they are having sound bone support or not so that they can bear the forces and this can also be confirmed by a clinical evaluation and an x-ray of the teeth that has to be prepared for cementing the bridge..A properly fabricated bridge which is cemented on sound teeth which has a good bone support will have a long life and will not cause any problems after placement..If you wish to get a proper advise before you proceed with the treatment you can send the concerned x-rays to me directly by going to my profile and writing your question there with concerned x-rays so that I can advise you correctly so that you can get treated properly..Hope this information helps..If you find the answer helpful please give me a Five Star Review and click on found the answer helpful as a token of appreciation..Thanks and regards..Dr.Honey Nandwani Arora..
| 181,587 |
Trying to have our second child. Not conceiving. Dr suggested duphastan. Didn't work. Now on UBIPHENE, CERVIFERT. Use of medicament?
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Patient: hi, i am 27 year old, i have one child he is four years old, now we are planing to second one. last six months we having sex. we visit doctor also. first she had given duphastan. (one daily) and result is negative. and she had given other medicine. UBIPHENE (50 MG) for five days, CERVIFERT FOR TEN DAYS. can u tell me these medicine use. Doctor: Hi,As you have failed to conceive after trying for six months, you need to have the tubal patency tested apart from other things. Ubiphene is Clomiphene, an ovulation inducing drug. Cervifert is a nutritional supplement. If you have documented evidence of failed or decreased ovulation, you may go for ovulation induction, a properly monitored process with timed intercourse or IUI. Please discuss further with your doctor before the treatment. Good luck.
| 5,113 |
Hit on the temple, CT showed fractures in skull, air bubble, scheduled for another ct, have constant headache post injury. Emergency?
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Patient: i got hit in the temple with a baseball last thursday.... I was knocked out cold for about a minute... I was taken in an ambulance to the hospital and received a ct scan .... I apparently have 2 fractures in my skull and an air bubble behind one of the fractures.... I have another ct scan booked for this fri to make sure that the air bubble is gone. My current concern is that my headache has been steady ever since the injury... possibly even getting a little bit wworse right now.... Should I wait until my ct scan or should I be going back into the hospital today.... oh yeah and I am averaging around 12 hrs of sleep a night instead of the 6 1/2 hrs I lived on before this injury.... Doctor: Dear friend , If your previous CT was normal No need to worry post traumatic headaces lats for few days.It will go on its own
| 151,406 |
Is paresthesia or nerve pain curable with Gabapentin like drugs?
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Patient: I had an EMG and nerve test today and the doctor used the word paresthesia. I read the article online here about this and read that long lasting paresthesia can be treated with medication. I am currently taking gabapentin for nerve pain for my leg and foot following lower back surgery 6 months ago. Is this the type of medication the article was referring to? Not convinced the gabapentin is helping with the tingling and electric type shocks I experience in my extremity. Thanks Tony Macejko Doctor: HiThank you for asking HCM.I have gone through your query. Your problem can be most likely due to peripheral nerve lesions. For these gabapentin or pregabalin is helpful. Taking nerve vitamins like b12 along with this also helps. You should have a regular follow up with your neurologist also Physiotherapy like massage is also helpful. The primary cause should be identified and treated also. Blood circulation problems should be ruled out by doing doppler examination also. Hope this may help you. Let me know if anything not clear.Thanks.
| 135,954 |
Acute upper back pain. X-ray normal. Prescribed painkillers, vitamin D tablets. Reason for pain?
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Patient: Around mid-December 12 I started having acute pain in upper left back portion of my neck. The pain would slowly spread to head, shoulders, legs and made me feel very weak. I went by to see an orthopedic Dr. and as per suggestion had an Xray done of neck. Nothing abnormal came through in Xray. I was prescribed pain medicines and vitamin D medicine. Which helped but I disliked taking it 3 times a day, but still took for 3 weeks. Then Dr. asked to get MRI of spine done, which too didn t show any abnormality. Then I was asked to visit a Neurologist , who asked to get CT Scan of brain, which again I have done and yet again no signs of abnormality. I have had reduction in pain since then but it surely comes back in couple of days. I am lost to what can be the reason and who I should consult. Could it be a vitamin deficiency? Do I need MRI of brain? I would really appreciate some help. Thank you. Doctor: Hello. Thanks for writing to us. The pain that you are having can be due to a positional anomaly and a bad posture. Since the MRI report is normal, any serious pathology is not expected. You need to improvise your body posture and indulge in regular exercise for proper relief. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Praveen-Tayal Regards, Dr. Praveen Tayal drtayal72@gmail.com
| 113,297 |
How is neoplastic lesion treated?
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Patient: my father is unconscious he had a operation in march of brain hematoma.. but now last week he had attacked of epilepsy and MRI shows that there is a neoplastic lesion in right posterior parietal region.. so i have to ask that what should have to do now?? is neurosurgery is risky again or there would be another option of treatment ? his age is about 60 years Doctor: Hi,Thanks for writing in.It is important to review his earlier report and then proceed with current diagnosis. A brain hematoma is an area of bleed for which he had a surgery. It is important to know if the epilepsy and neoplastic lesion on MRI are in the same area as the hematoma or at a different location. Neoplasia is a general term used to describe a tumor. Complete review of his MRI is essential and that will tell the exact size of the tumor, location (?right posterior parietal region) and the pressure effect it is causing on the brain.An electroencephalogram can also be done to know what exactly caused his epilepsy. That way we can assess if going for surgery is the best treatment or if other choices can be made. Doing another surgery is not a big risk but it is important to know the probable nature of what is seen in the MRI and if it is related to the earlier surgery he had last year.
| 154,876 |
What causes unresolved itching and peeling of penis skin?
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Patient: I am circumcised, my penis started itching a lot the last two months. I scratched it a lot and it became swollen and red. A couple of days later, it became very dry and the skin was sort of peeling off. So I peeled the skin and in some rare cases I cut myself. But it's cool. I tried anti-fungal cream and it didn't work, also tried baby powder, did not work. 1 month later i go to visit a dermatologist. He said I have an allergy and prescribed Eodine 2% to put morning and night and 1 pill of AERIUS. Took the treatment for a week and did not work. Last week I decided to do the treatment again, also failed. My penis is scratching now with a sticky fluid on it below the head on the left side of the skin (If I'm looking down.) I am sexually active, but during the second treatment I didn't have intercourse. So, What the hell is up? - Thanks. Doctor: Hi, It may be contact allergic dermatitis. Consult the dermatologist again and discuss with him about probable allergens like soap,clothes, spray, Powder,perspiration..etc. After thorough examination and investigations, he may give proper drugs. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist
| 194,802 |
What is the treatment for anxiety,panic,phobias and OCD?
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Patient: I don't thin k you can, but here goes. I've been on Nardil moai for 23 yrs. It has been a miracle medication for me. It was prescribed for anxiety,panic,phobias,ocd. I was 35. It was nothing short of a miracle. Because I went into mania this moron Dr cold turkeyed me off 90mg a day of Nardil, and 10 mg a day of Valium (on it 40 yrs) and gave me 5mg of Zyprexa and lithium. I was fine for about a month. Then I went down hill slowly compounded by being taken off Zyprexa and lithium. Within 7 months I was Catatonic. I was in severe withdrawals from Nardil and Zyprexa. To make matters worse the same Dr. decided to go with ect. After 6 treatments I gave that up and feel it changed me forever. I'm now on a stable 60mg Nardil and 10mg Val. I'm just not the same anymore. I don't know what to do. I left out much information of what I've been through in the past 5 years. I need a real specialist to hear the whole story.He/she has to be top notch. I'm not your everyday case Doctor: HiThanks for using healthcare magicI think, you have bipolar affective disorder and in this case, you need mood stabilizer as well as Nardil. That would give you same psychological balance, which you had before. For mood stabilizer, you have to consult a psychiatrist. In case, you need further help, you can ask.Thanks
| 210,399 |
Blood test shows high SGPT, SGOT, GGT. Earlier had skin allergy. Have increased heartbeat, tiredness
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Patient: Dear Docteur,I am a 28 years old woman married with 1 child o 2 years old.(Just to note that i've been taken for 1 month Cut Appetite pills and stopped them 4 days before the allergy)I had a skin allergy 2weeks ago and i've done a blood test that showed the SGPT and SGOT and GGT vwith very high levels i mean 151 instead of 37max etc... i've done the blood test again in 4 days the decreased like 10-20% but still verrrryyyy high and the GGT this time is higher. It has been 2 days i feel accelerates heartbeats and tired. Any suggestions??? Doctor: The pi;ls you take increases the chances of liver problem. when the level of SGPT AND SGOT rises it means your liver is not well ans indirect and irect bilirubin is likely to be high which cause the problem similar to allergy it will take 4-6 weelk for levels to come down take citerous,vitamin c,boiled diet and liv 52 when level cmes down you will be fine
| 104,405 |
Pain in lower back and spine hurts. What is the cause and what can help?
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Patient: i was sleeping and woke up to sharp pains in my lower back..feels like my spine is whats hurting. I couldnt move or get up for awhile. now i m up but cant stand straight up and theres sharp pains in my lower spine. what could cause this since i was fine the night before. now i cant lay straight down or stand straight up and the stabbing pain is still ther eon my lower spine. Doctor: Hello, Thanks for posting your query. You are suffering from acute low backache, which might occur due to sudden muscular spasm. You have to avoid forward bending, bed rest and taking muscle relaxant. If this persist after 2-3 days then you have to visit orthopaedician for examination of spine. Regards.
| 113,581 |
How is asthma with coughing best treated?
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Patient: Hi, My son who is 2.5 yrs old started complaining of cough, several medicines were taken as per the doctor's prescription but after 2 months again he was complaining for the same. We went to the doctor, asked to get some tests done. Now after the tests, we come to know that he is suffering from Asthma. Can u pls let me know what can be done in this case. We are very much worry for him looking at the age. What is the best treatment for Asthma in this age which could lower down the changes of long-lasting. Doctor: Hi, I had gone through your question and understand your concerns.Inhalation therapy including inhalation steroids is the best recommended treatment for such type of illness , but prophylactic treatment is be to taken regularly to be effective .Regular prophylactic therapy will make his symptoms better , but as of now there is no therapy to make changes in long term.Also you need to check immunization of your son , apart form routine vaccines he needs yearly flu vaccination.Hope this answers your question. If you have additional questions then please do not hesitate in writing to us.Take care.• DISCLAIMER: - All the information provided here is for information purpose only , it is not a substitute for the advice of a physician after physical examination , it is not intended to replace your relationship with your doctor. This information in no way establishes a doctor-patient relationship. Before acting anything based on this information do consult your doctor. I recommend that online users seek the advice of a physician who can perform an in-person physical examination
| 178,432 |
What symptoms should be recognized in a child having seizures?
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Patient: I have an 18 month old niece and yesterday after lunch, she was walking outside and just stopped and zoned out. I've learned about absence seizures in school and am worried that she may have experienced one. I was able to take a video of it and was wondering if you could give me any advice as to what I should do and also if there are any differences in a child zoning out and actually having a seizure. Doctor: zoning out depends upon frequency in clusters to diagnose as absence seizures and for 18 months it's quiet unusual of it as seizures. Best way to alleviate the stress it to send that video to an expert child neurologist and get it sorted out.
| 169,029 |
Suggest remedy for soreness and infection in finger
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Patient: Hi, I smashed my finger between a wall and a couch on Thursday. My nail is completely black and under my cuticle my finger is red and puffy (perhaps filled with pus). I am worried my finger is infected and would like to know whether I should go to the doctor. I am also thinking of attempting to release the pus myself, but don't want to get my finger more infected. What would you advise? Doctor: Thanks for contacting HCMI am sorry to hear that you injured you finger. From your description it sounds like you have a build up of blood under the nail. This build up can cause significant pain and pressure. To help reduce this pressure and pain a doctor can actually poke a small hole in the nail and that relieves the pain. I recommend you seek medical attention so they can perform that small procedure for you. It is a painless and quick procedure and one that is performed in most primary care offices.Hope I answered your question. Please feel free to contact us again for you medical concerns and questions
| 38,015 |
Is it normal to have restriction on movement having a wrist fracture and swelling?
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Patient: Hello, my cast came off a month ago from a wrist fracture. I am attending Physio and even Accupunture to reduce the swelling. Movement is progressing....slowly, but I still am not able to turn my wrist fully. ( from palm movement facing down to up). Is this normal? Will it heal properly and will I be able to regain full movement? If it s just a matter if time I would not be worried. I just hope it s normal? Thanks Doctor: HiIf fracture union is in alignment, then,physiotherapy shall restore movements.Do hot fomentation before exercises..Consult your treating doctor for a check x-ray for frscture union related issues..or post check x-ray to this forum for further opinion to rule out any malunion..Thanks
| 131,753 |
How to avoid night falls?
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Patient: hi I am 26 years old and I have never had sex or masturbated and i dont have a girlfriend either. I usually used to have nocturnal emissions every now and then (at least twice a month). However for the past month I havent had any. This is extremely strange because Ive started dating this girl and we havent had sex but I usually have a lot of foreplay with her and while Im doing that I release precum. Infact im so sensitive that I precum just by talking to her on the phone or seeing her, without even touching her. My question is why am i not having a nocturnal emission even though Ive been getting so much precum because of this girls presence..and why do i release precum so easily by just talking to her looking at her ? please help... Doctor: Hello, This is attached to your internal emotions and sexuality. Sexual intentions can also cause the release of precum. This is the reason you are not having regular night falls more often and it's normal. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr SAMEEN BIN NAEEM, General & Family Physician
| 192,957 |
Has psoriasis. Tried homeopathic. It worsened. On acitretin. Time to heal?
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Patient: my husband has psoriasis since so many years. We tried homoepaethic medicine but psoriasis worsened. Since last twHo years he is taking acrotac 25mg(acitretin capsules) . He took acrotac tablets twice a day for almost a year then doctor reduced the dosage to one tablet I am cluless as to how much time can we continue with this medicine because as soon as he stops acrotac, psoriasis does not remain in control. I want to know that can he continue taking acrotac lifetime Doctor: Hi.there is permanent treatment for psoriasis.yes acitretin is the drug of chioce for psoriasis.no body knows for how many days it is used.but regular cbp.cue.platelet count and lipid profile should be done as the drug has lot of side effects.The dosage of the drug can be reduced if u combine the treatment with narrow band uvb treatment.slowly it should be stopped and narrow band uvb treatment should be continued
| 12,491 |
What causes appearances of rashes with high fever?
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Patient: Hi I have a 7 mnth ols boy, his temperature soared within an hour this morning. Vigorous screaming followed allong with a rash starting at the ear - cheek - kneck, chest and arms but he calmed after some calpol and a cooling bath and the rash abated. After a sleep he ate his lunch and drank plenty. Has been crawling around happily but now the temperature is spiked again, his head feels hot and he is shivering. We gave topped up his calpol but just wondered if there is anything else to consider? Thanks Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Fever with rash should be considered as the some severe infection. We can think of dengue. I suggest you should test for the complete blood count and the dengue antigen NS1 and dengue IgM antibody testing. If the report states that the dengue is positive and platelet count is low than you should immediately admit your child to the hospital.Dengue is likely in your case. I suggest you to take the plenty of water until you diagnosed. Actually dengue have no treatment except the hydro therapy. Water will help the dengue virus to be flushed easily.You can take the paracetamol until you visit the hospital. Because this will bring the temperature down and controls the seizure caused by the fever.Please check the platelet count periodically. If it drops seriously than you should give him platelet concentrate immediately. Please do not give him plenty of foods at one. Instead you can give him small frequent food. This will prevent future hemorrhage in the intestine.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 34,784 |
My mom has metastatic breast cancer which has spread to bones and lungs
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Patient: hi my mom is 56yrs, has metastatic breast cancer which has spread to bones and lungs. her last chemo was done in April 2010 and her follow up pet scan report was clear(April) but a yr later the disease is back with same intensity. what can i expect now? can she b cured ? Doctor: The cancer in the said patient seems to be in a very advanced stage. chemotherapy will not be of significant help. radiotherapy too may not be helpful. The patient now has the option of palliative care.
| 160,143 |
How can chronic depression be treated?
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Patient: Hello Dr My mother passed away last July 6 th. I still have these crying spells( bad ones I almost get panicy when I think that I can t see her anymore it s just overwhelming). They just come out of no where. But usually there is a trigger . When they happen I feel as though I ve lost half of my heart!! My mother was a heart transplant recipient. She lived for 16 years with that gift. Thank you, Laura. YYYY@YYYY Oh btw I m an RN and it was crazy difficult to change hats all those years. Daughter/ Nurse back and forth. Did not realize I had to pay. Unable to. I also failed to mention I lost my job 1 week before she passed. My employer ( 1 of the biggest health care systems in Ohio) had no compassion when I exceeded the point limit for absenteeism.. Mother vs job they wanted me to pick my job over her. PLEASE ANSWER.... Se Doctor: Hello! Welcome to HealthcareMagic! In my opinion, it would be useful to go for a grief counselling and also start on a low dose of antidepressants say for example see Tramline 25 mg and later on 50. Get adequate sleep, rest and good diet. Hope this clarifies your concerns. Thank you for the query. Take care Regards, Dr. Gayathri, Psychiatrist
| 204,767 |
What causes higher pulse rate?
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Patient: hi i have been to the doctors as have not been feeling well, the doc said i had a fast pulse rate so was sent for an ecg and then asked to return today for blood and urine tests. my urine showed that there was protein in it. have got to wait now for results of the tests is there a link between the two? cant stop worring about what it could be. thanks Doctor: Hello...A fast pulse rate can have many causes. To name a few common ones: anxiety , emotional stress, panic attacks , exercise, fever.You mentioned that you were not feeling well. Based on the tests you were advised it seems that the doctor was suspecting an infection. Were you down with fever since that could elevate the heart as i have mentioned.Fever can also cause the appearance of protein in the urine, which would disappear once the fever settles.In my opinion fever seems to be the most probable cause for you having both a fast heart rate and protein in the urine.Please do not get worked up. I think you will be fine.Regards,
| 21,413 |
Why does one have a cloudy urine?
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Patient: Hi doctor, I have been having cloudy urine past 3 days, and my period is due in two weeks? Just curious if this is a really early signs of pregnancy? I don't have a UTI, I drink 7-8 glasses of water daily. We are trying to conceive, with my 2 previous children I have had cloudy urine, and it did turn out to be a pregnancy, is it too early to use the "ept"? Doctor: No cloudy urine has nothing to do with pregnancy. Upt also won't be helpful at present. I think it's subclinical uti. Go for urine complete examination.
| 223,078 |
Is vaccination necessary after being bitten again by same dog?
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Patient: sir , my pet dog bite me on 12th january 2014 so i took the vaccine 0,3, 7 th day after vaccination ie from bite- 0, 4th ,11th day. it was over by january 22-2014. but again my dog bit me on march 2nd-2014. do i need vaccination. if so, how many days and in what intervel. Doctor: Hi & Welcome.If your pet dog's vaccination certificate is not valid then you need to take two booster doses of anti rabies vaccines on day 0 & 3 irrespective of the interval from previous complete vaccination.Don't forget to vaccinate your pet dog against rabies annually and keep its vaccination certificate valid.Hope this solves your problem.
| 31,029 |
How is chronic acne and oily skin treated ?
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Patient: Hello, I am 23yrs old and have skin diseases like Acne and oily face . At present i am using Garnier Face wash and use it 2-3 times a day but it s of no use after i travel or get out of the house it s the same thing again. I consulted a Dr and he asked me to drink 3-4 liters of water in a day i am doing that also but the result is same. The boils Acne on my face is increasing day by day. please help????? Doctor: Hi..dear praveen.., Thanks for choosing HCM.., Acne with Oily face.., 1) wash with FACE BAR....2 times daily.., 2) Zycline 1% cream night times.., 3) morning SUNSCREEN LOTION is mandatory.., 4) Tab..Isotretinoin 20 mg daiy for 2 montrhs..will give good result.., 5) Take plenty of oral fluids, vegetables and fresh fruits.., 6) Don't squeeze and pinch the lesions.., ok thanQ..,
| 7,726 |
Slurred speech. Had HIDA scan. Frenic nerves inflammation, inflammed gallbladder. Suggest?
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Patient: My husband had a HIDA scan that was 17%. He has no pain but now is having attacks where he can t breath and the emergency room doctor said he has inflammation of the the frenic nerve since he kind of has a hiccup/dry heave appearance during the attacks, which are several a day. He has had CT of brain, thorax , sinus and abdomen and a ultrasound of his gallbladder . These test were all negative. He has been tx for Gerd and it has done nothing. He also has had PH test and esophageal pressures done. Could my husband be having nerological symptoms from an inflamed gallbladder? 2 years ago he had deveolped slurred speech and retrun of childhood seizures from his sinuses being infected. Doctor: Hi, Thank you for posting your query. It is unlikely for the inflammed gall bladder to cause neurological symptoms. Phrenic nerve supplies the diaphragmatic muscles and infection/collection under the diaphragm could cause hiccups. But this would show up on the CT thorax and abdomen. So, as of now, his symptoms do not look purely neurological. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad
| 150,726 |
What to do for the scrape and swelling on elbow and nose?
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Patient: i fell tonight while running - deep scrape just above my elbow immediately swelled to a ball like shape. Also fell on my nose which i heard crack - it too is swollen and sore - but not unbearable. How do I treat - should I go to an urgent care? I am travelling on business Doctor: answer: Hello,Thank you for using Healthcaremagic.I read your question and understood your concern.I think ITS traumatic injury so get done x ray for both elbow and nose to diagnose any fracture and take inj tetenus toxoid, dressing for deep scratch by mean while have tab ciplox500mg and tab.zerodol p twice daily for 5 days you may continue training and try to change shoes which does not cause too much irritation Dr. Sandeep patil
| 129,222 |
Recurring bouts of vomiting, diarrhea, stomach bloating, constipation. Food allergy?
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Patient: my friend has had reaccuring bouts of vomiting ,dirrehia and if she eats processed foods such as lunch meat her stomach swells to the size of a 40week pregnant woman. The only thing that she can eat is yogart, romen noodles or cheese. I just found out that she has always had trouble with constipation , even as a child. she has had all GI test run finding nothing. What else can it be? A food alergie? Doctor: this is definately food allergy can be milk wheat potato egg chana rice egg fish mutton you get blood serumtested for specific antibodies against these food items i am sureyou will get answer then go for slit therapy
| 105,229 |
What causes rapid heart beat after smoking cannabis?
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Patient: Well doctor, i didn't want it to come to this. But I'm 22 I've smoked weed for years, lots at a time and could never get too high. Recently my tolerance dropped tremendously. Within a few minutes of only taking ONE hit I start to feel like my heart is well over 120 bpm and I start sweating. I can't talk, I can't lay down, I can't walk. It's like I'm going to die or something. I've done it a few times to see if it wouldn't happen again..but it does. It's far worse than an anxiety attack. I just don't see how I could smoke a lot at a time and be able to do anything (run, play basketball, take tests) all just fine. And now one little hit literally puts my in a concious coma..whats happened to me? Doctor: Hello, I understand just how you are feeling. -You are having palpitations, which most of the time do not pose any danger. They can just be very scary. Smoking, drinking, use of illicit substances worsen palpitations, that is why you are feeling this way. - To help reduce the palpitation, stop smoking, continue exercising and always get enough sleep. Warm regards
| 21,418 |
Does a calculus within the gallbladder lumen require surgical treatment?
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Patient: hi good morning. female. I m 34 yr. old. i just had my abdomen ultrasound. This is the result, gall bladder: well distended with a normal wall thickness. evidence of a calculus of size 6.2mm within the gallbladder lumen. no pericholecystic collection seen. should i be bothered with this result? should i undergo operation on this? thank you Doctor: Hello,You are having Cholelithiasis.The only treatment is operation.You can wait for some time.Get it operated if you get pain in.The stone and gall bladder need to be removed.Stay away from fatty food.
| 52,456 |
What causes rib pain on the left side despite a normal X-ray report?
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Patient: I had a pain on my left side.. just on top of rib cage..went for x Ray, blood test and heart.. they told me nothing wrong.. just use pain killer.. 3 days ago.. but now I can somehow fell when I massage my hand on the place a vain which is swollen starting from my breat going downward to my belly bottom.. I’m he Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would like to tell you that as your cardiac test came out normal then possible cause for your chest pain can be costochondritis which is an inflammation of the cartilage connects rib to breastbone. Pain killers with physical therapy are choice of treatment. It's recommended for you to continue with painkillers as advised and do some stretching or aerobic activity for 20 min daily. I hope this information will answer your query. Kind Regards Dr. Bhanu Partap
| 18,518 |
Jerky movements at night after double bypass surgery. What to do?
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Patient: my husband had a double by pass about 5 years ago. since then he has had jerky and kicking movements all night long. It is in the leg that they took part of the vain out for the surgury. He has a hard time sleeping and so don t I. I really hate this for him and don t know what to do to help. Please give me some idea on how this can be stopped. ty Doctor: Dear I would advice you to take contact with a neurologist because your husband needs to do some brain examinations such as brain CT and EEG. Those symptoms seems to be epileptic seizures and before starting treatment you have to be right diagnosed.With you all the best
| 148,530 |
Suggest remedy for sore calves
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Patient: I get sore calves when walking or when I first get up after sitting or lying down. I had plantar fasciatis (not sure if thats how you spell it) diagnosed a few years back and although it is similar to this pain I don t have the pain in my heels/feet so much now. I have also been having a lot of neck pain and this morning woke up with terrible pain in the lower parts of my arms and hands which subsided quickly in my right arm but is still bothering me a bit although less severe in my left arm and hand. I have coeliac disease. My neck has been bothering me for quite a few months now but is gradually getting worse, could the sore calves be connected to my neck? I also get pain in my buttocks and lower back and have had sciatica in the past. Doctor: Hi, The only relation between your calf pain and cervical pain (neck pain) is possible if both of them are of spinal origin, as you give history of sciatica their are high chances of the two pain related to the spine. You need to get a mri lumbar and cervical spine done to reach out for a diagnosis. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
| 119,604 |
Do combutol 1000 and levoflox 750 cause joint pains?
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Patient: sir i m sufring from gland tuberculasis .i m 35 year old .waight 84 kg.after 4 mounth i have pain in my toe ,and now a days the pain in my finger joint and body joint .i want 2 know is this by medicine or other reaison.i use medicine ,combutol 1000 and levoflax 750 in od doses. Doctor: Hi,Suggestive of side effects of levoflox-750. Based on the history you seem to be suffering from side effects of the antibiotic levoflox. I advise you to stop taking levoflox and consult your doctor for an alternate effective but a safer antibiotic to treat tuberculosis along with combutol-1000.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 84,378 |
What could be the reason for having a lump that is bleeding on my vagina?
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Patient: My adult daughter has found a lump that is bleeding on her vagina. she thought she was on her period due to the blood and today is unable to put a tampon in. it is painful and red- the six of a large gumball. Has an appointment tomorrow. What does a boil, or swollen gland feel/look like? Doctor: HI.Yes they are boils .They look like rounded and red and very tender to touch. You can not move them independent of skin.
| 70,518 |
What is the remedy for the pearly papules on the corona of the glans?
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Patient: Hi; I am 28 years old; 1.84m and 94kg. Hello. Since my puberty (has appeared 12 years) I have pearly papules on the corona of the glans that does not bother me particularly, but one day I'd probably be in bed with another girl and I think it will not enjoy ... So is it possible to get rid of? Thank you answer me if you have time Doctor: Good nday and thank you for being with healthcare magic! The pearly papules are normal and does not need to be removed and it does not cause harm to you or your partner.
| 195,927 |
Suggest treatment for knot and pus on belly button piercing
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Patient: i got my belly button pierced in Jan. i noticed a knot on the side of the piercing. it burst and bleed and i removed some tissue from it. the piercer said that some drainage is expected when i got it done. im sure that it might be infected due to the site of drainage still. the piercing itself doesnt hurt but i would like to remedy the knot that is filled with puss. what should i do? I am 29 years old, 5'2" and weigh 150. no none major surgeries or medical problems Doctor: Welcome to healthcare magicI am Dr Fahim and I will be looking into your problem I have gone through your question and understood your concerns. It appears to be infected piercing site leading to non-healing wound. To treat this you need to get the piercing metal removed as its acting the main culprit. Followed by repeated daily dressing with pyodine, tab Co-amoxiclav or tab levofloxacin along with analgesics and anti-inflammatory drugs. Since these are prescription drugs, you need to see a general surgeon to help you get rid of this problem. I hope my answer will help you. Do rate it, if you like it.Regards
| 64,246 |
Suggest treatment for irritated skin of scrotum
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Patient: hell I recently went to my dermatologist to cure some warts on my scrotum. However my scrotum is now really dry and my skin feels irritated. I think that what the doctor put on the warts irritated my skin. What can I do to reduce the irritation and stop my scrotum from being so dry. There is some burning as well Doctor: Thanks for asking in healthcaremagic forumIn short: Any alcohol bases/strong solution can cause irritation to scrotum as the skin is very sensitive thereExplanation: As I told to you that, any strong solution of chemical can cause irritation of scrotal skin as it is very sensitive. So, if you are cured with your wart with complete healing of wound. Just stopping any dressing chemical can relieve your problem. Or else you can wash it with gentle warm water and apply vaseline/coconut oil over there. Usually sebaceous secretion over there keeps area moist and avoids crusting. Sometimes over washing can cause dryness due to washing away of sebaceous secretion from body especially in winters. You may consult your doctor for examination and further solution to your problem. Good luck
| 201,046 |
What causes narrowing of bile duct inspite of ERCP?
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Patient: have a bile duct stucture a result of gall blader surgery. I have had 10 ERCP done to strech the bile duct, it continues to narrows. what is the min. size it could be. I'm trierd of getting these ERCP's done and i have had some complaction with there procedurs Doctor: Hi and welcome.There are benign and malignant possible causes. Benign stricture is seen in some cases and may be caused by inflammation or stone while malignant are caused by tumors. if there is jaundice then you should do surgical procedure and have stent put in. If not, then it can be observed for longer period. WIsh you good health. Regards
| 53,518 |
Episodes of dizziness, fainting. Diagnosed macroprolactinoma in MRI. What is the effect on fertility?
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Patient: i am 24 years old male I had been diagnosed with macroprolactinoma since 20 months after episodes of dizznis and fainting I did MRI they found that i had macroP. with infraction(prolactin 0000nmol/l) and testerone was 2)..started treatment with 1mico 3/w cabergolin and increas up to 2micro 3/week before 2 months my prolactin was 1150 and testerone about 6 ....and my libedo increase and got morning erection but my concern is that does it effect my fertility if yes can i restore my fertility and back to normal because Im gonna married and I m afraid that can have any child .....please help Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here in my opinion if your are worry about the fertility then it is advisable to get done the semen analysis this is the only important test that gives the perfect result as long as the fertility is concern, and you are asking in other sense regarding the erecting then also no need to worry every thing would be okay, take care and have nice day.
| 202,502 |
What does numbness in the legs indicate?
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Patient: I ve had bad back disc for 35 years... my heart is ok.. . recently my left leg goes numb in a very short time of standing on it. I can t put any weight on it.. and the numbness finally goes away in less than an hour.. there s NO pain associated with it.. just numbness.. feels like dead weight. There s other issues with my heath but they aren t connected to this.. Tim D Ingrum ... Thank You Doctor: HiIf no pain, numbness may be either neurogenic or vascular.A color Doppler of leg will rule out vascular impairment as a cause.An electrophysiological test if nerves of leg can diagnose any conduction defici in nerve.Take methycobslamin 1500 I.u daily,vacuum and vitamin D supplements.A multivitamin with minerals like zinc and magnesium,manganese, vitamin B1,BY shall prove very useful.conshlt neurologist or vascular specialist
| 128,376 |
What causes lower abdominal pain post kidney infection treatment?
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Patient: Hi there was discharge a week ago being very sick throwing up and high fever...as the the hospital said that I had a bad kidney infection...was in for 48hrs and after bein let home they gave me a weeks supply of 2 different antibiotics...now been of them for 3day and feeling the start of the symptoms again ie mild pain wilts going wee...can any tell me wot is happening...well all this has starting since 6/7 weeks ago having my appendix out... Doctor: Hi,I am sorry to know about your problems. If you are again developing pain while passing urine, that could mean a persistent urinary infection. Sometimes, the microorganism causing the infection is not eradicated with a course of antibiotics. You need to have a urine microscopy test to confirm the infection. If the infection is persisting, you need a urine culture and sensitivity test for exactly finding out the offending organism and to know the appropriate medicines which can cure the infection. An ultrasound of kidneys and bladder is required to know any other underlying pathology which could lead to persistence of the infection.I hope I have answered your query. I can help you better if I can know your age, sex and any co-morbid conditions like diabetes.Wish you a speedy recovery,Best regards,Dr. Raguram GanesamoniMS, MRCS, MCH, F. Endouro.
| 48,338 |
Round spots on the calf muscle, itching. Spots spreading to the head. What could it be?
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Patient: Hi, I have just noticed small round spots around my calf muscle on my left leg. I have really itchy legs sometimes and the other day I was in the bath and this one spot became incredibily itchy so i itched it as normal but then noticed today teh spots. Obviously noticing them now its in my head that they hurt more, just wondering what it could be? Doctor: Hi,Thanks for writing in HCM.The condition can be allergic contact dermatitis, lichen planus, nummular eczema ,purpuric dermatitis etc.Diagnosis cannot be made without visual clue.Treatment depends on diagnosis.A visit to dermatologist will confirm the diagnosis.A skin biopsy may be required for diagnosis.Till the time you can take tab.Cetirizine 10 mg twice daily .It willl help in decreasing itching.Hope this helps.RegardsDrSudarshanMD Dermatology
| 15,643 |
Can I fly with cellulitis of lower leg?
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Patient: 2 years ago I had cellulitis, then necrotizing fasciitis in my leg. I had many surgeries to remove dead tissue, it entered the facial layers but not the muscle. I had skin graft surgery. I have been offered a free trip from NZ to Switzerland but I am worried about flying. My leg in the last couple of days had a bit of swelling which I presume is cellulitis. Is it safe to fly? Doctor: You need to be investigated to establish the cause of recurrence of swelling leg. It could be cellulitis.Rule out diabetes or any other metabolic disorder.If cause is established, you may travel along with medicines.However a final opinion can be given only after personal examination.
| 133,051 |
What are the symptoms and treatment for gilbert's syndrome?
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Patient: Can having Gilberts Syndrome with an elevated bilirubin count -- consistently between 2.5 and 3.0 -- interfere with first phase metabolism and increase blood alcohol levels? Can a nissen fundoplication from four years ago, similar to a gastric by-pass, interfere and increase these levels? I was recently stopped and tested over 1.0 BAC and had three beers over two hours and am dumbfounded as to how this was so high. Thank you. Doctor: Hi - Gilberts syndrome is a laboratory finding and causes absolutely no symptoms at all. A nissan fundoplication is a wrap of the stomach that basically is the surgical treatment for acid reflux. Sorry, but none of these operations or conditions interfere with metabolism. The more likely reason is that his testing device is off. I'd ask to see the officer's calibration records. Its likely that his device was not calibrated correctly. An alcohol level over 1.0 BAC would be one of the highest blood alcohol concentrations ever recorded. A 0.08 is over the legal limit, and a 0.50 is often fatal in most people. Are you sure your level wasn't 0.10? That would make more sense and that would correlate with about 3 beers. I hope this is helpful. Feel free to contact me with any further questions.
| 52,811 |
What causes headaches along with weird indent in the middle of head
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Patient: Hi, I have a 9 yr old son who has a weird indent across the middle of his head, it has been there for a long time and just today he is telling me he gets headaches once in awhile there, he is very focused, grades are good, behavior is great, and developmentally he is above average, what are my concerns? Doctor: Hi...I do not think the indentation along the middle of his head is the reason for this headache. The indentation should have been there since birth and need not be worried about. But I consider this headache to be a stress related one or a migraine. Unless he has other associated symptoms like vomiting, loss of consciousness or seizures, uprolling of eye balls or pupillary disturbances you need not worry about headache.Regards - Dr. Sumanth
| 175,728 |
What causes painful lumps on the head along with severe headaches?
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Patient: Lost my voice 4 days ago, lumps appearing on my head and behind my ears, they are very sore to the touch. Severe headaches, inflamed joints (mainly my knees) coughing, earaches, sore throat, not getting any better. Extreme fatique, sleep a lot, wake up in pain. Dizziness. Doctor: Hello,Possibility of a systemic issue with multiple eruptions which can be neurofibroma or others.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Bhagyesh V. Patel
| 61,015 |
What is the remedy for cough?
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Patient: I have had a dry hacking cough since xmas. Im a carpenter and exposed to dust always. Coughing is getting worse and is putting stress and causing pain in my back as coughing is getting more persistant. saw a doctor two weeks ago and giving some anti histamines but has not helped Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should should rule out bronchitis in your case. Chronic exposure of any form offers dust can cause bronchitis (inflammation of airways). And this can cause further cause constant coughing. So consult pulmonologist and get done PFT (Pulmonary Function Test). You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Better to wear mask at work place. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 74,039 |
What causes difficulty in conceiving?
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Patient: Hello,my name Is Tameshia. iv'e been with my husband for 15 years comes this February 14 and we have been trying to conceive for years. I have been to many doctors and they say that i can have children,but i never catch the ovulation days. What should i do? Doctor: Hi , Thanks for the query.I understand your concern.*Before trying you should get your ovulation study done to confirm ovulation. Your husband's semen analysis also needs to be tested for nirmality. * To catch ovulation ... you can calculate date (in case periods are regular). It's 14 days prior to the expected period date. You can also use LHSurge teat to find ovulation day. *Have unprotected sex from the day LHSurge test is +ve .. for 5 days. *test for pregnancy when periods are overdue by 8 days.Thanks.
| 517 |
Suggest treatment for fatty liver and high iron deposit in liver
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Patient: Hello I am 60 year old caucasian male I have high level of feritin -1150. The MRI shows that I have fatty liver and high iron deposits in my liver. All blood results showed that my liver function normally. My hematologist thinks that I have to start plebothomy immediately, but then changed her mind - first she said I need biopsy . What is your opinion? Thanks, JP Doctor: Hi,Thank you for choose Health Care Magic. I read carefully your query and I understand your concern.I see the value of feritin has a – before the value, is this in your exam or you add this here in description? With these results I recommend you to repeat again the feritin lab test to avoid any doubt before you do the other tests that recommend your doctor.The high level of feritin is related with: alcoholic liver disease, frequent transfusion of packed red blood cell, hemochromatosis.You said here that the blood liver test show a normal function of your liver, this mean that your liver have not any damage like fatty liver that it caused by alcohol abuse, if you have any symptoms that makes you think that you have problem with liver you can do again the lab tests liver enzyme and an abdominal echo and consult a gastroenterologist or a hepatologist.Hope I give answer to your problem. Feel free to ask me againTake care,Dr .Marsida JANKO
| 55,821 |
What causes recurring lower abdominal pain?
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Patient: Hi, I always get really bad stomach pains in my lower abdomen. I feel so bloated. If I lay on my stomach some of the gas gets released through flatulence it feels a little better but it could take hours and hours to go away. It's a very uncomfortable pain. It just doesn't feel right. what could it be? Doctor: Hi.Thanks for your query. You have got a history of Pain in lower abdomen, bloating, gas release on laying on sides, takes hours to go away.The probable causes of such a problems area:Aerophagia, meaning inadvertent swallowing of the air.Using too much of carbonated drinksStress and anxietyIrritable Bowel Syndrome.Intestinal infection with gas producing bacteria and disturbance of normal intestinal flora.-Somatic causes like- subacute intestinal obstruction.Cancer of the intestineSome specific diseases like tuberculosis.I would advise you the foolowing:First of all, getr a clinical evaluation and physical examination bya Gastroentrologist or a Surgeon.X-ray of the abdomen in standing positiontests of blood, urine and stool.Ultrasonography of the abdomen. A course of an antibiotic, metronidazole, probiotic and activated charcoal tablets for 5 days and see the response. Ct scan of theabdomenEndoscopy for stomach and colonoscopy.All these things will help the diagnosis and get an obvious diagnosis and mode of treatment.
| 86,771 |
Old filling fell out from top left first bicuspid, sharp pain, pain killers
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Patient: Seven weeks ago an old filling fell out from my top left first bicuspid. The filling was replaced but it fell out again and the dentist decided to readjust/enlarge the cavity so a new filling would stay. This procedure was done under local anaesthetic. Once the effect of the anaesthetic wore off, my tooth was very sensitive. I suffered very unpleasant sharp pain especially when drinking and eating either hot or cold. Back to the dentist to readjust the tooth (with carbon). But this didn t help. I gave it 10 days or so to see if time would heal and went back to the dentist. By that time I was using only my right side to chew . The dentist suspected that the filling was putting pressure on the tooth. They took the material away, investigated inside to check the root canal was alright and replaced the filing using less pressure (I think they also changed the type of material) and in two parts so it would impart less pressure. It did relieve the pain I was having to some extent but I was still experiencing pain regularly. Still chewing using the right side only, I began to develop pain in my jaw and cheek bones and basically, for a while, across all my teeth and my whole mouth. This lasted a week or more. I was taking pain killers (although with no efect) and had to blend my dinner as I couldn t chew properly because of the pain. Back to the dentist. I described all the symptoms mentioned above. The treated tooth was the source of the most pain: it was like biting a very small stone giving a sharp pain. Also I mentioned that food was concentrating between the tooth and its neighbouring second bicuspid and the resulting pressure was also giving sharp pain. (The filling was on the side of the first bicuspid). They investigated again, used carbon again to readjust a little more, a fracture/crack on the tooth was also investigated and the idea eliminated, took new X-rays (can be provided), and the conclusion was: We don t know why you are still in pain . Since then (a week ago) I have been suffering very acute sharp pain when I eat and drink, hot and/or cold from the treated first bicuspid to the Second molar (sometimes to the third molar inside my gum!). The pain is much the same each time and varies from tooth to tooth (all top left), but I am also having similar pain periodically now on my cupid to my second molar on bottom left. Pain, pain, pain, each time a different tooth. I am helping myself with massaging the teeth and gum. I am also taking pain killers but they have been of no help. Really don t know what to do next or who to ask for help. (fem-46yrs) Doctor: Hello there. Im sorry to hear you are experiencing such problems. I will try to help. First and foremost i cannot make any definitive decisions or a definitive diagnosis without considering your full history and undertaking a full examination, but i will use to above information to try and advice you accordingly. Pain around a tooth can either originate from the tooth itself or from the tissues surrounding the tooth. 1 - If the pain originates from the tooth itself it is usually either due to decay which is encroaching onto the pulp (the nerve chamber) or the filling is so deep that it is close to the nerve and some of the constituents of the filling material are stimulating pain as they find their way through the dentinal tubules into the nerve chamber. Another possibility is that a composite resin material was used (white filling) and as it contracts when cured (hardened) it pulls against the walls of the cavity which causes pain. One final posibility is that you may have a fracture through the tooth. I know you say this was ruled out, but in fact it is very difficult to rule out fractres in teeth. They certainly dont show up very well on radiographs (xrays) and they are hard to identificy clinically (in the mouth) unless they are extensive. I would like to see the radiographs if possible. Solutions to the above problems involve removing the existing filling, check the base of the cavity, placing a sedative dressing in the cavity for a week to see how things resolved. This sedative dressing is made of Zinc Oxide Eugenol. If this temporary dressing works, then we can confirm that the pain is tooth-borne and a result of the size of the filling and its proximity to pulp (nerve chamber). If the temporary dressing does not relieve the pain then it is likely that the pain is either due to a fracture or no longer tooth-borne and the pain involves problems with the periodontal ligament (the tissue surround the tooth). 2- If the pain originates from the surrounding tissues it means that your nerve is damaged beyond repair and their is resulting inflammation in the tissue at the end of the root. Typical symptoms of this include, continuous pain, throbbing pain, pain when pushing the tooth down into the socket, mobility of the tooth, swelling in the gum, etc. To treat this, one would have to undergo root canal therapy to remove the nerve tissue in the camber and canals and replace it with a resin material. This will then resolve the inflammation around the root of the tooth. An alternative and more definitive and more successful treatment option is to extract the tooth. For this we would have to be confident that the tooth was indeed non-vital (dead) due to irreparable damage to the nerve. I would like to know the following: 1-What the xray looks like? 2- Does that pain wake you up at night? 3- What sort of pain - stabbing, shooting, dull ache, throb? 4- Is the pain continuous? 5- Does anything make it better? 6- Is it worse at any particular time during the day? Lets hope we can come closer to finding an answer for you. Best wishes.
| 190,733 |
Suggest treatment for child suffering from sore throat/fever with history of pneumonia
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Patient: my child is 5 years old . she had got pnemonia at the age of 2 years ,and recently she was hospitalized for the treatment of acute broncitis, I am afried that will it result in astma. pls guide me up. her weight is 14.0 kg , she is often suffering from sour throat- fever- cold and cough Doctor: hi! pneumonia, bronchitis and asthma are 3 completely different problems. but the child usually has cough in all the 3 situations. important is to differentiate the cause of cough. treatment will be according to that.talk to your doctor about it
| 166,953 |
Will IUI succeed despite low fertility in both partners?
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Patient: Iam 32yr old women,62kgs,5.6 inches height. Currently i n my hubby was advised to go for "IUI" as his sperm quality is "9%"(Morphology). When my DR took my blood test for anti-mullerian hormone(AMH)my result was "Low" (L 0.20),which means i thin i produces less eggs only.is it still ok to go for "IUI". Will it be sucessful. Please advise Doctor: i thik iwill suggest yo go for ivf it will help yo a lot and more success. so dont worry. no matter how much is count it is easily treatable. i wish you are going to mother very soon. tke care hope my suggestion is helpful to you. take care.
| 42,162 |
What are the symptoms and treatment of mitochondrial disorder?
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Patient: I have a 3 year old profoundly disabled child who is highly suspected of having a mitochondrial disorder. I noticed that her right foot was really swollen this morning. She had a bad reaction to mosquito bites a few weeks ago - red, inflammed, with weeping blisters. This is a large raised area and several bumpy areas of irritation but they are all flesh/yellowish color in nature. There is no real redness but her whole foot and heel are swollen. She does not have a fever and seems otherwise unaffected. I am soaking her foot in a cool epsom salt bath. Should I take her to the pediatrician? Doctor: Hi, I can understand the extreme pain you must be going through for your child. However I can sense the positive attitude in you and you seem to be a fighter of sorts. My advice to you would be to take him to an experienced pediatrician and try to establish a genetic diagnosis if possible. the pediatrician will also help you to ameliorate the childs current mosquito bite symptoms and relieve her of pain.please do let me know if you have any more questions for me and my best wishes are always there for your family.
| 114,957 |
What causes burning pain around scrotum?
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Patient: I felt a burning pain around my scrotum area every on and then. Its no sharp pain but it sometimes burns and other times it feels normal. It doesn t affect me playing sports. I had an appointment a few weeks ago to get checked to see if I had a hernia because my groin area was burning for a few days but the doctor ruled out a hernia and said it was only a pulled muscle. I had been masturbating pretty frequently but only did it once this week and I continue to feel the intended n and off burning around my scrotum. Do you know what this means? I would really appreciate the help. Doctor: Hi,Burning pain around the scrotum can be a feature of scrotal dermatitis or frictional dermatitis, please wear loose undergarments and upon diagnosis you can use topical steroid with fusidic acid combination. Hope it helps. If you have any other question please do not hesitate to contact us.Regards. Dr. Atishay Bukharia
| 196,632 |
Suffering from asthma for last 5 years from the age of 13
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Patient: name mukund, age 13 yrs, . suffered from last five yrs. currently, she is having ayurvedic treatment. any other suggestion or treatment u have please write or tell with specific method. Doctor: There are 5 differant types of shwasa i.e asthama.you didn't discribe which type of shwasa is there.Ask your vaidya in detail.
| 106,374 |
Suggest treatment for swollen painful clitoris
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Patient: My 19 month old who is solely in my care has a very swollen and painful clitoris area. She has been doing a form of humping before bed for the last few months but ger pain has just recently come about. She also tested positive for the flu yesterday and an ear infection. Is the swollen clitoris and the flu related? How can I help heal it? She has had many wet diapers, not foul smelling and no discharge. But I cannot change her, wipe her, bathe her or cleanse the area in any way without sheer terror and screams that I have never heRd before. I am truly concerned, please help Doctor: Hi...this seems like a skin and soft tissue infection of the clitoral region.... Its otherwise called cellulitis. I suggest you consult your pediatrician or physician as soon as possible. This might require oral antibiotic therapy.Regards - Dr. Sumanth
| 176,428 |
Suggest treatment for back pain
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Patient: I am otherways healthy with fair clinical reports age 40, 75 kGand 5 ft 9 inc have alow back pain due to L4 l5 ISSUES tried Dyclofenac dosent work its acute last 2 days, pls suggest which is better, Acy+paracetamol or Acy+tramodol its for immediete use, pain is troubling me Doctor: Hello, Thanks for your query.The description suggests that you have lumbar disc disease . The initial management for this problem is conservative by following means : - Bed rest - analgesics and ocassional muscle relaxants - Methylcobalamine preparations which helps to alleviate your "pins & needles" sensations - lumbar back support while sitting for longer periods - intermittent pelvic traction If you dont get any relief within 3 weeks, you need an orthosurgeons consultation to decide upon the need for surgical intervention. Hope this helpsI do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 110,622 |
What causes pain in the lower abdomen and back while treating kidney stones?
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Patient: Earlier this week I had lower back pain. Left flank. No blood in urine. Came on suddenly. Treated for kidney stone. Today, 3 days later, I have same pain on right side/flank. I also feel bloated and just overall uncomfortable in lower abdomen and lower back. Doctor: Dear Patient,I suppose that you are feeling symptoms that may configure a typical colic pain.I would do a CT scan of the abdomen to clearly identify a stone, if it is still present. US may be aspecific and cannot explore the entire ureter tract. If CT scan is negative, consider to explore lumbar spine with XRay or MRI.
| 46,118 |
When to start having krimson 35 after having i pill?
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Patient: HI,I am 24 year old girl. I am currently using Krimson 35 for irregular period problem .After 21st day of my medicine course i had unprotected sex with my bf, After 6 hours of unprotected sex i took I PILL. Please advice me ...shall i wait for my period or shall i start taking Krimson 35 again... Doctor: HiWhile on krimson 35 day 22-28 is safe period. There was no need to use I PILL after unprotected sex.Since you have used I PILL your period may be delayed. So don't depend on your period to start Krimson. Start the next pack after 7 days gap i.e. from day 29.I hope I have answered to your satisfaction.If you have any further queries do contact me through HealthCare magic
| 224,337 |
Can cyst in appendix reoccur?
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Patient: My nephews wife who just delivered a baby two months ago and is 33 years old, just had surgery to remove a tumor that they thought was a cyst on her ovary but actually was a tumor that started on appendix and attached to ovary. They removed her appendis, ovary, and ovarian tube. The lab results just came back and they said that she had precancerous cells. Are chances likely where it started on the appendix that they will come back? Doctor: Hi,Thanks for writing in.Precancerous or cancerous cells in the appendix are rare but they can become aggressive. Recurrence rate is high but since the patient got a surgery done therefore the risk is less as precancerous cells were confirmed.The patient should follow up with the oncologist as and when required. This can be every 2 to 3 months and get follow up ultrasound scan done. If required, CT scan must also be done as per recommendation of the doctor. If she has any pain or discomfort in the right lower abdomen then she should consult her doctor immediately at the earliest.
| 154,691 |
Suggest treatment for painful lump near groin
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Patient: I have a large, solid, and rather painful lump on the upper inside of my left thigh near my groin. Ive seen that it could be an ingrown hair but it is entirely too painful to squeeze. This is the second time it has come back. Its about half the size of my pinky, and where it would normally have gone away like the first time, however it has gotten more painful than the first time Doctor: Hi.Thanks for your query and an elucidate history.This can be a lymph node too. You need to get a clinical diagnosis aided by ultrasonography and FNAC to confirm what it is and then for for an antibiotic and anti-inflammatory medicines course. A proper diagnosis leads to a proper guided treatment.
| 69,688 |
What condition does rashes on the inner thighs indicate? If it is eczema suggest treatment
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Patient: I am a female and am 12 years old and i have eczema(dermatitis). I have had these small red bumps and a rash on my left inner thigh. It really hurts when I walk. I have looked up a lot of info and some say it can be due to eczema. I usually always have rashes. I have had this rash with small red bumps for one week going on two weeks. I am super scared and nobody knows. I have put a warm washcloth with warm water on it for about a half hour and it just goes down a bit then starts again. I am not in any sexual incourse and I am super scared. Please help me. I dont know if it can get worse. Please. Doctor: Hi, Before arriving at an diagnosis of Eczema, it is important to rule out tinea cruris (fungal infection of Groin). Because, the medication prescribed for eczema may worsen Tinea infection. Try to keep the area dry by applying a dusting powder. I recommend you to consult your dermatologist for confirming the diagnosis and for initiating the treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Siva Subramanian
| 13,649 |
What are the possible treatments for viral respiratory infection?
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Patient: I have a viral upper respiratory infection going on right now (as does my wife). Our Primary Care Doc. has ruled out any type of allergy, and has prescribed "Chertussin - a mix of Codeine and an expectorate." I also have a Metronic Consulta PM implanted in May 2012, and this is the first URI I've had to deal with since. Before my URI, my BP numbers were typically 118/75 pulse 86. The past few days, these numbers have been 115/69 pulse 105 to 120. Can the infection increase my pulse as it has, and is it a concern? Primary Doc. suggests keep tabs on my pulse rate, and notify my Electrophysiologist if the number remains high for a week or so. Doctor: The pulse rate can be high if u r having fever alongwith your coughing.Keep yourself well hydrated as it can also be a cause for the high pulse.If high pulse remains persistent then better get a prescription for an antibiotic by your family physician as it can be an indication of ongoing infection.
| 80,868 |
Tested positive for hepatitis B surface antigen. Can I engage in weight lifting exercise and using cosmetics?
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Patient: Hello doctor,please can someone who tested positive to hepatitis B surface antigen still engage in weight lifting exercises at the gym,use hair and skin care products,perfumes and body sprays,please I need to be clarified on this,because I need to do the right things to stay healthy.,once in a while I take Livolin forte capsule,please I need answers to do what is right and stay healthy.thanks Doctor: Hi, Yes you can exercise without any problem. You can use cosmetic products as well.However it is advisable to undergo annual liver function testing to be on the safer side. With regards
| 59,599 |
What is the cause for tooth pain when i eat or drink anything hot?
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Patient: I have a bad tooth and anytime I eat or drink anything hot it causes me a lot of pain but when I drink cold water it relieves it. I've been to the dentist and he says I might need a root canal but can there be any other reason for having such pain? Doctor: HiWelcome to HCMSee when tooth ache is due to sensitivity of hot and relief by cold, it means your pulp is exposed and that can only be treated by RCT. Dont worry, its not an painful procedure. Dentist will remove expose and infected pulp and place gp point and fill it but lateron do go for capping for long life of your natural tooth.Thank you
| 187,606 |
What causes a knot under the eye about a inch side to the nose?
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Patient: just in the last few minutes felt a knot under my eye about a half inch and to the side of my nose about the same distance. I am old enough that I don t have a zit problem and it does not look like a zit. It feels more solid than anything. I have not hit my face or bumped anything today. I m not sure if I should be concerned or not? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some dermoid cyst or some benign tumour. You should go for examination. If needed go for excision biopsy 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.
| 65,459 |
Will hormone tablets be effective in causing pregnancy?
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Patient: hi im premjit from malaysia. i am 31 years old. ( 11 February ) I have a son. Age 1 year 8 months. i am 169 cm and 60 kg. i had a caserean for my first son. i try to conceive but no any sign. i got no problem to conceive my son at all. so i decided went to see a doctor. he given me hormone tablet to get accurate ovulate. i see many of my friends can easily get pregnat without taking any treament. will hormone tablet help me get pregnant fast. My problem is when i had sex with my husband my vagina is not wet at all. this make have a little pain when have sex. after my first son born i dont have sex desire at all till a take herbal tablet then only i have a bit sex desire. why is this happen doctor ? is this effect my pregancy ? Doctor: Hi, hormonal tablets do help needed conceiving fast. But as you are telling that you have a dry vagina after intercourse, it can happen if semen is not released by your husband. Get him evaluated by a andrologist. As far your desire is concerned, try spending some quality time with your husband. Do some yoga and meditation. It helps a lot. Hope I have answered your question. If you have any other query I will be happy to help. Regards Dr khushboo
| 1,743 |
Do i need a recheck up before trying to conceive, is it necessary to take any tablet ?
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Patient: Hi, Do I need a pre check up before trying for a baby? Do I need to take any tablets for the same? Doctor: Hi Welcome to Health care Magic Its not necessary, but nothing wrong in going for check up. To get conceived is natural phenomenon need not take any medication.. its a gift from God.. All the best.. take care..
| 7,352 |
What causes stiffness during the walk while treating polymyalgia rheumatica?
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Patient: I was diagnosed with Polymyalgia Rheumatica in 2011; my symptoms seem to be getting worse, especially with walking and stiffness. Also I have trouble bending my knees or just bending over. I get very shaking for no apparent reason and am very tired all the time. what could this possibly be? I prefer telling the NP in concise terms that she can consult with physician. I am diabetic since 1995, HBP, Doctor: Hi, You need to exercise daily. First of all, you need to make yourself believe that you will be fine. This I am saying because whenever pain lasts for long then psychological component also comes. Start with walking. Gradually, increase distance and reach upto 4 Kms . Then start brisk walking. Add some stretching exercises and you will feel better in 4-5 months. You have to be so much regular as you are regular in eating food. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon.
| 126,387 |
Can Generic be used instead of Zaditor for allergies?
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Patient: my brother who lives in Iran has blepharospam. He asked me to buy Zaditor drops for him but I can't find it here. Could you tell me what is diferencess between Zaditor and Generic drops. Shall I buy Generic instead of Zaditor. He is using Zaditor for Alergies. Many thans Nahid Doctor: hello,thanks for your query, medication is used to prevent and treat itching of the eyes caused by allergies (allergic/seasonal conjunctivitis). Ketotifen is an antihistamine is the component, generic is same as branded in action, it differs only in money., go ahead . hope i have answered your query. all the best. take care.
| 100,258 |
What causes pain in my arms up to my shoulders?
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Patient: I am having the pain in write arms started from shoulder to onwards down side . Even two fingures are also having minor pains & some time does not work. Even in the neck I am also filling pains. I was diognised by the ortho consultant & he told me that my left arms bone is broken he advised some of the medicines but there was no relief. Pl. suggest some valuable guidelines in the light of above. Doctor: Hello, The pain in the shoulders up to arms with pain in the neck can be related to spondylotic changes in the cervical spine. MRI scan is needed to confirm this. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
| 123,116 |
Brownish odder less discharge spotting, had protected sex but condom may broken. Cause?
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Patient: okay so i had intercourse yesterday and it was right before my period started, i knew my period was coming as well. so right after i started bleeding but normally its like a red and its really heavy but this time it is brownish has no odor and its just spotting. i did use protection during intercourse, but i think the condom could have broke. what does this mean? Doctor: Hi,There is nothing to worry about conception just before a period as it is absolutely safe. The spotting could be premenstrual. It does happen sometimes when there is a mild hormonal imbalance owing to stress. Please wait for a couple of days for your period to set in. You can see a specialist if you do not attain a proper period for further appraisal of the situation. Do not worry, there is absolutely no chance of conception with intercourse, even if unprotected, just before a period. Hope this helps.
| 4,773 |
Is it normal to have an opaque and thick semen after ejaculation?
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Patient: When I ejaculate. my semen is opaque, sort of clearish to greenish and fairly thick. Kind of looks like a thin vaseline. Is this normal. Most pics I have seen from other men appear to be white and thinner. I do take various medications, but seems like it was more or less like this before I started taking them. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.This is normal semen in appearance.It's natural characteristics of the semen.. When it is ejaculated it is thick but after sometimes it liquefies because of the enzyme coagulase present in it.Followed by some more times it again becomes jelly like. It is natural process for fertilisation.In the pictures they are showing just for the information purpose and you should not compare it with it.If you are having doubt than you should get your semen microscopically examined. This will give your semen analysis and also clears your mind from the doubt.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 200,078 |
What causes pain in the neck, ribcage and back?
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Patient: Hi I am having new symptoms this week. I have spinal stenosis, herniated disc, T12, L1, L4,L5. I also have a herniated disc in my neck, foot drop right leg. Now my neck has been bothering me all week; which isn’t unusual; my rib cage on the right side is hurting on my back side. This started today. Any idea what’s happening with that. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.I have gone through your query. Doing physiotherapy like TENS, SWD and traction will be beneficial for you. This can be started after a short course of muscle relaxants.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nishad BN
| 106,786 |
Does taking Metformin and thyroid pill affect the ovulation process ?
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Patient: Hello doctor ,My wife has hyperthyroid and PCOS and she is already taking metformin along with the thyroid tablet. We are planning to conceive now. So one of the doctor prescribed All 9 tablet which has to taken two months before she comes to dubai ( I am in dubai).Is ther any relationship between this tablet and ovulation? Why is this tablet prescribed? is ther any other tablet you prescribe which helps her in ovulation? Doctor: HIThank for asking to HCMI really understand your concern, as I always being said that the pregnancy is more natural phenomenon and it happens in that way only no medicine will make it happen, so let it be happen with it own, taking the medicine before pregnancy does not affect the ovulation, but once the conception happens then it need be taken in to account, I hope my answer would help you in taking decision have nice day.
| 4,584 |
What causes auditory hallucinations?
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Patient: I have heard voices since I was a child, now at 50yrs old they just went away and all I get now is ocassionally I hear my name called. When I used to hear them talking I had images as well of them as imaginary people. sometimes I would feel like others could hear them. is it possible I am in remission for good? Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.They are auditory hallucinations. They are heard only bu the patients having an illness and not by the others. Its still not scientifically proved, why there should be hallucinations. However they can be treated with antipsychotics like olanzapine , risperidone or aripiprazole etc. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 210,587 |
Would swelling on left abdomen and stomach cramps be due to orchitis?
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Patient: my testicle is swelling 10 months ago and when i had FNA tb orchitis is the cause and i have taken 8 months tb theraphy the swelling is reduce but i have a stomach cramp, my intestine always disturb and there is a swell on my left abdomen is the stomach and the swelling have any connection with the tb orchtis Doctor: Hello Thank you for trusting HCM Dear you need examination of the swelling to know which plain it is situated(cutaneous,subcutaneous, muscular or intra abdominal etc), consistency (soft or hard) mobility (mobile or non mobile), pulsating or redusable, bulging with cough or not etc. Some times it may need fnac, ultrasound etc then only will come to know the cause for the swelling or what type of swelling. Please consult your surgeon he will examine and treat you accordingly.
| 196,034 |
What causes numbness in left thigh muscles?
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Patient: i do feel unconsciousness in my left thigh muscles. it irritates like burning and happens regularly may some time interval in between. from outside my skin is not defected. please prefer me the specilasation of the doctor to whom i may concern. and please give me its solution. thanks. Doctor: you might need an MRI, go to any orthopedic doctor and also have opinion of neurophysician for any myopathology. if your gait-walk is affected do visit consultant early. nerve compression also have sometimes picture like this. Better if you get MRI done.
| 128,972 |
What is biliary colic?
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Patient: What is Biliary Colic I have had pain in my right side for about two weeks and it has not left and I am nausea all day hurt worst when I eat been on light diet still the samewhat shall I do I have dr. apt 3more weeks away don t no if I can take the pain have pain meds but still the same. please please help. thanks Doctor: hi.biliary colic is the symptom you experience when you have a concern in any part of your hepatopancreatico-biliary tree. when you experience a colicky pain, it is intermittent, waxing and waning in character, epigastric to right upper quadrant in location, sometimes with radiation to the back, shoulder and/or whole abdomen. it usually occurs right after a fatty meal. I suggest that if your appointment is still in a few days time, diet modification would be best. avoid high fat food as it might aggravate your condition, and the elective might be an emergency case instead. it is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. diagnostics, such as ultrasound and liver function tests, and management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye
| 55,359 |
Can non penetrative sex cause pregnancy?
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Patient: Hi, My name is Krystal and i am 13 years old. My boyfriend and i sometimes spend the night with each other and the last time i went over there i gave him a blow job and he "touched" me and im soo worried that i might be pregnant! could that possibly get me pregnant? PLEASE give me your advice! Doctor: Hello Krystal, I thank you for posting your query here and I'm definitely going to help you out.. Welcome to HCM.. Do not worry Krystal, this fear is common and I can say that you are safe! Don't worry.. I being a surgeon, we encounter so many such cases day in and day out. I read your question completely and have understood it well enough.. Please note these following things.. 1. You did not have Penetration. And there was no way he ejaculated into your vagina. In that scenario, there's absolutely no way you can end up in pregnancy. Never. 2. Blow job again will not lead to pregnancy.. So do not worry about it. Just chill out.. 3. Touching again won't cause pregnancy even if it's your vagina. Basically, the penis has to be unprotected, then go into vagina, ejaculate completely inside of the vagina and same time you should have ovulated. And then, there's chance of pregnancy. Your history is no where near to all these events. So do not worry.. 4. The scenario that you have told, I can say with certainty that you can not be pregnant. 100% sure of it.. 5. So suggest you to stop freaking out and be happy.. Hope this helps you Krystal, in case you need any further assistance, please let me know. Take care and God bless you..
| 555 |
Rashes on body after scratching. Had floods in nearby area. What could be this?
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Patient: My wife has been getting a rash on different areas of her body when she scratches it. If she stops scratching it, it goes away but feels itchy and then scratches it and a rash appears again. Been getting it for a few weeks now. I have been putting Lanecane on it to help take itching away for a bit. Just wondering what she can use to help with the rash. She's never gotten it before but wondering it might have been caused by recent floods in the Calgary area and something being released in the air. She has never had this before. Thanks Doctor: Hi,I'm Dr Gorai.Welcome to HCM.In flooded area sometimes scabies out brake occur.It causes 1.night itching 2. Other family members also get affected 3. Itching mainly over webs of Fingers, abdomen, below the Breasts, genitalia Besides that itching might be due to various other causes also.But don’t worry all are usually manageable.Use tab cetzine 10mg once at evening.Use linical lotion twice a day.Please consult a dermatologist.Hope this will help.
| 15,408 |
What is the treatment for right side hip pain?
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Patient: Hi there, I have had severe pain in my right hip since I was pregnant with my twins. It has been 5 years and doctors still do not know what it is. Pain all day, hurts with walking and every day daily activities, walking upstairs it feels like it is almost going to pop out. Severe pain when opening my leg it is almost in the groin area. I have tried everything. Physio, chiro, acupuncture, massage and osteopath. I m usually a very active individual with very high pain tolerance but this is starting to become unbearable. I cannot live in pain everyday for much longer. Any suggestions as to what it could be ? Have had X-rays and ultra sounds coming back fine. Thanks for your help. Doctor: have you had an MRI? hip pain with radiation to the groom area is usually indicative of hip joint pathology. I would need to know more about your medical history. for example are you taking any medications that would predispose you to certain types of pathology? and medical problems that can cause this? usually, however, MRI is a better option to visualize the hip joint for the pain you are talking about.
| 216,144 |
What could cause purplish colour in the head of circumcised penis of a child?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... I was changing my 3 year old son today, he is circumsized, and I noticed the entire head of his penis is very purple. I m very concerned with what it may be from because he never touches or pulls at it like most boys Doctor: looks like balanitiskeep that area cleanUse syrup brufen+paracetomol combinationdont use any creams
| 165,904 |
What causes persistent vomiting in a child?
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Patient: Hi doctor, my son is 3.5 year old and since morng he is doing vomiting whnever he ate somethin.. I.have given him 2 dose of emeset at 4 pm and 9 50 pm. His vomiting get stopped.now he is sleeping bt he is doing loose motions about 5-6 times. plz suggest mesome home.remedy.as I.m unable to take.him.to doctor.right now. Doctor: This is probably food poisoning. If there is no fever this may not be serious. Yiu have given emeset and you vomiting is now controlled. Loose motions if they do not have blood will resolve by time. Just keep him hydrated by giving ORS home fluids coconut water plain water soups. You may use curd,banana,rice,potato etc.Keep a watch on his urine output. you should also give zinc 20 mg per day for 14 days.
| 175,867 |
What are the risks of below-the-knee amputation after three failed knee replacement surgery?
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Patient: had 3 total knee replacements, with infection coming back each time. Finally had rod inserted from my hip to ankle, so i cannot bend leg at all. I am in extreme pain all the time, the next step is to amputate leg from knee down, at least i could walk. I am 62 y/o male who used to be active Doctor: Hello, Firstly, sorry to hear about the 3 knee replacements then now amputation. It's a big pain I can understand that. Coming to the query, well below knee amputation might work if you having gangrene or necrosis of the limb due to uncontrolled sugar levels. Also before you undergo amputation of the below knee I would recommend that you first need to strengthen the other joints of the body leaving the amputation limb. Because post amputation your upper limbs and the other lower limb will be supposed to take the whole body weight and if you are weak in that state it will be difficult to make you back on feet. To overcome the helplessness situation I will recommend getting the strength in the upper limbs and the other lower limb so that the recovery post surgery will happen faster with less pain. In my clinical practice of over 12 years most cases seen by me of amputation I have always advised and worked on the other limbs and joints to make them stronger. In about 90% of cases the post surgery recovery is excellent with 10% who were not taking the exercise as that important as the surgery. I hope you will take the wise decision now to take the exercise before hand to get prepared for the post Surgical recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,046 |
What does small lump under jaw indicate?
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Patient: Noticed today I felt a small lump popping under my jaw on the left side wondering what it is? I recently got over a cold could it be mucus? Or inflamed tissue? It doesn t hurt it s just a nuisance but I m a singer by occupation and I don t want it to ruin my career. Doctor: Hi, dearI have gone through your question.I can understand your concern. You have history of infection. so you may have some reactive hyperplasia of lymphnode. You should take a course of antibiotics. If it doesn't respond to treatment then biopsy diagnosis is advisable. consult your doctor and take treatment accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. Thanks for using health care magic.Wish you a very good health.
| 66,422 |
Are hiccups and swollen abdomen symptom of ovarian cancer?
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Patient: Are hiccups usually a symptom of ovarian cancer, I also have a swollen abdomen(i look 6 months pregnant), period like cramps, back pain shortness of breath back feels bruised around lungs and right shoulder pain, oh and I have a lump right around my left ovary, ultrasound scheduled for 6 days from now but just a lttle curious about the hiccups Doctor: Hi,Thanks for writing in.Hiccups happens due to nerve irritation in the chest region. It is not a confirmatory sign of cancer.The ultrasound scan is most essential in your case. However there is no need to worry as most lumps are benign. When evaluating a probable condition of the ovary, it is important to know your age, menstrual history, any intake of hormone pills and the chief complaints other than abdominal distension and, back pain, shortness of breath, shoulder pain.It will also help to know if there are any ovary cancers running in your family. Doing a ovary tumor marker test like CA 125 will also help but again this is not confirmatory. Please get your ultrasound scan done and send report details for more discussion. Please do not worry.
| 154,654 |
What is the ache in my breast bone when i laugh?
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Patient: For 2 days i have been suffering from a ache from my breast bone and under my right breast only when i laugh. When i breathe and when a cough a little i do not experience this ache. I have been suffering from heartburn for the past few days, could i have strained myself? Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with inflammation of xiphoid process of the sternum and not in relation with heart burn .* Reason for the same may be undue pressure over the area or muscular or ligament sprain or strain while working .Hope to clarify your query .Thanks for using Healthcaremagic.com Wishing fine recovery .Regards .
| 74,539 |
Suggest treatment for painful swollen unretracted foreskin of my penis
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Patient: Hi last night during sex I felt my foreskin tear I didn t think much of it until in the morning I woke up in pain and a lump attached to the end of my penis that big that I can t retract my foreskin it is extremely swollen and painful when touched should I see a doctor or will the swelling go away? Doctor: Hi,I have gone through your query.It is seems that you had tear in your foreskin resulting in accumulation of blood inside tissue. It is a cause to concern and you should visit your local doctor. Medicines will prescribed for pain and prevention of infection. Depending upon the size and nature of lump, your doctor will decide to drain or operate it.You can contact me on my page http://bit.ly/DrGauravWish you a good health.
| 199,750 |
How to treat joint pain?
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Patient: Dear doctor. My mother feel very painfull at the shoulder joints and pelvic joint, sometimes it was also come with mild fever, the lab findings show asto titer positif, her doctor prescribed mtx 3tab once a week, dos the asto titers colerate, and what about mtx treament. Tq very much Doctor: Methotrexate will cause anemia and should be supplemented with folic acid As aslo titre is positive, I suggest you get other investigations like CRP,ESR,Ra factor also
| 129,013 |
I am having left upper quadrant abdominal pain, what could this problem be ?
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Patient: I am 63 year old male, i am having pain for almost two weeks at my left upper quadrant just below the ribs, it is a tolerable but it give me discomfort, when i move to the left i can feel like throbbing pain and sometimes when i lie down, no nausea and vomiting, diarrhea but little and just today fresh blood appears (though minimal) in my stool., no pain during defecation, I am stressful lately. Can you tell if what could this problem be ? Doctor: hay im curious did u find out what that Upper left abdominal puffiness and tingling was cause ive got something like that now and im freaking out bad....
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