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Suggest remedy for pain in heel
Patient: I ve been getting cortezone shots in my right foot since January 16th about every 4 to 5 weeks. 4 weeks ago the Doctor had me wear a blow up temp. cast for 2 weeks but every time the pain keeps coming back. Its in the heel then some times it shots up the back of my leg, the Doctor gave me another shot after the pain persisted and said come back again in 4 weeks. several days after the last shot the pain came back and hasn t gone away. I called the Doctor back and told him and he said to wait and let this last shot work. Am I getting the run around with this Doctor???? I was told these shots only mask the problem and will not fix it. Doctor: Here you need to take treatment for heel and not the pain. Pain is just a symptom and it will not be all right till the time there is a problem with heel. Now for heel you can take x ray and if every thing is fine (no fracture ),then I suggest to visit a physio take advice on soft foot wear as well take ultrasound therapy as a physio treatment and at home also deep your leg in hot water with added salt and keep the feet in floating position under the water so that water can touch all around the feet and can give good result. Also avoid any activity which pains a lot for time being and also do exercise for your feet suggested by physiotherapist. Follow all above steps to have good relief.Take care
217,173
Suggest remedy for constant nausea, fatigue with chest pain
Patient: no appetite and consistent nausea and fatigue for 3 weeks, with episodes of waves of central chest pain, near syncope, and extreme nausea. Not helped by 40mg Somac daily. Seems to be worse when at rest, lying down or lying back on couch - worse in evenings. Prior history of SVT but this does not feel like heard racing when I have the waves of near syncope. Have ulcerative colitis but this has been very well controlled (in remission) for over 1 year. All bloods normal. Doctor: Thanks for your question on HCM.In my opinion you are having GERD (gastroesophageal reflux disease) mostly.But because of your SVT (supra ventricular tachycardia) history, it is better to rule out cardiac cause first.So get done1. ECG2. 2 d echoTo rule out cardiac cause.If both are negative then no need to worry much for cardiac cause.Your symptoms are more suggestive of GERD. It is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause the symptoms like central chest pain and nausea.Along with drugs, you need following life style modifications for symptomatic relief.1. Avoid hot spot and spicy food.2. Avoid stress and tension.3. Avoid large meals, instead take frequent small meals.4. Go for walk after meals.5. Keep 2-3 pillows under head in bed.Don't worry much, you will be alright.
81,094
What cause cramping in my lower abdomen?
Patient: hi dr. i am 26 years old, clean health history, weight:150lbs. last night i all of a sudden started cramping in my lower abdomen. it felt like really bad period cramps, but my period isn't due until next week. it was so bad i almost passed out and was also really nauseous. i eventually did have a bowel movement and it was slightly green. Doctor: Hi.The green stool with an attack of severe pain with a feeling of passing -out all indicate an intestinal infection and would strongly recommend you to be clinical examined by a Doctor and to get the prescription based medicines ASAP.Do not wait till further complications.
91,219
What causes intermittent sharp pain in gall bladder along with bloating and fullness while eating meals?
Patient: My brother and I went to Thailand recently and we ve both developed some issues with bloating and a feeling of fullness when we eat.... particularly when we drink water after a large meal. We are also experiencing intermittent sharp pain in what i suspect in the gallbladder. Developed the symptoms first and it appears I have caught whatever he did about a week afterwards. Any idea what this could be? Thanks. Doctor: Hi and welcome to HCM Thanks for the query. it may be experienced if you change your diet suddenly. there may be irriattion of stomach mucosa which causes gastritis or there is gallbaldder attack. some certain food can trigger gallbaldder stones and gastritis. especially spicy and fatty food. so you should eat easier food,avoid alcohol and carbonated drinks.Wish you good health. Regards
57,763
What causes wheezing in adults?
Patient: i am 22 years old girl from Sri Lanka.today i had wheeze for the first time in my life.my doctor said it is not good to have wheeze for the first time in this age,but he didn't explain me the reasons.Can you please explain me the reason for that?thank you very much Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* Wheezing is the respiratory sound where there is partial obstruction in the airway either in form of infection , inflammation or other issue .* You get so many conditions with this wheezing , the treatment of basic cause revert back to the normal respiration .Hope this will help to clear your doubt .Wishing you fine recovery .Always welcome for any further assistance anytime .Regards .
72,191
Will scalptone tablets be helpful in preventing hair fall?
Patient: I am having more hair loss. I went to siddha hospital, There they have suggested me to use some tablets, different oil, and also sikkai for hair wash. But when I started using the tablets, I felt like I am becoming fat,. So, stopped using it, Similarly sikkai and other oil making my hair more dry. So I am losing more hair. So recently one of my friend suggested to use the Scalptone tablets. Will it be useful to prevent hair loss? And How many months/days I need to consume for reducing hair loss ? Also, will it make side effect? Doctor: Hi, You may be having telogen effluvium most probably. Consult the dermatologist for the perfect diagnosis and proper treatment. I would recommend you to take tab biotin. Apply minoxidil solution on dry scalp. Get investigated for deficiencies of hemoglobin, vitamin B12, D3 and thyroid function. If any defect is found, get perfect treatment. Relax psychologically and keep yourself stressfree. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
9,803
What is the right dosage for TB?
Patient: my father is 70 years old and has TB..the doctor has precribed Akurit 4, 3 tablets per day..his weight was about 50 kgs and has now increased to 53 kg in last 45 days of taking medicine. My confusion is that a couple of other doctors have suggested that the right dosage is 4 tabs. Pl advice. Doctor: hi , Dose of isoniazide is 5mg / kg ie 300mg , rifampicin 10 mg/ kg ie 600mg , pyrazinamide 25 mg/kg ie 1500mg n ethambutol 15 mg/kg ie 1000 mg So in my opinion 4 tab of akurit 4 will be appropriate dose for your father . Hope this ll help THANKS N REGARDS
118,205
What is the remedy for hip pain and spasms when on lupron depot for prostate cancer?
Patient: My husband got his first Lupron depot 22.5 mg shot for prostate cancer on Wednesday 2/19/14. He is to get this shot every 3 months but now is very hesitate to have any further shots. He is constantly hurting in the hip and falling. He also has spasms in his calves. This is something he has not had problems with before. I am very concerned as this is getting worse instead of better. Please advise what we should do and/or take to stop this from happening. Doctor: it means the disease at the hip is active and there is no response to leuprolide. It is better to get hip irradiated to get the relief in pain.Dr. J. Ticku
156,920
What causes patches on lower leg,back pain and swelling of knee?
Patient: Hi Doc. please, on may 5th 2010,I stupidly had an unprotected sex with a young woman. I call it stupi in the sense that when my condom bursted I continued to move. I asked her then, and she claimed she was clean, but I realized I can't trust nobody. I am someone very much aware of the symptoms of HIV, so for three months, I monitored my body. No early signs. But six months later, I saw two patches on my lower legs and robbed them. They became wounds. I was scared and rushed to the urgent clinic for attention. They checked and said nothing. Two nights later, I had chill and sweating on the face. My throat is really dry, though no sore throat, only a little dry cough. I went to my doctor and complained. He gave me augmentine antibiotics. After another week, I noticed rashes on my laps and tiny reddish-like colouration on my chest whenever I finished taking my bath, then scratchings on both my palms and under my feet. I also noticed that I have achings from my waist down my legs. I went to my doctor and complained. I also told him about my flatulent stomach which has lasted almost two years now, and a back pain also lasting up to two yars. He said they weren't anything to panic about. But I told him about the sex six months ago, requesting an HIV test. But instead, I saw something like 'cadiovascular risk, urine, glucose' written on the paper. No HIV. Today is the second day since I visited my doctor. And rightnow, I see that the right part of my knees is slightly swollen from the back, a little painful. I also seem to notice that my tongue doesn't taste same. And the date for the said test is January 13th. What could I do in a situation like this? I really want to have myself texted for HIV to be sure, before it gets late. Doctor: Hello,You need to be screened for all sexually transmitted infections if you have an unprotected sex. All these are non specific symptoms to any disease. n for sexually transmitted infections or not. He is going to be the best judge after proper history and examination. For your own satisfaction yes, you need to be tested.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sameen Bin Naeem, General & Family Physician
192,466
What causes icy feeling on the right side of the chest when exercising?
Patient: I get an icy feeling down the right side of my chest when I do strenuous exercise. It is along a line from two inches below my collar bone down to a spot about 4 inches below that. Then it develops into sharp pain at that spot that gets so intense after a minute or two that it forces me to stop. It feels like I can t breath. It takes a while afterward to settle down. I m 49, and it has done it all my life. It happens if I run. I just had a stress test done yesterday. The results aren t back yet. When they got my heart rate up to their goal of 140 I got the icy feeling, but they didn t go far enough to get to the pain part that I get. Doctor: Hello, Your concern is a nearly normal reaction of the organism due to exercise that is encountered by most of the people. No worries. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jnikolla, Pulmonologist
70,728
Suggest treatment for staph infection
Patient: Hello I have an embarassing question. I seem to have a hard like bump in my anus. Its almost a flesh/purple color. It hurts sometimes when touched or messed with. I asked a nurse and she said it could possiby be a staph infection, but it is not red and its more of a lump than a bump. What could this be and should I be concered or will it go away on its own? Thank you! Doctor: Thanks for posting your query o Health care magic .What I have understand your problem and find that it could be anal fissure or haemorrrhoides .these two are common in person passing hard stool or having constipation . I dont thing it as Staphylococcus infection .If you are thinking about infection you need to collect dischaarge or ake a swab from that lesion ain a sterile container and send it to Microbiology lab for culture and sensitivity testing .You should consult to a general surgeon for local examinaion and take treatment accordingly .thanks .
30,888
What causes heart beats with eructation?
Patient: My 7 year old daughter has just started burping, its quite loud and she is doing it quite often and saying she can feel her heart is beating - is this normal? She is allergic to dust and has just started taking a steroid nasal spray. She is very thin, very tall and eats fairly healthy and has a good appetite Doctor: the next time when this happens ( the heart bearing sensation ) , try to count it for 1 minute a complete physical exam will help to role out some diseases I recommend a blood test to exclude anemia, a thyroid function test to exclude hyperthyroidism and an ECG I hope this helps
167,903
What causes pain after sinus surgery?
Patient: I have recently had laser treatment for small veins on my nose. I had good results. One vein was omitted as it was much larger than the others. I was told that it would be extremely painful to laser it. I was informed that a vascular surgeon could probably correct with a saline injection. Is this expensive? Is it more painful. Are there more possible bad effects from this? The vein looks like it is about 1/16 inch wide w/ spiders. Doctor: Hello, It's a minor surgery. Prices vary and insurance coverage for it is poor unless there is bleeding. If there is bleeding then a poorly cosmetic scarring down of the vein can be done by practically any ER or acute care physician. It is the cosmetic aspect of it that gets to be potentially quite pricey depending on the particular procedure. Hope I have answered your query. Let me know if I can assist you further.
215,892
How can fever along with ear infection in a child be treated?
Patient: At what temperature do you take child to er. Granddaughter went to ped this morning and was diagnosed with ear infection, strep throat and flu type b. Given antibiotic. She has a temp of 101.8. Threw up antibiotic and does not want to eat anything. Has eaten applesauce and is drinking water. Doctor: Hello,As per your clinical history is concerned, please follow like this:1) Do take all medications as per your treating Doctor’s advice.2) Regarding vomiting, you can discuss with your Doctor about [domperidone] before taking any medications.3) Regarding fever, you can discuss [Paracetamol] and if never allow temp to go above 102 and do sponging to reduce it. You can also discuss injectable medication for it.Do follow lifestyle modifications like this:1) Try to prevent common colds and other illnesses. Teach your children to wash their hands frequently and thoroughly and to not share eating and drinking utensils.2) Avoid secondhand smoke. Make sure that no one smokes in your home.3) Do Breastfeed your baby. If possible, breastfeed your baby for at least six months. Breast milk contains antibodies that may offer protection from ear infections. If you bottle-feed, hold your baby in an upright position. Avoid propping a bottle in your baby's mouth while she is lying down. Don't put bottles in the crib with your baby.4) Talk to your doctor about vaccinations like Seasonal flu shots and pneumococcal vaccines.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Uday Nath Sahoo
29,054
Have bleeding after sex. Birth control, multi rod and taking duoluton L. Do I have chance of getting pregnant?
Patient: Hello Doctor we had sex in the 3rd day of my period & 5th day I went under family planning like Multi rod & doctor had given me the tablet Duoluton L.Is their any chance of getting pregnant. I had taken ipill for 3 times & I used to have bleeding for every 15days but it was lite flow & only for 3days.is their a chance of getting pregnant. Doctor: hello,thank you for using health care magic,for being pregnant mating of ovum and sperm is necessary.. during periods there is no chance of ovulation..so by doing intercourse on third day of period there are no chances of getting pregnant..plus you also went under multi rod..do not take i pill like you took it.. that is not right method.. i pill should be taken within 24 hours of unprotected sex end its other dose after 12 hours..in future i will suggest you to avoid intercourse during periods because it increases chances of infection..take care..
225,785
What are the recovery chances after varicocelectomi when diagnosed with oligoastenospermia?
Patient: hello ! i was recently diagnosed with severe oligoastenospermia, my sperm count was 0,4 million/ml , and percentage of progressivly motile spermatozoa 25%. i did a hormonal check which came back normal, my testicular ultrasound result was bilateral varicocela (2,5 mm dext and 3,3 mm sinister ) i am 37 , is this the cause of our fertilility problem , and what chances do i have te get it restored after varicocelectomi is done ? Doctor: Hello, after varicocele treatment there are chances of improvement but still assisted reproduction will bw neededIn case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain
41,105
Does Mtronidazole vaginal gel cause complications in getting pregnant?
Patient: I had sex on my ovulation day and that was bout six days ago. Now i think i had some implantation spotting. I think I have a bacterial inection. I usually know when i get one cuz I get them very easy. I have a prescription for metronidazole vaginal gel. Will the medication interrupt the pregnancy if I am pregnant. Doctor: dear Ms, the metronidazole vaginal gel is safe in pregnancy and it won't interrupt the pregnancy. the spotting could be due to implantation . you should avoid vigorous activity and get a pregnancy test when the date of your upcoming period is due
2,353
Suggest treatment for dizziness and loss of balance
Patient: Hi, im a 20 year old female. A couple od months ago i went to the hospital for feeling dizzy, off balance and especially feelibg foggy headed. The dizziness at firt was very extreme, and it lasted for 24 hours a day for a whole week. Two weeks later, it started again but it wasnt as bad as the first time. They did a.ct scan and a bunch od blood tests, they all came out negative but unfortunately it still continues... i work at a supermarket and the lights and noise seem to trigger it more! I am currently in univeraity and i find it very difficult concentrating! The foggy feeling ia always there, i cannot keep up a full converstion with somebody, i get distracted with my other thoughts, its like daydreaming which never ends. Its.really fruatrating!! Pls help! Doctor: HIWell come to HCMI really appreciate your concern, if the investigations reports are normal then the reason behind the dizziness could be due to vestibular dysfunction, wax impaction in ear also need to be ruled out, viral infection may be the cause, and last but not least it could be functional in origin, it can be managed with "Tab Bitahistine 8 mg" three times in day, hope this information helps, take care and have a nice day.
144,686
Suggest treatment for deviated uvula towards right
Patient: Hi, may I answer your health queries right now ? Please type your query here...I m an SLP and I have a student with a deviated uvula towards the right side. He is also hoarse and I m seeing him for sh, ch and J(judge) sounds. Should I have him investigate further? Doctor: Thanks for your query, I have gone through your query.The deviated uvula can occur as a developmental defect or a complication of oral sub mucous fibrosis. It has nothing to do with speech. So consult a oral physician and get his oral cavity completely examined to rule out tongue tie, where the tongue will be partially or completely fused with the floor of the mouth. In this situation patients will have difficulty in pronouncing sh,ch.j sounds. If it is a tongue tie then it can released with surgery. So you need to consult a oral physician and get it examind completely.I hope my answer will help you, take care.
182,605
Suggest remedies to control eosinophil count
Patient: Hi. Gud afternoon. .this is manoj aged 30 years. I have a problem on my skin . wherever I scrub / apply point load, there rashes will appeare in red colour with itching sensation . I have this problem from past 4 years. Maximum this happens in winter & rainy season only. Recently I consulted ayurveda doctor. .he verified my blood reports and found absolute eosinophil count is higher than normal ( 520 limit 40- 440 cells/ cumm) So.i would like to know that is this Leads to any other diseases. Can u pls suggest me remedies to control eosinophil count Thanks & Regards Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have high eosinophil count. You have absolute eosinophilia. There are many causes for that. Allergy, hypersensitivity, asthma, parasitic infection etc csn cause high eosinophil count. In your case its look like some allergy. Antihistaminic or steroids may help you to releive your symptoms. You should also go for allergy test. Avoid the substance producing allergy to you.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.
116,972
Why I am not getting periods though pregnancy test is negative?
Patient: I got off the pill 6 months ago. My period is 11 days late but I've taken 3 pregnancy tests that were negative. I had minimal spotting a week after my period was due. My periods have always been very regular and I've never spotted before. Should I be concerned something else is wrong? Doctor: Hi , Nothing to be worried about.It may be an incidental cycle where yo did not ovulate. If pregnancy is ruled out, you can meet a gynecologist for hormone pills for withdrawal bleeding. Rule out causes for no ovulation. Have you put on weight ? Have blood test- Thyroid profile , Serum Prolactin, if all normal next cycle will be regularAll the best
2,507
What causes burning sensation in the penis after using Astroglide lube?
Patient: I used astro glide lube in a condom and now my penis wont stop burning and eveytime i touch the bottom were my urethra is located it burns in the tybe of my penis but only on the left side on the inside is were the burning occurs and it only happen when i use condoms not when i sue my flesh light or i just jack off while using astro glide. Doctor: HiWelcome.You may be sensitive to the cream, wash it with cool water and mild soap like dermadew soap.Other option there may be some tissue injury as a result of friction. Hope this helps.Take care
197,615
Is Atenolol better than Nifedipine for high BP?
Patient: I am 62 years old,1.6meters and fairly lightweight. I started receiving treatment for high blood pressure in October 2007 with Nifedipine 20 mg daily for about one year but when I complained of tremor of fingers, the drug was successfully changed to Atenolol. I lived fairly well with this until August 2010 when it was discovered that the blood pressure was not being sufficiently controlled and Atenolol was suddenly stopped.I suddenly stopped taking Atenolol 50 mg daily last year August on a doctor's prescription and this was changed to nifedipine 20 mg twice daily, but from the first dose of nifedipine, I started hearing some noise in my head/ear until now. I was diagnosed with tinnitus and given some treatment but in vain.I was then placed on Atenolol and Amlodipine for about 5 months since September 2010 but this has now been changed to Atenolol and Atacand when I complained of some swollen feet. My last BP reading was 124/62. Please what should I do next to get the noise in the head/ears reversed or stopped? Doctor: hi,Atenolol is not the first choice of drug for high bp. and Amlodipine you are not tolerating due to edema.I would have started tab Cresar H 40/12.5 mg once a day. Also get your lipid profile, sugar tested.consume low salt diet, regular exercises.
22,751
What causes low blood pressure while on 'amlodipine'?
Patient: Hi,I am a woman, 90 years old, weight 139 lbs., heighta little under 5 ft. In April/10, I was diagnosed with high blood pressure for the first time and put on PMS AMLODIPINE 5 mg. once a day. My bp since then has been in the normal range including 10 days ago at my family doctor's office. Yesterday at the at the pharmacy it was 99/56. Also I was feeling light-headed - less so this morning -which is why I went to the pharmacy.My family doctor is now on holiday. Should I investigate further? Doctor: I read your question carefully and I understand your concern.That blood pressure is low indeed. Of course if it persists it should be investigated with evaluation of heart function through EKG and ultrasonography. However before that since you are under a blood pressure lowering pill like Amlodipine, if low values persist then first step would be to interrupt that medication, Amlodipine, and monitor blood pressure. It is likely that simply by interrupting Amlodipin and staying well hydrated no further intervention will actually be needed.I hope to have been of help.
23,656
What causes chest and back pain with belching?
Patient: hi my husband has been havin chest pain now for 5 days we went to a&e yesterday ecg and bloods all came back normal the doc said to go back to his own gp and ask for the camera to be put into his stomach which we done but pain is stiil in middle of chest and top middle of back with lots of belching Doctor: Hi, I can understand your concern for your symptoms. It can be due to gastritis and vitamin deficiency. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
193,002
How to treat a 7 year old who is intellectually disabled?
Patient: My 7 year old has been given intelligence tests to see where her strengths and weaknesses are and determine the best teaching approach to meet her needs. Iam very concerned that her overall low score of 78 is labeling her so early as intellectually disabled. Please advise if you know what I should do or how I should view this number.Thanks,KG Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. I suggest you to take that intelligence test again from another source. If you do not have any doubt about your son's overall intelligence, you should go for another. If you have any doubt about the previous test, get a second opinion. In my opinion, you should get a second opinion.In the case of Learning Disability Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help your son cure his condition.Hope this answers your query. Available for further clarifications.Good luck.
210,438
Rashes all over body, allergic to aspirin. Using herbalife products. Rashes due to these products?
Patient: I have major rash allergies appearing on my body . I have been on herbalife for the last 10 months and am concerned it is from that. I am allergic to aspirin . Is there willowbark in the products? I had rashes from the beginning but they eventually went away. For the last 3 months they been very severe and I am very concerned. I will go off Herbalife for a period to see if that is the problem. I don t want to but I don t feel I have any choice. Nothing else inb my life has changed - so where is the problem? Can you please help. Thank you Doctor: you are suffering for allergies when you are allergic to even one sustance they are increase on exposure to medicines like disprin aspirin paracetamol and many more so get your teststo find out waht are thing you are allergic to and take treatment so body will not react to drugs and routine things for allergy tests you can screen by getting blods serum tests for specific antibodies for diferent prod
104,173
Can I get pregnant while using registron for pcos?
Patient: i m suffring from right ovarian polycystic problem. i want to get pregnent.my doctor priscribed me registron 5 mg along with ovulation tablate.she told me to take registron 5mg twice daily for 20 days for every cycle.my periods r reguler.my question is can i gat pregnent while taking registron 5mg. Doctor: Hi, I think you can get pregnant while using regesterone. But the problem in PCO patients is with ovulation. So, you will need some medicines for growth of your follicles. You can track your ovulation by ultrasound and be in contact with your husband every 2 to 3 days after your periods stop. Take progesterone like duphaston or susten for next 2 weeks. These are better than regesterone when you are trying to get pregnant. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Dr khushboo
1,016
Suggest remedy to keep away from getting MRSA infection
Patient: i helped a man clean his house. i wore gloves and didn't sit on any surfaces, but he had mrsa in the past. he currently doesn't have any sores. i've washed with hibiclens and am washing my clothes with boiling water, is there something else i should do Doctor: Hi.This should more than suffice. MRSA comes to those who have a poor immunity, also there are different grades of MRSA. In healthier individuals, it only causes a mild skin infection which in most cases does not even require treatment. Only in those who have a poor immunity does it manifest into something more serious. So all you need to do is take good care of your hygiene, and maintain your health.Best wishes.
31,341
Will antibiotics helpful for diabetic foot infection?
Patient: I have diabetes 2. I believe to be non insulin dependant. I have an infection in my right foot toe (second toe). The doctor said it was an infection of the bone. It shows on the xray that the very end of bone seems to be gone. Will anti biotics take care of this infection. Doctor: Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.It is likely to be the bacterial infection. taking the antibiotics can help reduce the infection.Please do culture and sensitivity testing from the discharge coming from it. taking the treatment according to the report will cure the infection early.Please do maintain cleanliness it help reduce taking antibiotics. frequent cleaning and dressing will cure the infection early.As it is a bone infection it requires a long time to get cured. Please do continue the antibiotics till the infection is eradicated. I will be happy to answer your further concern you can contact me here or you can contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank
36,564
On sinus max pressure and pain mucinex and azithromycin. History of drinking two beers a night. Will 4-6 beers cause liver damage?
Patient: i been drinking only two beers a night on sinus-max pressure and paint mucinex and todays was the last day on azithromycin, i took one azithromycin this morning before ten and two doses of mucinex the last of mucinex being before 3 pm, todays friday and want to drink more than 2 beer i was thinking 4-6, is that safe or is it gonna cause severe liver damage? Doctor: hi,,welcome to HCM and thanks for the querythe treatment you are on contains acetominophen which can cause liver damage if take in large quantities and should always keep a watch on alcohol intake when taking this drug..as both can damage liver in higher quantities it is always better to avoid alcohol or atleast restrict the amount of alcohol to as minimum as possible for safety..hope this suggestion will help youbye
58,756
Suggest treatment for sharp abdominal pain in a 10 year old girl?
Patient: For the last day my daughter is complaining of a prickly sensation in her abdomen which turned into a dull pain. She says her stomach hurts worse when she tries to poop. No constipation just hurts when she sits on the toilet. She doesn t have a fever and she hasn t started menstruating (only 10). I m thinking she just has a stomach ache which will pass on its own, but want to make sure there s nothing more to be concerned about. Doctor: Hello. Thanks for putting your query in hcm. I appreciate your concern regarding your daughter. Sharp pain can be due to intestinal colic for which she requires an antispasmodic agent like drotavarine. But I will still advise to get an ultrasound abdomen to be more precise. I hope I have answered your query and this will help her. Wish her a good health
86,281
Suggest treatment for chest pain and difficulty in breathing due to smoking
Patient: Hi, This is Ismail aged 30 male. Active Smoker, had sinus problem. From the last couple of months i am suffering from a chest pain on the exact center portion above my chest. I used to have this pain exactly in the early morning the moment I woke up from the bed. Or sometime i cross my arms like squeezing my chest or sometime when I suddently wake up after sitting long time. I have consulted a doctor ( General physician ) he has suggested me to go for a hot water steam as it due to a phlegm which could have deposited on my chest. I did it for couple of days but that didnt cure this problem. Then I have seen a cardiac doctor, he instructed me to go for a Eco test, TMT and blood test in the empty stomach and he said I am perfectly alright.Still I have this issue, I do not face any issues in breathing.. This issue will be there only when I press the centre above portion of my chest or If cross my arm. Please help me... Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because your pain is associated with movements and pressure on that part.So avoid pressing that part. Avoid movements causing pain. Apply warm water pad on affected areas. Take painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside. Quit smoking as soon as possible because this can also cause musculoskeletal pain. Start calcium and vitamin d 3 supplements for faster recovery. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
72,306
AFB culture negetive whereas TB PCR was positive. Is it safe to try for conception ?
Patient: hi, my age is 25, i had hystro-lapro with D&C this month. the result was that the AFB culture showed negetive whereas TB PCR was positive. one fallopian tube was beaded and blocked while the other came out to be normal without adhesions . my doctor has put me on tb medication (AKT 4) for 9 months and told me to wait for 3months before trying for conception and that i have good chances of conception. is it true?. is it safe to try for conception while on tb medication? Doctor: Hi, Thanks for query, As your one tube is open so there are full chance of having pregnancy. As per instruction of your doctor you can try for pregnancy after 3 months and when pregnancy is there they may change some medicine of your AKT-4 schedule. Ok and bye.
45,040
What treatment is suggested for Bronchitis & bad cough?
Patient: Hi, i got Bronchitus 5 weeks ago and still have a nasty cough. my concern is the loss of bladder control. I am a 51 yr old woman who has had 2 children (the last 18yrs ago) and have found the last few weeks very difficult. how can i improve this situation. And when will the cough stop. Doctor: Hi. I can understand your concern. It would be advisable to get chest x ray done if it is normal, no need to worry for lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
77,768
Should Cosclot be taken to stop irregular vaginal bleeding?
Patient: trying to conceive after miscarriage at 5 months in dec '09. waited for 2 cycles , after 3 months of rest to try for the next pregnancy. period late by 50 days so doc put me on siphene. met doc on the 12th day and scan was done, since the follicles were maturing well I was given an injection called fertigyn 5000 and were asked to try from the 12the day to the 17th day. Periods are usually long about 10 days n suddenly on the 14th day of cycle a gush of blood when i woke up in the morning, (like what is experienced during a heavy period) with a bit of clot. Doc asked me to take cosclot 250mg for 3 days to stop the irregular bleeding and to continue trying.I hv PCOS and am on metformin. Im worried if i should take cosclot 250mg? She has also prescribed maintane 500 from the 15th day. What should I do? Doctor: hi there, please do not panic.You can use the above mentioned medicines or hemostatic medicins to control the bleeding,with the prescription help from your treating gynecologist. Also, please get per speculum and per vaginal examination, to rule out any cervical erosion or polyp as a cause for your vaginal bleeding. I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar.
344
Is pregnancy possible after having unsafe sex in periods ?
Patient: hi, am i pregnant? my period start july 14. and i have unprotected sex july 19 and 23,it is safe? july 28 till know i have discharge white milky like a lotion ,but its odorless. thank you Doctor: Hello, welcome to HCM. You stand a chance of getting pregnant as you were sexually active during your fertile period. But you will have to wait till atleast your next period date to ascertain it. In case you miss on the next period do a UPT test to confirm pregnancy and cosult a gynecologist. Wish you good health.
6,505
How to treat heart beat skip?
Patient: why does my heart skip beats or "flubber" when sitting? very rarely does it happen when standing... been to my dr. and she feels it stress (I agree to a point) but its only when I am sitting. I also have been diagnosed with neurocardiogenic syncope like 12 yrs ago. So I do take a beta blocker twice a day.... Doctor: Dear Patient, Thank you very much for your question. According to your description you may be having a condition called Extrasystoles or premature heart beats. Premature heart beats are divided into premature atrial contractions (PACs) or premature ventricular contractions(PVCs). In most cases, PACs are benign and no need of treatment. If you have occasional PVCs and you are very healthy, no need of treatments, however, it is needed to monitor your heart function to rule out how often they occur. The only way to rule out your heart function is taking an ECG test. My recommendation for you to visit your family doctor again and explain all your complaints. Your family doctor will direct you to an ECG test , Holter monitor test( 24 hour ECG record) , Exercise ECG and blood tests to diagnose your condition. In your case, I believe holter monitor test can be very useful to make a diagnosis because it is being highly informative compared to standard ECG testing to rule out heart rhythm disorders due to its 24 hour monitoring. As you mentioned, for your neurocardiogenic syncope the underlying cause may be a heart rhythm disorder, therefore, I advice you to visit your family doctor again and do further testing which may help not only to diagnose your condition properly, but also to treat your condition correctly. If necessary only your physician will then direct you to a consultation of a Cardiologist.I hope that I answered your question.Good luck!Dr. Dinesh Nuwan Weerasinghe. MD
27,592
What causes "tmt positive for inducible ischaemia" mean?
Patient: Hi I am Mrunal from India 27 years old male having chest pain on Thursday i got ECG and it has changes i am not Hypertensive and non Diabetics my Troponin - T test was -ve but i gone through TMT where it was positive and mentioned TMT +VE FOR INDUCIBLE ISCHAEMIA what it measns??I am not alcoholic and vegiterianplease suggest me what is going to wrong with me? Doctor: Hello Mrunal,TMT positive for inducible ischaemia literally means that there are ecg changes in your TMT which could suggest an coronary block of any of the arteries which resulted in the ecg changes . whoch artery and how much the blockage is , I'd not known , however it may be significant. Now considering you age and the absence of any risk factors puts you at low risk for cardiac event , so that there is fair possibility that the test was false positive .Do consult your doctor and discuss the possibilities and further investigation yo rule things out before jumping to conclusions . You may upload the test tracing for second opinion on our forum . Regards Dr. Mody
22,900
What are the symptoms of Hypoglycemia?
Patient: I have been getting really dizzy almost every day and I cant remember anything that anyone is saying or what I just did and when I eat something I stop getting dizzy but I still cant remember what I did. I think I may have Hypoglycemia but im not sure. What do I have? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. It could be a hypotension or even hypertension or cardiac cause or dehydration.2. Get your blood pressure checked and blood sugar evaluated. A complete hemogram will be helpful to evaluate for anemia. ECG to evaluate for AV blocks maybe necessary after above evaluation.3. Also take plenty of water to maintain adequate hydration. It is possibly not hypoglycemia, as it also presents with sympathetic symptoms like tachycardia or excessive sweating. Test reports necessary for further opinion.Hope it helps.Any further queries, happy to help again.
115,586
What causes leg swelling in a child?
Patient: My son is 5 he was at the park yesterday evening. He was wearing sandals this morning nothing but when he back from school his left ankle and leg is swollen he is complaining of pain. Could it be a bite or soft tissue injury. He was itching on it last night. Doctor: It is really hard to comment on this without examining. The itchiness could be due to dryness or due to some insect bite. On the other hand, the swelling could be due to some insect bite or due to some sprain of the ankle. I would strongly insist that you visit a doctor and get the child examined so that appropriate interventions may be taken in time. Hot and cold compress should give the child relief.
177,438
Could bruises on the left inner calf, around the knee after accident with lawnmower indicate blood clot?
Patient: i had a lawnmower acc. mid july...bruise never went all the way away I have no swelling or redness,bruises were on left inner calf and behind same knee and right inner upper knee...I now have a spot below back calf same leg discomfort to touch?should I be concerned about blood clot? Doctor: HiAfter going through your query my suggestion would be go for color doppler study of your blood vessel in lower limbs.This is to look for deep vein thrombosis.Meanwhile continue the ankle and knee excercises.Take care and i shall be glad to answer any further query.
97,325
What could clear, patchy bumps on penis suggest?
Patient: I have clear water-like bumps in patches on my penis but I haven t had sex in 6 months, with my ex girlfriend. So could it just be something non-sexual since it happens now after so many months? We both had been tested before we had sex long ago and both of our results came back negative. Doctor: Thanks for asking in healthcaremagic forum Vesicle(clear bumps) can be due to herpes and other infectious diseases. So, please send me details regarding any itch/ burning sensation/ any discharge over there for further suggestion. These diseases can manifest at any time even after 06 months. So, please visit a doctor for physical examination and possible investigation. All the best.
200,300
What causes loss of appetite, restlessness, itchy rectal area and stinging arms?
Patient: I suspect I may have a pinworm infection, but am not sure as one website stated that my symptoms. Loss of appetite, restlesness, itchy rectal area, and random stinging/burning pains on my arms legs and back.... I am very worried as the website suggests visiting the hospital emergrncy room immediately Doctor: Thank you for using healthcaremagic.com I suspect you to be infected wit worm infection that cause such symptoms to you. Start albendazole 400mg as a single dose if your age is above 12years and repeat it after 6 months a you should concern your physician for proper managment. Hope I might be helpful to you
31,253
Suggest remedy for painful lump on lower back
Patient: To whom it may concern, i have a hard lump on my lower back and to the right of my spine. It is giving me some pain and when i touch the lump it is very painfull, i have been to see my Doctor and he prescribed Brufen 600mg FC Tabs but to no effect. I would be greatfull if you would give me some more information on my complaint. Thanking you in advance.Regards;Gary Burke. Doctor: Hello , thank you for your question . If you were my patient i would suggest physical examination by general surgeon . It is important to know if the lump hurts all the time or from time to time . I suggest you to think of surgical removal of the lump and hystopathology exam .Best regards !
61,479
Suggest remedy for pronation in feet
Patient: I have pronation in both of my feet. I was just recently diagnosed with tendentious in both my knees and I am now in physical therapy for them. They say the problems in my knees are caused by my feet. I was wondering if there was another option to fix my feet that anyone knows of. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have pronation in feet . Well pronation is a normal part of walking or running. When the outside edge of your heel hits the ground, it supinates or locks to deal with the shockwave. Your foot then rolls in a bit and your heel moves outward. It can affaect leg knee or even hip joint . I would suggest you to use Stability shoes, best for mild to moderate overpronators . In case the pronation is severe you can use motion control shoes, best for moderate to severe overpronators . Consult podiatrist for proper examination and treatment.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
135,271
Can consumption of white rice cause cancer?
Patient: Hi, can white rice cause cancer? I really need to know! I eat white rice A LOT! I love it so I kind of have another question... How can I stop myself from eating so much white rice? It's not really healthy for you an it makes you fat so how can I? Thank you! :) Doctor: There is no evidence in the literature that states white rice will cause cancer. There is no need of worry. Eating excessive rice might cause obesity. You should change your diet to include other cereals,fruits and vegetables so that is is balanced diet. You can consult a dietician or refer to internet for a balanced diet. Thank you.
156,150
Suggest medication for a tooth pain
Patient: i had a top back tooth removed and the dentist told me that i had a dry socket and had to go back again.he trie to clean it for me with some anestetic but could feel him cleaning it and it hurt too. the pain increased and had to go back. he put a cover which was very painful and gave me antibiotics and told me that the pain should be better. i am still in the same pain after more than 12hours and nothing seems to work. the pain i am having seems to be the nerve, is it possible that i still have the nerve on and it is causing this pain? as tomorrow i have to go again to change the cover which i think it will be the same nightmare but for nothing? Doctor: Hello,Thanks for consulting HCM, Read your query ,as you have dry socket formation in extraction socket dont be worried so much I will suggest you to take painkiller like ibugesic plus or ketrol dt for pain and do betadine gargle . Visit your dentist clinic for irrigation of socket and Medicated ZOE pack that will be helpful in your pain.Hope this will help you.
183,166
What causes shooting pain in my brachiocephalic region?
Patient: Today I was having trouble breathing so I was forced to take deep breaths. On mymy brachiocephalic had shooting pain. I took 2 asprin and about 30min later I felt a lot better. However, I still have to take deep breaths. I do not have insurance. Any advice on what is going on? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more likely. So avoid stress and tension, be relax and calm. Take sound sleep of 6-8 hours. Try meditation and yoga. If you still don't improve then you have to consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
74,292
Why did I lose interest in studies? Why am I frustrated? Does hypnosis work?
Patient: hi i have a problem when i was in school i was very good in studies i got 80% in 10th std i took science stream and in 11th std i failed i was very careless about studies bunking lecture not even studying in exam days and i gave 12std private exam but i failed in one subject because i didn t study it properly and i m getting frustration now because 3 month later is my exam there are many confusion in my mind i have hear that about hypnosis does it work really Doctor: Hypnosis is loosing its importance these days There are very few hypnosis experts in true sense Hypnosis has nothing to do with increasing interest in study or decreasing frustration. Rather relaxation therapy, planning your study, avoiding substance, if you are enjoying, finding a friend who can be a study partner are some solutions But, for evaluating frustration, more detailed information are needed
213,288
Child with liver function test high, takes movicol for consterpation and soloing. Cause for liver function test high?
Patient: My son had 3 blood test the liver function keeps coming bac high is general well he is small for his age And takes Movicol everyday as suffered with consterpation and soloing himself on and off for years his this liked to liver he his having ulter sound I would like to know possible cause of test closeing bac high he is 7 x Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).You have provided inadequate information foran advise. Which are the liver function test he has undergone and what is report of ultrasound. Please upload reports.Waiting for feedback
58,618
Overweight, depressed, stress, Lack of confidence. Suggestion?
Patient: My son is under 19 years old. His attitude has changed a lot after he spent one year in UBC as an international student with an excellent scholarship. He lived in the university residence alone without me because we stayed in Saudi Arabia. We provided him full support emotionally and financially. When he came back, he was overweight and he was depressed. He also failed in 5 subjects because he couldn't handle all the stress. We accepted these facts and got okay with it but he is still depressed and is now not as confident as he used to be. We need help ASAP. Thank you for your time. Doctor: DearWe understand your concernsNow a days higher study is not as expected. Your son might have depressed due to so many causes such as exam performance, peer pressure, role and identity conflict, unsatisfactory study habits, lack of positive outlook about future or goal etc, etc, etc. Therefore you need to consult a psychologist to ascertain the causes associated with his depression and treat it with psychotherapy.I can help you online if you desire so.Good luck.
211,798
How can intense foot pain causing discomfort while standing?
Patient: I’m a 72 year old woman. When I stand up from sitting I always have an uncomfortable ache in the bottom of both my legs. It stops me dead in my tracks and grab hold of nearest thing to hold on or bend forward to relieve pain. Usually lasts about a minute or so. Thank for your response. Doctor: Hi, Your pain be due to plantar fascitis. In this condition there is inflammation of the calcaneal tuberosity at the bottom of feet. This occurs in elderly age. Pain occurs early while stepping foot on ground and gradually decreases as you continue to walk. Treatment is calf stretching exercises before getting out of bed. Hot wax bath for 10 days helps in reducing pain and inflammation and should be taken from physiotherapy center. Tablet Ultracet P twice a day for 5 days can be taken for pain relief. Do not walk barefoot. Soft heel cushion should be applied to your regular footwear. If this all is not helping local injection of Depomedrol under ultrasound guidance will definitely help. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jayesh Vaza, Orthopaedic Surgeon
126,628
What causes an excessive cough and breathlessness long after treating hypertension?
Patient: Hello, Can you tell me what you think this person has? A 57 y/o male with a cough x 2 months. Has been havinf SOB when walking up stairs. Denies any fever/congestion/chest pain/recent travel outside the U.S. Smokes 1/2 to 1 pack of cigarettes x 30 years. History : HTN and Hyperlipidemia for which he takes medications. Last VS 130/78; rr 18; pulse ox 96% room air; hr 88. What do you think is wrong with him? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is a typical presentation of an ischemic heart disease patient. Do a coronary angiogram and get cardiologist opinion. Hope I have answered your query. Let me know if I can assist you further.
18,347
17 weeks child has GERD, milk protein and soy allergy. On Prevacid 15mg. Vomiting. What could it be?
Patient: My son is 17 weeks old. He has GERD , and a milk protein allergy along with soy allergy. He is on Prevacid 15mg once a day. He power pukes after he eats, has been crying alot like he is in pain. The GI specialist said to give the Prevacid 2 weeks to work. Today, my concern is that when he is throwing up it has a yellow tint to it.... Is this normal? What could it be? Doctor: Hi sir/madam, I am concerned that your son is suffering from GERD and vomiting. Gastric juice, bile juice can give a yellow tint to vomiting. One or two episodes of yellow colored vomiting is not a cause of concern but if yellow to green colored vomitus persists, it may suggest intestinal obstruction and should be evaluated without ignoring. Regarding GERD, as long as your child is gaining weight adequately regurgitation is not a big issue. But if he doesn't gain weight he needs to be evaluated further. So just keep a watch for persistence of yellow vomitus and weight gain. Take care. Dr.C.Balaji
105,612
What causes itching on palms at night?
Patient: Please type your query here. Since this query is directed to our panel of specialists and super-specialists, please mention your problem in as much detail as possible. Do not forget to highlight your Age, Gender, Medical History and Treatment History of the problem you are faci i am getting itching on my palms at nights Doctor: HelloThank You for contacting HCM.Itching can be due to a number of causes. Most common includes allergy followed by dermatological infections like scabies. if i were your treating doctor then i would have advised following measures:- cetirizine one at night for 5 days- wash/change bedding thoroughly.Hopefully you will see improvement in 2-3 days BUT if conditions remains same or aggravates then you need to visit hospital for further workup.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health.
98,732
Can painful chest be a result of hypertension or possible angina?
Patient: Hello i recently started running like 3 months ago, I am now running 3 miles like 3 times a week. I have started getting pain only in my chest not in my arms or jaw that goes away in like 1 hour. I am on 32mg of atacand for hypertension could it be heartburn or possibly angina I am going to see my doctor tomorrow and I am really nervous could the running have caused angina My cholesterol is normal and my blood work is checked every year by my doctor. My blood pressure I check it everyday it is between 110/65 and my resting heart rate since I am running is 75bpm. I am scared to run now. Doctor: hi as most of your parameter are normal its goodbut as chest pain is there while running(exertion) cardiac involvement cannot be ruled outyou have not mentioned your smoking and drinking habiitssmoking if present is a sole risk factor for all cardiac diseases i would suggest you a easy way next time if during running you feel chest pain, take a tablet of sorbitrate sublingually ,if pain relieves in 10 minutes ...it is very likely to be anginaget an echo cardiography done and a tmt dobne as tmt will reflect any loss of blood supply toheart during exercise ,,,as in you case tx
23,489
Suggest a treatment for the torn meniscus in knee
Patient: I think I tore my meniscus (not sure which) in the left knee; firstly about four months ago, it s stayed sore for a short while then got better with a little soreness here and there. Secondly, one month ago my left knee popped out of place during a sport activity and has been randomly feeling of set when in squatting position to standing position then replaced with a little adjustment. Today it is now filling with fluid and hard to walk on. Will thus go away or do I need surgery? Doctor: Dear patient First of all we have to confirm the diagnosis. Are you having symptoms of locking and inability to put weight on left knee? If yes there is possibility of meniscus tear.you have to go for mri of left knee to look for exact site , type and which meniscus is torn. Visit radiology center nearby you and get it done. Tears which requires surgery are 1. Bucket handle tear 2. Complex tear 3. Anterior or posterior horn teat with instability. You need to consult expert arthroscopic surgeon nearby you with report and get yourself examined. All the best.
138,814
How can numbness and pain in the leg be treated?
Patient: Hi. My boyfriend has recently started a new job where he is lifting approx. 90 at a time. He has been an athlete and is in good shape but his old job was not physical. This morning, he woke up and twisted wrong which resulted in lower back pain on the left side. He went to work today and struggled through but it s been getting worse ever since. Now he has numbness and tingling with pain sometimes all though his left leg and says it feels heavy. He s also in severe back pain and it keeps getting worse. Can you help? Do we need to go to the ER? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It seems you have got acute lumbar sprain with radicular pain in left lower limbs. Most likely cause is disc prolapse with resultant nerve root compression in lower lumbar spine. You need to stop lifting weight and take bed rest for initial 3 to 4 days. Diagnosis can be confirmed by MRI of the lumbo sacral spine with screening of whole spine. Please get it done from radiology center nearby you. Meanwhile start Tab. Pregalin with Tab. Ultracet for pain relief. Visit to expert orthopedic surgeon is highly recommended. Regards.
127,252
How to stop masturbation and improve memory power?
Patient: Sir, I am 23 years old. I have been addicted to masturbation for 8 years I almost masturbate thrice a day . Now I want to get rid of this addition my main worry is I m clearly able to realise that my memory power had gone down greatly and recently my hands stare shivering even during normal times . I would like to stop it. I have to improve my memory power because I am studying engineering .please tell me how to improve my memory power and how to stop masturbation Doctor: Dear user,Thank you for writing to HCM.I understand your concern regarding poor memory and masturbation.This is due to anxiety about perceived unrealistic effects of masturbation.Semen is just like other body fluids (blood, urine, tears and saliva). Mere loss of all this fluids does not cause memory problems, how semen loss can do it?Get engaged in other leisure activities like walking, cycling, swimming, reading, drawing, singing, listening music, spending time with friends and family members. I suggest you to go for counseling with psychiatrist. Counseling with short course of anti anxiety medicines will definitely improve your memory.Regards.
196,742
What causes dizziness, chest pain and nausea?
Patient: Hi Doctor, I am a 25 year old mother. My husband and I live a healthy lifestyle. Go to the gym 3-4 times a week. For the past two days I've been feeling extremely weak. Dizziness, feeling cold, gas and today a little nauseous. I have no energy to do anything. All I want to do is rest. I have also had a little Sharp pain on the right side and middle of my chest. What can this be? Doctor: Hi welcome to HCM....Here according to history you can have viral gastritis like condition along with digestive problem...Along with doing Jim drink lots of water and fiber rich food like whole grain, wheat bran , carrot, spinach , apple etc....Fruits more ...Gastric condition can lead reffered chest pain....Take omeprazole for few days...Check your blood sugar level also along with blood pressure monitoring....These two factors can lead dizziness , so these two investigation done ...Sometime viral flu also can lead these symptoms...In which congestive symptoms also present ...like rhinitis , cough etc....Avoid gas forming foods like cabbage, cauliflower and onion..If chest pain increasing chest x ray and ECG done....Also investigate with CBC and CRP...Take healthy and balanced diet and avoid heavy exercise for few days....Consult physician with keeping this in mind.Take care
75,988
Experiencing muscle pain due to flu
Patient: I started having pains in the muscles that you feel when you sneeze. I thought it was the flu but it kept coming back. After a bit of research I discovered it was the nighttime tea I was drinking contained yellow dock. I have been drinking a lot of water to flush my system out. My bladder feels like I have been punched in the gut. Anything else I can do? Doctor: Hello!In my opinion You should see Your primary doctor first to consult about further tactics. The flu isnt simple dissease and complications can occur
129,821
Will I get pregnant while taking contraceptive pills?
Patient: im chris im 23 and my girlfriend is emma 22 we are a white couple.I have recently persuaded my girlfriend to agree to meet a few other men so i can watch her have sex with them. These men are all black men and i have asked emma my girlfriend to let them have sex with her unprotected. When this happens emma will take 3 black mans sperms in her, she is currently on the pill at the moment , will the pill still work if 3 black men cum in her?? Doctor: Welcome to HealthcareMagic,The contraceptive pills will protect her from being pregnant. But at the same time she is not protected against sexually transmitted diseases. So I recommend you to stop such activities as it may cause illness to her. Use a condom next time during sex.Hope that answers your question.
224,386
Suggest treatment for sever cough for 2.5 year old
Patient: My son is 2.5 years old and is suffering from severe cough from past 2 months.we have given him many cough syrups and antibiotics, but nothing has helped. He has also constipation problem. Now finally one doctor has prescribed levolin and seroflo inhalers for 1 and 2 months respectively. I want to know whether these inhalers will cause more of constipation and will the use of it will effect his growth? Doctor: hi..am happy to reply your doubts. you have given less information about the child. if child is coughing more during night time, associated wheeze and cough exacerbated by dust and frequent attack and family history of asthma goes in fever of wheezer (episodic wheezer). in that case inhaled steroids help to control the cough. these drugs does not cause constipation and mild to moderate dose of inhaled steroid does not affect growth (fluticasone 125, 250). other causes of causes should be ruled out.if you are happy with my answer rate me.regards-Dr.Surendra.H.S
178,403
Is the sperm count with 10 million/1ml normal?
Patient: Viscosity – High Reaction – Alkaline Normal Range: 7.2 – 8.0 Morphology - Head - Neck -Ttail Motility – Active - 10% Sluggish - 5% Death - 5% Non-Motile - 80% Count- 10 million / 1ml Other - Pus cells presented. What is the condition? is it normal? Doctor: Hi, the count is slightly low. But more importantly 80% are non motile. And the presence of pus cells all suggest some infection. I suggest you get a semen culture done. That will tell you what organisms are growing and what antibiotics to treat them. Have the antibiotics for two weeks and then get a Semen analysis repeated. You should be alright. Do not worry.Take care,Dr Rishi, New Delhi, India.
199,525
What causes open weeping sores in the genital area?
Patient: I went to a GUM clinic a few weeks ago to have a full sexual health check up. I was showing symptoms of the Herpes virus around my genital area. It started off as one small open sore, and it has since spread to my whole genital area, and slightly down my thigh too. I have had these symptoms for nearly a month now, and they don't appear to be healing; they have remained as open weeping sores all over. I was prescribed anti-viral medication on the day of my tests. However, I got the results back yesterday, and they said that the Herpes virus was negative, and that Chlamydia was positive. The symptoms I am experiencing are causing me incredible pain and discomfort. If it isn't Herpes, then what could it be? Doctor: Hi, It may be lymphogranuloma venereum caused by Chlamydia trachomatis. It is a sexually transmitted disease. It is good that after investigations,you could know that culprit is chlamydia. It is a treatable disease. So there is no need to worry. Cap Doxycycline twice a day for 21 days is the perfect treatment for this disease. Symptomatic treatment for pain with analgesic may be recommended. Now onward, avoid unprotected sex. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilyas Patel, Dermatologist
194,750
What does this scan report of spine indicate?
Patient: I have mild diffuse disc bulge @ L1-L2, moderate disc space narrowing @ L3-L4, broad based central & biforaminal disc protrusion @ L2-L3, broad based disc bulge into the foramina @ L3-L4, extensive broad based disc bulge with hypertrophic face arthropathy & ligamentum buckling @ L4-L5, and moderate facet arthropathy @ L5-S1. Could this cause cramping of the tibialis anterior? Thank you very much. Doctor: Hello,The tibialis anterior is supplied by the peroneal nerve arising from L4 and L5 levels. The report states that there are multilevel degenerative changes in your lumbosacral spine with subsequent nerves involvement, so, pinched nerve may cause cramps. Other possible causes should be considered also and these include blood circulation problems, dehydration, low electrolytes, etc.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Erion Spaho, Neurologist, Surgical
139,886
Is rigorous cycling safe during fascicular block?
Patient: My son aged 30 years old has had an ECG recently due to chest pain. His results indicated that he has first degree heart block and posterior fascicular block cannot be ruled out. His resting pulse is approx 36 occasionally rising to 42 bpm and drops even further at rest. He insists on maintaining his rigorous cycling regime and I am worried.Should I be?? June Doctor: Hi,If he is professional cyclist, then it is possible that he has athlets heart, and all above mentioned symptoms may be found in proffesional athletes. If he has no complaints, don't worry. He can continue his exercises, but do a follow up visits to his cardiologist from time to time.Take careCome back if you have any further questions
24,030
What is the treatment for low back pain ?
Patient: I have had lower back pain which may have been caused by heavy lifting for over 2 months now. It is getting more and more severe. It hurts to sit and to bend over. I also think it has caused constipation. I was prescribed Naproxen for the pain and cycloprine as a muscle relaxant. They only moderately help the pain and I wasn't satisfied with the doctors check-up. It seems to be getting worse still. It is making it very difficult for me to work let alone get in and out of the car. I am 20 years old, 6ft, 180lbs and I am very active and healthy otherwise. Any ideas would be greatly appreciated so that I could take some knowledge with me to the doctor next time. Doctor: In all probability we would suspect you to be having Spinal problem. It could be Muscular spasm or pull of muscles around the spine, Disc Prolapse, Discitis, Spondylosis. To confirm the same the doctors run few tests like X-ray or MRI of your spine. Most of the back pains fully recover with complete bed rest and later with appropriate physical therapy. Most of the patients doesn?t recognize the importance of Complete Bed rest ( ambulation only for nature calls) so we want to inform you that you may have to be prepared to take off from work for some days completely as recommended by your doctor. Any back pain not responding to usual treatment and rest needs to be intervened promptly. Moreover not able to sit in the car, Constipation are not good signs to wait. We would suggest you to consult an Orthopedician immediately for further evaluation and management.
114,171
Suggest treatment for chest congestion and cold
Patient: Hi , I am 33 yrs/ Male . I have chest congestion due to cold , I was having viral fever for the last few days. due to this chest congestion I am finding breathing a bit uneasy , I feel that there is lot of flem formation in my chest however when I cough I really struggle to release the flem out from my mouth. I have got a chest extra done its normal. Please advise Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. Bronchitis (inflammation of airways) is common after viral upper respiratory tract infection (URTI) like cold. And bronchitis can cause cough, congestion, phlegm and breathing difficulty, similar to all your symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis but it will also tell you about severity of the disease. And treatment is based on severity only. You will need inhaled bronchodilator and inhaled corticosteroids. Mucolytic and expectorant drugs are also helpful. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
76,282
What is the cause of palpitations and chest tightness in winter that aggravates with stress and anxiety ?
Patient: I am getting heart palpitations in the winter. This is the third or fourth winter that it happens. I am feeling like my heart is bearing very hard and eventually this causes a feeling of tenseness or tightness on the left side of my chest which then starts to radiate even into my arm and the left side of my back. This usually goes away in the spring and I feel fine the rest of the year. I had my heart checked ( EKG , stress test) and nothing unusual was found (although this checkup was done in the fall when I was not feeling the palpitations). The palpitations seem to get worse when I am feeling stress or anxiety . I am a 35 year old male, nonsmoker, normal weight, try to exercise on a regular basis. I am going to get this checked out by a doctor but just wanted to get an opinion on what this could be. Thanks. Like I said, I find it strange that this only happens in the winter. Doctor: Hi Artlinnik, Forum. From symptoms u experiencing with normal EKG and Stress Test indicates most probably you having Panic Attacks. This is kind of anxiety disorder usually occurs in episodes --characterised by Palpitation,Chest tightness,breathlessness,tingling numbness in limbs,coldness of extremity,dryness of mouth and impending doom. These panic attacks usually occurs without any precipitant but can be aggrevated by stress and anxiety,extreme change of weather. Underlying reason for this is change in chemical in the brain. So If after thorough checkup, physician doesnt find any cardiac problem pls consult to Nearest psychiatrist -He will definately help you to get releif from this problem
213,627
Suggest remedy for dog bite
Patient: Hi i m sry if i put this in the wrong category i couldnt find the right one...I got a puppy about 2 months ago it hasnt been out around wild animals so never got bitten or anything, well its too young for the rabies shot so it has not been vaccinated yet. The other day it bit me and i was worried you could have given it to me, is there anyway my puppy could have gotten rabies before i got it which was about 8 weeks ago, its now 20 weeks old. Doctor: Hi thanks for asking question.You have bitten by dog.Bitten area should be washed with soap and water.It is better to take antirabies vaccine in your case.When dog bite occur that area should be thoroughly cleaned with water.If wound is severe then stitches taken.Prophylactic antibiotic can be taken.For pain relief take over the counter analgesic.I hope I have solved your query.Thanks
31,530
What causes lower back pain?
Patient: i have been suffering from lower back pain for 3weeks now. the doctors have first thought it was kidney stones as there was blood in my urine but the scans didn t show anything. they then diagnosed me with a muscle spasm but the pain doesn t seem to be decreasing. Doctor: Hello, I have studied your case. I will advise you to do MRI spineDue to compression of this nerve root there can be back pain associated with it.For these symptoms analgesic and neurotropic medication can be started.Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help.Physiotherapy like ultrasound and interferential therapy will give quick relief.Core stabilizing spine exercises will help.I will advise to check your vit B12 and vit D3 level.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
108,932
42 years old man is suffering from Cerebral Palsy, please help
Patient: I would like to discuss the case of my Uncle (Father's brother) who is suffering from Cerebral Palsy. He is 42 years old I would like to discuss the case of my Uncle (Father’s brother) who is suffering from Cerebral Palsy. He is 42 years old & he finds it difficulty in standing by himself. The situation worsens with every single day. Sir, Is it possible to have some treatment in Bangalore. I wish he could be a bit better from what he is now. It would be a great help for him & our family. Sir, please give your valuable suggestions in this regards. I stay in Bangalore (in Indira Nagar Area) & I could bring him for treatment. Now he is a Govt School Teacher & working in Orissa (in our native place). Looking forward for your kind inputs in this regards Age-42 years, Gender-Male. Doctor: Dr Naveen is right. he needs to be evaluated for inability to stand. its mostly due to a hamstring spasticity. in that case he might need a surgical intervention followed by a good physio.
152,251
What causes chest/abdominal pain and fever while having blood disorder?
Patient: I have a question for my chem class I just can't figure out...A thirteen-year-old girl, who is underdeveloped and thin, has a blood disorder. She frequently experiences chest and abdominal pain, fever, and coughing, and has trouble breathing. Her teachers often spend additional time with her, explaining concepts that the rest of the class is familiar with, as she tires very easily and is able to concentrate only for short spans of time. Doctor: Hi welcome to HCMThe girl is most likely suffering from Sickle cell crisis.This is a disorder in which low oxygenationation levels lead to change in red blood cells to sickle shape and auto destruction.HB Electrphoresis is the investigation of choice.Hydroxy urea is the treatment of choice.In refractory cases Bone marrow transplantation is helpful.Thankyou
88,915
What causes hair loss and tingling sensation in legs and hands?
Patient: For at least 3 years (after the birth of my 2nd child) i have been constantly tired, hair loss and bad pins & needles in my legs, hands & arms. Also my leg gives way & im starting the walk on the outside of my foot. Ive had bloods done and my vit D & calcium are constantly low even after taking supplements and also my iron is low. What do you think this could be? Doctor: Clearly, nutritional deficiencies seem to be a cause for ur tinglingAlso, get a blood sugar levels doneHair loss is seen after child birth or any major event but it is temporary, the condition is known as telogen effluvium.You need to consult a physician for rectification of the deficiencies.For Hair loss, you can start tab Follihair 1 odalso, use X-gain shampoo for washing hair.Take care.
11,039
I suffer from depression. I have suicidal tendency. I have been cutting off and on
Patient: sometimes I wish I was dead I suffer from depression I am in therapy and on antidepressants At times i find myself cutting myself. I have been cutting off and on since i was 15 and im 40 now,and still I feel life is not worth living but i cant seem to end my life as much as I want to, so i continue to take it out on myself by cutting so that I can escape my feelings or else to feel something hoping that someday I will be able to do it right Doctor: HI DEAR surely you are having chronic depression.we need combination of medicine and psychotherapy.In medicine we have medicine combinations for resistant depression.i dont know what combinations you have tried.however addition of methyle foleate 7.5 can be very beneficial.you can add up to 15 mg.
213,831
Hand shaking, family background of diabetes, dizziness. Why is it happening?
Patient: I have recently realized that my hand is hsaking all time. Thouse its not noticable but i can feel it. But it is very much apparent when i lift my hand or wrost or even hold somthing tight. I have a family background of diabetics but i checked my diabetic 3 moth before which shows nothing. Well before few days i had a argument with some one, and during the argument i stated to tremble very very badly and for a time being i wasnt able to speak. I was trying to speak loudly but wasnt able to say , somthing was blocking my words and felt little bit dizzy. I have noticed my shakeyess after that. Now i want to know why its happening. Doctor: may be its anxiety, anxiety can lead to such tremors and shaking or in other words nervousness, your family background of DM has nothing to do with your hand shaking . its purely due to nervousness, every one feel nervous at some time in there lives. however some people overcome it easily some exhibits symptoms like you. i can also advice you to be stress less, not to be intimidated easily, talk to a friend , don't keep stiff inside yourself, read good books. i wish you all the best , thanks for writing to us.
147,380
What causes lump on throat and ear pain?
Patient: Hello. I m 23 years old and smoke for 2 and half years about 10 cigars a day. Now im trying to quit. I feel a lump of the right side of my throat , doesn t hurt me but its unconfortable sometimes. Don t know if it is because im alot of times thinking about it or not. I do have ear pain, but i only feel it after smoking. And my neck becomes stiff and rigide. Please help Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of lump on throat and ear pain which is mainly after smoking is because of chronic pharyngitis. Due to long standing history of smoking your throat got infected leading to tonsillitis and pharyngitis. I would suggest you not to worry about it as it is not a very alarming situation. Visit ENT specialist once and get it examined if you feel any pain or discomfort. Till then gargle with hot water and salt mixed in that. Take antibiotic such as Azithromycin along with decongestants. Ear pain is due to pressure build up in that area. It will relieve soon once infection subsides. Take diet rich in multivitamins.Hope your concern has been resolved.Get Well soon.Best Wishes,Dr. Harry Maheshwari
62,481
What causes vomiting in a child after taking Flagyl syrup?
Patient: hi good day I just got the stool result of my daughter and she has amoeba bacteria on her stool..she has been vomiting since this morning every time she drinks milk..she did not eat any solid food..I have given her flagyl syrup//is it normal for her to be vomiting?thank you am really worried Doctor: Hello, Flagyl can cause stomach upset, nausea, headache and a metallic taste. Having an amoeba also does not usually cause vomiting. But for children, and I don't know what age you daughter is, sometimes just being nauseous is enough to cause vomiting when given food. Please continue to give her water or fluids so that she does not become dehydrated. I would check in with your pediatrician. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Lisa Baker, Pediatrician
160,489
Suggest treatment for pain in calves and tingling in toes
Patient: I am recovering from lumbar surgery nine months ago, however, now I am suffering a great deal of pain wit Trocanteric Bursitis of the hip joint as well as severe pain and cramping in the calves of my legs as well as tingling, numbness, burning in my toes and feet. Should I see a Neurologist? Doctor: Hello,Yes, it would be useful to see a neurologist for detailed evaluation and starting appropriate treatment. In the meanwhile, you can take pregabalin capsules for pain relief.Hope I have answered your query. Let me know if I can assist you further.Regards,  Dr. Sudhir Kumar
141,830
Suggest treatment for renal failure and septic gall bladder
Patient: My dad has chf. He went into the hospital and is now experiencing renal failure. he initially went into the hospital because his gall bladder needs to be removed. They will not remove his gallbladder now because he is nnow septic due to the gallbladder and they state he has too many medical conditions. I know that this gallbladder needs to come out or he will eventually be die because of sepsis. The hospital was talking about placing a tube in his kidney for the infection, but I know this is only a temporary fix. Any other options because they say if the put him under with anesthesia, it may kill him? Doctor: Hi and welcome to HCM. As an Urologist,i can understand your anxiety.You should've written your father's age.Your father has multi-organ failure,including the heart and kidneys.The gall bladder infection can be controlled, with antibiotics.They're right in advising stent placement to improve kidney failure.Once his general condition improves,he can be reviewed and decision taken.It's in the interest of your father's health,that a high risk surgery is avoided.If you've any doubts,you may send a direct question to me.Dr.Matthew J. Mangat.
46,334
How can bone deterioration with fractures be treated?
Patient: Ok I have Detearation of my bone,s in pain all the time never had a dr to help and im not interested in pain meds I no the pain I have pill want help I have neck pain cant turn my head had a fracter few years back that a start all so my shoulders have deterative the Lower part of my back never stops nor does the right hip bone have lots of slip disk neck and back Doctor: Hi and welcome to HCM. I believe you have osteoporosis, a condition , where the bones get brittle with age and are more prone to fractures. I would suggest that you get a bone density test done and also blood screening for VIT D, calcium levels and Rheumatoid arthritis . If not found within their normal limits, one can take supplements for these , and I would also recommend you to start an exercise routine for the fitness of your spine, to help develop your core strength and thereby maintaining your posture and disc heights, by bringing it back to its position. Here are some specific exercises to relieve pain in your neck. 1. Self stretching for side neck muscles, by trying to touch the ear on the shoulder of the same side, 2. Do gentle neck movements in all directions. Go only as far as you can, do not push beyond from where the pain starts. The pain will slowly vanish away. Try to feel the quality of the movement as you practice this everyday. I would recommend that you do it in supine lying position .Thank you,and take care. Dr. Nidhi Sood. (PT)
136,833
Severe pain in the left side of the stomach. Concerned
Patient: Today I had the most sharpest pain on my left side of my stomach. I thought I was going to collapse with the pain which lasted about 20 minutes and this was as I was doing the groceries. It was my left side about middle and spread half way across my stomach. It drained me for some time after. I am fine now. Have never experienced that before. Doctor: Hi.Thank you for your question.Before coming to any particular diagnosis i will like to enquire certain questions.What is your age and sex?Can you describe the quality of pain?Are you an alcoholic?Was the pain associated with nausea,did the pain radiate to back?How is your bowel habit and appetite.Abdominal can be due to several reasons:It can be due to any of the common causes.GastritisAcute PancreatitisRenal ColicWithout knowing the answers to above questions it is very difficult to come a diagnosis.Kindly answer me so that i can diagnose the condition after necessary investigations.Till then my friend i will advice you to 1.Have analgesics for relieve of pain if it occurs again.2.Have antacids.3.Avoid alcohol and spicy food.4.Drink plenty of water.5.Avoid being on empty stomach for long duration.In case pain occurs again and is not controlled by medications,immediately consult your doctor.Hope i answered your question.Wishing you a speedy recovery.
93,422
How to treat boils of 2 inches and swelling from back up to shoulder?
Patient: I have a boils abt 2 inches across and also swelling up to shoulder from back. Pus have been removed 3 times daily. I take a prescribed antiboitic. I have chills here and there and also feel weak to stand and sit. This is the fourth day. What can do without having to go for surgery, blood drawn for testing or an injection? Doctor: Hi thanks for contacting healthcare magic.You have abscess formation.Here according to size ideal treatment is incision and drainage of abscess.Don't worry.It drainage is minor surgery and take 15 to 20 minute.Then after daily dressing is done over it for minimum 10 days.Meanwhile antibiotic taken with brufen or paracetamol like analgesic.Try to take care that minimum water touch to affected area after incision and drainage procedure.I hope you will understand my concern.Take care.Dr.Parth goswami
31,241
Please explain this biopsy report
Patient: Can anyone explain this biopsy report ? "Extensively nacrotic biopsy with scanty viable round cell infiltrate suggestive of malignant round cell tumour . Immunohistochemistry is noncontributory since the viable tumour is scanty. Hence it is difficult to give a conclusive diagnosis." Doctor: Hey this is completely incomplete description about the biopsy report. You have not mentioned from where is it taken. What is your current problem. I think no one can help you with this report. I can barely understand that this is from Kidney as you jhave put Wilm's tumor. Am I right?
160,356
Can TIPS procedure ensure higher chances of survival?
Patient: My husband and I separated three years ago because of his alcoholism. He is only 44. Earlier this year, specifically in mid March, I was called in by the ICU three times because they said he would not survive. The diagnosis was end-stage cirrhosis and portal hypertension. They were only controlling the bleeding using balloon technique. He was on advanced life support for more than three weeks and then they gave him a 10 % chance of survival. He was then transferred to a different hospital so that the TIPS procedure could be performed. After more than three months in hospital and being critically ill, he has now been home for almost one month. My question is ... it is my understanding that the TIPS procedure is only a bandaid and that he will eventually die. All blood is bypassing the liver. He does seem confused often. I would appreciate your thoughts! Doctor: HIWell come to HCMI really appreciate your concern for your husband, if this is alcoholic cirrhosis then chances of survival with any method would be very less, instead sometime natural remission is likely, otherwise it would be useless to try anything, hope this information helps, take care, have a nice day.
56,673
Can mild dextroscoliosis and levoscoliosis leads to pain in the pelvic and groin?
Patient: i have just been diagnosed with mild dextroscoliosis in my thoracic spine and levoscoliosis. is it possible this could be the reason I hurt when I do sit-ups. I have pain in my right pelvic area, lower back pain especially on right side, groin pain, and my right leg goes numb. Doctor: Hello, Yes, due to scoliosis it is possible to have pain on one side, lower back, hip, groin, numbness etc. With proper exercise prescription under a competitive spine physiotherapist, you will at least avoid all these symptoms and may even do correction of scoliosis. In my clinical experience of 12 years, most cases seen till date have similar complaints of the additional symptoms and they respond well with physiotherapy. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
123,858
Is Lactodex-LBW adequate as feed for a premature baby?
Patient: My baby boy is 1 month old.His birth weight was 1920 gm.He was born on 31 weeks of her mother pregnancy.He was admitted to NICU for 15 days on that time.Baby is feeding mother s milk (maximum 40%----Baby can t sucking the mother nipple as he was familiar with feeding bottle at the time of hospitaliasation.Everyday mother is trying for breast feeding but baby crying & not responded to breast feeding) & Lactodex-LBW (60%).After 15 days at home babies weight is 2200 gm.Is Lactodex-LBW is sufficient for premature baby feeding.Also pls tell me the percentage of water & Lactodex powder which we will be mix at this low weight baby. Doctor: Breast milk is best for the babyPlease do continue exclusive breast feeding atlest upto 6 months of ageAlways give night time feed alsoThere is no alternative of breast feedingIf there is at all need of formula feed, try to to give minimum formula foodMix 1 oz of water & 1 spoon milk, 2 oz water & 2 spoon milk and so on...
169,437
What causes frequent head tremors and upper back pain?
Patient: I have head tremors. Side to side. Last couple weeks saw neuro am having a mri tonight.dr said some left sjde weakness also. Severe mid upper back pain when lying down. Think i should have spine mri also. To check for possible tumor..your thoughts what could this be tremors frequent Doctor: Hello!Welcome on Healthcaremagic!I recommend performing a cervical spine MRI too, besides the brain MRI. It is also important checking thyroid hormone levels for possible thyroid gland dysfunction and blood electrolytes. Do you have any medical history for tremor? What is your age? Do you suffer from high blood pressure or diabetes? A nerve conduction study is also necessary. Hope you will find this answer helpful!Kind regards, Dr. Aida
142,224
Suggest treatment for infection in the gum
Patient: I am 29 years old, I broke my teeth through an accident 18 yrs ago and have since intermittently felt a build up of pus in my upper gum above my two front teeth. Since, I have not replaced the teeth since the accident, i am just wondering if I made a terrible mistake because the area in my outer upper gum is very tender and hurts so bad at certain times of the year. I hope sb can give me some useful advice. Doctor: Thanks for your query, i have gone through your query.The tenderness or pain over the gums and pus formation is because of the tooth infection secondary to trauma. Following trauma tooth has lost its life and become non vital resulting in periapical abscess formation.Consult a oral physician and get it evaluated.you need to get a radiograph to rule out whether it is abscess or cyst.If it is abscess then the tooth can be treated with RCT only. If it is a cyst then, along with RCT enucleation has to be done.I hope my answer will help you, take care.
182,458
What is the cause of pink areas in the groin?
Patient: Bright salmon pink areas in groin at base of scrotum- VERY sore...burning sensation.... foul fishy smell..whitish oily secretion from sore area. Comes on without warning.nothing (cause) to pin it down to. Daktacort cn clear it in a couple of days. Any thoughts ? Doctor: Welcome dear. I can well understand your health issue. Its difficult to go with this issue if its left unattended. You did the right thing and contacted righ away to the team of experts. Feel relax and I assure you that its not a big issue but needs complete care and attention.Its a fungal infection with superadded secondary bacterial infection. I often suggest Hydrozole cream to my patients along with a course of combo antibiotics. Take Tablet Augmentin 1gram twice for 7days. Keep the area dry, clean and airy. Wear loose clothes. Apply Hydrozole Cream 4times a day for at least 3 weeks.Click helpful. Write a review at my profile. Have a nice time.Regards!DR. HANIFPHILADELPHIA, USA
199,375
Suggest treatment for fatty liver
Patient: i am having fatty liver grade 3 , since 5 months, shall i go for any tests now, i want to know which tests , how time to recover, is it reducing to grade 2 or reducing to normal, how the treatment doctors not advising any thing, is it depending on reason or general treatment Doctor: Grade 3 fatty liver is a matter of concern . I advise you to get a Liver biopsy done and revert back with the report . If you are taking alcohol Stop it . Get your Lipid Profile tested and if it high you need to start medication for high cholesterol . Daily do aerobic exercise for 20 minutes at least .
57,244
What can the red blotchy rash on the torso be?
Patient: My baby is 7 months old but was born prematurely so corrected age is 5 months, he has been unusually cranky the past 2 days and i have put it down to teething due to the fact he cheeks have been red and when putting teething gel on his gums he has been in discomfort. the reason for me writing is that i have noticed a red blotchy rash over his torso mainly around the belly button area and on his back - i wondered if you could assist ? Doctor: Hi Dear ,Welcome to HCM.Understanding your concern. As per your query your baby have symptoms of red blotchy rash on the torso. Well there can be many reasons for symptoms you mention in query like allergic reaction, angiomas, compromised immunity, eczema, psoriasis and due to certain systemic pathology. Need not to worry. I would suggest you to maintain proper hygiene. You should drink plenty of fluids. Avoid touching or pricking these rashes. You should take antihistamine like benadryl and avoid applying any cosmetic , apply only petroleum jelly . You should consult dermatologist for proper examination . Doctor may order skin test or allergy test along with blood test . Doctor may prescribe immunosuppressants along with antibiotics and anti inflammatory and corticosteroid ointment. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
169,321
What can cause tenderness and soreness around naval area?
Patient: I am having some moisture around the navel. I have had bladder cancer but has healed and getting checkups every 3 months. Can this have anything related to that? What can I do, as it is very tender and getting sore. it is also red on the inside. Thank you for any help. Doctor: Hello, thank you for your contact to health care magic. I understand your cconcern. If I am your doctor I suggest you that if you are on chemotherapy for cancer your immunity had got down very much. Because of it you may get infected with some bacteria. I advice you to get swab for culture and sensitivity for the possible infection. As you are cancer patient it is necessary for you to get sensitivity report in hand for future reference purpose.I will be happy to answer your further concernYou can contact me. Dr Arun Tank. Infectious disease specialist. Thank you.
38,119
Is knee pain a common problem while sleeping?
Patient: Is knee pain while sleeping a common problem ? . It seems when I sleep on my side ( and do most of the time ) my left knee will start to pain me , so then the pain will wake me up , and once that starts it goes on all night . What can I do about this ? . Thank you Doctor: Hello, What I understand by the history is there is some imbalance within the knee joint leading to such symptoms. Firstly I would like to know what is your age? are you having high blood pressure? are you diabetic? have you met any accident or injury to knee recently or in the past? Since all this question remains unknown what I feel is there is instability of the knee joint and that needs correction. Trying out wearing a knee brace in the night before sleeping should help avoid any unwanted pressure on the internal structures of the knee. Next, I will recommend you to do a checkup with an orthopedist for physical examination of the knee. Also, doing strengthening exercise for the knee will be of great help to get the stability of the knee joint and avoid unwanted abnormal pressures. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
124,264
Burning cramp like pain in abdomen, odd spotting, down with cold, mild acid reflux. Cause?
Patient: I am a bit concerned as I have been having burning cramp like pain in my abdomen . I have currently got a horrible cold and finished my period on the 2nd but have had the odd day of spotting yesterday which is very usual for me. I am confused as to whether all the symptoms are because I have a cold ? Abdominal pain and burning sensation is a real worry. Pain is worse when lying down, getting mild acid reflux too. What should I do? Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. You have got burning cramp like pain in abdomen. Pain worst when lying down. there is acid reflux as well. You had period on 2nd, and had spotting on 26th. it is usual for you. you had cold also. The spoting could be suggesting ovulation, cold is separate entity, with cold medicatio you will be fine. The pain i suppose in the upper middle stomach. is suggestive of peptic ulcer, or gastric irritation due to some irritant foods. I advise you to consult a gastroenterologist for diagnosis and treatment. You may have to get gastroscopy besides other routine tests for confirmation. Wishing for a quick and comfirtable recovery. Best regards.
93,771
What causes elevated creatine kinase and calcium levels?
Patient: I recently had blood work done and serum ck levels wwere elevated about 350 and my calcium was elevated.im having all kinds of problems for years. Widespread musculoskeletal pain my calf bones hurt, im nauseated , no appatite, skin problems, dull headaches, heart palpitations and theres many more symptoms. Depression and anxiety severe. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Exercise, muscle trauma (contact sports, traffic accidents, intramuscular injections, surgery, convulsions, wasp or bee stings, and burns), and drugs such as cholesterol-lowering statins can damage muscle and increase serum creatine kinase (CK) concentrations. Hope I have answered your query. Let me know if I can assist you further.
114,326
Slurred speech. Microvascular chronic white matter ischemic changes. Can it be cured?
Patient: hi i am ravindra my mother age of 45 yrs have 1)acute nonhemorrhagic infarct in the temporo parietal region involving posterior part of the perislyvian region 2)old nonhemorghagic in the fronto -temoro parietal region 3)old infart with gliosis in the left frontal region 4)mild microvascular chronic white matter ischemic chnages in the bilateral frontoparietal region due to this she have slurred speech plz advice is it can be cured 100% by medicine or it needs surgery and is thier any possibility of paralysis in fututre? plz advice Doctor: Dear Ravindra it seems that your mother has multiple brain infarct.It needs to undertake a brain Angio MRI.The most probably diagnoses is vasculitis or a hematologic disease(blood coagulation pathology).I advice you to do some blood test such as Protein c, s (at least). Depending on their result we can advice you about the treatment and the prognosis.Wish you all the best
148,554
Tylenol and Advil haven't helped with backache caused after partial hysterectomy. Are there different options?
Patient: Hi, Im a 45 year old female. I had a partial hysterectomy 12 years ago. In the last year I have had bad lower back aches and cramps. In the last 3 months the cramps and backache has gotten so bad for about 5-8 days a month that I cannot function. I throw up from the pain. Im also very moody and withdrawn on these days. My boyfriend is ready to leave me. My children think Im crazy and to be honest with you.... Im afraid of the 24-25 of the month. last week I cried and slept for 4 days and even thought horrible thoughts about myself. My mind gets foggy. I don't eat. Im so upset about everything and nothing. My back will hurt so, so bad that It makes me sick. my head will hurt also and not just a head ache... a BAD headache. I don't know what is wrong... When my back hurts, my feet will freeze. I cannot get them warm. Tylenol and Advil do not even begin to touch it. It just seems like that time of the month is starting to change me... LITERALLYI just had my annual exam about 6 months ago and everything was fine. But I changed jobs in the summer and was very stressed. about 3 months ago I went to the Dr. for these crying spells that were out of control. ( Looking back I realized it was the same week of the month). Something horrible is going on in my body. It is going to cause me to loose everything, including my new job if I don't figure it out. Can you help me? Doctor: Hi,From the symptoms you are telling, problem is in your lower vertebra(Lower Back). These symptoms usually arise from disc prolapse or compression and usually occur in old age.For the pain you have to take Pregabalin and Vit B12 injections you should start sleeping on hard surface. But if you have come to me i should have advised you to go for MRI Lumber spine. Because it will show level of nerve compression if any. Once there is compression of nerve to level 1 and 2,you have to start physiotherapy along with symptomatic treatment and if its level 3 then treatment of choice will be surgery.Do consider a positive feedback as a credit to my work Let me know if you have any further questions.
112,192