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What causes twitching feeling on left side between rib cage?
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Patient: Hi! I m 22 years of age and since this morning I am feeling a twitching sensation on my left side in between my rib cage. I can also compare the twitching sensation as if a baby is kicking me in that area. I m not sure what could be the cause for that. It is an on and off occurrence. Doctor: Hi,It seems that you have muscle twitches or fasciculations. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. a few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerveconduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues.
| 137,601 |
How can heart murmur with blood pressure be treated?
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Patient: I have been drinking several red bulls. Was recently told I had a heart murmor. Somtimes my eyes burn.also I have had very frequent uti since drinking them. Basicly I have realized I need to stop. Also having high blooid pressure. Will every thing return to normal if I do and the murmor I never had go away? I am 47 Doctor: Hi There After going through your query I Understand stand your concern.I would like to tell you that Red Bull contains Caffeine and excessive use of caffeine leads to high blood pressure and high Blood pressure can cause LV dilation or LV failure which results as a murmur.It's advisable to limit use of Caffeine n Caffeine containing products and personally consult a Cardiologist to evaluate the reason or Murmur. Get one ECG and a echocardiography done and see a cardiologist with reports for proper treatment of High BP and murmur.Hopefully this will answer your query.Kind Regards Dr Navneet Mahajan
| 19,948 |
What causes ejaculation problem and heart racing?
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Patient: Last night my husband was able to get an erection but not ejaculate. After we gave up trying, his heart rate was racing and ever-so- slightly uneven. His dad died of a heart attack at only 46, so I'm worried. This is the first time this has happened. My husband is slightly overweight but he's otherwise quite fit (we have 4 kids to chase after) even though he doesn't have time to take regular exercise. Any ideas? Doctor: Hello, Please do not say that your husband does not have enough time for exercise. He has to make sure that he gets time for exercises. Exercises as important as breathing and food and sleeping. Secondly, regarding hear related issues, you can consult a doctor and get your husband tested. With the given information, when a person is exhausted after sex (it is also an exercise) racing heart is common. I don't think you have read too much into it. Here, you are already suspicious about heart problem and you have a hereditary condition get your husband checked for confirmation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr K. V. Anand, Psychologist
| 192,962 |
Can TB medication be stopped in between while awaiting test results?
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Patient: Hi My doctor has prescribed Ethambutol Hydrochloride 800mg and Isoniazid 300 mg daily to my 77 year old mother in law without having any test done for TB. She has already taken this medicine for eight days. I have been told that TB medicines can not be stopped once started. Also as parallel a TB test has been ordered and report will be received in about five days from now. I am confused whether it is advisable to continue this medicine for another five days or to stop this medicine and tell the doctor that it has been stopped. Doctor: Hi Sir/Madam.Welcome to HCM.I understand your concern.TB medications should not be stopped abruptly.This can lead to flare up of the disease activity.The drugs are usually prescribed for 6-9 months , not just for 5-8 days.Continue medications until tests results arrive.Once the results are positive decide the further duration of the treatment after consulting your pulmonologist.If active TB is detected then 6-9 months has to be instituted without fail.Post your further queries if any.Thank you.
| 32,829 |
Suggest treatment for dizziness and confusion sporadically
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Patient: ive been suffering from dizziness and confusion sporadically. it only last for a few moments, often less than a minuet. ive been suffering from these spells for about 1/2 a year. im a 24 yr old male, non-smoker non-drinker, non-drug user. i have a history of high blood pressure and migraines. i take only ibuprofen for my migraines. also while i do sometimes suffer both my dizzy/confusion spells and migraines at the same time; the spells will occur in the absence of a migraine as well. Doctor: Hi, First of all, the proper control of the blood pressure is mandatory,besides the healthy diet and avoiding too much salt and fat in your diet. Second, you should do an ECG and an ECHO on your heart and assess the ejection fraction of your heart.The result of these investigations can help you with your treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist
| 140,010 |
What causes chest pains, heart palpitations and difficulty breathing?
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Patient: my son is 17 and he has had chest pains, trouble breathing, rapid heart beat and has passed out 3 times. Heart Dr says heart is fine could be a case of gastritis. We think thats crazy. He is on staterra and have read this could happen on that drug. The heart Dr. say's no. He is not stressed or upset and this happens when he is just sitting. Any suggestions? Doctor: Hey,The symptoms you are telling looks of cardiac origin, but as the doctor must have looked into that aspect, it rules out the cardiac nature of symptoms.Children of this age are a stage of transformation and are easily influenced by family and friends. The drug stattera is given for attension deficit hyperactive disorder.I think you must continue that drug along with mental support for him. I wish him good health and good luckDr Sameer
| 23,801 |
Suggest treatment for premature ejaculation
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Patient: I have never suffered from Premature Ejaculation before but in the last few weeks i have been suffering from it severly. I am nearly 30 years old and have been married for nearly 10 years. I have an Auto Immune condition and take tremadol for pain management. I am also asthmatic and have been taking Symbicort and ventolin. Doctor: DearWe understand your concernsI went through your details. Please verify at what occasion you had the premature ejaculation first. During that time were you stressed? any tiredness, anxiety, family problems, lack of interest in sexual intercourse? The PE happened because of any of the above reason and you became concerned and anxious. You carried your anxiety to the next day and started obsessing with the negative PE thought. You had it again. that is the pattern. If you continue with the obsession, PE continues. I suggest you not to indulge in intercourse for a week. Then restart afresh. The problem will cure itself. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.
| 198,664 |
Suggest remedy for heartburn
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Patient: I am experiencing heartburn for over two weeks. I am on blood pressure preventive medicene i.e. Advent 8. mg since 2005 and take daily dose of Loprin - 150 mg, Advent 8.mg and Lowplat 75 mg.I regularly take Risek 20 mg for heartburn but now it is not helping. I mat add that until two months ago; as prescribed by my heart specialist I was taking 75mg dose with no problem. Please advise me what should I do. Doctor: Dear SirThanks for your query. If you were well settled on risek 20 and suddenly the things have worsened, you need to consult your gastroenteorlogist. Meanwhile you should consult your cardiologist too as with LOWPLAT, mostly 75 mg of loprin is recommended except for patients with ACS. Hence, he may be able to reduce the dose. Try not to drink water or fluids with meals. Do not go to bed immediately after meals.SincerelySukhvinder
| 23,418 |
Why does my son experience fast breathing and shaking?
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Patient: Hi, my 12 year old son has been having the experience of everything being loud and fast in his head. He shakes profusely and breathes quickly; it really frightens him. I've been lying in bed at night with him when it occurs, which seems to help. It has only started a couple of weeks ago. What do you think? Donna Doctor: Hi Donna,shaking profusely and breathing quickly could be signs of epilepsy so I would advise you to consult a neurologist he may do few tests like EEG and CT head if required to confirm diagnosis.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.
| 147,821 |
Can red skin and tiny bump inside the nose be a sign of herpes?
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Patient: The inside of my nose had been itching for a week. I noticed some crusting. Suddenly, the itching got worse and the skin inside my nose began peeling. I put Neosporin on it and it seems to be getting better. No more itching, but it s still red/pink and began to come out onto the exterior of my nose just slightly. There is a tiny bit of skin shedding too. When I look closely, it looks like there are miniscule bumps mixed in with slight redness. Is this herpes in my nose? Doctor: Hi, It may not be herpes but it seems to be an allergic condition of the nose. It may even not needed the medicine or nasal drops, a general measurement like drinking more liquid, steam inhalation would be enough. As a matter of fact, to confirm the herpes clinical examination is must, without this it can not be said for sure, hope I answered your question. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Akhtarhusain, Internal Medicine Specialist
| 28,526 |
What is the reason for gums bleeding and redness?
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Patient: My mouth around gum i always have redness and they bleed while brushing teeth. Even on left bottom side of cheek beside from where cheek starts there is a circle like formation which can be felt by teeth. Also at my molar of both side of mouth, I can feel cavity in teeth. How to have regular pink mouth? And what can be done regarding back cavity. By brush doesnt seems to reach that recessed corner. Doctor: Hi....after listening to your problem I fell you have poor oral health . so first fix your appointment to dentist have oral prophylaxis and scaling done.use mouth wash and oral gels like stolin gum paint ,rexidine gel etc . and reason for black cavity can be recession of gums which has opened up your inter proximal tooth spaces.this spaces can be closed by gum surgeries. BT first is to revert back your gum health.start with this use soft brush .take care
| 184,821 |
Suggest treatment for lower back pain
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Patient: i wake up with lower backpain each morning. The rest of the day I am always tired. Taking feramax for low blood count. Inproving over the last few months. two years ago in Hospital for a infrction in my lower spine. Any suggestions about the constant tired situation? Doctor: Hi Welcome to healhcaremagic After going through your query I concluded that you are having chronic backache. It may be due to vitamin and trace elements deficiencies specially vitamin D3 and vitamin B12. You can do your test of vitamin D3 and B12. Till then you can take EvionLC and Mecobalamine. Analgesic such as ibuprofen can be taken for pain relief. You can discuss with your Doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care.
| 109,432 |
Suggest remedy to increase WBC count
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Patient: yes. thank you. how do i increase the wbc count by consuming ayurvedic medicines or some foods / fruits etc? I am 41 yrs, height 4.9 ft, weight 45 kgs. I have weak immune system since child hood. I always get lot of burps and many a times feel vommitting and now my WBC count is showing around 3500. I need Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. WBC count is dependent on nutrition. 2. Improve protein intake along with vitamins B12, A, E. 3. As the nutrition improves, so does the immune system. 3.5 thousand is on the lower side of normal, however, if there is no recurrent infection, not to worry.4. Recurrent burps and nausea is usually due to inhalation of air during food digestion and gastritis. Take proton pump inhibitors to reduce gastritis, it should reduce the symptoms.Hope it helps.Any further queries, happy to help again.
| 116,538 |
Suggest treatment for edema causing difficulty in walking
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Patient: my husband has suffered from edema since he was diagnosed with pulminary hypertinshion and now the swelling has went down after about 3mo. and he is in severe pain can t walk and is bound to a walker night and day no relief on wednesday I took him to get a referrial to see the pulminary specialest and a kidney specialest and the DNP who he thought was a MD would not even think about giveing him anything for relief said to go to the ER but he can t even walk outside the house yesterday or today Ihave heard about gabapentin would his help please help me Doctor: Hi, Consult an orthopedic and get evaluated. An MRI scan will be helpful to rule out conditions like ligament or tendon involvement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 126,051 |
Chronic depression, anxiety, harms self, personality disorder. Taking alprazalam, addicted to drug. Alternative?
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Patient: What can a psychiatrist give that works well to help treat my anxiety and depression (both chronic and severe). I already take venlafexine and have been scripted for alprazalam twice which really helped although she is reluctant to script me for it again as it can become addictive. What else could help? I have been in therapy and told i have a personality disorder , something like BPD although do not really fit the criteria. I am a chronic self harmer. Doctor: Hello and welcome to Healthcare Magic. Thanks for your query. There are several options available, both in the form of medication as well as psychotherapy for your depressive and anxiety symptoms. If one anti-depressant is not working for you, then there are several other options available. If you have mood instabilities, mood-stabilizing medication can also help. For your chronic self-harming behaviour and a likely diagnosis of borderline personality disorder, treatment is predominantly in the form of psychotherapy. There are several effective and proven therapies like cognitive behavioural therapy, dialectical behaviour therapy, rational emotive therapy which can help you control your emotions and reduce the self-harming behaviour. So, engaging regularly in therapy, staying motivated and putting in sincere and persistent efforts from your side are essential for successful treatment. Wish you all the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist
| 212,986 |
Antidepressants needed for constant tiredness and sleep issues?
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Patient: Hi doctor, I'm only 31 but am feeling tired all the time. I can't seem to get into a good sleep routine and can't get up for work. I also think I'm slightly depressed as have a feeling of deep sadness . Should I discuss anti depressants with my gp? Could depression be causing my fatigue? Doctor: HiThanks for using healthcare magicLow mood, easy tiredness, sleep disturbance or lack of concentration are part of depression. You should consult a psychiatrist and get some antidepressant. Antidepressants would help you to stay mentally sound and get your rhythm back, but it would take some time. So be patience.Thanks
| 210,775 |
Suggest treatment for chronic pain syndrome
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Patient: Hi Doctor, I am a 60 year old woman with chronic pain. I have been in a chronic pain management centers for over 30 years now with multiply surgeries due to the pain . I will explain the reason for the pain latter. I have been on very strong pain meds fo over 30 years. I need another specialist to talk with. If you think you can help me, please give me a call at (951) 340-3803 any time before 7:oo pm Thank You. Rene @ostomysbcglobal.net Doctor: Hello, You can try opioid analgesics like tramadol or oxycodone. Consult a physiatrist (doctor specialized in pain and rehab) and he will direct you accordingly. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 215,380 |
What causes if liver is slightly enlarged ?
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Patient: I took my 3 month old to the doctor yesterday and he said that he could feel her liver and it could be slightly enlarged, but doesn t think there is anything to worry about and they will just monitor it right now (check at the 4month appt, etc)... What could this mean? I m a new mom and pretty worried. Doctor: Hi....at this tender age group, sometimes because of increased respiratory rate the liver may be pushed down and be palpable, and at the same time even because of the pliant rib cage also the liver maybe palpable. So do not worry about this too much. If the baby is active, alert, feeding well and gaining weight appropriately and putting on good milestones, nothing to worry about this.Regards - Dr. Sumanth
| 164,084 |
What causes paranoid schizophrenia?
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Patient: i have been suffering paranoid schizophrenia since the last 32 years.i have been taking the medicines regularly,without fail.instead of improving today my condition is very bad. i cannot talk and communicate. there is total blankness in the mind.my mind is not working. i cannot think at all. i cannot remember and recall 95% of the things. i do not like to move out.i am suffering phobia of people. i get scared to go out of the. house. i am unemployed. i do not experience feelings. i have become impotent.i cannot take initiatives.my courage level is totally 0.i have no self confidence and no self esteem left.many a times i get suicidal thoughts.but i have a family to look after. i am suffering from social phobia. my future is totally shit. what should i do. there is no feeling of understanding at all. please help me, doctor Doctor: Hii understand your concern.But schizophrenia need proper detail work up on mental status examination.It can be classified in delusion/ hallucinations/ disorganized speech and behavior etc.But if you have been diagnosed paranoid schizophrenia then it is mostly biological in origin means there are genes which are responsible for it.But treatment is must.Early treatment will give better response.So please take it regularly.Still have query then feel free to ask.Thank you.
| 207,216 |
What are the chances of sessile polyps of colon turning into cancer?
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Patient: Hello, I have a question about sessile polyps of the colon. I know that that are precancerous polyps but my question is, What are the chances of them turning into cancer. My husband recently had a colonoscopy and the removed three sessile polyps from three different locations. He has done research and says there are is a greater chance the more polyps that are found. Doctor: Dear,Heriditary or developmental polyps are well known coincidental factors for colonic malignancy. There are many causes of developing of new polyps in the colon. I feel dietetic modification in consultation with a dietician and a gastroenterologist to prevent development of further polyps is required.Truly,Dr. J. Ticku
| 158,224 |
How to treat stomach virus in a 12 years old child?
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Patient: My daughter 12 and I both got a stomach virus , vomiting I recovered in 2 days ,she is still lathargic and has a rash that keeps coming and going all over her torso face and limbs. I have given her allergy meds to help but it still keeps coming back stronger what can cause this? and how long should it persist? Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).BUT RASH IS UNUSUAL AND I FEEL YOU SHOULD GET YOUR KID TO THE NEAREST EMERGENCY ROOM AND GET HER EXAMINED.Regards - Dr. Sumanth
| 164,970 |
What causes a lump under the breast?
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Patient: Hi I just been to doctor they found a lump i my left breast, it around 1-2cms it is not attacched to my chest its under my on bottom breast,, the doc said its nothing,, there would be dippling or attactment to the inside at this stage as is big,, wondering what you think?? Regards Lorry. Doctor: welcome to Health care magic.1.You are feeling a lump, but your doctor says its normal.2.You don't have any symptoms related to the breast.3.So to confirm the presence / absence of the lump in the breast.4.Get an ultrasound (non invasive and confirmatory) to evaluate the breast mass.5.Get appointment with your doctor and request for ultrasound scan indication.Anything to ask ? do not hesitate. Thank you.
| 68,866 |
Dental bridge installed. Have fever, chills. Removed the bridge due to mistake in root canal treatment
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Patient: hii have a very difficult casei had a dental bridge installed and it has been causing me fever for 2 weeks, finally they discovered that there was a mistake in one root canal on one of the tooth in the bridge.The have removed the bridge and that tooth but i still have the sintomas of low fever and chills. i am very worried Doctor: Hi,Thanks for asking the query,Re-RCT is required in the tooth.Take a course of antibiotics and analgesics.Take tab paracetomol for fever.Take rest avoid anxiety, stress.Once the tooth is retreated with RCT dental bridge can be placed upon it.Take care!
| 188,221 |
Dizziness, blood shot eyes, tingling in back of head. What could this be?
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Patient: hi i have been having dizziness for a while now and its getting worse so i went to the dr and they did labs and everything came back normal but i have also noticed that my eyes are blood shot all the time and i have been having a tingleing sensation in the back of my head and i just dont feel right so if u have any ideas as to what this could be i would be very happy to know.im sorry i wasted your time i just saw that i have to pay for your answer so ill just call nurse direct. Doctor: the chances are of sinuses as the sme thing happen in chronic sinusitisget xray pns waters view and consult ent specialist to get it treatedeyes are in direct contact with sinuses so they are involved n sinusitis givingsame symptomps
| 149,391 |
What are the findings from the semen analysis report?
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Patient: 1st Semen analysis show Volume 1, greyish white, ph alkaline 8, normal viscosity, count 26 200 million, liquifaction time 60, motility 35% progressive 20% & non progressive 15%, abnormal form 60%,spermatogenic cell 500 000/ml,pus cells 600 000/ml, RBCs 4-6/HPF After 85 days of treatment by 10 days vibramycin, flagyl & becofort then 1 month tamoxifen, trental & prugvit zinc then tell now on carnavita fort & thiotacid Semen analysis show Volume 1, greyish white, ph alkaline 8 , normal viscosity, count 24 million , liquifaction time 60 , motility 40% progressive motility 30 & non progressive 10% , abnormal form 60 % , spermatogenic cell 100 000/ml, pus cells 500 000/ml, RBCs 1-2 Doctor: Hi,.Semen analysis report appears fine except for little high pus cells. Kindly get semen culture sensitivity done if not already done. Normally these pus cells are due to infection of accessory glands which require prolonged treatment with antibiotics (eg. 6 weeks or so). If culture is sterile, you can go for culture of prostatic massage fluid. If that also is sterile, you need no antibiotics. Kindly continue antioxidant tablets (carnavita fort) to counter the bad effects of pus cells.Regards.
| 203,424 |
What causes tender belly button during pregnancy?
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Patient: I am 13 weeks pregnant and my belly button has been tender for a couple of days. This morning I woke up to dried blood on my shirt and in my belly button along with some white discharge. When I got home from work just now I noticed a bit more dried blood. Should I go to the urgent care since the Dr.s office is already closed? Doctor: Hello dear,I.understand your concern.In my opinion there might be some skin infection in the belly button area.But it might neither be related to pregnancy nor can cause harm to it.But it needs physical examination for accurate diagnosis.Topical antimicrobial antibiotic can be applied.If not subsiding oral antibiotics might be needed.Nothing to worry.Relax.Best regards...
| 221,052 |
What is the best remedy for back pain other than surgery?
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Patient: my mom having back pain. we took scan also. some doctors said need to surgery in thoracic curve affected. if any other remedies for back pain. my mom taking tablets when she have a pain. that is for few hour of relief. i just want know about status, surgery need or not, and approximate surgery expanse ? Doctor: hi, For back pain it is required to diagnose the condion first n if there is no any gross bony abnormality or nerological involvement then the treatment is conservative through regular physiotherapy , analgesic , ppi, vit , n prosthesis , warm compression with life modification. But as your doctor advised for surgical intervention n you forgot to mention CT and other radiological reports so i can suspect for some gross abnormality. But if you hav doubt take 2nd opinion. Thanks n regards
| 111,915 |
How to treat significant reduction in sperm count?
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Patient: HI, me and my husband, we have been trying for our second child from last 18 months, but no success, my first child is a boy who is 7 now, we got our checks done, I am absolutely normal but his sperm count has significantly reduced from last time,hence unless a miracle happens than its a different story , otherwise we should go for IUI or IVF. i am in favour of iui, would you be able to tell me if this is the right treatment and how much costs Doctor: Hi welcome to healthcaremagic.I have gone through your question.I would advise to do color doppler ultrasound of scrotum to rule out varicocele, and to see vascularity of testes. As in varicocele there is drastic reduction in sperm count.As far as IUI intrauterine insemination and IVF invitro fertilization concern IUI is better option.IUI is little bit costlier treatment.Its cost varies from hospital to hospital.Hope i answered your question.Would be happy to help you further.Take care.
| 41,684 |
Suggest treatment for auditory hallucinations
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Patient: my 12yr old daughter is having episodes at school. She claims she is hearing voices and becomes distraught. The school thinks it is a medical condition or chemical imbalance that they want her tested for. She is also being bullied at school and has made comments that she doesn t feel safe there. I am not sure if the two things go together but this only seems to be a problem at school. I am looking for some input Doctor: Hi, according to me, if the problem is real then it should happen even at home. You have said she gets bullied in school and may be she is malingering that she is hearing voices etc. I would suggest that the kid is taken to a psychiatrist and take the specialist's advice.Tc.
| 177,246 |
What causes low grade fever, chest congestion and cough?
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Patient: I have been sick with congestion and a low grade fever.....99-101...- slight cough ... no body aches.... but my eyes are blurry and burning, my left especially is tearing. It is so uncomfortable. The fever is down, but my eyes are still bothering me. Maryellen Doctor: Respected Maryellen , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with underlying inflammation process in the respiratory tract which may be bronchitis or else .Hope this clears your query thoroughly .Welcome for further assistance .Regards .
| 74,313 |
How to treat a swollen tongue and lip after an allergic reaction to shrimp?
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Patient: I was in the ER for an allergic reaction to shrimp. They released me with Prednisone & Benadryl get rid of the swelling in my tongue. It s 4 days later & my tongue is still swollen and now my lips are too. I don t think I should take the Prednisone. Doctor: HiWelcome in H.C.M.In reference to your query regarding allergic swelling of your tongue and lips, which is still persisting even after taking steroid (prednisone) and benadryl. Though you got relief but still swelling on tongue is there.As you said only 4 days have passed so I think you may continue the treatment for three to four days with tapering dose of prednisone.At the same time you should avoid contact with shrimp.Thanks for consulting H.C.M.
| 100,686 |
Suggest treatment for cold in a child
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Patient: My 4.5 years daughter has some cold for last 4 days but minor so no medicine given. Since morning today she is feeling pain in her left year. Yesterday she had chilled water from fridge. Would crcocin twice a day would work to relieve her from ear pain? Doctor: hi, thanks for the question. yes crocin definitely works for ear pain. if the pain doesn't comes down with crocin then you can try ibugesic. also give her cetrizine for cold. if she develops fever take her to a ENT specialist.
| 164,831 |
Anemia, breathlessness, chest compression, gastritis, headaches. Prescribed vitcofol. Suggestions?
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Patient: I am a 54 year old male and do not consume alcohol and vegetarian My B12 level is 148 PG/ml. I have been prescribed 2ml Vitcofol ( cynocobalamin 500 mcg/ml ) injections every third day for 7 days. Is this good enough? I have symptoms like Anemia - (Hb - 12.9) breathlessness and chest compression gastritis slight giddiness Unexplained head aches Investigations: ------------------ CT Angio is normal with a clacium score of 0 and no vascular stenosis Brain MRI is also normal Thyroid hormones are normal USG Abdomen shows fatty liver grade 2 with mild hepatomegaly Gastroscropy revealed gastritis, mild deuodinitis and Inlet patch Question: ------------ Is the prescription for B12 good enough or should I alter this? Sundar Doctor: Hi Sundar,You seem to be having a low B12 level, but since the haemoglobin is good it shouldn't be a major problem. The dose of B12 injections that has been prescribed is adequate.The other symptoms that you have are unlikely to be due to B12 deficiency and you seem to have been investigated thoroughly.You might want to get a cardiac evaluation done for the chest tightness.Regards.
| 119,048 |
Is ingestion of 'ibuprofen' by a baby harmful to his health?
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Patient: my 22 month old son has just found in my bag an ibuprofen tablet a pink sugar coated one i found just over half on the floor but all the pink coat had been licked off and i am asuming he ate th other half, he seems fina and still playing, can half be harmful to him? Doctor: Thanks for your query. I have gone through your query.Nothing to be panic, keep an eye on your child for any changes like rashes or vomiting or any discomfort. If you find any of these symptoms then immediately consult a pediatrician and get it evaluated. If you dont find any symptoms then nothing to worry. Be careful from now on wards with your kid regarding drug exposure.I hope i have answered your query. Take care
| 169,497 |
Suggest remedy for black circle around eye
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Patient: hello sir, i have a problem of under eye circle. i have tried many creams such as dr.reddy s,melaglow new, strea c10, rentioal a15,cernor xo cream for the last 1.5 years. But still not obtain any good result.Plz suggest me any now wht can i good with my dark circle.. Doctor: HIWell come to HCMDark circle under the eye, called Periorbital Melanosis, numbers of reasons are there, most of the time this could be idiopathic, or multifactorial medicine has got very little role, some newer cosmetic treatment is available that claims for promising result that can be tried, hope this information helps. (Comment:- Hydroquinone can be tried )
| 8,397 |
Diabetes IDDM, have elevated S.urea and S.creatinine level post edema treatment, diagnosed with UTI, advised AV fistula fitting. Am I heading towards dialysis?
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Patient: Hi I am Sujata 69 Female from India.I am DM type 2 IDDM since last 25 years. Taking Humalog TDS and Lantus in night at 11 pm.My S. urea and S. Creatine level had started to rise and with all possible control on Blood Pressure and Sugar my S.urea 88 mg/dl S. Creatinine 4.6 mg/dl on 21.6.2012 when I was hospitalised for EDEMA due to Anemia Hb 8.6%.After discharge swelling on my ankles and feet was gone,was put on Erythropotien injection 0000 iu every ten days.My Hb improved to 9.8%.But S.Urea increased to 112 mg/dl and S.creatinine 6 mg/dl. Was diagnosed with UTI.Prescribed Nitrofuraton Bd for 7 days and Amikasin inj250 mg OD for 7 days.These were found SENSITIVE in Urine culture report.I have been advised by NEPHRO to get AV fistula fitted.What to do now.Am I inching towards Dyalisis? Doctor: Dear friend, welcome to HCM !I am concerned with your uraemic trends. I think you have diabetes related chronic kidney disease which has worsened with UTI.rising urea, creat, oedema and overall trends suggest worsened renal function and as per your nephro advice, you may need dialysis soon.AV fistula is planned for dialysis. pl. go by your nephro. advice.hope you recover soon . and do not fall prey to gossips/ unauthentic advises.pl. keep me posted on your progress.
| 51,381 |
What could be the cause of high heart rate, chest pain and night sweats?
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Patient: Subject: I am a 40 year old male, 5'10", 200lbs. Health - no medicine, no health issues, no caffine or supplements. Previously exercised up until a few years ago, and I quit smoking several years ago. Issue Overview: I had an apicoectomy in December for an infection above a previous root canal. During the pre-surgery, a doctor noticed I had a high heart rate (120 resting) but thought it was nerves or the infection. Last week I had a follow up with my primary care, who said my rate was still high and also gave an EKG with a slight abnormality. This morning I went to a cardiologist for a stress EKG, who said the EKG itself looked good, but again my resting rate before and after is too high (after 10 minutes post-stress my rate went from 170 back to 120). In past few nights, I woke up soaking wet from night sweats despite cold weather, have felt light headed at times, as well as some slight stomach and chest pain. Suggestions? Doctor: Sir I will like to suggest a 24 holter test as will exactly help us know what is the pattern of increased heart, is it sinus ( normal) or some other form of various tachycardia. If that turns out to be normal, I would think of a condition called inappropriate sinus tachycardia syndrome, where someone has a resting heart rate on the higher side. Some lifestyle change may be tried like calming exercise, yoga, if still on higher side. A small dose of beta blocker or ivabradine may be triedRegards
| 27,780 |
Suggest treatment for pain and numbness in the arms prior to a neck surgery
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Patient: I am 3 month from surgery on my neck/spine. It was my 3rd surgery and I now have hardware from C-2 to C 5 installed through the front. I have C 5 to C 7 from the back. Starting with my left arm about a month back and now both arms have severe pain and numbness. It is really bad when I try to sleep or rest I wake up every few minutes in pain and have to get out of bed. My left arm locks up at the elbow. The pain is very severe. My hands go numb throughout the day. My neck does hurt please help any feedback is appreciated Doctor: Hi, The pain is due to pinched nerve in the neck. You can take Pregabalin capsules to relieve the pain. Hope I have answered your query. Let me know if I can assist you further.
| 141,120 |
Bad Breath, yellow tongue and Irregular Stool
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Patient: Hi, Glad I found this website. My age is 30 years and I am facing serious bad breath problem which is affecting in personal/profession life. Let me give you brief idea about my symptoms. 1. I am having bad breath from long time. I visited dentist few times and no help. I guess they are not able to understand exact problem and try to clean teeth’s every time. 2. The bad breath is severe when I have dry mouth , no talking/speaking with anyone while watching TV, enclosed areas (like car, meeting rooms etc.) 3. I feel nausea/vomiting during dentist visits when they ask to open my mouth for few minutes. But in few seconds I feel nausea. 4. From last two/three months, I get yellow tongue when I get up in the morning. 5. I have abnormal stools (sometimes colored stools) and sometimes anus burning. Most of times, my wife complain about bad smell after my stools. I don’t have any problem with my weight which is consistent 140 lbs from years. After reading various topics on Internet, I am now little worried whether I have some disease. Thanks, Sandy Doctor: Hello there , Thanks for writing your query, Bad or fowl mouth odor is caused by number of reasons such as; Poor oral hygiene , improper brushing techinques which lead to accumulation of food debris and bacterial plaque and calculus deposits deep in the gum pockets and root surfaces of the teeth . bacterial plaque and calculus on the teeth gives fowl odor. Gingivitis and periodontitis is another condition which leads to fowl mouth odor. Ulceration when infected with bacterial or viral invasion may lead to fowl smell. alcohol consumption alos promotes plaque deposition and gives fowl odor. stomach reflux , GERD and other gastric problems may also lead to acidic mouth odor , you need to consult a physician to get the problem confirmed. i hope this helps , take care.
| 189,304 |
Are scabies recurrence normal to occur?
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Patient: My husband had scabies 3 years ago and got treatment then for them. He is starting to exhibit signs of them again but they come and go. He is a clean freak and hasn't stayed in any sub-par hotels/motels. Can this be a flare up from the first outbreak? Doctor: Hi, Thanks for writing to HCM. Scabies is caused by a mite called 'Sarcoptes scabiei'. It is an intensely itchy dermatosis. It is highly contagious. It spreads from person to person spread occurs via direct contact with the skin. The success of treatment is only by correct application of topical preparations. Scabies patients can be re-infested by untreated contacts. Also treatment failures have been reported, particularly resistance for the use of medication called permethrin. After effective treatment, itching and skin lesions generally subside within six weeks. Itching and skin lesions can appear on and off if secondary infection with bacteria Staphylococcus aureus. Hence, kindly consult Dermatologist and get properly evaluated for effective management. Hope the information provided would be helpful. All the best.
| 32,405 |
Less beard, moustache, elevated FSH and LH levels after losing the only right testis for germ cell tumour
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Patient: hi my problem is that i had germs cell tumor in 2009 and lost my only right testis, now cancer is gone, and i am fine now, but facing a problem that less beard and moustache, i have checked my testosterone level that is normal, but FSH and LH level is high, and more than normal level. and my hair is thinning day by day, Doctor: HIThank for asking to HCMI really understand your concern, and let me tell you that even in normal person those are not having such history as you have may not be having hair of beard and moustache this could be normal one some time, if your hormone level is normal then no need to worry have nice day.
| 157,407 |
What causes nausea along with vaginal pain and lower back pain?
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Patient: I have had a hystarectamy,gallbladder removal,apendix removal, I am having lower vaginal pain and lower back pain I have also had 2 colonscopies and hydrodistention on my bladder. I have nausea vaginal and lower back pain blood tests are elevated and they dont know why Doctor: Better, had you informed elevated blood reports to enable me to comment better.For the conditions presented and given scenario, you must have had many medicines. These did not work. It's better option for you to switch to naturals and assess for few weeks. My other patients get benefit by this approach.If I were your doctor, I would have given you turmeric powder to drink 1/2 tsp in warm water or milk for few days irrespective of what your blood reports say. This cures back pain, disinfects. Cardamomum seeds CHEWING will control your nausea. If you get anhydrous alum powdered ( Shubhra bhasm) and wash vagina with it, vagina pain is controlled.No side effects, no interactions with any med. If I get value of blood work, I may suggest few other things too.Hope it helps.
| 107,610 |
What causes swelling and cramps on the foot?
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Patient: bottom of left foot began cramping last night while I was sleeping. Couldn t put weight on it without pain, when I got up this morning I still could not put weight on it without pain, put some heat on it with no relief. It appears to be slightly swollen on around big toe and on bottom of foot. I did not injure it at all and this is the first time this has ever happened. Doctor: Hello, You may be having acute attack of gout.In this condition there is increase in blood levels of uric acid which gets deposited in the small joints of foot especially 1st metatarsophalangeal joint. Uric acid forms needle like crystal in small joints which leads to inflammation and pain. Usually deposit occurs acutely and hence pain. I would like to advise blood test for uric acid levels. Keep yourself hydrated with lots of fluids. Ice compression reduces inflammation and pain. Treatment for reducing serum uric acid level should be started if blood levels are high. please consult physician nearby you after report. Hope I have answered your query. Let me know if I can assist you further.
| 127,115 |
Suffering with chronic spinal stenosis, headaches and muscle spasms. Feet is inward. Is it the right diagnosis?
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Patient: Hello, I am a 55 yo white female who was first diagnosed at the age of 42 with mono. I never felt well after the mono and my PCP did not give up. My sed rate was elevated and today is at 110, I suffer with neuropathy, chronic spinal stenosis, headaches, muscle spasms esp. left hand, numbness in left foot and upper right thigh to the knee. My speech has become where I am asked over and over what I had just said. I have been diagnosed with over 15 diseases. I do have some psoriasis also, so everyone immediately went to the PA and RA even though blood testing for RA is always negative. My maternal uncle had MS so severe he died at the age of 19 from his heart just rupturing in his chest. I feel I have been misdiagnosed and want to know who I should see for a more complete assessment of all of my symptoms. Thank you. Also both feet have completely turned inwards. Doctor: THIS FEET TURNING INWARD MAY BE PROBABLY DUE TO FOCAL DYSTONIAS OF THE FOOT.OTHER SYMPTOMS OF MUSCLE SPASMS MAY ALSO BE DUE TO DYSTONIAS OR MAY ALSO BE DUE TO ELECTOLYTE DISTURBANCES. I FEEL U PLS FIRST CONSULT A NEUROLOGIST N THEN A RHEUMATOLGIST.
| 149,079 |
What is mild diffuge cerebral atrophy ?
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Patient: hai sir, my mother age was nearly 50 years and from last year she was often imbalance while walking. and her voice also ecoming unclear.we have consulted many doctors. and they advised as due to weakness. today back whan we consulted neuroogist, after ct scan told it was due to Mild diffuse cerebral atrophy . can u please explain what is mild cerebral atrophy. can we cure it. and can my mother walk normally again. please explain Doctor: In simple words, diffuse cerebral atrophy means generalized shrinkage of the brain tissue, which is detected in CTscan or MRI of brain. There are many causes for the atrophy like age related and alzheimer's dementia. Usually, there will be other problems like forgetfulness and difficulty in carrying out daily activities. Since your mother is aged only 50 (age related atrophy is unlikely) and has complaints like difficulty in walking and talking, a detailed evaluation is necessary to rule out brain damage due to minor strokes (hypertension and diabetes melitus are risk factors). Unfortunately, if the problems are indeed due to atrophy, chances of recovery are less. The priority will be to prevent further deterioraion.
| 152,127 |
what is normal time of recovery after brain hemorrhage surgery?
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Patient: Hello Doctor, My uncle had brain hemorrhage. After 5 days of surgery, he had not opened his eyes but give response when u ask some question,like he open and close his hand when said to do.He is still on ventilator.what is normal time of recovery and when patient come in situation to talk. please help Doctor: Hi, your uncle is responding to commands after 5 days of surgery .This is good sign. In 1- 2 weeks he will be responding and talking .First he should be weaned off fro ventilator.Thanks
| 143,580 |
What causes numbing sensation near left knee?
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Patient: Good morning, I have a numbing sensation near my left knee. If I kneel on it it hurts? It doesn t hurt when I walk or run on it? Just this morning on the way to work I felt some discomfort, it shot right up to my knee cap. Just curious as to what this my be? Thanks. Doctor: Hi...Your knee numbness is due to busae of the knee joint it could have inflammed while you kneel for a long time and out pressure over the bursae...Since it may not be that much worse you may not have much of issues from it currently...The same us responsible for your pain around patella..Nothing to worry..I suggest you to...Do lot if icing to receive pain and soasn ...do it frequently...Gentle massage around patella and over front thigh muscles, inner thigh muscles and calf muscles...Gentle stretching to front thigh muscle...and calf muscles...Lot of icing over painful area of the knee ( in the lower area of knee cap)Hope this is helpful for you...Kindly revert back incase you need any further help in this regard
| 129,861 |
Dripping in nose while bending head down. History of smoking and working in atmosphere filled with smoke. No cold. Advice
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Patient: My mom just told me that last night she bent over to grab something and her nose dripped. She said its never happened before but I said yes sometimes it happens to me. Only when I bend my head down. Very rarely. Were both smokers. I work at a casino which is filled with smoke and I notice it happens a lot there. Were not sick with s cold. Doctor: it can be clear fluid which comes due to damage of cribiform platethe csf leaks while bendingyour no history of cold suggest this diagnosisneed to confirm by getting the cellularity of fluid checked if there is confirmed can consult doctor to seal the plate with grafting
| 103,207 |
Have PCOD. Delayed periods. HOme pregnancy test is negative. Have constant backache. Chances of getting pregnant?
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Patient: Hi I am 28 years old female recently got married me and my husband use pull back behind while having sex .....I have PCOD from last 2 years.. but I get my periods every month ....Recently my periods are delayed by 10-15 days ....I took home pregnancy test twice one in last week and one today both came negative.......But I am having constant backache,Nausetic feeling.....please let know are there any chance of me being pregnant ??? Doctor: Hi,Ovulation is rare and irregular in PCOD and as such, periods may get irregular. Still, withdrawal method has a high failure rate. As your home pregnancy tests are negative, it is unlikely that you are pregnant. Yet, you may get a better confirmation through serum beta-hCG measurement and a trans-vaginal sonogram. If pregnancy has been ruled out, you would need a complete hormonal profile to see if there is a hormonal supplementation that is needed. Hope this helps. Take care.
| 4,990 |
What causes loss of apetite, fresh blood strains while blowing the nose?
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Patient: Hi my 7 and a half year old daughter has just been sick and appeared to have bits of fresh blood in it, only little bits like membrain when u sometimes blow your nose. But i am concerned as she has been under a paediatrician and had blood tests done over the past few years. She had some supper an hour before bed and a drop of milk just before she went up,but hasn't eaten anything with red in it. Can you please let me know if this is cause for concern. Thanks Doctor: HI, thanks for using healthcare magicIt may not necessarily indicate that there is any serious condition present.Gastritis, inflammation of the stomach, may be due to infection ,due to medication or use of irritating foods.Blood can be seen if the stomach is inflamed or irritated.She needs to see her doctor if: (A) it was a lot of blood(B)repeated episodes of vomiting with blood(C)persistent vomiting even if no blood is seen(d)dizziness, excess drowsiness or very unwellI hope this helps
| 30,445 |
Recurrent typhoid, feeling weak, shivering in legs while walking. Why is it happening ?
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Patient: hi..am female of 25 from india ,hyderabad unmarried,i got typhoid and this is the 6th time i am getting ..and feeling so weak and when i walk am getting shivering in legs..and even i have fissure problem since 5 to 6 years and even the typhoid fever is coming from since 2007..its really effecting my health and even my career..please help me out sir.. my widal reports are like this S. TYPHI O 1 in 160 dilutions,S.TYPHI H 1 in 80 dilutions and othes are normal and other tests like urine and liver function test has been done and SERUM ALBUMIN IS 3gm/dl.using tablets enzar forte and wokofy Doctor: Hi Gouthami, Thank you for your query, Getting Typhoid fever often is due to multi drug resistant bacteria or relapse of bacteria from the gall bladder or incompletely treated previous typhoid fever. Continue the medication as prescribed by your Physician for complete duration. Take proper rest, maintain your hydration by taking plenty of oral fluids. Eat soft food, avoid junk and fried food. For fissure, you have to take dietary rich food, and consult a general surgeon to assess for any surgical intervention. Hope I have answered your query.
| 59,425 |
Can a person with depression be dangerous to others?
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Patient: My daughter has a very close friend who suffers from depression and migraines. This friend is under the care of a physician and takes medication. She has at one time thought of hurting herself and others. Is my daughter at risk with this friendship? We have known this girl since she was three and are very close to her. She is an extended member of our family. Doctor: Hello,Depression is an illness in which the patient needs support of near and dear ones. The patients are usually not aggressive towards others. I suggest you to help her and be with her in this difficult time. And when she has tried to kill herself, your daughter should confide in with her and be supportive. If her treatment is continued regularly, she would recover. Thanks.
| 201,720 |
Does Fibrous dysplasia ,clivus and sphenoid cause tinnitus and headache
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Patient: Fibrous dysplasia of the skull, including the clivus and sphenoid bones, can this cause tinnitus and headache. Should it be monitored with regular CT scans or an MRI? No one seems too concerned that my husband has FD in all his skull bones and that now he is having increased headache, neck pain, and relentless tinnitus. He has chronic insomnia due to the tinnitus and now his employer is adding a third shift to his schedule. (days, evenings and now graveyard shift). I am thinking he will end up in the graveyard at this rate. Any advice would be appreciated. Doctor: Hello, Fibrous dysplasia of clivus and sphenoid may cause head ache and tinnitus. Apart from ct and mei histopathological examination will give definitive diagnosis. Transseptal or trans sphenoidal biopsy is one of diagnosis. Depending on symptoms it can be treated serial observation to curettage and complete excision. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Krishnakanth. K
| 120,052 |
Pains in back, MRI shows an incomplete delineation of a cyst. What could be the problem ?
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Patient: Hi, I went to the doctor for pains in my back and an MRI was ordered. I got that done 2 wks ago and went to the Dr. yesterday for the results. Nothing wrong with my back, but an nimcomplete delineation of a cyst was seen, I believe he said 3.3mm. So another MRI has been scheduled for my pelvic area. I had a partial hysterectomy years ago leaving my ovaries. Do you have any idea what could be the problem? Doctor: Hi, great question Based on what you have reported, it is difficult to come up with concrete information. Sounds like your doctors do not yest know what is going on. When a back MRI is done, a scout film or localizer is acquired. A pelvic lesion was probably seen on this localizer or even on some of the other cuts. However, the back images are usually not accurate enough information to establish a diagnosis of a pelvic abnormality. There are so many possibilities. Get the pelvic MRI and THEN from there start figuring out with your doctors what needs to be done. Best of luck,,,
| 113,517 |
For how long does effect of implanon last after removal?
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Patient: Hi my name is sarah I had my implanon for two years then I got it taken out When does the implanon leaves ur system ? ?? My boyfriend & I did unprotected sex havnt got pregnant yet not like I m trying or anything How do I know it leaves my body (implanon) ?? Doctor: Hello, implanon is hormone based contraceptive. After removal it takes on an average 12 months for the return of fertility. The time is taken by the body to adjust its normal hormal levels.
| 3,201 |
What is the cause of knots inside the stomach?
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Patient: I was in a motor vehicle collision and I had a large bruise on my lower abdomen where the seat belt was, now that the bruise is going away, I ve noticed these marble like knots inside my stomach where the bruise was. They hurt to the touch. What could this be? Doctor: Hi.Thanks for your query.Read and understood your history. The compression and shearing force applied by the seat-belt must have caused the bruise on the abdominal wall.The abdominal wall has lot of fat and potential space for the bleeding to occur in pockets of loose tissues. These take time to get absorbed by the body and hence appear as multiple hematoma. They are painful on touch if under pressure.Do not worry if there are no signs of acute inflammation like redness, throbbing pain. These will reabsorbed by the body gradually. You may take an anti-inflammatory medicine like Ibuprofen if it suits you. Do not fondle with it, use loose clothes, consult a Doctor if there are changes as I explained like increase in redness, pain or size.
| 66,013 |
Suggest remedy for mental health problem
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Patient: Hello Doctor I have a problem of feeling attractive and sexy with girls I just liked to makegigirls know that I m very good with sex I like to love her body without feeling worried and something like this maybe my problem is determination , note I m 17 and I m virgin but the problem in my mind but I don t like to make a problem in my real life and thanks Doctor: hi dear,having thoughts of ladies is normal at this age but is these thoughts disturbing you?are these thoughts unwanted and recurrent ?if you have such thoughts only occasionally than not to worry as during this age it is normal.though consult psychiatrist for detail history and counselling.Thank you
| 208,546 |
What could cause pain and blood while peeing?
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Patient: Hi, I have noticed that every time I wee it burns a little and every time i finish i feel like i need to go again but there nothing coming out. I have now noticed that there a little bit of spotting of blood. I took the morning after pill around a week ago, is there something i should be worried about? Doctor: HelloPain and blood in urine may be due to many reasons like urinary tract infection(UTI),calculus in kidneys or ureters etc.You need clinical correlation and investigations like routine hemogram,renal function test,urine RE/ME,Urine culture and sensitivity and Ultrasound of abdomen.Ultrasound of abdomen and urine RE/ME is most important in your case.Proper treatment depend upon findings.It is important to exclude prostate enlargement in males because enlarged prostate may give rise to sense of incomplete emptying.Get well soon.Take CareDr.Indu Bhushan
| 48,312 |
7 year old having loose tooth and swollen gums with bruise. Reason?
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Patient: My daughter is 7 years, her upper teeth has been loose since 4 months ago but now is crooked, is having a huge space between the two front teeth and her gums from the top are deollen and purple like a bruise . She had shark teeth on the bottom teeth that she only had lost, but seeing her gums turning purple- black is freaking me out Doctor: Hello there, Permanent teeth start erupting at the age of 6 years and onwards,shark teeth or serreted teeth is the feature of milk teeth. as your daughter is 7 year old her permanent teeth will replace the milk ones. visit a dentist for confirmation, x ray examination will show the underlying permanent tooth buds accordingly go for treatment removal of teeth or to save the teeth. cleaning of gums and a course of medication will cure the swelling n redness of gums, take care.
| 189,182 |
How to treat pain and swelling of thumb as i slipped and fell down?
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Patient: I slipped & fell on the ice outside my house last night. My left palm, at the base of the thumb bruised immediately. A few minutes later it started to swell. Ice & tylenol helped the swelling, but it's still a little swollen & bruised. It felt ok when I woke up, but the longer I was up the more it's beginning to throb, like a dull stabbing pain. It is tender to the touch at the bruised area & around it, at the base of my thumb in the palm area. Should I go get it x-rayed, or is it likely just a sprain? Doctor: Hi..I read your question and got your concern.Get an xray of your hand.. and consult with an orthopaedic surgeon to rule out any possibility of fracture or dislocation.If xray is normal,then oral paracetamol will subside the pain and swelling within a week.Wish you good health.I will be happy to help you further if you have any question.Thanks
| 96,794 |
Will Methyprednisolone help for swollen and itchy face due to some allergy ?
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Patient: Hifor about a month now I wake up with my face swollen some what itchy and feels warm. Also it feels like pressure on my face... i went 2 dr and they prescribed me methyprednisolone they said I had some type of allergic reaction to something. I finished the medication but I still have the same problem. It didn't get any better Doctor: Hi,Thanks for consulting HealthcareMagic!Based on the information given, now we need do considerother things apart from allergic reaction as your doctors suspected.Other causes of face swelling noticed after waking up include angioedema,drug reactions, fluid retention etc. You need few investigations like couple of blood tests to know the exact cause.Hope I have answered your query. Let me know if you have have any clarifications. If you like my answers and wish me to answer in future, bring it to my attention: Dr Vasanth. Url link is as follows:http://doctor.healthcaremagic.com/doctors/dr-vasanth/66057Wish you good health!
| 102,688 |
Can i give Mefatal P for fluctuating fever?
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Patient: my son age is 7 months and 29 days. Last two days he is suffering from fever. suddenly his fever getting up to 37.5 ( celcius) and become low up to 35 (Celcius) I gave him Panadol Cyrup ( Paracitamol) 1 ml(once every 4 hrs). Lastly I gave him Meftal P two times once a six hours. Please, let me know is it suitable Mefatal P in such a circumstance. Doctor: Hi dear, I understand your concern .Mefenamic acid(Meftal syrup) is more effective for fever.I suggest to give tepid sponging.Try to give medicines when fever more 38C,don't do overdose,because temperature will fall very down.Keep your baby hydrated with plenty of water.If you have more questions, then don't hesitate to write us,I am always ready to help.Wishing your baby good health
| 172,728 |
Excruciating pain after spine surgery, sever while standing or walking. MRI done, normal results. Underlying cause?
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Patient: My son had (supposedly non-invasive spine surgery I August of this year and has been in excruciating pain ever since. Th surgeon that performed the surgery claims it was successful and has no answer for the pain. He has taken the usual MRI's and nothing shows up. He has gone for pain management injections to no avail. While siting the pain is livable - but the minute has to stand or walk - excruciating .He is worn to a frazzle - difficult to sleep. Can you help me? Mrs. Florence Joffe Doctor: Hi, Mrs Florence Joffe, Welcome to Health care magic forum. As you describe it appears to be the pressure symptom on the nerves, due to the disc. Convalance may have some pain, but never so long. Physiotherapy may prove use full. so i advise you to consult a physiotherapist. I usually to my patient with such symptoms prescribe neurotropic injections for 10 consecutive days, ofloxacin, and anti inflamataries. Wishing for a quick and complete recovery.
| 148,922 |
Suggest treatment for chapped lips in a child
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Patient: 3days ago I woke up w swollen burning red chapped lips..not like little kids w chapped lips( they get that dark red line around the lip line) well mine is uneven and somewhat blotchy.. I took Benadryl and put Vaseline, Aquaphor, and other lip ointments but they still hurt and look bad Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 176,322 |
Light pigmentation on face due to PCOD. Chemical peels or melacare cream the better option?
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Patient: Hello Sir, I am 34 years, have light pigmentation on my face due to PCOD problem. I am fine now after taking 4 months pills as advised by Gynaecologist ... I had checked lots of reviews on pigmenation cures and quite confused now. Can I go for some clinical treatments with home care and chemical peels or use Melacare or any other creams. Please suggest the best treatment to overcome this pigmentation Thank you Doctor: Hi dear pigmentation is common in pcod. Using a depigmenting agent is better option. The most important thing is to use sunscreen. Use the depigmenting agent in night and wash off after 1 hour. In morning apply sunscreen. Thank u
| 11,804 |
History of stunt inserted in head. Suffering with hernia and damaged liver. What should be done?
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Patient: My father whose age is 80 + is suffering from so many diseases. Recently his liver totallly damaged. 7 years back stunt was inserted in his heard. In march 2012 when liver was damaged, water from stomach was taken out by doctors. Now we came to know that he is at present suffering with hernia and more over now his stomach again swallow and his foot also got swallon what should we do? Doctor: Hello. Thanks for writing to us. As you describer you father may be suffer from Cirrhosis of liver .Please elaborate more like history Alcoholic USG report LFT etc
| 60,091 |
What are the side effects of using Guanfacine for ADHD?
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Patient: I am a mental health clinician and I have a child of 6 yrs. taking guanfacine for ADHD. She is having major temper outbursts on this medication. What are the rare side effects of this medication on children? I have no money to pay for this question as I am a therapist and I am searching on behalf of the concern for this child. Doctor: Hi, guanfacine drug is used in ADHD, its side effects are drowsiness, dizziness, constipation, dry mouth. If above symptoms are persisting or worsening then treating doctor should be informed. I hope this has helped you. Take care.
| 171,283 |
Suggest medication for sore muscles in leg
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Patient: i was stepping over a row of plants and the leg I planted slid in the mud causing my leg to extend and bend backwards (like your knee locking). The muscle on the back of my leg is sore and it goes up to by butt. Should I use heat or ice. What should I look for in the way of pain in the following days? I can walk with little pain but sitting is another problem. Doctor: hi,thank-you for providing the brief history of you.As the mechanism of injury suggest there will be sprain of the ligament in the knee and also the strain of the hamstring muscle.Sudden contraction of the muscle for controlling the joint to avoid any major damage such pain arises. getting a thorough clinical examination will be on a safer side.Such cases in my clinical are recommended with rest, ice and some simple physical therapy.RegardsJay Indravadan Patel
| 133,454 |
Can tooth infection cause tingling sensation and swelling in the arms?
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Patient: I have a tooth infection and was givenot antibiotics last month they ra n out about 2 weeks are so. I'm not scheduled for a dentist appointment until the end of.the month but for the past week I've been getting a tingling feeling in my arm on the side where my cavity is and now my arm and fingers are swollen should I go to the er. Doctor: The swelling may sometimes have seen pain radiate to ears and head region. Tingling sensation in ur arms and fingers may have some other pathology. Better is you have some investigations done which would get you a definite reason for it!
| 180,903 |
What causes lower back pain and sensitive skin around it?
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Patient: I have had lower back pain now for year at first moderate and as the years go on now it is getting severe, but now my skin around the left side of my lower back down to my buttock and hip is very very sensitive to the touch. Wearing clothing is very uncomfortable and lying down is a killer. Please help with some possibliity Doctor: Thanks for your question ,this is mostly sensory affection from your back problem please do x ray and MRI on your lumbosacral spine.You should receive NSAID and pregabalin 50 mg daily before sleep.
| 107,178 |
Should I consult a Urologist for the administration of Glans Penis Hyaluronic Acid injections?
|
Patient: I have seen research on Glans Penis Hyaluronic Acid Collagen Injections to help with premature ejaculation. Would this be a visit to a urologist or a plastic surgeon to get this injection administered. Is there any doctor in the Michigan area who can do this? Doctor: HelloThanks for query .The use of Hyaluronic acid injection in glans penis to increase the girth and thickness of glans penis does help to increase the length of intra vaginal sex time and delay ejaculation...But the research is still in a primitive stage and long term effects and results are awaited .You need to consult Urologist to get this treatment .Dr.Patil.
| 197,305 |
Severe stress, negative thoughts and doubt that partner would cheat, sleeplessness, no appetite. Help
|
Patient: Hi good day my name is carol i just wanna ask why I don't have a peace of mind when my bf didn't response immediately to my message on chat i always wonder he cheated me I'm so in love to him i don't wanna lose him i wanted him with me in my whole life I'm gay and I'm suffering now always. Thinking of him my days are not complete when we're not talking each day i don't even know what's going on me why this happened to me i don't even eat I'm indisposed i can't sleep enough I'm working graveyard I'm so stress right now i need your help sir/madam thank you! Doctor: Hi there!its very common when you are in love to have all possible insecurities and possessiveness.alternate orientation to some extent can bring some more insecurities depending on your sociocultural context.please look into your problem with some conscience, although its common,its not healthy. you are losing your own peace of mind and your anxiety getting transfered on your partner can pull him away from you.have faith in yourself and your emotional investment. if a relationship has to work it works by the support of both partners, don't get insecure.you cannot change the fate anyway.in all this process, you are losing precious creative moments of your life, limit your obsession and dreaming for a fixed period,may not be not more than 1 hr/day. use thought stopping methods and have 30 mins of exercise everyday to wash off your worries.hope this helps you.
| 211,719 |
Pigmentation on arms and back, dark patch in middle. Prescribed hyclean, how long to apply this? Treatment?
|
Patient: Hello Sir, I am a 32 year old female. My arms and back are extremly pigmented. I can assume that the pigmentation on my arms is because of sun exposure but i have never exposed my back to sun but still it is deeply pigmented and it also has a big dark patch in the middle. I consulted a dermatologist for my arms and she gave me Hyclean cream. I want to know that for how long i have to apply this cream and is there any other treatment available for my problem. Doctor: Hi,Welcome and thanks for posting your query to HCM.It appears from your query that your pigmentation can be either due to simple tanning part or the other important cause is known as "lichen amyloidosis". If it is due to simple tanning then your cream - Hyclean would be beneficial to improve the pigmentation. It contains sunscreen and skin bleaching agents so giving you dual benefit. It is to be applied thinly, preferably at night time but can be applied at day time also. One pea size amount over the finger tip is sufficient for palm size of skin. Do not rub it over the affected area or direct exposure to sun, otherwise can cause irritation.If it is lichen amyloidosis then all the treatments actually are less effective. You take guidance from your dermatologist regarding exact cause of the pigmentation. She would guide you for the same. It has to be applied at least for 2-3 months to see visible results. There are many a treatments available but before that we need to clarify the exact cause.Along with it eat a lot of vitamin C and Vitamin A containing fruits and present sun exposure.Hope these informations will help.With good health wishes"Dr Sanjay Kumar KanodiaMD (Dermatology)
| 11,700 |
What does ammonia being 900 present in liver suggest?
|
Patient: Dear Doctors,My grandpa has been unconscious for almost 8 days and the hospital at my city in Israel have made all the tests required to see what s going on with him. Unfortunately, all the reports were saying that he s alright and nothing is wrong with him. Today they had checked his liver and they discovered that he has ammonia and it s 900 and the doctor said it suppose to be 90 .. so can you please help me and tell me what can we do to wake him up and find a good cure for him ? Doctor: Hi,Incomplete data like his age, any associated medical illness, liver disease, liver function tests, ultrasound, etc not mentioned. I appreciate your concern for your grandpa who seems to be suffering from coma due to liver failure. The treating doctors in your hospital will try to find out the cause of your grandpa's coma like infection or bleeding.They will try to eliminate ammonia from the intestine because it can contribute to coma by using Lactulose - a laxative which it decreases the amount of ammonia that is absorbed by the body and antibiotics such as Rifaximin which can reduce the number of bacteria that form ammonia during digestion. With treatment, hepatic coma is frequently reversible.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 52,187 |
Suggest treatment for infertility
|
Patient: I have a patient who is 37 years and presented due to infertility, His semen analysis azoospermia, and peroxidase test: Spermatogenic cells = 100,000, WBCs = 100,000 free Testosterone LH, FSH, Prolactine, All within normal range TSH: 6.3 normal toatal T4, T3 What is the next step in his management? Doctor: hai,many localized ,systemic abnormality can lead to azoospermia.Cause for the azoospermia condition should be ruled out by history, physical examination( a thorough evaluation of the scrotum and testes, laboratory tests, and ultrasound imaging).kindly visit a urologist to rule out the reason behind your azoospermia condition.thank youhope i answered your query
| 42,339 |
Can hypothyroid cause elevated ALT levels?
|
Patient: Hi,My last blood test does show ALT level is 47, LDL is 122, CRP is 3.74 and TSH is 5.060. Hep is neg. Dont drink. I have hypothyroid and it was out of control for a while. My BMI is 35. Do I have a fatty liver or ALT is elevated bec of thyroid problem. Doctor: Hi,Thanks for posting your query.I am Dr.R.K and i am pleased to assist you.Yes, hypothyroidism can affect liver function and can cause elevated ALT levels.Since your BMI is high, it is more likely that you have fatty liver. it can confirmed with an ultrasound scan of the abdomen.Nonalcoholic fatty liver disease is the most common cause of elevated liver enzyme levels.I hope that answers your question.Regards.
| 56,934 |
Unable to conceive, PCOS condition. Taking clomid, injections. Laproscopic surgery advisable?
|
Patient: sir , i am 27 years old i have pcos problem i have taken clomid for last three months from 100gm to 200gm. with 200gm i ovulated but not able to conceive. so my doctor suggest me to do laproscopic after that she will continue with injection treatment. Is laproscopic is needed? and Is i can able to ovulate by injection itself? otherwise shall i can take clomid for one more cycle? kindly suggest me. Doctor: hello thank you for writing to HCM your doctor has given a good suggestion In cases where women are diagnosed with PCOS and have not got pregnant with clomid, laproscopy will be beneficial in this condition dr nandita thakkar
| 44,146 |
Had blood test done. What does the RBC, WBC, MCV, MCH, Hbg or platelet count tell?
|
Patient: I had a blood test done a few days ago and was just wondering if you could help me interpret some of the results.... Iron Binding Capacity: 515 Transferrin: 387 Ferritin: 96 Iron Saturation: 21 Iron Lvl: 106 WBC: 9.05 Hgb: 13.9 Hct: 40.1 Platelet: 374 RBC: 4.72 MCV: 85.0 MCH: 29.4 MCHC: 34.7 RDW: 12.8 MPV: 9.6 Neut Auto: 65.2 Imm Gran Auto: 0.3 Lymph Auto: 26.5% Mono AUto: 6.6 Eos Auto: 1.2 Basophil Auto: 0.2 Neut Absolute: 5.89 Imm Gran Absolute: 0.03 Lymph Absolute: 2.40 Mono ABsolute: 0.60 Eox Absolute: 0.11 Baso ABsolute: 0.02 Doctor: HI, Before you interpret any investigation you should know age of the person and sex (Male or Female) . also what for investigation is done that means it is always correlated clinically. Hemoglobin 13.9gm% is in normal range WBC count and differential count is normal, Serum iron and ferritin level with in normal range, TIBC is slightly higher than normal usually seen in Iron deficiency anemia but reference range may vary from Lab to Lab. Please see your Physician and he will interpret and explain to you details. Good Luck.
| 119,281 |
How to prevent my daily asthma attack?
|
Patient: Good morning sir my name is Dinesh I am 26 . Since I was may b 4/5 yr old I've been suffering from ashthama.it was almost under control till last yr. I am from indore (mp) last yr I came to delhi for my study and here I got ashthama attack regularly... Whenever season change I get cold and this last for more than a week but this time (winter to summer in 2011) Its about more than 1 month and getting ashthama attack almost daily.. I am using formoflo inhaler regularly. What should I do... Thanks... Doctor: Hello Dinesh.Thank you for asking at HCM.I went through your history.To exactly help you, I would like to ask you a few more questions like - Apart from asthma, do you have allergic rhintis (nose allergies)? Which inhaler are you using - Formoflo 50, 125 or 250? Do you smoke? However, from your history, I would like to make following suggestion for you:1. As you are getting asthma attack almost daily recently, were I treating you, I would prescribe you daily montelukast in addition to your inhaler.2. If you have nose symptoms, I would add levocetirizine or cetirizine also.3. Personally I would suggest you allergy testing. This will help you identifying the substances that are causing troubles to you and also measures to avoid them.4. One more important thing - please review your technique of using inhaler. If you are not following all the necessary steps in right way, you may not be inhaling adequate amount of drug. Personally, I would also suggest using spacer device along with inhaler to improve drug deliver into your lungs.5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible. (Air pollution is a problem in many areas of Delhi). Using cloth/handkerchief/mask/helmet to cover nose may help. Please do not smoke if you smoke.6. I would also suggest you regular breathing exercises, Yoga or Pranayama and a healthy diet rich in vitamins & minerals (e.g., adequate amounts of green leafy vegetables, fruits, sprouts, etc) which will be definitely helpful to you in a longer run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.Dr Parin N Parmar
| 101,122 |
What causes lump on the neck with family history of cancer?
|
Patient: Hi, I have a small gumball sized lump (but not round, its a little elongated) on the left side of my neck, about 2cm from my jawline. I can feel my pulse in it, and I can move it around a little. It is not painful. Doc thought it was a lymph node, but after two courses of antibiotics and almost 2.5 months, it s still there and getting bigger. I m seeing an ENT tomorrow. I have a STRONG family history of cancer; what should I ask the ENT? Doctor: Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Chronic JD adenitis,which could be from Chronic Tonsillitis.Increase in size lately could be due to acute recent attack of Tonsillitis or could be due to the Pyogenic Infection in the JD adenitis.Excision Biopsy with Histopath study is advised,to rule out any Cancerous Possibility of NHLymphoma in it.Till you get its report,don't worry about the Cancer in it,as the site indicates the Chronic JD nodes of infective origin,draining the tonsil area.CT study of the Neck nodes and of the abdomen would lead the probable nature of it being NHL or Hodgekin Lymphoma. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggestsGood Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS
| 62,119 |
Suggest treatment for heart attack
|
Patient: My wife who is 54 had a moderate heart attack - 100 per cent blockage in the lower right of her heart. Heart attack happened 48 hours after having breast surgery for cancer. How will chemo affect the decision for the breast cancer after having the stint place in her. She is HER2 +3 and neg. on both hormones receptors. Doctor: Hello,Thanks for writing to Health Care magic, I am Dr , Muhammad Ahmad , I have read your question closely, I understand your concern and will be helping you with your health related problem.Right artery usually causes less dangers as compared to the left one and if stent has been placed then most probably your wife is safe as far as cardiology point of view is concerned. Regarding chemotherapy, there are certain drugs which are more cardiotoxic and they can affect the heart negatively specially immediately after a heart attack but usually they can be continued after heart has recovered (usually in 6-8 weeks of heart attack) , other safe chemo therapy drugs can be started earlier.In my opinion you wife will be able to take her chemo without any problems doctor will just keep monitoring her heart which is usually done with the help of echocardiography , and if that stays fine , she will be able to complete the course without any problems. In a nut shell i would say that moderate cardiac even doesn't affect decision of chemo in a patient. I hope this answered your question, If you have more queries I am happy to answer you.Regards.Dr.Muhammad Ahmad
| 23,991 |
Can Paracentral Herniation be cured by undergoing Discectomy?
|
Patient: salam. i am irfan 27 years old male. almost 9 weeks ago it was first time when i felt sciatic pain in my left leg through hip. it was bearable at that time.But now im on the bed and had a MRI scan which shows that in have a herniated disc at L5 S1. My doctor commented parenteral herniation. And advised me to have a surgical treatment disactomy. but have listened that there are so much shocking threads. im on bed rest now almost one month i have spent on my bed. but not feeling so well. now schiatic pain is not so chronic until on rest. but after walk of 40 second schiatic pain began to recurrent. please advise me what should i do now either i shold go through the surgary or should take more rest. Doctor: if there is herniation the relief will be there for some time if you take rest more but when you walk again there will be swelling causing same better is to go for surgery as now a days endoscpy surgery is possible with minimum invasioion and minimal healing time and more accuracyas i have seen many patients like this complicating further by avoiding surgeryin my opinion also surgery is the best option
| 148,749 |
What causes stomach ache?
|
Patient: my 4 year old has been complaing of tummy ache on and off since last week, today she was fine until lunch time, she didnt want her lunch and went for a two hor nap which is unlike her. she was feeling hot and kept saying her tummy hurt could this be caused by constipation i dont know when she last went to the toilet as goes independantly thanks Doctor: Hi.The most probable cause of pain in abdomen in a child who is 4 years old is not constipation but either appendicitis or tummy tonsils , meaning inflamed lymph nodes. An urgent ultrasonography along with a clinical examination by a Pediatric Surgeon will help for a proper diagnosis and treatment .
| 88,989 |
What causes stomach ache with no appetite in 2 year old?
|
Patient: I have a two year old daughter that has been fighting something for the past couple weeks. The thing that I am concerned with is she is not eating anything and complains that her tummy hurts really bad, she even asks to go to bed because it hurts so much. Any suggestions? Doctor: abdominal pain in 2 year kid might be due to acute gastroenteritisurinary tract infectionconstipationacute appendixintestinal perforationlower lobe pneumoniatraumaworm infectionsdo a routine stool examination for cyst and ova and ultrasound examination for abdomen to rule out peritonitis or any abdominal organs related pain.
| 164,440 |
Can i give cold medicine to a 16 year old for seasonal allergies and cold?
|
Patient: Hi, my son usually suffers from seasonal allergies during this time of the year so I gave him Zyrtec this morning. He has not gotten better and symptoms now seem like they may be due to a cold. Can I give him cold medicine? he is16 years old. Thank you for your insight. Doctor: Hello,It is my pleasure to help you,You can give medicine to your son as he is 16 years old.But before giving any drug it is better to have consultation with your doctor only because doctor is able to know what is the reason for the symptoms.He can prescribe the drug which is suitable to him, we never know to which drug you are allergic.So take a consultation of your treating doctor.Hope you are satisfied with the answer.Thank you.
| 102,513 |
What causes low WBC count , fever and vomiting?
|
Patient: 18 y.o. male, 1 week history of cyclic fever (spikes up to 103 at night.) Violent episodes of vomiting twice in last week 3 days apart. CBC done twice. WBC wnl. platelets low @ 85,000. Mono negative. Strep negative. ER doc mentioned LFT were up slightly but didn't give #'s. Any thoughts? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have some viral fever or thyphoid. You should take treatment accordingly. Go for widal test and regularly monitor your platelets count. If uou have any signs of bleeding then consult your doctor. 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.
| 116,704 |
Did not have periods while taking birth control injection. Continuous bleeding after implant. Worried
|
Patient: Hi didn t have a period for 6 years on the injection then changed to the implant after a year had my first period lasting for about 2 weeks then another period 3 weeks later I have now been bleeding for about 6 weeks should I be worried or is it just because I went for so long not having one Doctor: HI Thank for asking to HCMI can understand this you have got the history of amenorrhea you have to mentioned your age if you are above 40 years of age then chances of menopause is likely, hope this information helps you have nice day.
| 224,885 |
What does breathlessness with pain in sternum and on and off marks in liver mean?
|
Patient: I am a female, 50 years of age. I have been suffering from breathlessness and pain in sternum area, feel sick after eating and have pain between my shoulder blades. I am allergic to sulphates and cannot digest carbs or alcohol. I have had a liver ultrasound which showed my liver was enlarged and it had white marks scattered all over it. I was going to have a biopsy but didn t as they did not want to put a needle in something they couldn t identify. had a further ultrasound where liver was normal size and some of the marks had faded but it seems to come and go. When i have it I am very unwell. Exhausted, difficulty walking (like a temporary arthritis), aching all over and very depressed. The liver function tests are OK. However, I am now on a low carb, no alcohol, no sulphate diet, which is very limited. This has helped enormously but if I am not very strict with my diet them I am once again in pain and very unwell. Elizabeth Doctor: Hello,Usually, there's no relationship between breathlessness and liver problems. It is very important for the biopsy result. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Jnikolla
| 71,507 |
Suggest treatment to increase the fairness of skin
|
Patient: hi mam....... i am ekam and my colour is not dark and not fair i m a beautiful girl but i want to look more beautiful pls help me by answering my quiestion i will be very thankful to you or recomend me api9ll which is easy to be available in the medicle stores Doctor: Hello Ekam and welcome to HCM.Complexion of any person is has two two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc and is amenable to treatment.You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycolic peel, retinol peel, cocktail peel etc)Also, chemical peeling can be preceded by a simple procedure called microderamabrasion or commonly known as skin polishing to augment the results.Also, at home you can try using cream containing kojic acid, tetrahydrocurcumin, arbutin etc for several months (Melaglow cream) for additional benefit and maintenance.Always use broad spectrum sunscreen before going out in sun.Use a plain moisturiser like cetaphil DAM on daily basis for healthy and hydrated skin.Take plenty of fresh fruits and vegetables in your daily diet.Hope this will take care of your issue.Thank youDr Hardik Pitroda
| 8,520 |
Can fatigue and depression cause heart attack?
|
Patient: Hi, my mom died of a massive heart attack some time ago. She had symptoms of fatigue and dizziness 2 months prior. She did go to he gp with this, and was told that she may have vertigo, and the fatigue was due to depression she was experiencing at the time....should her gp have tested her for heart problems? Doctor: hi dear i understand your concern that a fear you have in youdepression and fatigue can be a risk factor of cardiac stroke but indivually it will not be a cause of this so for a healthy life i will suggest you to walk for 30min a day and eat healthy food and live a stress free life
| 19,966 |
Suggest treatment for pain in shoulder muscles due to Parkinson s disease
|
Patient: yes please, Ive had severe tremors in my left hand,arm & shoulder due to Parkinsons (I ve been diaganosed 7 yrs ago). It s caused the muscles in left arm all the way up to my shoulder to be extremely painful for about 3 wks. Is that normal? I had a massage today - today & it s still very sore. I ve gotten along quite well until past 3 wks. My walking is ok, etc. But, whatever I do w/ my right hand - arm affects the left one, I m on 50/110 Synament 3 x daily Doctor: You need to get a cervical spine Xray to rule out cervical spondylosis. Symptoms of nerve compression will require MRI as well.
| 144,693 |
Suggest treatment for swollen lymph node and anxiety
|
Patient: literally a week ago i woke up and the right side of my inguinal area i noticed two lumps the same size. i looked it up and it seems to be swollen lymph nodes maybe. then monday i started to have spotting. i don t have a normal diet. i am a very small skinny girl and i stress a lot and have bad anxiety. i freaked out about swelling quite a bit. could the swelling be causing me to spot or is it my stress and diet ? i am sexually active and i am on birth control. we use triple the protection. i got 2/3 of my cervical cancer shots. i just need advice i am freaking out. does something serious grow over night like that ? Doctor: Welcome to healthcare magic. Thank you for posting your question.Do not panic so much. I can understand that you are very anxious about your health. A lump in the inguinal region can simply be due to inflammation of the lymph nodes over there due to some infection. Spotting is not due to these lumps.Do not neglect your diet. Have regular diets .You see anxiety is an ailment which can be overcome very easily. Try relaxation techniques like consciously breathing in and out twice a day for 5 minutes. It will help you to relax. Every night before going to sleep write out 3 things that went well that day , it can be anything like you read a good story book or you helped someone in the street, cooked a delicious dish just anything.For the lump , I would suggest you to visit a doctor and get it examined. It may be nothing serious, just a routine checkup.Have a nice day. Regards
| 205,790 |
Suggest treatment for a painful lump on the elbow
|
Patient: I have a small raised area of skin right below my left elbow, it looks like a piece of cauliflower. About a 1/4 inch in diameter. I noticed it a few months back,could have been there longer. It doesn t seem to be spreading but it s not going away. Any ideas? Doctor: Hi,Dear,Thanks for your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts,You seem to suffer from HPV Warts.Treatment-Inj Gardacil to protect from other lump cropping up/ Tab Acyclovr-protective treatment for 10 days.Podoflex liquid locally/ Tri-acetic Acid locally.If no relief-Surgical ExcisionThis reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
| 62,018 |
Suggest treatment for nausea and persistent diarrhea
|
Patient: My daughter is three years old she was vomiting last weekend and then had diarrhea throughout the week now she has been running a fever around 101- 102. I was planning on taking her to the doctor tomorrow but I am worried. when fever goes down she plays and acts as she feels fine, I have been alternating motrin and tylenol every 4 hours. Doctor: Hi,It seems that she might be having gastro-enteritis giving vomiting and loose motions.Go for stool test to type of infection like bacterial or protozoal.After reportshe might require ofloxacilin, flagyl combination medicine course.Consult your doctor and get examined.Give her plenty of water and ORS liquid for fever and to prevent dehydration.Give motrin or tylenol as and when required.Ok and take care.
| 31,862 |
What does it mean to have attenuation nodule on kidney as shown on CT scan?
|
Patient: I HAVE RECENTLY HAD A CT DONE THAT SHOWED A LOW ATTENTUATION NODULE ON MY KIDNEY. THE SIZE IS 1.9cm X 1.3 cm AND IT CONTAINS A CALCIFICATION IN THE POSTERIOR WALL.. SHOULD I BE CONCERND WITH THIS? WHEN I WAS LITTLE I HAD FREQUENT UTI S, IM NOT SURE IF IT HAS ANY THING TO DO WITH EACH OTHER. Doctor: Hi,Thanks for writing in.A low attenuation nodule in the kidney means that there is a small area containing fat or fluid of the 1.9 cm x 1.3 cm. The presence of calcification needs to be evaluated with the confirmation of whether it is fluid containing cyst or a fat containing tumor. Fat containing renal tumours are usually benign and considered as angiomyolipomas on imaging modalities. Some cases of renal cell carcinoma have been reported. Since the size is small and without knowing about the fat or fluid content, it is difficult to specifically confirm the diagnosis. It is best to get a review ultrasound scan after 3 months to monitor any increase in size. If it grows faster then it needs a biopsy confirmation of diagnosis.It is not related to your frequent UTIs in childhood.
| 48,591 |
What causes recurring fits?
|
Patient: hi Dr,My name is shikha soni , i have different types of fits problem .that fits is coming only on my face, in that fits some time from face to till hand body is moving and also that fits coming for 30 sec to 1 mint and for 10 sec, but that fit is coming one more that 100 time in one day , and speed is very high , now my age is 29 , that problem was started before one year in 2011 july, in staring time my face is moving only left direct after some time its moving both direct . please tell me the name of that disease and what i need to do for that i hv done EEG test and city-scan and MRI also but only brain cyst problem is showing in MRI report . Doctor: HiI have read your queryI will try to explain the things to you as I understand themThe seizures usually happen when the brain has a plaque or a small lesion which is not acting normally.This becomes a source of seizures.The seizure usually develops from this focus.This focus can often be visualized on an MRI. Also an EEG needs to be done.The seizures need medicinesWithout them they may not get controlledSO you need to meet a neurologist for the sameBest of luckDr Mittal
| 146,898 |
Lung nodule in upper lobe anteriorly located. Suspiscious of malignancy?
|
Patient: What is the best approach to get a sample of a 2cm lung nodule in the left upper lobe anteriorly located. There is left Hilar node involvment confirmed by CT and PET with suv of 6.7 in the hilar and 3.5 in the nodule. Margines are irregular and nodule is non calcified. I have images from ct and pet. Patient history 14 pack year smoking , heavy marijuana use for 10 years, 27 yr old female with extensive family history of cancer on mothers side. Grandmother and aunt both passed of lung cancer that took over . Would you be suspicous of malignancy? Ct said inflamation or infection but 2 month follow up to rule out neoplasm . Pet report left it more open to all three innflamation/ infection/ cannot rule out malignancy. Doctor: the best way to have proper diagnosis is FNAC from the lung nodule. the aspiration fluid should also taken for the test for culture and sensitivity and especially for fungal infections. the management will depend on the result. depending on the history you have given it may be fungal infection which is difficult to diagnosis and treatment. this is not same with cancer. diagnosis is npwadays is easy and have treatment options especially in early stages.If the diagnosis is not established with FNAC then another way is biopsy,- done by radiologists or surgical oncologists and pulmnologist.
| 159,644 |
What causes weird sensations in arm post peripherally inserted catheter?
|
Patient: Last year I was hospitalized with sepsis, as a result I had a picc line from December 2009 through mid Feb, 2010. After the second (abdominal abscess) relapse the picc line was reinserted for approximately 3 weeks in late May. I now have an extreme sensitivity to heat and cold in the vein that runs up the inside my left arm (site of the picc line) and around my armpit. It also is irritated if I lift something heavy. Even on a good day, when it doesn’t hurt, I can feel it, and would describe it as irritating on a bad day the pain ranges to about 7 or 8 on the pain scale. Please don’t tell me to use a heating pad or cold compress, this does not work and only makes the matters worse. What could be causing this? What can I do to alleviate the pain? Doctor: Hi and thank you so much for this query.I a so sorry to hear about these symptoms that you have reported. I am of the thinking that a nerve ending was probably injured during this procedure and is responsible for the constant pain. If local measures like heat and cold packs no longer help, then trying pain medications would help. I will suggest you start with topical agent like capsaicin/local creams and see if there is an improvement. I believe you would be able to identify a product that works well for you and this would be used thereon to control your symptoms.I hope this helps. I wish you well. Thank you so much for using our services and do feel free to ask for more information and clarifications if need be.
| 38,482 |
Suggest treatment for dark brown teeth
|
Patient: hi my teeth are dark brown at the top of my teeth n some have little black bits at the top im visiting my dentist tuesday n am scared of the outcome what can they do to help my teeth look better i dont smile if i do i put my hand over my mouth last time i visited the dentist i couldnt have a xray as i was pregnant Doctor: Thanks for your query, I have gone through your query.The dark brown pigmentation over the teeth could be because of the intrinsic stains caused by the flourosis or enamel hypoplasia or secondary to decayed tooth.Consult a oral physician and get it ruled out. If it is decayed tooth then you can get it restored with tooth colour restorative material like composite.If it is flourosis or hypoplasia then it can be treated with veneering or crowns. nothing to worry, do not get scared about the out come, we can give a beutiful esthetics to your teeth.I hope my answer will help you, take care.
| 183,663 |
Where does the mesh netting area tack to while doing a hysterectomy?
|
Patient: when having a historectomy if a person was to have a hernia that was needing to be tacked up by mesh netting what area would this mesh netting be tacked to? And if you could send a picture of the muscles near this area it would be greatly appriciated! thank u Doctor: Why imagine hernia of abdominal wall shall occur?For hysterectomy, some surgeons use midline incision in lower abdomen and skin closure is adequate.Hernia if occurs, is late after imperfect healing or closure or on excessive string of abdominal muscles in initial days after surgery.if a protective abdominal guard or corset for abdomen is worn for a month postoperatively, hernia doesn't occur.Hernia repair is done in lower abdomen much below navel at site of operation
| 129,209 |
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