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What are the chances of being pregnant after taking an I-pill?
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Patient: Sir i had sex with my bf on 11 and i ook i pill on 12 evening then i had sex with with him on 13 noon around 3-5. N dn i took i pill on 16 morning around 10.My period was to come on 12 a day after i had d sex.it has been almost 8 days.and i m feeling an urge to urinate frequently.Does this mean i m.pregnant?????and i also took pregnancy test today ( prega news) in d evenin .it ws negative bt dn y d need to urinate so frequently. Doctor: Hello dearUnderstand your concernThere may be chance of pregnancy around the 5 to 10 percent.Frequency of urine may be due to anxiety of pregnancy, side effects of I pill as it contain high progesterone and Urinary tract infections. You did test very early so test is negative. And just urine frequency does not suggest pregnancy.As you took two I pill in very short time there may be high chance of hormonal imbalance and that lead to more chance of delay in the period.If period will be delayed by more than 14 days then go for urine pregnancy test and or Blood HCG to confirm the pregnancy. If it will come positive then it should be terminated by abortion pill under the observation of gynecologist.Also rule out the UTI bu urine routine and microscopic tests.Avoid stress and take healthy diet. Do regular exercise like walking.Hope this may help youBest regardsDr. SAGAR
| 223,954 |
Does eating of spring greens cause headache?
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Patient: Eating Spring Greens (a variety of dark cabbage) and or cabbage, causes me wild headaches. Would it be the oxalate? Today, I've finally nailed it that it's the cabbage we put in our raw juices, giving me an unrelenting wild headache until the transit time clears it out of my system. Any ideas? Doctor: Hello.Thank you for asking at HCM.I went through your query, and would like to congratulate you for your keen observation. Such observation of self is indeed a path to health!Yes, spring cabbage can trigger headache in those who are prone to. In some persons, it can trigger even migraine-like headaches. However, culprit may not be oxalates (oxalates are related with kidney stones) but may be other contents like n-hydroxytryptamines or such others.Were I treating you, I would suggest you take a multivitamin-multimineral supplement. Vitamins such as B6, C and other minerals aid in metabolism of biogenic amines. After 2-3 months of supplementation, I would suggest you to "try" eating small quantity of spring greens, if tolerated, gradually you can increase consumption.Hope above information will be helpful to you.Thank you & Regards.
| 100,857 |
Is laparoscopy with chromotubation required to treat secondary infertility?
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Patient: My wife aged 31 has got secondary infertility. She has undergone ultrasonography test and HSG on the 7th day. The pictures of her fallopian tubes were not visible through the HSG. Should she go for diagnostic laparoscopy with chromotubation? ....RAJIB GUPTA (Husband, Aged 41) Doctor: HAI WELCOME TO HCM LAPAROSCOPY IS NEEDED here to visualise your tubal status.it will remove the block.secondary infertility due to tubal block is common due ti infection.she will conceive after this surgery if block is the reason for infertility,
| 42,695 |
What causes white spots in the vagina and the feeling of vomiting in a 5 year old?
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Patient: My 5 yr old granddaughter woke up 4 times in the night complaining of feeling sick but didn't vomit. She has been sleeping most of the afternoon and has woken up now and wet herself and cringed with pain . There are white spots inside her vagina and she has been sick. Doctor: It can be Candidosis in vagina, you should wash underneath her with water with soda- 1 teaspoon for 1 hot water , then dry and apply clotrimazole cream 2 times a day 5 days. You iron her unedrwear . She should wear cotton pants only, eat less sweet
| 175,408 |
What could dark red spotting and cramping of ovarian cysts when trying to conceive indicate?
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Patient: Hi, my fiancé and I have been trying to conceive. Last week I started lightly spottibg watery red. It stopped and is was expecting my period three days ago. It has yet to come, but today I have started to spot dark red but only when I wipe. I have cysts on my ovaries, and they have been cramping badly the past two days. But no period cramps. I've taken a pregnancy test but it was negative. Could I be pregnant? Or another problem? Doctor: Hi,Welcome to healthcare magic.I read your query and understand your concerns.Following is my reply :1) It is unlikely to be a pregnancy symptom.2) This seems to be menstruation which is extended a bit Let me know if you have any more queries. I will be happy to answer.Regards,Dr. Mahesh Koregol
| 4,510 |
Have endometriosis. Done IUI. Tried IVF, egg quality not good. How to improve egg quality?
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Patient: Dear Doctor\, We have been maried 13 yrs. My wife is Endometriosis condition and now 39 years. Tried many IUIs . No sucess. 3rd day blood report says her FSH leval is 17.6 . We tried IFV last wek through booster program of GONAL F. Got only 1 egg. not good quality. Doctor could not fertile it due to quality in egg (brownish color ) . He says only way to find a eg donor. Please let us know any way of improving her egg quality ? Thanks. Anil Sri Lanka +0000 Doctor: Hi, Welcome to HealthcareMagic As per your history it is evident that your wife is suffering from premature ovarian failure along with endometriosis. With increasing age, quantity and quality of eggs deteriorate. Endometriosis is additional factor leading to infertility which also leads to of poor quality eggs. At present IVF with donor eggs will give you best chance of success. There are many treatments available said to improve egg quality but nothing has been proved. I dont think any of these treatment will give any benefit in your case. For time being before you decide for IVF with donor eggs, she can be put on DHEA tablets for 3 months and hope for improvement. All the best.
| 43,606 |
Is bed wetting with headache related?
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Patient: my 8 year old son started wetting the bed at age 7. He is a very active kid but every so often feels sick, gets really pale, sometimes throws up, and then goes to bed for a few hours and feels fine. We are thinking he gets bad headaches. could the 2 be related? Doctor: Hi...Thank you for consulting in Health Care magic.HEADACHES AND BED WETTING ARE NOT RELATEDI have few questions for you - 1. Has your son stopped bed wetting at certain age and again started having it2. If so at what age he stopped and when did it startIf he had never stopped bed wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you , but the effect will not be immediate, but it will be permanent. If its a recurrence after attaining night time control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. 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).,
| 180,264 |
Have swollen toe, done uric acid test, urine analysis, show proteins in urine. Concern?
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Patient: Hi doc.I am so disturb of my condition about my swollen big toe. I suspect that it's a gout thing and so I went to a diagnostic center to have my uric acid test and also for a urinalysis. I just received the result today but my result for uric acid is 5.35, and it's very normal! I am quite alarmed with my urinalysis result because of some trace of Protein. My Pus Cells is 2-6/HPF and my RBC is 1-3/HPF.My Epith Cells and Bacteria are few. Is there any reason for me to get upset doc? The pain in my big toe is quite bothersome for me because for sure this is not normal doc. Please help and give me some advice. Thank you. Doctor: hello amls, since your uric acid levels are within the normal range, it is very important to see whether the pain in your big toe is because of corn or wearing tight shoes...i would advice you to wear slippers for sometime..and if it is corn then go to a surgeon for its removal.As for your urine report shows infection....it is important that you drink lots of water and start an antibiotic treatment of ciplox 500mg once a day for 5 days. hope you get well soon
| 50,816 |
Is it normal to have enlarged scrotum with edema?
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Patient: My husband has kidney failure but not on dialysis yet. He now has edema. Water retention. Belly, legs all over. He is taking Metolazone, and torsomide. His swelling is not down. He also has an enlarged scrotum. Is that normal with edema? Never had that swell up before!! His kidney is working only 9%! Doctor: HelloThanks for query.Your husband has generalized anasarca due to chronic renal failure (CRF)Please get his renal function tests done and consult qualified Nephrologist for evaluation and further treatment.Dr.Patil.
| 200,336 |
Should an X-ray be taken for persistent cough?
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Patient: I am a 62 year old male and have had a persistent cough for a while. I get nasal infections often but this is a cough that is not going away. It is not a deep chest cough but it is constant. What kind of doctor should I see and should I get some sort of X Ray? I have suffered from an overabundance of phlegm for years also. Doctor: Hi, It could be bronchitis, but you should definitely see doctor. Depending on geographic location, your general practitioner can arrange for an X-ray. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anders Mark Christensen
| 70,865 |
Suggest treatment for recurring stomach aches
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Patient: I have stomach aches like I need to poop but when I go I can only pass a little wind the aches come and go throughout the day for the past 4 days now and I haven t really had a proper poop in that time I normally poop twice a day it s really uncomfortable Doctor: Hi! Good evening. I am Dr Shareef answering your query.If I were your doctor I would advise you to avoid eating from outside to prevent any chances of intestinal infections creeping in. A stool test for ova and cyst would diagnose it , and treatment would solve your problem. Apart from this, I would also advise you with a pro biotic drug and a proton pump inhibitor for a possible symptomatic relief. Also, any food allergy would have to be ruled out by serial addition/exclusion of any such food which you feel would possibly aggravate your symptoms.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
| 88,286 |
What can cause tenderness on the sole of the feet?
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Patient: In the center of the bottom of my foot at the top pad just before my toes begin it is very tender and has been for about 6 weeks. Occasionally it will make 2 or 3 toes feel numb for a few minutes. The pain is not excruciating but lately it is a bit more noticeable. It does not affect my walking at all. Doctor: Hello, It could be due to conditions like plantar fasciitis. As of now, you can use analgesics/anti-inflammatory combination like Aceclofenac/Serratiopeptidase for symptomatic relief. If symptoms persist better to consult an orthopedician and get evaluated. In that case, steroid injection to the sole might be required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 125,712 |
Does having I-pill immediately after sex avoid pregnancy?
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Patient: Dear Madam my gf(22yr) had period on 4th of Aug and ended in 7th Aug and we had sex (not major ejaculated outside ) on 23rd aug and given i-pill on the same day with in one hour. we still tensed alot,is any need to use one more i-pill to avoid pregnancy, Doctor: Hello dearI understand your concernDo not worry.I pill was taken with in 1 hour.It is highly effective in preventing the pregnancy.It has 95-98% success rate to prevent the pregnancy.So it has just 0-5% failure rate.But I pill can cause disturbance in the menstrual cycle.Menstrual cycle can come earlier, delayed by 1-2 week , or with excessive bleeding.If period will delay by the more than 2 week then go for urine pregnancy test and or blood HCG test to confirm the pregnancy.If pregnancy will be detected then still it can be terminate by abortion pill under the supervision of the gynecologist.But I think you would not needed all these as I pill was taken with in 1 hour of sex.Avoid stress, take healthy diet, drink plenty of water and do regualr exercise.Hope this may help youBest regardsDr.Sagar
| 3,239 |
What causes a delayed period with spotting after taking duphaston?
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Patient: hello doc, i m 31 yrs and my husband 34. I have been taking ovigyn-d for past 3 months 3 times a day and folic acid once a day. This cycle i have taken progynova from day 10 to 27 and duphaston from day 17 for 15 days. I am over due for my periods. I tested negative on 33rd day. and on 8th day onwards have light spotting. today is 9th day. pls tell me if I am preg or there could be other reasons. Doctor: hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..delayed period with spotting after taking duphastone..right.well...this type of spotting will happen after duphastone. so..NOTHING TO WORRY..RELAX. u told that in past u had taken progynova n duphastpne..right. so this type delay in mense with spotting can occur. it is all because u had taken progesterone hormones. this hormones usually cause spotting or breakthrough bleeding.but u didn't give info about your menses..whether it is regular or not and why u r taking this medications. so it is difficult for me to comment on this.with the above discussion u can try out my suggestions-1. if u r in doubt then do urinary pregnancy test again, it is easily available in medical store. if it is negative then nothing to worry.2. if it is positive and u r still having spotting then visit to nearby gynecologist. he/she can help u.I hope the above information is useful, informative and helpful for u.regards- Dr sudha rani panagar( DON'T WORRY, EVERYTHING WILL BE ALRIGHT, KEEP PATIENCE)
| 2,377 |
What causes lump around inner thigh?
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Patient: Hello,The other day when I was applying lotion, I noticed a pea sized, hard, lump that doesn't move around on my inner thigh above my knee. I thought it was maybe a cyst or something and tried pressing on it a little bit, but nothing came out. It hurts when I push on it. Just wondering if this is something I should be concerned about? Doctor: Hello!Thank you for the query.Most likely it is a varicose vein. If its hard and tender, some blood clot can be present in it. This is more probable if you have also legs swelling when standing for a long time.I suggest you to consult a surgeon first. Dopplers ultrasound should be done.Hope this will help.Regards.
| 69,387 |
Can ciprofloxacin and clindamycin be taken together for swollen jaw?
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Patient: I have been on antibiotics for eight days my jaw is so swollen I cannot open my mouth to chew food some days pain is more intense than others. On ciprofloxacin started on clindamyacin and they switched me after a trip to er. I m about to take both because I m tired of hiring and this has cost me both of my jobs. Need help please advice. Doctor: Hello,I can understand your concern and advise you not to take both these antibiotics together. Ciprofloxacin has higher antibacterial coverage than Clindamycin so stop taking Clindamycin and complete the course of Ciprofloxacin.In addition, the description of the symptoms suggests that you are probably having trouble with the lower third molar or wisdom tooth. It might be impacted or infected causing the symptom. In that case, only antibiotics will not help to relieve the problem.You should make an appointment with the dentist and go for clinical examination of the oral cavity along with x-ray of the lower third molar area on the side of jaw where the pain is. If it is indeed the cause, you should get the tooth extracted. In addition, if you are having pain and not able to chew probably, you should take analgesic such as Ketorolac 10 mg (Ketorol DT) thrice a day.I hope this information helps you. Thank you for choosing HealthcareMagic. I wish you feel better soon.Best,Dr. Viraj Shah
| 132,147 |
Suggest remedies for chronic back due to disc bulge
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Patient: Hi, This is meenakshi and my husband suffers from continuous back pain due to disk bulge, which we identified in a MRI scan. Can you please suggest a remedy for this back pain, which sometimes affects his legs too. He feels some kind of numbness im calf muscles when he get his back pain. He had a session of traction for this and was ok few weeks back. But now he gets his back pain daily and losing being brisk.Please help us to get rid of this. Doctor: Thank you for the question.If traction has been helpful another course for 7-10 days may be tried.He should do back exercises under a physiotherapist and avoid lifting heavy objects or bending.Numbness in calf may be due to nerve root mild compression .At this stage conservative management shall be helpfulHe may supplement with neurobion forte tabs once a day and Evion 600mg daily for 2 weeks.Also check for his weight-if he has more than normal for his age and height, he may have to control
| 108,750 |
What are the symptoms of potential pregnancy?
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Patient: for the past 4 weeks i have had pregnancy like symptoms. from head aches light headedness nausea brown discharge found on my underwear cramping in lower tummy back pains blue veins appearing on boobs and nipples tiredness. until 4 days ago, i got my period. 3 days of it has been extremely light, so light that i didnt need anything, to protect myself, although i stil did. and today i wake up and it has changed instantly to really heavy. the cramps have got worse. i feel the cramps in my hip side area and under my belly area. really strong. my period has never been like this. usually i get it, and second day is my one heavy day then it begins to ease off. at first i thought i was pregnant. because of all the symptoms. but this all makes no sence. i get woken up in the middle of the night, from shooting pains in my lower back, and lower stomach area! or even inside my vaginal area too. please help me, im worried about my health.. but to scared to ask anyone else about it Doctor: Hello dearUnderstand your concern.Pregnancy is unlikely in presence of bleeding.I think it is hormonal imbalance that produce all these symptoms or it may be a part of premenstrual syndrome.Other causes may be dysfunctional uterine bleeding, endometriosis, excessive stress, PCOS, adenomyosis, UTISo I think yous should consult doctor.Do the following test1. Blood test: FSH, LH, Estrogen, progesterone, HCG, Thyroid hormone, ESR, CBC, Blood clotting abnormality2. Pelvic examination3. USG4. Ovarian follicle study and endometrial biopsyYou can takeTablet meftal spas 500 mg three times a day for 4-5 daysProper restDrink lots of waterPut warm pad over abdomenWear pure cotton loose innerwear.Take healthy diet with adequate iron and vitamin supplementsRelaxation exercise and massage/acupuncture therapyBreast massage with prime rose oilApply cold compression on breast and wear full padded supported braAvoid alcohol and caffeineHope this may help youBest regardsDr. SAGAR
| 219,188 |
How to diagnose and treat abcess tooth and boil on neck?
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Patient: a couple of months ago a friend had an abcess tooth as well as a boil on his neck. he was treated with antibiotics-now approx two months later he seems to of had a seizure - no blunt trauma to his head-he feels it is a fluke and wishes to wait... can you tell me if waiting would cause him more harm or how to explain what tests he needs? and can the er do this Doctor: Hi,Thanks for posting the query, I would suggest you to take your friend to the Dentist get an x-ray done of the abscessed tooth and go for its treatment boil on the neck would not have any connection with the abscessed tooth, its should be examined and treated with a Physician..Take care!
| 183,583 |
What causes red itching blisters after having teeth removal?
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Patient: I am 86year old female who had 7 lower =teeth removed last Monday, 6-17. Before going intosurgery I had a couple of mosquito bites. After begnning this medicine, I had small red blister-like IITCY like spots begin...they have continued. I read my sheet coming with the med from pharmacy and do not remember anything about this side effect. I cab t sleep, all I do is itch. NOW TODAY I HAVE READ THE WARNING LABEL ON BOTTLE AND READ WHERE SERIOUS SIDE EFFECTS CAN OCCJUR. I HAVE ONE CAPSULE LEFT AND IAM NOTGOING TO TAKE IT. I REALIZE MY SERIOUS MISTAKE. WHAT CAN I DO EXCEPT QUIT AND WAIT FOR APPT TO SEE DR IN 2 MORE DAYS? Doctor: HI, thanks for using healthcare magicThe itching indicates that you may be allergic to this medication. Discontinuing it was the correct option,you should inform your doctor.In addition, using an oral anti histamines would also be helpful. These would reduce the allergic reaction. Examples are benadryl, zyrtec, allegra and claritineI hope this helps
| 100,822 |
On follicular study. Have infertility. Taking chymoral forte. Help?
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Patient: i have a query..i have been taking med for infertility ,i did my follicular study and today was my 18th day of period..an the reading of my follicular study is 41mm x 41mm and doc told me that it has been developed into a follicular cysy,now doc prescribed me to take chymoral forte ...i dont understand y he prescribed me this med...PLZ HELP. Doctor: Hello dear,Welcome to HCMDont worry because stress is not good for your health.The doctor is doing right as by the follicular study it look to be develop into follicular cyst.However dont worry the medicine he prescribe will solve your problem.Just be relax and do regular sex with your partnerDr Kumar SudhirCon sultan Psychiatrist & Psychologist
| 43,696 |
How to cure cut in the tongue?
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Patient: Hello,.last.night I was eating an ice cream sandwich of all things and I bit into the back end of my right hand side.of.my tongue. I was surprised when i tasted blood.in my mouth, and ran to get paper towels. The bleeding didnt last longer than 5 minutes and i thought it was a simple bite of the tongue. Until I went to the mirror and looked....um, it seems bigger than cuts on my arm and foot that required stitches. So I then got out my tool box and measured it witdth, length, and depth. It's approximately 1/2 long,1/4 inch wide, and perforated with a a little more than 1/4 " deep, with the sides sort of splayed outward. So, is it time for a doctor? The pain isn't too bad....Jennifer age 39, weight 123, height 5'6"..thank-you! Doctor: HIThank for asking to HCMI really appreciate your concern looking to the history given here I would like to say that if this is the lacerated wound then it needs suturing this would bring the healing of wound quickly, looking to the measurement of wound stiches is must, hope this information helps you, take care and have a nice day.
| 184,666 |
Have pain in the lower part of stomach. Had surgery for adhesion earlier. What to do?
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Patient: my name teri and I have had pain un the lower part of stomach and I know it is adhesions because I had surgery done about 4 years ago and it is the same pain that I had back then. so I went to the doctor that did the surgery and he said that he would not do it again so please help me fined a doctor that will do the surgery. thank you very much teri Garcia you can call me at home my number is 1-323-722-0641 Doctor: Hi Teri,welcome to Health care magic forum . Thanks for calling H.C.M.Forum. You have pain in the lower part of abdomen, You had surgery for adhesions 4 years back. you went to the doctor who did the operation, he denied to do the operation again. Here some information is missing, you thought it is due to adhesions, Did the doctor examine , or get the scaning done or not. Any how i advise you to consult a gastroenterologist for diagnosis and treatment. you may need to have M.R.I.besides other routine tests for confirmation. If no adhesions or any pathology is found it could be psychological. I advise yuo to avoid spices, junk foods, and oily foods. Wishing for a quick and complete recovery. Best regards.
| 93,545 |
Dull pain in side. Done colonoscopy and MRI. Worried about cancer
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Patient: What explains dull pain on my left side, I have had a colonoscopy all is well, have had MRI of left and center abdomen they see nothing. No bowel changes, I have had polio as a child and my left side is my stronger side so I tend to favor that side since my right side is my weaker side. But it bothers me that I have this dull pain that can sometimes be intense. My Doctors don t know what the problem is and I find my self thinking about a cancer that they will find to late. I have been bothered by this for a year now all tests come out normal, what else can I do. Could it be muscular but it does not feel like a muscle ache. I m at my wits end. Doctor: Hello, thanks for using HCM. there is a vast number of causes of left abdominal pain. A negative colonoscopy and MRI is comforting as they exclude anatomical pathologies including cancer which is your worry. Cancer is associated with altered general condition, progressive weight loss, loss of appetite, weakness, sometimes low grade fevers; in the case of gut cancer, bloody stools, diarrhea or constipation, abdominal pain etc. The causes of such pain in the left side of the abdomen include diverticulitis, irritable bowel syndrome, constipation, inflammatory bowel diseases, intestinal polyps, spleen enlargement, typhoid fever , muscle tension etc which have been excluded from the colonoscopy and MRI done ( apart from irritable bowel syndrome, typhoid and muscle tension). Irritable bowel syndrome presents with crampy lower abdominal pains, diarrhoea or constipation, bloatedness and a feeling of not haven completely pased out stool. Typhoid could present with pains and constipation, while muscle tension will present mostly with just pains. Since it is your left side that is dominant, probably you have muscle tension. Further test could be stool culture and redo MRI and colonoscopy.
| 94,424 |
Could wound below knee turn into carcinoma?
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Patient: hello sir, this is soumen from kolkata, ques is ,my father has got a wound below the knee ,exact position is just little bit up from the heel ....about half month ago ,he has treated with some betadine ,neosporin powder after few days from that wound there is a formation of pus ,for the last few days formation of pus increses and now its getting stinking ,I am very very tensed and in fear whether this wound turned into a delicate one like carcinoma or something !! sir, we have already consulted a doctor and he has given us the prescription to get the opinion of a surgeon.although he has got sense in those area .kindly suggest what i should do ? or please tell me whether it is a dengerous one Doctor: Dear ,This is Dr. S. Tomar from healthcaremagic.com's medical team and I ll be your medical adviser for this question.First of all thank you for sharing your concern with us and showing trust on us.I don't think that it is related to cancer issue . You have not mentioned the diabetic status of your father . I would like to inform you that such wound can convert to diabetic foot , sepsis in diabetics if prompt treatment is not started asap. In old ages the blood supply to peripheral tissues is compromised and healing can be delayed and improper wound care can result into sepsis easily . If he is not diabetic then such wounds can be treated more easily with faster recovery .If there is some necrotic tissue then surgical debridement with proper dressing and topical and oral antibiotics with proper control of blood glucose levels will resolve this issue . I would strongly recommend to meet your surgeon or podiatrist straight away , any delay can complicate the wound infection and This is my initial response and discussion is open until you have any query or need further clarification.I wish you good health .sincerely,Dr. Shardendu Tomar
| 30,660 |
What are the side effects of Apicoectomy surgery?
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Patient: I had an Apicoectomy (Apico procedure) done on my upper tooth #14 six days ago. This was done because of a faulty root canal on the same tooth many years ago which caused it to recently flare up and become infected. I have been taking Amoxicillin since the surgery six days ago. The swelling is subsiding, and the pain is slowly diminishing, but this morning I started sneezing and my nose has been running all day. Just wanting to know if this is normal? Doctor: Thanks for using Health care Magic.Studied your query..Good that you completed the treatment.According to what signs and symptoms you have written,it shows the tooth is recovering normally.Related to the sneezing and running,this is not related to the treatment which you have undergone,this can be that you may be developing cold symptoms.You can visit a GP and get it treated .Thanks and regards
| 186,237 |
What causes coarse cortical echotexture of both kidneys?
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Patient: my father-in-law is 78.he has been diagnosed with coarse cortical echotexture of both kidneys. a simple cyst (21.5 mm x 20.7mm) seen in right kidney. LIVER-diffusely increased echotexture.right lobe measures 120.4mm. is his end very close.we are all shattered in the family. Doctor: Hello USG findings may indicate renal parenchymal disease.This is indicated by coarse cortical echotexture of kidneys.Your father-in-law need clinical examination and further investigations.Investigations include routine hemogram,random blood sugar,renal function test(include serum urea,creatinine),creatinine clearance,GFR,serum sodium,potassium,calcium,phosphorus,chloride,bicarbonate etc.It is important to assess severity of illness.Treatment depend upon findings.Simple cyst in kidney is a age related finding and it is a benign finding.Diffusely increased echotexture of liver indicates fatty changes in liver.Fatty liver is a reversible condition and it can be reversed by diet and life style changes.Take CareDr.Indu Bhushan
| 48,372 |
Is medicine intake for squint treatment safe for an infant?
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Patient: my son is 1year 10 months and weighs 11 kgs, he has squint from birth we had visited Narayana nethralaya initially he was advised to wear stickers for one month and then advised to wear glass as he was not co operative and not wearing it for a second i was finding it difficult and some people advised for aurvedic treatment and past one month we have started with eye drops and medicine to intake,is this fine or please advice Doctor: squint in infants usually is made by the eyes to overcome a refractory error ( that's why your ophthalmologist gave the child glasses to wear) , and it was very important to put stickers on one of his eyes to prevent what is called amblyopia ( this brain disables one eye to make a better vision ) .so the commitment to this treatment is very important yet it's hard , but it's vital for the child's eyes .any other measures is strictly prohibited .I hope this helps
| 167,755 |
What causes redness in palatoglossal arch?
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Patient: I am 28 year old female .Wt 134 ....my left side of the palatoglossal arch is red and have been for the past week and a half , they always are a little red but this side seems to be a little more so , also I have small raised bumps on back of my tounge and lower part of the palatoglossal arch next to my tounge on both side .I know that some are taste buds but i did know about all of them . is this normal ? Doctor: Bumbs are normal at back side of tounge.mostly seen on back upper and side at the level of your palatoglossal arch.its taste buds..but redness on ur palatoglossal area due to some infection.consult a ent or oral pathology specialist.
| 184,939 |
Red itchy rash on stomach, contact dermatitis, itchy, dry, bumps. Causes for symptoms?
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Patient: i have a red itchy dark rash patch on my stomach below my belly button for a few months now. recently it has been itchier then ever and has gotten a little bigger and raised on my skin. i beleive it might be some type of dermatitis maybe contact dermatitis but i cant be to sure. i tend to shave in the same area where i have the patch (happy trail) and maybe the razor i was using at the time was a bit old which i already threw out once i noticed the rash 3-4 months ago but its still itchy and bumpy and dry. please help me ease my mind i am a very paranoid person. Doctor: it can be allergic or fungal or bothin some patients allergy occur on same portion whenever exposed to specific allergeni medicines taken even if sos like paracetamol calcium vitamins diet suppliments or other problems can trigger itcan be oils shampoo cooking oil soaps and body application materialscan corelate or consult allergy doctor who can help to find the causeattime can use anti allergic tabhistocalamine and anti allergic ointment in affected area of skinyou can also add fluconazole 150 mg once awk for 4-6 wk to counter any fungal effect
| 15,383 |
What causes painful lumps on the sutures where tongue reduction surgery was performed?
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Patient: I had tongue reduction surgery among money other things 4 weeks ago. It seems my tongue has reacted to the dissolvable stitches along it and I ve got these lumps that almost look like ulcers along my tongue. They are painful when I m trying to eat. I have dissolvable stitches where they took 7 of my teeth out and down my bottom lip (chin reduction) and up around my top lip (jaw surgery) and none of those have reacted like this. I have been washing my mouth out 3 times a day with an antibacterial mouthwash recommended by my doctor so I can t see how it might be infected. I have tried googling but nothing has come up and I don t see my doctor for 2 months. Doctor: Hi..Thanks for the query.Your explanation is pointing towards inflammatory reaction leading to ulceration and lumps can be due to inflamed and swollen tongue papillae..So my suggestion is to consult an Emergency Dentist and get evaluated..This is a must needed thing to check if there is Infection..As of now you can do warm saline gargles and continue antiseptic mouthwash gargles..Do cool compresses over the lumps..Take anti inflammatory painkillers like Ibuprofen..Apply Lidocaine gel to reduce pain..Hope this helps..Regards..
| 180,914 |
Can we have kids after a testicles surgery?
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Patient: yes my boyfriend was hit in his testicles @ 19, he had to have surgery one of them was removed, could he ever have children Doctor: Hi Tammy! Welcome to HCM.As long as the other testis is normal,and the sperm counts ,motility,quallity etc..are normal you should'nt have to worry about conception. Take care.
| 44,974 |
Are these actions related to OCD?
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Patient: my wife 27 f wt 52 5'6"ht .she spends lot of time in front of mirror thinking something,also in bath room,sometime she reapets action while she touch some thing,also waisting time.iam totaly irritated watching this, may be she have ocd what is the most effective cure for this,please help me doctor. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. The description is not enough to diagnose the case as OCD. From the description, if they are correct, your wife do show some sort of obsessive behavior pattern and seems lost in those behaviors. Proper diagnosis can be made only if more symptoms are presented and a psychometric test administered. Please consult a psychologist for proper diagnosis.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
| 208,555 |
Should I be concerned for small stones and collapsed gall bladder?
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Patient: Hi, I've had an US today to see if I have gallstones, the doctor who examined me found a couple of small ones but also said my Gallbladder is collapsed, please can you tell me if I should worry. I know I have to make another appointment with my GP but the waiting time is making me anxious. Doctor: HiI have gone through your complaintsYour sonogram report says that collapsed gall bladder with couple of gall stones.nothing to worry unless you develop jaundice , severe pain at right upper abdomen & fever.if you develop any of these symptoms please consult Doctor immediately.as you are saying small stony there is possibilty of coming down to bile duct causing obstructive jaundice.gall bladder stones are well visualised when it is distended.best is go for scan in fasting.before night avoid fatty meal.Thank uBest regardsVasundhara
| 55,478 |
How to treat numb and small patch near the shin?
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Patient: I got hit by a car while on a bike and the only thing that was hit was my left leg . At the time my leg looked like the muscle next to my shin had been dented but i could still walk on it with no problem . Now my leg has no pain , however a small patch near the shin feels numb and devoid of muscle. Doctor: nothing needs to be done for this.just do regular tolerable exercises,walking,and jogging, the muscle will strengthen in few days
| 96,798 |
Is combiflam syrup safe on kids?
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Patient: His, may I answer your health queries right now ? Please type your query here... my daughter is 4years, 105cm height,17kg weight, medical history good. now my query:- is combiflam syrup safe for kids ? i ask that question because when she get fever only combiflam effects no other medicine effects. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Yes, combiflam syrup is safe for your daughter as long as it is taken in moderate dose. Combiflam syrup is a combination of acetaminophen (162.5 mg) and ibuprofen (100 mg) in 5 mL syrup. Your daughter can be given 5 mL in 8 hours for the relief of symptoms associated with fever. If the fever is not resolved in 3-5 days, a pediatrician should be consulted for clinical examination and further investigations.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Viraj Ravin Shah
| 167,691 |
How can OCD and depression be treated?
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Patient: hello ,sir .. i am suffering from mental disorder since last 18 years and is looking for right treatment. i have rumination ,ocd , depression and mood problems . i also face lot of problems in thought process and cognition also and face paranoid thoughts as well . currently i am on Desvenlafaxine(100mg)and Apriprapazole(30 mg) . please help me sir. Doctor: Hi, Desvenlafaxine is a good antidepressant drug but if the problems are OCD, rumination and mood issues then other drugs like Fluoxetine or Clomipramine or Paroxetine, etc., should be kept in options. These drugs have great efficacy and have good actions in controlling the OCD symptoms. You can talk with your psychiatrist for these drugs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Seikhoo Bishnoi
| 204,158 |
Suggest treatment for severe numbness on the shin
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Patient: I play soccer and have had impact injuries on my shins including colliding with players and even the goal posts. I have a couple of areas on my shin that have slight numbness. On my right shin specifically, there s even an area that appears to have a small scar and has little feeling. I can walk fine but pressure on the surrounding areas is painful. Is it still possible to have a stress fracture and be walking? Doctor: I would like to examine you in detail & investigate.Anyway you may try. 1. HOT FOMENTATION2.Take: Paracetamol 250mg OD & SOS x 5days. Caldikind plus (Mankind)1 tab OD x10. Make sure that, you are not allergic to any of the medicines you are going to take.For emergency treatment contact your nearest hospital or family doctor.PRELIMINARY INVESTIGATIONS SUGGESTED:Hb, TLC, DLC, ESR, Blood sugar Fasting & PP, Uric acid, vit DURINE R/E X-ray of the affected part.It may have to be further investigated Do not ignore it. Let it not become beginning of a bigger problem. If it does not give relief in 4-5 days, contact me again
| 135,918 |
How long it takes to cure typhoid? Any diet plan?
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Patient: hello doctormy daughter is suffering frm fever nd v have done the test the reports state that she has typhoid nd the ratio of widal test is 1:320 nd have been statrted on antibiotics zifi 50 dt do tht medicine is effective. nd also suggest me her diet plan . hw long does it takes to cure ths diseses. Doctor: Hello,Welcome to HCM,The medications for typhoid fever need to be given for 7-10 days during which fever should subside. Following recovery from fever, other things like weakness etc should settle in another week to 10 days.If the disease was very severe, nutritional supplements (vitamins & minerals) for about a month can help replenish the body stores.With the availability of antibiotics in this era, it has become very easy to treat typhoid and it is not a dreaded disease as was considered in older days.Typhoid patients should consume soft diet for 1 week if symptoms persist then inclusion of normal diet. Here is sample meal plan for typhoid patientsThank you.
| 37,017 |
Suggest treatment for severe spinal cord pain
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Patient: I am looking for a pain doctor. I am in severe pain and used to be on the 100mcg fentanyl patch along with oxycodone 15mg for breakthrough pain. The last doctor changed it to 30 mg ER morphine along with the 15 mg oxycodone. It isn t working well at all. I had a gastric bypass and I wonder if the extended release morphine leaves the stomach before it can be broken down and released. I was born with spina bifida and have lots of pain where the scar is from the closure site and I also have a tethered spinal cord which the doctors say I can t have it released because it would leave me paralyzed. It leaves me with only being able to try to manage the pain. can you online doctors prescribe fentanyl patches. Doctor: Hi, Online doctors breaking federal law by giving out narcotics without an exam. I don't think this site is going to offer that. Being in a lot of pain often causes people to make unrealistic thoughts and do things that are increasingly risky. Methadone is both effective as long lasting pain medication and also keeps people out of harm. Cannot say in your particular case, but we can say what the site and all legal ones will not allow. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 215,387 |
Why having stomach pain, cramps in hips and groin after cleansing?
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Patient: Hi, I tried to do a cleanse and every since I have had stomach pain n cramps in my hips,lower back and groin it only happens every now and then. I still have regular bowel movements,nothing has changed with my urination and my sexual ability has not changed. Doctor: it could be due to vitamin deficiency or some rheumatic problems!have some multivitamins especially vit-B12 and if not responding then consult a general physicianall the best!
| 87,487 |
Suggest treatment for heart palpitations and low blood pressure
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Patient: Hi I m a 19 year woman. I ve been having some problems low pressure, my energy is low.a few weeks ago I went to get acupuncture he said my pressure was low and my heart wasn t palpitating the right way. I had a problem when I was born with my heart but it got cured with threatment for 4 years. is this the reason why im having prolems now? Doctor: Hello!Thank you for asking on HCM!Your symptoms may be related to a cardiac disorder. Your past medical history is really concerning for a cardiac disorder. I recommend consulting with a cardiologist for a careful physical examination, a resting ECG and a cardiac ultrasound, to examine your cardiac function. You need to perform some blood tests ( a complete blood count, kidney and liver function test, fasting glucose, blood electrolytes, cortisol and thyroid hormone levels), to exclude other metabolic causes which may mimic this clinical scenario. Hope to have been of help!Best wishes, Dr. Iliri
| 26,755 |
Could there be a blood clot on my heel?
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Patient: I think I have a blood clot on my heel. I'm not sure &I I'm getting worried. I just had a big surgery &then they were drying to prevent blood clots but I think I have one. It only hurts at night. Ill wake up twice maybe with it hurting but once I put my leg up it stops. Doctor: Hello and welcome to HCM,Blood clots can develop in legs immobilization.Surgery is one of the cause of immobilization.Blood clots is legs are characterized by pain especially on moving or raising the leg.If you are also experiencing similar symptoms then probably you have developed a clot in the legs.You need to consult your surgeon for clinical assessment and investigations like Doppler ultrasound of the leg.In case any clot is detected, appropriate steps can be taken to clear the clot.Thanks and take careDr Shailja Puri
| 115,339 |
What is the treatment for typhoid fever?
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Patient: i have 4 days of high feaver , and other sysmptoms related to typhoid , the test has come today and widal test shows positive also frontal headache , gut symptoms match typhoid.kindly suggest medicine to be tacken immediately as i could not reach a doctor today. Doctor: Dear FriendWelcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.Only rising titres of Widal test are important.I would advise you to get Blood Culture for Salmonella Typhi.Treatment includes antibiotics like Cephalosporing and Macrolides.This is my best advise for you based on available details. If you have any further query, please ask me.Stay Healthy.
| 39,930 |
What does the blood test regarding hepatite B indicate?
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Patient: Hi, Recently I had my blood test and my dr. says I have Hepatite B Test result below.. BILIRUBIN TOTAL 0.5 ALKALINE PHOSPHATASE 81 AST 99 ALT 96 Further test.. HB S AG W/REFLEX CONF HB S AG Reactive* HB CORE AB, TOTAL Reactive* HB E AB Nonreactive BH E AB Reactive* HEPATITIS C AB Nonreactibe HBV DNA 57 H HBV DNA 332 H As above result Do I realy have Hepatites B? Pls. advice me . Doctor: hi,.thanks for posting querythe report indicates that you have been infected with HepB and suffering from hepatitis B. visit a hepatologist at the earliest to get advice and treatment accordingly.wish you good n sound healthregardsDr Tayyab Malik
| 53,799 |
What causes recurrent numbness and pain in the body?
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Patient: I hurt all over and I wake up several times a night and my arms and hands are so asleep they are killing me. I can sit on the couch for say an hour and can t hardly walk when I try to get up. Haven t been in any kind of accident, this has been happening for about a month but not quite as severe as the last week or so. Doctor: Hi, It could be due to neuropathic causes and has to be evaluated thoroughly. Consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 126,381 |
Is there any chances of pregnancy from foreplay?
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Patient: I had a very light period in December, and barely anything in January. I didn't have one in February or March and I haven't had one yet this month. I have a boyfriend, but we do not have sex, but we are involved in foreplay. Is there any possible way I could be pregnant? Or what could be wrong with me? Doctor: Hi, one can't be pregnant due to foreplay. You may be having some hormonal imbalances. Get yourself evaluated. Do a thyroid profile and prolactin levels. Hope I have answered your question. Regards Dr khushboo
| 1,457 |
What is the best method to treat recurring prostate cancer?
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Patient: HiWhat is the best method to treat recurrent prostate cancer after undergoing a radical prostatectomy in1995. My PSA score is 4.1 and there is no metastasis. Which treatment is best, hormonal therapy orradiation therapy. The surgery took place 18 years ago. Doctor: Hi! welcome to HCM! If prostate cancer recurs, follow-up treatment depends on what treatment you have already had, the extent of your cancer, the site of recurrence, other illnesses, your age, and other aspects of your medical situation. If the cancer is still thought to be localized to the area of the prostate, a second attempt to try to cure the cancer may be possible. If you've had a radical prostatectomy, radiation therapy may be an option, sometimes along with hormone therapy. When prostate cancer has spread to other parts of the body (including the bones), hormone therapy is probably the most effective treatment, Its often very effective at shrinking or slowing the growth of prostate cancer that has spread. hope this helps you.Take care!
| 157,791 |
Why her leg is going to sleep after being hit by softball?
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Patient: My daughter was hit in leg with a fastpitch softball. She went to ER as her knee was swelling. They said deep contusion with possible hematoma forming. However, today she keeps complaining that her leg is going to sleep. Is this something to be concerned about? Doctor: Hello, As the hematoma is diagnosed was there any MRI taken? if not I will advise one. For now, stabilize the knee joint with a knee brace and hot water fermentation. This will help reduce the symptoms. Wait for the symptoms to subside. Usually, in kids, there are no major injuries. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,452 |
What causes elevated SGPT and SGOT levels?
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Patient: I am a diabetic of 38 years. My blood work today showed the sgpt(42)and sgot (46) were slightly elevated. Everything else was normal. My cholesterol was 195, my triglyceride was 59, my hdl was 79, and ldl was 104. Could it possibly be a diet issue. I have been eating more fatty foods than normal, and have craved and eaten coconut lately. I am 54, through menopause and everything seems to be topsy turvy. My mom died 2 years ago with cirrosis of the liver and she never drank a drop in her life. I am not a drinker of alcoholic beverages either. Advise please! Doctor: Thank you for the query. As per history, you a 54yrs old lady (through menopause), a long term diabetic (around 38yrs) with slightly deranged Liver enzymes. Your lipid profile is within acceptable limits.Your profile is similar to a condition known as Non-Alcoholic fatty liver disease (NAFLD), which is common in diabetics (though the liver enzymes are more deranged in this condition). Consumption of fatty diet, may indeed be a cause. It is recommended to avoid refined carbohydrates, saturated fat and carbonated drinks. High fibre diet is advised. It is commendable that you do not consume alcohol.Cirrhosis, may not always be due to consumption of alcohol. A number of other conditions can cause Cirrhosis like - Chronic Hepatitis B/C infection, Autoimmune hepatitis, NAFLD, Wilson's disease etc. Without further information, it will be difficult to comment as to why she developed Cirrhosis.I would advise you to repeat your liver function test after a month, and if your enzymes are persistantly elevated or on the rising trend, please do visit your physician. Some investigations like USG upper abdomen and some blood tests may be needed.Hope this helps you out.Regards,Dr. Ayusmati Thakur
| 57,202 |
What diet needs to be followed after a surgery for adenoids in ear?
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Patient: my son who is 32 months old is having large adenoids. my ent doctor suggested my son should go for adenoid surgery and we planned a surgery this week. my question is my son likes ragi java very much, after surgery can i give him raagi java and what foods and liquids can i give to my son? can you explain how the surgery will go on? what type of care i should take for my son before and after surgery? Doctor: Thanks for asking I gone through your question. and understand your concern. You can give raago, java after surgery, ( After your surgeon tell to give by mouth after recovery from sedation) Your surgeon will advise you for soft diet like cereral gruel for some time after suregry ( for about one week) The adenoid are removed by either endoscopic or direct surgery( Depend which type your surgeon opt) Before surgery make try that he not get infection of respiratory tract. after surgery keep him at home at least for 7 days. and give soft nutritive diet hope I answer your query.
| 172,426 |
Twitches in head, arms, legs, probable mild concussion. What is wrong?
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Patient: My 10 year old son suddenly in the past two weeks has started throwing his head back in what looks like a twitch , stating he is uncomfortable but without a great description. He is also complaining of twitching in his arms and to a lesser degree his legs and recently if you hold his arms in the biceps area you can feel both arms twitching involuntarily. He had a blow to the back of his head a couple of weeks ago which his pediatrician dxd as a probable mild concussion . He has no psychiatric history but is probably a bit on the anxious side, but my gut tells me this is not a psychosomatic symptom. The question is whether to take him to a pediatric neurologist and whether we have anything to worry about. He is basically a healthy kid. Doctor: Hello, Thanks for choosing health care magic for posting your query. From the description that you have given it appears that he is having some kind of neurological movement disorder. There are various movement disorders that are possible for his age. You need to show it to a pediatric neurologist. He will need an EEG and an MRI brain. If everything comes out normal, then there is a possibility that the psychological causes may cause these twitches. Then in that case a psychiatric consultation will be useful. A child with psychiatric illness can look as a very healthy child. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below mentioned link: bit.ly/dr-srikanth-reddy Wish you good health, Dr. Srikanth Reddy M.D.
| 212,367 |
Should Clomid be continued after brown discharge occurred after taking Provera?
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Patient: I was on provera in the beginning of July this year and my my cycle came down on the third day of taking the Provera. Now I'm on provera again and my period didn't come down I had a brown thick discharge instead of a normal red. Should I continue with clomid on the 5th day??? Doctor: HI, Provera is a contraceptive that avoids ovum maturity & ovulation . Changes in menstrual pattern is a known side effect of the drug. While clomid is to stimulate ovulation.It helps conception. If at all you want to plan for pregnancy,you should not start with Clomid, till the provera is totally withdrawn & periods resume normal pattern ( It may take a couple of months ) Thanks.
| 225,229 |
What do the findings in the kidney scan imply?
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Patient: My son was diagnosed with a renal stone measuring 5x4x3 mm with moderate hydronephrosis and there is perinephric and peri urethral stranding what does that mean? And he also had a 2mm calculus in the midsole calyx of the left kidney going to urologist tomorrow but should I be worried about his kidney? Doctor: Hi. Welcome to HCM. Normally, urine contains many dissolved substances. At times, some materials may become concentrated in the urine and form solid crystals. These crystals can lead to the development of stones. Stones formed in the kidney are called kidney stones. Ureteral stone is a kidney stone that has left the kidney and moved down into the ureter. surgical treatment of stones include Shock Wave Lithotripsy (ESWL),Ureteroscopy (URS), Percutaneous nephrolithotomy (PNL) and Open Surgery. In your case stones are not so big and mild to moderate hydronephrosis is common among patients who have kidney stones. If your son kidney function is good yoour doctor may suggest conservative treatment. If stones resist to come in urine, they might suggest ESWL. But do remember this your urologist only can decide after complete examination of your son. Their is no need to be tensed by this and it is easily treatable condition. Kidneys come back to their normal size gradually once the root cause is treated. Tell your son to drink lots of water. Regards
| 49,385 |
What could cause irregular heartbeat?
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Patient: I have been referred to a cardiologist because I have an irregular heartbeat which is causing shortness of breath and is uncomfortable. My ECG concluded normal LV and RV function with a mile left atrial enlargement (42 mm). In the past 15 months, I've lost 25 lbs, ran a half marathon in December, exercising (with a trainer) 4 days a week, and eating healthier than I have since college (I am 37 years old). My grandmother (deceased) had and my mother has an irregular heartbeat so I feel it was inherited. I will see the cardiologist tomorrow but wonder how I've not truly been affected with the signs and symptoms listed on most websites and in most books. I enjoy exercising and beginning to Crossfit train (heavy resistance training) while continuing to jog/run (to include half marathons). My worry is that I would need to decrease training. I read LAE is treatable with medication. Is it possible for me to continue training/exercising whether or not I am placed on medication? I'm just beginning to feel really good with my exercise regimen and still need to lose 15 lbs. This is a huge concern as again, I would think I am healthier now than I've been in a while. Thank you for your response. Doctor: you have family history of irregular heartbeat means may be some accessory pathways may be there in your heart leading to irregular heartbeat and you check with other investigations and rule Out this condition and AF may be due to this reason or dilated cardio myopathy in ur family
| 24,607 |
What causes numbness and tingling sensation in the arms?
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Patient: my husband has had two neck surgeries and is fused from c-3 to 3-7. he has pain, tingling and numbness radiating down his arms and his fingers are very painful and the skin is peeling. He says it feels like needles stabbing into his fingers. What do you think this might be. they said it could be carpal tunnel, but i refuse to believe that. Any direction would be appreciated. Doctor: Hi Went through your post as you have mentioned that your husband has known cervical vertebral disease and underwent for its surgery, and now has neuropathic pain in arms, it is obvious that he has compressive cervical neuropathy, I would suggest you start him on sustained release pregablin 75mg bet although it may cause giddiness in early few days but will improve symptoms and secondly he should avoid prolonged neck bending. Regards
| 129,239 |
Faintly positive for hepatitis B. Earlier tests negative. Actual status?
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Patient: am solomon am 28,i went to goverment hospital to donate the blood for a person last year so after test i was told i have hepatitis b so a nurse prescribe a drud for after 4 days i did a test again i tested negative.this year july i did the test again i tested negative,but octomber i did test for 3 hospital 2 result show negative while third show faintly positive.what is actually my status? Doctor: Hi,Thanks for posting your query.You have not mentioned what method was followed to do this test.Since it was negative most of the times, the faintly positive status should be confirmed with an ECLIA test which is more confirmatory.I hope that answers your question.Regards.
| 58,219 |
Is glandular fever infectious after 3 weeks?
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Patient: Hello. I was diagnosed with glandular fever approximately 3 weeks which was roughly when I started getting symptoms. My doctor tells me I am no longer contaigious that the contaigious period is in the incubation period which is 3 to 4 months prior to getting symptoms. My brother is coming to visit with his 4 month old baby and is extremely bothered and worried as he thinks I may infect her. Can you offer some confirmation ? Doctor: Hi, dearI have gone through your question. I can understand your concern.Yes glandular fever is not contagious after 3 week. It is contagious only during incubation period. So don't worry about spread of infection. Just be relaxed. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health.
| 30,641 |
How to treat fungal toenails?
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Patient: Iam retired female have had fungal toenails since teen yrs.-currently have some bleeding from 2 nails --have beensoaking foot in tepid water and applying hy.peroxide for onfection --not gatting much results--wear flip-flops to keep nails dry any suggestions to remedy problem? thanks Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Fungal infection in the toe nail is very nototrius it requires a long term treatment to cure it completely.You can take the oral fluconazole tablet 150 mg for two months under your doctors guidance.Please be patients as this is a long period therapy. Once the new nail grows it pushes the old infected one and new nail is free from the infection.Please do not shock your leg in water for whole day. Try to keep it dry as much as you can do. Wet leg provides good nutrition to the fungus and your infection continues.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
| 35,020 |
What should the normal blood pressure readings be?
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Patient: I am a 25 yrs old.(Male) 8 months ago my blood pressure readings were found as 170/100.from that day i have been put on BP tabs.(Met xl12.5).in last 2 weeks i started taking the tabs on alternate days.and now again my readings are 150/90.should i continue with same tabs? Doctor: Hello, I would explain that your blood pressure values are still high for your age. The normal blood pressure ranges are 125/85 mm Hg. For this reason, it is necessary for increasing the dose of your drugs or add new drugs in order to reach these levels. From the other hand, considering your young age, I would recommend performing further tests to investigate possible causes, underlying secondary hypertension: - complete blood count, PCR, ESR for inflammation- thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance- kidney and liver function tests- cortisol and aldosterone plasma levels for adrenal gland dysfunction- urinary metanephrines for pheochromocytoma- fasting glucose- Doppler ultrasound of the renal arteries. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 17,138 |
Trying to conceive, thalessemia minor patient. Follicular study done, ovulating regularly. Infertility treatment?
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Patient: hi i am 25 year old and i am trying to get pregnant since 7 months. i had a miscarriage of three and a half month before nine months. my husbands semens tests are normal. and my hormonal tests are normal.i am thalesemia minor patient. but do not haven problem with that. but i am still not conceiving. aim ovulating on 14 th day. i am also doin my test for follicular scan regularly. and my period cycle is of 25 days. what is the problem with me. Doctor: Hi, Just check your husband's thalasemia status. (to safeguard from having thalasemic baby). If you are ovulating on 14th day & have cycle of 25 days, it means you have short (defective) luteal phase. You need luteal phase progesterone support (tablets to be given after ovulation) for continuing pregnancy. Wish you good luck.
| 43,913 |
Suggest treatment for pain in right arm
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Patient: i have been administered with tricort 40 inj. about 17 years ago by an ortho surgeon for neck pain,which gave me instant relief.Now that I am 67 years old and would like to know whether the same treatment could be given for a similar pain that transmits to upper right arm.Please suggest/advice Doctor: your initial pain could have been due to cervical spondylitis or disc related disease. this new pain may or may not be the same. I suggest you get yourself examined by an ortho or spine doctor and get the relevant X-rays and scans done before you think about injecting steroid.
| 217,529 |
Suggest treatment for itchy rashes behind ears and swollen lymph nodes
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Patient: I do not normally do this, just trying to determine if I need to see a doc... symptoms are... 1. rash behind ears with noticeably raised bumps, not extremely itchy though since Saturday, just down to the jaw line and then stops. 2. yesterday slight fever 99.8, today normal 3. Stomach ache yesterday 4. Diarrhea today only (may explain yesterdays stomach ache) 5. yesterday and today headache 6. swollen lymph nodes behind ears too Otherwise she feels fine, eats, pees, active, etc.... I just want to be sure that I am not at risk of exposing her to any other child with something... Thank you, Doctor: Hi. I'm Dr.Neel Kudchadkar from HCM and I'll help you. I suggest that she has an infection. However, you have not mentioned details such as her age. I suggest that you need to see a doctor because she needs antibiotics that you cannot buy without a prescription. Meanwhile, you can help her by giving her a over the counter medicine like Avil or Fexofenadine or Montelukast. This will reduce the symptoms greatly. You can give her paracetamol syrup with ibuprofen. Please visit my virtual clinic at XXXX for more counselling. Thanks for using HCM.
| 29,727 |
Is it okay to detox from drugs while pregnant?
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Patient: Hello I recently found out I was pregnant and smoked marijuana heavily before I found out and stopped as soon as I found out. I got offered a job and it requires a drug test. I purchased a 5 day rescue detox and it says do not use if pregnant but it also says you can consult with a dr regarding it. The ingredients are gelatin, dicalcium phosphate, vegetable magnesium stearate, silicon dioxide, mcc. If I do this detox could it harm my child Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.Dicalcum phosphate is not clearly approved by FDA for use In pregnancy for lack of evidence based studies. Other ingredientsvegetal magnesium stearategelatinSilicone dioxideare approved by FDA.I recommend not to take it .Hope I have answered your query. Let me know if I can assist you further.
| 218,437 |
What is the suggested treatment for lymphoma?
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Patient: I am a 46 year old African American female, who was recently diagnosed with mycosis fungoides. Is there any truth that this type of lymphoma is more aggressive in African Americans and therefore warrants more aggressive treatment. If so which treatment would you recommend? Doctor: Mycosis fungoides is a diseases in which lymphocytes (a type of white blood cell) become malignant (cancerous) and affect the skin & is a type of cutaneous T-cell lymphoma.Mycosis fungoides ishard to cure. Treatment is usually palliative, to relieve symptoms and improve the quality of life. Patients with early stage disease may live many years.
| 116,201 |
What is the treatment for hepatitis B and gall bladder stone?
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Patient: Hi! My mother age is 81 and weight is 36. she is hepatitis B patient and now she got ascetic tap every 15 days ( almost 7-8 liters). Small Stone in her gall Bladder. now she don't take any food if she try to take any liquid or solid food,she vomits. her recent reports areBLOOD Test:creatinine 5.2 mg/dlurea 131 mg/dlserum albumin 1.8 g/dlTotal Blood Count:WBC 13.7 /cummHaemoglobin 8 gm/dlHCT(PCV) 25.72 %MCH 25.42 pgRDW (SD) 47.5 flNeutrophiles 77%lymphocytes 22%Monocytes 01%Liver ProfileTotal Bilirubin 2 mg/dlDirect Bilirubin 0.9 mg/dlSGPT /ALT 12 U/Lalkaline phosphate 102 IU/L Doctor: Hi thanks for asking question...Here your mother having hepatitis b infection with ascites.So here you might have chronic liver disease in form of cirrhosis....Although sgpt not elevated but alkaline phosphatase elevated...LFT profile done with estimation of PT and serum albumin also ....Diuretic can be started for ascites.You have to consult doctor as intubation might done as she can't take food orally.For cirrhosis liver transplantation is option but its utility in older age has to be discussed with doc...If cirrhosis induce portal hypertension also present then beta blocker given...Tapped ascitic fluid send to laboratory for examination to determine whether it is bacterial , malignant or transudate fluid.Take care.Dr.Parth
| 54,900 |
What causes tingling painful sensation in the back?
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Patient: Hi, I've been experiencing a tingling on my back. It feels like 100 needles are poking me at once and only lasts a few seconds. I haven't been able to identify a trigger or anything that I feel may induce this sensation. It's extremely painful and I'm not sure what to do about it. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This indicates nerve compression , you can take Methylcobalamine for this I hope this information has been helpful for you. Regards, Dr. Praveen Tayal
| 106,610 |
Had sex and took ipill, had intercourse again. Cannot take ipill frequently and don't want to be pregnant
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Patient: Hello Doctor,While having sex the condom torn off, and so I took a "morning pill" the next day...Then I again had intercourse the same day and the next day but I am not sure if my partner ejaculated inside or not. Now I am uncertain if I should take another "pill" because according to internet, its not wise to take pills this frequently. But I also do not want to be pregnant. Please help!!! Doctor: Hello,This Morning after pill works for 72 hours for no matter how many inter courses you had within that period.And Yes! you are right you should not use Emergency Contraception because it is not a regular contraceptive.Instead,Use regular oral contraceptive pills Condom when used along with spermicide is more effectiveAnd most Importantly-Not only Ejaculation but also the secretions before ejaculation contains sperms!!
| 225,658 |
How to treat pimples and black marks after contact with insect?
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Patient: sir one night i was sleeping then perhaps one insect pass on my face and in the morning some pimples come out on the face and after some days there was a black mark on that place and it was not removing i have not used anything till now what should i do? Doctor: Hi.As per your case history you are having insect bite dermatitis.My treatment advice is – 1. Don’t squeeze the lesions as it may worsen the condition.2. Apply a mild antibiotic plus steroid cream like fusiderm-B cream twice daily on it.3. Take an antihistamine like levocetirizine for 7-10days .4. Other treatment options are oral steroid and hydroxyzine given only after consulting a dermatologist.Thanks.Dr.Harshit Bhachech.MBBS, DDVL.
| 14,200 |
What does this semen analysis report indicate?
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Patient: Q : Dear Doctor,I m 28 years old, Below is my semen analysis report Total Volume 1ml Liquefaction Time:30min, pH- 7-8/HPF ,TOTAL SPERM COUNT 60 MILLION/ML, ACTIVE Motile 40 %, SLUGGISH 05 %, DEAD 55 ,I want to know is there any dificulty of becoming a father in the future;please advice. Doctor: Hello, Your report seems normal. No need to worry. If you have specific questions, will be happy to help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 193,996 |
Recurrent kidney stone issues, blood in urine often. Ultrasound shows medullary sponge kidney. Cure ?
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Patient: Sorry about this being so long, I don't know where to turn right now other than here.I have had kidney issues since I was 3 years old, that infection I remember it like it was yesterday, the pain was so bad that I couldn't stand. Have had many kidney stones, had one blasted out, blood in my urine quite often, several times so much blood that you wouldn't even know that the substance was urine, it looked like pure blood, many UTI's, kidney failure 3 times on blood tests and 2 times resulted in hospital stays, many times unexplained side pains at the emergency room to find nothing wrong. When I was pregnant, my blood pressure and sugars were horrible, I had to give myself insulin shots 4 times a day, eventually I was taken to the hospital to control it, my kidneys were failing, they took them out early, at 33 weeks. My kidneys are scarred pretty badly, it says on most of my tests over the years, I have been to a urologist here, he could never find the reason this kept happening to me. He would be in the room and out as fast as he came in, I asked him numerous times to help me find out why this kept happening to me! Well last weekend I went in the the emergency room and the doctor told me two times that I had Polycystic kidney disease and that there wasn't anything they could do for me that wasn't already being done. I have polycystic ovarian disease, at first I thought that was what he said. He blamed my pain on gas and constipation ( which I know for sure is NOT true) and told me to get ahold of a kidney specialist, that he would put the number etc. on my paperwork. He did an abdominal cat scan, said there was a 3 mm kidney stone in my kidney and that my pain was caused from gas and constipation. I asked him about the PKD, because by then it had sunk in and he was very confused that I had no idea what he was talking about. He again said yes, you have PCOS and PKD. He wouldn't answer any questions I had about it after that. When I got home, I checked the paperwork, but it said nothing about my kidneys at all. No number to a doctor he recommends... nothing! He put on it that I was treated for constipation and gas! I went to get all of my records since I am tired of getting no answers and I want to take them to a specialist. Since the emergency room papers say nothing about PKD my doctor office won't refer me to a specialist. While I was reading cat scans and Ultrasounds, they said twice that I have medullary Sponge Kidney and mentions numerous times about Echogenic renal pyramids, lots of stones etc, but nothing about tumors on my kidney. I am still having left sided pain and occasionally the right side also. I see blood a few times a week and this been has been going for months! There is PKD in my family, the only one that we know of was my great grandmother, she died from complications at 37. My younger sister has kidney issues also. I am very confused as to what to do now!? I can't get recommended to a specialist for this, I need answers! What can I do? Doctor: Hi and thanks for the query,early diagnosis and appropriate management is important. A careful review by a nephrologist is required. PKD predisposes to chronic kidney disease. It is therefore important as of now for you to measure serum urea and creatinine levels, as well as serum Calcium and Potassium levels. This shall give a clear information about kidney function. I suggest you book an appointment with a nephrologist. An abdominal ultrasound is needed to exclude cysts in the liver since these two conditions usually go together. kind regards
| 49,585 |
Can food allergy cause recurrent tummy aches surrounding the belly button or could it be appendicitis?
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Patient: My 8 year old granddaughter has recurrent tummy aches surrounding the belly button, but has normal bowel functions, ruling out constipation. Her diet is healthy, drinks plenty of fluids. This has been happening for about 4 years, her physician can fnd nothing wrong. I was thinking it might be a food allergy? My first cousin experienced the same symptoms for years and she finally had appendicitis occur as an adult and she was told those were pre symtpoms all along. Doctor: Hi, Indeed you have picked up the real point. * year old can have appendicitis and is under-diagnosed due to inability of a child to give proper history and mis-leading findings on examination. Other than appendicitis there are other reason of this type of pain, like abdominal lymph node enlargement, worms and so on. The best diagnostic investigation in such a child is High Resolution Ultrasonography examination by an expert Ultrasonologist. Some times the contrast enhanced CT scan of the abdomen can give you better diagnosis if ultrasonography can not. Food allergies causing such pain is rare, they would cause associated vomiting, distension, loose motions or so.
| 92,243 |
What causes swollen lump on armpit?
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Patient: I have a swollen lump in my armpit for a couple of months. I went to doctor, he prescribed antibiotics. While I was under medication, the arm pit lump shrunk and reduced in size and the pain also subsided. But now, again the lump has enlarges and is very sore. Transparent fluid started flowing out of it and I have a small hole like thing with reddened flesh inside. What could it be? It worries me. Please advice. Doctor: Hi,Dear,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-you may be suffering from -mostly from-armpit boil due to the incomplete treatment or could be due to diabetes mellitus.-From the facts given-you mostly have -chronic with acute abscess.-You need to consult your Surgeon-and get fbs/pps done to rule out the diabetes issue with you-which could be causing it.-You should definitely be concerned of this issue.Hence I advise you to take care as advised.-This would help to recover fast.-Not to worry for its recurrence and its definitely not a Cancer for sure.Hope this would help you to recover fast.Wellcome to HCM again for any more queries.Have a Good day.
| 64,418 |
What is the recovery period for quadruple bypass surgery?
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Patient: I have family member 9 days ago had quadruple bypass. She is not doing well. elevated WBC count, Low platelets, On dialysis since surgery. Not waking up. CT scan did not show anything. Prior to bypass surgery she had hip replacement and ended up with MRSA in joint and has been on life time antibiotics. She is so swollen. Doctors frustrated not knowing what is going on. Any ideas. Doctor: hi I can understand your anguish since your family member is not doing well after cardiac Bypass surgery. Previous hip Replacement getting infected and now not getting up and on dialysis.These are the kind of situation that make medicine such a complicated business. Infection may have affected kidneys , that is why she is undergoing dialysis.
| 132,206 |
What causes cystic growth in groin area?
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Patient: to know the kind of cystic that my husband had , it had to be removed by surgery the three time lucky they had to go much deeper to find the end of the roots, so far touch wood everything good, it was down below private part, we was told the name but I forgot, all I know it cause by sweat. and when it fill up with pus & blood and burst it use to stink bad. Please doctor do you known what what I m trying to say ?I know it s a sweat glands ? Doctor: Thanks for asking in healthcaremagic forum It is sebaceous cyst. They are harmless. If they are of cosmetic concern, you can visit dermatologist/surgeon for its removal. ALl the best.
| 200,620 |
Is there any effect of doxycycline pills on laser hair removal?
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Patient: hi i am currently on doxycycline pills for 2 months and had a laser hair removal appointment for my upper lip. should i reschedule that? and how long should i wait ? Doctor: Hi! tetracyclines are known to cause photosensitivity.Hence wait for a minimum of 10 days after your last course .
| 8,147 |
Suggest treatment for misaligned teeth
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Patient: Hi, My twelve year old has a gap between her 4 upper incisors and lower. It makes her teeth look very messy and disorganized. Can it be fixed? And if so how long will it take it is ver uncomfortable and painful for her because when she puts her teeth together like resting point the dont touch. I feel very guilt for not taking her to the orthodontics soon enough her gap is about 4mm thank u Doctor: Hello. I just read through your question.It is not too late to be evaluated by an orthodontist. In fact, the problem can still be repaired. It is still possible even if her age to have the teeth of lined perfectly. It typically takes about two to three years. However, it would be better to consult with an orthodontist about the time frame.
| 176,644 |
What is the treatment for baldness?
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Patient: Hi I M Using Menaxil Gel Sice 2 Yrs For Hair Growth N Now I M Not Using Since 1Week So Again I Find Baldness That Small Gaps Between Hair. So My Dermatologist Advised Me Finalo 1mg At Night Terbinafine Tabs At Lunch N Hair For U 5% BD. So Is It Good Enough To Use ? Doctor: Hithe most common cause of hair loss in India is Iron deficiency and hypothyroidism, please get these investigations done.your dermatologist has prescribed u treatment in the form of finasteride nd topical minoxidl lotion, which is statisfactory. but also start supplements like iron and biotin.Thanks
| 11,426 |
Has hodgkins lymphoma, showed activity under tongue in jaw area. Wet spot on shirt. Is it just saliva that showed on the PET scan?
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Patient: My son is 14 and has had Hodgkins Lymphoma . On a recent PET scan it showed activity under his tongue in the jaw area. He is a drooler at night and when he wakes up in the morning he has a small wet spot on shirt or bed due to drooling. He did this when he was younger then it stopped and started about 3 weeks ago. Should we be alarmed or could it be just saliva in that area that showed up on the PET scan? Doctor: Hello, I am a Nuclear Medicine consultant and we do PET scans routinely. The uptake you are mentioning needs more detail description to comment correctly about its nature. However, in general, if the patient is crying or talking after injection and before doing the scan then there can be some uptake in the muscles of the tongue and this is nothing to worry about. Without looking at the images it is difficult to comment. Please consult your Nuclear Medicine consultant if you have more queries. Hope this could be of help. Regards.
| 159,154 |
Suggest treatment for asymmetrical nipples in a male
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Patient: I am a 20 years old male, my right nipple is noticeable larger than my left nipple(not alot) and my right nipple also a bit more solid than my left nipple. It first came out like 4 or 5 years ago, but I didn't notice any sickness or whatever effects me. One more thing, when I tried to press my right nipple..I can feel something like "high" and asking me for pleasure, doesn't happen with my left nipple. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Unfortunately the problem you have mentioned is anatomical and we can not correct it by drugs or local ointments. The only treatment option is nipple reconstruction which can be done by a plastic surgeon. The problem is it is quite expensive. If you are so much worried, you can consult a plastic surgeon for expert opinion. Hope I have answered your query. Let me know if I can assist you further.
| 195,360 |
Suggest methods of controlling high BP
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Patient: Hi, Yesterday I got my BP tested and it came out to 150/105. I am little concerned now. I have been having a light headache for a week now and a heavy bruised like feeling on top of my scalp. Since I saw this BP reading I have started to exercise right away but I guess it would take a while to bring it down. Can you pls help me with should I directly go and see the doctor right away or continue the exercises and test again in 2-3 days again? Doctor: 150 /105 is not a minor number especially 105 ...according to me you should go to local general practioner ...as this no needs treatment otherwise if you want to wait for 3 or 4 days then go for morning or evening walk at slow pace ...avoid smoke ..alcohal ...cut down on coffee salt fried salted foods ..but if you are into exercises it must be gentle as overexertion may overshoot bp ...
| 19,505 |
What causes imbalance issues, headache and stomach upset with normal tests?
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Patient: Hello, for the last 5 months, i ve seen numerous doctors and no one can seem to find out whats wrong with me. heart is fine, cardiologist did a million tests, head is fine neorolgist done a million tests. but i keep getting bouts of imbalnace... slight head pain, upset stomach, it comes and goes all day. any idea? Doctor: Hi, I have gone through your medical history carefully and am sorry for the situation you are in. I am also happy to know that the cardiac and neurological tests you did resulted all normal. As you have ongoing upset stomach problems, I highly recommend to consult with GI specialist and to run upper endoscopy to evaluate your stomach and other GI organs to determine the right cause and start proper treatment. My thoughts go for possible: gastritis/GERD or ulcer issues that should be determined. With regards to slight head pain and bouts of imbalance, I recommend to:- consult with ENT specialist to rule out inner ear issues- measure your blood sugar and blood pressure, record the results for future evaluation by your doctor (hypoglycemia and hypotension should be ruled out). For the moment, I advise to watch what you eat and observe what effect they have on your actual stomach problems. Avoid those that would aggravate your symptoms. Hope it was of help!Dr.Albana
| 146,072 |
How to remove 5.1 calculus in lower pole of my left site kidney?
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Patient: Respected SIR, I may kindly be adviced to know that I have an 5.1 calculus in lower pole of my left site kidney.My Dr. has prescribed me to take 10ml of potrate MB6 two times per day for three months .I am also taking cystone one each twice a day. Can it be removed Doctor: Hello,There is nothing to worry about a 5.1 mm calculus. Most probably it will pass. Drink plenty of plain water. You dose of cystone should be increased to 2 tablets twice or thrice a day.If you have further questions you are welcome to ask.
| 48,828 |
What does spondylotic changes at mid- lower cervical spine mean?
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Patient: i have recently been told i have spondylotic changes at the mid - lower cervical spine with osteophytic spurring and mild disc space narrowing at c5/c6. What doe this mean? i have a lot of pain in my neck and suffer from pins and needles in my hands, especially the right hand. Doctor: Hi, thanks for posting your concern in the HCM. Simply speaking, cervical spondylosis refers to a condition in which there is mechanical wearing of the intervertebral disc cushions due to lose of hydration and elasticity. The surrounding ligaments also lose their elasticity. There is biomechanical incompetence. The joint space narrows down, annulus bulges forward and facets override.There may be abnormal growths or spurs on the bones of the spine.Gradually one or more nerve roots are compressed resulting in radicular pain, tingling, numbness in the distribution of the affected nerve.For rehabilitation and conservative management, immobilisation of the cervical spine is the mainstay of treatment. Traction may be applied although it has no proven benefit in cervical pain. Superficial and deep heat therapy to the local tissue may help. Analgesics and muscle relaxants may also be taken. In case of progressive neurodeficit, intractable pain or documented compression of nerve root(s) surgical intervention may be needed. For any further questions, please write back to us. Regards.Dr. Kaushik
| 147,073 |
Suggest treatment to control hairfall
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Patient: i am 18 yrs old .i am suffering from severe hairfall during these 4 months.my hair became thinner.i consulted a doctor.he prescribed me to take amexidil soln.now i am taking that.i feel a very small pain on my scalp when i touch.what should i do? i have no credit card.answer me without money. Doctor: Hi, It may be telogen effluvium. Consult the dermatologist for the perfect diagnosis and proper treatment. There may be some cause of hair fall. After a thorough examination and investigations, your dermatologist might know the exact cause of your hair fall. Anaemia, thyroid dysfunction, post enteric, nutritional deficiencies, vitamin deficiencies, stress, worries, heavy exercise, sleeplessness, starvation, any other internal diseases... etc might lead to telogen effluvium. Tab. biotin, vitamin E cap, tab. zinc sulfate... etc and other nutrients may be taken for a long time. Apply minoxidil solution. Use mild herbal shampoo. Avoid stress and worries. Treatment of underlying disease may be taken. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
| 10,057 |
What causes black bruise spot with yellow spot in the middle?
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Patient: I have a circular bruise black and blue with a yellow spot in the middle. I don't recall hitting anything that would cause such a large bruise. I recently had blood work done and my cholesterol was high but everything else was normal. I had uterine cance and three radiation treatments 9 months after the hysterectomy. The last radiation was the end of july. Doctor: Thanks for your question on HCM. I can understand your situation and problem. In my opinion you should consult dermatologist and get done clinical examination of your skin lesion. Following are the possibilities in your case for skin lesion. 1. Xenthoma (cholesterol infiltration in skin). You are having high cholesterol level, so possibility of this is high. 2. Radiation induced skin damage 3. Cutaneous spread of uterine cancer. So consult dermatologist and discuss about these possibilities and first diagnose yourself and then start appropriate treatment. You may need skin biopsy for the diagnosis.
| 154,484 |
Suggest treatment for charcot foot
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Patient: My sister has charcot foot. She had surgery and was in a splint while in a nursing home . I found a ulcer on her heel that the nursing home was uunaware of. She fractured her fibia and tibia and had to go back to surgery. She was placed in a external fixator. Her foot has deformed again and tthe decubs Iis still not healed. I found the decub Iin June or July of last yearl. She is a brittle diabetic. She is seeing a wound doctor that Iis going to deride her ulcer and place her on a wound vac. I feel thiis is a good move. I feel if this does not work amputation is next and I fear her stump Will not heal like heal and the risk factors are high. Do you have any response or regarding this. We live in southern Indiana and can you recommend a specialist. She Iis a medicare/medicare patient. I watch the doctors and people are brought on the show where they offer help. Doctor: Hi, your concerns are true, diabetic neuropathy foot do not respond well to wound if sugar is not under control, secondly amputations are good options in such cases if the primary healing is a concern. but its again true that issues with the wound of stump can itself cause problems.I would recommend you to consult a diabetic foot specialist, as they are trained specially for these conditions,The other important considerations,keep limb clean and wash with dettol solun regularly and keep dry, inspect for any abrasions or wounds and keep them covered with dressings, consult doctor if things become worst.
| 138,937 |
Diagnosed as anemia. Have arm and thigh bruising. Connected?
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Patient: Hi doctor,I was told toda y by my doctors office that I have anemia.they want me to redo the test in one month. Ive been having small little brusing on inner arm's some as large as an eraser and small as the width of a pencil lead. I've also seen a bruise on my thigh the size of a quarter. Think there can be a connection?Thank you, Mary Doctor: Hi and thanks for the question,Is anemia is associated with easy bruising, the main possibility to be exploited and excluded is a bone marrow pathology, a lesion with the kidneys with inadequate secretion of a hormone called erythropoeitin, responsible for both red blood cells and platelet production and a spleen defect. The platelet production is very much linked to red blood cells production. Low platelets generally lower than 50.000/mm3 could lead to easy bruising. A complete blood count with platelet counts measured is needed.If low again, the opinion of a hematologist might count significantly in the diagnostics and management.Thanks and kind regards,Bain LE, MD.
| 118,815 |
Suggest treatment for lack of concentration on work
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Patient: last few years, my habit is different when i do one work i just touch it again and again at that time i think different which i don't want so when i think positive which i thought then i left it where i touched ,,,what is it i don't know ,,plz suggest me... Doctor: Hi,From what you have mentioned you seem to be having obsessions in form of the repeated thoughts of having a positive thought while doing work and in turn having the compulsive behavior to do it again and again till you get the positive thought. This is part of a disorder known as Obsessive Compulsive Disorder (OCD). You might also have other obsessions regarding dirt and doubts which will need complete evaluation.You should consult a psychiatrist and initiate treatment. Medications like fluvoxamine are effective for OCD. In addition, treatment with behavior therapy in form of exposure and response prevention would be highly helpful.I do hope that I was able to answer your query. Best wishes.
| 208,418 |
PCOS on both ovaries. Taking Metformin, no periods. How do I conceive?
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Patient: Hello doctor, this is PreethaChandar from India. Recently i have been diagnosed with PCOs on both the ovaries with multiple peripheral follicles (stroma appears echogenic on right ovaries). My doctor prescribed with METFORMIN 500gms - 3 tablets a day. Even after taking the prescribed tablet i not getting my periods.Little worried about periods. I am married 2011, diagonsed pcos 2012 march and planning to get conceive in 2013. Kindly help me. Thank you. Have a good day Doctor: Hi, PCOS is usually associated with anovulation ie absence of ovulation. Usually overweight, increased carbohydrate and fat intake may be precipiating factor for PCOS, weight reduction is recommended. Metformin ins treatment of choice for PCOS. You should do a ovulation test and if found you are not ovulating then your Gync may prescribe Clomifene citrate for induction of ovulation. Irregualr periods may be corrected by having hormonal pills like norethisterone etc which can be prescribed by your Gync after examining you. Bye
| 6,052 |
What to do if having dry patches, white boils, pigmentation on face?
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Patient: Hi Doctor,I'm 24 yrs old female. Tile the age of 20, my face was absolutely fine without any issues. But for the past 2-3 yrs Im facing hell alot of issues, like dry patches, white boils, pigmentation and so on....currently under treatment for it for the past 1 yr, but no relief. currently I'm been prescribed with Desowen and tacroz Doctor: Hello,Thank you for posting on HCM.I can understand your concern regarding the skin lesions but its difficult to point specific diagnosis in absence of clinical examination.From your description it seems you have got acneiform eruption and post inflammatory hyperpigmentation. Moreover the topical medications like Desowen and Tacroz which you are currently using can actually aggravate the conditions I have mentioned.Therefore, I insist you to post good clinical pictures to me so that I can help you in a better way.You can reach me directly through the below mentioned link.http://doctor.healthcaremagic.com/doctors/dr-hardik-pitroda/67169Once I review your pictures, i will guide you the best treatment possible.ThanksDr Hardik Pitroda
| 9,190 |
What causes a lump on the knee?
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Patient: I have a solid lump on the outside of my right knee which gives me pain when playing sport and seems to play up when the weather gets cold also. It s quite a big lump in an area where I damaged tendons years ago in a football match. I wondering if it s linked to this and does it need surgery to repair? The lump is about an inch in diameter and kind of looks like a 2nd knee cap but on the lower outside of the knee. Obviously not as hard as the knee cap but it is quite solid. Doctor: Hi,Dear,Thanks for your query to HCM.Dear I read your query and reviewed it with context to your query facts.Based on the facts of your query, you seem to suffer from-Synovial Thickening with Arthritis / and or /from Oschgood Shlatters disease of the knee from the injury to tendon few years ago.Surgery may be required only if -Arthritis with Synovial thickening is there.For Oschgood Shlatter's disease -Cold Compresses+Tab Motrin would relieve it in initial acute period and would not need any treatment as the lump would reslove over a time,as the time passes by.USG / X-ray Knee would fix the diagnosis prior to surgery and consultation from Ortho-Surgeon.Second Opinion from Ortho-Surgeon would be needed to rule out other causes of such a lump prior to treatment.Hope this reply would help you to plan further treatment with your family and specialist doctors there.Welcome for any further query in this regard.Good Day!!Dr.Savaskar M.N.Senior Surgical SpecialistM.S.Genl-CVTS
| 61,931 |
What cause atrial flutter?
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Patient: I have been diagnosed with afib. Had two bouts of severe palpations but nothing for at least 3 years. I take 240 mgs on verpamil and ,25 of digoxin. Only complaint is I still have a very slight flutter on my left side when laying now. Anything I can do, to stop this fluttering/ Thank you Doctor: Hi ThereYour heart is controlled by a natural pacemaker (the sinus node), which is located in the right atrium. It sends out electrical signals to both the right and left atria. Those signals tell the top of the heart how and when to contract.When you have AFL (Atrial Flutter), the sinus node sends out the electrical signal but part of the signal travels along a pathway in a circular motion or circuit around the right atrium, in a continuous loop. This makes the atria contract rapidly, which causes the atria to beat faster than the ventricles. A normal heart bate is 60 to 100 beats per minute (bpm). People with AFL have hearts that beat at 250 to 300 bpm.CAUSES:Decreased blood flow to the heart (ischemia) due to coronary heart disease, atherosclerosis, or a blood clot. High blood pressure (hypertension) Disease of the heart muscle (cardiomyopathy)Now regarding the treatment part we have 2 options either to control the rate with meds and if meds fails to control the palpitations adequately then other option is to go for ELECTROPHYSIOLOGICAL stuudy and finally CATHETER ABLATION of the focus.Good Luck
| 21,960 |
Greyish swelling with itching on the site of wisdom tooth, Tingling on the lips. Is the infection severe?
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Patient: Hi, I have been having a wisdom tooth growing in on the bottom left side of my mouth. It has been causing some issues for the past few weeks and recently saw what looks like an infection. A large area that looks grayish with swelling and bumps. I have also noticed some itching and tingling along the left side of my upper and lower lips . It reached it s worst last night where I stayed up all night in agony. Now the pain has subsided for the most part but it looks awful and is now causing slight numbness in my left upper and lower lip and where the infection is. Should I be concerned about this? I don t have insurance and would like to avoid going to the doctor unless it is neccessary. Thank you for your help. :) Doctor: hi the pain in the erupting lower molar tooth can be agonizing till its fully erupt. the issue with your upper left lip is due to biting which happened due to partial numbness due to erupting molar. all these symptoms are totally reversible but i would still advise you to see your dentist to rule out any developing problem due to molar tooth. like see if its erupting upright ,if not then plan its extraction with your dentist. take care
| 190,402 |
What is the severe and throughout the body and bleeding in mouth?
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Patient: Hi, my sister got severe allergy all over her body. Its looks like big patches through out the body and she has the allergy in her mouth too. She is not able to swallow anything and her mouth is bleeding. She is not able to talk since last 3 days. This never happened to her before. She is 38yrs old and this is the first time we are seeing this. What could be the reason? everyone in the house ate the same items that she has eating the day she got that allergy. Doctor: Hi thanks for using Healthcaremagic I think it's a severe form of allergy.Dont take it as simple allergy...Anti-allergy medicines alone won't work.We will have to give steroids for speedy recovery..Otherwise edema of the respiratory will occur...please show to a doctor at the earliest...thank you....
| 99,923 |
Suggest remedy for loss of appetite after stomach infection
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Patient: Hi! my 6 year old boy had stomach infection in mid march and was put on antibiotics - recovered. For last 7 -10 days he has been showing lack of apetite after 6 in the evening and constantly complains of feeling like vomting. his intake of food I think has also gone down. please advice! Doctor: Good evening..!!Its one of the common complaints by parents.Encourage him to avoid junk food outside and to have more vegetables, fruits and home made food.Other option could be drug induced gastritis. Can give him pantoprazole for 5 days on empty stomach.Thank you, have a nice day..!!!
| 166,402 |
Is a SGPT level of 69 post malaria recovery normal?
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Patient: Hi My wife is suffered from malaria last week, done cbc sgpt, mp test on 07/11 that time malaria is detected, sgpt level is 39, now after medicine again test is done on 09/11 that time malaria is clear but sgpt is 69, does it is normal she is 35 yrs old Doctor: Does she has any problem now. If there is no problem now, just observe for any problem & report it to doctor at an earliest. If no problem continues just repeat this test again after a week.
| 36,607 |
Suggest treatment for elevated triglyceride level
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Patient: age 40 height 5ft 4 in weight 68 kg triglycerrides 698 very high doctor has advised to take fibotor 10 mg which i took for three month and it reduced triglycerides to 119 now he has asked me to continue fibotor 5mg for next six months please let me know the side effects of this medicine Doctor: HiThanks for writing to HCM.The side effects may be altered liver function test, increased muscle breakdown (rise in creatine kinase) bodypain asthenia, nausea diarrhea constipation. decrease in blood cells.Monitor LFTs, renal function and blood cell counts periodically.Hope this helped. You can always write back to me.Dr. Pinak
| 25,445 |
Suggest treatment for sub chorionic hematoma issue
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Patient: Im 3 months pregnant give a week or so, i have a sub chorionic hematoma issue . When i went to the doctor he said it was 2cm and i was go be on limited activity with bedrest. I have excrutiating cramps in my stomache on and off every day for the past three days yet i have no bleeding coming out yet. Are these just the normal cramps? Also i held in my urine for a while and now my right side hurts alot, im correct in assuming this is jus from being dumb and holding my urine in? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have subchorionic hemorrhage. It is common and no need to worry. You should take complete bed rest and if needed you can take blood thinner like aspirin or heparin. Your hematoma will either absorbed or bleed out. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 115,028 |
What does 55mm*57mm*77mm reading in pancreas with stomach pain indicate?
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Patient: Hi I would like as about my DAD He doesnt smoke and doesnt drink, he has been facing stomach pain for 2 months, he consulted doctor in hospital, in report there is a 55mm*57mm*77mm <something, currently report is not with me? is there in his pencreas, what he should do now? Doctor: helloThe dimensions indicate some swelling or lump which should be thoroughly investigated.Panreatitis or inflammation of pancreas maybe cause of pain. Doctors test for two sets of functions of pancreas, viz,.-insulin secreting cells and blood sugar as pancreas controls blood sugar levels, and secondly-pancreatic enzymes like amylase which helps in digestion.Depending on the structural involvement either of these or both functions may be affected.Next there are tumor markers to confirm for benign or malignant growths.Also, There may be small stone lodged in pancreatic duct which opens in duodenum and obstruction to outflow of pancreatic enzymes, this is confirmed by ERCP test on endoscopy.I may suggest you to have a thorough consultation with a gastroenterologist with complete set of investigations and ,naturally, treatment as requiredbest wishes
| 216,826 |
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