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Do I need a pacemaker for low pulse rate?
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Patient: hello Dr. last Friday i visited my cardiologist for an echo and a cardiogram. He mentioned to me that my pulse rate was low-40 and that i nedd to wear a Holter for 24h .i am a 65 yr. old male ,athletic, former runner, gym rat, always had a low resting pulse of 45-50. I am on Diovan 80mg/crestor 5mg/trilipix and lovaza! Should i be concerned here? will i need a pacemaker? Doctor: Hello and thank you for using HCM. I carefully read your question and i understand your concern. You don't have to worry.Slow heart beat may be quite normal in young people and in well trained persons. If you tell me that you are a former runner, athletic one than we don't have to worry. It is quite known in cardiology that athletic people have slow heart rates. As a well trained person you have as you say a slow heart rate and this is quite normal.If you don't have any symptoms like fatigue or synkope you have nothing to worry. Of course, as you are a 65 years old its quite normal to do a cardiac chek up with echo and even a holter monitoring. It will show us better your rhythm tendency during the day. But as far as you tell me, my opinion as a cardiologist is that you should not worry and of course you don't need a pacemaker. This will be obvious of course after our holter exam.Hope I was helpful. Wish you good health. Best regards.
| 26,672 |
What causes cervical cancer?
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Patient: My symptoms are heartburn, lower back pain, irregular period, heavy discharge, hemroid, shortness of breath, stabing pain in chest/pelvic. I am a 15 year old female and my mother and sister had the first signs of cervical cancer. Could I possably have that? If not, which I hope not, what could be causing all of this? Doctor: should be possible to have that . so many causes are working in developing disease condition. if any abnormally condition sensation developed that time consults your family physician or any super specialist.
| 154,639 |
What are the symptoms of kidney failure?
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Patient: Drank a Red Bull now my Spleen hurts, had nausea, now my ankle had a white area pop out I pushed it to see what it felt like, it hurt then pain went away in ankle. Not sure if this is related but I have gained weight in the past 3years and my feet are now pronating inward. Plus for the past 3 years I have been dry coughing when I sit down and lay down. Just want to know if I have kidney failure; diabetes; thyroid problems? Doctor: Hi, Symptoms of kidney failure are edema on face and leg, urine problem etc. However symptoms appear almost after 50% kidney functions are lost. So go for s creatinine level. it gives exact idea. Also, check your sugar level and TSH level. So you get a clear idea whether you have diabetes, kidney problems or thyroid issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Hardik Sanghvi, Hematologist
| 45,634 |
Suggest remedy for vertigo
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Patient: 36yrsn 5inches n wt 62kg im taking for cholestrol tab explended 10mg,ascard75mg,tab xanax.5at nigt but i feel continue vertgo all the day even B.Pis normal some times high130/90 SO IM TAKING TAB NORVACS5MG BUT NOT WELL ALL REPORTS NORMAL LIPID PROFILE WAS RAISED BUT NOW IN CONTROL SINCE 1YRS I HAVE CONTINUE ABOVE SAID COMPLAIN BUT VERTIGO ALL THE DAY SO CANT SURVIVE LIFE AS A NORMAL CONDITION Doctor: Hello,Your symptoms could be related to an inner ear disorder. Another possible cause to consider would be thyroid gland dysfunction or a central nervous system disorder. For this reason, I would first recommend consulting with an ENT specialist for a physical exam and labyrinthine tests. It is also necessary checking your thyroid hormone levels. The next step to follow would be to perform a brain MRI, in order to examine your brain. You should discuss with your doctor on the above tests.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 139,672 |
What causes loose stools in a 17 month old?
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Patient: Hello Doctor, our baby daughter of 17 months is suffering from lose motion since one week and refusing to eat, she also drinks less than normal. She cries when passing stools which is liquid and watery. We have shown to doctor here, she thinks she might have a viral infection. What can we do to cure her early, as its been a week now. Thanks a lot, A.Kumar Doctor: loose motion at this age are mostly due to viral infection which is usually self limiting.use of probiotics with zinc syrup help in early recovery. maintain water balance. racecadotril in very effective drug to decrease the watery content in motion.
| 167,248 |
Is chronic fatigue related to cyclothymia?
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Patient: I have had a chronic fatigue fatigue syndrome for some years. A psychiatrist says i have cyclothymia although i have never had highs or lows, only symptoms of fatigue, sore throat. this is concerning for me and next time i see him i must ask him to explain whether the disorders are related or not. May be you can be of help. Thankyou Lyndall Doctor: The symptom of fatigue in any form whether it be acute or chronic can certainly be part and parcel of any sort of dysthymic condition or another words depressive or manic mood disorder.However, fatigue in and of itself is a very nonspecific symptoms and should be taken as a potential opportunity to investigate other types of issues and problems such as anemia, fibroid disease, adrenal disease, and certain types of neurological degenerative problems that can also demonstrate fatigue as part of it symptomatology.One overlooked cause of fatigue often in patients with psychiatric disorders can be very medication that is being used to treat their problem. Therefore, I would also include as part of the questioning to the psychiatrist a review of medications.If this information has been of value to you would you please do me the small favor of providing some written feedback as well as a star rating to indicate your agreement with this response.
| 146,775 |
Suggest treatment for itchy anus
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Patient: my husband had a big operation on his ear 16 years ago he has had angina for 6 years just found out that he has had c o p d over the last 2 or 3 yeas and for the last few months his right nostril has been bleeding he has astma and it was his right ear aswell Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Itchy anus may be due to hemorrhoids or worm infestation or pruritus due to soap or fabric or drugs or anal abscess etc. Until examination is done it is difficult to say what it is. Avoid chemical contained moisturizer or soaps. Use anti histamine tablet for itching. Hope I have answered your query. Let me know if I can assist you further.
| 195,391 |
What causes difficulty in breathing?
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Patient: hello doc.. i am ani.. 23yrs old married.. from past 2 days am having difficulty in breathing.. i dont have any cold or cough.. my doc had suggested me to take etizola 0.25mg and deriphyllin .. wil it be cured soon?? how can i get off with difficulty? plz help me Doctor: Thanks for your question on Health Care Magic. I can understand your concern.If it id only of 2 days duration then it could be anxiety for which you are being treated. If it persists, then it could be bronchitis. Consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
| 78,695 |
What can be reason for chest pain during exercise?
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Patient: My husband has a pacemaker and is very active, playing tennis regularly and exercising. In the past couple of days, he's been experiencing some chest pain during exercise, but not after exercise. I'm concerned and want him to call his heart doctor, but he wants to keep waiting it out a few days to see if it goes away. Suggestions? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of musculoskeletal pain is more likely because he is having chest pain only during exercise. But better to rule out heart diseases first as he is having pacemaker. So first get done ecg. If this is normal then no need to worry for heart diseases. Apply warm water pad on affected areas of chest. Avoid movements causing pain. Avoid exercise for few days. Take simple painkiller like paracetamol or ibuprofen. Don't worry, he will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
| 73,162 |
Suggest treatment for abdominal, chest pain for a diabetic patient
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Patient: my brother ranjan rashmi chand (male) age40yrs height5.7"suffering from diabetes from1994. in2000 doctor operated to remove calculi as diagnosed him apatient of pancreasitice. after this operation he bacome insuline dependent.always he had stomschache.physician always keep him on saline,make his stomach empty and give pain killer.nowadays, he has unbearable abdomen pain and chest pain.he is not able to survive .what treatment is available for him and how? how much it will cost? Doctor: Hi.Thanks for your query for your brother. To recapitulate:He was operated to remove the calculi and got chronic Pancreatitis and Insulin dependent Diabetes. - Now he has unbearable pain and associated symptoms . This is one of the best indications to have total Pancreatectomy.This will relieve him of the pain totally. He will be fine .Anyway he is on Insulin and so need to worry about. Sugar has to be monitored. He can then have a diet at least. Intravenous fluids and everything else will be stopped. He will need a lifelong supplements of pancreatic enzymes too.
| 88,082 |
What causes swelling in head after masturbation?
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Patient: i m 19 yrs old problem with me is that my head seems swollen especially after masturbation it seems kinda big,also i dont know why but i have developed beard quite earlier than my friends and family members too,are these ill effects of masturbation;also tell me if u want to increase muscle mass then you should prevent masturbation on those days when u workout Doctor: Dear user. I can understand. I don't any reason for your head being swelled due to masturbation. I also think you are worried unnecessarily. MASTURBATION is normal, natural and never unhealthy. But Excess masturbation can kill your sexual stamina. Excess masturbation can also cause anxiety disorder, depression and thereby erectile dysfunction, premature ejaculation etc. You can be sure; there are no side effects to masturbation if you are able to restrict it to thrice a week. Jogging and physical exercise are always good to keep you fit and stop worrying about sex and allied thinking. I suggest online sex counseling and therapy. Take care.
| 196,279 |
What is the treatment for hair fall?
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Patient: i am 24 years old male........as i getting severe hair fall for 6 years.......my doctor prescribed me to use mintop10 and some vitamin tablets.......it will cause any side effects whether i will face any remaining hair loss if i stop using it suddenly....... Doctor: Hello. Thank you for writing to usYou seem to have androgenetic alopecia.It is characterized by progressive hair loss and hair thinning from the frontal scalp and vertex part of the scalp.There is also widening and deepening of the angles of anterior hair line as well as gradually receding anterior hair line.Minoxidil and finasteride are approved remedies for this type of hair loss.Treatment is long term and just preventive i.e the goal of treatment is to arrest or slow down further progression & therefore early the therapy is initiated, better the prognosis.Therefore naturally if you discontinue minoxidil you stand a chance to lose remaining hairs as well.I suggest you to continue with topical minoxidil application. It is also advisable to add finasteride tablet along with topical minoxidil application, for maximal benefit.Kindly visit a dermatologist in your vicinity for more information regarding treatment for androgenetic alopecia and for the needful.Regards
| 11,128 |
What causes pain in my stomach and light headed?
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Patient: cold air feeling when breathing , get lightheaded soemtimes and weird feeling in my eyes or sinus area but its a cold dry air , makes me not want to breath through my nose as much but i breath through my mouth to much then , any idea of what this is , i also have a stomach ucler with no medicine for it cause i just got health insurance and i woke up with burning pain in my stomach in one spot and it was burning my back to , and all the nurses at my work think i hae an ulcer since i get bloated fast when i drink or eat and my stomach feels like its pushed out all the time and i burp alot and my stomach always feels like crap , but can that have an effect on why i breath this cold dry air that makes me lightheaded and gives me a weird type of headache , i would really appreciate some kinda answer Doctor: Hi.Pain in stomach- as you rightly said looks to be due to gastric ulcer. You can start the following: would advise the following in such a patient:Continue Zantac 12 hourly.Pepcid every 3 to 4 hours when on empty stomach. Add Domperidone or such motility regulators.Soft bland diet. No aerated colas / soda/ drinks.Early dinner. No late nights.Treatment for anxiety (as prescribed / needs a prescription by your Doctor)Lying in a reclining positionWalk around after dinner.Think of the factors which increased the present problem, GERD, anxiety and try to avoid. If no relief, get Upper GI endoscopy done and get prescription for added Medicines. EKG for the heart n a safer side to rule out cardiac problems. This helps all my patients and should help you hopefully.The light headedness looks to be concerned with your sinus problem as you already have nasal symptoms. Get a CT scan , take antihistamine and decongestant nasal drops followed by steam inhalations. This will solve your Problems. You may take an opinion of an ENT Surgeon to confirm the diagnosis and get a proper prescription.
| 89,215 |
Suggest treatment for pain in the upper abdomen while breathing
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Patient: hi, I have upper middle stomach pain that is made worse by breathing or sleeping on my right side. i also have a dull headache , bloating and very mild nausea. i have had the pain before that was relieved my cold milk of antacids however its never lasted this long ( 2 days). and has never been this intense to include headache. Doctor: Hi, Have a good balanced diet. Drink more water and include more salads in your diet. You can take any anatacid regularly twice a day. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Anuj Gupta, Spine Surgeon
| 126,394 |
What causes nerve damage in the right leg while on arthritis medication?
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Patient: I have nerve damage in right top of leg I am on tramadol 50 mg which I take once a day I also take 1 Aleve in the morning and one at night for arthritis age 73 diabetic for 45 years tested for neuorophy dont have if I dont take these pills burning unbearable in spot on right leg u cannot see anything the fire is so bad I have to use burn get and sometimes sleep with ice bag whole body has inflamation. Doctor: Hi, The nerve damage is not related to the arthritis medication. It can happen due to spondylotic changes in the spine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon
| 125,897 |
What causes pain in the lower left abdominal?
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Patient: don't know yeah I have a pain in my lower left abdominal and I was wondering what it could be I feel weak all the time my veins start aching for no reason,I constantly feel tired and I don't know what to do. whenever the pain starts in my lower left abdominal I start getting dizzy Doctor: Hi.Thanks for your query and an elucidate history.This is insufficient of the history. You should have provided more .Well, if one gets dizzy with the pain in the left side of the abdomen, this can be due to severe colitis. Get a clinical / physical examination bu a Doctor and ultrasonography to rule out any other internal problem.A proper diagnosis alone can lead to a proper treatment .
| 90,894 |
Suggest treatment for child suffering from back pain
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Patient: my daughter was suffering mild back back pain and associated 3 or 4 joints. She has been consulted with Dr.Vinod, orthoone in coimbatore and she has given sazo 500 for 3 months. After that medicine was stopped. After 8 months now she started pain on her back. She is aged 12 years. She has RA negative and ESR 29 per hr. Should I consult any other specialist for this or who is the best for this and I am very anixious whether this is a chronic or once she reaches puberty will go automatically? Is it a immune disorder Doctor: Hi,Last time, when she had the symptoms, what all joints were affected? Was it just pain or associated with swelling, redness and warmth over the affected joints also? Any history of associated fever?Recurrent attacks of back pain and joint pains, especially if associated with swelling, indicates recurrent arthritis.This can suggest JIA (juvenile idiopathic arthritis) or its variants, a counterpart of rheumatoid arthritis in adults.I would suggest you to consult a rheumatologist for evaluation. Initial basic workup can be done with a pediatrician also. You may be asked for few blood tests and an x ray. Meanwhile, give simple analgesics like paracetamol for pain relief.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician
| 160,374 |
Suggest treatment for bruises in hip
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Patient: I fell a bruised my hip flexer. I did not go to the doctor, it has been five weeks and it went from very painful and hard to walk without a walker to being able to walk, exercise with very little discomfort. it has been five weeks now, should I still need to see a doctor. Doctor: Hello, I had gone through the case and if pain and stiffness increases then immediate consult with orthopedic doctor and go for Xray of hip joints.Hope my answer will be effective for you.Thanks.
| 138,067 |
What causes puffy eyes, dry itchy skin along the jaw and nose?
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Patient: Hello,I thought I was having an allergic reaction to some new facial wipes I had purchased. My symptoms include: very dry, itchy, red skin along my jawline, around my nose and under my eyes with swelling under the eyes. I immediately stopped using the wipes, but that has been about a week ago and symptoms have not gone away.Is this still related to that or something else completely? Doctor: Hi, I admire your positive outlook and congratulate you for the attitude.Now I guess you have puff eyes, itchy skin in face. There are lots of pathological causes responsible for this problem. However, let me give my opinion here. "As" per your clinical symptom is concerned my opinion is please stop all cosmetic products which you are using on skin. Do a blood DC and TWBC count and get a clinical examination done by your local doctor for any abnormal signs present. Check your TSH and FBS level and get your stool examined for worm infections. Do not take any other symptomatic drugs without your doctors advice. You can discuss with your treating doctor to add levocetrizine once a day for hives for 2 days.For this you need expert's guidance by your family doctorHope this helps.
| 29,905 |
Why is my new born advised to give antibiotic medicine?
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Patient: Hi Doctor, My baby was birth on 24 March. The doctor gives me an antibiotic called " Augmentin". The doctor instructs me to drug my baby with the antibiotic. I have asked other parents about it. They dun even receive the drug from their doctor after they birth their children. Is it my baby is infected by bacteria or any reason cause she have to take the drug ? Doctor: Hello,The only reason for a baby to be given augmentin is if there is a bacterial infection. If you are not sure why the doctor gave it to you, I recommend contacting the doctor and asking before you give the medicine.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Eric Goldstein
| 166,852 |
Hand shivering when i take something in my hand
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Patient: sir i have hand shivering while i take the plate and tea cup i am 55 years old,and wht is the remedtea cup i am 55 years y for this ? Doctor: It is parkinson disease take t.Ekangveer ras T. Yograj Guggul Tab. Sutshekhar Ras and Massage on neck spine and extremities wih warm Mahamash tail
| 215,122 |
What are the symptoms of congenital eyes?
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Patient: my baby has one eye bigger than the other.the cornea is bigger than the other.the bigger one looked cloudy in the beginning but now it looks more like it is clearing.aside that she can see alright.please do u think it is congenital?she is four months three weeks old now and weighs 6.6.she has thyroid dysfunction,hernia and based on her chromosonal analysis she has a deletion 9p syndrome.thank u Doctor: Hi.... I have just read through your query. I feel that this could be one of the sIgns of the syndrome she might be haIgns. There are multiple systems involved along with some malformations. I suggest that you get in touch with a paediatric ophthalmologist and get an ophthalmologist evaluation done. She needs to be on regular follow even with a developmental pediatrician.I feel everything is related and congenital.Regards - Dr. Sumanth
| 169,903 |
What causes suffered TIA symptoms?
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Patient: hi, last Dec. 6, i think i suffered TIA symptoms specifically at my left body... i was confined at d hospital but they just said it was only a major depressive disorder... could i be at great risk for an impending stroke...?? planning to get check again on the first week of January due to busy work but the hospital im going to is 14hours away from our province and by land transportation only... what could i do to get the best test for this condition to prevent and prolong my life if ever... -joyce- Doctor: Hello Joyce , TIA is many a times a clinical diagnosis , however the best way to confirm the diagnosis of TIA or past episodes if TIA is MRI of brain . To prevent future episode if at all there is evidence for the same is taking two medication namely a blood thinner like aspirin and cholesterol medication namely statin group . Control of risk factors like hypertension, diabetes, stress management and living a healthy life helps . Similarly strict avoidance of smoking , moderation in alcohol are important. Regards Dr Priyank Mody
| 25,264 |
What is the treatment for abdominal and back pain?
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Patient: my spouse became I'll in December. his initial complaint was he thought he might have something wrong with his kidneys. went to doc, white cell elevated, urine negative, ct scan showed infectious process in psoas muscle region of abdomen. he is a splenic due to a history of ttp. iv antibiotics for 6 weeks. treated as abscess. white cell count normal at last visit and white cell normal 2 weeks ago. had scribal ultrasound due to testicular tenderness, showed mild epididymitis after all those antibiotics. numerous blood cultures negative for growth. colonoscopy negative. still have left sided abdominal and back pain. describes as a constant pressure with a feeling of filling up gradually as day progresses. this is consuming our lives. what could this be? Doctor: Hi.The chronic problem due to swelling of the psoas muscle, spleen, epididymis and the other picture you have mentioned is suggestive of Tuberculosis unless proved otherwise. Get appropriate examination, consult a General Surgeon, Get a CT scan again, Get all the relevant blood tests including God Quantiferon test for TB, Mantoux, ESR done. A therapeutic trial with an Anti-TB medicines should help you.
| 88,747 |
How to recover from peripheral neuropathy?
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Patient: I am suffering from peripheral neuropathy caused by chemotherapy for treatment of multiple myeloma. I have quit taking the prescribed drugs because of the destructive effects on my body...reduced strength, almost no endurance, limiting mobility. Quality of life is more important than dealing with diagnosis. oncologist said, initially, that he was 99% certain I was MGUS , not full-blown multiple myeloma. Free light chain blood test changed his mind. what can I do to cleanse my body, recover from the neurophathy caused by 2 months chemo? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would explain that neuropathy is not always reversible. But, I would recommend taking some supplements containing alpha lipoic acid, coupled with vitamin B complex and performing a lot of physiotherapy. If you have numbness, burning sensation or pain, I would recommend taking Pregabalin or Gabapentin. Hope I have answered your query. Let me know if I can assist you further.
| 141,406 |
What causes amenorrhea post an IUI procedure?
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Patient: hi.., I have done 3 IUi's with tablets for folicular growth and also injection for the same, still I was not pregnant. Then I decided to take a break for few months and try naturally. Now it is been month and half from my last period I have still not got it.., I consulted gynecologist, she suggested meperate for 5 day 3 times Even after taking that it is past 15 days and still no periods. Also My pregnancy report is negative. We are planning for kids.. Previously before IUI i had my persiods regular Doctor: Hi I think you should take a combination of oestrogen and progesterone for inducing periods. It can happen sometimes due to ovarian dysfunction. Get a AMH level, day 2 FSH, OH and a day 2 ultrasound done to see the number of antral follicles in each ovary. It will help in further treatment.
| 40,781 |
What could itchy, welt like rashes on the body with cough and fever mean?
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Patient: My son is 4 1/2 years old and complained of itching around his ankles. I noticed a welt like rash on both ankles and a few spots on his torso. Within an hour it has spread to his hands and more areas on his torso. He has had a cough for 2 days and fever for past day. Can you tell me what this might be? Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Regards - Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 165,298 |
What causes scars on body and wbc count of 2000 suggest?
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Patient: My little sister has lost about 40lbs, she gets hives of some type all over her body that swell up and pop but they disappear the next day leaving scars. She has a white blood cell count of 2000, docs just did bone marrow biopsy, waiting for results. She also has a very sore neck and her lower back hurts all the time. Could this be lukemia or multiple things? Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Her immunity is reduced due to low WBC counts 2. This has led to multiple infections involving skin, which heal with scars.3. Low possibility of leukemia, bone marrow biopsy could help in further diagnosis.Hope it helps.Any further queries, happy to help again.
| 117,007 |
Taking Torchnil. Trying to conceive. Had a miscarriage. Pain in the lower abdomen. Is it safe to take Nostra?
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Patient: hi doctor, i was pregnant before few months i had a problem in my pregnancy so i missed my baby in the month of august. i had a TORCH test and 3 tests are positive so i had a treatment of 3 months of TORCHNIL tablets now my treatment is over and i want a baby but i have pain in my lower part of stomach and dr advise me to take a NOSTRA tablets for 5 days and i have taken it. i had periods on 22nd of November now dr advise me to take Krimson 35. should i take it or not? i have a doubt that it will create a problem in my next pregnancy. Plz Reply soon Doctor: Hi, Thanks for the query, Nostra is a progestogen and can be used to treat premenstrual syndrome, painful periods, etc Krimson 35 is a drug used mainly in PCOS due to its antiandrogen action. It also acts as a oral contraceptive but not prescribed for that purpose. So you will not get pregnant while on this drug. It is contraindicated during pregnancy and lactation. It has no effects on future pregnancies. Take care.. Hope it helps you..
| 5,873 |
Suggest treatment for high fever post DPT vaccination
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Patient: Hello My daughter is 18 month and it s been 3 days now she got her dpt vaccination.and since the day of vaccination she has fever n today it is reached to 102. Before her vaccination she caught viral infection n was down with fever for 2 days and when she recovered then only I went for her vaccination. She is cranky since 10-15 days n not eating properly , I still feed her thrice but in between meals she vomits . Still I manage to give her little food.doctor asked to get hb checked, can this be dur to iron n calcium deficiency? Her teething is still going on, her first backteeth are appearing.. plz help Doctor: Hi...Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth
| 164,448 |
What do rashes on the face and arms indicate?
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Patient: here...my daughter is 6 years old a rash had suddenly appeared at school today she has no fever. She doeshave a cough with it benadryl doesn t help nor bath or over the counter medicines. Started on face and arms now had proceeded to upper chest and back Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. More detailed description of rash characteristic is needed. Is the child vaccinated? More detailed history and physical examination needed. Please visit the doctor near you. Hope I have answered your query. Let me know if I can assist you further.
| 162,749 |
What causes pain in the chest while deep breathing?
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Patient: Two days ago, I woke up with a sore upper arm and pain in my chest, upper chest... Pain when I take deep breaths, or swallow.... Blood pressure normal as was pulse.. No temperature. No other problems. Lasted all day and then I slept with a neck covering t-shirt the following night.. Making sure I was warm all night. No pain the following morning... Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The cause of painful breathing may be pneumonia, pleurisy, a lung infection caused by a virus, fungus, or bacteria or due to infection in chest cavity. It is nice to know that you are fine now & you have no complains about cough, but you need to be examined & get at least investigations like lung function tests & X-ray Chest done. If the reports are fine no worries but otherwise you will have to go for some more investigations & you may need to get treated. Hope I have answered your query. Let me know if I can assist you further.
| 18,494 |
Suggest treatment for lack of bladder control in 7 year kid
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Patient: My 7 year old does not seem to have good bladder control and is constantly wetting herself and has a strong fishy smell. The doctor says she doesn t have infection, I ve had her on antibiotics and she is coming up clear. Could she have a misformed bladder? Doctor: Hi...Thank you for consulting in Health Care magic. I have few questions for you -1. Has your daughter stopped bed wetting at certain age and again started having it2. If so at what age she stopped and when did it startIf she had never stopped bed wetting form birth...you can try some behavioural 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 paediatrician 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).,
| 168,608 |
What causes chest pain which radiated to back?
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Patient: I have a 13 year old daughter who has been complaining of chest pain for the last two days. Took her to the hospital and they said it was indigestion now pain is Ginger to her back and it hurts her to take a deep breathe. We have family history of heart trouble. Her EKG said normal sinus with arrhythmia. What does all this mean Doctor: Thanks for your question on Health Care Magic. I can understand your daughter's situation and problem. No need to worry for heart related diseases because her ecg is normal. Possibility of musculoskeletal pain is more. But better to get done chest x ray to rule out pleurisy. She is having chest pain on deep breathing. This is seen in pleurisy (inflammation of pleura). So get done chest x ray. I'd this is normal than no need to worry for pleurisy. Musculoskeletal pain is more likely in her case. So ask her to avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid bad postures in sleep. Give her painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Don't worry, she will be alright. Hope I have solved your query. Wishing good health to your daughter. Thanks.
| 79,086 |
What is the reason for having pain about an inch vertically downward from belly bottom on right side?
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Patient: I have a pain about an inch vertically downward from my bellybutton on the right side. The doctor had me checked for gallstones. I've been told I've had a hernia before as we'll, but no tests have been run. Any ideas what this could be? It's a mild discomfort. Is it my small intestine? Doctor: Hi and welcome to HCM,thank you for your query.Well it definitely sounds like neuromuscular pain of abdominal wall and in first palce this would be hernia so you should do ultrasound and surgery examiantion . Of course, there can be intraabdominal cause but it is hard to say what part. most common this is due to gallbladder stones or gastritis but many other issues can be considered.Wish you good health. Regards.
| 57,976 |
What does the MRI scan regarding the brain indicate?
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Patient: sir,my daughter is 4 yrs old,weight 14kgs. height 103 cms.she experienced epilepsy(fit) for the first time on 13/09/11.An MRI scan of brain was carried out on 14/09 which says "findings are suggestive of a space occupying lesion in right posterior parietal lobe with moderate perilesional edema.Granuloma is likely."We have already started following medicines-Epsolin(100mg)-OD, Omnacortil syrup (5mg/ 5ml) 5ml bd for first 12 days.I want to know what is the exact disease and whether line of treatment is correct. Doctor: Hi,Thank you for posting your query.I have noted the history, MRI findings and treatment details of your daughter.MRI brain is suggestive of an infection on the right side of brain. The most common causes of this infection could be tapeworm (neurocysticercosis) or tuberculosis.At this stage, the treatment is along correct lines. A repeat MRI scan should be done after three months of treatment to see the reduction in the size of lesion (infection in brain).I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
| 147,199 |
What causes shortness of breath along with dizziness and anxiety?
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Patient: My husband has been seeing a cardiologist for a few years now..... We have been in the process of tests as he has been experiencing symptoms such as shortness of breath, heaviness in chest, dizziness and general anxiety. Last week doc did a stress test and ECG and Friday he decided best to do an angiogram or CT scan for peace of mind . In the meantime the past 2 days he has struggled with these symptoms several times a day... We breathe trough it and he s find for a while. We plan to call doc to schedule angiogram tomorrow but this is consuming our life! FYI.... We have called 911 and trips to ER over a dozen times in the last 5 years only to be suggested that it s anxiety? This is what I believe also, however I will never forgive myself if it s something more. What should I do? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Shortness of breath is associated with anxiety. But to be sure, you should consult a general practitioner. If it is not related to something physical, it can be concluded as psychological. Better to ignore it if it psychological. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand
| 204,303 |
What causes temporary memory loss?
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Patient: Hello, I am a male of the age 21. Ever since I was young, from my elementary school years, up to this day and age I have several issues that have developed from what I conclude that has been the root or seed of my every day obstacles. Growing up I realized I was not attaining as much information/learning or memorizing as much as other class mates. At times I have a difficulties understanding, either semi complex conversations, or even stories from movie plots etc. Also after growing up in the same city, I have yet been able to remember street names, a task that I would consider simple for your average person. I have came to the conclusion that this has lead me to live the antisocial life that I live in. The reason being is because I have not been able to develop confidence........ Doctor: Hi,Thanks for writing in.It is best that you consult a psychiatrist and psychologist for a complete understanding of your case. Memory is just one aspect of mental health and there are various forms of memory like remote memory and recent memory. There are also other areas like personality, attitude, mood and interpersonality profile that make you into a social person. There are psychological tests to understand what kind of mental inclination you have. There is a wide range of emotional and mental outlooks and you are certainly normal but might have to change your own outlook towards others. Understanding problems as complex conversations is a logical function and sometimes we are only lazy and do not want to involve ourselves in listening to others. Hearing and listening are different. Hearing is passive and listening is with concentration. So you might not be applying concentration when involving yourself in conversations and missing sentences what has been heard leading to the person your are with unable to communicate with you in an effective manner. All your problems can be solved if you consult a psychiatrist and do some higher mental function and psychological tests. A session or two with psychologist will also help you. Please do not worry.
| 145,495 |
What is the treatment for infection after knee replacement?
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Patient: I had total knee replacement 8/13/2012. I had an infection when staples weere removed and my knee came open wirh infection. I was a long painful process Since then I have had two episodes of minor infetion in same leg I recently had an indo bone can which saw infection on or near artificial knee . What can I expect from Dr Goytier? Doctor: HelloWelcome to HCMIt's very serious that you are suffering from infections after such a sophisticated operations. There may be problems with operation procedures or may be ignorance towards infection control measures or may be antibiotics were not taken properly by you or may be due to resistance to antibiotics.your doctor must properly examine your knee with lab tests and serial x rays.Please take advises about appropriate pain killers and antibiotics and after that proper physiotherapy.Don't worry and take care...
| 36,990 |
Is it safe to feed an infant Nan formula with soya lecithin content?
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Patient: Hi. I have a 1 month old baby with g6pd. I consulted her pedia and ask about the milk she have the NAN OPTIPRO ONE and he said it s fine but looking on the ingredients it have SOYA LECITHIN. Thats her 1st milk since shea in the hospital. is it okay for her to drink that? Doctor: Hi, formula milk with soya lecithin is usually given in babies who have lactose intolerance. Since, the baby was in hospital recently, she might have developed lactose intolerance so in my opinion, its safe to give soya lecithin formula milk to the baby. Take care.
| 170,548 |
What could be the cause of breathlessness and cough?
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Patient: HELLODR I WANT TO KNOW SOMETHING MY AGE IS 21AND I HAVE SUFFERING FROM COUGHSO I CANT TAKE BREATH VERY WELLI JUST CHECK UP IN MY VILLAGEAND THIS PROBLEM OCCUR SINCE 6 YEARIN A YEAR 1 TO 2 TIMESEVERY YEARTHIS DR ENT SAY THAT YOUR NAK NA 1 HOLE MA JAGYA NARROW 6HADKU FULLY JAY 6ATYARE GALA MA PAN BAHU TAKLIF PADE 6 BOLVAM APROBLEMSABHANVAM BPAN PROBLEM KOIK VAR ANA LIDHE CREAT THAY 6PLZ SUGGEST MEI M ALSO GAJJAR SUTHAR SIR Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of either allergic rhinitis or DNS (deviated nasal septum) or nasal polyp. So better to consult ENT surgeon and get done clinical examination of nose, endoscopic examination. Treatment for all these are different. If it is DNS or polyp then surgical correction is needed. If it is allergic rhinitis then nasal spray containing steroids and oral drugs like antihistamine and anti allergic drugs are useful. So don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 78,126 |
Suggest treatment for Hypoplatic vermis with mega cisterna magna
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Patient: This is Vennkateshwararao.P from AndhraPradesh (Hyderabad) My Daughter is suffering with this disease 1. Hypoplastic vermis with mega cisterna magna 2. Mild to moderate colpocephaly 3. Subtle thickening of the cortex in bilateral posterior parietal region with ill defined gray with matter interface 4. Thinning of the distal body of corpus callosum Thans&Regards P.V.Rao Doctor: Hello, What you describe abnormalities of the brain. Those findings only describe the undeveloped parts of the brain, but they do not provide a cause, an origin to be treated. These underdeveloped areas are probably that way since your daughter was born, due to a genetic abnormality, or damage from low oxygen or infections. I am afraid that usually, this type of damage is irreversible, there is no treatment apart from supportive one. Of course I don't know all the particulars of the case, you don't mention even her age, but generally speaking there is little that can usually be done for this type of damage, unfortunately. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist
| 140,538 |
What is the remedy for the severe pain due to fibromyalgia?
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Patient: I have been dx with fibromyalgia I had to stop working due to the ongoin pain I am always in bad pain bad muscle spams cramps joint swelling stiffness have had a lot of tests down and everything is normal so this is what I am told I have I got sick 2 yrs ago had a few viruses that I never recovered from. Before that I was very outgoing and always was working a lot I now need a lot of meds to get me somewhat pain free is this normal Doctor: Hi,Thanks for your query.Fibromyalgia can not be totally cured, you can only minimise symptoms by taking various medications. As you can take amitryptiline and duloxetin or you can start Lyrica (pregabalin) consulting you’re treating doctor.Exercises and stretches plays important role in maintaining symptoms of fibromyalgia.Physiotherapy like ultrasound and tens will help, along with knee exercises.A holistic approach is required, which includes exercises, meditation, SKY [sudarshan kriya yoga] and acupuncture along with healthy diet and herbs.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 136,829 |
What is the ideal diet for a child suffering from fever and loose stools?
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Patient: MY SON IS 2 YRS AND 3 MONTHS OLD AND HAS GOT HIGH FEVER AROUND 103 AND LOOSE STOOLS TOO. DR SUGESSTED TO TAKE MEFTAL P FOR FEVER AND OFM SUSPENSION ND DURALAC FOR LOOSE STOOLS. HE IS STILL NOT ALRIGHT AND IS THIS DOSAGE SUFFICIENT? HIS WT : 15KGS . WATS THE IDEAL DIET FOR HIM? HE REFUSES TO TAKE ANY FOOD. Doctor: Most often such episodes are caused due to certain viral infections. Irrespective of treatment it might take 3-7 days to recover. Meftal P contains mefenamic acid and is effective in bringing down the temperature. 60 mg of Meftal P is ideal for your child of 15 kgs. OFM contains an antibiotic. Since you have started it you should complete the course. It might be hard to make a child eat when ill or when on such medicines like OFM (it contains metronidazole which affects taste). Giving a regular rice based diet high on green leafy vegetables, free for wheat and milk (for a week) is ideal for the child. A low fat and spice content is preferable. Oral rehydration solution (ORS) needs to be given to make up for the lost salts and water. Plenty of fluids need to be given.
| 174,973 |
Blood test shows creatinine. History of fibromyalgia. On tylenol. More effective medicament?
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Patient: My blood creatinine is 1.2. That really does not seem to me to be cause for concern. Yet with a 30 year history of fibromyalgia and a 29 on the ANA test I am being told to cut out the NSAIDS and stick to tylenol for my pain. What do you think? Also, if NSAIDS are out, is there anything more effective than tylenol that you would suggest?Thank you. Doctor: HI, thanks for using healthcare magicThe normal creatinine levels for an adult male range from 0.6 to 1.2 mg/dl and for a female 0.5 to 1.1 mg/dl.This means that the value that you quoted is at the upper limit of normal and about to progress into abnormal kidney function. This is the reason that your doctors would have suggested discontinuing the NSAIDS. These medications are known to worsen or cause kidney disease.In addition to the tylenol, there are pain medications in the opiate family that can be used. This would include medications such as codeine, tramadol and stronger opiates if necessary.I hope this helps
| 118,638 |
What do the symptoms of Lupus indicate ?
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Patient: hello, if someone has those symptom of lupus that they might have it? Doctor: hi lupus is not only skin disease it involve many system so if u have those symptom that does not mean that u have lupus you should consult dermaatologist for this
| 83,112 |
What could cause tremor?
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Patient: I was diagnosed with carpal tunnel and released two years ago. Now I ve had NCS done and have cubital tunnel. But recently I ve had a tremor that is getting worse. It occurs only when I straighten the elbow or touch my nose. Is this related to cubital or seperate problems?? Doctor: Hello, Consult a neurologist and get evaluated. We have to rule out possible causes like essential tremor. An MRI scan is required to rule out intracranial causes. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 124,654 |
What does backache on the right side indicate?
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Patient: I have a pain in my back on right side above waist. I awoke with it this morning. Have taken Aleve two times and it doesn't!t touch it. I have taken a hot bath with Epson salts and have applied ice. No idea what it coul be. Should I just wait and see or something else? Doctor: Dear madam/sircan you please elaborate from when is your pain in the back,does it radiate to legs,majority of p[opulation has backpain, it is to be worried if you have numbness/ heavyness in your foot, or bowel or bladder disturbances , or sensory disturbances or pain persists despite 3 weeks of rest,if you donot have any of above complaints probably it is mechanical in nature and not worrysome.
| 106,938 |
Is tugain foam and finast together effective for hair fall?
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Patient: my hairs on the scalp have started falling and thining a great deal..I worry them losing permanently ..Hence, i have started using Tugain foam(5%) along with finast 5mg(i tab). Will this turn out to be effective to the problem faced...How long do i need to continue with above medication.. rgds sunill Doctor: Hi,It seems that you may be having androgenetic alopecia. It is a hereditary disease. There may be hair loss from temporal areas and occipital area. The hair may be thin. You are taking finesteride 1 mg , continue it. You may apply 10% solution of minoxidil twice a day. Use shampoo of ketoconazole to cleanse the scalp. You may take biotin containing tablets like biot forte or biopecia forte.You consult dermatologist for firm diagnosis and perfect treatment.Have positive attitude and keep patience for the good result.I hope you got my answer.Thanks.Dr. Ilyas patel MD
| 11,383 |
What causes swollen gums and bleeding?
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Patient: hi my 15month old has swollen gums which have been bleeding. Her breath is really bad and it looks as though there is a blister behind her top teeth or maybe food stuck there? I cant get close enough to her mouth with her tooth brush as she is in too mmuch pain Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your child have symptoms of swollen gums and bleeding which could be due to infection in oral cavity and it seems to be due to poor oral hygiene and compromised immunity of child making susceptible to infections. Need not to worry about it. Maintain proper oral hygiene by brushing and flossing daily. Take antimicrobial mouthwash rinses such as listerine. Take antibiotic such as Azithromycin to prevent further infection. Visit pedodontist once and get it examined and go for scaling and root planing of teeth. Drink plenty of water. Avoid giving sticky food such as chocolates, toffees to child.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 169,103 |
What does a fiberglass sensation or irritation in the forearm indicate?
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Patient: Hi, I have an uncomfortable sensation in my right forearm. It feels somewhat like fiberglass irritation although I have had no exposure to fiberglass. This started some months ago, and was only felt when my bare skin was resting on my desk or table. Now the sensation is more frequent and more intensified. Pressure of any kind or from clothing touching my forearm will aggravate the sensation. Any ideas? Doctor: Hello! Welcome to HealthcareMagic! Irritation in forearm may occur either due to- 1. Brachioradial Pruritus: Brachioradial pruritus can make you feel itchy, tingling or stinging or a changed sensation on the skin of either or both armsor forearm. Brachioradial pruritus develops due to damage to nerves in the cervical spine (neck). This may be caused by: a) Cervical spine tumors b) Cervical rib c) Compression of the nerves d) Cervical vertebral osteoarthritis e) Other spinal cord conditions. Continuous pressure on the spinal neurons conveying itch impulses can activate sensitization processes. When nerves transmitting light touch and pinprick sensations are over-stimulated, the patient may develop sensitive or sore skin, with intense responses to touch and pain (conditions known respectively as hyperesthesia and hyperalgesia). Brachioradial pruritus will typically affect one particular area of the skin (a dermatome), but may spread to other regions. The condition is more common in sunnier climates, as prolonged exposure to sunlight may harm nerve fibers in the skin. Brachioradial pruritus is usually diagnosed by taking a biopsy of a small piece of skin. This is then examined under a microscope, and doctors may see reduced skin tissue (skin atrophy) and damaged nerves. 2. Other Causes: a) Eczema- is a long-term non-infectious condition resulting in itchy inflamed skin, which gets worse at night. Eczema can develop anywhere, but is most frequent behind the knees and on the arms. It appears as red, dry and cracked patches, and you may see fluid-filled bumps on the skin. b) Lichen planus -is a chronic non-infectious inflammatory skin ailment. Patients usually get itchy forearms and inner wrists. There may be groups of lesions that are purple-colored, flat, have defined borders, and are covered with white lines, known as Wickham striae. The skin may look shiny and become scaly. c) Contact dermatitis- is a common skin condition caused by contact with irritants or allergens. It appears as an itchy rash, and you may also experience blisters, red bumps, thick scaly skin, and soreness in the affected region. d) Ringworm infection- appears as a circular itchy rash that is inflamed and reddened at the borders and normal skin-colored in the center. The rash is usually raised, and you may experience sores and blisters. Ringworm infection is very contagious. Hives is a common non-infectious condition with a welt-like rash, which may be extensive. The rash is red or pink, with raised itchy spots, and can last anything from a day up to 6 weeks. The itching can be intense, and occasionally patients experience burning or stinging. e) Certain drugs -may cause some people to develop itchy skin rashes, either as an allergic reaction to or as a side effect of the medicine. f) You may also notice red spots propagating all over the body, scaly or thick skin, and shortness of breath. Shingles affects previous sufferers of chickenpox, caused by the herpes zoster virus. When the virus becomes reactivated, patients feel tingling, pain and numbness. Above all may be the possible causes of irritation in forearm but exact causes can be diagnosed with proper investigation. Take care Regards, Akhilesh Kumar, Physical Therapist or Physiotherapist
| 128,061 |
How can swelling, numbness and redness in lips and tongue be treated?
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Patient: i woke up with inside my lips very read and my mouth including my tong numb, my hads were very swollen , today is better but my lips feel swollen and inside my mouth feel like when you eat too much salt that feels raw. im not sure is i ate something that im allergic so i took few BenadrIL , what it is Doctor: it may be due to some allergic reaction take levocetrizine tab and multivitamins with that.it ll help you with the soreness
| 186,137 |
What causes fluid retention in abdomen of a liver cancer patient?
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Patient: My Grandfather has been diagnosed with liver cancer, he currently lives in macedonia and they dont have adequate medical care opportunities. He has fluid build up in his stomach are there any drugs that can be given to help reduce fluid build up and any drugs that help him go to the bathroom Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Fluid build up in the abdomen is known as ascites. And in liver cancer patient ascites is common. We need to first find out the cause for ascites and then start appropriate treatment. Following are the possible causes for ascites in liver cancer patient. 1. Malignant ascites which need chemotherapy. 2. Hypoproteinemia which needs high protein diet and albumin injection. 3. Anaemia which needs blood transfusion. Diuretics (drugs which increases urine output) can also be given. But better to first diagnose the cause for ascites and then start appropriate treatment. Hope I have solved your query. Wishing good health to your grand father. Thanks.
| 153,784 |
What chances of getting pregnancy after ovulation date?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... if your last ovulation date was 04/11 and you had unprotected sex that day but started your cycle 04/16 could there still be a possibility that you could be pregnant? Doctor: Hello dear,I understand your concern.In my opinion once there is onset of periods the pregnancy is ruled out.As per your information the cycle started on 16 th April i.e.period started on 16th April.In that case the ovulation date will be on 2nd April ie 14 days before the period started.And 11 th April cannot be the ovulation date.But anyways as the period has come there is no chance of pregnancy.Hope this helps.Best regards...
| 220,330 |
What does this MRI test result for shoulder pain indicate?
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Patient: I have pain in my shoulder because in the month of May I fell in snow mountain , I got MRI donefor Multi-eco, multi- planar MR of the shoulder joint without IV contrast, report says Bones show normal alignment marrow edema was noted in the greater tuberosity the gleno- humeral cartilage is intact the labrum is intact.There is no evidence of effusion in the gleno-humeral jointe Doctor: dear sir/madamsir i would like to know after how many days of injury was mri done,and get evaluated clinically first ,thn go for radiographs if necessary,and if still suspect soft tissue patholgy i will go for mri,baded on little clinical information provided probably you should have got mild injuryto shoulder, which should subside with rest and analgesics,mri says you have a normal shoulder, dont worry about the marrow oedema reported.
| 128,325 |
Suggest treatment for multiple cysts in the lungs
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Patient: Is it advisable to give nebulizers daily my fqther is 60 years and takibg duolin he has cough which increases in night doctor suggested that he is small multiple cysts in his lungs which gets filled with mucus and causes cough...presently he takes unicontin tablets Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Multiple small cysts in lungs is mostly due to bronchiectesis. It is chronic lung disease in which patients need to take bronchodilators, mucolytic and expectorant drugs. So along with Unicontin and duolin, he should also take N acetyl cystine (NAC).NAC is Pulmonary anti oxidant, mucolytic, expectorant and anti inflammatory drug. It is best for bronchiectesis. So discuss with his doctor about starting NAC.Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
| 71,649 |
Suggest treatment for ankle pain after ankle sprain
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Patient: I fell down the stairs maybe a week ago, I landed on one leg & it hurted my ankle so I had to limp to class. It stop hurting after a little bit but recently I have been practicing dancing & when I roll my ankle, it still kinda of hurts. Do you think I could have sprained it or hurt it? Doctor: HelloI appreciate your concernThis could be a residual effect of ankle sprain due to inadequate healing following injuryyou need not to worry please follow these guidelines1. Do Hot fomentation keep your both legs into a bucket filled with hot water for 10 minutes twice daily 2. Physiotherapy will definitely help you 3. Have a glass of milk daily and calcium with vitamin D supplements4. Take rest for few more days 1 to 2 weeksHope this helps you get well soonregards
| 139,009 |
Bilirubin result abnormally high, indication of Gilberts Syndrome. No prognosis?
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Patient: I have had two recent bilirubin test results that are abnormally high. The first, part of a liver function panel, was 1.6. The second was a total and direct bilirubin test. The total was high, 2.0. The direct was at the upper end of the standard range, 0.2. My doctor said that these results indicated Gilberts Syndrome, but she minimized its significance. She said that nothing needed to be done about it. She said that it was hereditary. She didn't indicate any prognosis. What can you tell me about this? Doctor: Hi,Thank you for getting back.Gilbert syndrome causes mild yellowing of eyes due to increased bilirubin.It occurs due to deficiency of one liver enzyme.In this syndrome there will be no symptoms except for jaundice.Situations like fasting may elevate the jaundice.The prognosis is excellent and no treatment is required.Hope I have answered your query.Regards.
| 58,559 |
Suggest treatment for seizures
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Patient: My sister-in-law had surgery on her back 4 weeks ago. She has been rushed back to the hospital with Seizures: her right arm shakes, her eyes roll back, she loses time does not remember having a termor/seizure and has to wait until she can speak again. Several visits later - the last one On friday , October 3rd , 2014 in which she had in front of the Dr. they got her to a neurologist & they did a weekend analysis (Head items on her head) and told her 4 = 6 weeks until results. They have no idea what is causing this and are not ready to say seizures and or termors at this point. Im very frightened for her, Doctor: I read your question carefully and I am sorry about the you sister in law's troubles.Seizures are not usually related to back issues. They can have many diverse causes like infections, stroke, brain tumor, metabolic alterations of blood and tissue components (electrolytes) etc. So many exams are often needed to find the cause the cause like head CT or MRI, EEG, blood tests, cerebrospinal fluid tests and according to their results the cause is treated. Of course seizure treatment can be started rightaway without waiting for the results of all the tests, there are many drugs available (valproic acid, carbamazepine, levetiracetam, phenytoin, etc) which I am sure the neurologist knows, but while they're important to control the current situation, to make a prediction about what to expect in the future depends on what the cause is which must be evaluated with the above mentioned tests.Hope things work out for the best. Don't hesitate to come back for further questions.
| 146,261 |
What causes stomach pain with nausea?
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Patient: My stomach has hurt off and on through out the day but never really serve pain It started last night and I didn t feel nauseous I felt almost hungry and it hurt to the touch now I have ate several times but it seems to fell the same it kind of feels as if I am hungry, but it growls a lot and the area of pain is not targetable Doctor: most probably gastritis,take rabeprazole along with sucral fate syrup continue atleast 1 week 'Hope I have answered your query. If you have any further questions I will be happy to help". For Follow up queries, end with "If you do not have any clarifications, you can close the discussion and rate the answer. Wish you good health
| 89,058 |
What is the treatment for AHAD?
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Patient: I am 23 and in law school currently. I was diagnosed with ADHD about 5 or 6 years ago. I took Concerta (54 mg) just about the entire time. Recently (last few weeks) my doctor changed to Methylin (20 mg/day) because insurance was giving us problems with Concerta. The Methylin really did not do anything for me. I saw my primary care physician in December, and discussed this. I told her side effects from the Concerta (cannot sleep, no appetite, mood swings, etc. common from what I have read about Concerta). She then wanted me to try 20 mg of Methylin in the morning, 10 mg in the evening because of the long days I need to be focused in law school. Anyway, getting to the point of my question (I wanted to provide background the best I could). Since I have switched, I have actually found the new medicine to work. It is not as, umm not sure how else to put this but, punch you in the face, like Concerta can be. It is more even throughout the dosage. BUT, I have been having terrible, terrible headaches since I have been taking it. On the bottle, it says that is a side effect. I am wondering if this is a normal side effect. If this is normal, is there anyway to stop it aside from taking Tylenol, Advil, etc.? They usually do not even touch it. I take 2 rapid release Tylenol, and another about an hour later because it is still killing me. Should I see a doctor or is this completely normal? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 206,331 |
Suggest treatment for chest discomfort
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Patient: I have had some discomfort the last few days with pain in the middle of my chest feels as though something is stuck and makes me keep burping I sometimes bring clear flem up when it get that bad it makes me feel sick and gag it seems to be getting worse and constant Doctor: Hello,The possibility of GERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of it, the acid of the stomach tends to come up in the esophagus and cause chest discomfort, burping, gaging, something stuck in the center of the chest etcetera. So follow these steps for better symptomatic relief in GERD. 1. Avoid hot and spicy food. Avoid junk food.2. Avoid large meals, instead, take frequent small meals.3. Take pantoprazole and levosulpiride combination on empty stomach twice daily. 4. Go for walking after meals.5. Keep 2-3 pillows under the head in bed.6. Lose weight if you are obese. Avoid stress and tension, be relax and calm. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Kaushal Bhavsar
| 71,436 |
What are the side effects of anti depressant medication?
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Patient: My dad is 75 and his dr put him on citaloptram HBO and since he started it two weeks ago he us almost a zombie. Past history- stroke 2 yes sago with some balancing issues and 2 small Tia s in last 2 months. Also has him on two blood pressure medications. Will the anti depressant medication have this effect on him. He wasn t like this before Doctor: HiI had gone through your qury.It is not due to antidepressant.Antidepressants do not have such problem.It may arise either due to drug drug interaction when two or more medicines has been given together or may be due to stoke itself.It stroke or TIA there are chances for interruption of blood supply and gait problem.Elevated blood pressure may also causes imbalance and walking difficulties.So consult your neurologist for better assistance.
| 206,251 |
Do vomiting followed by consistent, throbbing back pain indicate flu virus symptoms?
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Patient: YYYY@YYYY I am wondering if I have any type of flu virus. Tuesday and Wednesday I threw up. That is over now but since then I have had a stabbing pain in one side of my back just above my waist. It's been a consistent pain, the first day was throbbing, and now it's more Of a dull throbbing. Doctor: It just looks to be a case of muscle pull post violent vomiting.Back pain is common after vomiting as back acts as a support and stabilising structure for the body and can easily get strained or injured during sudden violent movements, which sometimes may happen during vomiting or sneezing.I would recommend applying ice packs at the site of pain and some over the counter pain killers like Acetaminophen.It is unlikely to be a flu as there are no other symptoms suggestive of flu are present like cold, fever, generalised bodyache.Hope this answers your question, Thank you.
| 29,717 |
Suggest remedy for stomach pain, light headedness, dizziness and sharp chest pains
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Patient: I am having severe stomache pain lightheadedness dizziness and shrp chest pains and i have stage 3 kidney disease .I am getting over pnuemonia thats what my chest pain was attributed to 2 weeks ago. In september my stomache was hurting real bad like this and my potasium was up and my kidneys were acting up. What shpuold i do? Should i go to the er Doctor: Hello Given the fact that you already some chronic disease better to go to ER to be sure.Regards Dr.Jolanda
| 71,913 |
Are loose motions a recurrence of typhoid?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... My daughter is 14 months old and was suffering form typhoid since last two weeks.I have just finished with he medication course.SHe does not have fever now,also she is not irritated nad cranky as she was for last two weeks. But she is having loosemotions for last 2-3 days. Is it a reason to worry or a symptom of reoccurence of typhoid Doctor: Hi, thank you for the question. you need not worry for the loose stools as it is not due to recurrence of typhoid it may be antibiotic induced diarrhoea which can be treated with probiotics.
| 164,911 |
How long can I live with COPD?
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Patient: Hi, I am 49 and it looks like I will be diagnosed with COPD. I was a long time smoker (25 years) very recently quit. I don t have a smokers cough and I am relatively healthy otherwise, workout at the gym. The only reason I was diagnosed is because my bad cold turned into a lung infection. I just want to know, if I take super good care of myself, can I still live until 80? Doctor: HelloIn your case diagnosis is established and your question is life expectancy up to 80 years ( now you are 49 years ) .Yes, you can live even longer than this ,but you should take many precaution and treatment under pulmonologist and physiotherapist and counselling.I will not say any thing about the treatment .In COPD aim of O2 is to increase base line PaO2 to >_60 mm Hg(8 kPa) .INAPPROPRIATE USE OF O2 THERAPY MAY RESULT IN RESPIRATION DEPRESSION.Pulmonary rehabilitation :Include exercise training ( from a physiotherapist who is expert in lungs ), nutrition counselling.With these measures ,if no relief then consult a a surgeon and bullectomy , lung volume reduction surgery are other option .The last one is lung transplantation.Hope all these will be fruitful for you.Good luck.
| 82,163 |
Taken Salbatol for allergic asthma. Now have blocked nose, difficulty sleeping. Help
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Patient: Hi i am 26.I am having alergy problem for a long time also astma.Now i am in dubai in a perfume shop. After one month i quit medicin salbatol 4 mgThen i am ok now i am 1.7 month here no problem at allBut now i having lots of problemOne block noses other deit problem sleeping problem like so many problem please help me Doctor: it is nice that you don't need salbutamol now. make your nostrils moist with ghee or mustered oil. if you are able to locate any Ayurvedic there, ask for Anu or Shadbindu oil- use as nasal drops regularly for few months.
| 103,255 |
What causes persistent pain behind the thighs and at the hip joints?
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Patient: The back of my thights and my hip joints hurt gradually becoming very painful when i seat. If firm chair then it s quick, I end up on only haeavily padded chairs and car rides over 30 minutes are impossible without taking streching breaks frquently. Ideas? Doctor: Hi..I read your problem.. For me it appears to be radiating down from your low back area....If I were your treating doctor...I would advise you to have a MRI done for your low back especially your Lumbar region...to rule out any disc pathology and facet joint irritation....I would also advise you to...Avoid sitting for long time as this would worsen your symptoms and source of pain ..Don't lift ant weights..Avoid forward bending...if needed use your knees to reach floor than your back...Lot of icing on your back....Back extension like cobra stretches frequently... like 10 reps for every hour....Lot of core stability Lots of glute stability....These things will definitely bring your pain down and make things comfortable...you can slowly resume your activities... once strength pitch in.... which you know in your normal activities....Hope this is helpful for you...Kindly revert back incase you need any further clarification.....
| 129,555 |
Suggest treatment for depression , ADHD and Bipolar disorder
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Patient: I don't take metoprolol or any meds now because my meds made me depressed and now I'm having sleep problems and i have so many health issues my doctor even said I a hot mess I have have adhd bipolar and joint problems and I'm lactose intolerance and gluten intolerance and I have a bed amune system I get depressed and I have lots of others problems that I can't spell but I need to Know one thing is there hope and any suggestions will be great help I know your talking about metoprolol but still any advice would help Doctor: DearWe understand your concernsI went through your details. Please understand the facts straight. Doctor said you are having many problems and then you should get expert treatment. The problems you are mentioning here are fully curable if you take the right steps. Ignorance can cause only trouble. At the same time, if you take proper treatment, all your problems will be cured. What you need here is, proper awareness and motivation. Awareness about your health condition and motivation to go through this ordeal for some time, so that you are cured. You may consult a psychologist for health counseling.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
| 205,604 |
Suggest treatment for osteoarthritis
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Patient: I just found out I have Osteoarthritis. It seems to be more active. When I sit too long or walk and bend. Just cant get it to stop hurting. Today it feels like my knees are going to give out on me when I walk. I am currently a stocker at walmart and not able to do the job very long. what do you recommend? should i apply for disability? Doctor: Hi,Thanks for your query.* For osteoarthritis, weight reduction is the main treatment along with medicines to decrease pain like NSAID's - paracetamol, aceclofenac etc., Life style modifications like avoiding sitting cross legged, squatting, using indian type toilets will decrease the rate of progression of osteoarthritis. Exercises like quadriceps strengthening, swimming, straight leg raising will help in improving the muscle strength around the knee and will help in decreasing pain.Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You can take them after consulting an orthopaedic surgeon.Many of my patients do get relief by yoga - pranayama and sudarshan kriya. You can start with these under the guidance of an expert.In early stages exercises, medicines ,joint supplements & intra articular injections are helpful & may revert the changes but in late cases joint replacement is only option.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 137,810 |
What causes heart palpitations when under stress?
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Patient: I’ve just recently started feeling heart palpatations in my chest, right below my sternum but not where my heart is which is why I am concerned. They randomly occur when standing and occur when lying on my right side but stop when I lay flat on my back. It lasts for about a second or two. I only drink water so I know it’s not caffeine related and i dont believe it’s stressed considering I’ve been more stressed than what I am now and they did not occur those other times. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical query I understand your concern for your health and I would like to tell you that heart rate is ever changing phenomena depending on your activity level, stress or physiological changes. Predominantly your symptoms are stress related so try to keep calm or take over the counter anxiolytic drugs to relief the symptoms. Hope I have answered your query. Let me know if I can assist you further.
| 18,651 |
Does using lacto calamine aloe lotion for skin affect pregnancy ?
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Patient: Hi, I am a married lady planning to start a family soon. I am using lacto calamine aloe lotion for my skin as it has acne . Will this lotion affect my conception? pls reply . My age is 31. Doctor: hi welcome to health care magic.no my dear this lotion is not affect your conception.its just colling lotion,so you plan without any tention best luck for that. thanks dr.dhara dhara.shah84@yahoo.in
| 7,022 |
Can I get pregnant with ovarian cyst?
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Patient: hi i have a girlfriend she now 17, 2 years ago she wouldnt have her period for 9 months but she went to a doctor he told her she had ovarian cyst and gave her med (hormones) beginning this year she started bleeding, on april we had unprotected sex till may 20, begining of may she would throw up nause, vomiting, headace, and bodychange. On june 8 she had a negative result on a early preg test but june and july she had early menustration on may she was late my question is will she be able to be pregnant; if not what can we do? Doctor: Hi, I think she can get pregnant. But first of all, she should be evaluated. Do a thyroid profile and prolactin levels. if any treatment is required, it can be started. For the pregnancy, medicines are available to help. You can discuss with your doctor whenever you plan to go for pregnancy. So, no need to worry about it. Hope I have answered your question. Regards Dr khushboo
| 1,650 |
What is the cyst in brain with white mass?
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Patient: I recently was told by a neurologist i have an 8mm cysct on my brain and there is alot of what he called white mass. Ill be honest with you he didnt really tell me more then that. to keep a diary and he would see me in 3 month. my question is this cysct what is it and what is white mass. Ive read so many different thing i dont know what to do. some of my motor stills are getting messed up and my head hurts more then normal. Doctor: Hi,Thanks for writing in.It is important to see the brain scan images to understand more about the location and size of the cyst. If you got a MRI scan done then a white mass will usually represent a fluid filled cyst but this is not always the rule. A cyst by definition is a thin walled water like fluid containing structure. Most cysts are benign and harmless. However since you report problems with your motor skills therefore this needs a close observation and review imaging after about 3 to 6 months as your doctor has said. Please do not worry and if possible you can write back to me with your MRI scan findings and that will help me discuss your problems in exact details.
| 145,970 |
Can i give Taxim-O drops for white acne for a 1 month old baby ?
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Patient: Taxim-O drops for white acne for a 1 month old baby Hi, My baby is 25 days old, 3.2 kg and no medical history and he has developed red acne which is all over his face and neck. Also, on his head he has just started developing white acne. My doctor has given him Cefixime Oral suspension Taxim-O drops for the white acne. Is it safe to take that drops for him? Doctor: HI, Thanks for query, There is no adverse effects known to Cefeixine in infants. As it is prescribed by a doctor you can give. Ok and bye.
| 7,980 |
Coldness in stomach from navel to 6 inches upwards. Having occassional pain, cough. Matter of concern?
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Patient: Hi , i have a concerned my husband 41yrs old we have recently just married . I noticed that his stomach starting around belly navel all the way across and about 6inchs above navel his tomach always very cold very cold and this morning it also has almost like purple color . I have stressed my concerns he thinks im over reacting wondering but occasionally he does have pain but he could only say just hurts and noticed he has a cough in morning every morning . I dont want to worry him but he never complains and this does not seem right to me . should i be concerned. Doctor: Hi, many thanks for the query!Nothing much to worry, get an USG (Abdo-Pelvis) done.If its purple colour, then get physically examined by your doctor.Till then take antacids, if more pain - antispasmodics with your doctor's opinion.Wish you a good health.Take care.Regards.
| 93,117 |
What causes fever and chills in a child?
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Patient: Our daughter is 16 months. She is having fever on every 12 hours or so for last 5 days. She has cold and now she is shivering, has got 102 degrees temperature. Her feet and palms are cold though. We have been giving her ibuprofen when the temperature is high.Just now we gave her ibuprofen again. Is there something to worry, should we see doctor? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your daughter have symptoms of fever and chills which seems to be viral fever or flu. It is due to poor and compromised immunity of body. Need not to worry. I would suggest you to do warm saline gargles. Drink plenty of fluids, have proper rest. Your symptoms will resolve in 3-4 days. Take analgesic and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. Give child proper rest and give oral rehydrating solutions. If symptoms keeps on persisting visit pediatrician once and get it examined and start treatment after proper examination and prescription. Go for blood tests such as W.B.C count as well as increased count will indicate infection in body.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 169,397 |
Suggest medications for rashes on the face and neck
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Patient: Hi. My 13 year old son is displaying a rash on his face and neck. It started off as a small red dot on his chin on Sunday, but it has since spread to a bumpy, itchy rash around his chin, jaw, nose area and neck over the past 3-4 days. We were hiking on the Shenandoah trail of Virginia on Saturday and he did trip at one point during the hike landing in foliage, but this rash is not appearing on his arms or hands which he used to break his fall. We have tried to treat with Hydrocortisone and Calamine lotion, but the rash is not going away. Doctor: Hi.As per your case history your son is having allergic dermatitis.My treatment advice is – 1. Avoid using any new products like soap or perfume.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.
| 14,203 |
What is the treatment for neck pain?
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Patient: HHi my name is prashant...four years back I was suffering from slip disc problem....when I do too much of household work my back pains a lot...now two months back I had a severe neck pain and even my hands pained a lot. I was told that it was sponilytis..now occasionally my neck also pains.how can I keep my back and neck strong for the next of my life Doctor: You should start physiotherapy that will help you a lot and affcourse you should use muscle relaxers and painkiller
| 142,752 |
What is the remedy for recurring bump on the hard palate ?
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Patient: I have a single tiny pimple-like bump on my hard palate , it seems to go away after eating tough food which tends to scratch it and burst it, then in a day or two it reappears. it feels like there is fluid in it like a pimple. Been happening for about 2 months now. any ideas, solution? Thanks! Doctor: hi mr justcool hard palate has multiple tiny minor salivary glands that keeps it moist.They release their contents ie. mucin through small dot like openings on the palate.If the glandular opening is obstructed mucin collects in the gland and appears like a translucent tiny raised bleb or mucocoel .bursting and releasing the contents to reappear again is a natural phenomenon. hard palate is also a location for minor salivary gland tumors so u must see a dentist to rule out the possibility if the size is significant ,it gets ulcerated or fails to heal or regress over time.
| 190,836 |
What causes swelling of my stomach?
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Patient: yes,,,,my stomach is very swelled up, and has been for several years so I didnt notice putting on more inches the past few months until my grandaughter mentioned it ,,and now I am feeling movement in my stomach, I am 53 and was still having monthlys however for about 6 months I did not and assumed I was goin thru menopause and then I started back in Dec. but havent since then. I was only intimate once in the month of April........I did 2 test and they come back neg.I was thinking I might have a tumor but now with the movement I just don't know Doctor: Hi ! Good morning. I am Dr Shareef answering your query. If I were your doctor, I would go for a serum HCG and an ultrasound of abdomen to arrive at some conclusion on your condition. So I would urge you to visit your family physician to start with and get yourself assessed. It might not be possible for us to opine further on this over the net without a clinical assessment and related investigations.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. Wishing you an early recovery. Dr Shareef.
| 90,918 |
What causes fever with chills and body ache?
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Patient: 10 days ago my husband was kayaking and the kayak hit his head, there was a slight cut to it also. 4 days later he had a 21kilo suitcase fall on his head from an over head locker. he went to the hospital because he was not feeling quite right, they ruled everything out and gave him a clean bill of health. 3 days later he nearly collapsed at the airport, was seen by a first aider, but still got on plane.!! 6hrs later he breaks into a fever starts shaking, pains all over his body and with shortness of breath, and very disorientated. It all cleared within maybe 12hrs. Doc was called and they said bad flu.!!! ( in Italy) He is due to fly again in a couple of days. !! Any ideas. Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you havefever with chills and body ache which seems to be viral fever or flu. Need not to worry. I would suggest you to do warm saline gargles. Drink plenty of fluids, have proper rest. Your symptoms will resolve in 3-4 days. Take analgesic such as Flexon and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests such as W.B.C count as well as increased count will indicate infection in body.Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 32,059 |
Suggest treatment for severe chest pain while breathing
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Patient: Hello Doctor, I am 31 years old, I am having pain on right side of the chest specially when I breath in hard. I feel the pain going down to my abdomen. Please can you advise what should I do to check the root cause of the pain and medicine to get rid of the pain. Thanks & Best Regards, Gulam Ghouse. Doctor: Hi. I can understand your concern. If the chest pain is disturbing your routine activity then get a chest x ray done to rule out any lung infection or it could be just a muscle pull. Do not lift heavy weightsDon't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks
| 78,164 |
How to treat fear and hallucination?
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Patient: Why do I feel this way?It's every day, throughout the day and into the night. I have this horrible feeling and thoughts about my organs exploding, especially my heart then I will feel pains in my chest and abdominal area and it keeps me up at night until I get so tired I pass out. I'm afraid to fall asleep in fear I won't wake up. I'm only 19 years old and I have been scared like this for about a year now and throughout the day and night i tend to hallucinate it scares me. I smoke cigarettes but I don't do drugs, I was diagnosed with depression and recently ADD but I was thinking maybe it's anxiety? I guess my question is where do I go from here. Should I see a doctor? What could be causing this? Doctor: Hello,You are very righr in suspecting anxiety as the root problem. All other symptoms like.sadness amd sleep issues have built over anxiety in your body.I would advice that you must see a psychiatrist near your home, and listeneing to your symptoms i think you will have good response to vebalafaxine 37.5mg, need to incresse it after seeing initial response.Please donot worry so mch, its completely manageable condition, almost all symptoms show good imrovement in few day only and you will be able to enjoy life like previous.Hope this helps youDr. Manisha GopalMD psychiatry
| 210,260 |
What could fever in toddlers with excess sweating suggest?
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Patient: My 4 yr. old has had a fever for 4 days now.it was only in the morning when she got up.we gave her tylenol And she was fine the whole day. But today the fever Did not go away.we took her to the er.they said she has an ear infection and gave her antibiotics. Now she is sleeping. The thing that worries my though is that she is pale and she is sweating but her body is cool to the touch. Should We take her back yo the er? Doctor: Hi, since your child has fever for 4 days with sweating episodes and paleness, it appears to be malarial infection. In my opinion some investigations are needed to be done like malarial antigen test, CBC, NS1 Antigen test. You should continue to give adequate liquid diet to the child. These investigations should be done immediately. I hope this has helped you. Wishing your child good health. Take care.
| 171,285 |
Abdomen pain, colon removed, painful bowel movement. Remedy?
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Patient: Hi, I'm a 22 yr old female. 5'1 100 lbs. 2 yrs ago part of my colon was removed, since then I've had unbearable pain in my abdomen. So much so I've been hospitalized numerous times. I've been to gi's and colon specialists. No one has ever given me an answer. I have a bowel movement once a week, but they are so painful, my fiancé has to carry me out and lay me down. The pain is truly unbearable so I attempt to sleep it off most of the time. I just want to know what's wrong with me. Look, I'm terrified my colon will twist around my arteries again and kill me someday. Thank you, Cassandra Doctor: Hi The pain in the abdomen is most probably due to adhesions formed after surgery. If the adhesions are mild,all the investigations will come normal. If they are severe,you will present with vomiting ,abdominal distension,constipation etc. So,i prefer you to go for Laparoscopy(key hole procedure) and see inside the abdomen.If there are adhesions,they can be separated at same time. It can happen after any surgery in the abdomen. So,please do not worry Consult a Surgical Gastroenterologist and proceed. Wish you good health Regards
| 94,011 |
Suggest treatment for pain and bumps on lips
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Patient: Hi. My lips have like tiny bumps on them. My lips hurt and burn. After i wake up, theres like yellow crust that i peel off on them. All of this started happening after the corner of my lip opened and felt cut. I have no clue whats going on and what i should do. Please Help. Doctor: thanks for your query, i have gone through your query, the tiny bumps could be the vesicles that have ruptured leading to ulcer or break near the corner of mouth. it is because of the herpetic virus infection or it can be angular chelitis. consult your oral physician to rule out these. if i am your treating doctor i would have treated you with topical anesthetic and analgesics with topical antiviral drugs. consume lot of liquid. i hope my answer will help you. take care.
| 186,413 |
Had wisdom teeth pulled. Feeling cold, shaking, vomiting. Normal?
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Patient: Hello, I got the left side, top and bottom, wisdom teeth pulled yesterday morning. Last night after I layed down I was suddenly freezing so bad that my entire body was shaking severely. About a half an hour later it stopped and then I began vomiting everything id been able to eat since the teeth were removed. Once I finished vomiting, my entire body felt normal again and just extremely tired, so I went back to bed and immediately fell asleep. Is any of this normal? Doctor: Hello, Thanks for coming to HCM. Did you get bleeding from extracted tooth site before or during 'feeling freezing'? If not, your problems might be because of food you ate which lead to indigestion. You might take some antacid if required. Your problems are likely to subside in few hours. If you notice any bleeding from tooth extraction site, apply pressure with sterile cotton and contact your dentist quickly. Wish you good health!
| 188,939 |
What causes failed cardiac catheterization and visibility of damage in EKG?
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Patient: i've had two bad accidents,fell 20 ft. three times, 10 ft onto concrete once. serious injuries from one accident. years ago i had a stress test & failed had a cardiac catheration and everything came beck great. my ekg's show damage. i do have hbp could these test results be from the mishaps? i am 66 yrs old Doctor: Sorry not understood whole question..if only ecg showing damage but echo and catheterization is normal. Then no need to worry ...I can help u more if u share Ur reports ...take care
| 24,379 |
Do men have to have an erection in order to masturbate?
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Patient: My husband has tried all the medicines for ED without success. Lately I have seen him watching a lot of porn and being naked from waist down. He covers up as soon as I walk in the room. We have not had sex for 14 years because of ED. My question is, do men have to have an erection in order to masterbate? Doctor: DearWe understand your concernsI went through your details. Yes. Men has to have an erection even for masturbation. You should read it this way. Sexual urge is hormonal action and due to that action blood rushes in and engorges the penis. These actions are together. Due to some reasons like anxiety disorder, stress, physical tiredness or hormonal inactivity, hormone secretion gets hampered, and therefore ED happens. I suggest intervention by a doctor / psychologist. Take care.If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail.Hope this answers your query. Available for further clarifications.Good luck.
| 199,135 |
What does the RBS and semen analysis report indicate?
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Patient: Doctor, I am married 11/2 year back and wish to have children.But couldn t succed in our attempts.Formally,i have checked for RBS & SEMEN Aanlysis. My semen test analysis is like this: Physical examination: Abstinance : 3 days Quanity: 0.5ml Color : Whitish Viscocity: Normal Odour: SEMINAL Reaction :Alkaline Liquification time: 30 min Microscopic Examination : Sperm count : 190mill/ml Motility a) Active Motile : 35% b) Sluggish Motile: 10% c) Non Motile: 55% Morphology : Norml forms: 40% Abnormal Forms: 60% Pus cells: 12-14/HPF EPITHELIAL CELLS: 2-3/HPF RBC : 10-12/HPF In RBS Test, Random Glucose level : 119 It s being a big impact on my lifestyle.Hence,Can u plz suggest the detailed information & problems based on my report.Is there any abnormality? what could be the medication and treatment. Thanks. Rithwik Doctor: HelloRead this carefully and you will get the answer .Normal fertility is associated with sperm counts of> 48 million/mL ( in your case it is 190 million/mL but volume is only 0.5 ml ( while normal quantity is 3-6-8 ml ),with a motility of >63 %( in your case total motility active and sluggish is 45 %)with >12 % exhibiting normal morphology ( normal in your case ).Normal pus cells are 2-5 ( in your case it 12- 14 ) and RBCs 1-2 ( in your case 10-12 ) . Glucose random is normal but upper limit , so for this I advise you get in blood for HBA 1 C examination and also repeat the blood sugar level for 3 consecutive day to rule out diabetes .Get in blood for sugar level first of all , there after consult infertility specialist .So in my opinion consult an INFERTILITY SPECIALIST and get his opinion.Good luck.
| 41,543 |
Suggest treatment for back pain
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Patient: hello i have back pain on my left side, i went to the hospital and they said it was just a muscle spaz it not in the middle and they checked for other thing it hurts to the touch i was just sitting watching when it came about it hurts when i take a deep breath Doctor: Hi there. Your symptoms are suggestive of muscle spasm. The main treatment required is taking adequate rest to relax these muscles. So try taking bed rest for couple of days. Avoid bending down or lifting heavy weights. Apply topical analgesic ointment over your back and some short wave diathermy under a physiotherpaist might help. This sort of pain can occur when your muscles have been getting fatigued over a long time. Also check your vitamin D levels as well. Low vitamin D levels can cause muscle cramps and spasms. Take plenty of fluids.
| 129,648 |
Suggest remedy for pain in abdomen with nausea and chills
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Patient: I have been eating almonds lately it seems that every time I eat them I hurt. The area that hurts is the soft area in the middle of my abdomen below my breast . Its the real tender area before the stomach. I feel nausea with chills. Could this be the almonds or something else? Doctor: Hi.Thanks for your query.Since there is a specific history of almonds causing pain and nausea and chills, it must be allergy/intolerance to almonds and hence the treatment is stop eating them.IF you stop eating almonds and if the problem is solved your diagnosis and treatment is certain.If there is no relief, you need further investigations as per the clinical evaluation and investigations to get a proper treatment.
| 86,219 |
Suggest treatment for pain and bumps on hands, feet and chest
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Patient: I have bumps on hands, feet and now on chest. My feet hurt to walk &to hands are somewhat painful..like arthritis? I had a 102° fever 2 nights ago & nightmares forst 2 nights. Any ideas? I would appreciate any help in this..hard to look for work like this. Thank you. Doctor: Hello, You may be suffering from viral fever with a rash with arthralgia or it may be different entities. Use tablet paracetamol thrice a day for five days. Drink plenty of water and liquids. Take rest. If symptoms not improved please consult your physician he will investigate the possible causes of your problem and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Penchila Prasad Kandikattu , Internal Medicine Specialist
| 123,920 |
Suggest remedy for pain in chest due to air bubble
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Patient: I have what feels like an air bubble (painful) that moves from my lower back, up along my spine, spreads across my shoulder blades then wraps around to my chest. When it moves to the front, I feel like someone is squeezing my lungs and it is very hard to breathe. Very painful. Doctor: Could be hiatus herniaPlease consult a surgeon , get a CT scan of the chest and abdomen.Will require surgery.
| 216,833 |
Suffering from pigmentation, what food should i take for healthy skin ?
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Patient: I am a married female of of 29. I have been suffering from pigmentation on both of my cheeks from the past one year and it is increasing day by day. I am using melagard as a sunblock. What types of food and vitamins are good for healthy skin ? Doctor: Hi,thanks for query.First of all get your blood counts done to see whether you have iron or vitamin B12 deficiency.This is a very common problem in young females.After the report you need to take supplements.Local treatment is fine. wishing you good health.
| 12,075 |
Suggest medication for cold and cough
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Patient: My 2 year old daughter has cold and cough since a day. I started with Mucolite syrup 2.5 ml twice a day. Her doctor has prescribed it along with other medicines such as pecef and zedex-P when she was suffering with pnemonia last month. Can I give her Mucolite and T-minic together or is Mucolite syrup effective for cold and cough both? Doctor: HI..please do not mix medicines without medical advice. Some of these medicines when added can cause extremely high heart rates called supraventricular tachycardia. Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. She might develop some fever and if so, Paracetamol can be given in the dose of 15mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. Regards - Dr. Sumanth
| 178,325 |
Suggest treatment for fever and severe sinus infection
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Patient: HI, I went to the doctor a few days ago and was told that I had a sinus infection. I have all of the symptoms, Swelling of the sinuses, severe toothache, fever, the whole nine yards. I have been taking my antibiotics (for 3 days) and the swelling has decreased back to the normal size but I am still having tooth pain as well as sores on my gums and mild hot flashes. Do you think this will clear up with the antibiotics or do I need to consult my doctor about these symptoms? Doctor: Hi, i do care for your concern.You are on antibiotic, however you have not mentioned the name of drug.In most of the cases continuing the drug for a full course of two weeks would produce much reduction of symptoms, so need not panic.in the meantime have lukewarm water for drinking, avoid exposure to allergen and cold environments which would add to the help.Hope I have answered your question. If you have any further questions I will be happy to help.
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Can I give Silybon syrup to my 2 year old to improve appetite?
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Patient: Hi Doctor, Could you pls tell me use of silybon syrup for my 2 year child to get more hungry. he is not eating food & drinking milk last many days. his weight 10.00 kg only i am very upset about this. I just want to improve my child strength by taking more good foods. Pls if you could suggest some options as well.. Thanks, Rinku Sharma Doctor: Hi...it is an ayurvedic preparation and there is no allopathically proven benefit about this medicine. Moreover a kid of 2 years weighing 10 kg is good if otherwise the activity is normal. An active is a well kid even if she/ he is not eating well. Development of a kid is as important as or I would say even more important than growth alone. As the kids grow their interest in food decreases and interest in play activities increases so that they eat small quantity and run away to play. As parents we need to be more patient and feed than less quantity but more aliquots per day. This age rather than the quantity of the food I suggest you concentrate more on the number of times you feed her and also make whatever you feed her calorie dense by adding good amount of ghee to it. I suggest you not to use appetite stimulants on long run as they may cause drowsiness.Regards - Dr. Sumanth
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