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Facial acne. On loestrine 24 fe birth control. Acne aggravated due to birth control?
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Patient: I have been taking loestrine 24 fe for nearly 5 months and my acne has worsened over time. It is always in the same place (on the sides of my face closer to my chin ). I noticed last month that my acne cleared significantly when I was on my placebo pills for the four days. Is this a good indicator that the birth control is aggravating my acne? Doctor: Hi , Thanks for writing in. Acne is a hormonal disorder. Birth control pills can aggravate acne. When untreated or improperly treated acne can cause pigmentation and ugly scars on face. Acne on chin are due to hormonal imbalance. You should apply antibiotic like clindamycin in morning for 2 hours. Adapalene should be applied at night time. Washing your face with Himalaya neem face wash would be helpful. Oral drugs should be taken along with creams. Please visit a good dermatologist or physician for proper examination and treatment with prescription drugs for acne. Hope this helps. Regards. DrSudarshan MD Dermatologist
| 7,575 |
Suggest treatment for stomach sickness after bitten by horsefly
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Patient: I have been bitten by a horsefly 3 times in 2 weeks. the last one was the worst. my bited was below my shoulder blade, which caused my whole back to burn, hurt, and i itched all over my body, this time I had a new symptom that I had never had before. i was so sick at my stomach. are these considered serious allergies and should I see a dr if it happens again. Doctor: Dear,Welcome to HCM Insect bites can these be a serious cause for allergies.Your symptoms are suggestive of one. Anti histaminic medication s are indicated.A consultation to a local physican is very much advisable here.regards,Dr Pankaj
| 34,494 |
Can ovarian cyst cause elevated immature granulocytes?
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Patient: Hi, I am a 32 year old female. I was recently diagnosed with a complex ovarian cyst. After that I continued regular check ups and it has been noted that my immature granulocytes have been elevated to around 5. My family has a strong history of breast cancer, mom is going through chemo for uterine cancer at this time. Are there any connections to these thing or what could the elevated count be? Thanks. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have immature granulocytes it may be due to some severe infection. However you have strong family history of breast cancer and utrine cancer. So you have also high chance of developing cancer. You should go for regular screening for that. Thanks for using health care magic. Wish you a very good health. Don't forget to click thank you.
| 116,486 |
What causes constant pain in the foot and ankles?
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Patient: I have constant pain in my left foot, on the outer left side between my toes and my ankle. Compared to my right foot, looking at it, it looks a little swollen, although there is no redness. Even when I go to bed to sleep for the night, the pain is always there, even laying down. What could it be? Doctor: Dear Patient,Single joint ie ankle of one side getting involved, swelling but no redness, indicate towards an arthritic joint, you need to screen this and help your doctor find out the cause of this arthritis, You fail to provide some information like your age, since when are your symptoms, also do you feel any stiffness in the ankle or other joints on getting up in the morning.Just see your doctor and discuss your concern.Thanks
| 137,531 |
What causes jaw numbness, heaviness and pain with mononucleosis?
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Patient: My daughter is 13 years old, 5'2" and weighs about 115lbs. She was diagnosed with mononucleosis in April 2011 and missed the last part of her 8th grade school year because of it. She previously had episodes of passing out probably due to heat at an amusement park, heat during a shower and upon the blood draw to diagnose the mono. She was recently diagnosed as borderline anemic. She recently experienced jaw numbness, heaviness and pain while doing sprints in athletics. She has had this happen right before being diagnosed with mono. The dentist found no reason for this occurence. Should I be worried? Doctor: Hello,Welcome to HCM,Infection with Epstein-Barr virus (EBV) is very common and usually occurs in childhood and early adulthood. EBV is a contagious infection that spreads from person to person.EBV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with EBV infection.Because of reduced immunity you may all these weird symptoms. Individuals with EBV infections requires1.Adequate rest 2.Plenty of Fluids3.Corticosteroids to treat significant swelling in the throat4.There is no specific medicine to treat EBV infections.Thank you.
| 38,683 |
What causes stomach ache and headache in kids?
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Patient: My 3 year old has been having increasing involuntary movements when very tired and only when in a relaxed- dazed state (ie: car). He is now saying his head hurts and when it happens it feels like blood rushing from his brain to his arms/legs. Also a stomach ache here and there. We just had an ambulatory eeg (waiting results) and Lyme tests. Pelase help....we are SO concerned. Lisa Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your kid is having symptoms of stomach ache and headache which seems to be due to food poisoning/ acute gastroenteritis caused by viral infection and electrolyte imbalance in body. I would suggest you not to panic at all. Drink plenty of fluids to rehydrate yourself. Visit general physician once and get it examined. You should go for blood tests as well and start treatment after proper examination. Avoid taking any sharp and spicy food. You should take plenty of fluids. You should give Ibuprofen to child along with proton pump inhibitors as well. Give your child banana on daily basis and light food. You should start treatment with combination of fluoroquinolones and ornidazole. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 169,425 |
Suggest treatment for a painful lump on the forehead
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Patient: Hi there, I have a hard oval like lump (1.5cm length) on the left side of my forehead, deep under my skin. When I press on it, I get tingling and numbness on the top of my head, and a shooting type of pain around the area. Really confused about it, and I don t want to go to the doctors in case of wasting their time. In addition, over the past months, my vision has progressively deteriorated, and I ve been having weird mood changes since the lump has formed, causing me to have treatment for depression. Any idea what the lump may be? Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma. Or you may have dermoid cyst or skin adenexal tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 63,809 |
What to do for the scar like appearance in the back of a child?
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Patient: My daughter, age 12 has an area on her lower back which began around first of May and about the size of a dime when we noticed it, and thought it was a bruise. The area kept getting bigger and is now approx 20mm x 40mm and is not a bruise. I took her to the pediatrician who said it was a skin issue and not spinal. The area does appear to be of different texture with no hair on this spot. The color is a brownish-grayish-bluish. She has some back ache, but the pediatrician said was just coincidental. Made an appointment w/dermatologist. Just worried about what it 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.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 170,888 |
Why does my wife has high BP and heart pounding?
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Patient: My wife is 59. She has episodes of pounding heart beat with very rapid pulse rate. Her younger brother also has these symptoms-he is 50. This condition has been present since pre adolescence. Today during one of these events her blood pressure was 156/84 with a 94 pulse rate. Doctor: Hello and welcome to HCM,Pounding heart with rapid pulse suggests cardiovascular pathology and necessitates a cardiovascular examination.A concomitant high blood pressure is a risk factor for cardiovascular disease.Presence of similar symptoms in another family member raises a suspicion of familial cardiovascular disease.On the basis of history a cardiomyopathy is suspected.Cardiomyopathy is disease of cardiac muscle.Thus, I suggest you to consult a cardiologist for investigations and further management.Thanks and take careDr Shailja P Wahal
| 117,380 |
What could severe pain in lower back while lying down mean?
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Patient: Im 17 years old, 140 pounds, and have had this problem ever since I can remember. Every time I lay down on my back I have severe lower back pain for about 15 minutes and then it stops and I am fine. I usually avoid this by sleeping on my side. Any suggestions? Doctor: Hello, Thanks for your query.It seems that your increase in weight; wrong body posture; inadequate exercise and reduced muscle tone is taking a toll on your back. For pain to go, it takes not only rest (on a comfortable bed) but also avoidance of particular positions (during work, rest or recreation).During the day don't sit in one position for more than an hour and take frequent stretch breaks. Do not bend forward to lift things up, bend the knees and hips for that. Also discontinue any strenuous activity or exercises for some time.I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. You may go for a physical examination by your Orthopedician to rule out any spine related pathology. You may be prescribed pain killers and/or muscle relaxants which should give you relief. Physiotherapy may also be advised if necessary. I would suggest you to try swimming as this will help most in back conditions.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 110,928 |
Why did my child started sinking last night
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Patient: Hello... My baby s chest started sinking in last night. We took him into emergency last night and they said he was healthy his oxygen was 100% and his heart rate was normal... We got home today and notice he hasn t been burping right after a his feeding. Doctor: Thanks for posting your query at HealthCareMagic. Please do not worry. Just keep the baby in erect condition while in your lap, for some time after feeds. The gaps that enters along with the food comes out as burp and would be automatically come out.I hope that would help. Feel free to revert back with further queries if any.
| 179,886 |
Could leg pain, sweating and rough breathing be due to asthma?
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Patient: Alright so I decided to join the Air Force, but before I go I wanted to get in somewhat shape. So I decided to run the track for 5 min, I stop because my legs were hurting (lack of stretching) at this point of time I was already sweating and breathing kinda rough, no wheezing, no coughing, or chest tightness. I've had asthma as a child before, but I remember the wheezing and chest tightness whenever I was doing something sports related. Is it possible that I still have it or am I just out of shape? Doctor: Hi, if u don't have wheezing,coughing or chest tightness but only sweating and leg pain,there is not much possibility of asthma despite u had Astha in child hood.if your problem persists like leg pain while running u can consult any physiotherapist for the same.
| 99,819 |
How can abdominal pain caused by cysts in ovaries as shown on sonography be treated?
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Patient: My wife got pain in morning in stomach (right side) dr advised to take sonography the report showed :- 26cc sized cyst seen in right ovary with multiple thin septation within (fishnet apperance)along with low level ecoes an accentric retratted clot also seen within it. Doctor: HI. The painful cyst with an appearance as described on ultrasonography should be removed and subjected to histopathology. ASAP
| 91,665 |
What causes light burning in penis after urination, pain in left and right side of stomach, anal?
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Patient: Dear Sir,Manoj here, 25 Male.1.I have light burning in my penis after urination mostly in night and morning's first toilet. Some time pain also in penis for 4-5 seconds.2. Some time light pain in left & right side of middle space of stomach. & back also at the same place backside.3. Some time pain in anal also.4. I have diagnosed Kindly profile, Urine Culture , Routine and ultrasound scanning , two months before but all were normal.5. My sugar reading is : 96 Fasting & 112 PP.Sir, i am very much afraid abut that kind of symptoms, kindly give me proper guideline to solve and get free from that kind of symptoms and be healthy.Thanking You,Regards,Manoj Vyas25 Year male Doctor: Hi,Give urine for examination as this seems to be simple urinary tract infection. Please give urine for culture and sensitivity. There is also possibility of gastritis. Please take antacids for the same.Regards
| 203,756 |
What causes bipolar disorder in a pregnant woman?
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Patient: Wife is bipolar and pregnant. She refuses to get treatment for the bipolar. She is very moody. I can t talk to her without her flying off the handle. She told me if I mention treatment she is done. But the last two months has been a living hell. I can t do anything right. And she acts like she wants nothing to do with me. She says she loves me but my touch really annoys her. So we sleep on opposite sides of the bed and she doesn t even hug or kiss me without being asked. What can I do? Doctor: Hi dear,for proper diagnosis detail history and mental status examination is required and for that you need to consult psychiatrist.According to me if your wife pregnant and bipolar then admit her in psychiatric nursing home for better treatment and care for pregnancy and bipolar disorder.How you comes to know she has bipolar disorder?is she having such illness in past?there are many medication which helps her and for best treatment ECT (electro convulsive therapy) is available.Thank you
| 207,723 |
What causes sharp pain in chest with heaviness?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... I was sitting at my computer last night and out of nowhere--i had sharp pain in my chest--a heaviness--as if someone had stood on my chest--some shortness of breath--5 mins later--it all went away--?????? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Sudden onset chest pain, Heaviness in chest and shortness of breath are characteristic symptoms of coronary artery disease (CAD). So better to consult cardiologist and then blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). Quit smoking and alcohol if you have these habits. Loose weight if you are obese. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 74,425 |
What is the name for pimple looking bumps around the vagina?
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Patient: my 4 year old has these pimple looking bumps arount her legs around her vagina and im trying to figure out what it could be. the doc said some type of viral or vaginal infection and im trying to find the name of it. he said it last two or more years but it will eventially go away Doctor: Most probably warts. No specific treatment is there. So wait and watch. Do not worry. If progressive in nature then consult dermatologist.
| 172,690 |
Blurry vision, headache and stomach ache. Due to taking birth control pills?
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Patient: My girlfriend has been experiencing strange symptoms continuously for months. May these be related, possibly serious, to her taking the birth control , aviane? Her side effects include: Loss of vision (Blurry, usually lasts for 3 minutes to 5), Headache (painful sometimes), and stomach aches (usually because of the headache). Shes been experiencing these symptoms on and off for almost a year now. Shes been taking the pill for about the same time. Doctor: Hi, Welcome to HCM Side effect of birth control pills can be pain abdomen, nausea, vomiting, tiredness, weakness, headache, loss of libido, menstrual irregularities, etc. 1. Get your gf clinically assessed by a doc. She is getting blurry vision, it can be dizziness that she is unable to define, it can be due to weakness, headache can be due to eye-sight problem, she may need an eye check-up. 2. It is important to get her hemoblobin (Hb%) level checked, get her blood tests done to confirm fitness. Low blood pressure often results in headache. 3. She should take vitamin or mineral supplements. 4. She can take some other substitute for the birth control pill that suits her better after consultation with a gynae. 5. Abdominal pain can be due to gastritis. Antacids will give relief. Abdominal pain can also be due to some infection, pelvic inflammatory disease, cysts, fibroid,etc. An USG will help to confirm diagnosis. 6. She should avoid smoking, alcohol or addiction of any kind, avoid oily spicy food. Healthy nutritious, rich in minerals and proteins is what she needs, she should keep bowels clean and properly hydrate herself. Take care.
| 226,251 |
What causes severe pain and soreness below the rib cage?
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Patient: Hi there, my question is how do I treat pain & soreness to the lower side ribs please? I fell down some stairs over 12 months ago. X-rays & Scans were clear. However. I still suffer tenderness to the lower rear rib area. Any suggestions on treatments please? Doctor: Hello, I have studied your case. I suspect possibility of compression of nerve leading to rib pain.T his can aggravate due to injury.I will advise you to do MRI spine and orthopaedic doctor opinion.For these symptoms analgesic and neurotropic medication like pregabalin can be started after consulting your doctor.Physiotherapy like ultrasound and interferential therapy may give you relief.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care.
| 137,338 |
What causes excessive fatigue, breathlessness and swollen feet?
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Patient: I have been feeling fatigued and malaise for the last several months. I get short of breath with heaviness in my chest walking short distances. My feet and legs have been swelling and sometimes I feel like I am swollen from the toes up to my chest. I have had intermittent palpitations and twinges in my left chest intermittently. I have never had high BP but yesterday my BP was 160/88. I am 49 years old. My last total cholesterol was I think 200 or so. Are these symptoms to be concerned about? Doctor: Hi thereAfter going through your query I understand your concern.I would like to tell you that chest heaviness along with shortness of breath and intermittent palpitation can be because of an underlying heart disease. We can call this Angina on Exertion class 3. Evaluation for this is required.It's advisable for you to get an ECG, Echocardiography , Chest X-Ray and a TMT test done and personally consult a cardiologist with the reports for treatment in a proper way.Hopefully this will answer your query.Kind Regards Dr Navneet Mahajan
| 19,904 |
I have been suffering from Vitiligo, kindly advice me
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Patient: Hello, I am 27 years old. I have been suffering from Vitiligo for past 10 years, and it is stable for around 7 years now. It does not respond any more to any ,medication. I consulted some doctors and have been advised plastic surgery . The remaining spots are small and are located at scrotum and penis. The doctor has adviced, excision and Z plasty for the smaller patches and Melanocyte transplant for one relatively large patch. I am not able to decide what to do. Not sure how safe it is. Kindly advice. Doctor: Hi Welcome to Healthcare Magic Forum I think you should go for melanocyte replacement therapy for all your lesions. It is a safe and effective therapy. You may also consider localized phototherapy. Continue your medical treatment till then. I have been working on vitiligo for the past 4 years and can assure you that you will be fine after the procedure. Avoid getting the lesions excised.
| 12,215 |
Suggest treatment to overcome emotional state
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Patient: sir my father is with me, i am married since 7 years but i have no child, sir most of the time the events of the death day of my mother revolve around my eyes, i always feel that i was not good to my mother, some times i think that i not love my mother but i am afraid of god that he punish the people who not do good with their parents , so due to this fear i am always remembering my mother and think that i have not take good care of her otherwise i have no love for her, i frightened from god , these feelings i have most of the time, now i feel that every thing which i done in past is wrong and i was totally wrong. most of my time spent in thinking that how these thoughts came into my mind that mother should die and always try to justify myself that these are not my thoughts but than i cant beleive that these are not my thoughts,, i always feel that i did bad with my mother and i cant bring her back, when i was taking care of her when she fall down , i some time got angry with her and show aggrestion to her , i think at that time i do that for her good but now i think that my intentions towards my mother was not good, i feel her burden so i show agression to her, i tottaly loose confidence on me, when ever i will go for some good deed, i feel that a person who was not good to her mother he has no right to help any one, such person do any thing allah will not forgive him, i did very big sin, i loose my mother and my jannat, she loves me too much but i did nothing, now i cant bring her back and ask her to forgive me, she left me, and those people who are bad to their parents never find peace in this world, same is the case with me, my punishment is started and i deserve it, Doctor: Brief Answer: I can understand your problem and concerns. You are going through grief reaction that occur following the death of a near relative. You need grief counselling and some medicines to help you overcome these problems. Detailed Answer:People develop guilt feelings after the death of a near relative. you are also experiencing the same. Your grief is being complicated by depression and you must seek professional help. It will help to overcome the symptoms. Professional help is in the form of medicines and psychotherapy. Selective serotonin reuptake inhibitors are given for depression and grief counselling and workup is done for improving other symptoms. Please feel free to ask if you have any followup questions. I hope you find this helpful.
| 208,343 |
Suggest remedy for fever and fussiness
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Patient: My baby is 9 months, weighing 7.8kg with fever ranging between 37.2 to 37.6C measured using digitall thermometer underarm, fussy at times, with no other visible symptoms. Doc advised to give 10drops of pmol every 6 hours. Is it advisable to continue without further investigation? Now giving medicine for the last two days. Doctor: Paracetamol doesn't treat the cause, only brings temperature down. If given indiscriminately, it has toxicity too.If I had to treat my patient of this age, I would suggest to get Balchaturbhadra CHOORNA - a classic Ayurveda medicine prepared by a combo of four infant friendly herbs used to create immunity, strengthen the system, settle fever, diarrhoea, vomiting, congestion etc of small children. No side effects, absolutely safe. Administered with honey. No interaction with other drugs. Overdoses may cause gastritis.It's common to find in India or get online.For any other query or help, pl write through direct question.Hope its helpful.
| 170,675 |
Is blood pressure level of 158/95 cause for concern?
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Patient: I went to my doctor yesterday to address my blood pressure. I have a family history but I have presented no symptoms until lately. I went to my doctor yesterday and was put on a low does diuretic. today my head is killing me i checked my bp an hour ago and it was 158/95 pulse was 97. Should I call my doctor again? Doctor: Hi thanks for asking question.While going to doctor what was your blood pressure before starting diuretic??Here you have high blood pressure.You might have skipped dose of drug so that rebound headache can occur.Because of high blood pressure also headache can occur.So continue with taking drug regularly.Low salt diet taken.If headache troublesome analgesic can taken like brufen or paracetamol.If you have associated congestion by viral infection then also headache can occur.for that decongestent taken.Avoid some triggering favor for headache like....loud noise, skipped meal, dehydration etc....If still bp increasing then consult doctor for taking sodium nitroprusside or other suitable drug by iv route.I hope your concern solved.Take care......Dr.Parth Goswami
| 25,342 |
What causes hardness and swelling in penis ?
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Patient: hi, i have a curved penise towards the left , it is very obvious and make an angle of around 40 deg from straight, also 2 months back i got swelling and pain in my left testicle , when swelling went away i found that my left testicle has become rock hard with pain in it but in 4 days it got normal bt i still feel if a little heavy and it hangs like a ball without any relation with rest of the parts. in my childhood once i was hit on my testicle while playing since then i feel weakness in it and now i feel it is because of that . your suggetion r welcome i also feel that i ejaculate too early in 1 minute. should i marry or not . Doctor: Hello, First of all nothing to worry about curved penis since it is normal. For pain and swelling of left testicle you need to do ultrasound of lower abdomen and pelvis. I suggest you to consult a Surgeon and get an ultrasound of lower abdomen done to rule out hydrocele or testicular torsion. Ejaculation within 1 minute is not abnormal. You can happily marry if you want. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pramod Kokare, General & Family Physician
| 192,201 |
Will taking i pill for long cause infertility?
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Patient: Hi doctor, I have been consuming ipill for a very long time and very frequently but stopped using it often a year ago. My periods are delayed and i checked, i am not pregnant. But i am concerned if there is a possibility that my foolishness has left me infertile. please help... Doctor: Hello and welcome,I pill is meant to be used occasionally after unprecedented acts of sex. There is no literature to show its long term effects on fertility after constant use as it is not meant to be used in that way. However you may be having some other problem that may be causing a delay in periods like hormonal imbalances [ especially thyroid or prolactin] or ovarian cysts.I do not think that I pill will lead to such issues as its effects are transient and it does not remain in the system for so long. I suggest that you see a doctor and get examined as well as tested for these issues. If there is a problem then you can get treated for the same.Hope this satisfies your query. Thanks for using HCM. Feel free to ask any more questions that you may have. Dr Madhuri BagdeConsultant Obstetrician and Gynecologist
| 224,533 |
Can streching in the leg cases burning sensation in the knee?
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Patient: when i am driving or i have my leg stetch out in the car and i want to wee i get a burning sensation in my knee at the side ive ask gp and a urologist and both have not heard of it please help as its bad at times i have a lot of health issues could you help please and let me know your opinion Doctor: HI I AM CONSIDERING YOU ARE DRIVING A LOT.KNEE PAIN AFTER PROLONG SITTING MAY BE DUE TO SOME INTERNAL DERANGEMENT OF KNEE OR SOME ARTHRITIC CHANGES PLEASE CONSULT AN ORTHOPAEDIC SURGEON FOR FURTHER MANAGEMENT.GET WELL SOON.
| 128,621 |
What causes vaginal bleeding and abdominal pain during IVF treatment?
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Patient: Hi, ...I am 3o years old, 48 kg, & my height is 157 cm. I actually had IVF on 24/4/2011... my B-HCG was 230 on 8/5/2011, then I had brownish spotting so I repeated it on 12/5 and was 626 then spotting continued so I took I.M Progesterone together with the progesterone suppositories I have been taken since the IVF , but I had an attack of vomiting about 8 times with severe abdominal pain, and bleeding (about half a pad of fresh blood) My B-HCG was 1020 on 16/5 & bleeding discontinued & was followed by brownish spotting.. my B-HCG on 18/5 was 717..... I just wonder what is the cause of my IVF failure... Doctor: You would suffer from vaginal bleeding and abdominal pain, because during the process, IVF would do great harm to your reproductive organs. And vaginal bleeding and abdominal pain is the possible side effects of IVF.And if you it them alone without treatment, the wound cuaed by IVF would be gotten inflammation or infection.To stop your vaginal bleeding and abdominal pain, you should seek for the suiatble tretament. And if you are afraid of antibiotics side effects or drug resistances, herbal therapy "fuyan pill", may be useful. It also has the effects on repairing women' reproductive organs. So it would let your wound get cured soon, and funtion well after it been cured.Hope this could help you.
| 40,974 |
What could be the tiny lump on the arm after TB test?
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Patient: I had a TB test done several years ago and to this day I still have a tiny lump in my forearm. It is small and flat but if looked at from a different angle it looks a like a small lump, smaller than a dime. I never got my results or had them read. What could this be? Doctor: Hi. This is called Mantoux test. and looks that it was positive. This is a challenge test to see whether you are suffering from tuberculosis. The resultant reaction resulted in this sort of a lump.
| 70,021 |
What causes dizziness and BP level of 143/92?
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Patient: I have been getting dizziness in the mornings 3 or 4 times over the past month. I just got my blood pressure checked out and I am 143 over 92. I am at least 40 pounds overwieght. Additionally, I have developed some kind of rash around my neck, upper torso and forearms. Doctor: HelloDizziness early in the morning is due to 2 main factors:- hypoglycemia- spondyloarthrosisBlood pressure of 143/92 as you are taking medication won't be a problem.Should check fasting blood sugar along with blood pressure and record the results.With regards to the rash, I need to have a look myself so I kindly ask to send a picture in.For the moment, I think it might be an allergy issue, and could also be a possible cause of dizziness you experience.Take oral antihistamine you find over the counter.If not improved, should see your caring doctor.Wish fast recovery.Dr.Albana Sejdini
| 17,206 |
Any suggestion for suffering from cervical dystonia?
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Patient: my youtube search shows a orthodontist in vieana virginia uses appliances for the treatment of this cervical dystonia and my brotherinlaw is 50 years old and has this condition should i take him to Dr stack who has had great success with this just youtube natural cures for cervical dystonia and see for yourself Doctor: Dearvfor distonia you should have tab revotril 0.5hs and tab hexidyl 1 bd for two weaks and this will slow downs your symptoms thanks
| 142,673 |
Suggest treatment for fever and tonsillitis in a child
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Patient: My 3yr old daughter has constant high fever for 5 days now and shes having swollen gum and flaming tonsilitis.. Shes been admitted in paeditric ward forb3 days now..the doctor said its because of viral infection. They give her IV cannulation and antibiotic and paracetamol 250mg. Yet the fever still high and only comes down to 38-37 for an hr or two. The swollen gum getting worse and ger tonsils are getting bigger that almost meeting to the centre. Please advice what can we do to reduce this. Thank you Doctor: If your paediatrician calls it a virus, the child should not be on a high antibiotic. If it is bacterial, then antibiotics are justified. If there is no response in 3 days, the antibiotic should be reviewed. A blood count and a X ray of the chest are definitely needed, as also the opinion of a ENT surgeon as she has very big tonsils. This would be the rational way to treat her.Dr. Taher
| 171,964 |
How to treat masturbation related seizure?
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Patient: I got effected with brain seizure 5 months back and I had not known the reason....and all the test are normal cc scan and every thing.And doctor suggested me to use levipol for 6 months. And I personally got to know that when I mastubrate some times I m feeling that dizzy and that is the reason behind my seizure and I mastuburate too much some times but only some times I feel like same situation when i got my seizure................Is seizure and mastuburation are related.... Doctor: Hello!Welcome on HCM!Regarding your concern, I would explain that masturbation and the seizure frequency are not related to each other. But, hyperventilation, which can occur during masturbation can trigger seizures. Hope you will find this answer helpful!Best wishes, Dr. Aida
| 143,382 |
What are the reasons for shooting pains in the breasts and underarms, a rash on the right breast ? I had astereotactic biopsy on my left breast
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Patient: Take a shot at this one. In December I hat a stereotactic biopsy on my left breast. They found that the results were nonspecific inflammation . I noticed after the biopsy that my left nipple had bloody discharge. Almost 2 months later, it still has bloody discharge and is still painful. I have already had a breast surgeon aspirate the area, it is still bleeding and sore . My initial symptoms are still present, shooting pains in the breasts and underarms, a rash on the right breast. What is going on? Doctor: Hi welcome to Healthcaremagic Hi....., The most common cause for the bloody discharge is breast cancer... the investigation done is microdochotomy..., and also biopsy is need to confirm the diagnosis you need to consult oncologist for further treatment... Hope I have answered your question.. Takecare...
| 160,093 |
How can penis abrasion causing soreness and bleeding be treated?
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Patient: Hi my 7 year old son had a knock at school on his penis. It was very sore Sat night so took him to ED they discovered an abrasion on the tip and they said to leave it and it should heal itself. I am just a bit worried as it has been bleeding, not alot but he is not circumcised and the area being moist, on how to treat this. Should I take him to our GP.or see how things progress? Doctor: You may ask your doctor to prescribe antibiotic ointment to apply over the wound. As the area is moist there are chances of infection.
| 165,327 |
Suggest treatment for sensitivity after tooth extraction
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Patient: I had molar 1 and 32 extracted mid June.i am still experiencing a lot of sensitivity with the lower tooth extraction esp while drinking fluids cold or hot....is tt normal. Also occasionally it's sensitive when I'm leaning down to do something or sleeping on the side it was extracted. Foes it take so long to ease the discomfort..please advice Doctor: Thanks for using Health Care magic.Read your query.Post extraction sensitivity for such a long time usually does not occur.The signs and symptoms mentioned suggests possibility of the adjacent tooth been decayed and causing the sensitivity.I would advice you to visit your local dentist and have it checked.If you have any decay in the adjacent tooth ,have it filled.Have your healing socket reviewed and check for the healing status.Do salt water gargling.Hope this was useful.Thanks and regards.
| 183,478 |
How to stop sperm leakage while sleeping? Sexually not active
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Patient: hi, Good mornong i have sperm leakage while sleeping since 2 years let me know that how to stop sometimes while day time i'll feel to come out the sperm and i'll do that twice in a day or week. from this my cheeks are gone in and lost hair im look like ager (age 45) but my age isnow 25...please kindly advise what can i do but i never had sex with women sometimes i'll feel to watch bluefilms and but no smoking and drinking so please advise. thanks in advance. Doctor: Hello Thanks for writing to HCMNight fall(ejaculation at night)is a common phenomenon in young age.It may be due to many reasons like ejaculation after long time,due to excessive sexual thoughts etc.Ejaculation doesn't lead to weakness at all.It is a myth.Semen is just like other body fluids.You are too young to have any organic cause.It is most likely due to psychological causes.You should try to keep yourself busy in your job.You should avoid provocating literature,videos etc.You should also try meditation and yoga.This will help you a lot.If problem still persists then you may need psychological help.Proper counselling can be done by psychologist.Hope i have answered your query.Take CareDr.Indu Bhushan
| 203,200 |
What causes blood in phlegm and blackout spells?
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Patient: I have hematemesis. Been having this for more than a year. Have taken X-Ray, Scan, MRI scans, Gastroduodenoscope and have done blood check. every Tests shows tht there is no problems with my health but i still cough blood and sometime it i blackout. What do you think can be done? Any more test? Doctor: Hi, dearI have gone through your question. I can understand your concern. You should go for oesophagoscopy. You may have variceal bleeding. Also you should check for portal hypertension. Black out spell may be due to blood loss and anemia Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 115,093 |
Taking Junel and never missed dose. While having sex condom broke but took ipill. Chances of conception?
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Patient: Hi there, I had a question regarding birth control and it's effectiveness with taking it at the same time every day. I take Junel Fe 1/20, 28-pill packet, and have never missed a dose although I take the pills within an hour or two and a half (if I really had I busy day and forgot) of each other everyday. Since it's a lower dosage pill I'll be more adamant about taking them around the same time more consistently. So my question was: the condom broke today but I've been on the pill since June or July. Do I have a need to worry about pregnancy occurring? I have four pills left of Week 3 before I take the sugar pills. Again I take the pills every day but not at the exact same time, usually within an hour - 2 hours of each others (2 hours + if incredibly busy that day and lose track of time). Doctor: Hi,Initially for one month starting taking low dosage pill, there are possibility of having pregnancy but after wards it is very safe.Time for taking pill an hour or so difference is no matter of worry.Ok and take care.
| 225,578 |
What are the causes of pain and stiffness in neck?
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Patient: After waking up my neck is stiff and in pain. I can't turn my head right or tilt it back without the right side of my neck hurting, my aunt is a great massagist and said I had a knot and felt like a bone in my neck. Then after my massage the spot/knot where my neck hurts it grew/swelled to a big bump and she said that's weird. What happened to my neck? What's wrong with it? And how can I fix it? Doctor: First, lab inbestigations like CBC, c reactive protein and cervical spine and brain x-ray should be done. These done to exclude lymph node inflammations or malignancy or cervical spondylesis.
| 131,058 |
Trouble breathing, bad cough, allergies, numbness in hands and tight face. History of asthma. On ventoline and flixotide 100 diskus. Advice
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Patient: I have asthma.for 4 days now I have trouble breathing.I have always had my asthma under control but in these couple of days I have had about 10 attacks.i have a really bad cough.i am using ventoline and have now stared using flixotide 100 diskus.i have bad allergies. while having one of these attacks my hands got numb and my face got all tight(i also had all of the other regular simptoms).is that normal?? can you please give me some advice on all of this.thanks Doctor: YOUR CONTROLLED ASTHMA MAY BECOME UNCONTROLLED WITH SAME MEDICINES AS THE DURATION INCREASES THE EFFECT OF DRUGS DECREASES YOU CAN START SINGULAR 10 MG TDS SYP ASCORIL 2 TSF TDS SYP GELUSIL 2 TSF TDS YOU CAN TAKE FOR 7-10 DAYS YOU CAN TAKE OFF ASND ON FOR MANY TIMES FOR MANY NUMBER OF TIMES BUT COSULT YOUR GP TO FIND OUT POSITION OF YOUR LUNGS AT PRESENT AND GET TITRATED THE DOSAGES YOU ARE TAKING
| 103,913 |
How to get rid of heart aches and pain in neck?
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Patient: i have had a fit, i have been fainting everyday since than, i have a very bad heart ackes, i have no sleep, i have not been to the tiolet for 4 days, bad pain in my left side of my neck, i have seen a doctor but unfortunatly they have not been helpful at all what can i do to get rid of the pain, help me please. thank you for reading my problem. Doctor: i would like to know some details. weather you are taking alcohol daily or you have a history of fits or any significant illness. but according to your history , you are acutely ill. you may need urgent ecg as you are having chest and neck pain. may need diazepam or librium. as i feel best option for you is admitting to hospital for further investigations and management.
| 24,293 |
How to treat a burning aching sensation in the knee?
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Patient: hi, out of the blue i had a burning aching sensation in my right knee. the patella was red and swollen with a swollen visible blue vein across it. it was hot to touch and tender. the swelling went down after about 10 min and the redness slowly disappeared. now a larger area over the patella is blue (on the right patella top left - if you were looking at my patella). it still hurts when i bend it as well. i have had tenderness in my right knee for a while that hurts when i do squats or sit at the desk all day with bent legs. any idea what it could be as i am really worried. Doctor: Hi,In my opinion hot foments with topical antihematoma with anti-inflammatory action gels will be effective for your blue discolouration and will disappear eventually it may take from 3 to 5 days. I think you may have injured both your pattela and your vein which is the reason for the swelling. For now you may use aspirin tab twice after meals daily which will help in both your pain and your hematoma blue discolouration.If pain persists I suggest x-rays and Doppler U/S to exclude any minor fissures or fractures or any clots in your lower limb venous system. Please consider some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask.Regards,Dr. Ahmed Aly Hassan
| 130,476 |
Why does my right hand elbow joint pains while typing?
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Patient: hi, i have a seviour hand pain ...since i was in data punching earlier so now its becoming more painful day by day...when i type my right hand elbow joint pains a lot...is there anything i could do for this??any exercise or medicine or any food that would help me ?? Doctor: Hello, It is due to severe muscular pain arising out of over exhaustion. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist better to consult an orthopedician and get evaluated, Nothing much to worry and you will improve in a couple of days. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 124,656 |
How to treat cold and cough in a 3 years old child?
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Patient: hello doctor..my 3yrs 1 month old daughter is suffering from cold -cough.We consulted a pediatrician on 3.10.12 who said cough is there in her chest..and prescribed Levolin inhaler 2 puffs in 6hr interval . But it is a very tough task to give her inhaler as she is feeling fear from that inhaler instrument(with baby mask)..sometimes vomiting little . But we are still continuing/trying to continue with that dose. Today evening she had frequent dry cough. While sleeping now coughing is going on frequently . So what should we do now. Doctor: Hi....your pediatrician is probably right and I think what he meant is a wheeze. The management of wheeze at present is Levolin inhaler and is the best.Even for this cough now, I suggest you give the same Levolin inhaler as advised by your pediatrician.Regards - Dr. Sumanth
| 173,833 |
Suggest remedy for chest pain
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Patient: I have been experiencing some chest pain. I was going to get it checked out yesterday when all off a sudden at work my boss told me I looked flushed and told mento sit down. She then asked me how I was feeling. I said okay and all of a sudden my chest started burning really bad and then the burning went from head to toe. I thought I was going to die. My body was also tingling and the pain was a 10/10. Blood test normal.. EKG normal.. Enzyme test 0.01. Do you have any clue what is going on? Doctor: Hi thanks for asking question in HCM...Here sudden chest pain with flushing and sweating can be due to here two reasons....-ischemic heart disease or -panic attack...Sometime it could be by pulmonary embolism ....Here ECG or echo done to rule out cardiac cause... D dimer for pulmonary embolism...If no significant cause present then by taking severe stress you can have such panic attack...Counselling done by psychiatrist for it....Hope keeping this in mind you can solve your concern by contacting doctor..Take care.Dr.Parth
| 76,919 |
Suggest remedy for abdominal pain
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Patient: my son is 15 all of a sudden he said his stomach hurts its been half a hour i ask him to lay on the floor i felt where his pain is its in the middle of stomach and goes up to middle of ribs he had dinner about 3 hours ago and he has use his bowels ...another thing he said his legs go numb when he is hungry as soon as he eat the numbness goes away Doctor: Hi! Thank you for posting!I have gone through your query and I understand your concerns.According to all the symptoms you described above, I think that your son might suffer from peptic ulcer. Your son needs to avoid some types of food from his diet such as: spicy food, milk,carbonated drinks.In order to find the right diagnosis, you need the following tests: - Fibrogastroendoscopy- Complete blood count- Liver test- Urine testThe treatment of peptic ulcer contains proton pump inhibitors. In order to discuss about the diagnosis and treatment, you need to contact your gastroenterologist.All the best,Dr. Behar.
| 89,298 |
Suffering from acne, painful eruptions on face. Taking crisanta, minoaz. Safe medications?
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Patient: hello! i am suffering from an acne problem from the last 10 years. i get married in 20 days time and have started getting ugly painful eruptions again. my doctor on seeing my skin change from good to worse has put me on crisanta and minoaz. i am scared that I might not have problems in conceiving later on. is it safe to take the medicine? secondly will my face clear up in 20 days time? thank you Doctor: Hi...dear user., Thanks for choosing HCM.., Ur acne erruptions may be due to hyperactivity of..., hormones..., So consult good Dermatologist.., thanQ
| 7,602 |
Can copd asthma and chronic bronchitis be cured?
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Patient: NAME; NOOR MUHAMMAD KHAN TALPUR AGE 74 YEARS OLD HEIGHT 5 FT. 6 INCHES WEIGHT; 62 KILOS' RESIDENT OF HYDERABAD SINDH PAKISTAN DEAR DOCTOR, THE PULOMOLOGIST HERE IN PAKISTAN SAYS THAT I AM SUFFERING FROM C.O.P.D. CHRONIC BRONCHIETATITIS, ASTHAMA. MY X RAY SHOWS FIBROSES IN BOTH UPPER ZONES OF BOTH LUNGS. VOLUME LOSS. MY C.T. SCANNING SHOWS THAT THERE IS EVIDENCE FIBROTIC SCARRING NOTED IN BOTH UPPER LOBES. THERE IS ALSO EXTENSIVE AREA BRONCHIETASIS NOTED IN BOTH LUNGS SHOWING PAN SEGMENTAL INVOLVEMENT.THEREI S ASSOCIATED VOLUME LOSS IN BOTH UPPER LOBES SECONDARY TO FIBROSIS WITH INTERVENING INFILTRATING DENSITIES . NOW MY QUESTION IS I HAVE TRIED MY BEST HERE IN PAKISTAN WITH PULMOLOGISTS AND OTHER PHYSICIANS. I AM TIRED. I NOW WANT TO TRY INDIAS PULOMOLOGIST UNDER THE ABOVE CONDITIONS. BEFORE I COME THERE, PLEASE LET ME KNOW CAN I BE CURED? Doctor: Mr. Khan, In your history you have mentioned about the reports/finding of chest X-ray & CT scan. The condition mentioned here are, mostly reporting fibrosis ,Bronchectasis and volume loss in both lungs. Although as such both these condition i.e fibrosis & Bronchiectasis are not reversible condition , yet what causes these in your case needs to be evaluated so, that it may be treated, other wise, some times there are possibilities that these conditions may continue to progress causing further lung damage, such as in cases of Interstitial lung diseases. In my practice, If I come across some one with such finding, I try to find out the cause of that condition ,by detailed evaluation, examination and investigations, so that if possible the progress of these damage be halted or at least be delayed and what best the patient can expect can be explained to the patient.
| 77,360 |
What causes heart palpitations despite normal cardiac workups?
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Patient: I have been getting heart palpitations for 5 yrs now. I'm healthy 33 , no bad habits, exercise. 4/ week. Athletic and toned. All my cardiac workups came back normal ... EKG,echo, stress, they show PVC, PAC,and since 3 mths irbbb. I do not drink any caffeine, tons of water, vitamins( mag,pot,sod) wich are all therapeutic! My diet is fantastic. My problem is I don't go out and enjoy myself with my husband and friends anymore cause I'm afraid to get them in the middle of the night or the next day... Should I just be care free and just go have fun with friends and not pannick if they happen??? I only tolerate 2-3 drinks(alcohol) in a night anyways! So many things can cause these you can easily stop enjoying life if you try to rule out every possibility.... Doctor: palpitations in our case probably occurring due PVC and pac. Also in athletes due to strong contractions of heart one may get palpitations.doesnt look like a matter of worry
| 23,080 |
Chronic bronchitis. On medicines, nebulizer. Getting jitters, lack of sleep. Suggestions?
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Patient: I have been having trouble with my asthma/ chronic bronchitis . I have been to the ER 2 times in 4 days. Lots of things have been done and one of the treatments is nebulizer treatments. Albuterol/Atropine every 4 hrs. I have the jitters from these. I am not sleeping because I keep jumping and waking myself up. I have had massive doses of Solumedrol , been on Azrythromyicin, now doxcycline, and prednizone. I can t be without the med nebs almost cant even make it to the 4 hr mark. But these jitters are driving me crazy!! I even took 4 Nitetime sleep aides trying to get some sleep. What do you suggest? I am getting worn out. Doctor: Asthma has to be controlled with steroids. You will have to take oral or injectable steroids till the severe symptoms are controlled along with nebulization with asthalin/albuterol. Atropine inhalation should be avoided as it may dry up the air passage and cause restlessness. As the symptoms are controlled, you will have to switch over to inhalers like foracort or seretide accuhaler.
| 105,009 |
How can bruxism be treated?
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Patient: Hello, I am 71 years old. Two years ago, my upper left wisdom tooth was extracted by a general dentist. Since then I have been hearing a loud thumping, wooshing noise. The noise is consistent 24 hours a day. It happened right after the extraction. I have had numerous of scans, xrays, mri's, and tests, etc. I have seen ENT's, oral surgeons, etc. And they keep confusing my condition with pain, or hearing loss. I have neither, it's just a loud noise! no pain at all, unless I press firmly at the place where the tooth was extracted. I am so depressed because no one knows what I am talking about. I just want this noise to go away. Do you have any idea on what might have happened to cause this noise? Doctor: hellooo....so .you have no pain and no hearing problem....so y getting worried!!!cheer up....there is nothing to worry in this case..in my opinion.the sound can be due the joint problem...tthat might have caused excessive straining to your joint while extraction....usually some people experience pain some dont..you are lucky in that case....so its just due to excessive opening of your mouth while extraction of the tooth....it will be alright soon...have soft diet...try not to open the mouth too wide during yawning...reduce the opening....dont have too big jumbo burgers...and have soft diet for few weeks....moreover be happy and smile...it can heal everything..hope you got the rply...have a nice day!!!
| 184,203 |
Potts spine, loss of lumbar lordosis is noted, disc bulge, intervertebral foramina. Done MRI. Meaning?
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Patient: Respected sir, I came to know that i was suffering from Potts spine when i did my MRI of the lumbo- Sacral Spine on the date June 17,2013. The report of MRI test on the date june 17,2013 was:a. There is a destruction of inferior surfaceof L2 vertebral body and superiror surface of L3 vertrebal body is noted. reduced disc height of L2 vertebral body and L2-L3 disc space. Marrow signal changes noted L2-L3 vertrebal bodies which shows heterogenous low signal intensity in T1 weighted images and heterogenous high signal intensity in T2 and fat suppressed images.Similar marrow signal changes also seen in the pedicle of L2 vertrebal body. Fluid sign is seen in inter vertrebal disc. Slight posterior angulation noted L2-L3 level. Minimal pre and paravertrebal collection is noted. Approax 11.0*4.5*5.0 cm size collection seen in the right psoas muscle which display low signal intensity in T1 weighted images and high signal intensity in T2 weighted images. loss of lumbar lordosis is noted Disc buldge noted at L4-L5 and L5 S1 levels.b. All lumbar intervertebral foramina are well visualized with exiting nerves roots within superior aspects and do not show any abnormality.c. Lower part of the cord is normal. CSF space around the cord is sormal. No space occupying lesions seen.d. no para-spinal abnormilty.e. No abnormal signal changes noted in dorsal disc, vertrebal bodies and dorsal spinal cord.f. No abnormal signal changes noted in bilateral hip SI joints.IMPRESSION.a. Findings consistent with infective spondylitus and discitis. Minimal paravertrebal abscess. Large right psos abscess. Most likely tubercular pathology.After the findings of my disese, one of the head surgeon Dr. Basant Pant did my surgery and said that abot 80 ml psos abscess was taken out. Then after i was given the TB drugs followed by vit. B6 supplements. After that i was doing good and i was able to walk and sit properly even by standing. I was losing my back pain and sometimes residual pain occered. But accidently, one day i feel down on the ground and from that moment i was getting so much pain and weakness in thelegs specially in the right leg. however i was suffering from leg weakness after the operation also but after that accident it was more. So immediatel after the accident I again did my MRI test on the gate August 30,2013and the findings were:a. Destruction of lower end of L2 and upper end of L3 vertrebal bodies. Reduced disc space with slight posterior angulation noted. marrow signal changes noted at L2, L3 and L4 vertebral bodies and L2-L3 disc which shows heterogenous high signal intensity in T2 and fat suppressed images and heterogenous iso signal intensity in T1weighted images. Similar signal with compromised central spinal canal is seen. Approax. 4.0*3.5*2.5 cm size collection seen in right psos abscess.b. All lumber intervertebal foramina are well visualized with exiting nerve roots within superior aspect and do not show any abnormality.c. Lower part of the cord is normal. CSF space around the cord is normal. No space occupying lesions seen.d. No para-spinal abnormalityIMPRESSION:a.Findings suggestive of tubercular spondylitis with discitis involving L2, L3 and L4 level vertebral bodies and L2-L3 disc. Compromised central spinal canal at L2-L3 level.b. Minimal, pre, para and epidural collection with right psos abscess.Through this report doc said that there was no any defect in the bones and nerves roots due to the accidentand the remaing psos abscess will be eliminated by the TB drugs and after that i was given supportive sticks to walk. Now i m walking with the help of that stick and now i am mainly suffering from my legs. my legs arent getting power but i have lose my back pain while standing and walking. So doctor I have so many question regarding to these diseases but I want to know that when:My back pain goes out totalyy and will psos abcess will be eliminated by TB drugs?When i will be cured? is this curable or not regarding to my condition?Am I in serious condition? Doctor: Hi,Thank you for posting your query.Your MRI spine reports are favouring a diagnosis of tuberculosis (TB) affecting the spine (lower back bone) and surrounding tissues. In addition, an abscess (collection of pus) was also found in the hip muscle. The diagnosis would have got confirmed after the operation and pus culture and sensitivity.The abscess has been drained and you are on anti-TB drugs. Generally, treatment is required for at least 18 months and sometimes longer. Most people recover well with treatment.Regarding the weakness of legs, we need to check whether the leg nerves have also got affected. Please consult a neurologist, who would examine you and may do nerve conduction studies to confirm that. Physiotherapy should also be done.I hope it helps.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Apollo Hospitals, Hyderabad
| 149,173 |
Suggest treatment for hematospermia
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Patient: My husband 56 years old. Have BEP but I can not remember the exact size. PSA was 20 ng, 6 months back. At that time he had LUTI. Enterococcus 10 to the power 5. Now PSA is 4 ng. He now developed hematospermea. Still have burning sensation during micturation. TRUS finding: inhomogeneous echotexture with calcification. What to do now? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Your husband might be suffering from chronic prostatitis. Nothing to worry about. I would suggest you to visit the urologist for the treatment of chronic prostatitis which would resolve hematospermia as well. Hope I have answered your query. Let me know if I can assist you further.
| 195,598 |
What is the cause of numbness?
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Patient: started about a month ago having what felt like lock jaw off and on with ear pain. yesterday fell asleep for about 15 minutes. when i woke up my legs, feet and butt muscles were numb like they were asleep but it has been over 24 hrs and they are still numb. i can still walk but not well. legs feel like jello. i feel ok otherwise. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that your symptoms could be related to an infection. The ear pain and jaw lock are closely related to each other, caused by an inner ear infection or inflammation. The symptoms in your lower limbs could be related to a spinal disc displacement or arthritis. Do you have troubles with urination? What about walking with closed eyes? This could indicate possible lumbar spine compression (by a bulging disc or any other lesion). I would recommend consulting with your attending physician for a careful physical exam and some tests: - a lumbar spine X ray study- a complete blood count and inflammation tests (PCR, sedimentation rate)- blood electrolytes. Further tests may be necessary, especially in case of abnormal physical examination. Hope to have been helpful!Kind regards, Dr. Aida
| 143,505 |
What causes large quarter size bruise with white center pea size lump?
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Patient: Daughter has large quarter size bruise for a weak now with white center pea size lump. She's say she fell on the wooden swing outside, but she's 5yrs old. Is this common in a typical bruise? Or should I be worried about spider bit? Found a spider in home the other day. Thanks you! Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 172,712 |
Reddish raised bumps on the hip spreading to the back. Pet getting treated for fleas. any connection?
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Patient: few days ago, I noticed a small red raised bump on my hip. It constantly itched and as a few days passed, I didn t realize I had begun to start itching all over. Last night and today, I realized the small raised bumps had spread from my left hip around my back to the top of my buttocks , all the way around to the right hip, and on the insides of my groin area. today the inside of my left knee got a bump. My belly button has welts in it too. These bumps look like mosquito bites - they are not dry, scaly, flaky or blisters. They are just raised itchy bumps that seem to be spreading. My boyfriend is experiencing the same thing. Our dog is treated with flea medicine and I have checked him for fleas and did not find any. I also check our mattress inseams for bed bugs. They seem to get worse overnight. Doctor: Hi, you are having papular urticaria, also known as lichen urticatus.. It is hypersensitive reaction to insect bite. I think , it may be due to flea in your case. Keep yourself away from insects. Take anti histaminics till itch is relieved. Take steroids in tappering dose for 3 to 4 weeks. Apply calamine lotion. You may take antibiotics for one week. Avoid stress and anxiety. Take bath without soap. You may add dettol in bath water... I hope you will get benefit..
| 15,872 |
What causes chest discomfort after taking a hot shower?
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Patient: When I take a hot shower and drink some hot drink i feel like someone is squeezing my heart. I used to, when i am in hot spring, have similar feeling but it s focus on the front instead of all around my heart. Moreover when I walk for about 4=5 min my left shoulder bone and rib start to hurt like a sharp pain. And my heart would feel pressured and yave a null ache. My school nurses checked my heart beat , blood pressure, blood sugar level, nothing out of the ordinary. I just turn 18, and started my vegetarian diet for 4 month and my family have anaemia. Whould it just be i haven t have enough iron intake? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. There is a possibility gastritis and reflux disease in you. Do you also have upper abdominal pain, nausea, bloating, burping, increase in pain on food, sour water feeling in throat or chest burning, these are the other symptoms and may be associated. You should avoid fatty, oily and spicy diet. Have some walk after having food instead of taking rest. Have multiple small meals instead of heavy meals. Have regular sleep habits and avoid stress. Lots of green leafy vegetables, fruits. Avoid smoking and alcohol if any. You can get prescribed tab Pan DSR 40 mg or esomiprazole domperidone combination beforebreakfast once a day for 2 weeks. Hope this helps you and get back if you have any doubts.
| 18,457 |
What is the treatment for anemia disorder?
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Patient: I successfully completed the HCG diet 6 weeks ago and have followed the maintenance program and have been rigorously working out. However, I have anemia disorder that comes and goes and is back with a vengeance. I have been weak and faint for 3 days now. Although replenishing my body with iron enriched foods I am still feeling not myself. Could the HCG have affected me that bad? How do I quickly build up my hemoglobin? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have iron deficiency anemia. You should take oral or injectable iron therapy. You should take iron rich food like dates, dryfruits, jeggary, green leafy vegetables etc. Consult your doctor and start treament accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 115,858 |
Suggest remedy for loose motions in infants
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Patient: Hi My daughter is 13 months old and we just traveled from India to USA on Saturday and today i started giving her organic milk she was on formula till yesterday.Now loss motions started since then . Since morning she has 5 motions till now.Please advice Doctor: Change of feed can cause diarrhoea which is normal and nothing to worry and also u had travelled from India so take care to rehydrate the child and don't let the child go into dehydration which is a dangerous complication stop organic milk for now and continue formula feeds use probitics and ORS oral rehydration solution WALYTE P should be fine in 2- 3 days
| 178,440 |
How can swelling and red rashes on the forehead and scalp be treated?
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Patient: Hi there , Im a massage therapist and health care provider like yourself. Last night around 5pm I noticed swollen type rashes red, splotches along the forehead & scalp. Not sure if its a spider or mosquito but we used bactine the first night , Nothing happened. Now i bought cortisone-10 ultra moisturizer & 1/2 a Benadryl.... Im keeping my eye on it but it looks as though it s spreading to the eye. Any suggestions? Thank you so much Doctor: Hi, If Benadryl is not working, take antihistamines like Allegra (Fexofenadine) or Levocetirizine. Take antifungals orally and apply antifungal creams or gels like Ketoconazole (Nizoral). It should get well if it is caused by insect bite. But if it is spreads, it could be Seborrheic dermatitis. See a Dermatologist, get physically examined. You may have to take a skin biopsy, to rule out chances of dermatitis. In the meantime wash your scalp with Selsun Blue or Pyrithione Zinc (Head and shoulders) shampoo. You can apply Clobetasol (Clobex) to the scalp and the affected area. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Nupur K, General & Family Physician
| 13,357 |
Can strong smell of bleach have any effect on a newborn baby?
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Patient: Hi, I realised today that we have a spot of black mould on the wall near the window in the bedroom where we and our 4 week old baby sleep. I cleaned it with bleach cleaner today and now the whole rooms smells strongly of bleach and I m worried about putting my baby to sleep in the room tonight. Should I be concerned for her or our health? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It has been tested in research that exposure of smell of bleach may lead to many respiratory illness in children. However, it hold true for frequent exposures. It doesn't matter in 1-2 bleaches. So, its perfectly fine and you need not to worry. However, for future I suggests sticking to soap and warm water as opposed to bleach, as it may often do the trick just as well. For scrubbing floors or sinks, use baking soda to really get the gritty dirt out of the cracks. And vinegar mixed with water is a good glass cleaner. Hope it answers your question. Good luck. Enjoy parenthood. Vaccinate your baby for preventable diseases.
| 162,884 |
When is pregnancy advisable after miscarriage and administering MTP kit?
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Patient: Dear Dr, my wife had a miscarriage with 5 weeks pregnancy, we got confirmed it in 7th week, she was on inj Corion 2000 i.u every alternate day since one week, tab lupigest 200mg b.i.d, so our Dr has given us MTP kit.my query is for how many months we have to wait for next one to conceive after use of this kit. Doctor: Hi, you can wait for 3 months before conceiving again. Do a thyroid profile done just to rule out any thyroid problem as it also leads to abortions. Hope I have answered your question. If you have any other query I will be happy to help.Regards Dr khushboo
| 1,797 |
Can a 36 year old woman have a normal pregnancy?
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Patient: I am 36 next month and had an ectopic in feb of this year ( surgery , but tube saved). I also miscarried at 5 weeks ( just a couple of days ago). I have a ten year old daughter from previous relationship. Is my body trying to tell me that I m too old for another pregnancy. Should I try ivf ? Doctor: Hello dear,I understand your concern.In my opinion the problem in your case is maintainence of pregnancy but not formation of embryo.Usually IVF is suggested to those who are not able to conceive naturally.But in your case the pregnancy occurred naturally both of the times but first one got terminated due to ectopic and 2nd one due to miscarriage.The cause for ectopic cannot be pinpointed but the miscarriage might be due to genetic anamolies or hormonal insufficiency like thyroid abnormalities or progesterone insufficiency,diabetes etc.So I suggest you to rule out thyroid abnormalities , diabetes etc.Also give a gap of 3 months for next conception.And start taking folic acid tablet starting one month before planning the pregnancy.And as you are 36 years get screened for Down syndrome and other anamolies by ultrasound, blood work up during early pregnancy.Nothing to worry.Untoward effects might not repeat in further pregnancy.Relax.Avoid stress.As stress also might hamper the normal hormonal balance in body leading to untoward effects.Hope this helps.Best regards...
| 220,188 |
Mild upper abdominal discomfort. Worse after eating. Reddish spots on the abdomen. Any thoughts?
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Patient: I have had mild upper abdominal discomfort for around 6 months. It is mainly based around the upper right abdomen, although sometimes also on the upper left. Can sometimes be worse after eating or when first waking. I have noticed today around 5 or 6 pinprick red dots scattered across both sides of my upper abdomen. Any thoughts? Doctor: Hi ! You have not mentioned anything about your dietary and bowel habits. If you frequently eat from outside, it could be some kind of creeping infection of the intestines and stomach which is causing trouble for you. Amoebiasis is very common and this can give rise to hyper acidity and pain in the stomach. Hyperacidity can also occur more in empty stomach in the early morning hours. However, the site of the pain in your case is right upper abdomen and sometimes on the left also. Right side upper abdominal pain could be due to gall stones with inflammation of the gall bladder, which may inflame the pancreas with pain in the middle and left side of upper abdomen. The pinprick red dots scattered across your upper abdomen could occur due to a variety of pancreatitis. These are all the possibilities as per your history. However, I will suggest you to get yourself examined by your family physician who may advise you for undergoing an ultrasound abdomen, serum amylase and lipase estimation and some other tests as need be. Wishing you an early recovery.
| 93,438 |
What causes heavy knee, tight kneecap ,pain in hip after knee replacement?
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Patient: I had knee replacement one year ago..the alignment has never felt right. Me knee feels heavy and though I have exceptional range of motion, I have to almost work to swing the leg to walk. The kneecap always feels tight as though someone is holding it and trying to pull it off.My foot is not straight when I walk, it is pointed outward. I now have extreme pain in my hip. What do you think this is. My right knee was replaced prior to this one by the same surgeon, but with a different implant. It is a work of art. Doctor: Hi.The knee may be taking time to adjust to the hip replacement, granted it has been almost a year. Sometimes it may never feel the same way it did prior to surgery, and if at all the complaints persisit we also go ahead and redo the whole surgery on request by the patient. But you can still go for an MRI of the hip and knee joint so your doctor can decide what can be done to help you.Best wishes.
| 135,157 |
Is it safe to take Hydrochlorothiazide while suffering from atrial fibrillation?
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Patient: Hello! My husband had a hip replacement 1week ago. E just spent 5 hrs in ER were her was diagnosed with A-Fib & had a cardiovert. It was successful. Now having seen his regular physician not his Cardiologist he was recommended to take HCTZ for swelling. Should he be wary of taking that? Doctor: Hi, Hydrochlorothiazide may cause electrolyte imbalance lead to aggregation of atrial fibrillation in few patients. But no problem under your physician supervision you may take Hydrochlorothiazide. Also check for other possibilities for atrial fibrillation like Hyperhyroidism or Abetrent conduction or heart failure or mitral stenosis, etc. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
| 17,982 |
What caused sudden vertigo, mosquito bite marks and dizziness?
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Patient: We visited Peru. 10th-21st of feb. My husband had a bout of vertigo. He had never Never had before. He had several mosquito bites. Even after our return to the US He continues to be dizzy, usually in the mornings. He has had issues with sugar And bp as ell. Takes meds for bp and cholesterol. Whst should e do? Doctor: HiThanks for using healthcare magicVertigo or anxiety symptoms may be due to deranged blood sugar level. First check, whether his sugar level or blood pressure is normal or not. If it is not normal, then these symptoms may be due to Jet lag, just give him low dose sleeping pills, he would be alright.Thanks
| 210,693 |
What treatment is suggested for prostatomegaly gr-II?
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Patient: the ultrasound reports that I've prostatomegaly gr-II with calcification +.The X-Ray and the urine is normal.. The frequency of my short toilet going has slightly increased though not severe. I dont feel pain and there don't seem to be any kind of infection. At present I'm consulting general surgeon. So far, I've not got a date with him to show the reports. What line of treatment should I go Sir. Doctor: If the symptoms are not severe and no recurrent infection conservative treatment is recommended. Tab tamsulosin or its congener with a combination of dutasteride is recommended once at night dosage. However I will recommend you to get for once your PSA (prostate specific antigen) done, though the probability of it coming abnormal is lessRegards
| 27,682 |
What causes painful fit of coughing while cooking liver?
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Patient: was cooking liver for dinner and the smell made me start coughing, it was not burning there was little or no smoke, it felt deep in my lungs and was painful. never had this reaction before I like live and have cooked it many many times before. guess I just want to know what caused this type of reaction? Doctor: Hi thanks for using Healthcaremagic ...The cough developed could be due to reactive airway.Any irritation in the respiratory tree can cause Bronchospasm (construction of small airways)Cough is the first sign of airway irritation .Sometimes it will be relieved by its own or will have to give some inhalers.Anti-allergic tablets can help in this situation....Some of the ingredients must have caused the irritation....Next time try to wear a mask while preparing the food.....thank you....
| 99,941 |
Any suggestion for having mild leukocytosis wbc count?
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Patient: hi i just got a blood report of mine, it says Microcytic/hypochromic with moderate degree of Anisopoikilocytosis with few elliptical cells and ovalocytes are present(mcv-63). just wanted to know is it okay or need to be careful. and my WBC count says Mild Leucocytosis. can you please guide me.as Doctor: Above feature are of iron deficiency anemia. So just ensure youe serum iron level. And take iron rich food like jeggary green leafy vegetables dry fruits dates etc. And if needed then go for oral iron tablets. mild leukocytosis is not worrisome. it just mild infection simetimes. But no need to worry it will come back to normal.
| 118,031 |
What causes painful, raised spots on right knee?
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Patient: right knee has red raised spots and its been there for about 4 years and sometime my knee hurts if I try to run.WHen I was in the army I landed wierd off a truck onto the trailer hitch and could hear a pop in my knee.I never did fall I just landed wrong. Doctor: Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion we need to be sure what youare talking about, and for that your examination and investigations are must, with the details you have forwarded, its hard to undestand your symptoms and suggest any protocol.
| 139,032 |
How to confirm date of conception during pregnancy?
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Patient: My daughter had an ultra sound on May 3rd that said she was 9 weeks pregnant. I also found out ( to my heartbreak) that she had sex with one boy on/around March the 6th and another boy on March the 20th. Based on her ultra sound is there a greater chance on which one would most likely be the father? The 9 weeks pregnant/7 weeks gestation has me confused Doctor: hi there, I will suggest you the best possible treatment options.As you might be aware that in a woman with regular cycle, ovulation takes place around day 14 if the cycle.As per USG, she must have ovulated around 10th March. So the first unprotected sex activity,might be the most possible chance of her getting pregnant.I hope this answer helps you.Thanks.Dr. Purushottam Neurgankar
| 5 |
Can i eat a cheeseburger after the crown sets?
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Patient: OK so I just recemented the crown on my front maxillary incisor. (the tooth that was holding it in place broke, so I'm getting a implant put in on thursday.) Do you think, after the crown sets for an hour, I'll be able to eat a cheeseburger? That's all I really care about right now. Doctor: Hi, Here is Dr. Priyanka tiwari answering your query , As per your query , dont worry, yes you can eat chesseburger after one hour after recementation of crown . Hope I answered your query , Wishing you good health.
| 187,388 |
Suffering with cervical and thoracic disc herniation, neural foramina stenosis, shoulder blade osteophyte formation with a ridge, have arm weakness and numbness with neck pain, advised cervical discectomy. Suggestion?
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Patient: Im43YEARS young and have been diagnosed with cervical and thoraic disc herniatios and neural foramina stnenosis also i ond left shoulder blade osteophyte formation with a ridge. I get left arm weakness ,NUMBNESS and severe pain in neck down my arm. I received 8 epidurals between the neck and thoraic spine with temporary relieve.Im in physical therapy which only provides relief right after they do it. my doc want to do a cervical discetomy is that now the best way to go Doctor: Dear friend , if conservative measures are not helping, modern spinal microdiscectomies come to help. If an expert is advising surgery, then in good surgical hands, at good high turnover centres, discectomies could help, esp. if you have distressing neuro signs. I am not a spine surgeon. but looking at the results of surgeries at our centre, I think they should help you. I would advise you to go by your specialist's suggestion. thanks for being at HCM and hope to keep posted on your progress. good luck.
| 151,550 |
Could delayed period be a sign of pregnancy?
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Patient: Hi.. A friend of mine had intercourse on 16 th n within an hour she had that pill.. Her mensturation was supposed to start on 18 th bt its 19 th n it has not started.. Do you think she is pregnant m can she take a pregnancy test after 3 days of intercourse?? Doctor: Hello dearI understand your concernYour period is delayed due to emergency contraceptive pill.Pill contain high progesterone and cause prolongation of second phase of the cycle.So it may cause delayed in period by 1 to 2 week.There is very less chance of the pregnancy as you took pill with in one hour of sex. It is highly effective in preventing the pregnancy. It has just 0-4% failure rate.So wait for the period to come.If period will delay by more than 2 weeks then go for urine pregnancy test and or blood HCG test to confirm the pregnancy by consulting the gynecologist.Meanwhile avoid stress, take healthy diet, drink plenty of water and do regular exercise.Hope this may help youContact further if follow up needed.Best regardsDr. Sagar
| 3,138 |
Should i tell the doctor about the unprotected sex that wwe had ?
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Patient: since the 17th that the comdon broke and when i go to my doc(the 24th of this month) to check down there should i tell her about what happen with the comdon? and could she send me to get blood test done to see if i am prego? or is it to eaier for even a blood test to see if i am????? Doctor: HI Welcome to Healthcaremagic Forum No she cannot make out if ur pregnant or not. Its too early. Only after u miss ur period, then you do the urine pregnancy test to confirm. Please mention ur last menses date, as pregnancy can occur only if you had sex in the fertile/unsafe days. Takecare
| 6,751 |
What causes anxiety and increase in appetite?
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Patient: Hello doctor. My name is jimmi and im a 23 year old male who doesnt smoke and rarely drinks. About a year ago I started feeling anxious about going out and eating out. I feel extremely sick to the point sometimes I vomit. I have no idea why. Lately I have been getting it more often and get this feeling in my cheeks similar to when I blow up balloons. I m nervous to go to a doctor and don t really like talking about it. Any help you prove will be much appreciated. Thankyou for your time Doctor: Hello,Your symptoms are suggestive of anxiety and panic attacks (when you become excessively sick and feel like throwing).I have seen venalafaxine showing good response in similar cases. Starting with 37.5mg and building upto to 225mg; increasing by 37.5mg every week or two weeks till there is sufficinet response. The drug is fast acting and effective. Usually response starts to comes in 3-5days in most patients.You may also take etizolaam 0.5mg under scene of extreme anxiety.Dont worry and start the meds, you may discuss these with your doctor. You will surely get better.Wish you good luck Dr. M. GopalMD neuropsychiatry
| 208,401 |
Is it possible to extend the life of cancer patient by chemotherapy?
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Patient: Hi sir Is it possible to extend the life of the patient by Chemotherapy. The case is that the patient started off with throat cancer and has been treated with radiation therapy for about 2 months and now the doctors say she does not have much time.If we go by chemo then they say that then also you can have one year not more than that but i have seen cases who have lived long even having cancer i understand that it cannot be cured completely butt can we extend a patient's life.pls suggest Doctor: Hi,Thanks for writing in.Cancer is a challenging condition and difficult to treat in some patients. The treatment response depends on the stage of cancer and grade of cells in the cancer area. Throat cancer has slightly better prospects and extended survival in early stages. It is important to know what stage the patient is having.Radiation therapy is given to shrink the cancer tissue. After the cancer is reduced then chemotherapy is given. In stage 4 cancer the survival is up to 2 years in many patients but might be less if there is airway infiltration and spread to adjacent structures. The patient usually dies because they cannot eat and the airway is also involved. With chemotherapy attempts can be made to reduce the cancer and this also require attention to the general health of the patient to avoid nutritional deficiencies. Please do not worry.
| 153,788 |
What causes green vomiting when suffering from pancreatic cancer?
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Patient: my dad was diagnosed with stage 4 pancreatic cancer in march his first 2 sessions of quemo went good no vomiting or anything and he just had his third session yesterday and he spend all his night vomiting green. I am just wondering why is he vomiting green and if i need to take him to the hospital? Doctor: You need to take him to hospital as recurrent vomiting may lead to dehydration and electrolyte imbalance.The green fluid is bile secreted from liver which is being vomited.I hope it answers your query.
| 156,612 |
Itchy, painful rash on penis with swelling, STD ruled out. Could this be allergy due to new shorts?
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Patient: Hello, I am a 28 yr old male. About a week ago I developed an itchy painful rash on only my penis . I iced it to reduce the itching but it kept on. I also made sure to keep it clean and dry. Now the rash is gone but it is very swollen and painful. I know it is not an std as I am a virgin . Could it be an allergic reaction to my new running shorts with built in underwear? I have not had any changes in diet , lotions or detergents. Thank you so much for your help Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Yes it could be an allergy and you may have to take some anti histaminic drug like cetrizine to help it cure. Try keeping it clean and dry. Take some mild pain killers like paracetamol until it heals. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, or want to further details about your query, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 203,859 |
Am I taking the right treatment to conceive ?
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Patient: Hi I’m a 27 year old female. I was diagnosed with PCOS in May 2009. My Dr gave me birth control to help me regulate my period and she said that would also help dissolve the cyst in my ovaries. I was supposed to take the b/c for 6 months but decided on my own to take them longer. I stop b/c in an began TTC in June 2010 and started taking metformin 500mg 2x/day as well. I’ve had periods every month after stopping the b/c, some months just spotting others a full force period. My Dr has had me do blood work, progesterone cd21 these past two months, the last month was very low at .5 both months showing no ovulation . How accurate are the 21 day progesterone test since I’m not on a regular 28 Day cycle? Also I have begun my first round of clomid 50mg cd 5-9. I am being guided on the right track to conceive? Doctor: Hi Jasmin Welcome to HealthcareMagic. Progesterone test in your case also is quite efficient.Your doctor is following the correct mode of treatment for you.Clomid , you are taking now , increase chances of pregnancy very well.Please take the drugs as per Doctor`s advice. Take care and Good luck.
| 44,718 |
What causes slimy saliva in an oesophageal cancer patient?
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Patient: I am recovering from the side effects of treatment for esophageal cancer. My recovery has been proceeding nicely, but in recent days I have experienced slimey saliva when I eat. Ordinarily I can clear my mouth and throat within a few minutes, but today this phenomenon has persisted for hours. I am unable to eat and my throat has become quite sore from the effort to expel the slimey substance. (It looks like saliva, but it is thicker and slimier.) What is going on and what can I do? Doctor: I believe you have received radiation therapy for your cancer. Radiation often causes a decrease in production and thicker, ropy saliva. Try taking a lot of fluids. keep sipping water after a few minutes. you might want to try lime juice to stimulate salivary secretions. Also you can use an artificial salivary substitute if it doesnt help. For the sore throat, try doing warm saline gargles and take honey followed by water to wash it down.
| 156,091 |
What could heart palpitations with lightheadednes suggest?
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Patient: I have been having weird heart palputations. It doesn't feel like its as much my heart but what is going on around it. I can feel my heart beating as a strange sensation and when I drink water I can feel the water in my heart area. This was off an on for months and now doesn't seem to go away. Feels like heart is beating weird. I thought I might be having a heart attack because I was getting light headed or anxious but that could be just a kind of panic. we are on the 5th day of this any suggestions Doctor: Dear patient, Palpitations ( abnormal perception of one's own heart beat) are a dangerous sign and needs to be investigated. First and foremost, one needs to check if they are 1. Intermittent or persistent 2. Regular or irregular 3. Aggravated by physical exertion or relieved by rest.4. you also need to narrow down to heart only after ruling out thyroid disorders or severe anemia The symptoms of light headedness occur because when your heart beats rapidly it is not able to supply adequate blood to your brain and this is percieved as giddiness or can even cause transient loss of consciousness. I would strongly recommend you for an urgent ECG and a 2 D Echo followed by a physician consult. Remember, in medicine there are certain subtle signs which if picked up at the right moment can prevent a major catastrophic illness. Feel free to ask any queries or further plan after your investigations Thanks
| 19,343 |
Rashes on biceps. What are they? Can something help me with this?
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Patient: Hello Doctor, I have two questions to ask. 1) I have a reddish or pink round rash on my biceps , it tends to itch sometimes. Is it some serious symptoms which leads to any particular disease. 2) I am sorry to ask this question. But i also have rash black in color,it is surrounded by a white color substance or coating on the inner skin of my penis . Is it anything serious I am little scared. Could you please help me with this problem? What i should do to solve these problems. Doctor: .hi reddish pink rash on the biceps can be fungal infection.it is only superficial fungal infection.it does not lead to any dangerous disease.and the white colured coating on the inner side of penis can be candidiasis which is also fungal infection.it can be cured by atarax 25 mg at night,use of flucanazole 150 mg weekly once for 4 weeks.and application of onabet cream over the lesions
| 203,974 |
How to overcome symptoms like depression, moods swings, anxiety?
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Patient: HI Ive been sober for seven mths its driving me nuts. Ive tried to quit many a times but hopefully this is it... I had bad depression from drinkin as i drank every day. Now Im still having depression and up and down moods swings, anxiety. The profesionals always blamed the booze. I am really doing it hard not drinkin, plus not takin presc. valium as well. Ive plead for help as the last two mths suicial ideations. Im a strong older woman sometimes i wish I hadnt started stoppin drinkin. Mabe one wouldnt harm, but AA tells me NO NO NO. I do have PTSD... which went away when i drank cos I covered the abuse issues. thanku Doctor: HiThanks for using healthcare magicI think, your drinking habit is due to underline depression and in that case, you need proper treatment for antidepressant like paroxetine or mirtazapine. That would help to control depressive and anxiety symptoms. For alcohol, you can take valium. It would help to control withdrawal symptoms.Thanks
| 210,172 |
Suggest treatment for child suffering from nystagmus
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Patient: Hi, may I answer your health queries right now ? Please type your query here...Hello I have a 17 month old baby boy,when he was born he kept looking at bright lights, I took him to the doctor, I was noticed his both eyes kept going from side to side and up and down. The doctor confirmed he had an nystagmus. In this past month James needs to tip his head right back to be able to focus on things, though he tips his head back that far that he actually falls over. I took him back to the doctor last week, he seemed worried about him, and mention maybe surgery to reduce the problem, he said to come back on the 18th march, Last Monday I took him to a private doctor, where he told me, he has never came across anything like what he has, he said James has an nystagmus going vertically and horizontally into his eyes and he thinks an operation would be to much off a risk. The doctor said he would do as much research between now and his next appointment date. I am just very confused as to what to do with James, what do you think we should do? Thanks Doctor: nystagmus could be both horizontal or vertical.. it can be due to nerve damage partially or completely.. but .. most of the case's do become normal with surgery by 2 years of age... better consult opthalmologist and get opnion..
| 164,526 |
What causes the semen to be brown or pinkish in colour?
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Patient: hello, i am a 5'10" 145 lbs. 21 year old male and when i masturbate i finish in a cloth, for lack of a better term. lately my semen has had a brown or pinkish hew when it dries, and every so often one of my testicles (it's not always the same but more so the left) throbs. any idea what's wrong? Doctor: Hi,The color is not normal though the throbbing could be normal.It could be an infection or also be due to excessive masturbation.You should see a Urologist and get a Urine Culture and Semen culture teat done. If there is infection it will show up in that and then medicines(antibiotics) will take care of it. You need not worry about the throbbing unless there has been any injury to any testicle earlier.Take care,Dr Rishi, New Delhi, India.
| 197,989 |
Does excessive usage of asthalin cause shortness of breath?
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Patient: I am having anxiety / shortness of breath and chronic asthma. I am using two puffs of Combihale twice a day and if required I take Synasma - 400 mg per day and Montek LC. Only medicine that is effective is Montek LC and since it causes drowsiness at high dosage, I resort to asthalin quite often. I would like to know if my shortness of breath may be the cause of excessive asthalin usage. If so, how may I manage both shortness of breath and anxiety.Age: 37 Doctor: Hi,I had gone through your query and understand your concern.No,this is unlikely to cause shortness of breath in asthma patient due to excessive asthalin use since asthalin acts by dilating airways and thereby relieves breathlessness.Rather excessive use of asthalin indicates that your asthma is not under good control.For asthma management,Physicians follow step care management.If I were the treating physician,I would check the diagnosis,inhaler technique,triggers and drug compliance first.If every thing is found alright,then I would think for stepping up like increasing the dose of steroid inhaler if required and other drugs according to asthma management guideline and clinical judgement.So my opinion is :Please consult with a respiratory medicine specialist to confirm the steps of asthma control and get treated accordingly.This is how you could manage shortness of breath and anxiety as well.Hope this answers your query.Wish you good health.
| 101,653 |
What causes bad taste and odor in mouth after tooth extraction?
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Patient: I had the #21 tooth removed on Monday (1/24) and today 1/26 i am in a great deal of pain. When you look down in the hole there seems to be something black down there. I have this bad taste in my mouth and also there is a smell coming from the extraction area. I have tried ibuprofen, ice pack, and salt water to try to help, but the pain is still there. Doctor: Hello, thank you for consulting with healthcaremagic. According to your history, that if you have severe pain with still an hole in the extraction site, it looks that there might be a dry socket. Dry socket is a condition when there is traumatic extraction of the tooth then the clot of the socket get dislodges and then there will be severe pain in it. Better that once you should visit your dentist and get it treated with packs.Hope it will help you.
| 183,155 |
Does kidney infection cause right sided body pain?
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Patient: Hi my name is carri I was wondering if you have a kidney infection can this cause pain on your sides? My pain in on the right side. I have no idea what else it could be. I have heard that your lower back would hurt, but mine does not, it is just my right side. Doctor: Hello, yes pain in right side mostly in the flank region can be due to kidney. But its difficult to pinpoint on infection alone.Most commonly pain in flanks is due to kidney stones which occurs due to kidney trying to push the stone against resistance which causes the pain.I would advice you to get a USG scan of abdomen alongwith an urine routine examination which will clear whether its kidney stone or any urine infection.Thank you
| 47,879 |
How to get rid of noriday pill mediated stomach pain?
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Patient: I am taking the Noriday Pill and have been taking this now for nearly 2 months, I have noticed in the last 2 or 3 weeks that I have pains in my stomach and I am feeling really depressed, I know these are some of the side effects you experience, do you recommend I stop taking this right away? Doctor: Hi,If your cycles are regular and blood flow is normal,continue the full course of the drug for this month.Always take the drug after food in order to reduce abdominal discomfort. In case of severe pain even after taking the drug after food,kindly visit your doctor for further evaluation.Hope I have answered your query. Let me know if I can assist you further. Take care.RegardsDr.Saranya Ramadoss, General and Family Physician
| 84,932 |
Need suggestions for treatment after being suffered from mild heart attack
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Patient: father is 87 suffered mild heart attack two weeks ago. heart is functioning at 15 per cent, kidneys are producing very small amounts of urine. so they are failing. he is on oxygen at around 8 per cent. not eating drinking very little. How long can we expect hime to have to hang on thru all of this. thankyou Doctor: Greetings! Thank you for your question and welcome to HCM. I understand your concern. I am assuming he had a major heart attack, or at least, a prior heart attack and a second, mild, heart attack happened now. A heart functioning at 15% is accompanied with a poor prognosis. This means that heart pumps only 15% of its content, and this is not sufficient to provide enough oxygen and nutrient supply to the end-organs. Kidney is suffering from this phenomenon, because, as a compensatory mechanism, the organism "sacrifices" other organ supply to keep the brain going. Also, the pressures in the pulmonary circulation will be very high, since the pulmonary veins cannot drain their blood supply to the left heart chambers, because of the high content of blood in the heart, which is already there (the remaining 85%). This can easily produce life-threatening situations, such as pulmonary oedema. At this point, all the measures to prolong his life are mandatory, such as careful adhering to the treatment, which should include, among others, two diuretics, oxygen and an angiotensinogen converting enzyme; totally withhold salt from the diet, and confine to only minimal ambulations within the house, to perform necessary duties. I hope I was helpful with my answer. Regards, Dr. Meriton
| 26,520 |
What does a hard lump on the collar bone indicate?
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Patient: Hello, I discovered a hard lump on my left collarbone a month ago. It is now big enough that you can visually see it. I also feel like my throat is swelling or getting smaller. I was diagnosed with Rhumatoid Arthritis 5 years ago and have been in Enbrel ever since. I'm obviously worried about lymphoma. I don't have any other strange symptoms..I'm a 50 year old female. Doctor: Hi, In most cases this is just a swollen lymph node which doesn't require any specific treatment. Also, considering your description this may be some other benign subcutaneous lesion such as lipoma, fibroma or atheroma and if there are no skin changes such as redness, pus discharge or pain and fever then you should not be worried since it can be easily surgically removed under local anesthesia. Then it there are doubts it can be sent to the patohistologic analysis. Hope I have answered your query. Let me know if I can assist you further.
| 60,788 |
What does my sperm analysis report indicate?
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Patient: Hello dr my husband sperm in recent report 0.1 million non mortile 95 % i am very upset what can i do my family dr recomend us to oprate scortum due to some reason but after 6 month report still same plz dr help us we have been merried since2007 approximatly 8 years but no singal pregnancy Doctor: Thanks for contacting HCMI am sorry to see that your husband is unable to have enough sperm to cause pregnancy. To help him improve his sperm counts he can stop any alcohol. He can also get a testosterone level but other than that there is not much that can be done.Hope this answers your question. Please contact us again with your health care concerns and questions
| 201,419 |
What causes enlarged liver with bulky anteverted uterus?
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Patient: Liver is moderately enlarged in size and homogeneous increased echotexture with regular margins. No focal lesion seen. No intra or extra hepatic biliary dilatation identified. CBD measures 1.4mm.Portal vein measures 11 mm. Gall bladder appears normal. No calculus or mass lesion seen. Normal wall thickness. Normal pancreas . Spleen shows normal echotexture and is of normal size measuring 103.6 mm. Both kidneys show normal size, shape and echogenicity with intact corticomedullary differentiation. No calculus, mass or hydronephrosis seen on either side. Right kidney measures 114 mm in length with parenchymal thickness of 20 mm and left kidney measures 115.6 mm in length with parenchymal thickness of 22 mm. No free fluid or para-aortic lymphadenopathy noted. Uterus is anteverted and bulky in size. Uterus measures 109 x 48 x 52.3 mm. Hypoechoic mass seen in the anterior wall of the myometrium at fundal region slightly exophytic measuring about the 32.2 x21.7mm suggestive of intramural fibroid .Endometrium appears normal. Endometrial thickness measures 4mm. Both ovaries are normal in size. No mass or cyst seen in either ovary. Right ovary measures 22 X 7.6 mm and left ovary measures 23.4X 8 mm. No definite adnexal abnormality seen. No free fluid seen in cul-de-sac. Urinary bladder appears unremarkable. IMPRESSION: Moderate hepatomegaly with moderate fatty infiltration of liver however margins are smooth and no focal intrahepatic mass lesion seen. Bulky anteverted uterus with anterior wall intramural fibroid slightly exophytic as mentioned above. No other abdominal or pelvic pathology seen. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Usually, liver enlargement may indicate some types of hepatitis or fatty liver diseases and in most cases it doesn’t require any specific treatment. If this is caused by diet, obesity, and diabetes then dietary and lifestyle changes will be beneficial in every case. Alcohol and viral hepatitis are most common causes and in this case, medical evaluation is required.Also, if there is infectious disease or biliary duct disorders then you need to do some tests to rule out more serious issues which require specific medical treatment. You need to check your viral markers and do liver biopsy if necessary.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Ivan R. Rommstein
| 52,935 |
What cause pain in stomach and feels like a poke?
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Patient: Im 13years old 6ft tall and about 7stones.. when im laying down on my stomach it is painful and feels like a poke. I had unprotected sex 4months ago and my period was late until june the 2nd 2012. but my period only lasted 2days. could i be pregnant and my breasts are not sore. Doctor: Hello. Thank you for posting your query. You have mentioned in your history that you had unprotected sex 4 months ago, following which you had delayed period, but it did come. That rules out pregnancy. So do not be worried about pregnancy as of now.So the pain in the abdomen can be due to a lot of causes, can be due to gastritis, renal stones, e.t.c It is better to get an ultrasound whole abdomen, to know if something is wrong. Moreover you're also having delayed period which can be a sign of PCOS ( it is just a possibility and I am not saying you have it ).I will advise you better get an Ultrasound- Whole Abdomen done soon.Once you have the reports you can revert back to us. Regards
| 90,306 |
Knot on knee after fall, painful, venous insufficiency, edema
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Patient: I fell out of bed 10 days ago. A large red and blue knot formed within 30 minutes from the fall. The knot is located below the right knee in the center of the upper shin about 2 inches below the knee.This wound is very painful even at rest. I am not able to tolerate long pants on this wound. It throbs and has sharp shooting pain. There are no aches. Also in the right leg there exist the following; 1.Venous insufficiency- The skin on the leg tears easily and even a slight bump breaks the skin and is excruciating 2. Radicular neuropathy from spinal fusion 15 years ago. There is a strong pain produced when mildly pushing my index finger anywhere along the outer thigh, the inner thigh, the inside part of the knee and along the inside of the right calf to the inner right ankle.3. I have severe pain in my big toe on the right foot and occasionally on the bottom of the middle toes. 4. I already had edema as well from the knee through the foot. 5. I had plantar fasciosis in the right foot 2 years ago and have noticed a similar pain in the same foot since the fall. 6. The entire right knee is artificial having been replaced in August 2006. 7.The left knee requires replacement. 8. I am concerned about a clot forming in the wound/ knot, though ordinarily that would not be an issue. I can barely move my leg. I regularly elevate my feet to reduce swelling. I cannot bear my full weight on the right leg. 9. I was seen by a vascular surgeon in early 2012. He confirmed the bilateral diagnosis of the vascular issues. I had the leg x-rayed the day of the fall. Nothing was broken. I know it takes me a long time to heal, but this knot makes walking more painful than usual. Doctor: HelloThanks for the queryFollowing trauma you have developed hematoma ( collection of blood in tissues). X ray has been done and it is normal. This hematoma has no relation with your artificial knee, venous insufficiency or plantar fascitis. Hematoma usually takes one to two week to resolve.All you need is bed rest, some antiinflammatory drug with pain killer and may be clot dissolving heparin containing ointment .I will suggest you to consult a doctor for proper clinical examination and treatment.Regards
| 118,697 |
Routine test showed high SGPT levels. Suggestions for medicine and diet?
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Patient: Hi doctor, I go through medical fitness for recruitment , so in that they found my all other test are normal but only my SGPT levet is high , its around 120. So what is the reason behind only elevated SGPT. How can i bring down it to normal level in 3 to 4 days,because i have only this 3 to 4 days with me... please suggest some medicine and diet Doctor: hi thank for your query Liver function tests such as SGPT, SGOT, serum alkaline phosphatase, globulin and albumin are few of the markers of the liver function and its ailments. SGPT and SGOT are the most important enzymes of the liver parenchymal cells. They are in large numbers in the liver. These enzymes are released in the blood when the liver cells get damaged. You will have to get further investigation done such as test for hepatitis C, B, and E. Also get a sonography of the abdomen done
| 59,529 |
Dark brownish pigmentation on lower breast fold. Not acanthosis nigricans, PCOS related. What is it?
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Patient: Hi I have a slightly dark brownish pigmentation of only one of my breast. It is around the lower fold, hasn't changed color or consistency, seems like lines and dots, doesn't itch or pain. I m 25, Indian subcontinent region, healthy, no previous health histories other than appendectomy. It is not acanthosis nigricans or PCOS related. Doesn't seem like a fungal or any infection. It as been there for about a month now. No trauma to the region as well. Doctor: Hi,Thanks for writing to us.Certain areas over body like groins, underarms, infra mammary areas( areas beneath breast) are prone to pigmentation due to friction, trapped sweat and thriving of fungus bacteria etc. So chances are the pigmentation in your case is due to friction. abut definitely other conditions like acanthosis, fungal infection should be ruled out. If it's just pigmentation, application of hydroquinone cream once daily would help resolve it.Hope this helped.Take care.
| 11,661 |
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