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What causes increase in the BP level while on Clofazimine?
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Patient: My patient is on a Medes called clofazimine since she started taking the pill yesterday I noticed an increase in her blood pressure which just read 184/105. I tried to convince her to go to the emergency but she insist on laying down and think it will go down, she has taken 1 clonidine tab what is my next step. Doctor: HIWell come to HCMI really appreciate your, the given reading of blood pressure is not due to the medicine taken by patient neither it is the emergency but better to monitor the pressure for few days, and in absence of clinical symptoms no needs to worry, neither it is like to see the ER hope this information helps.
| 20,866 |
White pigmentation on body. Having dry skin. Why is this happening?
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Patient: I am having small dots like white pigmentation on my body.Earliar only 3-4 were there.Now their number has been incresed.Why is this happening? I am 51 years old,no other health problems so far,my body weight is 61 kg.,height 5 feet 4 inches.Not having junk & outside food.Having home cooked simple vegetarian diet including lots of vegetables & fruits.I do have dry skin needs to moisture it regularly.Please answer. Doctor: Hi, it appears to be the viteligo, spreading there is treatment, but it is a long time treatment. I advise you to consult a dermatologist for diagnosis and treatment. If you are anxious you can approach our ask a doctor pannel where you can have a direct approach to the specialist. Thank you.
| 11,640 |
Suggest treatment for stage 4 bone cancer
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Patient: My grandfather was just diagnosed with bone cancer stage 4. It has metastasized and is in his lungs and everywhere else. He is to weak to do radiation therapy so I have been researching holistic cancer killers. What do you think about holistic approach to help get rid of the cancer. The Dr can offer nothing more to do so what do we have to lose? Doctor: Hi, dearI have gone through your question. I can understand your concern. He has bone cancer with metastasis. It is stage 4 cancer. Surgery is not possible. Radiotherapy he can not tolerate. So no any options are there. Even if he take any treatment prognosis remains poor. No medicine or no holistic approach will help him. So no any treatment needed. 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.
| 154,667 |
How to treat swollen injured pinky?
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Patient: Hi, My 9 year old daughter was in gym yesterday and apparently landed on her left pinkie bending it back. Swollen last night and bruised knukle. Also noticed bruising on inside botten of finger & between next finger. Can only bend halfway and says hurts to move torward finger next to it. Doctor: Hi, Get the X-ray done to rule out any fracture. Till then apply ice pack, give over the counter painkillers and apply diclofenac gel. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
| 120,359 |
Can 70% artery blockage be managed with medications and life style correction?
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Patient: My wife had a severe chest pain last week. She was immediately attended by doctor and was kept under observation in ICCU for 4 days. She was administered ELXIM injection . Now she is diagonised to be having one artery 70% blocked . Attending doctors suggeste that stent is not must and it can be managed by medicines and proper healthcare. Can you please advise what to do under the circumstances. Doctor: Welcome and thank you for asking on HCM!I have gone through your question. As your wife was given Elaxim injectionshe probably had acute MI (heart attack). She needs to take medicinesregularly (no doubt) and probably stenting too. she stands a risk of havinganother heart attack in the next one year. She needs to be very carefuland very compliant with medicines for the next one year .Hope to have been helpful!Wishing good health, Dr D Sunil Reddy
| 20,163 |
What are the side effects of r-cinex and combutol
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Patient: i have got pneumonia 4 years ago & hospitalized take azithromycin injection and other medicines but i could not feel better & got fever frequently and doctor prescribe r-cinex 350 400,combutol 800 for 6 months & i feel better & cured. But now i have allergi & bronchitis . What are the side effects of these medicines? Allergi and bronchitis are the side effects of earlier treatment? Doctor: Hello,The treatment consists in treating the tuberculosis. Allergy and bronchitis are not side effects of the medications. Common side effects of the medications that you are using are nausea/vomiting, upset stomach, heartburn or headache.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 85,247 |
What causes a vibrating buzzing under the rib?
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Patient: I am looking for a Neurologist , I have a viberating buzzing from just under my rib cage to just above my hip on both sides of my toreso. this comes and goes at will. I went through initail test with GP/MD and he is refering me to a Neurologist and a GI doctor. I am in search of Neurologist . Doctor: Hello!Welcome on Healthcaremagic!I understand your concern and would explain that your symptoms could be related to different possible disorders: thyroid dysfunction, a pinched nerve,etc.. For this reason, I would recommend consulting with your doctor and performing some tests: - a chest X ray study- complete blood count, PCR, sedimentation rate for inflammation- thyroid hormone levels for thyroid dysfunction- a cervico-thoracic X ray study for chronic degeneration of the spine - a nerve conduction study (ENG) for any possible pinched nerve in this region. Hope you will find this answer helpful!Regards, Dr. Aida
| 142,660 |
How can itchy rashes on the skin be treated?
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Patient: HI. I am trying to determine what type of infection I have on my skin. I have developed a rash on my arms and legs. It is very itchy and sometimes oozes and is painful at times. Can you help to determine what it is and what type of treatment is needed to cure it? Also, any home remedies that I might try. Thank you. Doctor: Hi, You could have any of these: eczema/psoriasis/allergic dermatitis/tinea to name a few. Each of them has a different treatment modality. Home remedies will only give you a small and temporary relief. I suggest you visit a dermatologist and get the lesions reviewed thoroughly for appropriate treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Smruti Pevekar, Dermatologist
| 13,481 |
Does low testosterone and over masturbation cause weak erection?
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Patient: Hi, Does low testosterone cause weak erection? Does over masturbration cause weak erection?I heard some people say that a man could only shoot 5000 times of sperm. And body will only produce 14 gallons of sperm. Is this true ?I don t know why but I can t maintain my erection when masturbrate. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Masturbation do not have any adverse health or sex effects. Masturbation is natural and even animals do it. For an youngster of age group 13 to 17 masturbation everyday is normal. After that also it is normal but people get engaged in some other activities like games, education, career etc which are more engaging and energy consuming. There are people who masturbate daily even at middle adulthood. The trouble is lack of knowledge and the anxiety arising out of it. Feeling guilty will trigger anxiety.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 201,275 |
How to treat frenulum breve in uncircumcised men?
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Patient: I have a frenulum breve. I am uncircumcised and have a skin attachment between my foreskin and tip of my head. It pains a lot to try to pull my foreskin back since the head gets pulled down with it. I am going to het married in a couple of months. Please suggest a cure for this. If operation is the only way, can u please let me know how much will it cost in jndia? Waiting for your reply. Thanks a lot. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have a band of adhesion between frenulum and glans penis which pains while retracting your foreskin.Please consult qualified General surgeon or Urologist for clinical examination .You need to get t excised under local anaesthesia .This is a simple surgery done as a out patient procedure and gives permanent cure so that you can have enjoyable sexual life for forever.This should cost you not more than 3-4 thousand Indian Rupees.Dr.Patil.
| 202,972 |
Suspected CIDP. Weakness in limbs. Collected spinal fluid. Prescribed Prednisone
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Patient: Hi, very recently my husband got diagnosed as suspected CIDP . His arms and lags become very week. Doctor tapped the spine and collect the fluid, but found the protein level within normal limit. His muscles in arms become very loose, soft which is not looking normal. In the last 3 months, he fell down 3 times, which was manageable for any normal human being. I need to be sure about his health status and about the available treatment facility. Now, he has given prednisone with a high doze (60 mg/day). Doctor: Hi, Thank you for posting your query. CIDP is characterised by weakness of both arms and legs. The affected limbs feel loose and symptoms progress over time. Nerve conduction studies show evidence of demyelination (damage of nerve covering called myelin sheath). CSF analysis shows high protein. If there is any doubt in diagnosis, biopsy of the sural nerve (nerve located near ankle) is done. For proven CIDP, high dose steroids are accepted as first line treatment. Cases that do not improve with steroids may be treated with immunoglobulin injections or plasma exchange. Best wishes, Dr Sudhir Kumar MD DM (Neurology) Senior Consultant Neurologist
| 151,116 |
Suggest treatment for concentration problem
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Patient: Hi, I m Lander, I m 17 years old and in the last year of high school, I m from Brazil. The problem is I used to be really good at school, I played chess really well and could easy concentrate in a book no matter how loud people were talking next to me. Unfortunately this has changed, I m not bad at school but I don t have the best grades anymore, can t win a chess match against my computer and reading is a problem as I can t pay close atention what I m reading to. I also don t sleep really well at night but can t keep myself awake in the afternoon. Can all these sintoms be a health problem? Doctor: Hi Lander,Welcome to Healthcare Magic. Thanks for your query.I understand that you are distressed by the problems of poor concentration, sleep disturbance, etc. which are leading to reduced academic performance.Now, in your age, stress and anxiety are the most common causes of decreased concentration. You have mentioned that you are also suffering from lack of sleep, which could also be another reason for poor concentration.I would suggest the following to help you:- Try to avoid stress and overwork- Practice relaxation techniques like deep breathing, yoga, etc. regularly- Ensure that you sleep for 7 - 8 hours continuously every night.- Avoid alcohol, smoking or any other substances.If your problem is very difficult to manage, then please consult a psychiatrist for professional help.Best wishes.
| 207,552 |
What does multiple gallstones without gallbladder wall thickening suggest?
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Patient: I recently had a MRI with contrast, it reads their is bilateral lower lobe atelectasis. The liver is low-attenuation consistent with fatty infiltration.their are multiple gallstones w/out gallbladder wall thickening or pericholecystic fluid. can you please tell me what this means in words and in a way I can understand? am I ok? I also just figured out and come back to my question that I had to pay to have this answered but i dont have a credit card, so if a doc really reads this and I am in danger please e-mail meand just say so Doctor: Hello Finding suggests presence of multiple gall bladder calculi and wall of gall bladder is normal.It shows absence of acute infection.Definitive treatment of gall bladder calculus is surgical removal of gall bladder(cholecystectomy).Gall bladder calculus is prone to infection and obstruction,so it is advised to get rid of calculus early.Finding also suggests fat deposition in the liver cells and this is called as fatty liver.It is a reversible condition.You should avoid fatty food and go for brisk walk regularly.There is also atelectasis(loss of aeration)in both lower lobes of lungs.It may be due to many reasons like persistent infection,secretions etc.Take CareDr.Indu Bhushan
| 56,370 |
What causes chest pain after smoking?
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Patient: I am an 18 year old female and I woke up this morning with chest and back pains and am having trouble breathing. I went to a party last night and had 3 beers and a few cigs. I have smoked in the past but it has never been regular and I drink on average about once a month. I was wondering whats wrong and how I can make the pain go away? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of acute gastritis related chest pain is more likely. You had beers and cigarette smoking yesterday and both of these are known to cause gastritis. So take pantoprazole tablet on empty stomach twice daily. Avoid hot and spicy food. Avoid junk food. Quit smoking and alcohol forever. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,693 |
Suggest treatment for stomach pain , vomiting and back pain
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Patient: For the last 6 or so months once at most twice a month i have had severe stomach pains that make my back hurt as well as vomiting. This last for a day or so then I feel fine until the next episode. I had eaten a fair amout the first 2 times so I had thought maybe I just overate but i have sinced tried to change my eating habits and it still happns. last night i just had brown rice and today i am vomitinh again. Doctor: The symptoms you had mentioned are mostly suggestive of some gastric infection for which you can take some antibiotic preferably oflox-oz or zifi-oz after an expert advice along with cyclopam or meftal-spaz for severe stomach pain. You can take omez-d or rekool-d empty stomach half an hour before meal for vomiting. Use volidup gel for local application to reduce back pain.
| 107,628 |
Suggest remedy for sharp pain in shoulder blade
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Patient: Hi, I have been getting this sharp pain every now and then to the point where it hurts to breath. The pain is normally in my shoulder blade, but it doesn t happen often. However, I do have greyish blackish spots in my phlegm when I cough it up or even blow my nose. It s gotten to the point where sometimes phlegm will just come up on it s own in the middle of me talking, I don t have to cough or anything. This happens on a regular basis. Does anyone know what this could be? I have a Dr. Appt on Tuesday. Doctor: Hello, As per your history, it may be due muscle with. For pain you can take tablet acetaminophen. Do regular physical therapy. Apply diclofenac gel or ointment locally. Heating pads will also help. In case of not getting relief, you may require MRI back after consultation. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shyam B. Kale, General & Family Physician
| 215,346 |
Done semen analysis. Please explain
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Patient: in my semen analysis report following result is:- 1.GROSS EXAMINATION:- volume-1.5 ml color-Grey-White Reaction-Alkaline Viscosity-Normal Opacity-Normal 2.CHEMICAL EXAMINATION:- Fructose-Positive 3.MICROSCOPY:- sperm Count-90 million/cumm Motility(1 hr)-70 % Grading-15 % actively,40% moderately,15% sluggishly motile spermatozoa Pus Cells-1-2 Agglutination-Not seen 4.MORPHOLOGY:- Normal-90% Abnormal-10% Giant Heads-02% Pin Heads-02% Swollen Neck-02% Amorphous-04% Doctor: Hello, Welcome to HCM, I am Dr. Das. Firstly, the volume, color, reaction, viscosity, opacity all are within normal limit. Fructose positivity indicates a good prostatic function. Sperm count is within normal limit ( Normal is >20 million /ml as per WHO 1999). Now, motility. Though actively motile sperm is lower than normal ( normal is > 25% as per WHO 1999), but the total motile sperm is normal ( normal is >50% as per WHO1999). Morphology which is a most important point for fertility, is absolutely normal. Pus cells and others are within normal limit. So, overall, you have a normal semen analysis report. Regards.
| 43,983 |
Should I consult a doctor for severe pain in the upper arm?
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Patient: Good evening. I have been having a lot of pain in my upper arm. It feels as if a tendon or a ligament is loose. It hurts when I rotate my arm...not in the shoulder, but in the triceps. Should I see a doctor or give it a few days to see if it gets better. Thank you! Doctor: Hello, Detailed evaluation is required. As a first line management you can take analgesics like paracetamol or Aceclofenac for pain relief. You can apply ice packs for faster recovery. If symptoms persist you can consult an orthopedic and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Wishing all the best. Thank you. Regards, Dr. Shinas Hussain, General & Family Physician
| 122,601 |
What causes frequent painful burning urination and painful ejaculation?
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Patient: Since late September I have had painful, burning, and frequent urination. Have also had pain during ejaculation and have also had difficulty maintaining an erection. I have been on an antibiotic(Bactrim) for around 21 days and symptoms did get somewhat better but after about a week being off the antiobiotic the symptoms came back. Doctor: Thanks for contacting HCM with your health care questions.You are concerned about having painful urination and pain on ejaculation. Your symptoms sound like you have prostatitis and your doctor has been treating you as such with a 21 day course of Bactrim. Unfortunately prostate infections are sometimes very difficult to cure and may require an additional 4-6 weeks of a more powerful antibiotic. In my practice I will use cipro or Levaquin for 4-6 weeks to treat difficult cases of prostatitis. In summary you may have chronic prostatitis and need additional antibiotics for 4-6 weeks. Please contact you medical provider to proceed with treatmentI hope this answers your question. Please contact HCM again with any of your health care concerns
| 201,249 |
Do multiple calcified granulomas in lung indicate recurrence of TB?
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Patient: For multiple calcified granulomas in the lung, is it most likely to be old TB or would you consider other differential diagnosis?I am in my thirties and have had a recurrent productive cough since October 2010 and so had a CXR 2 weeks ago showing multiple calcified granulomas. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Calcification in lungs is suggestive of old, healed scarred lesions. You must be having tuberculosis in the past. And after treatment, it must be healed. Now healing in the lungs take place by either fibrosis or calcification or complete resolution (rarely). So calcification in current chest x ray is suggestive of healed lesion from previous tb infection. No need to worry for recurrence of tb and hence no anti TB treatment is required presently. In my opinion, you should get done PFT (pulmonary function test) to rule out bronchitis as a cause for your coughing because bronchitis is very common after lung infection like tuberculosis. So consult pulmonologist and get done PFT. Don't worry, you are not having active tb at present. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,414 |
Prescribed ornidazole for green stools and indigestion after an attack of dengue. Is it a result of having fatty liver?
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Patient: i had dengue IgM +ve 25 days back fever got controlled but till now i'm not able to digest food and the stool color is sometimes light greenish and sometimes pale yellow. scanning report- impression ---fatty liver.there after fibroscan - 4.9 kpa.medication used ofloxacicin+ornidazole 5 days (10 tabs)rifaximin 550 mg - 5 days ( 10tabs)but even after use of those medication prescribed by the doc i could not stop excreting foul smelling, yellowish stools even after 30 days of degue attack please tell about my condition Doctor: Hi friend,Welcome to Health Care MagicThe stool must be tested! – for infection, occult blood and so on.Black or green stool may mean occult bleedingIf the problem continues, you may need endoscopy, from both ends…Consult a gastroenterologistGood luckTake care Wishing all wellGod bless
| 58,057 |
What causes an itchy skin rash after starting Zarah birth control?
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Patient: I started taking Zarah birth control 7 days ago. About 4 days after starting my first pack I developed an itchy rash on my arm and stomach. Both patches are very small, but very irritating and have gradually been getting worse each day. My face and neck are also very itchy, but luckily no rash is visible. I ve never had an allegeric reaction to any form of the birth control pill until now. Should I stop taking this brand or is this just my body adjusting? I know it is suggested to stick to a birth control for at least 3 months but at this rate of irritation there s no way I will even last another week. Doctor: hello,yes,u should stop using this brand..and consult your gynecologist and use other form of birth control..thanks.
| 223,378 |
How to treat swelling and pain in knees caused by Elephantiasis?
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Patient: Hello Dr Rangadhar.... My Mother is Law is suffering from miled elephantiasis. Earlier ... 2-3 months back it was not very much problematic...but since last 2-3 months it has become really bad. She had swelling up the knees which has now gone below the knee also. It has a very severe pain. Please tell me what to do? Doctor: Thanks for you query at HCM!It is caused by filariasis which is a parasitic disease that is caused by thread-like roundworms that are spread by blood-feeding black flies and mosquitoes.It is caused by Wuchereria bancrofti, Brugia malayi, and Brugia timori.Supportive care must include prevention of secondary infection. Wash the affected area frequently, apply antiseptic creams to abrasions, keep their nails clean, wear comfortable footwear, and exercise the affected limb to aid lymphatic flow. Take bed rest, limb elevation, and compression bandages and analgaesic.She needs prescriptions drugs like di-ethycarbamezepine (DEC). Visit a local surgeon and get evaluated.Take care!
| 36,649 |
Suggest treatment for bruised calf
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Patient: HI ya i fouled a baseball off of my shin/ calf about a week ago and it bruised and hurt but a few days later it felt ok. But now a week later my calf and shin really hurt, especially when i lay down for long periods of time, it feels heavy and sore. How can i get it back to normal? Doctor: Hello,Thank you for using healthcaremagic.I read your question and understood your concern.The first period of few days you need rest , elevation of the leg above the heart level and ice packs. Later in the second phase you need physiotherapy to get back the motions.Wish you quick recovery.Dr. Selmani
| 129,064 |
What causes recurring heart palpitations and chest pain?
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Patient: my 17 year old daughter has had recurrent heart palpitations over 3 year period. now coupled with a pain/ache in right side of chest, shoulder and down right arm. any suggestions as to reason? what should we do about this, if anything. ECG and stress tests all clear.Thank you Doctor: Hello. Thank you for your question and welcome to HCM. I understand your concern. Well, after the EKG and stress tests came back normal, we can exclude, with highest probability, a rhythm or conduction disturbance which could be innate. It is important to be stressed that heart rate tends to increase whenever any human being is engaging in physical activity - it is normal to go up to 200 beats per minute in your daughter's case, or is undergoing to a state with psychological stress. If that is so, then there is nothing to worry about. Also, the pain originating in the right part of the chest and then radiating to the right arm is not linked with the palpitations, and very rarely, with any heart condition. My opinion is that repeated palpitations generate certain amounts of anxiety and the anxiety produces really-felt symptoms by the subject complaining about them, but with no organic or disease-based origin. My opinion, once again, is that there is nothing to worry about. I hope I was helpful. Take care. Regards, Dr. Meriton
| 26,859 |
Does the shrunken lump still need the surgery?
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Patient: hello. i went to the emergency room last week because there was a growing lump coming out my belly button. and it really hurt, it was like i went from having an innie to an outiee, anyway the doctor at the er told me that i have an umbilical hernia and that i need to get surgery done as soon as possible. so after calling the insurance company they told me i need a referral and so i got one. and i will have my appointment this week with the surgeon, but the lump i had completely shrunk and is not even noticeable anymore and it doesn't hurt and looks like it is back to normal. so i was wondering do i still need the surgery? is this normal? what will the surgeon say? please help! Doctor: Hi,Now it seems that protrusion of abdominal contents like fat, intestines has gone inside giving normal appearance.But it will come out while coughing or increasing abdominal pressure.You surely require hernia repair so that you get parmenent relief from hernia.Ok and take care.
| 65,339 |
What is the treatment for hard lump in the toes?
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Patient: I have a 4 week old son and today I noticed that he has hard knots at the base of his toes on the tops of his feet and was just wondering if this was normal. He has an appointment this friday and I didn't know if I should just mention it then or call tomorrow. Thanks! Doctor: Hi! Good evening. I am Dr Shareef answering your query. As this needs a clinical examination of the foot of your son to opine on the hard knots noticed by you, I would advise you to show him to the doctor as you already have an appointment.Thanks for choosing health care magic to clear doubts on your health problems. I wish your son an early recovery. Dr Shareef.
| 64,176 |
How to get rid of anxiety?
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Patient: Hi - this is a question partially for the doctor I was in contact with yesterday - Dr Sumit Bhatti. Just so I have things straight in my head - you said that the risk of transmitting HIV conjunctivitis even with close contact with tears and droplets will be more than one in a million . Did you mean NO more than one in a million or in fact the risk is actually greater than one in a million. I m sorry if I am being petty, I just need to get all the facts straight, in order to get rid of this anxiety. Just a bit of background if you don t remember me - medical student who had a splash injury in surgery which was deemed low risk for blood bourne viruses who has now developed conjunctivitis and is scared that I am able to pass on HIV (despite the low risk that I have it in the first place) to my close contacts via my infected eyes. 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.Anxiety disorders can be treated with escitalopram or clonapzeam. Further cognitive behavioural therapy is also very useful.Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 206,071 |
Can mistake with IV cause death?
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Patient: My mom had a scheduled colon resection 3 weeks ago, her heart stopped while she slept the second night after. Her heart was started again but she was brain dead and died the next day. There were many mistakes myself and my sisters witnessed over the first 24-30 hrs after sugery and before her heart initially stopped. 1. Was blood in her urine 2. Her iv blew, & it was probably an hr before the nurse redid her iv. 3 she was not made to walk until nearly 24 hrs after surgery, although the dr said he likes his patients to within 6-8 hrs How do we know if medical error or negligence led to her death? Doctor: Hello,There is no mistake or negligence. Cardiac arrest is known to occur post-surgery .You did not mention her age or preoperative heart status. Post-operative these complications are known to occur.Patient’s luck is a major factor in her recovery. Such cardiac arrests do occur in USA and England also. Just talk to the doctor for more information.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. RS Gulati
| 18,889 |
Cytoscopy showing slight trace of albumin
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Patient: Hi doctor, I am a 65 year-old man and my problem is that I had UTI in 1999 after undergoing surgery for hydrocele. Thereafter, I was fine until last September, when i had UTI again and was treated with anitbiotics. Now, after cystoscopy, my urologist has put me on Afdura and I am fine. My urine sample is bacteria free ( pus cells: 2-3) and there's no growth.However, it shows a slight trace of albumin. I am not diabetic. Is this a cause for concern? Doctor: Hi,I have gone through your query.Slight trace of Albumin may be associated with your recent UTI. It is not a cause of concern as of now. It can be related to ageing also due to declining kidney functions but there will other symptoms too.So there is no need to worry in your present situation.You can contact me on my page http://bit.ly/DrGauravWish you a good health.
| 199,749 |
What causes blotchy rashes and swollen lips during pregnancy?
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Patient: hello my girlfriend has developed a blotchy rash over most of her body and her lips have become swollen. It started about 30 hours ago with just some rashes on knees an elbows. after going to the hospital 20 hours ago when the rash was starting to spread she was prescribed some loratadine. the rashes seemed to fade a little over the next 19 hours but now they have flared up and re all over most of her body and her lips are quite swollen also. She is also 10 weeks pregnant Thanks James Doctor: Hi, It seems to be urticaria. It is an allergic reaction. I would recommend you to give her anti-histaminic like tablet chlorpheniramine maleate 4 mg twice daily for 5 days.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Asmeet Kaur Sawhney, Dermatologist
| 12,850 |
Are fatigue and dizziness symptoms of diabetes?
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Patient: I am out of shape and in the past two years gained about 50 lbs. I am a 60 year old woman. I had bypass and a stent done four years ago when I was diagnosed with peripheral artery disease. My life changed, and I sit at a home computer and get barely any exercise. The last few months, I get winded doing the slightest thing. I can t go to the supermarket without the help of the cart and still... am exhausted and dizzy when getting in the car. I know, I need to go to the doctor... could I have developed diabetes? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I really appreciate your concern, one can not find the clear indication of diabetes but just to rule out the possibility of it, one has to get done the test, looking to your history it is likely that you may have the diabetes, it cannot be said for sure as I told there is no obvious symptoms of diabetes but doubt can be cleared, I would advise to get done the plasma glucose test (random, fasting and postmeal). Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. A G Shaikh
| 191,326 |
Uses and side effects of emeset injection, please suggest
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Patient: my 5 yrs old son had sudden vomitings today alongwith stomach ache which cannot be stopped with domstal. so doctor gave him emeset injection. does emeset have any side effects ? Moreover does it also help in stomach ache or does it only stops vomitings ? Doctor: thanks for choosing health care magic.Emeset is anti emetic drug means which helps in stopping vomiting.It is safe for use in children so not worry.But it can take care only of vomiting not of stomach ache.This is very good drug and usually effective for 24 hours.Give him plenty of liquids like lemon water etc.he should be fine.
| 96,217 |
What should I do as my baby fell on her head and now has fever?
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Patient: my baby has is 10mos old..she fell backwards on our bed the other night,,,she landed on her head and with her arms and knees supporting her entire body,,,after 24 hrs she had a fever and now she don't want to eat her baby food...i noticed her goose egg was in her soft spot too...will she be fine? Doctor: HI only if your baby had vomiting, altered sensorium, decreased activity need of concern.Fever in small kids results in decreased intake of foods ans so give her plenty of fluids and paracetamol for fever.
| 174,098 |
Can good diet help to increase pulse rate and control high blood pressure?
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Patient: Hello, I am 5ft 3in and weight 79kg, I don't smoke and I drink one Dark rum a night. My latest blood pressure reading was 224/118, my doctor tried 12 times to take a reading with a success rate of 2, my pulse is normally between 40 and 45, after 7 years on high blood pressure tablets, without my bp coming down at all, my cholesterol is normal and I don't seem to have many "high blood pressure" symptoms. My doctor has decided, (after this latest revelation) to wean me off of my medication (Atenolol). Shall I keep looking for foods that will help my low pulse rate or is there a good diet for such a condition? Thanks for your help. Cathy Doctor: Hi,Having so high BP is real danger for acute as well as chronic complication. Secondary causes of so high BP must be evaluated. Specially for renal artery stenosis, coarctation of aorta, Takayshu arteritis, renal failure, Nephrosclerosis and metabolic reasons. You should also stop taking heart rate reducing agents like betabloker, diltiazem or Verapamil if on. Try vasodilator periferal acting or centrally acting or in combination so to reduce BP and increase heart rate.Hope I have answered your query. Let me know if I can assist you further. Regards,DR. Deepesh Agarwal
| 22,378 |
Pimple on chin to the jaw, sore jaw. Is the pimple on the nerve?
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Patient: I have a pimple on my chin that wont come to a head. The sensitivity of the pimple has moved down my chin to my jaw. Now my jaw is incredibly sore and it keeps getting worse? Is that underground pimple on a nerve or what? It kinda feels like there s a trail of something under the skin. Like the pimple had a tail under the skin Doctor: Hi , Thanks for writing in. Acne is treatable now.With correct treatment all your pimples,scars and dark spots can be treated. To start with you have to apply Brevoxyl cream twice daily . Also you can use anti acne face wash like Brevoxyl face wash. For dark spots you can apply GLYCO A 12 cream over the face . With all these medications sun protection is very important.You should use good quality sunscreen like photoban acqua gel.Apply it every 3-4 hourly starting 9 AM in morning.Regular sunscreen use will lighten the spots early. Cryotherapy and chemical peeling can give you fast and long lasting results.They are available at dermatology clinics. Discuss the option of chemical peeling with your dermatologist.It will have rapid effect. Will reduce the oil secretion and pimples effectively. Hope this helps. Regards. dr Sudarshan. MD dermatology.
| 7,530 |
Suggest treatment for hepatitis-B
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Patient: Good evening Sir. I asking for my brother in low. He working in UAE, 2 months ago he have some health problem then he admitted a hospital and Doctors found he have HEPATITIS B, Tomarow he return back to India. he living in Kannur Kerala, Sir, where will get good treatment .Kindly give the good guidence and and pls give the Dr.'s phone number or address. Doctor: Hi thanks for contacting HCM.Usually 90 to 95 % acute infection of hepatitis b recover with the time.If HBSag positive after 6 month then chance you of chronic carrier or chronic hepatitis.In Kerala you can contact nearby gastroenterologist for further guidence.Meanwhile take low fat diet.Junk food , butter, baked pestry , meat avoided.Fruits more.Avoid alcohol.Udiliv tablet can taken.One tsp cumin seed with water taken.If you have chronic infection with active stage then antiviral drug also can be given...Hope your concern solved.Dr.Parth
| 54,928 |
What causes persistent chest pains?
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Patient: Hi, I m 19 and have been dealing with chest pains since I was in 7th grade. They started off light and slowly over the years but now they are so bad and more frequent. I have a pressure pain on the left kinda center of my chest. The pain comes on anytime no matter what I am doing. I have woke up in the middle of the night with them. My doctor put me on Propanall a beta-blocker and I have had to up the med ever month to a stronger dose. My heart races very fast even when I m not moving It has been recorded at 170-180 when I m resting the med. My hands and feet go cold all the time, Some time is short of breath and I feel like i can t get enough oxygen . I m no tired all the time... I m a teenage and i never got to be one because of this I missed out on a lot and it s taking over my life. I have been having headaches and small nose bleeds. I m so weak from this. I feel like my heart is bruised after these episodes. The only thing I have came up with to ease the pain is Baby aspirin i chew them a lot and i know that s not good but, it the only thing that help, but they are starting to not work any more. I ve tried everything. THE DOCTORS have ruled out stress, thyroid, mummers, anemia, and arithmetic( like they way my heart moves ) and that I m not crazy :) (They tried to tel me i was until they found proof) I have had so many ekgs, I ve had running stress test, echo, breathing, so many blood test, I did a head up tilt test and i was only up 2 min and them i threw up and almost went into a full seizure and i passed out. I have tires all i can i can t take the pain and the pressure i feel when i have these i begin to start to throw up and i have bad jaw and neck pain The doctor can t figure out what wrong they seem like they don t care (I m ON my 4TH doctor) but my blood pressure is ok sometimes a little low because of the meds. I need someone to help me PLEASE PLEASE I need someone to help me give me hope and help me figure out a way to live a normal life. ANYMORE QUESTIONS MESSAGE ME ON HERE OR ON YYYY@YYYY PLEASE God let a Doctor see this I ve been to 2 cardiologist, done a ct scan and they have also ruled out asthma also.may I answer your health queries right now ? Please type y Doctor: Hi, After going through your medical query I understand your concern and I would like to tell you that as you are already been told about your diagnosis I would like to add in that do some yoga to relieve from stress which is a triggering pint of many other disorders. It's recommended for you to get a Holter (ambulatory ECG) for 48 hours and consult a physician with reports for further treatment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist
| 17,707 |
Suggest treatment for thyroid cancer
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Patient: When I was younger my mother had stage 4 thyroid cancer. Because it was just my mother and myself I helped take care of her during radiation when she would come home. She informed me then that I shouldn't be around her too much because the radiation could effect my reproductive system. I have been trying to get pregnant and I want to know what are the chances that the radiation did hinder my reproductive system? Doctor: Hi,Thanks for writing in.I guess your mother had radioactive seeds treatment for cancer of thyroid. Such treatment used to be given earlier. They are a small source of radiation and the radiation from it is less likely to have affected you much. Usually the radiation from sources like the one your mother had reduces significantly once the patient comes out of the hospital.The chances of your reproductive system being affected is less than 0.1 percent and you might relax about it. The radiation from the patients is usually scattered radiation and not powerful enough to cause sterility in any adult or child around the patient. Please do not worry.
| 153,241 |
Is it normal to experience familiar pain long after a cholecystectomy?
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Patient: I had my gall bladder out about 18 years ago. For the past week, I would swear that it never happened. I am experiencing the same pain as I did when my gall bladder was still in me. Could it be my liver? What else could it be. Doctor: Hi, This looks to me like so-called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 per cent of patients who undergo cholecystectomy, usually can be transient, and rarely persistent or lifelong. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced-fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syndrome treatment depends on the identified violations that led to it. Typically, the patient is recommended dietary restriction table with fatty foods, enzyme preparations, antispasmodics, sometimes oral ursodeoxycholic acid can alleviate the condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon
| 52,269 |
Should I be concerned about a lump under right armpit?
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Patient: Hi, lm a 34 yr old mum of 3. Ive had some pain in the rightt side of my chest today, across my breast.Ive also had pins and needles, and a headache. Ive just found a pea sized lump under my right arm pit. I do try to check my breasts regular but lm quiet big chested and they are always quiet bumpy. Im on no mdication at present. Id appreciate any advice you could give me. Thanks Tammy Doctor: Hi,Dear Tammy,Good Morning from India.Thanks for your query to HCM Virtual Clinic.-I studied your query in depth.I understood your concerns.-In my opinion-the right armpit lump,is mostly-a Furuncle of the hair-follicle.-You need not worry for any breast lump as such,though you would need clinical examination from your ER doctor or Surgeon- to rule out the breast-cancer.-Remedy-Your doctor would advise-a-tb-NSAIDs-b-Antibiotic for 5 days time would regress the lump.Hope this would help you to get normal health fast.Wellcome to HCM again for any more queries.Have a Good day.
| 64,413 |
Does prostatisis cause pain in penis and testicles with blood in semen?
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Patient: Hi Doc, please help me. In early Feb I had a bowel movement that caused blood. Immediately after I felt pressure in my bladder for about a day. A week later I had blood in my semen. I am set up to have a colonoscpy at the endo of the month. In the past month I have had pain in my penis, my testicles and all of the surrounding area. My DR put me on Cipro, but I started having dizzy spells about 2 hrs after taking it about 4 days in. (I dont think I drank enough water with it). Then I was put on Mrytrebiq (spelling) for bladd control, but had REALLY bad dizzy spell due to that. Is it possible that this could be due to prostatisis, over active bladder or anxiety? Doctor: HelloThanks for query .Pain in testicle and perineum with blood in semen strongly suggests infection of the Prostate (Prastatitis).Please consult qualified Urologist for clinical and digital rectal examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Semen examination and semen Culture .In the mean while start taking antibiotics like Doxicycline along with anti inflammatory medication like Diclofenac twice daily/ Further treatment will depend upon result of these tests and final diagnosis.Please note that Prostatitis takes long time to get desired results hence you may need to take appropriate antibiotics as per culture report for a period of 4-6 weeks .Dr.Patil.
| 198,585 |
What causes itchy lump under armpit?
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Patient: I recently discovered small lumps under my left armpit, my armpit has been itchy also - this isnt through lack of cleanliness or change of deodrant. now small and quite large red spots are appearing around the armpit and down my side, some with whiteheads like some sort of acne. what is this and how can I get rid of it? Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be hidradenitis suppurativa. these lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. hair follicles get infected. inflammation and subsequent abscess formation may occur. medical (proper antibiotic regimen) and surgical (excision or incision and drainage) management will be directed accordingly.hope this helps.good day!!~dr.kaye
| 62,665 |
How can I avoid a gum abscess infection from spreading?
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Patient: I have an abscess on gum that's opened up and i can see is now leaking puss. I've been rinsing my mouth every few minutes with salt water and have brushed my teeth several times already. The dentist prescribed me amoxicillan but i'm still worried about the infection spreading or swallowing that stuff. Is there anything else I should do? Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you are taking antibiotic you need not to worry now as it will control infection.But you should not leave the infection draining and consult an Oral Physician and get evaluated so that he can check if it is tooth or gum infection.So my suggestion is to get an X-ray done.If there is gum infection then deep scaling followed by a course of antibiotics like Metronidazole can help in improvement.If there is tooth infection then root canal treatment has to be done for permanent resolution..Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora
| 180,427 |
How to resolve early ejaculation and liquid discharge while getting close to girlfriend?
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Patient: Hi my age is 24 and wanted to chck tht whenever I try to get close to my gf some liquid starts to come frm my penis nd when I try to get laid I get ejacuated in seconds could you please tell me the reason behind it and how to resolve it and is this a problem kindly rply asap Doctor: Good Day and thank you for being with Healthcare Magic!The best technique is relaxation techniques. Don't try to think of it much and focus your attention on non-sexual matters like cartoons etc. This is a fairly common condition and requires practice and patience. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes.
| 201,738 |
Suggest remedy for nausea and abdominal pain
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Patient: My daughter is 8 years old and had gastroenteritis after eating a sweet in the the school 15 days back. She had then had 12- 15 bouts of vomintings in a day. She was managed with ORS. Subsided in a day. But since then she complains of nausea and abdominal pain around the umbilicus. She is not attending school since 2 days. Please advice. Doctor: This is gastroenteritis due to food poisoning. Give her rest and normal diet with lot of fluids. Take syr Taxim O 50mg 5 ml twice daily for 7 days and Junior Lanzol tablet once in empty stomach in early morning for 15 days. You child will be ok after 2 days and will be possible to attend school.
| 179,036 |
What causes intermittent fever after an ankle sprain?
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Patient: My daughter sprained her ankle this past Fri and had xrays. She stayed off it fri n sat. Sunday we had a family party n was in a wheelchair. By sun night n mon her ankle n foot were humongous. She went to another er n got xrays n they say sprain. Today she s very sick with a on and off fever. It was up to 102. Is fever from ankle? Ankle has gone down alot. Doctor: Hello, Thanks for writing to us, I have studied your case with diligence.As per your history and injury pattern there can be tear in ankle ligament leading to pain and swelling.Instability may increase due to laxity of ligament.Fever can be due infection and cellulitis.I will advise to do MRI ankle for soft tissue involvement.Till time you can use supportive splint or brace.Physiotherapy like ultrasound and TENS will help in early healing.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.
| 128,013 |
Swollen veins between the front teeth, swollen gums due to huge braces. How can I fix it quickly?
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Patient: The vein between my two front teeth is swollen. All of my gums are a little swollen due to mediocre dental hugeness and huge braces that make it hard to brush. My main problem, however, is the Vientiane thing. Its red and sort of puffy, and although it does not hurt, it is very unsightly. What remedies are there to fix it relatively quickly?? Doctor: Hello, Your problem is due to braces. There is lot of calculus deposition that makes the gums to swell and get inflamed. Please use an orthodontic brush and a plaque removing mouthwash always till you have the braces on. For immediate relief, please use a gum astringent eg. Dentakind astringent. This will reduce the puffiness and bleeding of the gums. Please get scaling done for better results. Take care!
| 190,627 |
Suggest treatment for lumps on calf
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Patient: hi, every month , a lump apperes on calf of leg, just the right leg, this has been going on for months now, lately its happening all the time , with really bad pain, im scared its clots, i have been trying to get my doctor to send me for smear but im not allowed until 2012, as i had one in feb 2009 which was normal, but 5 year ago i had treatment done for abnormal cells . what am i to do, i have 4 kids , and really worried and in a lot of pain, Doctor: Hi,thanks for the query to HCM.Dear,Based on the facts of your report,in the background of abnormal cells treatment 5 yrs back, and with a recurring painful calf lump in right leg,You seem to suffer from -chronic infected Venous Lump ulcer.A colour doppler study would fix the cause of it.Treat-Rule out diabetes by Fasting/and Post-meal Blood Sugar studiesContact dermatologist and treat it with antibiotics / antipyretics/ and anti-inflammatory,with a long term followup.If no relief Check with Color doppler and take treatment from Vasular Surgeon,for the resistant calf lump with pain.Hope this reply would help you to plan further treatment in your case.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
| 62,405 |
Suggest treatment for intense shoulder pain
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Patient: intense shoulder pain from shoulder joint down the side of the left arm into elbow and foerarm and feels like shoulder blade is out of position i have neck pain and left arm numbness pins and needles. ct scan shows narrowing of c5/6 disc space and altra sound showed a tear in the shoulder my gp recommended cortisone but my shoulder blade and back right up to top of traps in my neck have droppped and so has my shoulder i feel out of alignment to the muscles i feel my shoulderblade being out of postion has caused this cronic pain Doctor: Hello. Thanks for writing to us. The pain in the shoulder that you have can be due to shoulder impingement or cervical spondylosis. You need to get an MRI scan done to find out the exact cause of pain. Till then oral muscle relaxants can help. I hope this information has been both informative and helpful for you. Regards, Dr. Praveen Tayal . For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Praveen-Tayal
| 122,252 |
Is persistent sore throat sign of cancer?
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Patient: my son has a persistent sore throat for a month now. saw a doctor and they thought it was sinusitis, treated him with Zithromax for 5 days and now it is back. He had swollen lymph nodes in neck when seen 2 weeks ago. says throat is still sore. He is 20 years old and just quit smoking 2 weeks ago. He smoked about 3 years. He's worried about cancer. Doctor: Hi, dearI have gone through your question. I can understand your concern.He may have some upper respiratory tract infection like sinusitis and it leads to reactive enlargement of lymphnode. He should go for fine needle aspiration cytology or biopsy of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Don't worry for cancer. at age of 20 chance of cancer is very low. So just be relaxed.Avoid smoking. .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.
| 154,787 |
What does the MRI finding indicate?
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Patient: Hi my name is Ida and I had an MRI done the findings were the posterior fossa structures are unremarkable. the cervical spinal cord is without intrinsic abnormality or cord expansion. the prevertebral and paravertebral soft tissues are maintained. There is mild mid cervical disc desiccation with preserved disc space heights. The axil images C2-C3 and C3-C4 no significant herniation or stenosis. C4-C5: 1.4 mm central bulging of the annulus. no significant central stenosis as the central AP thcal diameter remains 9.8 mm. N foraminal narrowing. C5-C6 1.4 mm right paracentral bulging of the annulus mildly effaces the ventral thecal sac. no significant central stenosis as ther is an abundant CFS dorsal to the cord and central AP thecal diameter remains 10.5 mm. not formal narrowing. what does this mean...? Doctor: Hi,Thanks for writing in.Your MRI findings are explained below in simple language.1. The posterior fossa structures are unremarkable. the cervical spinal cord is without intrinsic abnormality or cord expansion.The posterior fossa includes the cerebellum and brain stem which is is normal. The upper portion of spinal cord is also normal.2. The prevertebral and paravertebral soft tissues are maintained.The soft tissues in front and on sides of spine are normal.3. There is mild mid cervical disc desiccation with preserved disc space heights. The water content in the discs is decreased. This is age related changes.4. The axil images C2-C3 and C3-C4 no significant herniation or stenosis. C4-C5:The discs at level C2-C3 and C3-C4 are normal.5. 1.4 mm central bulging of the annulus. no significant central stenosis as the central AP thecal diameter remains 9.8 mm. No foraminal narrowing.Mild bulging of disc is seen but this is not causing any serious concerns.6. C5-C6 1.4 mm right paracentral bulging of the annulus mildly effaces the ventral thecal sac. no significant central stenosis as there is an abundant CFS dorsal to the cord and central AP thecal diameter remains 10.5 mm. not forminal narrowing.Mild disc is also noted at this level more to the right side and this is also not causing any serious concern or nerve pinching.Your symptoms related to the neck can be managed with medications, rest and physiotherapy.
| 145,991 |
Can cuts cause further infection?
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Patient: Hi my daughter cut her thumb today on the door and we cleaned it n put a bandage on it had her move her thumb nd everything n she does good she says it doesn't hurt but we were wondering if we should bring her into the doc anyway cuz it is a bad cut .... YYYY@YYYY Doctor: You have done the necessary first-aid, which is a good thing. Your daughter is doing well and that is a good thing too. However, I suggest that you take her to the doctor because there is a possibility that a splinter of wood may be lodged in the wound and can be a source of infection. Besides, she should also receive a tetanus shot.
| 39,739 |
Suggest remedy for MRSA infection
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Patient: I had a hysterectomy 9 weeks ago. Then 4 weeks ago the dr said that I had an infection. He took a swab and gave me Flagyl. A week and a half later it was still there and he gave me Bactrim. I was still having the discharge and I called today and the nurse said that I have MRSA. Now my husband and 3 kids have to take Bactroban with me. They never told me that I was that I could spread it 4 weeks ago. Should I see another dr about this?? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have MRSA infection with multiple antibiotics trials. You should go for culture and sensitivity test. It will give you exact diagnosis and give the best antibiotic choice. 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. 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.
| 32,462 |
What causes pale, hot rash on back and thigh?
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Patient: 75 yr old man has large (palm sized) rash equi-distant from center of stomach AND equi-distance from spine (above kidney/waist area) Center of rash is pale, rash on back looks like sunburn. Also has similar rash on front of shin. No insect sting, no sunburn, just huge rash. No known food allergies. Rash on back is very hot to the touch. No itching, no pain, just very large rash. thanks Had shingles vaccine last year. Rash is smooth and splotchy...not rough. Edges are irregular Doctor: Hi, There could be multiple possible differential diagnoses for the rash that you have mentioned. If it is hot to touch, it must be associated with inflammation/infection. Keep in mind that certain drugs can also cause rash. You could apply an antibiotic ointment for a week and if you do not get any improvement, do consult your doctor for proper diagnosis and apt management. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Siva Subramanian, Dermatologist
| 13,530 |
Suggest remedy for pain and swelling in the neck
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Patient: on Saturday night I was rough housing on my bed with my cat. I started to slowly fall of my bed and I tried to stop but it didn t work. I ended up on my head on the floor and all my weight (I weigh at least 131 pounds) on my neck and my body went over my head and then my head popped up. So it was kind of like an extremely painful back flip or somersault, off my bed. The pain right now is probably a 15 on a scale of 1-10. I went and saw Ms. Will (the school nurse at my high school) about my neck and she said that in between my vertebrae was probably swollen and to go see a doctor if it gets worse. So anyway the pain was not that bad unless I tried to look up. At the end of the school day the pain got worse and I got a bad headache. ( I don t know if that has anything to do with my neck but in case it does there you go) My symptoms are: pain (really bad severe pain), swelling (in between vertebrae most likely) and reduced flexibility. What can I do for the pain? Ibuprofen doesn t seem to help because I tried and it helped my headache but not my neck. I take strattera for my adhd and I had a concussion in 2008. I am 14 years old and I am 5 feet 1 inch. I weigh about 131 lbs. Doctor: Hi, You have mentioned Severe pain in your neck region aong with swelling and stiffness. All this actually points out to thw pattern of Neck injury which you susatined which might have lead to all the three symptoms in your case. If you have localized Neck pain with no other symptoms like radiating leg pain, neurological symptoms like numbness, weakness, paresthesias etc, then in my opinion you can start with following recommendations for initial period of 2 weeks: - To maintain proper posture of your Neck while working and sleeping - If pain is more as it is in your case , then you can take a short course of an anti-inflammatory medication like tab Aceclofenac etc alongwith a muscle relaxant for 5-7 days, you can add antacid if have issues of acidity after NSAID intake - Physical therapy like use of some modalities etc can be initiated but no exercises till the pain subsides completely - Ice packs can applied 3-4 times in a day - Analgesic spray for local application can be used and is easily available - Avoid lifting heavyweight/ acute forward bending in mornings etc. We will observe you for next 2 weeks how you respond to this conservative management protocol, you can also use a soft cervical collar if movements in the neck region increase your pain, but from my side if you have no neurological symptoms, then we can follow this protocol for next 10-14 days. If you do not feel better in terms of pain , swelling and stiffenss etc, then we will have to get some investigations like, dynamic x rays of Neck and few blood tests for evaluation. Just also keep me informed on what medications you are taking coz unless you take proper pain management medications, your pain won't become better. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Akshay Kumar Saxena
| 121,069 |
Suggest treatment for Hypotension caused by heat stroke
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Patient: I have low blood pressure due to heat stroke. Yesterday I got a shot in my knee consisting of a 24 hour pain block, anti-inflammatory and cartizone . Now my heart is racing and diastolic pressure has dropped into the 50 s, Could this shot have cause this? How long to wear off or should I call my doctor? Doctor: Hello There After going through your medical query I understand your concern and I would like to tell you that take plenty of fluids, coffee which can help you to increase in Blood pressure and if you dizzy and weak then you should visit an ER.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap
| 16,536 |
What causes elevated ALT levels in LFT?
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Patient: Hi, may I answer your health queries right now ? Please type your query here...Hi,I am a 41 year old normally healthy female who recently had a baby 6 weeks ago. My ALT levels are normally fine but I was concerned so my MD ordered a liver enzyme test. The number was 64 U/l which according to palo alto medical foundation us WNL. Other labs report this value as high.During my pregnancy I was put on low levels (50-100 mg ) of labetalol, and after my c section was put on percocet and then vicodin. I also continued the Labetalol. This was my second C section. Post Op I had some cellulitis and problems with my incision thus the reason they contiued me on vicodin. I no longer need the pain meds and do not take anything now for pain. I also am nursing. I do not drink anything alcoholic, do not smoke and am gradually losing the pregnancy weight (I gained 30 pounds).My QUESTION: Is the value of the ALT test alarming and should I question PAMF's upper limit of normal value? Again, my number for the ALT is 64 and 29 or 30 I believe for the AST.Thanks Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.I don’t think this is related to your pregnancy. AST (SGOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common casue is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis,cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additionaly done Then appropriate treatment can be started.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
| 53,585 |
Suggest remedy for low back pain after spinal tap procedure
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Patient: I had a spinal tap two weeks ago today. I had headache for a week and last Thursday started to have low back pain into my buttock area and it would come a go but last night it came and nothing is helping it. It feels stiff and I cannot sit or lie down without it hurting terribly. Is this common? Doctor: Treatment of headache following spinal is a common complication. U have to stand slowly from lying posture. Take fluids frequently.take coffee and hot drinks. For pain u can take urgendol thrice a week.
| 146,230 |
Suffering from hepatitis B, bilirubin not normal, controlling with diet. Why not getting normal?
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Patient: hello doctor, i m 27yr old male n i have been suffering from hepatitise b since 10 months and still my bilirubin level is not normal,last test shows 2.8 and my sgpt is also high.my treatment is going on but i m not satisfied of it n frustrated of my disease.i m taking all the care of my self in my daily diet ...kindly tell me why its not getting normal.. Doctor: Hi.Hepatitis B is a viral disease.Your Bilirubin level will come to normal gradually from 2.8. SGPT will also come to normal levels.Its a gradual process.Some people will be Hepatitis B positive and may live normal life without any complications,as the virus will be in Carrier state.You may be one of them.Once Hepatitis B is positive,it can't become Negative.Please take care and have patience.All the best.
| 59,584 |
Back pain that moves around my back
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Patient: I have persistent back pain for years now. Doctors have never found anything wrong with it. Recently I have back pain in one area then a few hours later its in a different spot in my back.Its really killing me. The pain is so severe that i just have to lay down all day.What can this be? Doctor: Hi g2ghottoie, There is possibility that u might have psychosomatic disorder,Where ur day to day life exaution creates some kind of tension in mind...changes ur brain chemisttry and pain perception....so u constantly have moving kind of pain which cannot be explained by any physical illness or on investigation.And doesnt respond to common pain killer and no relief even on rest which happen in physical disorder. So if u have been thoroughly investigated and Dr. found nothing abnormal still suffering alot and disturbing ur routine then pls. consult a Psychiatrist he will guide u and if possible will help to get rid of this problem.
| 114,212 |
What could be the reason behind swelling in cheekbones followed by strange taste in mouth?
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Patient: hello. The one side of my face is slowellen, its swollen where my cheekbone is, when i touch it, it feels hard, when i touch under my cheek bone it hurts. I also have a bad taste in my mouth. in the last few days i have noticed that when i wake up in the morning my mouth is extremly dry. i find it hard to open my mouth wide. All this has been going on for two weeks, doctors have given me three types of antibiotics and non have made a differnce. Doctor: Hello, thank you for consulting with healthcaremagic. As you are mentioning that you have swelling on your cheek and you also have dryness of the mouth, it means it can be possible that you are having infection of salivary gland may be of parotid gland. I think you should visit a good dentist get complete examination of parotid gland done with x - ray and get it treated. Hope it will help you.
| 188,056 |
My ankles and knees are dark, what can I do ?
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Patient: My complexion is fair but my ankles and knees are dark what can I do pls guide me ? Doctor: along with cleaning n local application you should use some multi vitamin tab as hearding and black discolouration of skin can cause of vitamin deficency
| 9,019 |
Suggest treatment for recurring cough in a child
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Patient: my son is dust allergic and he coughs in the evening when he sleeps. if his head position is kept little higher he stops coughing. at present he is taking montair plus kid one tablet every evening from last 1 and a half month and furaspray nasal spray. what to do doctor his cough is repetedly coming? Doctor: Hi, As per your query, your child has symptoms of recurring cough which is due to upper respiratory tract infection leading to bronchitis/granular pharyngitis. Need not to worry. Already he is taking so much of medication still not getting affected, I would suggest you do warm saline gargles and take steam twice a day. Avoid the use of sharp and spicy food substances. Avoid cold carbonated beverages. Your symptoms will resolve in 1 week. if symptoms keep on persisting you should consult Pediatrician once and take proper treatment. You should get an X-ray chest done along with pulmonary function tests. The doctor may prescribe antibiotics (amoxicillin or penicillin) along with decongestants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Harry Maheshwari, Dentist
| 161,861 |
Had neck CT scan, fullness of left nasopharynx with asymmetry. Sesonal allergies. What can it be?
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Patient: I am a 25yr old caucasain male and recently had a Ct scan of my neck and because my doctor can t see me for another 2 weeks I decided to pick up the radiologist report from the hospital.. The report states that I have fullness of the left nasopharynx at the level of the fossa of Rosenmuller with significant asymmetry. It also states that an enhancing mass is not idenified.. I am just wondering what could be causing this? I do suffer from seasonal allergies and have been using vicks nasal spray .. Any information about this would be greatly appreciaited. Thanks. Doctor: the allergies when not treated long can result in sinusitisand this causes mass like structure or polyps in sinusesthese can go behind into nasopharynx to result nasopharyngeal polypsthe ongoing allergies medicines containing paracetamol ibuprufen cal vitamina and diet suppliments increases the allergyvicks also dries up mucus in sinusesyou can consult allergy doctor and he can trat accoprding to allergy guide lines
| 103,549 |
Suggest cause for abdomen pain in patients with PCOS
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Patient: I was recently (in the last month) diagnosed with PCOS and was put on 1000 milligrams of Metformin per day and I have had this strange pain in my front lower abdomen. The pain will only last a few min but it is extremely painful. It also switches sides. Sometimes on the left other times on the right. I have an appointment to see my OBGYN next week but I wasn't sure if this was something that needed immediate attention. Doctor: HI. I think this needs immediate attention to see that there is no intestinal infection. IT will mimic the way you have problems now. PCOS has long lasting pains.
| 91,194 |
Suggest remedy for stomach ailments
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Patient: My daughter age 2 months stool randomly changed from yellow to more of a pale green over the last couple weeks and for the last two days has been loose. The odor is also different since the change a couple weeks ago. She has no fever, not overly fussy, and she is formula fed with no changes in brand since the start. Can you tell me what this may be? Doctor: Hello. I just read through your question.Stool color can normally change during this period. Similar to stool pattern and stool consistency, this is not abnormal. As long as she is otherwise comfortable, there is nothing to be concerned about.
| 166,546 |
What causes bloating of abdomen and loose stools after the gall bladder removal?
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Patient: I am a post patient of gallbladerectomy for past one year. The doctors said that the reason could be many and one such was my pregnancy as I was pregnant one and a half year before and delivered my child on Jan 2009, after that when the pain began sever and went into chest cavity, so I had the gallblader removed on May 2009. After which I have been having occasion loose stools,bloating of the abdomen, and gastric pain. Recetly from past 2 months I have been geting sharp pricking pain in my left side of the waist after eating, but now it occurs anytine during the day and my stomach bloats up. Please doc help me with this problem and advice me of my diet. Doctor: Hi, I had gone through your question and understand your concerns.This looks to me like so called postcholecystectomy syndrome which has all these symptoms and this occurs in about 10 percent of patients who undergo cholecystectomy, usually can be transient, and rarely persistent or lifelong. Symptoms include systemic symptoms such as sweating and heat sense but also dyspepsia, nausea, and vomiting, flatulence, bloating, and diarrhea, Persistent pain in the upper right abdomen. Some individuals may benefit from diet modification, such as a reduced fat diet, following cholecystectomy since it may be more difficult for digestion of fatty foods. Postcholecystectomy syndrome treatment depends on the identified violations that led to it. Typically, the patient is recommended dietary restriction table with fatty foods, enzyme preparations, antispasmodics, sometimes oral ursodeoxycholic acid can alleviate the condition.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
| 52,865 |
Suggest treatment for dizziness and shortness of breath
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Patient: I have experienced dizziness and shortness of breath of the last week. More recently I have felt like I am going to pass out, and have periods of severe fatigue. I do have high blood pressure due to a back injury and prescribed ant-inflammatory, but I am taking medication for this issue. The dizziness shortness of breth and fatigue has gotten worse over the past few days, Doctor: Thanks for your question on HCM.In my opinion you should get done ECG and 2D Echo to rule out cardiac cause. Since you are having high blood pressure chances of heart damage are more. So the function of the heart is decreased and give rise to dizziness and breathlessness. So 2D ECHO will give exact idea about heart function.If all of these are normal than get done chest x ray and PFT (Pulmonary Function Test) to rule out lung cause.So better to consult doctor and discuss all these.
| 82,441 |
What could be the small lump?
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Patient: I have a small lump on the inside of my groin right where the crease of where my thigh meets the hip. It is only on one side. I don't know what it is. It is mildly uncomfortable. I think it may be an abscess from an ingrown hair due to shaving my bikini line. What do I do? Doctor: Hi.You are a bit right. The lump you described is a lymph node and appeared due to infection in the drainage area.It is always advisable to have a course of an antibiotic to avoid further growth and turning it into an abscess.
| 69,856 |
Is hormone therapy advisable post a breast cancer surgery?
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Patient: I ve recently had breast cancer surgery. My surgeon is suggesting hormone therapy for follow up treatment. My cancer was found in the early stages, no lymph nodes were involved. I am 77 years old, and her feeling is that aromatase therapy will be what is prescribed for me for follow-up. I had oncatype DX genetic testing done and everything was negative. My recurrence score result is 20. In reading my results from the report do I see the score of 20 as a high low risk, if so, do we have a way of figuring what my risk of recurrence would be if I chose not to do anything? Doctor: You can opt for Homoeopathic mode of management.As Homoeopathy is side effectless and very mild to act in oncological cases where immunity gets very heavily deranged.Homoeopathy treatment needs a thorough Case taking to select proper Medicine which needs thorough detailed Case history and reports.
| 152,659 |
Suggest remedy for severe pain in neck,shoulders and elbows
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Patient: I am a 46 year old female. I had a Cervical spine fussion c5-c7 in 2012; My last MRI shows that I have c4 and c8 disc herniation with minimal indentation touching the spinal cord. I am experiencing severe pain on my neck, shoulders and elbows with numbness on both of my hands. Doctor: Hi, You are having severe neuropathic pain secondary to nerve impingement by your fused spine. As a first line of management you can try analgesics like Gabapentin for pain relief. It is quite effective for neuropathic pain as in your case. If symptoms persist you can consult a neurologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.
| 215,752 |
What is the use of Glasterone?
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Patient: hi,i started Glasterone [ultra Micronized DHEA dehydroepiandrosterone] on 12thoct.my circle ws nt regulor,nd my FSH Level ws 21.5 somthng.my age is 39yrs.i also wnt to concive.doc ws syng wen i l take this medicine my periods wl start nd fsh wl also reduced.i wana ask wl this medicine wl work. Doctor: Hello, yes mam since you are still young and your FSH is also not very high there is still scope in DHEAS treatment. It can increase the fertility potential to some extent.In case you have any questions in future you can contact me directly on http://bit.ly/drmanishajain
| 41,182 |
What causes fluttering in heart?
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Patient: I am 57 woman..in good health. 11--120 to 70 bp..colestrol around 180 and low resting heart rate 405-66, I work out regularly, am a cycling..run up 3 flights of stairs at work every day and walk at breaks at work. I also take exersize classes. I eat well ..low fat / limited meat/poultry. sometimes when i am laying down watching tv my heart flutters...it always has...but the last week i notice it more. it only happens in the evening when I am watching tv... Doctor: you are in good shape. you feel when you are not busy. appear to be harmless. But if you want to clarify get 2 D echo, T/t and 24 hr Holter Monitor. in meantime don't worry.
| 27,089 |
What causes severe fatigue despite having normal blood test results?
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Patient: I am 40 years old, 150 pounds, 5 10 .For the past ten years I have been to a doctor a couple of times a year to no avail. I am exhausted. So exhausted I can t take it anymore. I work 40 hours a week standing on my feet but i am certain this has nothing to do with it. Sometimes I am fine. I am in good physical shape and eat healthy. But suddenly I will be exhausted. For days. Sometimes weeks. Can barely get out of bed exhausted. I have had blood work done every year and nothing shows up. I drag myself through it all and most people wouldn t even know what I am going through. I go home and go to bed early every night just so I can work. I sleep all weekend. The only other symptoms I have are a permanently red chest (like sunburn, not itchy, not raised). Have had for 15 years or so. And dyshridosis on my left hand. Please help. I can t keep doing this. All I ever hear is CFS. Doctor: HiMost of the time fatigue can be traced to one or more of your habits or routines, particularly lack of exercise. It's also commonly related to depression. On occasion, fatigue is a symptom of other underlying conditions that require medical treatment.Lifestyle factorsTaking an honest inventory of things that might be responsible for your fatigue is often the first step toward relief. Fatigue may be related to:Use of alcohol or drugsExcess physical activityJet lag disorderLack of physical activityLack of sleepMedications, such as antihistamines, cough medicinesUnhealthy eating habitsConditionsUnrelenting exhaustion may be a sign of a condition or an effect of the drugs or therapies used to treat it, such as:Acute liver failureAnemiaAnxietyCancerChronic fatigue syndromeChronic infection or inflammationChronic kidney diseaseConcussionCOPD (chronic obstructive pulmonary disease)Depression (major depressive disorder)DiabetesEmphysemaFibromyalgiaGriefHeart diseaseHyperthyroidism (overactive thyroid)Hypothyroidism (underactive thyroid)Inflammatory bowel disease (IBD)Medications and treatments, such as chemotherapy, radiation therapy, pain drugs, heart drugs and antidepressantsMultiple sclerosisObesityPain that's persistentSleep apneaStressTraumatic brain injuryCauses shown here are commonly associated with this symptom. Work with your doctor or other health care professional for an accurate diagnosis.Since fatigue is a symptom of an underlying condition, the treatment depends upon the condition that is causing the fatigue, regardless of whether it is physical, psychological or a combination of the two.There may be a lag time between when the illness has been treated and the intensity of fatigue symptoms; some symptoms may resolve as soon as the underlying condition is treated. For example, individuals who are anemic feel much better as soon as their red blood cell count increases, while those recovering from infectious mononucleosis may require weeks to have their energy levels return to normalFatigue as a symptom can occur as the result of many causes and therefore, prevention is not an issue. More importantly, the early recognition of fatigue will allow a person to seek medical care and potentially have an earlier diagnosis of the underlying cause made.Sometimes, symptoms like fatigue arise gradually and it is difficult for the person to realize that there is a problem. It may take an outside perspective from a friend or family member to appreciate a difference in function. Self-awareness of gradual decline in body performance is often difficult as a person makes repeated small accommodations to complete daily activities.RegardsDR DE
| 114,463 |
Needed teeth replacement. Suggest any Prosthodontics in northern Bergen county
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Patient: Hi, I'm currently searching for a good periodontist, prosthodontist in northern Bergen county. I live in east Rutherford. I had been seeing a periodontist up to a year ago, located in Nutley. He did a lot of work to get my gums back to health; however I didn't get as far as starting the implant process. I know I'm in need of at least 5 teeth replacements. Any suggestions? Doctor: Hello,Thanks for writing to us.You can consult any GP dentist initially and through them ,prosthodontists as well as periodontists who are highly talented,can guide you to get excellent treatment.Meanwhile,maintain oral care.Brush and floss your teeth as well as tongue daily.Get routine dental check up done.Use desensitising paste as well as soft interdental toothbrush.Take care.
| 188,623 |
Suggest treatment for chest pain and shortness of braeath
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Patient: Have had a sudden chest pain around the sternum. Have had it for a week now. Random shortness of breaths and lightheadedness. It s not constant and doesn t last more than a couple mins. So.e parts of the day I m fine, then other it just hits. I have an appointment on Monday, i was just wondering if anyone would have an a idea before I go in and ask? Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. By your history and description, possibility of bronchitis is more. So ask your doctor about possibility of bronchitis. Get done clinical examination of respiratory system, chest x ray and PFT (Pulmonary Function Test). PFT is needed to rule out bronchitis. If all of these are normal than no need to worry much. Sometimes stress and anxiety can cause similar symptoms. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 79,387 |
What are the signs of pregnancy?
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Patient: I had my monthly period twice last june first week,and lastweek.. And then last july i had no period,,im expecting to have my period 29 of july,i am very sexually active..until now i dont have my period at all. Not really feeling well stomach cramps,little backpain.. And bloated stomach..do you think im pregnant? Doctor: dear Ms, the symptoms of pregnancy does not appear until the second month of pregnancy. you should wait until the date of your next period and get a pregnancy test to insure if you are pregnant
| 2,480 |
Are red rashes on cheeks and jelly like vaginal discharge indicative of pregnancy?
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Patient: my cheeks are really red, almost like there is a rash on them? i read an article about this on a website and it said this could be a sign of pregnancy. i have also been having clear/white jelly like discharge for about 5 days now. any ideas on whats going on? Doctor: Hello, and I hope I can help you today.If you are having unprotected intercourse and not using contraception, there is always a risk of pregnancy. However pregnancy symptoms can vary widely between women, and the most common sign of pregnancy is a missed menstrual cycle.In addition, the character and amount of your vaginal discharge varies normally with your ovulatory cycle. I do not know the first day of your last period, however in the first 7 to 14 days of your cycle is normal to have clear or white discharge that can become very thin and runny at the time of ovulation, and then gets thicker as you approach your next menstrual cycle. As long as you're vaginally discharge does not have a strong odor or itch, it is likely normal and just due to normal hormonal changes.Furthermore, what causes the "glow" of your face during pregnancy is increase blood flow to your head and face, which is why many pregnant women get frequent headaches. It is not a universal symptom of pregnancy, and if you have not yet missed a period, there is no way your face rash is due to pregnancy. I hope I was able to adequately answer your question today, and that my advice was helpful.Best wishes, Dr. Brown
| 222,364 |
What causes painful lump at the bottom of tailbone?
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Patient: I have found a hard lump at the bottom of my tailbone which is very painful especially when I sit down. I had it for a few months. I went to the doctors and took antibiotics which haven t worked. 5 weeks later and its still there. is it anything dangerous. Doctor: Hi ! Good evening. I am Dr Shareef answering your query.Even though it requires a personal physical examination to arrive at a tentative diagnosis, from your history, it seems to me that you got a pilonidal cyst which caused you pain during recurrent attacks of secondary infection. If I were your doctor, I would refer you to a general surgeon, who would in addition to a clinical assessment might also advise you for a CT scan of the area to be certain that there was no intraspinal connection of the lump, following which he might decide for a surgical intervention for the same. The surgical procedure would depend on the diagnosis. However, I do not consider the condition to be dangerous if it was diagnosed to be a pilonidal cyst.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. I wish you an early recovery. Dr Shareef.
| 67,387 |
What is the reason for sharp throbbing pain in the area straight back from the eyes after strenuous movements and how to cure it?
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Patient: When I chase my children around the house and we are laughing and having fun, I always seem to have to stop because I have sharp throbbing pain in the two indentations on the back of my head. I remember my mother getting the same thing when she would lose her temper and yell at us. The pain is not at the base of my skull, but rather straight back from my eyes. Any ideas what this is or if anything can be done about it? Doctor: Hi, Welcome to Health care magic forum. There are 2possibilities, one is direct may be due to the strain over the eyes, due to refractive error or sinusitis. The second is due to the refered cause may be due to the hypertension on exertion. Some people may have exertion after walking for longer distances, and become normal after rest for some time. I advise you to consult a physician for diagnosis and treatment. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods for good maintenance of the body. Wishing for a quick and complete recovery. Thank you.
| 148,381 |
What causes circular, red patch of skin over scrotum and itching?
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Patient: Hey, I noticed today that my penis looked somewhat jaundiced...even my scrotum and there is a circular red patch of skin over much of my scrotum. The skin seems itchy, shiny, and and swollen a bit. Almost like it has less feeling.. What could this be? Doctor: HelloI share your concern.Looking at your description it seems to be Infection or inflammation of the scrotum.If you are sexually active and recently exposed to the unprotected sex than there is a possibility of STD (sexually transmitted diseases)In my opinion you should see a dermatologist for physical examination and further course of action.Meanwhile clean your private area with antiseptic soap or solution and apply antifungal like clotrimazole and antibacterial ointment.You can take antiallergic drug like levocetirizine or fexofenadine for itching.Hope this answers your question.Best wishes
| 197,696 |
Is mild elevation in the right hemidiaphragm while experiencing chest and left arm pain a concern?
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Patient: History: Chest pain. Pain in the left arm. Technique: PA and lateral views. Comparison: 3/9/2018 Findings: Heart size is upper limits of normal. Vascularity appears within normal limits. There is mild elevation the right hemidiaphragm. There are no focal infiltrates or effusions. There is no pneumothorax. IMPRESSION: NO ACUTE CARDIOPULMONARY DISEASE IDENTIFIED. Doctor: Hi, The report is normal and there is nothing specifically in the report which is linked to your pain. Normally, right dome is higher than left, so there is nothing worrisome mentioned in the report. Hope I have answered your query. Let me know if I can assist you further.
| 70,780 |
What causes frequent hives in children?
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Patient: My daughter gets severe hives frequently at least once a month. She has hep c from meth use. Also takes Percocet from back injury in Iraq. She keeps telling me the v.a. Can t find the reason why it reoccurs. My suspicion is from the hep c or meds. True? Doctor: HiIn my opinion, your child seems to be suffering from an allergic tendency. It doesn't seem to be due to medications or hepatitis C infection as it's not persistent. Hives occurs due to hypersensitivity to any substance in the surroundings which the body doesn't accept as does any normal individual.It could be due to any aeroallergen, food products, insects, etc.You should try to find out an allergens 1st. Also , go for IgE and AEC lab tests to help the diagnosis.Antihistamines are the first line of therapy for urticaria.Diphenhydramine (25 mg IV or 50 mg IM or PO) or hydroxyzine (50 mg IM or PO) should be administered if they are available.If any features of anaphylaxis (eg, hypotension, respiratory distress, stridor, gastrointestinal distress, swallowing problems, joint swelling, joint pain) are present, immediate medical intervention should occur.Acute urticaria may progress to life-threatening angioedema and/or anaphylactic shock in a very short time, although it usually presents as rapid-onset shock with no urticaria or angioedema.If associated angioedema is present, especially if laryngeal angioedema (eg, hoarseness, stridor) is suspected, prehospital administration of 0.3-0.5 mg of intramuscular [IM] epinephrine may be warranted. If associated bronchospasm is present, prehospital nebulized albuterol may be warranted.Other measures may be appropriate, such as continuous electrocardiography (ECG); blood pressure and pulse oximetry monitoring; administering IV crystalloids if the patient is hypotensive; and administering oxygen. For further questions, do contact us.
| 174,219 |
What is the dosage for K bind powder for low potassium level?
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Patient: Doctor has prscripted K bind powder for 3 days in order to lower down the pottasium level. doctor has recommended to take 15 gm sachet in 6 hrs of interval . Query is 15 gms i have to take in single dose , which means 60 gm per day or 15 gms to be divided in 4 intervals. Doctor: Hi, Dosage is 60gm/ day that is 15gms in each dose,it may cause little loose stools otherwise absolutely safe .The cause of increased potassium needs to be addressed.
| 48,787 |
Vomiting with little blood. Diagnosed hepatitis B. Liver function test shows improvement, increase in serum bilirubin. Concerning?
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Patient: HI My Sister in Law is suffering from hepatitis B, she has been diagnosed a month back. Her reports of Last 3 Liver Functions test are as under: 1. Date: 11/06/13 SGOT: 1395 SGPT: 1466 Serum Beluribin: 10.52. Date: 26/06/13 SGOT: 1121 SGPT: 867 Serum Belluribin: 33.93. Date: 10/07/13 SGOT: 277 SGPT: 189 Serum Belluribin: 34.5SInce few days she is having vomiting at Night and since last 3 days there is blood along with vomiting. Request to kindly suggest the condition at this stage. The Liver function test are improving however the serum beluribin has come and blood stains are worrying us. Request your feedback on the same. Doctor: Hi and welcome to Healthcare magic.Thank you for the query.Well, this can idicate serious liver damage no atter LFT is improving. Blood vomiting is a sign of esohaeal varices and endoscopy should be performed to evaluate this. She also needs liver ultrasound to verify how serious liver damage is. Wish you good health. Regards
| 58,747 |
How to get rid the erection problem?
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Patient: hi sir my sperm count is 22 million/ML and motility 35% and morphology 65 % i have problem in erection and intercourse my dr have suggested Maxojal and fertyl m 25 to improve sperm count please suggest whether i need to go for IUI or naturally pregnancy will stay Doctor: HelloThanks for query .Based on the facts and report of your semen analysis that you have posted You have Oligospermia meaning there by that you have low sperm count .Since you have problem of Erectile Dysfunction too .You need to get your blood tests for Serum testosterone level done .Taking Fertyl and Maxoza cream does help to increase sperm count .Following measure will help you to increase sperm count . 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday 4) Avoid alcohol and smoking.A single reading of Oligospermia does not indicate infertility .One can be diagnosed infertile only if there successive reports of semen analysis done at one month interval reveal Oligospermia Repeat your semen analysis with due precautions of abstinence for 4 days every time before collecting semen sample for analysis. With present report there is every chance of you making your wife pregnant Dr.Patil..
| 197,075 |
Is there any correlation between partially empty sella and chondromalacia patella?
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Patient: Is there any correlation between partially empty sella and chondromalacia patella, I m 28 years old lady, I ve been diagnosed with chondromalacia patella which is a result of muscle weakness as my doctor said. however, two months ago, I did Brain MRI, which results in partially emty sella, neurologist told me that it is normal, and there is no need to further work up. I want to know if there is any relation between PES and my knees pain. Doctor: Hello, These two things are not related to each other. Chondromalacia patella is related to wear and tear of the knee joint. Partially empty sella can be a normal finding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Praveen Tayal, Orthopaedic Surgeon
| 121,809 |
How to treat muscle pain after lumbar injury?
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Patient: I have a lower lumbar injury to my L5 S1. I have 24/7 numbness in this area and extreme pain behind my knees and sides of my feet. My doctor said that my muscles are weak in my back and i am overweight so i just need therapy, however I went through therapy and that did not help my back at all, although it did strenghten all of my muscles. What is the dr. missing? Doctor: Hello, I can suggest you rest, use an ice pack, avoid sitting because of the pressure of the body that goes into that area. Wear appropriate protective equipment. If the pain persists more than 2 weeks make a Ct scan or MRI and consult with orthopedic. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Blerina Pasho, General & Family Physician
| 121,742 |
What are the causes & remedy for leakage of semen?
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Patient: sir i have problem is leaking semen too more when i am speaking my girl friend and we are sexual inntercourse time .speaking time coming semen like the pure white .is it a deases or it may any problem making my future ? it is tratable any medicine avialable sir can you please advice me Doctor: HelloSemen leakage may be due to over excited state.It is not a serious problem and it is not likely to cause problem in future.This condition generally doesn't require any treatment.You may try meditation and relaxation techniques.Don't try to avoid talking,rather try to expose more to your self in such situation. Get well soon.Take CareDr.Indu Bhushan
| 198,032 |
MRI showed disc bulge on L4-L5 due to bad fall, increased pain after tested positive for carcinoid and treated. Due to colonoscopy?
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Patient: Had a bad fall on ice in 2007, MRI showed an annual rent or something like that and disc bludge on L4-5.Since 2008 to about 2012 I learned to live with a pain level of about 3-4 out of 10. During 2012 I noticed the pain increasing in strength and coming on earlier and earlier in the day. I had a colonoscopy last June 2013 a tumor was cut out in the anle area and tested positive for carcinoid. It seems since this procedure my L5-4 pain has increased significantly. I had an MRI in August 2013 with significant progression of the L5-4 and L5 sitting on the root nerve. From June to now almost November the pain is unbearable. Could the change be from the colonoscopy ? Doctor: Hi,Thank you for posting your query.The pain is neurogenic in nature and is related to the nerve compression due to disc prolapse at L4-5 level. The nerve compression can lead to pain in the back as well as radiating pain in the legs. This pan can get worse on exertion, walking, coughing, etc.Colonoscopy is unlikely to have aggravated this disc prolapse. In my opinion, the worsening of symptoms noted after the colonoscopy is coincidental. You would benefit from medications such as pregabalin or gabapentin capsules in relieving pain. If pain persists, please consult a neurosurgeon, who may plan for an epidural injection. I hope it helps. Please get back if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
| 149,048 |
What precautions should be taken while having enlarged liver?
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Patient: hello doc. My co sister was recently diagnosed with an enlarged liver. While I understand, on doing a google search that the condition by itself isnt a disease, but a symptom, could you tell me why has she been prescribed "happi it 30"? Also, what kind of precautions should she take wrt her liver. Doctor: hi.thanks for posting query .advise:1. restrict fat intake2. loose weight3. monitor fasting blood sugar ( if non diabetic)4. if diabetic, control blood sugar5. monitor liver enzymes and have ultrasound ( abdomen) every 3 to 6 months6. vitE intake after discussing with treating physician7. no alcohol and no junk foodwish you good n sound healthregardsDr Tayyab Malik
| 53,152 |
Suggest medication for sharp pain around heart after physical activity
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Patient: hey doc's i'm 20 yrs old and i'm not unfit, i'm about 12/5 stone my height is 5 10ft. i use do alot of sports untill i was 18 then sort of stop, i still play football once a week and for some reasons i keep getting these sharp pains around my heart and it feels like it just about to give out or something, anyway being a bloke i ignore it and it seems to go away. i was just curious to see what it might be? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Left sided chest pain on activity is mostly seen with heart diseases. So we should first rule out heart diseases in your case. So get done ecg and 2d echo. If both these are normal then no need to worry for heart diseases. Sometimes, simple musculoskeletal pain can also cause similar symptoms. So avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Apply warm water pad on affected areas. Take painkiller like ibuprofen if required. Don't worry, you will be alright with all these 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.
| 75,571 |
Suggest therapy for persistent sickness with insomnia
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Patient: My mum has pulmonary chronic disease and gastric cancer which has spread into liver and other area of her body. She has been caonstantly sick for the last three days with no sleep at all. she can not lay down (each time she attmept to lie is sick although she needs rest and is totally exhausted. Nurses are visiting a few times each day. the macmillan nurse is on holiday. Mum is at home. When she is sick it is totally black. Nothing (not even water is staying down.) She has has somehting fitted to her chest to help the sickness bit it hasnt worked and each nurse that comes in provides a different type of injection that doesnt work. We know that she is probably in final phases but we want her to have a bt of peace. We are waiting for doctor to come out again but have to wait six hours! Any suggestions on how we could possibly make my mum more comfortable? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Best you can give her some good painkillers and pray. Medical science does not have much options at this stage.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. B.dinesh
| 152,741 |
What causes PVCs and tiredness while on Metoprolol?
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Patient: My doctor recently prescribed me 25mg metoprolol. The metoprolol is for PVC s that I am constantly experiencing. They never go away and are often so strong that I cannot sleep at night. I have had an ultra sound, ECG, stress test and worn a holter monitor. Specialist said my heart looks good except a leaky valve which she seemed unconcerned about. This medication makes me feel so tired and I am concerned about the long term use of it. I have stopped taking it until today because my pvc s are so strong. Is this medication safe to take for this purpose? is there another way to deal with pvc s? i have had them for 10 months now. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Its safe to take them for long term as well usually. This is safest way to deal with vpcs other than lifestyle modifications. Other antiarrhythmic are available but possibility of side effects is there. These are frequently associated with MVP, also caffeine, alcohol, thyroid problems may aggravate these. You should also get thyroid test done. Also, acidity may aggravate those. So try to avoid these factors. Have beta blockers at night if too much tiredness is occurring. Hope this helps you and get back if you have any doubts.
| 18,467 |
What could inactive lupus with swollen glans sores & fever suggest?
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Patient: My WBC is 3.4, my MO% is 8.8, my BA% is 1.2, my New # (AND) (x 10^3/uL) is 1.84, my Glucose is 104, my Total protein (g/dL) is 8.9, my Globulin (g/dL) is 4.2. My lupus is inactive but I feel like my body is going into a flare, swollen glands, sores in mouth, fever and aching all over. What do you think? Doctor: hiit is active lupus, your WBC is low and globulin is high. you need to see your physician for full workup
| 82,825 |
Severe hair fall, no improvement with medicines, on Desval for neurology problem. Permanent remedy?
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Patient: I am 24 Years old. Main 7 saal se Desval ER500 Le rahi hun. Because I have minor neurology Problem. Meri problem ye hai k mujhe kai saalo se hair fall hai. maine kai doctors se 1 month ka treatment lia. par sab temporary Results dete hai. I am healthy and fit. meri diet bhi acchi hai. Doctors se medicene ka puchA to wo kehte medicene se koi problem nai hai balki issme to iron hai ye to acchi hai hair fall k lie. now please doctor help me koi permanent solution batayie meri hair fall k lie Doctor: Hi Alka, You seem to be suffering from Telogen Effluvium. Its a kind of hair fall that occurs with stress, chronic illness and prolonged medicine use(desval can cause this kind of hair fall, infact most of the antiepileptics do.So no need to change the medicine). At times thyroid disorders and iron deficiency can also lead to this kind of hairfall. So get your thyroid profile and serum ferritin checked. In the meanwhile take a good high protein diet. Eggs, nuts, lean meats, sardines and salmon, soy products not only contain protein but also other hair friendly micronutrients. take a good oral biotin and selenium/ copper rich supplement. apply minoxidil lotion 2% twce in a day. You discontinued your doctors treatment after a month, just wanted to highlight one month is too short time to have results with any therapy. you can also discuss PRP., stem cell factor therapy with your dermatologist. Remember stress can also aid hair fall so try some mind calming activities to remain stress free. take care.
| 9,576 |
Is it safe to take alcosta injection for pain in abdomen?
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Patient: I am a osteoporosis patient, recently met with an accident and fractured my T12 verterbrae (wedge compression fracture)and put on Gem cal (1000mg/day)and Gemfos(every week) for the last one year. I've taken alcosta injection also. I am being prescribed pantocid DSR (40mg) now to alleviate the pain in the abdominal region by a gatro entrologist. My question is, whether it has got any side effects? Doctor: Hello,As you are an osteoporotic patient you must have been put on Gemcal, Gemfos , these two medications can have side effects like heartburn, nause, reduced appetite, occasionally constipation to relieve you from this you have also been prescribed PAN DSR, can u please tell if the injection you mentioned is alcosta or Aclasta, because I'm not sure what alcosta injection is , Aclasta injection can be given to people suffering from osteoporosis , this also have Gastrointestinal side effects, like nausea, heart burn , constipation again for which PAN DSR, will do the job, it has other side effects that can occur rarely like lightheadedness, headache,reaction at the injection site, flu like symptoms , fever with chills, tiredness, bone/muscle/joint pain. And it should not be taken if you have kidney problem. If you get any of these symptoms you should consult your doctor immediately .Hope I could help you.Thank you.
| 89,275 |
Suggest treatment for cough and yellow phlegm
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Patient: Hi wanting a second opinion I took my one year old girl to the doctors after having a cough for two days but only slightly they put her on an inhaler (blue) and prescribed amoxicillin she coughs up green yellowish mucus just now she was coughing a lot and very sweaty and warm please any help be greatful gemma Doctor: Hi your kid is having a respiratory infection based on the complaints. please continue with the medications prescribed as long as your kid is active and tolerating feeds well
| 174,186 |
Why are the marble sized lumps on my body increasing?
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Patient: I have lumps on various part of my body, especially on my hand. They don't pain and it has just increased in numbers. I saw a doctor only once for this, as he informed that there is no treatment for these lumps (marble sized). Kindly help me with my query and if a possible remedy Doctor: Hi.Thanks for your query and an elucidate history. You have to undergo a proper clinical examination to be done by a Doctor who can catch many of the problems on your proper history and physical examination and can then guide for further investigations and treatment.I would suggest to undergo high resolution ultrasonography and FNAC=fine needle aspiration cytology. This will give the perfect diagnosis and aid the clinical diagnosis. Once the diagnosis is made the proper treatment, which in your case can be surgery only.Remember a simple principle : anything which is growing for no obvious reason has to removed and subjected to histopathology examination, even though these are lipomas
| 69,708 |
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