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Does fertomid help increase sore count?
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Patient: Hi, I am having the Infertility probelm. My age is 37 year and my wife age is 35 years.Please find my SEMEN ANALYSIS results. I am using Fertomid 25 from last 1 month. my question is, does this Fertomid 25 use to increase my sperms counts or shall i need to use different supplementary (Vitamins). Please suggest.Concentration 03 x10 6 / mL Percentage Concentration Fast progressive (type a) 05 % 0.15 x 10 6 Slow progressive (type b) 03 % 0.09 x 10 6Non-progressive (type c) 02 % 0.06 x 10 6 Immotile (type d) 90 % 2.7 x 10 6 Doctor: Hi, Fertomid has certain specific indications. Should not be taking without testing FSH LH and total testosterone. Consult an andrologist. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN
| 194,609 |
Suggest treatment for severe cold , cough and chest pain
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Patient: Hello doctor iam suffering from cold and cough along with severe pain in chest and back .....which is unbearable for me ..... also iam expecting since last month ... is it safe for me to take azax 250 ....or else kindly recommend me something ..which is not harmfull for my baby Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Better not to take azithromycin because it is not 100% safe in pregnancy. Better to take penicillin group of antibiotic like penicillin, cefixime etc. Along with antibiotics also take antihistamine like levocetrizine and anti inflammatory drugs like paracetamol. All these are safe in pregnancy. Also drink plenty of fluids orally and keep yourself hydrated. Do warm water gargles 5-6 times a day. All these will improve your symptoms with out affecting you and your baby. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 79,237 |
Suggest treatment for muscular VSD near aortic valve
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Patient: muscular VSD 4MM What do you think can be closed?? BIRTH DAY 28/02/2011 EXAMINATION DAY 14/04/2011 NEW EXAMINATION 12/05/2011 VSD 4MM MUSCULAR Echocardiogram: Heart Parts (S,D,S) Smooth connection of systemic and pulmonary veins Very small dilatation left atrium Open oval section Harmonious atrioventricular connection Physical structure and function atrioventricular valve Physical dimension and function ventricles High muscular vsd 4mm near the aortic valve Dilatation pulmonary valve All other parts of the heart is physical Echo: Left - Right outflow though open oval section and the vsd with pressure equalizing between two ventricles (PG 22mmHG). High flow through pulmonary arteries and high returns through pulmonary veins Conclusion: Medium size muscular vsd near the aortic valve with important Left - Right outflow though open oval section. Recommended new examination in one month Doctor concerned about the high pressures and fears of the event to create pulmonary hypertension As a father I would like to inform you that the child has so far not present any obvious problem. Best regards Dimitris (Father) Doctor: Hello, These problems need to be corrected before giving complications like pulmonary hypertension and to present problems to the child (dilatation pulmonary valve is a sign). Take regularly to the doctor to control with cardiac sonography and to tell the right time for the intervention. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anila Skenderi, General & Family Physician
| 17,803 |
Can stents in the artery cause pain in collar bone and GERD?
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Patient: my mom recently had 2 more stents ---she now has 6 in the right coronary artery and 1 in the left for a total of 7. Tonight she is complaining of pain in her collarbone. Yesterday she felt like she had gerd. Are these possible signs of a heart problem. Could there be a problem with a stent? Thanks, Betsy Doctor: Thanks for your question on Health Care Magic. I can understand your concern. No, these symptoms are not suggestive of heart problem or connected with problem in Stents. Pain in collar bone is more likely due to musculoskeletal pain. GERD is mostly due to stress or drug related gastritis or food related gastritis. So ask her to avoid stress and tension. Give her light food, avoid hot and spicy food. Give her proton pump inhibitors and prokinetic drugs for GERD. Apply warm water pad on affected areas for collar bone pain. She can take painkiller if pain is more. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
| 25,568 |
What is the cause of bump on forehead?
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Patient: I ve had a small bump on my forehead that has been there for over 12 years. I was struck with a rock when i was about 9 and im pretty sure that was the cause. Is it because I had a fracture and the bump is a calcium build up? It feels like bone, not some build up of liquid and it hasnt changed size. Doctor: Hi! Good moring. I am Dr Shareef answering your query.Common bumps on the forehead are dermoid, fibroma, and sebaceous cyst. This bump may or may not related to your history of trauma. If it is hard and have been there since the trauma, it might be an organised hematoma with calcification. However, to be sure, you have to take appointment with a general surgeon, and get it examined physically. The management would depend on the results of physical examination and investigations if any as advised by the general surgeon after a physical examination.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.
| 70,171 |
Suggest treatment for low blood pressure and tiredness
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Patient: Hi, my blood pressure was taken yesterday and it was 103 over 78 I got told at the time that it was low but nothing needed to be done, is this correct? I also feel tired quite a bit and feel quite sick! Hope you can help (I have just been diagnosed with ankylosing spondylitis, i'm 28 year old female 5ft5 weighing 61.2kg.) Doctor: Hello,Yes they are right, the blood pressure is normal for you. Normal BP levels also depends on ones age, height, weight and genetic makeup. Some individuals have bp on lower side but it's normal for them. Your tiredness is not because of low bp but probably due to and spend or psychological. Get one thyroid test done, and very important for you is regular exercises. You can try Syr Zincovit 2 tea spoon once a day, which is a vitamin supplement.Hope I have answered your query. Let me know if I can assist you further. Regards,Dr Sagar Makode
| 22,270 |
Will she get pregnant even if i didn't ejaculate inside?
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Patient: Hello sir i just had sex, I inserted it with control i didnt ejaculate inside. Im just a bit curious if it can also cause a pregnancy. Another sir before i had an intercourse, 2 hours before i masturbate so that during intercourse I can easily control my self to not ejaculate inside of her.. Is it also possible for pregnancy? Doctor: Hello.You are following the 'withdrawal or pull-out technique', however it is hard to perform it perfectly every single time, and hence you cannot be absolutely sure that spermatic fluid hasn't leaked into the vagina.Plus it does not protect against STDs.If you are sure that no fluid has reached anywhere near your partners vagina a pregnancy is unlikely. But you can adopt a safer birth control technique the next time.All the best.
| 3,735 |
Does kidney problem create headaches and smelly urination?
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Patient: I have had back pain for the past 3 weeks, headaches and smelly urine onocassion. Since yesterday I now have pain in my abdomen, I have been treated for a kidney infection in the past and have had cysts not sure what this is but feels like a cyst in my abdomen but not sure what is causing the rest of my pain including the chills Doctor: U r suffer ing from kidney infection, do culture and sensitivity test of urine, use antibiotics according to them, cysts are easily get infected, if very large cysts or recurrent infections u need surgery
| 48,644 |
Why my gums are inflamed, red and painful post tooth extraction?
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Patient: I had tooth #30 extracted 4 weeks ago and since then I have been in a lot of pain. The dentist cut the tooth out and had a hard time doing it. I was put on antibiotic of clindimyicin . Now where the tooth was cut the gums are inflamed red and painful. I also have bad ear pain and headaches. What is wrong? Doctor: Dear user,Thanks for using healthcare magic.I had gone through your query and understand your concerns.Don't worry it can happen sometime,it may be dry socket,You should gargle with salt water,and clean the wound,it help wound heal proper,You should take antibiotics and painkiller,and don't be stress,You need to visit your dentist,so he or she assign you proper treatment,wish you good health,'Hope I have answered your query. If you have any further questions I will be happy to help". Thanks.
| 187,717 |
What causes heart palpitations while ECG and blood test were normal?
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Patient: my mom has been having sever hear beats lately. I ve took her to the emergency room , they took ECG and blood test they said everything looks fine. however, couple of months ago, she was under a lot of stress and she threw up blood. further follow up with specialist are in order. But i am so worried at the moment. can someone help please? Doctor: Hello, I would explain that some ectopic heartbeats are quite normal during physical activity or anxiety. Nevertheless, I would recommend performing a cardiac ultrasound and an ambulatory 24-48 hours ECG monitoring in order to examine her heart function and structure and her heart rhythm trends for a prolonged time. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 16,709 |
Is cold with runny nose,blocked nose,cough and sneezing due to allergic reaction?
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Patient: my daughter is now 11 weeks old and has had a cold for over 9 weeks ( runny nose, then blocked nose, cough,flemmy chest & sneezing) she is fed on sma baby milk. could she have an allergic reaction to cows milk and this is causing the problem as i read a babys cold would last no more then 2 weeks Doctor: HI, thanks for using healthcare magicThe milk she is using is not cow's milk, babies are not allowed cow's milk till they are at least 1 year old.Milk allergy may present in different forms normally with a rash on the skin, stomach upset with vomiting, loose stools or in some cases constipation.The symptoms that you described are in keeping with a cold but because she does not have a good immune system as yet, it would take a while for her to fight it off.You may want to consider taking her for assessment.I hope this helps
| 101,041 |
Is surgery the only cure for appendicitis ?
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Patient: Hi, I have lower abdominal pain . My doctor suspected it to be Appendicitis . They have asked to take a CT Scan and confirm the level. Is operation the only way to cure this or there are any other means. I am 22, Unmarried. I have got this pain only very recently for 2 months. I am scared to get operated. Can any one suggest me what should I do now? Doctor: Welcome to Healthcare Magic Appendicitis needs operative treatment because it has high chance of rupture and causing severe infection in the whole abdomen. Nothing to worry. It is a relatively safe procedure and recovery is excellent and ensures you won't have appendicitis again.
| 95,786 |
Should Plan B be taken after taking Take Action pill to prevent pregnancy?
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Patient: Last night I took Take Action emergency contraceptive but I see mixed reviews on it now with plenty of people saying they still have gotten pregnant after taking it . I have tri sprintec at home I have taken my Friday pill but I have been of my pills for a few days will I be okay or should I go buy the plan b ? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Though you are on Tri-Sprintec as you have missing a few pills you cannot expect complete protection with them, so it was a good decision to take the emergency contraceptive pill. Both take action emergency contraceptive pill and plan B contain Levonorgestrel 1.5 mg as the dose is same you can expect same action like when taken early like that is within 12 hours you can expect around 95% of the protection with increasing gap between intercourse and pill, the percentage of protection will decrease with any pill. Take action emergency may not give up to the mark action when it is taken by women with overweight or in a woman who is taking few drugs that can interact with it like antiepileptic drugs, Rifampicin etc. If you are not overweight and not taking any of these drugs no need to worry you can expect similar protection. Hope I have answered your query, I will be happy to answer any further follow up questions. Take care.
| 218,511 |
Suggest treatment for Guillain Barre Sydrome and severe leg pain
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Patient: I ve had GBS since 2003 & still have severe lingering pain mostly in both of my legs. I do have a spinal implant to help with the pain but have it turned up as high as it can go so can t walk when I m using it. My question is why does my pain nurse keep lowering my prescriptions when the original ones were helping. One nurse recently was arrested for writing scripts so would that have something to do with it? I asked them but I didn t expect to get an answer. It took quite awhile before my diagnosis when I originally got sick. I was 1 hospital then went to Yale. Doctor: hi, thanks for a brief history of you. since you mentioned you had GBS and post that you started getting pain in the leg. Well, first we should know the physical status of your ability as what muscles are weak here and there. second, are you performing any exercises or not? Severe pain in legs can be assessed by the nature of the pain. it can be muscular or it may be neuropathic. for muscular pain use hot water fermentation and try strengthening the muscle groups of the lower limb. for neuropathic pain you have to figure out if there is any nerve compression due to muscle spasm in its course. Usually GBS patients take longer time to recover and the duration passed in the bed can make the muscles of the back and hip weak which leads to pain in legs. for which a physical therapist can be of help and you can get ease of the pain with TENS and therapeutic ultrasound therapy. Also exercises for the Strengthening the core has to be followed by. to make a note here that you have a spinal implant so assessing the implant by taking an x-ray will be of insight for further help. an ortho specialist will assist you for the same.with the grace of God I wish you a speedy recovery
| 134,324 |
What causes pain on right lower side of the chest?
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Patient: I am 55 years old, female. I had a provisional diagnosis of ankylosing spondylitis in 1980 but only had a MRI scan confirming the disease last year after I referred myself to a private rheumatologist (bless her she put me back onto her NHS list immediately), For the last 20 yrs I have been treated with first morphine then fentanyl and oramorph, 10 years ago sulphasalazine was stopped due to leucopaenia, I was not referred back to a rheumatologist! The MRI done last year showed severe erosion and fusion in my pelvis and lumbar vertebrae. I had some fluid surounding some costal joints, other costal joints have fused. T6 T7 facet joints have fused and T3 disc has prolapsed. I also have severe disc degeneration of all lumbar discs. I am hoping to see my rheumatologist in the next few months, as yet I am still only on analgesia steroids caused severe depression within 3 weeks. My question:- For the last 5 weeks I have had pain on the right lower side of my chest not exacerbated by breathing deeply, but if I turn to the right the pain increases. The pain is constant, the ribs when pressed do not hurt more than usual and hurt no more than the left side. I have had costochondritis before and this feels different, the pain doesn t feel like it is radiating from the spine it is localised just under the right lower ribs. I have no appetite and feel ill. I am loathe to call my GP( he diagnosed me with chronic fatigue whilst on 100mcgs Fentanyl and sleeping 18 hours a day. He forgot opiates make you sleepy!!!!! There is only one Surgery in our area) Is this pain enough to warrant a call to my rheumatologist. I am also being tested for sjogrens disease. I don t want to bother her if it is not important. Thank you for your time Doctor: Hello,Thanks for the query.Conditions like costochondritis has to be considered.As of now you can use analgesics/anti inflammatory combination like aceclofenac/seratiopeptdase for symptomatic relief. If symptoms persist, it is better to consult a physician and get evaluated. Wishing all the best.Thanks
| 122,307 |
Suggest treatment for constant stabbing back pain
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Patient: I have a constant stabbing pain in my right side moving just around to my back. It is in line with my belly button. This came on me suddenly last night and I could not sleep with the pain. Today I am having difficulty moving/walking around with the pain. Pain is bearable when sitting. I would rate the pain as an 8. Thank you in advance for your help John Doctor: Hi john thanks for the query.From the details you had described it could be some sudden sprain to your back muscles. Some times the pain could be due to some problems with stomach or urinary pathology. If the pain is from the sprain of your back muscles initially I advice you to cut down your activities and rest for day or two. i would like you to consult your orthopedician and get some analgesics to relieve pain. If the pain is settling of then start on exercises to back.thanking you Dr.A.Mohan krishna.
| 108,603 |
What could itchy and flaky nipples suggest?
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Patient: I am 20 years old and have had an extremely itchy dry flaky left nipple, i had a bath at my friends house with this bubble bath and it has been like it since but i went home and had another wash, but her daughter had a rash from it but is fine now, i'm a bit worried because i have been doing a bit of research and some people recon its cancer which does run through my family both sides Doctor: HIWell come to HCMI really appreciate your concern, it could be eczema condition and it can be managed with steroid and best would be Mometasone cream some time it may be fungal infection and then Miconazole cream can be added with this hope this information helps.
| 31,132 |
Suggest permanent treatment for premature ejaculation
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Patient: I am 25 years of age. I am mmasterbating from long. I feel that my seaman has become diluted and also I suffer from problem like premature ejeculation. As soon as I enter into the vagina I feel like ejeculating. And if hold for some time it happens soon after some strokes. I don t want to take Viagra or something. Is their any permanent cure possible? Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are just 25. I don't know whether you are married or not. For most of the premature ejaculation problems, the reason is underlying anxiety. In your case, prolonged masturbation practice could have ruined your anxiety issues. Also possible is the guilt you are feeling about your sexual practices. Sex is an enjoyable thing, not to be made anxious. please talk to a psychologist.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.
| 201,372 |
Suggest treatment for yeast infection
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Patient: Hi I recently got treated for a very bad yeast infection I got prescribed a three day cream treatment and that didn t work so I got prescribed a one day pill. I finished both and it cleared up. This was all last week...today it seems like my symptoms are coming back because my discharge is think and discolored again...also my clitoris is painful to the touch but that could be because I had intercourse a few days ago and was rubbed without lubrication Doctor: Hi,Thank you for your contact to health care magic.I understand your concern.If I am your doctor I advice you that recurring yeast infection is because of some underlying cause. I advice you to think about retreatment with antifungal cream and fluconazole oral tablet. But it is necessary to get diagnosed the primary cause because of which you are having recurrent yeast infection. I will be happy to answer more of your concernYou can ask me anytime.We wish you a best health to you at health care magic.Dr Arun TankInfectious disease specialist.
| 38,112 |
What causes fainting and foaming at the mouth?
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Patient: My nephew started foaming at the mouth, and acting like he could not breath. He was almost fainting, i was wondering what could be wrong with him. My sister had to call the paramedics to look at him. I also suggested she take him the doctor for a follow- up visit. Doctor: Hello.The symptoms are suggestive of a seizure. It can occur in any form be it shaking of limbs or fainting to silent seizures following loss of memory.I would highly suggest to go for a checkup and look for the root cause of the fainting so they may not occur in future. Also it is suggested to call emergency number when you notice similar symptoms in future. The doctors would go for an MRI scan of head to look for the lesion and provide the best treatment.Best Regards,Dr Gunjan Jain
| 142,004 |
What causes pressure in the heart?
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Patient: Hi Doctor,Myself Bala from India.. Just 26 year old.... I feel like little pressure at my heart... I dont feel any pain but and dont feel like problem in breathing.... I feel like this from last 2 months.... pls tell me whether is it a serious problem to worry... In last 2 months, some days I felt good also... Doctor: occasionally pressure on heart may be muscular in origin or may be due to stress or may be related to acid peptic disease too. primary investigations should always be carried out like ecg, TMT to rule out heart problem.
| 27,169 |
Is a hydrocele a cause for concern?
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Patient: I had my surgery denied now I m concerned about the hydrocele becoming a greater health risk, you know I was from me being over 18 now and I ve had a stent put in my artery of my heart but I m very healthy at 61 years old any advice is very much appreciated and I thank you Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Hydrocele is an embarrassing condition. It might create lot of discomfort and secondary infection may occur. So, you must undergo surgery of hydrocele. As your general condition is good, there is no need to worry. Stent is not the contraindication for the surgery. So, in short,you may go for surgery without any tension. Hope I have answered your query. Let me know if I can assist you further.
| 195,750 |
Does exercising lot causes heart palpitations when having mitral valve prolapse?
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Patient: I am 70 years old. I exercise a lot. 3 zumba classes, 2 tai chi classes, 1 yoga class per week plus I like to walk around 8-10 miles per week. I have mitral valve prolapse. I have had a heart stress test and got an A+. Lately, I have been experiencing heart palpations. Am I exercising too much? Doctor: Yes any form for strain, like exercise or mental stress and many other day to day activities, can sometimes cause some ectopic heart beats in the case of mitral valve prolapse. However strongly I would suggest you not stop or decrease the form of exercise which you do the benefit from it far overweight any risk. However if you get palipation which is distressing and any dizziness, if possible do get an EKG or if rarer 24 holter to see the type of ectopic and maybe a small dose of beta blocker (medicine) will take care of it. Regards
| 27,629 |
Could the abnormal cells shown in pap test a recurrence of my cervical cancer? How common is this after 33 years?
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Patient: I had invasive cervical cancer in 1980 at age 28 and was treated with a radical hysterectomy and lymphanectomy. Recently a pap test has shown adnormal cells and I have been referred for colposcopy. Could this be a recurrency of my cervical cancer? how common is this after 33 years? YYYY@YYYY Doctor: your present age and duration after cancer doesn't safeguard against recurrence. After treatment for malignancy, chances of recurrence decrease as years pass by and some cancers are completely curable. Since you had cancer long long back the chance of the same disease coming back is remote but it is always better to have periodic screening. Yes you definitely need colposcopy if PAP is abnormal but abnormality doesn't always indicate malignancy and you need not feel tensed.
| 157,459 |
What causes penis to be sore and itchy after ejaculation?
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Patient: after i ejaculate, my penis is very sore and itchy for a few days. i notice that when i pull my penis back i have white things on it which smells awful. my penis is very sensitive to touch now and i do not know what the problem is. do you know what it could be? i also have tiny spots when i pull back my foreskin Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It looks like you have contracted a fungal infection. But nothing to worry after antifungal treatment you will be fine. Men usually contract it from their sexual partners. get an appointment form your physician. Hope I have answered your query. Let me know if I can assist you further.
| 195,655 |
How to stop skin darkening in infant?
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Patient: Please write your health query. Also mention your age, height, weight and medical history. A detailed query is important to get you a relevant answer from the doctor. hi doctor, i have a two months baby when she was born she is very fair therafter she is getting darker day by day. i want to her fair plz tell me some tips. Doctor: color I'd determined by their genetic history and other factors.moisturizers can help to some extent and mild soaps should be used.
| 169,511 |
Suggest remedy for white patches and bad odour of teeth
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Patient: I am 26 male. I get white thing around my teeth very frequently, looks like it comes from my gums. Is there any way to stop that? Also my front-Up Right tooth has come down making an angle, which is genetic, it happened to my father and his one of the parents. Also my breath is odourous, because of this I am not able to speak publicly. When I smile or speak, my face also tweaks, which becomes very curvy, it's an embarrasment to me? I am living in sydney which doctor should I consult best for all above?Can you suggest me some good treatments? And for white thing, do you have any home remedy? Do I need to change my food habit? Doctor: Hi,Thanks for asking the query,Get full mouth scaling and polishing done in every six months.Brush your teeth twice daily, and get your toothbrush changed in every 2-3 months.Develop a habit of using dental floss, and interdental cleaners.Take antiseptic mouthwash rinses.Drink plenty of water and keep yourself hydrated.Take complete balanced diet.Visit your Dentist in every six months.Take care!
| 187,820 |
Causes for abdominal pain in the 12 year old girl
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Patient: my 12 year old daughter has been experiencing bad abdominal cramping, dizziness, headache and fatigue for the past 24 hours. The pain is so bad she does not want to eat. When she does, she can only "stomach" a slice of bread. She is irritable and lethargic, having fallen asleep twice out-of-the-blue which is very out of character for her. No fever. We were thinking she was starting her period, but it hasn't (not ruling it out, of course), but this is so unlike her that I am getting worried. We do have kidney problems in my extended family, so that has crossed my mind as well. Thanks for your help Doctor: Hello!I read carefully your query and understand your concern.In the way you describe it seems to be more an viral infection than a specific abdominal condition causing this abdominal pain,headache,weakness and sleepiness,lack of appetite .In this case no specific treatment is needed and she will be fine after some days.You can give her Ibuprofen or Paracetamol to relieve the pain.I would not exclude that all this symptoms can precede the starting of her periods.If this symptoms were due to kidney disease she probably will have back pain,frequent urination,painful urination.But are some kidney disease that can cause vague abdominal pain and a general unwellness and since you have a familiar medical history of kidney disease I suggest to do some tests to exclude this possibility.You can do a complete blood test,creatinin level and urea level in blood,urinalysis to exclude a possible infection and an abdominal ultrasound.I suggest to consult a physician and get the tests done to sort out the right cause.Hope my answer has helped.Take care.Dr.Rovena
| 91,140 |
Suggest treatment for kidney stone
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Patient: My wife has a stone in kidney (outside) 14 mm (12-15mm) - ultrasound report- what should be done. Do we first try medicine to dissolve it or go for operation straightaway. For last two day we are trying out Ayurveda.We came to know on this sunday(night).her weight is 69. height 5' 3'' and is 39 years old Doctor: Hi & Welcome.Incomplete data like the exact location of the stone, any pressure effects,etc.I appreciate your concern for your wife.Such stone is usually managed by lithotripsy and endoscopic (ureteroscope) removal of the stone from the urinary tract.Since the size of the stone is somewhat larger hence Ayurvedic medications usually are not effective in decreasing its size.Ask her to take plenty of oral fluids.
| 48,030 |
mass on kidneys rash on back
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Patient: I have a friend that has a mass on her kkidneys. Now on her back she has a horrible rash that almost resembles a burn. What could this be Doctor: May be related to kidneys. My cousins father had the same problem and he had rashes over the body.
| 160,354 |
Brain fuzzy, arms, legs pain, suffering with this problem from years. Permanent cure?
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Patient: In 1997 I had a seizure, was in the best Hospital in Houston, after weeks of sleep study, test, ect with more episodes they concluded its not all seizures. They lasted daily, then weekly then subsided from 2001 until now only had 5-6 . I had 2 back to back 2 weeks go and I don't feel totally back to normal. I am xterm ell haunted, arms and legs ache most days and my brain is fuzzy. After the 1997 experience feeling like a human testing experiment I am not wanting to go to the Dr...do you have ny suggestions?Thanks, mom in houston Doctor: Hello,Thanks for the queryI understand your concernYou need a detailed prolonged video-EEG test to diagnose your conditions. I hope you know about these tests and your doctor might have done last time. If you do not want to do any further tests, please consult a another local epilepsy specialist Please note that it is difficult on my part to advise medications unless the diagnosis is establishedPlease get back to me in case you need any additional informationBest wishes
| 150,201 |
How to treat swollen knee while treating knee osteoarthritis?
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Patient: What is best way to lower level of inflammation in one s body (elder), to combat knee osteoarthritis, and prevent subsequent damage to other organs and systems, ie. heart and brain especially. I always prefer natural solutions. Thanks so much for considering my question. Doctor: Hi there. Combating inflammation knee osteoarthritis in elderly can be tough, but not impossible. First of all you have to understand that osteoarthritis mainly arises due to normal degenerative processes that occur with ones ageing. So the best way to reduce inflammation and pain is to reduce the factors that cause them. The most important aspect of the treatment that i prescribe to my patients is physiotherapy. Not only does it strengthen the quadriceps muscles, which are important stabilizers of the knee joint, the physiotherapy is useful in terms rehabilitation following knee replacement, if at all it comes to that. Secondly if the muscles are strengthened the surface of the bones that rub against each other and cause pain in osteoarthritis are less prone to do so and the further rate of degeneration comes down. Analgesics can help control acute flares. But like you i prefer less of allopathic treatment for osteoarthritis and more of exercises. With their muscles becoming stronger they become more confident of ambulating around the house as well. I am not very certain of the extent natural remedies and alternative medicines can help. And rest assured that inflammation arising in osteoarthritis is least likely to affect the heart and brain. There is no correlation. Some lifestyle changes like avoiding too much of climbing stairs or squatting can be avoided.
| 129,836 |
How to treat psoriasis?
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Patient: Hello.. I am a 23yr old female from hyderabad suffering from scalp psoriasis since 7 months.. it gradually started spreading to other body parts since 3 months. I tried topical steroids and tar shampoos but it just gave a temporary relief to some extent.. I also tried ayurvedic treatment for mare than a month but it also brought no relief.. I wanted to know whether there is a complete cure of psoriasis in allopathy or homeopathy.. which treatment should I prefer?? Doctor: Hi,As you said you suffer from psoriasis...I would like to say few things about psoriasis... . Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body,scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunitity,stress,dry wheather...etc may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment.I usually recommend cap acitretin 10 mg twice a day along with methotraxate 15 mg weekly in three devided doses 12 hourly...for psoriasis.This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamnics like levocetirizin...Avoid steroid ,as there may be severe flare up after stopping it.You may apply mild steroid cream or calcipotriol oint on the lesions on the psoriatic lesions. You may apply moisturiser to improve the skin texture. You should avoid soap bath for few weeks..And you should be free of stress and worries as that might worsen psoriasis. You might get good result.There is no complete cure of psoriasis in any pathy. It is a controllable disease like DM. So, be calm and have treatment till you feel better, when it recurs, repeat the treatment.I hope you got my answer.Thanks.Dr. Ilyas Patel MD
| 12,361 |
Is tamoxifen which im taking for mastectomy since 4 yrs a cause for hard blood vessels?
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Patient: I have recently had a ct angiogram in preparation for a mastectomy and bi-lateral breast reconstruction. The pre-op assessment was fine. I was called back to the surgeon who advised me that the angiogram showed that when the contrast entered my liver, the blood vessel swelled up like a balloon. My surgery has been postponed and I am awaiting an ultrasound to see what the problem is. I have been taking Tamoxifen for four years having had a mastectomy for grade 1 breast cancer, no radiotherapy or chemotherapy was necessary. Could the tamoxifen be the cause of the problem? The nurse who took my bloods said my veins were hard and are difficult to locate as though I'd had chemotherapy? Thank you. Doctor: Hi,Tamoxifen does not cause any of the effects described by you . It only causes antiestrogenic effects on the breast tissues. It does not affect the blood vessels in any way.Regards
| 157,373 |
What is the treatment for a blister in the forehead of a child?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... Hi, my 14 month old son has had a small raised blister like dot the size of a pin head on his forehead for the last 2 months. He bumped it the other day and it bled everywhere and now its even more pronounced like a bigger blister. Is it a broken capillary and will it go away as it looks awful on his pale skin? Doctor: what you has described is seems to be a hemangioma, a vascular growth, red colour, smaller didn't require treatment, larger needs, not much to very.
| 164,284 |
Suggest treatment for body pain, tiredness and nightfall
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Patient: Good morning sir, I have problem of full body bones paining, tiredness, fatigue, not able to sleep in night time , night fall ie my sperm, continues crams coming in both legs. my weight is not increase from last 20 years, i am now 42 wgt is 43kg. pl. advice me wht type of medicine shall i take. i want to leave for my family having 5 yr son. Doctor: It appears from the complainants that you are suffering from a problem of depression, where the patients has low mood, disturbed sleep, less interest in daily activities, nervousness, low confidence, etc. A course of anti depressants like tab sertraline and anti anxiety drugs for a period of minimum two months will be helpful. A regular followups at psychiatrist and sessions of behaviour therapy will cure your condition. Night fall could be due to associated problem, common in depression.
| 201,183 |
What causes nausea and fainting feeling after taking emamzen D for neck pain?
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Patient: My sister who is 40yrs of age has early stages of Spondylises of the cervix C5-6. She has neck pain that radiates till her back. She was prescribed Emamzen D thrice a day for 7 days along with Zinetac twice a day for 10 days. She misread her prescription and has completed taking Emamzen for 9 whole days now. For the last 2 days she has been feeling nauseous, fatigued and unwell. Her pain has not reduced. Today she is feeling very faint. Please advise if her nauseous/feeling faint is due to excessive intake of Emamzen? If not then what.Your help will be deeply appreciated. Thanks. Doctor: Hi, Your sister may suffer from the symptoms of the over dose of the drug. She needs to go to hospital to assess her vital signs and she needs to be under a medical supervision for 48 hours. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mustafa, Neurologist
| 140,074 |
Can white chalky residue on furniture surface cause allergy and asthma issues?
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Patient: We moved about a month ago and since then it seems my daughter is sick every other week with allergy and asthma type symptoms. My husband just noticed a white residue on some furniture surfaces. The only thing we could narrow it down to was the popcorn ceiling. When you touch it there is a white chalky residue left on your fingers. Is this common with these type of ceilings, can this be causing her respiratory issues?? My son has now been complaining of itchy & watery eyes Doctor: Brief answerlocal allergyDetailed answerHiI appreciate your concernLooking at history it is pertinent that your kids might be suffering for local allergy caused by popcorn like materialpleads clean.your house properlyavoid exposure to kidsgive them anti allergic or antihistaminic group of drugsHope this helps you thanks for using health care magichave a nice day
| 99,559 |
What are cold, diarrhea and headache symptoms of?
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Patient: For the past week or two I've been having what seems to be a cold, but it seems to be holding on. I've been having clogged ears, runny nose, headaches, and my eyes have been hurting. I also just recently had diarrhea, but that might be from what I ate today. I suspect maybe a sinus infection, or allergies? I'm not sure, please help. Doctor: Hello,Welcome to HCM,The history and symptoms are suggesting me that your having some infection affecting the upper respiratory tract which is may be by a viral or of allergic conditions.As you are having clogged ears, runny nose, headaches and eyes been hurting recently is suggesting that you are having infection of the upper respiratory tract.For your condition I would suggest you to follow1.Steam inhalation with Vapocaps2.Oral antibiotics like Tab Bactoclav 625 mg for 5 days3.Oral antihistamines4. ORS solution.You can take these medicines by consulting your doctor and getting the prescription from him.Thank you.
| 39,919 |
Suggest treatment for bronchitis and sore throat
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Patient: I have been on antibiotcs 3 kinds over 3 1\2 week period for acute bronchitis. 14 days ago I delveloped blister like lesions on backof my tongue. I just started pennicillin 4 times per day for 10 days and today begins my 4th day. When this stared I was on levaquin 500 mg @1 per day. My throat is slightly sore on and off. Doctor: Hello,You are on perfect line of management along with you have to:• Do gargles with salted lukewarm water and added peppermint oil 3 times/day• Avoid exposure to dusty weathers/pollen containing atmosphere if required use face mask, honey, turmeric with boiled milk, basil leaves are best herbal supporters • Avoid smoking/alcohol • Cough relieving lozenges/OTC cough syrups help in recovery • Avoid excess sugars, artificial sweeteners, oily, spicy, junk foods, chilled beverages, non-vegetarian stuffs, ice creams, cold drinks, etc.• Spirometry gives best way to strengthen the lungs with subjective evaluation of lung capacity • Regular walking in fresh air, yoga is must • Avoid shouting • Balanced nutritious diet to combat the infection• Avoid exposure to excess cold/heatHope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
| 74,670 |
Taking Cipralex, have dizziness and vertigo. Symptoms of withdrawal or Meniere's disease?
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Patient: i am on cipralex 10mg a day. three months ago i shifted to 2.5mg a day with some miising doses in between. i wasnot trying to stop but rather to lower the dose as i thought the drug have long t1/2 and i am already loaded to a therapeutic level. after 28 days i had a symptoms of n&v sweating dizziness , vertigo lasted about 2-3 hrs dr said it might be virus....etc . i was kind of down little for a week then the symptoms was there but very light for a month then i had anthor attack of sever n&v dizz, vertigo. n&v lsted for an hour but dizz, ver/ lasted till a week ago. during the second episode i visited ent doc and diagnosed it as Meniere s disease. actually i didnot tell him about the cipralex at all because i ve never thought of withdrawal symptoms might happen. but last week itook a 10mg of cipralex daily for three days because of thought of missing dose(s). i want to emphesize that i am good in taking my med . interestingly i felt fine and kind of normal and every thing seems to be back to normal no more s&s of n&v no ver no dizz no sppinning.. now my question was it s&s of cipralex withdrawal or Meniere s disease by the way i have tinnitus in my left ear for more than 7 yrs Doctor: Hi,The withdrawal of Cipralex does not occur after 28 days. The discontinuation symptoms occur within a couple of days of dose change and do not last for just a couple of hours. In my opinion, your episodes of vertigo are not related to Cipralex but are a manifestation of inner ear disease. The vestibular system present in the inner ear is responsible for maintaining the balance of the body and any disturbance usually manifests as vertigo and dizziness. I think you should continue with your ENT doctor's advice.Best wishes.
| 148,753 |
How to get rid of bumps near genitals?
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Patient: I have these bumps down near my genitals, they aren t warts because I ve been tested and am 100% clean and they aren t inside my genitals either. Just located on the bottom part of my butt cheeks and up where my legs meet on both side (where my underwear would be). I just started getting them about a month or so ago when I started to sweat alot due to weather (I live in western Texas). My question(s) is what are they, are they serious, and how do I get rid of them Doctor: Hi,Dear,Welcome to HCM. Based on the facts of your query,You seem to suffer from-Furunculitis from Sweating Skin in underwear area.Check with your -blood Sugar/or shaving if done lately which could be reasons for such hair follicle infections causing lumps near genitals and in the butt cheeks and groin areas.Hope this reply would help you to plan further treatment with your doctors.Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Dr.Savaskar, Senior Surgical Specialist M.S.Genl-CVTS
| 62,108 |
What is diffuse disc herination with prominent posterocentral component?
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Patient: What is diffuse disc herination with prominent posterocentral component with annular tear at L4-L5 resulting in mild to moderate compression. Does it effect in my pregnancy? I am not getting pregnant, I am concerned that it could be due to this problem. Please help me? Doctor: Hello, That means that one of the cartilage discs situated between your vertebrae, between the last two vertebrae in this case, is bulging causing some mild compression of the nerves (which nerves on which side can't be said since you don't mention it). It has no effect whatsoever in your ability to remain pregnant, there is no relation at all. Physical therapy and over the counter pain killers like Ibuprofen if in pain are recommended. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Olsi Taka, Neurologist
| 140,528 |
PCOD, irregular periods, bulky ovaries, multiple follicles. Conceive?
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Patient: I have recently got an ultrasound done. I suffer from PCOD from the age of 13 i have had irregular periods. ANd have been on hormone medicines on and off. I am now 31yrs old and married for the past 2.5 years. The report states i have Bulky ovaries with multiple tiny follicles - suggestive of PCOD. Both ovaries appear bulky with multiple follicles. Right ovary measures : 38 x 30 x 24 mm, vol - 14 cc. Left ovary measures : 18 x 21 x 35 mm, vol - 9 cc. What does this mean? And will this create problems for me to conceive. Doctor: Hello. Thanks for writing to us. Bulky ovaries with visible multiple follicles arranged along the margin of ovary are suggestive of polycystic ovaries and such ovaries fail to develop normal ovulatory follicles with every cycle. You might face some difficulty in conceiving. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com
| 44,281 |
Suggest remedy for lump in jaw line
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Patient: I had a tooth absess removed and prior to the removal they felt it and it was liquidity and somewhat soft day of tooth extraction it became hard and painful and was in cheeck. They removed tooth 4 days ago I still have soft liquidity lump now in jaw line where tooth was removed. Doctor: Hi.Thanks for your query and an elucidate history.Noted your history of tooth extraction, tooth abscess and lump in the jawline. This is most probably an abscess or a lymph nodes secondary to an abscess. Get a proper antibiotic and anti-inflammatory medicines again and see the results. You can get your blood tested for WBC and rule out diabetes as there is a small chance. Ultrasonography helps to decided whether this is a mass effect like a lymph node, antibioma or a true abscess. IF a true abscess is present , this needs to be drained properly by an Oral or an ENT Surgeon.
| 67,038 |
Had jaw wired shut. Having 3 fractures, hurting. What to do?
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Patient: Hello, I had my jaw wired shut last week due to 3 fractures to my mandible, right now my jaw is wired shut but i got a follow up with my surgeon. There is currently a wire that fell pretty deep into my gumline and hurting to the point I want to cut my wires off but then I would have to be rushed to the hospital to get them rewired. What do I do? I have a 8 pain rating. Doctor: HELLO, Thanks for posting your query. The wiring has done to immobilise the mandible to enhance healing . I would suggest you to visit your surgeon if the wires are hurting. Please do not cut them by yourself. you can withstand the pain of wiring associated with gumline if possible.Slight discomfort occurs usually. Avoid wide opening of mouth as well as jaw movements. Hope this helps.
| 189,797 |
Suggest treatment for skin problem and hair loss all over the body
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Patient: Hi my name is emily im 26 i have allergy problems now n in the pass i became sick never been sick started having skin problem to no hair all over my body to lossing more pounds was already skinny doctors never seen why wat was the caused the only choice was getting tested for marfan syndrome cuz ma dad passed away frome that he had five surgies n my half brother n sisters have it but there younger then me im the older out of five of us my dad never had his hair fall out n my brother n sister but his death records saids he has apolecia too n other word that he threwup blood but im confused if i have apolecia too my hair its thinning out by 1-3stringz i think god is punishing me in this lifee i have four kids to take care of n i have marfan sorry this was long but need u toknow a lil bout me mean Doctor: Hello, For alopecia I suggest you to use minoxidil 5% solution, twice daily. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Kakkar S., Dermatologist
| 9,747 |
Does Predisnone help with the cold and asthma?
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Patient: I have asthma. I have a cold that is aggravating my asthma. Would it be help-full in controlling my asthma to take predisolone? I have done this in the past and used the tapering off procedure. Do I have to use the tapered procedure when taking predisolone? Doctor: Hello dear,Prednisolone being a corticosteroid should be taken only under the guidance of your Doctor and follow a tapering off procedure before stopping it.The symptoms as mentioned in your post can be attributed to Acute exacerbation of asthma, secondary to the respiratory tract infection.Management consists of:1. A course of antibiotics based on culture & sensitivity reports.2. Asthalin+ Seroflo inhaler- provide symptomatic relief by causing broncho-dilation (dilating the smaller airway passages, relieving the obstruction & increasing airflow to lungs). So, it can be used during an acute attack.3. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.4. Antihistamines like Cetrizine can also be used to provide symptomatic relief.5. Also make sure that you are well protected from exposure to cold, dust or other allergens.If symptoms still persist, kindly consult a Pulmonologist for proper clinical evaluation.Wishing a good health.Take care.
| 101,051 |
Elaborate on effectiveness of, rapid white blue light tooth whitening system
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Patient: hi doctor am a female and i want to ask u about Rapid white Blue light tooth whitening system it it good for the teeth or bad because some of people said that it herts the teeth some of them said that its good so am littel bit confused and i need an answer :) thanks all Doctor: Thanks for your query, I have gone through your query.As far as I understand, there is no blue light that makes teeth white. There is an ultraviolet light that is used to cure(make set) the tooth colour filling material(composites). If the decay is too deep approximating pulp, then we caanot give this material. Because this material causes irritation to the pulp and result in pain. Consult a endodontist and get aradiograph done and after that we can plan what material can be given.I hope my answer will help you, take care.
| 183,362 |
Had concussion, Dizzy, nauseous, headache, fallen sick. Suggestion?
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Patient: So I currently have a concussion from passing out at school. it's been about 3 weeks, and this morning I woke up feeling extremely dizzy, nauseous, and I had a huge headache. I was feeling fine yesterday, so I don't know what's wrong? It feels as if I'm on a boat and everything around me is moving, which is making me sick. Doctor: Hello ..Welcome to HCM ..I read your query and it seems that Headache and dizziness with nausea sensation makes me to think of possibility of Benign Paroxysmal Positional Vertigo ( BPPV )also a simple migraine can cause similar symptoms .I wound suggest you to get prescribed for 1) Tablet Betahistine 8mg to reduce symptoms of dizziness . 2) Tablet Acetaminophen 650 mg to treat severe headache .You should also know to prevent BPPV with some information :Be aware of the possibility of losing your balance, which can lead to falling and serious injury.Sit down immediately when you feel dizzy.Use good lighting if you get up at night.Walk with a cane for stability if you're at risk of falling.Work closely with your doctor to manage your symptoms effectively.BPPV may recur even after successful therapy.Hope I provided useful information .Thanks & Take Care .
| 149,187 |
What causes swelling in legs with brown spots?
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Patient: Over the last six month I ve noticed swelling in my feet and some numbness as well. It comes and goes and i ve been too busy to make the time to see a doctor. About 3 days ago my left ankle started hurting, turned beat red and stung. That subsided the next day but my left ankle and foot swelled up and has stayed swollen since but no pain and still the numbness. Now this morning my right foot has begun to swell more almost matching my left and both feet have brown spots right on top. Not many but noticeable. Help! Doctor: Hi there.You need to apply ice packs to the hot, swollen joints. You can also take Tablet Ibuprofen 200mg twice a day after a meal. You could be having Gout or Rheumatoid arthritis possibly.Avoid chicken, meat, dried fish, smoking and alcohol as these can cause Gout flares. Consult an Orthopaedician as soon as possible for proper diagnosis and management.
| 137,196 |
Is it common to experience hallucinations and agitation after a brain surgery?
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Patient: My husband 61 had a brain bleed found AVM removed it while waiting for surgery had a light stroke had been doing well with progress then 5 months after surgery diagnosed with recrudescence he s havin hallucinations and very angry and agitated is this common Doctor: Hello, Do you mean that they have diagnosed a recrudescence of the previously removed AVM? Hallucinations and change in personality and behavior may be as a result of changes occurring as a result of the removal of some brain tissue from the area where the AVM was situated. Or these symptoms could be from metabolic or other chemical imbalances in the brain that need to be rectified. Your best bet is to take your husband to a neurologist who is a behavior expert to assess him for what the new behavioral/cognitive baseline seems to be and then, to suggest proper treatment or intervention depending upon what is truly the most likely thing causing this new picture to develop. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist
| 141,028 |
Can I pill delay periods?
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Patient: My menstrual cycle was on21decemberlast month after that i had unprotected sex with my husband and had I pill the next day followed by unprotected sex the same night and now I have not got my periods why should I do.Is it because of the pill its getting delayed and I also checked on pregnancy kit its negative Doctor: Hello,I-pill gives protection more than 95% against unwanted pregnancy if taken within first 24 hrs. However, it is the main reason for NOT getting period on your actual date. It occurs due to hormonal imbalance and mental stress. Period may be delayed for 1 -2 weeks. You must wait at least 1 week and repeat the pregnancy test again to rule out conception. On negative result, you can take progesterone pill to induce period. Kindly, consult with your doctor for prescription.Good luck and practice safe sex.
| 224,780 |
Suggest treatment for child suffering from rapid breathing and fever
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Patient: Hi, may I answer your health queries right now ? Please type your query here..My daughter has a bad cough, and a temp of 38.9. She is 3. We took her to a doctor last night with a tempof 39 and he gave some anit-biotics which we had not used as neurofen had brought her temp down this morning. Tonight her temp is back up to 38.9, she has rapid breathing onf one foot is cold although hands are warm. She is alert and responding well when I speak to her. I wondered whether I should take her back to the hospital? I have just given her 5mls of Amoxcillin but nothing else. Thanks Doctor: Hi, You need to get back to the hospital to be checked again, and keep on neurofen and amoxicillin medication till you get there. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Salah Saad Shoman, Internal Medicine Specialist
| 160,836 |
What causes episodes of seizures?
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Patient: Hi I m Sarah I m 20 years old and I ve been experiencing seizure like activity and I went to the Er multiple times and they called the neurologist down to consult with me and see what s going on So he order a CT Scan Of My Head. The CT Scan of my head Came Back Normal And He said that I wasn t having true seizures and that my brain was just stressed out and I need to go get help from my psychiatrist and sent me home. Three days later I came back to the same er for the same thing again but this time they wouldn t stop and didn t recover from them. So the same neurologist saw me and he did another CT scan of my head and it came back normal and be told me that I need to stop coming to the er because I m not having true seizures and sent me home so I just stop coming to the er for my SEIZURES unless hurt my head or substain any other injuries to any other parts of my body. So a month later on 08-3-17 I had a seizure and I was out and about with my grandpa so be called 911 and met them their at the Hospital. So I had two SEIZURES in the back of the ambulance before I arrived at the er they gave me versed to stop my seizures and it for about 3hours. I got to the er they checked me in and took my vitals and everything bout 3mintues after my intake I had 6 SEIZURES they gave me Ativan to stop my SEIZURES it worked bout for 2 hours then I started having more Seizures so they admitted to the neuro unit for further evaluation and testing. My 3rd day their they did an 1hour V-EEG Test and it came back negative so they ruled out epilepsy. So they looked back at my history and saw that I have a Psychiatric history so they based my diagnosis off of that so they Diagnosed Me With Psychogenic NonEpileptic Seizures. But the thing is I continue to have SEIZURES where I m very confused post itcal foam at the mouth and loose BLADDER CONTROL and every time I go to the er they say my SEIZURES are fake and not real SEIZURES and I need to stop FAKING and grow up But I m not FAKING so I stopped coming to the er again. So i recently just started my JR. Year of high school and i continue to have SEIZURES at school. My school sent me to the er 4 times and I told them u didn t need to go but they sent me anyway so the hospital doctors are getting tired and mad at me for coming to the er for my SEIZURES. So my school says I can t come back to school until i am medically cleared by my neurologist to come back to school. I don t know what to do because I m still having seizures. Doctor: Hi, I can't blame your school, either the ER doctors since they have a written neurological opinion that yours aren't seizures. If you are convinced that you have seizures then you should seek a second neurological opinion. Another EEG must be obtained. A single EEG may miss on epileptic activity, but it is unlikely that repeat EEGs miss epileptiform activity. If repeat EEGs turn out normal (or even more conclusively if the EEG is obtained during the seizure and it shows no epileptic discharges) then I am afraid that psychogenic origin must be accepted and you should consult a psychiatrist for management. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist
| 141,031 |
Suggest treatment for swollen and painful finger
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Patient: Sir, I am having swliing and pain in my left hand finger No. 4.My age is 45 . On blood test the ESR is 26. I have been prescribed T.ETOVA 400 , HCQ s 200, . within two days of taking medicine some erruptions appear in lower lips. Whether i shall continue the same Pills. Am i having Rhemotoid artherities. Pls advise Doctor: Eruptions could be because of allergic reaction to the medicines. you should stop the medicines. rheumatoid arthritis diagnosis needs more investigations, according to your symptoms it doesnot seem to be RA.
| 139,047 |
What causes fluctuation in bilirubin levels after interferon therapy?
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Patient: Hello Doctor Was diagnosed with hep c early cirhossis in 2005 . Took interferon therapy and have been SVR ever since . Have bloodwork and MRI every 6 months ever since ...ALL showing normal except for platelets 97,000 My last blood test showed Direct Bilirubin slightly elevated (.3) ... ref range (o- .2) My question: Does this mean that my liver is beginning to fail , or is it possible for bilirubin to fluctuate for other reasons ? Doctor: A bilirubin of .3 is of no concern . There is fluctuation as you suggested, of the blood tests. I don't think your liver shows signs of trouble at this time. Continue to have blood checked for enzyme elevation(ast, alt) or presence of virus.
| 56,368 |
What does a lump on the toe indicate?
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Patient: Hello, I’ve noticed a hard bone like lump on the side of my toe (left foot, the toe next to the big toe). It doesn’t hurt when I walk or touch it, just feels like the joint is growing outwards. I did drop a table (heavy one) on my left foot back in July, and the big toe and the one in question did bruise up really bad but it wasn’t too painful. Is this something I should make an appointment with my doctor about? Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* There are different possibilities for this lump as - hematoma - bursa cyst - sebaceous cyst - others .* Needs confirmation with the clinical examination .Hope this clears your query .Wishing you fine recovery .Welcome for any further assistance .Regards dear take care .
| 61,179 |
What causes swelling and pain in gums after a root canal treatment?
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Patient: Hello Dr.Andrew, I received a root canal today on my lower right side tooth. I am in extreme pain and very swollen. Is this normal? I am taking pain pills and ibuprofen and they only seem to reduce minimal pain for only two hours. I am also taking an antibiotic. I have never experienced this type of pain before with a root canal. Should I ice or heat the knot on my jaw or what would you recommend Doctor: Hello and welcome.Thanks for sharing your concern.pain post root canal treatment is normal.but extreme pain is not expected.It requires revisit to your dentist.There could be one or more unexplored canal,this could be one of the causes.Please continue with your antibiotics but at the same time visit your dentist for an x ray or RVG.Also do warm saline rinses thrice daily.you can apply ice externally on the affected area but please avoid heat.Heat can aggravate the symptoms.This should help.Thanks.Take care.
| 181,999 |
Will depo shot cause prolonged bleeding during periods and will i be able to conceive again?
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Patient: I have Been off the depo shot for 5 to 6 years. About 2 to 3 years ago my cycles went from being five days to now eight sometimes nine why is that? will I ever be able to have any more children. Lastly has the depo shot been known to cause women to never never able to conceive again. Doctor: Hi and welcome to health care magic,I am Dr Nilajkumar a consultant gynecologist and I will be helping you in your queries. You have been having a heavier period than your regular one since 2-3 years. it would have helped to know your age. However, the possible causes for prolonged periods may be due to hormonal imbalances, increase in the size of uterus due to adenomyosis or fibroids which are tumors in the uterus.If you want to have children, it is better to get yourself evaluated to look for the cause. Sometimes no cause is found. Such cases are termed dysfunctional uterine bleeding. The treatment will be directed according to the cause. Hormonal issues also tend to correct spontaneously if there is a pregnancy. The depo shots are not known to cause infertility though the return to fertility may be delayed upto 1 1/2 to 2 years in some cases. You have already stopped them since 5-6 years so this must not be an issue. However an ovulation study will help in determining ovulation. You will be able to conceive as long as you are menstruating, but it is advisable to complete child bearing as early as possible if you have menstrual problems. Thanks for using HCM.Have a good day.Dr Nilajkumar BagdeConsultant Obstetrics and Gynecology
| 224,949 |
Back pain, discomfort, weight gain. Reason?
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Patient: Hi, I have a nagging pain on the left side of my back, like around the kidney / lower lung area. Sometimes it feel like whatever is there is mushy or like it's a flowey feeling like a underwater, but sometimes its a bit sharp. I am quite a healthy 50yr woman, have some weight on around middle, and have been drinking a lot of wine lately, which i know is causing the weight. Sandra Doctor: Hello, Thanks for writing to us The pain on the left side of back could be due to a renal infection or a stone if the pain does not seem to be muscular in nature. This can be ruled out after getting an ultrasound scan done. If the pain is aggravated with deep breathing or coughing then a rib injury or a muscular sprain is likely. The other causes that need to be ruled out include lung infections like pleuritis. Hope this helps you.
| 112,590 |
Suggest complications of hole in aorta
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Patient: I have a friend who was just diagnosed with a hole in the aorta. He was admitted after describing bloating, indigestion, chest pains, etc. Had respiratory failure shortly after cardiac testing. Placed on ventilator, lungs full of fluid. After diagnosis awaiting surgery.How difficult will this be to repair? Doctor: hi, hole in aorta is probably a patent ductus arteriosus. The treatment depends upon size of the hole, if small in size then it can be closed using minor procedure. if the size is large then open surgery is needed. Now first priority is to stabilize him and then to operate. Hope he could make it.
| 22,795 |
Am i protected on pill free day?
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Patient: hi, my name is terri. i have been taking the cilest combined contraceptive pill. i had sexual intercourse on the morning of the seventh day of my week off the pill after taking my pack of 21 pills. has this protected me and am i protected on my 7 pill-free days? Doctor: Hi, I think if you have taken pills regularly and start your next pack in time, you will not get pregnant. Hope I have answered your question.
| 223,508 |
Bruised lower spine with pain. Reason?
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Patient: my lower spine feels bruised but there is not discoloration or anything like that. i have been taking IB Profeun every day for about a week now and applying warm rub 2-3 time daily. It still hurts and it feels terrible to even put my shoes on. my spine hurts and hurts bad to even rub my fingers across my vertibra down there. Doctor: Hello,Looks like you have had a spine injury in your lower back.If the pain is severe and you are unable to do daily activities, please get a MRI scan or your lumbar sacral spine after consulting a neurosurgeon.Please apply warm rub gently over the area till such time that you meet your doctor.Hope this helps.
| 150,057 |
Is Ibuprofen ingestion by a child harmful?
|
Patient: My son is 2about 34lbs. He just dumped a bottle of ibuprofen not sure how he managed to get the top off...i don t think he ate any. I saw him taking one toward his mouth but took it from him before it got there. I stuck my finger in there and didn t find any. I really don t think he ate any. But in case he did what should I watch for Doctor: HI...You need look for incessant vomiting, blood in the vomiting, sever pain in the tummy, loss of appetite, decreased urine output, ringing in the ears, blurred vision, diarrhea, nausea, breathing difficulty, agitation, drowsiness, skin rash, excessive sweating and seizures.Rush to emergency room if any of these develop.Regards - Dr. Sumanth
| 177,372 |
What are possible methods available to treat infertility?
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Patient: My name is Ajay and i want to know that is there is any possibility that a woman who doesn't have any children from since 5 to 8 years or more of there marriage can become a mother. I can't tell exactly because she is my aunty and they are my neighbours. Watching Bhavika Kathwadia's case some hope is there.Please reply so that i can suggest them & give them some hope that they can become Parents.Thankyou ! Doctor: Hello,thanks for using health care magicsure! there are various method of treating infertility but each is aimed at correcting an exact cause of the infertility.The right cause of the infertility must be investigated in order to prescribe adequate treatment. In couple infertility, both the man and the woman will have to be investigated. The woman will have to do a temperature curve chart, tests such as hysterosalpingography, chlamydia, ureaplasma etc which the man needs to do a spermogram. Its only have these battery of tests have been done that an idea of the problem could made before adequate treatment.Let them meet a fertility specialist/ gynecologistBest regardsDr Achuo
| 42,332 |
How to treat the condition of klinefelter?
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Patient: Hello, after 10 years Diabetes (I am 25 now) I found out that I am a klinefelter patient. My hips are very feminine in fat mass. If I start using testosterone, is there an option the fat mass there will be thinner? My hart rate is 210/m with cardio exercizes, is that often with klinefelter syndrome? Doctor: Hello, Consult an endocrinologist and get evaluated. Hormone replacement therapy can provide some benefits. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 194,718 |
Suffer from sore on the scalp. History of ovarian cancer. Swollen painful lymph nodes on the neck, headache. Leukemia?
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Patient: I am 44 years old, female, I have had ovarian cancer but removed with surgery15 years ago. Boyhood of my grandmothers died before 40 with cancer. I am now suffering from a single sore on my scalp at the hair line. It has healed and returned for almost 6 months now. I also have swollen painful lymph nodes on both sides of my neck that are causing pain and a stiff neck . I was put on a sulphur antibiotic for 10 days with no change. Now I have a horrible headache.....I am worried about leukemia since that is strong on both sides. Doctor: Hi, Welcome to HCM, It seems that you have got some infection on scalp giving rise to painful enlarge lymph nodes on both sides of neck. Treat the scalp lesion with oral antibiotic medicine and you will be alright. Apply antibiotic cream on sore part after proper cleaning with anti septic lotion. Go for treatment of underlying infection on scalp like fungal infection, dermatitis, dandruff if there. Ok and bye.
| 158,932 |
Will birth control shot help to prevent pregnancy?
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Patient: My girlfriend and i just had unprotected sex yesterday and 3 times last week and a few times the week before. She takes a pregnancy test tomorrow for a birth control shot. Will this prevent pregnancy still? or is she still at risk for having a child? Doctor: Hi, I think she is still at a risk of pregnancy because the shot will prevent future pregnancy not the previous ones. If pregnancy test is negative, no need to worry. if positive, consult a doctor for termination if you don't want pregnancy.
| 590 |
Suggest remedy for groin lump
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Patient: Hi, I ve taken the 8-panel with hiv early detection twice. First one at 4 weeks all negative and at 12 weeks all negative. But now I have a bump in my groin and it bursted. There was a clear substance coming from it. With all my test saying negative, what could it be? Doctor: Hi,Dear,Welcome with your query to HCM.Studied your query in full depth of its details.Reviewed it in context of your health concerns.Based On the facts, You mostly seem to suffer from-?LGV as the discharge is clear.?or could be Soft Chancer / or chancroid with Bubo.Microscopic examination for LGV or H.Ducrey would fix the diagnosis.Remedy would depend on the cause diagnosed by Second opinion from dermatologist and confirmed from lab test of the discharge smear.USG study would help in assessing the extent of the lesion.TreatmentIf Chancroid-soft chancre-Tab Azithromycin/ Erythromycin/ and Rosoxacin-are the drugs of choice.If LGV-Doxycycline /azithromycin/ Erythromycin.Other supportive surgical and medical and dietary care is needed with this.Second Opinion from Surgeon and dermatologist would fix the lacuneas in this blind second opinion which is more of academic suggestion,which cant replace physical assessment of your case.Hope that ,This reply would help you to plan further treatment soon with your treating doctors.Best of Luck and early recovery.Welcome any further query in this regard,which would be replied in next session.Good Day!!Dr.Savaskar M.N.Senior Surgical Specialist
| 61,951 |
Suggest treatment for tooth abcess
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Patient: I think i have a tooth abcess. My cheek is becoming very swollen. I have been to the docter and he prescibed me some antibiotics and pain killers. The pain is becoming unbearable. I'm just wonder if i will be okay until the morning, when i can hopefully see a dentist? As i have heard about abcesses speading and becoming life threatning. Doctor: Thanks for your query, I have gone through your query.The tooth abscess could be because of the tooth infection. Consult a oral physician and get a radiograph done to rule out from other conditions like granuloma or cyst. Mean while you can take a course of antibiotics like amoxicillin 500mg and metronidazole 400mg tid for 5 days (if you are not allergic). You can take analgesics like diclofenac 50mg bid for 3 days.After completing the course, you can go for RCT or extraction. Do not be panic, Take the course of antibiotics infection will come down, If it does not reduce then immediately consult a oral maxillofacial surgeon and get the abscess drained.Do saline gargling.I hope my answer will help you, take care.
| 183,635 |
Can children get viral infection from day care?
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Patient: My granddaughter is 11 months old had a 103 fever, diarrhea and was threw up just once. My daughter took her to the hospital last night and they found nothing wrong. Is this some kind of virus. She has never been sick until she started going to day care. Doctor: Hi...Thank you for consulting in Health Care magic.KIDS CAN GET VIRAL ILLNESS FORM DAY CARE FROM OTHER KIDS - IT IS COMMON.Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 168,091 |
Suggest treatment for cough and cold
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Patient: my son aged 31 yrs gets stubborn cough & cold conditions several tomes a year. Doctors say he has high oesnophylia count. I had similar problems , asthama type wheezing etc long back which got completely cured with homeopathy treatment . Can you suggest some medecine for my son . He did have some psorasis like skin problem when he was 10/12 yr old. Thanks, SK Dube Doctor: Hi,Your son is having typical type of cough as we find in Eosinophilia.There is one master drug working for this condition.Medicine Diethyl carbamazine gives very good result.It is available the name of Hetrazan, Unicarbazone, Unicarbazone forte.Consult your doctor for dosage and duration to give complete relief.Psoriasis type of chronic skin condition can give high eosinophilic count.Ask him to go for deep breathing exercise.Ok and take care.
| 177,861 |
What causes rashes, bumps and tingling on wrist, ankle, arm and feet?
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Patient: 18 year old college daughter with allergies and asthma, but otherwise no major health problems experience rash and bumps on wrist, ankle and arm, suddenly experiences tingling in arms and feet , with occasional pain in feet while standing from sitting or lieing position. student health clinic found unknown cause of skin irritation Doctor: Hello,Welcome to HCM,The symptoms are highly non specific, rashes and bumps may due to some allergen causing these symptoms.it may be a generalized eczema.If it is a allergen causing these symptoms you need to test for the allergen and found out the allergen causing these symptoms.At first you need to test for absolute eosinophil count (AEC) to know whether you are having any allergic reaction. Then you can test for skin prick test to identify the allergen causing these symptoms.After identifying the allergen we can decide the type of immunotherapy suitable and useful to your daughter.Thank you.
| 102,388 |
What causes grinding painful sounds inside the skull?
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Patient: Hi, I m 27 years old, 240 pounds, have severe fatigue, inability to lose weight even though I spent the majority of my life at average or below average weight and in very good condition. I have digestive issues that mimic stomach ulcers along with severe diarrhea and vomiting that sometimes contains blood for which I take Protonix. H. Pylori negative. I have pretty severe joint aches, specifically in my feet, hands, elbows, ankles, and knees, severe fatigue, strange hair growth...lol...lichen something on my tongue, high blood pressure ONCE and then normal everytime after that and high triglycerides, I m sure weight related. So NOW I ve been noticing this very strange fizzing, crackling sound that I can also feel that starts right at the base of my skull and moves upward into my head that s been going on for a year (that I ve noticed). Sometimes it s accompanied by a really strange pain, not AWFUL pain, but mild pain that shoots up from that area into the back of my head that lasts for about 30 seconds to a minute. I ve been going to the doctor once a month trying to figure all of this out and I m getting very frustrated. All of this started, mostly with the hair growth on my chin, breasts, and legs, during my second pregnancy. I ve had three children. I currently have an IUD which has been in place for 2.5 years. Oh, I also have high white blood cell count and have for about a year to a year and a half, high sed rate, and a temperature of 101 F constantly. Can you help me? What could this fizzing sound be and is it related to ALL of this other nonsense I ve been dealing with? Doctor: Hi, I think there are several issues that need to be dealt with the weight gain, hair growth, joint pains, skin lesions can be all related to some endocrinology (hormonal issues). Sometimes, when the hormonal levels in our body are disturbed it can lead to such symptoms. Even the persisting high-grade fever and raised white blood count needs to be investigated. The sound which you are experiencing could be related to your fatigability, low hemoglobin or lack of proper sleep. Hence, I feel that the problems being multiple and of long duration must get relax and must get yourself fully investigated. Get hormones checked - thyroid (TSH , T3, T4), serum cortisol, sodium, potassium, fasting blood sugar. Once the reports are there, something further can be planned. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Milinda Gupta, Internal Medicine Specialist
| 139,402 |
Will Anti rabies vaccine be effective if its given in gluteal muscle?
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Patient: If first dose of Anti rabies vaccine is given in gluteal muscle than it will be effective or not. My first vaccine is given in gluteal and second is on deltoid at 3rd day, but my Dr is saying we will consider 3rd as to 0 day. I am little worried and afraid please give me answer asap Doctor: Hello,Welcome to HCM,Dogs are known reservoir of rabies virus and can transmit to human beings by biting. Rabies is 100% fatal but it is 100% preventable by proper and adequate treatment.Anti rabies vaccine should be taken to deltoid region not to gluteal region because of more fat in the gluteal region. When the vaccine is administered into the gluteal region the vaccine will enter the fat cell and it will not stimulate the immune system to induce protective antibody titres.Preferably it should be administered into the muscle. As you were administered first dose of anti rabies vaccine into gluteal region it may delay the induction of protective antibody titres. It is better to start the fresh regimen from the day 3 dose.Thank you.
| 37,763 |
What could cause sudden elevation in BP while being on BP medications?
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Patient: Hi dr im 29 male I woke up the other night to drink water suddenly I felt weird my heart started racing bad I went back to my room use my blood pressure monitor it was 156/77/135 whent to the er ran all test came back normal im on bp medicine atenolol my bp is workout always good even after hard workouts. this was two days ago now I still feel sick I wake Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Possible severe stressful/ anxiety episode.2. Systolic usually rises during stressful period, which has caused the increase. As you were relaxed at the hospital, your blood pressure came out normal.3. You need to try relaxation and meditation. Avoidance of stress is necessary. Additionally, weight reduction, moderate exercises and low salt intake would be helpful.Hope it helps.Any further queries, happy to help again.
| 115,910 |
What causes severe painful swelling in the body and puffiness in the face?
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Patient: I have been having severe swelling in my legs, feet, abdomen, and just above my penis. I have also been swelling in general all over including a puffy face and I seem to have a lot of pain and tingling when this happens which is mostly in the evenings but can also be early in the day, Doctor: first rule out an allergy. the swelling, puffiness, and tingling could be from an ALLERGIC reaction to anything from laundry detergent to medication (if you're taking more than 1 medication, even OTC drugs, consider negative INTERACTIONS as well).the edema in the legs, feet, and lower belly could be the result of a SERIOUS problem. the swelling, or "edema," is caused by an excess of fluid that accumulates in bodily tissues and cavities. problems with the KIDNEYS, the HEART and CIRCULATORY SYSTEM, and the LIVER can cause edema of the legs, feet, lower abdomen, and face. seek medical attention.
| 29,390 |
Indulged in negative thoughts, sudden panic attacks, feeling of pass out, all tests normal, withdrawn clonazepam. Which medicine can be taken?
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Patient: Dear sir I am suffering mental illness from 1years.my problem is that whenever i think i always thinking negative thing and sudden i feel panic attack then i feel short breath and i feel that i will die.I have been visiting many doctor they suggest me ECG, FREE T4 ,s. tsh everything and all reports are ok.AT last i visited a mental heath doctor he suggested nexito 10mg daily first 4days 5mg and increased to 10mg.But i after taking i am n0t feel good and i again visited him and he advised me repose 25mg drug daily but after 1 tablet took my hy head was dangerous feeling.I took clonazepam .25 daily from 1year and dr. advise withdraw it i am depending this medicine.Now i feeling always panic and i feel i will die.I am doing nothing from 1 year and totally frustrated.now i get job and join november.Please advise me which medicine i will take.please please help me.................................... thanks.pls email me any mental health professional help me please please.i also tell that i have sleeping problem and always feelin g fears too much when panic will occur. Md.hasanuzzaman Bangladesh mail: YYYY@YYYY Doctor: hi..well, escitalopram and sertraline have already been tried..also there is a drug called paroxetine from the same group that takes care of panic disorder quite well..but before that, you are not receiving the optimum dose of the drugs you were prescribed..just use a single drug and only switch if it fails in full dosage, for example sertraline upto 200mg per day, after a considerable period of time which I think you were not advised..anyway, visit your psychiatrist once again and discuss with these issues..also psychotherapy may well help..so never lose hope..its a curable disorder..wish you good health..
| 213,082 |
What causes dizziness with weak bones?
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Patient: i just got dizzy out of nowhere , I ate Chinese food like about 7 hours ago .. this has never happened before and I m kind of scared .. I just ate cup noodles and I m drinking a bottle of water write now . what does this mean ? and my bones kind of feel weak .. what does this mean ? Doctor: Hi, This is known as MSG symptom complex this happens after eating Chinese food. One may headache, sweating, nausea, tiredness, and rapid heart rate. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Gaurang B. Shah, Orthopedic Surgeon
| 120,815 |
Stomach pain, hard knots in stomach, severe headache, shaking. Treatment for symptoms?
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Patient: yes, i have been feeling for the past week, stomach pain i will get hard knots that u can feel rise on my stomach, i have been getting really hot then cold , i have bad headace and if i move around nd walk i will get real wak and start shaking, ive had this happen about 2mths ago andi was supposed to go to a stomach specilist but i never did and now its all returning. what to do im 20 years old ive had helth problems in the past Doctor: Hi and thanks for the query,I am afraid the headache and abdominal pains might actually not be very much linked. A proper clinical review might be required. A past history of lead intoxication or other metaboic disease is important in this case. An abdominal ultrasound, a colonoscopy, a fibroscopy are important exams that could help. stool exams and occult blood exams are important.A past medical history coupled with a clinical examination by your gastroenterologist could be very useful. I suggest you book an appointment. Thanks and kind regards.Bain LE, MD.
| 92,948 |
How long does it take to come to consciousness after a decompressive craniectomy brain surgery?
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Patient: Hi, My mother was in unconsicious state when we brought her to hospital & later doctors confirmed its the case of decompressive craniectomy where 90% of the brian had a blood clot condition and surgery was needed. Without any further delay we got the surgery done and now its about a week she is still in ICU with very little body movements observed during cough,sneeze or in response to try and wake her up. A second CT scan confirmed there is NO blood clot build-up and her BP remains stable.She tries to open her eyes but she couldn't and she remains in unconsicious state/deep sleep state. we are really worried & concerned about her condition and next steps to be taken. Any advise or direction on second opinion is appreciated!Regards,Satish Doctor: Dear Mr Satish well I would say your mother is very lucky because with the amount of Cerebral bleed you mentioned survival chances even after craniectomy is very less so the neurosurgeon has done a good job please sit back relax and pray for her recovery which may take a long time though
| 143,637 |
What causes breast cancer along with bone cancer?
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Patient: hi my name is emily. i thankfully do not hav cancer but someone very dear to me did. she first was diagnosed with breast cancer and 5 years after being cleared she developed bone cancer which she later died from. i hav desided to find out as much as i can about breast cancer and bone cancer and why they connect can you help me in anywayy?? Doctor: Thanks for your question on HCM. Breast cancer can spread by three ways. 1. Local spread 2. Lymphatic spread 3. Hematogenous spread. Through hematogenous spread, breast cancer involve distal organs like lung, liver, bones, brain etc. These are known as metastasis. So bone metastases are common in breast cancer patients. So your relative might be having metastatic bone cancer from primary breast cancer.
| 154,180 |
Can I take high BP medication while being overweight?
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Patient: im taking medication for my high blood pressure and i noticed the bottom was a higher number than before it was 122 over 107 is that ok i m a bit overweight and have dropped 14 pds since januaryand on a healthier diet now i dont not smoke nor do any drugs thank you for checking in on me Doctor: Welcome to healthcaremagic. Yes you can take your BP medications while overweight. Congratulations on losing weight, you may notice that your BP will continue to drop and in the future the hope is that you can stop taking your BP medications. Good luck
| 26,867 |
Why does my foot and ankle not work normally?
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Patient: i shattered my foot and ankle and it does not move like it did , tramadlol works part of the time but so does 1600 mill grams of ibprofomium but some times loratabs stopps it faster. i try to keep the useage down to a mininmun the last was 10/325 and 50mgl on the tram. the hospital releasesed me and i dont have a reg doc ececpt for deppression and it dont seem to help anymore i seem to seem stuch Doctor: hi you had a shattered foot and ankle and now it does not move as it did and you are having pain. In my practice i would put a splint on the leg to support the bones, give you painkillers and avoid prolonged walking at present. I would suggest you to use a crepe bandage + regular pain killers. Also please upload what medicines / treatment your doctor has given.
| 132,075 |
Are there any side effects of misprostal 200mg tablet?
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Patient: HI DR, ACTUALLY I HAVE MISSED MY FIRST PERIOD BEFORE 10 DAYS BACK AND I HAVE DONE THE PREGNANCY TEST ALSO AND I GOT POSITIVE. I HAVE DECIDED TO TAKE MT PILL- MISPROSTAL 200 MG CAN I HAVE IT OR ANY RISK IN HAVING THOSE TABLES. KINDLY ANSWER BY QUESTION TO MY MAIL ID YYYY@YYYY Doctor: Hello, Your pregnancy test positive.If you don't want this pregnancy, You can try with MT pill-Misoprostol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. C.ELANCHEZHIAN, General & Family Physician
| 85,867 |
What are netilmicin sulphate injection and colistop suspension meant for?
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Patient: My kid is 4 days old and he is suffering from loose stools from yesterday night and was taken to hospital.Tests done and he is having jaundice of 14.6%. Doctor given these medicines netilmicin sulphate injection ntn-10 colistop suspenion. Please let me know what are these medicines for ? Doctor: Hi...a 4 days old new born baby cannot be administered antibiotics like this without proper evaluation and proper blood and urine cultures. 4 days old baby having a jaundice of 14.6% could as we be physiological jaundice. But it needs follow up with at least 24 hours once checking of bilirubin levels.Netilmicin is an antibiotics of the class of Aminoglycosides. Colistop is a medicine which will temporarily relieve pain abdomen. But it is not routinely indicated.The diarrhea you kid is having could as well be a gastrocolic reflex. This need not be treated as diarrhea and especially antibiotics are not indicated.When the baby takes milk , the stomach expands - then when it is contracting it sets off a wave form which moves down the intestines and when that wave reaches the lower down rectum, a small quantity of the stool is evacuated out. This is the basis for gastro-colic reflex. Do not worry. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry.Regards - Dr. Sumanth
| 171,879 |
Can pregnancy occur after having an abortion?
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Patient: i had mtp pill on 3rd feb, 2011, bleeded for next 6 days but aagain had sex on 14th feb but my bf ejaculated inside i think i had not taken any emergency contraceptive till now , can pregnancy occur and if yes how can i now prevent it from happening Doctor: ITS NOY POSSIBLE THAT YOY CAN GET PREGNANT.AS IT WILL TAKE ATLEAST 2 WEEKS TO RESUME NORMAL OVULATION.SO DON'T WORRY.ENJOY.HAVE SAFE RELATION.
| 594 |
Suffering from back pain, headache. X ray shows loss of normal lumbar curvature, positive ANA test, raised CRP. Suggestions?
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Patient: Hello Sir, I am having back pain and headache from almost 2 months. I had all the round of blood investigations in which my CRP is raised upto 40 and ANA test is positive. Yesterday I had LS Spine and Cervical Spine X ray. The report says that there loss of normal lumbar curvature kindly suggest me what should i do now is there any serious problem Doctor: Hi Positive ANA does not mean you have autoimmune diseases. Nearly 20% of the normal population will have a positive ANA test; positive tests are inLupu and also seen in other conditions, such as thyroid disease, certain liver conditions, and other autoimmune diseases. Raised CRP is seen after surgery., infections and diseases that cause inflammation, such as:lymphoma, lupus, giant cell arteritis, rheumatoid arthritis, inflammatory bowel disease, osteomyelitis, Scleroderma, polymyositis, and dermatomyositis and person having risk of heart attack. So you need to consult a Rheumatologist. Regards Ranjit
| 112,888 |
Suggest treatment for ankle pain
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Patient: mysister has severe left ankle pain, she has high blood pressure and has recently started meds for this, after echo card gram and other test she has not been able to receive test results as of now however we all all concerned since she can not tolerate touching the left ankle and the meds to open the blood vessells cause headaches too severe.shouldn t she be admitted? Doctor: Hello, If she isn't diabetic than icing should help reduce the pain. Using icing for the ankle joint as well as the lower back to the pain sensation can be desensitized. If she is diabetic then hot water fermentation for the lower back and ankle. Also, try to stabilize the ankle joint in crepe Bandage or ankle brace. Wait for the pain to come down. Post which you can give the details of the status so we can advise some exercises to avoid future pains. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,311 |
How to treat back pain?
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Patient: White blood cells in urine, right upper quadrant pain in right side, normal CT & chest X-Ray, pain started like a dull cramping feeling & went to a sharp pain, after a few days it s back to a dull cramping feeling that hurts every couple minutes then stops Doctor: Hi,Seeing the nature of pain and presence of white cells in urine indicates that you might be having urinary tract infection.Go for one antibiotic medicine course for 5 days.Take plenty of water.Ok and take care.
| 109,214 |
Is it safe to opt for sedation for extracting tooth if am addicted to smoking?
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Patient: Hi i would like to know if i should go forward with sedation to remove a tooth today. I would like to let you know that i smoke atleast a pack of cigarettes a day! Please let me know if i should be worried, i am. And i just don't know if i want to be put to sleep. I am afraid that i may not be able to breath right! Thank you for your help. Doctor: Thanks for posting your query to HCM.Extraction under sedation has no side effects. Your breathing wont be affected. So, don't worry and go ahead with the procedure.Hope my answer will help you.
| 185,931 |
What causes lower abdominal pain?
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Patient: I started having severe pain in lower right abdomen 3 days ago and was admitted to hospital, all bloods and swabs are clear, no temp, internal scan clear. I now have enlarged lymph nodes in groin and pain is still there and also in groin area and in my back behind the abdomen pain Doctor: Hi.Such type of pain in the back, right lower abdomen and enlarged lymph nodes in the groin can be due to infection spred to the underurface of the skin or due to muscle spasm. Your tests are normal. I would advise you to be seen by a Surgeon to have a physical examination. This is important part of the diagnosis as there are many diseases which can be diagnosed by clinical examination and a few more tests are to be done if ordered by your Surgeon. Till then you can take Ibuprofen or so in therapeutic dosage, take rest, do hot fomentation.
| 88,720 |
What causes enlarged pores in chest & breast?
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Patient: On my chest and breasts, I have enlarged pores. if I squeeze one of them, white liquidy stuff comes out, followed by blood, then there is blood left in my pore, after a few days the bloody pore turns black, like a blackhead. How do I treat this condition, how do I make the pores not retain blood? I use topical retinoids, benzyl peroxide, and salicylic acid scrub, but I would like to make the pores stop bleeding after the white stuff comes out. Doctor: HelloThank you for asking in HCMAs you prescribe this situation i think that this a skin problem.Lung diseases usually have not these kind of complains.It would be better to see a specialist,dermatologist.Thank youDr.Jolanda
| 75,364 |
Suggest treatment for cervical spondolysis
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Patient: Dear Doctor, I have been suffering from cervical spondolysis (c3, c4 on right hand n c5,c6 & c7 on the left hand)for the past 4 yrs., could you please suggest treatment and let me know how bad it is n how I should take care.I am 49 yrs old male. best Regards, henry. Doctor: Hi, As it's CS I will advice for cervical collar. Take up a recent MRI and compare with the old one to see if any changes has happened in the position of the disc and the nerve root entrapment. Exercise therapy, physiotherapy, Therapeutic ultrasound therapy, TENS therapy will help improve the symptoms. You need to meet up a competitive physiotherapist who can get you the best results Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,574 |
Wake up at nights for toilet, sensation in abdominal area. All tests normal, raised fasting sugar. Is that a cause ?
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Patient: Hi. I am getting up at night to go to toilet and it often feels like there is sometimg in my abdominal area. I have had Psa test, prostate test and ultrasound on bladder and all is normal. Just had bupa test and I have raised fasting blood sugar levels. Can this be the cause. It s driving me mad. Im a 36 year old male Doctor: Dear Steve hello Thanks for writing in. Diabetes i.e. increased blood sugar level result in polyurea, a condition where frequency of urine increases. This can be noticed more at night. Please also have your HbA1C test done to check more details about your sugar levels. Control your diet by restricting sugar and carbohydrates under medical supervision and get yourself fully examined and investigated accordingly. Thanks.
| 94,811 |
Suggest treatment for toe nail pain and discoloration
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Patient: my toe nail (left foot) is paining.it has been partially black for quite sometime.i may have banged it against something.past few weeks i am training to run for half marathon.yesterday i ran 14kms.today the toenail area is paining.my feet usually swell in the evening.can you suggest what i should do? Doctor: Nail injuries are always very painful, due to rich nerve supply getting injured.giv cold compression, and elevate the limb while resting.it eill help
| 217,918 |
What causes blotchy rashes on the hands, feet and abdomen?
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Patient: my 4 yeard old daughter woke up with red blotchy small rash on top of her hands and feet, now it is spreading to her belly. shes been on ammoicilin for 9 days now (for ear infection) is it antibiotic reaction? or something new? she has no fever and acts normal Doctor: Rashes may evoked on body in amoxicillin therapy. It may also b a manifestation of allergy but it is quite rare after 9 days of therapy. U should consult with ur pediatrician for that.
| 165,980 |
What causes blackouts without any other symptoms?
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Patient: i am very healthy height weight and diet(i am a vegitarian) for an active 12 year old but i sometimes blackout, (i drink 3-7 glasses of water a day) and my sister also had a problem with blackouts, but neither of us have heart problems. what could this be? Doctor: hello, When do you get blackouts, in condition like getting up from sleeping or sitting position, if yes then it's occurs in some individuals due to sudden drop in blood pressure called as Postural hypotension. In such case, needs a behavioural change. If not, then you ll need to undergo some investigation like ecg, Holter monitoring, echocardiography. There can be some familial cardiac causes. Get back with more information about the symptoms.
| 22,092 |
What are side effects of levothroxine pills (if any)?
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Patient: I am just concerned. Levothroxine pills are slightly sweet and I have been known to drop my pills before. I, of course, will be diligent, but I live with my three year old grandchild, and it scares me that she would eat the pills if she got hold of them. Doctor: Hello,I read carefully your query and understand your concern. Some of the side effects of the Levothyroxine are:increased appetite.weight loss.heat sensitivity.excessive sweating.headache.hyperactivity.nervousness.anxiety.Hope my answer was helpful.If you have further queries feel free to contappct me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician
| 85,837 |
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