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What are the symptoms of dementia and Alzheimer s disease?
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Patient: My wife have been taking Illumigan for sometime because of the Glaucoma problem. I notice that since then she is forgetting certain things or don t remember what happens an hour ago but when I ask if she remembers what happens later she tells me that she indeed remember what happens. but that she temporally Ignore afraid if this is a sign of Dementia the beginning of Alltsheimmer? Doctor: Dear userWe understand your concernsI went through your details. Please provide your wife's age. Memory problems (particularly remembering recent events), reduced concentration, increased confusion, loss of ability to do everyday tasks, apathy and withdrawal or depression, noted personality and behavior changes are the primary or early signs of dementia. Difficulty finding the right words while speaking is considered as primary. Still, expert diagnosis is essential. Do consult a neurologist for further information and treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck.
| 205,098 |
Treatment for swollen, itchy and painful joints in hand?
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Patient: my both hands, mainly my right one has been swelling, joints, sore, itchy, getting worse today, knuckles on right hand really worse, so swollen and sore, cannot sleep because of the tightness, also small pistules now appearing where my swollen fingers meet above the knuckes, mainly index finger and fourth finger , taken piriton, uk antihistamine, but not doing the job, bought gloves, left hand better but right hand getting really worse, going to dr s tomorrow Doctor: Hello,Thank you for suing healthcare magic.I read your question and understood your concern.This picture looks like arthritis of hands so I would suggest to do blood test and xray of the hands. Depending on the results you should take proper treatment from rheumatology specialist.Dr. Selmani
| 128,983 |
How can pain in the inner thighs be treated?
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Patient: Hellow Dr , my husband is 43 in age abd 130 kg in waight his hight is 6 feet i inch he is suffering burning pain in inner thigh, bbefoe this he had a pain in lower back and hip right side,he can walk and stand without pain but he cant sit dr says after x rays he might have siatic pain but after a lots if medicen he is not feeling better. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion this is a type of sciatic pain only ,the nerves involved are little higher ones.( L2-L3 nerve root). MRI of lumbar spine is required for diagnosis. The treatment will depend on the MRI Findings. Hope I have answered your query. Let me know if I can assist you further.
| 127,481 |
What causes itchy bumps?
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Patient: hi i get these bumps that just come out on my body more so on my arms,there itchy when they first appear and look like insect bites i thought it might be untill i moved house but was still getting them,i get them at random. no one else in the house gets them thats another reason i dont think there bites i would be gratefull for any advice on what it can be thanks Doctor: HiThank you for asking HCMI have gone through your query. Your problem can be scabies. If you send a picture of leisons then will be more helpful to identify. It usually have burrows. It is identified by putting scraping under microscope. I treat my patients having scabies with permethrin lotion or cream. Other possibilities like fungal infection or allergies should be ruled out also. It is better to get a consultation with dermatologist for this. Hope this may help you.Let me know if anything not clear.Thanks.
| 35,492 |
Problem for not able to conceive since 2 years
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Patient: we want to baby but after two year we are not success and now last 2 or 3 month we take many consultancy from sexilogist and take many medicine but no any one give me complete information that what is actual problem .... Doctor: Hi, Welcome to HCM, You require complete evaluation of your case. Go for semen examination, Your wife might have some problems like PCOD,thyroid,hormonal imbalance etc. Consult gynaec and get tests done and ultra sound. After all examination gynaec will find out the reason for not having conception and will start the treatment accordingly. Ok and bye.
| 6,313 |
What does a raised red mass on knuckles indicate?
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Patient: I have a raised red mass about 1/2 inch in diameter (almost perfectly round) on the knuckle of my left hand next to my thumb. It does not hurt to the touch, but it appears to have raised edges on 2 of the sides...can you speculate what this might be as it does not look like skin cancer. Doctor: did you have any trauma to that finger.My advise is to get it removed and get a biopsy done to know what exactly it is.
| 130,290 |
What does this liver function test reports indicate?
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Patient: Dear Doctor,Today I have checked my blood cholesterol and the test result is belowHDL cholesterol - 51 mg/dlTrigly Cerides 212.0 mg/dlTotal cholesterol - 249.0 mg/dlPlease let me know is there any cholesterol problemsMy hight is 174 cmsWeight is 75 kg. Doctor: Hello and thanks you for your query. I am Dr. Rommstein and I will try to help you as much as I can with my answer.Yes there is moderately elevated cholesterol which should be managed with dietary changes at this point and medications are not required.I hope I have answered you query. If you have any further questions you can contact us.Kindly regards. Wish you a good health.
| 53,947 |
What causes vomiting and mild fever after severe rib injury?
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Patient: My Mom (who is 75 yo) has four fractured ribs from a ranching accident that happened 5/4. She started running a mild temp 99.2 to 99.6 range before they sent her home from the hospital yesterday (5/5) late afternoon. She has thrown up everything she has tried to eat, is still running a mild temp, and hasn t had a bowel movement since 5/3. I m concerned about her vomiting and mild fever. The only pain med she is on is one 500 mg Tylenol every 4 hours as needed. Doctor: She has gastritis. Keep her well hydrated with ORS or Oral rehydration Solution. Avoid smoking and drinking alcohol. Avoid junk food and colas. She can take Tablet Domperidone 10mg twice a day for relief from vomiting. She can take Antibiotic like Tablet Ciprofloxacin 500mg twice a day for 5 days.
| 136,098 |
Unable to empty bladder. Had Gallbladder removed, catheter inserted. What is the reason?
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Patient: My husband had his gall bladder removed last Monday laproscopically and he has been unable to pee since then. He has had a catheter inserted three times but each time it comes out he is still unable to pee properly. Just dribbles come then his bladder fills and he is unable to empty it. We were told it was caused by the anaesthetic and it should clear up. Doctor: Hi, the anaesthetics will have effect on the sphencters, but it may not be so long, any how i suspect urinary tract infection, or prostate enlargement. To be on safe side i advise you to consult a urologist for diagnosis and treatment. Thank you.
| 58,586 |
What are the chances of pregnancy if periods are delayed after having unprotected sex?
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Patient: okay ii have a problem my period has been coming every month on time even when my mate and I was having unprotected sex then feburary came I had a period it came on time as it nomoral do but this month it didn't come on that time so what do you think I had sex the day it was supposed to come to so do you think that jus pushed my date or I may be pregnate or since the seasons changing my period date can be changin Doctor: Hello and welcome,The chances of pregnancy are very high after repeated unprotected sex. Since you have been having unprotected sex the commonest reason for absent period may be pregnancy. Get a pregnancy test done a week later after the missed period using the first morning urine sample to rule it out. If the test is negative, other causes like hormonal imbalances, ovarian cysts, very severe exercise and stress may also delay periods. wait for a few more days as most hormonal imbalances are mild and temporary and may get corrected spontaneously. If there are still no periods, you will need to see a doctor. I hope I have answered your question.Thanks for using HCM.Have a good day.Dr Nilajkumar Bagde Consultant Obstetrics and Gynecology
| 4,259 |
What is the cause of lower abdominal pain after previous abortion?
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Patient: Dr,when i was 19year old i had an abortion.till 1 year every thing was normal after that i started feeling lower abdominal pain inside my vagina.now it is three years of abortion still im feeling heavy pain.plz help me what are the reasons of this pain. Doctor: Hello!Thank you for the query.Generally pain a year after abortion seems to be not related to the abortion. Lower abdominal pain can be caused by urinary tract inflammation, uterine inflammation, ovaries cyst and many more. I suggest you to do not wait any longer and not ignore them. Please visit gynecologist at first, have transvaginal ultrasound. Abdominal ultrasound and urine analysis should be done as well.Hope this will help.Regards.
| 92,036 |
What causes abdominal pain even with slight pressure during tests?
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Patient: I have had so many test done to make sure that my stomach and intestines are alright. But even after all of those test......Whenever I have an abdominal examination, it hurts really bad whenever doctors apply even the slightest pressure too my stomach. Why is this? Doctor: hi this is dr.subhadeep thanks for the opportunity to help you.from your description and taking your words that numerous necessary tests have been done without any abnormalities gastritis,gastric ulcer or hiatus hernia can be the most probable diagnosisyou should get an upper gi endoscopy which will show you any ulcer and a cect abdomen to rule out any hiatus hernia.now management of the condition will be as follows:1)if it is a simple gastritis either H2 blocker or proton pump inhibitor with syrp.sucrafil-o 2tsp tds can be given.2)if there is a gastric ulcer UGI scopy guided biopsy can be obtained.if biopsy proves evidence of h.pylori ulcer then h.pylori regimen that is combination of clarithromycin,amoxycillin and metronidazole with proton pump inhibitorsx2weeks followed by proton pump inhibitor for another 2 weeks.3)if cect abdomen or usg shows evidenence of hiatus hernia then open or laparoscopic nissens fundoplication with diaphragmatic crural tightening can be done.4)sometimes inferior wall MI can simulate abdominal pain so kindly get an ECG or 2D ECHO done. if ecg shows evidence of MI and trop t is positive kindly visit your physician and take treatement for MI.5) kindly get LFT or S.amylase,S.lipase done.if there is any liver disease or pancreatitis should be ruled out and if any evidence of liver disease or pancreatitis is present,visit the physician/surgeon for further management.6)lastly if you r doing heavy workout spasm of rectus muscle can lead to pain abdomen so local analgesic spray or painkillers can be used.
| 87,739 |
How can pain in forearm and wrist be treated?
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Patient: I ve been woken up by pain in right forearm for the past couple nights. It s not extremely crippling pain but it s enough to the potent where I can t ignore it and sleep through it until it s gone. I recently sprained this wrist and I m not sure if that has something to do with it. Doctor: Hello, Yes, you guessed it right. it is related to a wrist sprain. Due to injury at the wrist, there will be muscle wasting in the Forearm muscles which needs attention to regain the normal strengthening. As sprain in the wrist always makes the Forearm muscles weaker. Once done things should be fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,318 |
Have petit mal seizures. Have sinus cold after taking medicine. How long does increased dosage take to work?
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Patient: Hello My 19 yer old daughter started having petite mal seizures in her sleep but no every day, her Dr prescribed to start with 2 500 mg a day 4 months ago. Reently she came down with a bad sinus cold, and she had a petite mal seizure in her sleep for 3 nights, Dr said when you are sick your chemistry is off he upped her meds to 1500 mg a day started this 2 days ago, but she had a mild seizure 20 seconds last night, How long does the increaswed meds take to work, and is it because of her cold? Doctor: Hi, Thank you for posting your query. Epilepsy is a disease, requiring long-term medications. Seizures may recur, even while on medications. As your doctor said, the chances are higher with fever, lack of sleep, etc. After changing the dose, it may take 5-7 days for the drug effect to optimize. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com
| 150,457 |
What causes lack of erection at the age of 14?
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Patient: Hello, i am having trouble masturbating, im 14 and my first time i masturbated i ejactulated but the second and third time i didnt. is there something wrong. also, i am in the middle of puberty, some pubes but not much arm pit hair. im also afraid of having a wet dream. please help Doctor: Hi thank you for querry,yeah in early puberty some time after ejaculation there is no semen coming out but after some time later just a little bit,so dont need to worry about only one condition called retrograde ejaculation on which semen doent come and go inside,night fall is a natural phenomena when semen get filled in vesicles it ejaculate automatically.dont do masturbation in this age because at this time your genitalias are growing so if you masturbate this will effect their growth.hope the answer will help you feel free to contact me for details.
| 196,014 |
What causes pain and blood/discharge from ear in 4 year old?
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Patient: My 4 yr old son has recently gotten over a cold/ upper respiratory infection and was complaining about his ear hurting him. After his bath I noticed blood/discharge from the same ear. He also snores heavily when he sleeps. I have an appointment scheduled with an ENT doctor 2 wks from now. Will it be ok to wait till then or should I see if they can get him in sooner? I m just concerned about seeing the blood discharge. Doctor: Thanks for consulting at Healthcare Magic.Infections of upper respiratory tract may cause infection of ears (otitis media). Blood/discharge from ear suggest ear infection. You should not wait two weeks for ENT appointment and start treatment as early as possible by consulting your family physician.Ask your doctor for medications like Amoxicillin (antibiotic), Paracetamol and Ibuprofen for pain relief, Decongestants for relieving nasal congestion.
| 165,015 |
Suggest remedy for low and weak flow of sperms
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Patient: Hi doctor ,can i have our reply and and advice about using the injections .My Uncle(Mr.Khaled ) is 40years old and his wife(Mrs.Mariam) is 32years old and they are from YEMEN .I am his Nephew and working in a company in capital city and I want to help my uncle .My uncle is suffering from the low and weak flow of sperms . He went to cure in Egypt and he back to Yemen .So the Egyptian doctor prescribed him injections for one year(one injection once per week(Choriomon 5000 U.V) and another three injections(MERIONAL 75 I.V) per week ).My uncle do about two months only and could not continue the injections to many reason of being living in village and he tired of injections so much .So he is asking if there is any alternative for these injections as as tablets or capsules or specified injections do them once per month for example(not every day or every week) .The prescribed injections by Egyptian doctor are (CHORIOMON 5000 IU )&(MERIONAL 75 IV) These injections are for IBSA switzerland company .So please can you advice us if there is alternative for injections as tablets and capsules or specified injections injected once per month(not every day or every week)and have the same medication purpose and result . If there is also any new medication center or clinic , please advice me with . I am his nephew I would be very much thankful for your kind help and advice .I hope your cooperation and early reply ,Best regards ,Mr. Abdulmalek Alaklan (Nephew for the patient Mr.Khaled)mobile :+0000 email: YYYY@YYYY YYYY@YYYY Doctor: Hello, Both the injections prescribed are hormones that stimulate gonads, and oral substitutes of these hormones available at homoeopathic stores are unsafe to use. The patient can consult a certified Urologist to get a fresh sperm analysis done. Only after determining the actual count, morphology, and motility of the sperms the course of treatment can be determined. In addition, things that affect sperm count like smoking, stress, wearing tight undergarments must be avoided; and supplements like Tablet Menevit that support sperm health can be used. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ayesha Shareef, General & Family Physician
| 194,625 |
What causes lower abdominal pain?
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Patient: i have lower abdominal pain on the opposite my left side. at first i though i might have appendicitis but this is on the wrong side for that. the pain is low level but may throb enough to get my attention. nothing severe though. i was wondering what might be the cause. Doctor: HiRight lower abdominal pain may be due to ureteric colic.An ultrasound abdomen will give more idea.Other cause may be intestinal colic, colitis etc.Thank you
| 90,792 |
Suggest treatment for lower calf muscle pain of right leg
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Patient: i have been running since January and managed to get up to 6 miles . But now i am unable to run a mile without my right lower calf feeling very tight an heavy . I am trying ti train to do a half marathon in June . I also swim twice a week and have joined a milatry fitness group twice a week too . But my right leg is oreventing me from getting any further with my running . i have no idea why it has suddenly started doing this . Doctor: Hi welcome to health care magic. Thanks for your query. After going through your history I am in opinion that you have stress fracture of leg bone.To confirm please visit orthopaedician and have an XRay of leg get done. Now you should avoid running , take rest, analgesics. If fracture confirmed on XRay than continue rest plaster or crepe as per requirement (as advised by orthopaedician).I hope your query get solved. Thanks.
| 132,077 |
Will it be safe to take Praxidep CR for muscle pain & cough?
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Patient: I am taking Praxidep CR and continuously for 1 year. I AM HAVING MUSCLE PAIN WHILE CAUGHING and also there is a countinuous bang noise which I hear while moving , and small uneasiness in hand and fingure while I change posture . Is it because of the medicine? Doctor: Hi. I can understand your concern. It could be related to the drug per se. It would be advisable to consult your doctor for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
| 77,762 |
What causes severe pain post wisdom tooth extraction?
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Patient: I have had several infections treated with antibiotics over the years to my bottom right wisdom tooth. 4 days ago I had this and my top left wisdom tooth removed. The top tooth required two injections and was relatively simple. The tooth with previous infections required 8 injections to numb the area and is causing me a lot of pain. I went to the dentist yesterday to find out I have dry socket. Have been given antibiotics. Still in a lot of pain - not able to sleep. Watching clock to take more painkillers. Not able to eat, loss of appetite. This morning my top lip on the left started involuntarily twitching. It hasn't stopped all day. Is this emotional stress or something else? And why am I still in agony? If the pain affects your sleep and appetite why wasn't I prescribed stronger painkillers! Help! Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you had a deeply infected tooth then healing will take a longer time..Also pain within 4 days of extraction is also not an abnormal finding and you need not to worry about it as gradually when the healing will proceed pain will start resolving.Twitching of the lip is due to inflammation or injury to the nerve secondary to infection..I would suggest you to take higher painkillers like Tramadol as it is potent in resolving severe pain..You can also go for injectable painkillers for faster relief..Do warm saline gargles..Take soft diet and more of liquids..Hope this information helps.Thanks and regards.Dr.Honey Nandwani Arora.
| 181,517 |
What causes microvascular disease?
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Patient: I had a Brain Mri- findings There is a mild global atrophy with scattered T2 hyperintensities throughout the supratentorial white matter likely reflecting microvascular disease. There is no acute or subacurte infarct. I have tremors in my hand, having trouble writing and I am having trouble finding words Doctor: Microvascular disease of brain require treatment in form if anti platelet and cholesterol lowering agents. Need physiotherapy too. Tremors can be senile or onset of parkinsonism. Consult neurophysician.
| 27,309 |
Is feeling of tightness in neck, back and chest normal after wisdom tooth extraction?
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Patient: My daughter had her wisdom teeth extracted on Thursday. She is feeling extreme tightness in her neck, back & chest today and is complaining that everything hurts (i.e. moving her arms, trying to go to the bathroom, etc). Is this common? How long before this will go away? What can I do to relieve her discomfort? Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query as your daughter has undergone wisdom tooth extraction yes it is painful for one week . For Tightness in chest and back you can consult dentist if this remains for more then 2 days .Hope this will help you.
| 186,379 |
Why does my swollen stomach lead to dizziness, light headedness and nausea when touched?
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Patient: My stomach is swollen and when I touch it I feel faint, light headed, dizzy, and nauseous. I can t hold food down. I ve been nauseous and vomiting . My stomach is swollen from top to bottom and my pelvic area is swollen. I developed heartburn two weeks ago that progressed to these other stomach problems. The doctor diagnosed me with GERD but I think I might have something else. I ve been feeling fatigued and lightheaded and it is difficult to walk. I also have pressure in my lower back. I have to be careful how I move or I ll start a vomitting fit. Doctor: HIThank for asking to HCMI can understand this if I would be your doctor then I would treat you with the following medicine, looking to your history given here the chances of some intestinal infection is likely which are getting more intense with the functional elements,1) Tab Omeprazole 40 mg once in day 2) Tab Domeperidone 30 mg once in day3) Tab Chlorodiazepoxide three times in day4) Tab Metronidazole 400 mg twice in day for five days no need to worry about this, hope this information helps you have a good day.
| 147,691 |
Had recurrence inguinal hernia repair. Feels hardness and pain on testis. What should be done?
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Patient: Hi ,3 week before i had recurrence inguinal hernia repair operation.After 1 week i felt some thing hard above testis , It was not paining but testis was slightly paining ,I went to doctor and he removed blood from hard part , saying it might get clot or pus , After 3 week ,Now i am feeling same thing hardness above testis . what should i do ? Please suggest Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have been operated for hernia repair 3 weeks back and had haematoma just above the testis which was drained out by the operating surgeon.Now you have developed hardness above the testis,this could be due to either 1) Recurrent haematoma 2) Induration of the cord structures due to infection .Please consult the operating surgeon and get ultrasound scanning of the scrotum done to confirm the cause of this hardness.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Dr.Patil.
| 202,894 |
Suffering from pain on the upper leg due to hernia surgery
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Patient: I had my second inquril hernia surgery more than a year ago and I have pain that shoots into the upper leg. It also shoots pain around the general area, the first surgery was with mesh and the second was not. I also have numness in the area. Its been over a year now, should I still have this pain ? Doctor: As for the last question you shoul not have pain any more. Ask the surgeon because this may be o compilcation from the surgery.
| 131,408 |
Itching with vaginal discharge after birth control coil insertion. Given safe antibiotics since breastfeeding. Not responding. What to do?
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Patient: Hey.....I had the copper IUD inserted post delivery(6weeks), precisely 7weeks ago.d insertion went well, however, barely 3weeks after the insertion, I noticed I was having some milky/yellowish discharge and a bit of itching too. Almost at the same time, my period came on, so I waited till after that to treat it. I was given some pessaries and antibiotics safe for breastfeeding to use. The symptom subsided, but came on again after 2weeks, but this time, the discharge seems to have gone from milky/yellow to pink/brown, and of course the itching too. What could be wrong with me, please. I m so scared now. Doctor: Hi,From the description of your symptoms, it appears as though you have some vaginitis. This could be secondary to the procedure of insertion of the IUD, or may have happened in an isolated manner. This is a recurrent problem, especially if not completely treated. Since you are breastfeeding, you cannot be given oral medication. You need to take the vaginal medication again after a proper evaluation. If needed, a swab test for culture and sensitivity should be done to plan proper management. Periodic treatment is needed for 3-6 months to prevent recurrences. Please maintain proper genital hygiene, avoid vaginal tampons and sexual intercourse until complete healing. Hope this helps.
| 224,215 |
Is lisinopril and atenolol causing nausea, headaches and shortness of breath?
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Patient: Forty-five year old female with high bp 156/106 rapid pulse 96, nausea,dizziness, headaches, numbness in left arm, shortness of breath, no chestpain. There has been no real change with medication Lisinopril 10mg, Atenolol, Bezide 5mg. waht should I do? Doctor: Hi,Atenolol induced side effects. Based on the history you seem to have developed side effects apparently caused by the medicine atenolol. Consult your doctor for an alternate effective but a safer medication to control your BP.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 84,046 |
Suggest treatment for chest tightness and shortness of breath
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Patient: i'm a 24 y.o woman. generally active (run 5-6 times a week) but I've been feeling fatigued lately and experiencing dizziness, shortness of breath, and chest tension. My normal blood pressure is 100/70 and resting heart rate of 55-60 bpm but i've been measuring 100/60 lately with a resting heart rate of 48-55 bpm. Should I be concerned? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern.Resting heart rate of 48-55 is considered as low.Blood pressure reading of 100 systolic is also considered as low.So we should definitely rule out heart block (conduction defect) for your symptoms.So get done blood pressure monitoring, ecg, 2d echo and Holter monitoring (24 hours continuous recording of Ecg).If all these are normal then no need to worry for heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,413 |
What cause my upper and lower lips is numb?
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Patient: I am a wind musician. The center of my upper and loer lips is numb after playing a show that I was biting too hard on my sax and clarinet mouthpieces. Its been several days and still numb. How can I speed up recovery? It s killing my flute playing... Doctor: Hello, I feel there might be a lot of muscle weakness and need to be checked out once. Sometimes due to weakness, there might be pressure on the facial nerve and that can lead to some symptoms like what you are facing. I prefer you do some facial exercises and if the symptoms of numbness don't subside then you can get it checked in person with a physician as muscle can be examined by personal visit. hope you understand that as humans we have certain limitations to come for a close diagnosis. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,500 |
What causes the foreskin to not retract?
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Patient: hi i want urologist. The foreskin is pulled back behind the rounded tip penis head and stayed there. compression of the head of the penis while pushing the foreskin forward made my penis normally. But I am worried if this process will work always for me ? Will it case any sexual probables ? Doctor: Hi,Thanks for writing in.At a young age everyone come across the situation you are having and it is normal. The foreskin of penis slides forwards in the flaccid state and retracts back when you have an erection. This is because the erections are harder as the penis is more muscular due to testosterone effects. If it is causing any infection or swelling then you must consult the urologist.There will be no sexual problems if the foreskin is pulled back during erection and covers the head of the penis when flaccid. This is normal situation and nothing wrong with it.
| 201,489 |
Suggest treatment for vertigo and dizziness
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Patient: Hello..My question is concerning children at the age of 11. This boy was taken to Urgent Care because of being dizzy and vomiting. He was diagnosed as having Vertigo. Is this possible that a child of this age can have Vertigo. Thank you for your answer. Doctor: Hi there. Yes. Inner ear disorders can present with Vertigo and Nausea. Also certain brain disorders like infection, meningitis, tumors etc. He needs a thorough Neurologist checkup to rule out the conditions. Keep him well hydrated and we'll fed with healthy food. He may need CT Scan brain.
| 144,789 |
Suggest treatment for pulmonary hypertension
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Patient: Hi I have pulmonary Hypertension with CHF enlarged spleen and problems with elevated liver enzymes. I also have intercranial hypertension. Wed I developed a headache which I get alot. Did not feel well on Thurs then on Friday I began getting really dizzy ( I feel like I just got off an amusment park ride) and developled pain in my left shoulder that goes down my arm. I am extremely tired only able to stay awake for about an hour before needing to lay down and sleep. I am debating on waiting it out to see my Dr. next week or the ER. What would you do if you were me? Doctor: Hello, After going through a medical query I understand your concern and I would like to tell you that treatment for Pulmonary hypertension varies according to the severity of PHT and is almost the same as of CHF. But considering your multiple issues it’s recommended for you to personally consult a cardiologist and a neurologist for proper treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Bhanu Partap, Cardiologist
| 17,795 |
What causes muscle cramps in hands?
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Patient: I m a 51 year old male in good health. I don t drink or smoke and exercise 4 day s a week. In the past two weeks my fingers have been cramping up with the longest duration lasting today for 10 seconds. I know it s not a hydration issues- I drink plenty of water. What else could it be? Doctor: Dear Patient, Welcome, and thanks for sharing your concern I went through your query, and I feel, these could be vitamin deficiency or neurological disorders, you need to inform of any other associated condition you have, any history of illness in the past, history of increased blood pressure, I feel you should consult a neurologist early.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks.
| 137,498 |
Can i participate in normal activities post rib fracture treatment?
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Patient: Cc: Rib pain Hist: Fell from ladder 4/11/2012 INCENTIVE SPIROMETER q 2 hr 3 - times MEDS: Percocet q 6 h Valium q 6 h Motrin 400 mg q 4 h Asprin q 4 h ACTIVITY LEVEL QUESTION? BEDREST WITH BATHROOM PRIVILEGES? OR LIGHT ACTIVITY ONLY? OR ACTIVITY WITH WEIGHT RESTRICTION? OR NORMAL ACTIVITY? Doctor: Hello, If the fracture of the rib of more than 6 - 8 weeks old you can perform any activity you wish you. The activities should not lead to pressure over the chest region. If the activities you planning to do or doing are not giving pressure over the fractured ribs than any normal activity can be performed. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,055 |
Suggest remedy for red skin patch on the scalp
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Patient: How do you treat an area on the top of the head which is red, pus looking but no real drainage. Just a red area on the to of his head in the balding area of his scalp. This occurred after wearing an acrylic beanie in the rain for approximately 4-6 hours 2 days ago. Doctor: hello, there are 2 possible reasons for that one is acrillic caps are made up of synthetic materials. Also perspiration difficult through the cap. Apart from that , the cap make the scalp warm and sweat more also. Wearing it for longer time make scalp sweaty. so it can produce the worn area a sweat rash, just like you discribed. Other thing is it can be, contact dermatitis to the synthetic material it is made up of. What can you do is you can change your cap to a wool one which is a natural material and it let perspiration well also. Therefore it cause scalp less sweaty and warm. Also if you are having contact dermatitis to acrillic it would also reduced from wool. Topical anti steroidal +antibacterial cream would help in healing the rash. keep the area well dried after having bath. Lactocalamine lotion can reduce itching. Don't use the cap when the climate is warm. it will aggravate the problem.
| 29,760 |
Suggest diet while having fatty liver
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Patient: I have elevated liver enzimes and elevated white count and from what I have read it seems that I may have fatty liver. I have been trying to find information on diet but each time I fined some information the next sight gives me a different one. can you help? Doctor: HelloElevated liver enzymes may indicate liver injury.It may be due to many reasons like hepatitis,alcohol intake,altered lipid profile,fatty liver,medicines,auto immune causes etc.It is important to know bilirubin level.Elevated WBC may indicate infection in the body.You may need few investigations like routine hemogram,random blood sugar,lipid profile,ultrasound of abdomen.You may need to take few medicines and diet restriction after full investigations.Get well soon.Take CareDr.Indu Bhushan
| 56,454 |
What should be done after being diagnosed with white matter brain disease?
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Patient: If you have been diagnosed with white matter brain disease, very early stage, is it better to increase the statin medication to reduce cholesterol (a risk factor for that disease) or is it better to reduce the statin medication because of its association with memory loss? It seems that the statin drugs go in both directions on this probelm. Thank you, Jeffrey Shapiro Doctor: Hi,Thank you for posting your query.I have noted your symptoms and MRI brain findings.Regarding white matter ischemic disease, the most important aspect of care is to keep the risk factors under control. This includes control of blood pressure, sugar and cholesterol.Among medications, it is better to continue aspirin and statins to prevent disease progression.I hope my reply has helped you.I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad,For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/
| 147,658 |
Will 'bactrim' help in treating MRSA in arm?
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Patient: I was just diax with MRSA in my rt arm and was prescribed bactrim and bactroban. My conccern is that 10 years ago I had necrotizing fasciaitis in my rt arm and it underwent MANY surgeries over a LONG time. I've been told that my rt arm has little immune and NOW I am very worried because of teh MRSA. Is MRSA treated with bactrim - I don't want to go through what I did years ago. I also have stage 3 kidney disease from months of vanco and I am concerned about my kidneys Doctor: Hello and thank you for your question.Bactrim is a good choice. It covers MRSA well in most areas. There is no guarantee with these resistant bacteria but you are on a good medicine to treat the MRSA.Regards
| 34,344 |
Need treatment for sneezing with runny nose
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Patient: My daughter is 7 month old and she has runny nose sneezing and lots of mucus drainage but no fever. Our 5 year old daughter had all these symptoms but with a cough. Now my 7 month old daughter and I are sick but what can I do to make my little girl feel better. She isn't drinking her formula either Doctor: Hi dear,I understand your concern,running nose is sign of usual viral infection. Use Nasoclear and Paediatric nasal drop 2 drops 2 -3 times especially before breastfeeding that she can eat. For elder daughter you can give same and Kuka syrup 5 ml twice for 5 days,Sualin 4 times, Zincovit 1 teaspoon daily for 1 month for boosting immunity.Hope it helps
| 172,749 |
How to minimize visibility of veins on hand?
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Patient: My viens of hand have become visible, I use to masturbate since 4 years but now I have stopped. I cant wear half sleeves shirts cause I feel so Odd when my nerves pop up.... Kindly help me regarding this what should I do to minimize visibilty of viens of my hand?? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you that popping up veins has nothing to do with masturbation. It is good sign of visible veins as only a muscular man has visible veins. But if you are worried for the veins you can avoid repeated muscular activity in that particular area. Eat more fatty food to under cover your skin with fat, as to cover veins.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
| 116,917 |
Increase in RBC count in blood. Cause and treatment required?
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Patient: hi my husbands rbc count in blood has increased from past one month...he was urinating pinkish red but now his urine is pale yellow and his recent routine urine test showed the rbc count as 10 to 15 ...can some one suggest me how serious it is what might be the cause for it and what test are prefered...he also feel slight pain in his lower back at times....he uses hypertension pills regularly...please suggest help. Doctor: Hello. Thanks for writing to us. Presence of 10-15 RBCs in the urine is suggestive of a urinary tract infection or a urinary calculus. You need to have a urine culture and an ultrasound scan to detect the exact cause. The treatment will depend on the cause detected. I hope this information has been both informative and helpful for you. Regards, Dr. Rakhi Tayal drrakhitayal@gmail.com
| 119,331 |
Chronic pain in liver and pancreas, ducts stretched. Nothing showing up in MRI and CAT scan
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Patient: My sister is having cronic pain in liver and pancrus area. She has had her ducts stretched 4 times. The pain keeps coming back. He gi told her today he can't help her any more. This poor girl has no quality of life!! This was a specialist at strong hospital in Rochester. What we be our next step. She has had many mri's and cat scans and it not showing anything. They removed her gallbladder and apendixs this yr. Doctor: Hi, Welcome to Health care magic forum. She was told that her ducts were stretched 4 times, and they would have removed the stretched ducts of the liver while removing the gallbladder. The pain is at the both hypochondriac areas, causes may be the kidney , colon, gastric, or pancreas pain. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms omeprazole, domperidone, and anaesthetic antacid gel, as a primary treatment. Take more of green leafy vegetables, pulses, sprouts,and protein rich foods to facilitate the treatment. Wishing for a quick and complete recovery.
| 58,001 |
Suggest remedy to avoid unwanted pregnancy
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Patient: Dear docter,I just had a sex with my wife and she is a mother of infant baby of 3 months. Her menstruail period has stopped 2days back. And bleeding started again at the time I had sex with her while bleeding.Pls suggest me if she get pregnent at this stage r chance to get conceive again. If yes pls provide prescriptions for unwanted pregnancy.. Doctor: Hallow Dear,Two days after menstrual bleeding has stopped is a day far from fertile window of the menstrual cycle. Egg is released (ovulation) 14 days prior to next expected menses. A period of about one week around the day of ovulation is fertile window. So if the menstrual cycle is of 28 days, the day of ovulation would be day 14 and fertile window would be between day 10 and day 18. You had sexual relations 2 days after the menstrual bleeding stopped. Again after 2 days the bleeding started during which you had intercourse. This day is far from the day fertile window. So the chances of pregnancy due to this sexual intercourse are almost nil. However, you may confirm it 10 days after you had intercourse by Beta hCG test. Please try to avoid any sexual relations during bleeding phase. Blood is a very good medium for any organisms; hence she may catch some infection by intercourse during this phase. Since, she has already started menstruating after delivery, please use some reliable contraception like birth control pills, condom or intrauterine device (with the advice of your Gynaecologist) to avoid pregnancy. In this phase, the chances of irregularities in menses should be kept in mind. Hence, fool proof contraception should be the practice. I hope this helps you. Dr. Nishikant Shrotri
| 223,731 |
How can severe stress be treated?
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Patient: I now have a driving problem tried to drive to work last night and felt strange like I was going to swerve to the other side of the road couldn t go on for a minute so I got off the hi way and went back roads home which was less then two miles home. Been having this problem for past few months do ok sometimes been driving 20 miles to work for years now getting harder. had a lot of stress lately this seem to trigger the problem gonna go to dr tomorrow if I can get into see one. Missed lot of work in last couple months for this and mostly for a sick family member Doctor: Hello,In my opinion, make sure that sugar and thyroid functions are normal also try to do some exercise and take meals timely.Adequate sleep is very important to know that antidepressant such Escitalopram is helping in the night.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Gayathri
| 204,721 |
Does Augmentin affect male fertility?
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Patient: Hi. I have blepharitis and infection of the eyelids currently. My doctor prescribed Augmentin, but since my wife and I are trying to conceive in the time frame while I m on antibiotics, we are concerned about possible adverse effects on my (male) fertility and possible effects on the fetus, should we successfully conceive this cycle. My question is, does Augmentin affect male fertility and more importantly are there known fetal effects even though it s the male taking the antibiotic. thanks. Doctor: Hi,There is no documented evidence of any harmful effects of Augmentin on male infertility. It is also considered to be safe during pregnancy since it does not cause any fetal effects.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 83,276 |
Suggest an OTC medicine to relieve spinal pain
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Patient: I was given a spinal injection of a steroid 3 days ago to relieve the pain caused by my severe lumbar spinal stenosis. Immediately afterward I was given Percocet (sp?). I was pain free for the rest of the day but the next morning my pain began to come back, each day a bit more. I don t see the Dr for my follow up for another week. Can you suggest what the best OTC drug I could take to help relieve the pain until I can see the Dr. again? Doctor: hiIdeally,I would fill a prescription to cover for at least 5days after a procedure to remove all otc hassles,given the choice,I would have done it.Anyway you may try excedrin or Tylenol or Advil in meantime.Use back brace for support in daytime,avoid bending,lifting anything.If have muscle spasms,otc soma tab twice a day after meals.
| 107,103 |
What causes shortness of breath and tingling in arms?
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Patient: Hi, I am a 67 yr old male. Have stopped smoking and drinking as of Jan 01/12 (Cold Turkey). I am 6 and 206 lbs. Taking 10 mg lipitor, Inhibace plus 5/12.5 mg, bisoprolol fumarate 5 mg and hydrochlorothiazide 25 mg. Recently very short of breath, weak and fatigued. Upper arms, lats and upper back very tingley and sore. Any ideas of the problem? Doctor: Hello sir , I went through the information you have provided and after a thorough thought I would consider the cause of symptoms as . 1) rule out underlying cardiac disease . Considering you have fatigue on exertion to start with with the risk factors as you have described, underlying heart disease is a very strong possibility. A stress test ( treadmill ) with echocardiography is the best test to rule things out . 2) even inhibance plus has 12.5 mg hydrochlorthiazide and another 25 mg of plain hydrochlorthiazide, is a high dose of diuretic to have , here you may loose a lot of potassium from the body and that may cause the symptoms you describe. 3) inadequate control of blood pressure is another possibility. Do consider the above scenarios as the cause of your symptoms. Hoping I could help. Regards Dr Priyank Mody
| 25,493 |
What does MRSA colonies in lungs mean?
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Patient: Hello my daughter is 2 &1/2 and has Cystic fibrosis diagnosed at 2 weeks. I was just informed that she has 2 MRSA colonies in her lungs by her pulmonoligst, what does that mean and how did it get there? What is a colony and how/when/will it turn into infection? And what does that mean for her? She has been in great heath despite the cf diagnosis. Doctor: Thanks for the question.MRSA is Methicilline Resistant Staphylococcus Aureus bacteria. A colony means they have developed a cluster at one point. Time of it turning in to an infection cannot be predicted.With CF this may happen. Your physician seems to be very good to notice this. As it may pose problem any time.Keep a vigilant eye on the child's condition.
| 177,537 |
When suffering from PCOS and trying to conceive, how to determine if I ovulate and when?
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Patient: My husband and I are trying to get pregnant. I have PCOS. My period is due in 5 days. I have lower back pain, cramping and sore nipples. All which can be attributed to pms. I don't wanna get my hopes up. My issue is I don't know when or if I ovulate. When should I try to concieve? Doctor: HelloThanks for writing to us with your health concern.In PCOS periods are erratic.Ovulation is very unpredictable.Hence it is natural to be confused regarding the probable dates of ovulation.There are two ways ahead for you.First is that you continue to remain sexually active every alternate day all through your cycle.The second option is to consult a Fertility Specialist.Go for follicular monitoring.THis is serial ultrasound scans done throughout the cycle, tracking the growth of your mature egg follicles.THe day of ovulation is exactly confirmed this way, so you can remain sexually active around the peri ovulatory period.Many predictor tests like I sure are also available in the market, but they are not as reliable as a folliculometry.All the best and take care.
| 4,461 |
What causes painless lump in ear?
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Patient: Hello. I have a small lump which feels a little like gristle but spongy feel in my left ear I noticed this just over a year ago. It hasn t grown in size it doesn t hurt its just noticeably different from my inside right ear. I keep poking and prodding thinking it may be a blocked spot. Doctor: Hello and welcome to HCM,Painless lump in left ear could be due to a soft tissue swelling.A clinical assessment is required to know the exact site of the lesion and its relation to other structures.If the lesion is not clinically fixed to underlying structures, it can be surgically excised followed by histopathological examination.You need to consult an ENT specialist for clinical assessment and further management.Thanks and take careDr Shailja Puri
| 66,960 |
How can an infection above an RCT be treated?
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Patient: started off with jaw to ear pressure left side,then after that pass my right side jaw hurt few days,but i feel so dizzy,and not well.tingling in my body sometimes i cant even sleep. been to doctors but no clear answer.only thing is dentist i see,and i have infection above my root canal.but we been keeping eye on it one year,he said its ok. but i went oral surgen he say pull out . i dont know my dentist say that will not make me feel dizzy and not well. im confused who to believe Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain pressure from ear to jaw along with dizziness can be due to inner ear infection leading to the following symptoms of pressure from jaw to ear while tingling sensation in the body can be due to causes like Vitamin B 12 deficiency, peripheral neuropathy etc...As far as extraction of tooth is concerned, it is generally not seen to cause dizziness or any other side effects but is needed to be done only after proper evaluation of the other conditions so that it can be confirmed that you do not have any risk in getting tooth extracted.So my suggestion is to first of all consult a Physician and get evaluated and a thorough clinical evaluation and investigations like x ray MRI SCAN and also complete blood picture can help in diagnosis and treatment can be done accordingly..Hope this helps..Regards.
| 181,389 |
What causes pain and discomfort in right side upper abdomen?
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Patient: I have a pain(not so severe) and discomfort in right side upper abdomen not exactly in...I have a pain(not so severe) and discomfort in right side upper abdomen not exactly in...I have a pain(not so severe) and discomfort in right side upper abdomen not exactly in... Doctor: Liver pathology and sometimes gastritis presents with right sided upper abdominal pain. Are there any associated symptoms like loss of appetite or jaundice or fever, vomiting etc.I would advise you to take Tab Rantac twice daily and get an ultrasound abdomen done.
| 91,148 |
How to treat chest hurt?
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Patient: Hi. My chest is hurting. When I breathe in deep it feel like everything bruised is the best way I can describe it. Also Iva had terrible diarrhea for that past two days to where I have to go every two hours. I don't smoke, use drugs, and exercise regularly. Could help me? Doctor: thanks for your question I completely understand your question chest pain can be due to variety of causes like pleural effusions can cause dull pain and pain is stabbing more on inspiration and catchy, other causes can be cardiac and gastritis you need to visit a pulmonologist and get a chest xray and ecg done to rule out the causes and to come to a certain diagnosisthanks feel free to ask more questions may god bless you with good health
| 79,532 |
Why is my shoulder turning black and blue?
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Patient: I have been diagnosed with a right should contusion after a skateboarding accident two days ago and have been constantly using it due to duties and things that need be done. it is swelling more and more but I need to continue using it. it is beginning to turn black and blue as well as red, my right shoulder is also significantly lower than my left. what do I do from here. Doctor: hiHope this msg finds u in good health. i have gone through your complaints and under stand your concern. i feel u might have injured ur bone or soft tissues that might be causing bruising. i suggest u get an xray and mri done to rule out any sort of injury. nothing to worry about. hope your question has been answered.if u have any follow up queries, feel free to consult me anytime thanks .Take care god bless
| 132,806 |
Is there any side effect for vigamox eye drops?
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Patient: hello Doctor ....my baby was 3 years old....yesterday baby got hit in fiber stick on eye ball, today we went to check up with doctor, so he said no problem and gave eye drops(vigamox) to apply for every one hour, now baby is vomiting 4 times continually. so any side effect through eye drop.....doctor Doctor: Hi, Vigamox (moxifloxacin) a fluoroquinolone antibiotic used to treat susceptible bacterial infections of the eye. Its common side effects include burning, itching or dry eyes, change in vision, excessive tearing, red or sore eyes and in young children vomiting and diarrhea. Consult her eye doctor for an alternate and effective drug or to decrease the dose frequency of vigamox eye drops. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 85,085 |
Is hematuria caused by Aspirin?
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Patient: My husband is 70, had a stroke from a blood clot on the right side of his brain and hospitalized for 6 weeks, He is now home using 100 mg enteric coated aspirn daily. He is incontinent and wears diapers, but is progressing daily, with assisted walking, speeks and understands and can hold a conversation well, eats unassisted, Today he has been passing bright red blood with his urine. He has no temperature or pain or discomfort.. He has never had a problem with this before. Is it the aspirin therapy? Should I stop the aspirin therapy? What should I do about this? Doctor: Hi thereThe aspirin medicine acts on platelets and blocks themThe platelets are an essential component of clotting mechanismSo by that count, yes bleeding can be due to aspirinBut I doubt it, its not that frequent.i am not sure about the neurological statusBut yes I would suggest holding aspirin too in one of my patientsBut I would suggest an urgent hospitalization for management of frank hematuriaI will suggest the same to youMeet a urologist as soon as possible to know if there is need for an interventionBest of luckDr Mittal
| 146,907 |
My upper lip has a very small spot, how to get rid of it ?
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Patient: My upper lip has a very small spot which is same color as the lips but it is slightly projecting outwards only when having a closer look, it is soft no pain no itchy Doctor: Hi, The small spot you have mentioned, has it been there always? if yes, and if you just want to get it removed then i am sure it can be removed without much difficulty by your doctor. But if it has come recently, then you should just wait as it maybe due to lip biting trauma and may merge back in your lip on its own soon. If it progresses in size or changes colour then i strongly recommend you to visit your dentist and taka a clinical opinion. Regards
| 190,535 |
Have had kidney transplant, off prednisone, period late and slow. See a doctor?
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Patient: i ve had a kidney transplant for almost 3 years now. My nephrologist tapered me off prednisone in July and august. I had a small period around the 17th of November, only lasted a few days, then I had another period start again the first week in December and it has not stopped. It s not overly bad, I m just concerned that It hasn t stopped or gone away at all. I m not having heavy flows or anything, just normal to minor, but the length of time it s gone on is my concern. Is this something I should see my gynolologist about? Doctor: I will advise you to see your Gynecologist .Also frequently check Serum creatinine as you continue to have bleeding.Usg evaluation for pelvis will also be required
| 50,168 |
Suggest treatment for erection problem
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Patient: How to increase my sex desire? I am married and not having sex with her for more than a year. I face difficulty to get an erection with her.During this period I had other woman in my life with home no such difficulty occurred. Only problem was I can not last long during the intercourse.I am 32. male. 93 Kg. Doctor: Hello, If you are sure that you did not face any problems when you were with other women, it has to be due to your psychological issues. I suggest sex counseling for you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. K. V. Anand, Psychologist
| 194,507 |
Will i be pregnant if i have unprotected sex 2 days before by periods due date ?
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Patient: Hello , I ve had an intercourse with my boyfriend on the 25th and he ejaculated inside of me I am supposed to have my next period on the 27th I have a regular cycle of 28 days.. Am I in danger of conceiving? Help plz. Doctor: no,you are safe. but use protection from next time onwards.
| 6,469 |
Self consciousness, anxiety, fear, nervousness, inferiority complex
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Patient: Hello, Am a Medical student currently doing my final year. From my child hood onwards i have a problem with shyness , Over Self conscious. Now i have fear of public speaking,blushing, anxiety ,lip shivering etc... I think am more active mentally than physically, because if am seeing someone then i ll guess myself ,what the other person is thinking about me and I ll act on that guess eg: I ll guess he/she is thinking badly about my standing position,my laugh etc etc..and I ll feel uncomfortable with that. This same is happening on all other daily activities. Because of these problems,Am very bad in mingling with friends and other social circles. My medical school life also getting distracted because of this,Am not even able to ask a doubt to my teacher even if am alone with teacher,if am asking a doubt I ll think for many minutes like what she ll think about me,what if my language is bad ,what if my question is bad etc etc... Also sometimes I ll have a fear or am afraid to ask something to someone, I have good patience,but if i get angry and saying something ,then my lip will shiver, Blushing on my face etc. Am making my own thoughts about what other will think of me. Because of all this I can t walk in public in a relaxed state,my mind will always be in working state.If am talking in a group who are not too close to me,then my lips will start to shiver, uncomfortable etc because during the talk my mind will be working on others like where are they focusing,are they focusing my talk,lip movement etc..are they laughing about me etc.... Am only good with my few too close friends.. because of the above problem,I only have few friends,I ll always be at my home ,I won t go out like others.. In summary i can say, I have self consciousness , fear, Blushing, anxiety, Nervousness , Panic etc.. Doc, Is there any ways to change all this ? Am very sad in medical school because of the above issues, Am very much like to perform on some topics on my class,but I ll hide from these stuffs .. Doctor: hello . i read your query. since you are a medical student you yourself can see and admit the solution of the fear........thats is only and only to be courageous enough to throw away them all........i know you must have tried lot and wud have failed to do so. but always remember that in this world' the people sees in you what YOU shows''. whenever you meet some new person and start becoming conscious .....just think that he will observe your fear only if you show him ( by your body language, lip shivering etc) try to control that immediate change of behavior. one more thing you can ask your own self......even after allllll...........if the opposite person dont like your speech, or question, or presentation.....then what will be the result?? nothing....no one is going to hold you in jail.....never be afraid of the result......never fear to try. if you fail then try better and stronger. you just need some self motivation. you can try some personality development coaching if you want. no need to go to psychiatrist. need to do self evaluation. there must be some activity which u are never afraid of, which u r confident of....try to involve in them to built up confidence. hope this helps you. Thank you. best luck.
| 213,603 |
What to eat if having cervical cancer?
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Patient: I was diagnosed with Stage 4 Cervical Cancer, do you have any suggestions (or what I should stay away from eating), to help reduce or cure the cancer? I have been researching different foods and am getting confused as to what to eat and not to eat as cancer killing foods.. Your help is appreciated. Doctor: I am sorry to say, but stage 4 cervical cancer cannot be cured, least of all by foods. You need to see an oncologist and start on chemotherapy. During chemotherapy, you will need to avoid all types of raw foods and stick to only cooked or boiled eatables. There are no foods that prevent or cure cervical cancer.
| 155,051 |
What causes sudden dizzines in children?
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Patient: My son is 12 and plays a lot of sport,10 days ago he cam home form football and said he felt dizzy.It also appeared that he hadnt drunk enough fluids and appeared to be somewhat dehydarted. My wife took him to the doctor and they tested him for most things heart,blood pressure,lundgs etc and he said that it was all ok. Although he has got much beeter he staill has the occassional dizzy spell and now the doctor has booked him for a blood test and ecg. Doctor: DearWelcome to HCMWe understand your concernsI went through your details. Children, usually at this age, will be anxious about health. Mainly because they are knowing more and more about health in their school curricula and from family members. Whenever they feel any sort of physical problems, the tend to be obsessive about it, even though they seem to be uninterested.As the doctor had said, there is nothing to worry about, there should not be anything to worry. The child could have got the dizziness onto his head and is obsessed with it. Unless he is fully satisfied, he will be showing the signs of anxiety. I suggest, after the doctors consultation, if nothing wrong, please arrange for a health counseling session with a psychologist.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care.
| 170,276 |
How to determine the ovulation cycle?
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Patient: I am trying to get pregnant so have been following my fertile times for couple of months, my period normally lasts 5 days but this time it has lasted 11 days. Would my fertile time be at the same time as if it has been a normal period or at a different time ? Doctor: HI, I understand your query & concern. Fertile period is 3 days before & after the ovulation day.. as ovulation day is day when mature ovum is released from ovary ready for conception.& ovulation is 14 days before the expected date of menstruation. ( In 28 days cycle it is 14th day of menses ) Occasionally when menstrual cycle is disturbed due to hormonal disturbance.. ( like you have this time a prolonged menstruation ).. the begining of menstrual cycle itself may get late & so fertile period will vary. You can judge your ovulation by- -half a degree decline in basal body temprature. is indication of ovulation. - LH surge test indicates ovulation in 24- 36 hours of +ve test. Thanks.
| 221,194 |
Realistic dream flashbacks in middle of day, stress, scared. Help
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Patient: Hi there. I ve been really worried about my mental health for the past few months as roughly 3 months ago I began having what seemed to be very realistic dream flashbacks just in the middle of my day i.e walking down the street etc, they grew a lot more intense and during one job interview I looked out the window and strated watching one of my dreams outside and then had a horrible realisation that I couldn t work out which was real - the scene outside the window or the job interview! That is the scariest that it has got, and this was all during a very stressful time in my life. But it still happens too often, and because I ve overthought it I now feel physically sick and even wretch when it happens now, often in public places (though I ve only been unable to differentiate that one time) today it happened 3 times and I felt sick and just put myself to bed to avoid it. I m still a tad stressed but this made me end up moving home a week ago so I was hoping it would happen less. I feel so physically sick and scared every time any insights would be welcome! Doctor: !I have gone through your question and it looks like you should meet a neurologist. Had I been seeing you, I would ask you to get an MRI brain and an EEG done, as the presentation is similar to a kind of seizure disorder, ( however you have not mentioned the duration of these episodes, but usually they subside within few minutes). only after proper investigations one can start correct treatment. till the time you see a doctor you should avoid driving as these episodes are quite distracting and make one probe for accidents if they happen while driving. Please donot worry as the illness is curable.Hope you get well soonPlease feel free to ask more queries if you have Dr. Manisha Gopal.
| 211,498 |
Would taking penclav be safe for problem while hearing ?
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Patient: my child is complaining that he is not hearing properly as some water had gone into his ear while swimming.went to an ent spl. who had prescribed penclav.after taking the medicine the child is getting ill.he si otherwise ok whether it is a must to get the antibiotic? Doctor: HiHe may be having diarrhoea from penclav. You can consult your specialist again and ask him to change antibiotics, usually Oflox or Levoflox is prescribed in such cases, duration of treatment remains sameTake care of the allergy if any, also in case of hearing loss, better to get an audiometry done to be on safer side
| 172,923 |
How can pain in the jaw after tooth extraction be treated?
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Patient: my name is donnie. i recentlyhad 2 teeth removed by an oral surgent. it was 3 months ago. i am still having some pain in my left jaw around where they were removed. is it normal for this long?. i am 63 yrs old and i guess it may take a longer time to heal Doctor: Hello,As far as pain after tooth extraction is concerned, this can be due to unhealed socket or due to presence of bony spicules. For this, I will suggest you to consult oral surgeon for clinical examination and intraoral periapical radiograph for proper diagnosis. In the meantime, do warm saline rinses 2 to 3 times a day and you can apply gum paint ointment on gums for pain. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Priyanka Tiwari
| 180,634 |
Suggest treatment for foot and ankle pain
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Patient: Im having extreme foot and ankle pain. It started about 8 months ago and is gradually getting worse. Ive been wearing a brace lately and it doesnt hwlp. I have.swelling and sometimes its hard to walk. Its affecting my work. I need to know, should i go to the emergency room? Doctor: Hello, As what I understand from the history is you have pain in your foot and ankle along with swelling. First thing should try is hot water fermentation. and keep the feet elevated over the pillow in lying position. Do ankle toe movements. This will help reduce the swelling. Coming to pain in the foot - along with dipping the feet in hot water I will advise you to put some marbles in the water and try lifting them up and getting out of the water with your toes. For the ankle, I will recommend the balance board rehabilitation exercises for providing good stability. I think you have plantar fasciitis. also on a prevention note, I will advise you to add some silicone shoe insole for getting reduced pressure over the foot muscles. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,199 |
Is Besivance safe to be used before a cataract surgery?
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Patient: How dangerous is Besivance. I have heard damning evidence about the Flouroquinolone family of antibiotics. The data was first posted on the internet. I have a medical background so I don t put alot of stock in this source. However, I have cataract surgery up coming and this is on the list of meds. Can you help me with more valid information. The claims are damage to body pretty wide spread. Doctor: Hello,Actually, it is not the case with the Fluoroquinolone, but it is the same for all the antibiotic and it has to be taken with great conscious because of the side effects of it, and all the antibiotic more or less have the same side effects, and it cannot be said to be safe if taken for no good or valid reason.On other hand, it said to be lifesaving drug so because of their side effects it cannot be put into action (Not administered) where the antibiotic are necessary means it has to be taken and if not taken, then bad consequences will ahead, discussing about antibiotic is not possible here because it is long topic, here the brief is given only.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Akhtarhusain
| 141,766 |
What causes painful and itchy skin lesions on the hands and legs?
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Patient: For two weeks I have been having painful not itchy skin lesions coming up on me legs and hands, and this is always accompanied by a hugely swollen elbow, painful and it becomes unmovable and my achilles tendons in both legs becomes so tender I have to take little baby steps, my dr, is now treating me for a bacterial infection, the elbow swelling has gone down, the hand lesions are multiplying as are the leg lesions. The dr. told me they were bites, they are not, they only come with the other things Doctor: Hello, Consult a dermatologist and get evaluated. As of now, low potency steroid ointment like Betamethasone can be tried empirically. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 125,869 |
What causes grand mal seizures with flashing lights in the eyes?
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Patient: i have had grand mal seizures since i was 12 i am now 49 and they seem to be different im getting flashing lights in my eyes even when eyes r closed lasting for about 2 mins then i sllep but when i wake it still feels like i have had a grand mal.is this a type of petti mal Doctor: Hi, I had gone through your question and I think that it may be the first fase of the seizure or aura (occipital lobe simple focal seizures). Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.
| 146,605 |
What causes foul smelling phlegm after treatment for pneumonia?
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Patient: I just was treated for pneumonia followed by a chest tube to drain an empyema . Following my discharge was given a weeks worth of antibiotic which ran out 4 days ago. Yesterday afternoon I started bringing up some mucus as I coughed which has a terrible smell, like burning rubber. I have an appt with my pulmonologist tomorrow at 0930. Doctor: Thanks for your question on HCM. Foul smelling in phlegm is mostly due to anaerobic infection. Empyema is also caused by anaerobic infection. So possibility of spread of infection from pleural cavity to lung parenchyma is there.So better to get done repeat chest x ray and sputum culture and sensitivity to isolate the orgorganism. This will helpful in antibiotic titration. So consult pulmonologist and discuss all these.
| 81,916 |
What food helps to increase sperm count?
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Patient: Hello Doctor, Iam Senthil. Iam 33 years old. Iam getting married in another 4 months time.Me and my future wife have plan to try for baby one we are married. I don t have any masturbation habit. But every week at-least once I have sperm leakage during night. May i also know what are the best foods to take for better erection and to increase sperm count and Iam a vegetarian. Thanks. Doctor: HelloSemen discharge during night is a common phenomenon among males and it may be due to over excited state,inadequate emptying etc.You should try relaxation technique and avoid provocative literature and videos.It is not a serious finding.You can go for semen analysis if you are concerned about fertility.Proper management depend upon findings.Empirically you can take healthy balanced diet.Take lot of fruits and vegetables and go for exercise.Avoid alcohol and smoking if you take these things.You can also take anti-oxidants.Get well soon.Take CareDr.Indu Bhushan
| 199,340 |
What are typical symptoms of measles in children?
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Patient: Hi, I live in Manitoba, Canada, where currently there have been a few reported cases of the Measles. My son is 14 months old and tonight I noticed a measles-like rash on his trunk. He may have had a low grade fever a earlier this week but I never checked him since he was sweaty at times but playing happily and otherwise fine. He is getting his molars and has had his fingers in his mouth a lot, which I assumed was due to teething discomfort. Currently, he has no fever. Apparently, when I was a child, I had the measles with no fever or symptoms other than the rash. Is it possible that my son has the measles in the same way that I did as a child? What do you recommend I do? Doctor: Hi!I read carefully your query.The typical case of measles actually starts with a fever, runny nose, hacking cough, and red eyes. After two to four days of these symptoms, the patient may develop spots within the mouth called Koplik's spots. These spots look like little grains of white sand surrounded by a red ring and are usually found inside the cheek toward the back of the mouth (opposite the first and second upper molars).The skin rash (also known as an exanthem or exanthema) appears three to five days after the onset of the initial symptoms (fever, cough, runny nose, and red eyes). The rash is a flat to slightly raised (maculopapular) red rash that usually last five to six days. It begins at the hairline and then progresses to the face and upper neck. Over the next two to three days, the rash progresses downward to cover the entire body, including the hands and feet. The rash has mostly distinct lesions, but some may overlap (become confluent). Initially, these lesions will turn white when you press on them (blanch). After three to four days, they no longer will blanch. As the rash begins to fade, there will often be a fine flaking of the skin (desquamation). The rash fades in the same order that it appears.The fever that occurs with measles is called a stepwise fever. The patient starts with a mild fever that progressively gets higher. Fevers often reach temperatures greater than 103 F (39.4 )If you notice this symptoms to your son you should seek medical attention.Hope it was helpful to you.Wish a good health to your son.Dr.Rovena
| 39,967 |
What is the cure for stomach cramps ?
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Patient: Iv e been suffering with stomach pains and discomfort since this morning i thought it would just go away but it hasn t and has just got worse... Two things help relieve the pain and thats laying on my stomach and breathing in deeply and holding my breath I would really appricate your help thankyou ben Doctor: Hi, Flatulence dyspepsia may cause dyspnoea.Endoscopy, Barium meal Xray, USG abdomen may be helpful for proper diagnosis. Avoid oilly spicy food. Drink more water. Take food in small quantity and frequent interval. Do regular exercise and jogging. Milk of magnesia and isapgol (pergative) may be helpful.
| 95,324 |
What causes a feverish feeling and muscle pain?
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Patient: Searching for diagnosis, symptoms, feverishlethargic feeling, deep muscle pain, spongy lumps were pain is felt.asoapy whitishfilm escaping skin when showering (not using soap) and oily ringlets too. Numbish tingling feeling allover.cloudy mind and brainfog Doctor: Thanks for posting you query to health care magic.feature are suggestive of some kind of weakness due to deficiency of vitamin and mineral . you should first investigate for 1. blood examination : Complete blood count 2. stool microscopy for parasitic examination ,it will suggest us further treatment plan .hope you are satisfied with my answer . feel free to communicate if any query .regards,Dr.Manish PurohitInfectious disease specialist
| 34,527 |
What are the treatment options for ostiopyrus causing pain in hip joint?
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Patient: dear Dr, Dr i am 57 year old person and 5 feet in height,my weight is 65. i have a pain in my hip joint till 4 years in time. I got a x ray report and doctors said that i have ostiopyrus.i got treatments to that but still not cured. so can you please tell me what are the best traetments to cure my pain. thank you, Doctor: HiThank you for asking HCM.I have gone through your query. Osteoporosis have effective treatment nowadays. Calcium should be taken as dietary supplement. Your vitamin D level in blood should be measured and should take vitamin D supplements if it is low. If this is not working bisphosphonates like zolendronate can be taken. Costly treatment like monoclonal antibodies (Donesumab) is also available. These treatment should be taken under the supervision of your orthopedic surgeon or physician.Hope this may help you. Let me know if anything not clear.Thanks.
| 137,452 |
What causes anxiousness and temple twitching during pregnancy?
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Patient: hello im 16 weeks pregnant and a very very anxious person ...the past three days ive noticed ...a twitching above my right temple i rang the walk in centre .they said it could be down to anxiety ..but the more it happens the more i panic ..theres no pain but my sinus is feeling a little full due to hayfever Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic.I have gone through your query. I think I have understood your concern, I will try to suggest you the best possible treatment options.1] Please do not panic.2] In my opinion, symptoms that you are getting can be due to dehydration or nerve excitation.3] I will advise to have adequate water intake per day. Tab NEUROBION forte once at night for 20 days will be of help.I will also suggest to have steam inhalation and warm salt water gargles.I hope my answer helps you.Thanks.Wish you good health.With regardsDr Purushottam Neurgaonkar
| 220,037 |
Does ipill cause cramps in lower abdomen and back?
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Patient: I had sex with my fiance on 8th day and 10th day of my period cycle and had ipill on 11th day. 8th day sex was with withdrawl method while he ejeculated inside me on 10th day. No after having ipill, I am having cramps in lower abdomen and back..does it indicate that ipill has worked? what are the chance having a preponed period? Doctor: Hiipill can cause abdominal cramps as an adverse effect and whether it has prevented pregnancy can only be confirmed by urine pregnancy test taken 10 days after missed period.Taking 2 day course of ipill may not cause any preponement of cycles.Hope that was helpful.Let me know if i can assist you further.RegardsDr.Saranya RamadossGeneral and Family Health Physician
| 84,592 |
Suggest treatment for pain around ribs
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Patient: I broke 2 ribs several years ago when I was a kid. Now, every once in a while, I get a sharp stabbing pain in the same general area. Could the 2 be associated? Last night the pain was quite extreme and I found it very difficult to breathe. thanks, Doctor: Hi...Your current rib pain may not be associated with your old injury... unless there is malunion..Don't worry...It can also be due to irritation due to dehydration or postural stress over the intercoastal muscles...If I were your treating doctor...I would advise you to have a x-ray done for your painful rib area...jus to make sure I am not missing out anything...Advised you to do....Lot of icing frequently...Drink plenty of water ..Good sleep over a firm mattress...thorarcic mobilisation exercises...Good weight training schedule.....atlast 3 times in a week...Stretching and good recovery sessions like swimming...massage etc...Hope this is helpful for you..kindly get back with x- ray incase you need further more detailed insight if your problem....
| 129,554 |
What causes swelling of cervical and sub-mandibular lymph nodes?
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Patient: Hi I am a 24 year old female who is generally healthy. For the past 3 months my cervical and sub-mandibular lymph nodes have been swollen. I was diagnosed with mono and am just starting to feel a little bit of my energy return. I have noticed though that even though I am past the recommended window to abstain from alcohol if I have even one glass of wine my lymph node swelling increases and my whole body will ache the next day as if its bruised. I am wondering if this could still be being caused by the epstein barr or if its more suggestive of lymphoma? Doctor: HI, thanks for using healthcare magicThe lymph nodes would have likely increased in size due to the mono. Enlargement of lymph nodes is one of the common findings in this condition.In many cases , the enlargement would last up to 6 weeks.Though lymphoma is a known complication of epstein barr, it does not occur so acutely after the initial infection, so this is not likely.It may be best to revisit your doctor for an assessment. He or she may consider taking a complete blood count to determine if there is any lingering infection requiring treatment.I hope this helps
| 33,880 |
Suggest treatment for pain in roof of mouth while eating
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Patient: I used to brush the roof of my mouth when I was younger everyday. I was never taught how to brush my teeth. Now that I'm older a lot of times when I'm eating the roof of my mouth will hurt really bad. I know it's from brushing the roof of my mouth, but I was just wondering if there was anything I could do about it? The pain hurts so bad I can't eat and by the time I can my food is cold. Doctor: This is because of poor brushing habit.you have to brush properly wirh proper technique.horizontal as well as vertical.
| 184,422 |
Suggest treatment for rashes on knees and hips
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Patient: Periodically I get a rash that begins as red circles usually on the leg area between my knees and hips. The circles get bigger and spread more as time goes on. Then they begin to dry up starting with the centers and moving out. They do not itch or weep. Sometimes I will get one on other parts of my body, but it doesn t spread. My doctor and dermatologist are puzzled. The rash started again this week. Have tried all sorts of creams, but I just have to wait for the rash to go its course. Takes about 6 weeks. Doctor: Hi Dear,Understanding your concern. As per your query you have symptoms of rashes on knees and hips which is very common as dirt and moisture get trapped by your clothing and the friction that comes from sitting can these symptoms. Need not to worry. You should void touching or pricking rashes. I would suggest you to keep this area clean and dry , apply cream containing azelaic acid , apply warm compresses with soaked towel and apply vitamin C serum at night. If condition doesn't get better then consult dermatologist for proper examination. Doctor will examine physically along with blood test and sample for lab test . Doctor may prescribe immunosuppressants and antibiotics like clindamycin. Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 13,258 |
I have had back pain and right under my left side of my rib. Is this a kidney infection?
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Patient: hi, i have had back pain for the past 2-3 days now. i put a fluffy pillow under my back where it hurt, and layed down for a while. when i got up it felt a lot better, but not completly gone. and when i was laying down and i raised my stomach up high, i got a pain right under my left side of my rib. is this a kidney infection do you think? Doctor: THanks for the query No it cannot be your kidneys, kidneys come way lower to your ribs. It still sounds like a musculoskeletal pain. Take tab hifenac P twice daily for 5 days after food, if it doesn come down meet a physician Have a healthy life
| 114,001 |
TTC. Regular periods only with intake of glycomet. No cysts or tubular block. Count of partner is 60 million and motility 60. Any harm in taking glycomet?
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Patient: iam 36 and am trying to get conceive for past 8years .iam having irregular periods from the age of 13.lap was done on 2011 and no cysts or tubular block.iam taking glycomet 850 twice aday and becadocxamin .after taking glycomet only my periods are coming once in 45 or55 days..flow is for 3 days .if not taking tab periods again become irregular.my husbands count is60 million and motility is 60.when i will get conceived and taking glycomet regularly is harmful . Doctor: glycomet is contraindicated during pregnancy and lactation. so u may continue taking glycomet until u conceive.. once u conceive, stop taking glycomet.
| 5,067 |
Why am I having stomach ache?
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Patient: Hi i have a question. my boyfriend and i having sex alot. Then after my period done 2 weeks ago.now i have feelinglittle pain my stomache both sides when i sit up i can feel both sides pain and when i cough too. So it been couple days i have feeling but havent been hurt at all. but now i domt know whats it Doctor: Hi,This may be due to musculoskeletal pain as it is present in both sides after lot of sex. NSAID with muscle relaxant will help you with plenty of fluids. Since it is a prescription drug you need to consult your doctor for prescription.Other cause is due to ovulation or any internal problem. But usuallu occurs unilaterally.So follow above said and this will help you.Regards
| 91,275 |
8 months pregnant, rash outside vagina, between thighs. Cure for rashes?
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Patient: Hello I am 8 months pregnant and it seems like I may have a rash on the outside of my vagina . It s puffy, red, & it looks like I have a rash on the inside of my thighs where my underwear line would be in between my legs. What can I do or use? And is this normal for that area to be so sensitive? My email address is YYYY@YYYY Doctor: Hi yes it is normal rash due to eccessive sweating in tgat area .it is tinea cruris.use terbinafine or ketaconazole lesion over the lesion to get cured
| 15,379 |
Rashes on many parts of body, like raised pimples. Itchy on elbows. What are they?
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Patient: My daughter broke out in a rash two days ago. It is behind her ears and on her chest . It is also lower on her torso although it is not as severe there....just kind of here and there. I have treated her with benadryl , but it doesn t seem to be helping. She also has it on the inside of her elbows. It is only itchy on her elbows. It looks like small raised pimples . Doctor: Hi ..thanks for your query. You have not mentioned the age of your daughter. There can be many possibilities . It can be a scabies infestation. This is common in children.itching is mostly severe in the night.topical permethrin is used in the treatment. Next common possibilty is papular urticaria. This is a allergic reaction to insect bites like mosquitoes. Topical sterois are used fir the treatment. Other contact allergies or acute urticaria is also possible. I suggest you visit a dermatologist to get a proper diagnosis and then start the definitive therapy. Hope this helps. Take care!
| 15,999 |
Suggest cause for burning sensation in trachea
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Patient: Hello sir, i don t know english well so forgive my grammer mistakes. well, actually the problem that the docter prefer some tablets to my mom for some venter problems , after taking the medicine my mom feeling, like something burning in her trachea.please sir if you describe the problem we be very thankfull to you. Doctor: Thanks for your question on HCM. In my opinion your mother is having birning pain in middle of the chest due to GERD ( Gastro Esophageal Reflux Disease ). Many antibiotics and painkiller drugs can cause GERD. So try to follow these steps for better symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and anxiety. 4. Start proton pump inhibitor. 5. Go for walk after meals. 6. Keep 2 - 3 pillows under head in the bed.
| 81,780 |
If we take eptoin tablets all at a time will it lead to death as my sister is having suicidal tendencies ?
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Patient: hi I am lilly and I am 33 years suffering from epilepsy from past three years. and from past six months I am taking eptoin. can you please tell me what happens if we take high dosage I mean all the tablets at a time?? because my sister is having a sucidal tendencies and she wanted to take it. I want to protect her mainly from these tablets. will it leads to death?? Doctor: Hi Lily, Any drug, if taken in excess can have grave consequences. If your sister has suicidal impulsions, she needs to be taken to a psychiatrist immediately. Because even if you hide your tablets, a suicidal person looks and finds other means to commit suicide. She needs professional help. Also, talk to her. Try and find out why she wants to commit suicide. All people having such tendencies are depressed. Try to find out why she is so depressed that she feels the option is dying. Give her affection, attention and consult a professional. All the best! dr.neharv@gmail.com
| 151,727 |
Taking Althea. Missed pill for one day. Is it safe to have intercourse?
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Patient: this is my second month of taking Althea, on May 17 i took my first pill at 10PM. my 2nd pill is supposedly on May 18th but i was only able to take it on May 19th (2AM).... it also happens on the 3rd pill which am about to take May 19th, but i was only able to do so on May 20th 5am... but the following pills until now is on time... is it still safe for me to continue..and have contact with my partner? Doctor: Ya you can continue having the pills but resort to safe sex . in a sense use condom. and wait till the next cycle. But for future if you missa pill one day you can take 2 pills together the next day.
| 224,765 |
Suggest treatment for fatty liver and cirrhosis-stage 4
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Patient: I have been diagnosed with fatty liver and Cirrhosis- stage 4 by fibro-scan. I have also taken medications such as Hebtral-400 etc... But have seen no improvement in my conditions. Please advise on how I should take necessary step to recover form this disease. Doctor: Hi there,Thanks for posting in HCM.Cirrhosis is an irreversible condition.The only definitive treatment is liver transplantation.Treatment of the complications like fluid accumulation, varices should also be done with salt restriction, diuretic and beta blocker medications.I hope that answers your query.Regards.
| 56,041 |
Suggest treatment for fever & loss of appetite
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Patient: my son has a temp of 37.5 (taken via ear) - is this considered a fever? I gave him calpol at 4.30pm - as he is not himself at moment very wingy. GP disgnosed gastritis on Tuesday and suggested no treatment - however he is still not eating properly (about half what he usually eats) and also will not take a bottle at all. Drinking water via a beaker. Any suggestions/advice or am I just being an over-anxious mother? many thanks Doctor: HI, thanks for using healthcare magicThe normal aural (ear) temperature is 37.5 to 38 so this temperature is ok.It can take a few days for the activity and appetite to return to normal. The important aspect is fluid intake because though he can go a few days without eating as normal, he needs to take enough fluids daily.He may not want to use a lot at one time but he can use small amount frequently.Monitor urine output to make sure it remains ok.I hope this helps
| 31,777 |
What causes rash on cheeks and arms after taking Amoxicilin and Tylenol?
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Patient: My son is 4 years old and had his tonsils and adenoids removed yesterday. He was prescribed amoxicilin, tylenol with codiene, and prednosolne. This afternoon I noticed he is developing a rash on his cheeks and arms and I m wondering if this could be a reaction to one of the meds. Doctor: Hi,Thanks and welcome to healthcare magic.Amoxycillin an antibiotic may cause rash sometimes as a side reaction.Usually it disappears once the drug is stopped.Prednisolone also clears the rash.Hope this reply is OK for you.Please feel free to ask further queries if any.Dr.M.V.Subrahmanyam.
| 172,338 |
What causes difficulty in breathing?
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Patient: Trouble breathing for 18 months.......all tests were preformed....everything ok.....now echocardiogram show right side of heart enlarged. Doctor says it s a lung problem......what would cause enlargement ? I did have a PE event 4 years ago & take warfin. Doctor: Thanks for your question on HCM.Right sided heart is directly rated to lungs. So lung diseases can cause right heart enlargement. Lung diseases like1. COPD (Chronic Obstructive Pulmonary Disease)2. Bronchiectesis3. Interstitial Lung Disease (ILD)4. Pulmonary embolism etcSo better to consult pulmonologist and get done chest x ray and PFT (Pulmonary Function Test) for the diagnosis of lung disease.Yes, pulmonary embolism can cause right heart enlargement if the emboli are chronic.So consult pulmonologist and discuss all these.
| 82,339 |
What causes pain and tightness in the chest?
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Patient: Hello, I am a 35 yr,female. I ahave been experiencing tightness in my chen and ongoing discomfort or pain in my left chest. I also have HighBP, and am on water pill. I have also an ongoing controlled loose motion, which I am not able to indentify with.What is happening to me?Thankyou Doctor: Thanks for your question on Health Care Magic. I can understand your situation and problem. Possibility of acute gastroenteritis (AGE) is more for your chest tightness because you are having loose motions. But better to rule out heart diseases first because you are taking water pills and having high blood pressure. So first get done blood pressure monitoring, ecg and 2d echo. If all are normal than no need to worry for heart diseases. AGE is likely cause in your case. So avoid hot and spicy food. Start oral rehydration solution (ORS). Avoid junk food. You will mostly improve in 1-2 days. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 78,569 |
Suggest remedy for liver problems
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Patient: hi dear doctor.i m from bangladesh.my age 27.my problem is liver.before i drink aclool .n now i stop drink.but i feel pain in liver this is long time problem.i already test blood n doctor say is liver problem.n now i feel weeknes n pain .please help me doctor long time i sufer this problem. my name is jaman. Doctor: Hi dear thanks for contacting HCM.First you have to do your USG and liver enzymes study...Here I want to rule out alcohol induce fatty liver or hepatitis....Now following measures has to be taken.Fruits eaten more.Soft andbkand diet preffereable with low fat.Use very much less oil in diet...Avoid alcohol.Take one tsp cumin seed with water daily early in morning...Avoid refine food.Within few days you will be better.Then regular follow up done.Dr.Parth
| 54,814 |
What is the best time to conceive for a person with irregular cycles?
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Patient: Hello Dr,I am trying to conceive for the past 9 months, but my periods are irregular. Doctor advised me to take meprate tablet from 16th day of my menstrual cycle till 20th day. All the scan reports were normal. I have put on weight. can u suggest me the best time to plan for conception ( on which day of the cycle)? Doctor: Hi meprate tablet will not help in conceiving. You have to get yourself evaluated. do a thyroid profile and prolactin levels and a ultrasound for follicles. Then you can take some medicines for ovulation and track your ovulation by ultrasound. You can know regarding best days to conceive by ultraound. Consult a doctor regarding this. hope I have answered your question.
| 1,993 |
What causes radiating pain throughout body and abdominal pain?
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Patient: I experience strange pain throughout my body. I feel pain in my chest. It goe Tells down my left arm my back and shoulder blades. My Jaw my throat and my neck. This is not heartburn or indigestion. I also feel pin in my abdomen. Tell me if I am loosing my mind. Doctor: Hi, The pattern of pain gives clues to where it is. if the pain were really everywhere, then it would not be a specific organ. BUT chest pain due to heart follows the nerves which go to the heart and these overlap the arm and jaw. While it might be indigestion, this pattern of pain might be due to a serious heart condition. I cannot say in your particular case, and this pattern is one that implies a need for immediate evaluation in a hospital. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Matt Wachsman, Addiction Medicine Specialist
| 215,190 |
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