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What treatment is suggested for loss of memory?
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Patient: HI there, I was a pedestrian who was struck by a car in 2009 (3 years ago).I was struck on my right side and landed primarily on my head and then on my coccyx. I have tons of trouble sitting and walking etc lower back but my question is about my head injury. It was split open but only took about 23 staples to close it up. However, I have noticed that since that accident I have a lot of trouble with memory loss (I don;t remember about 2 months of my life before the accident) and I have trouble remembering things (ie dates, numbers etc) and it is so frustrating. Also, when I press on my head (any area) it hurts. my whole head does. is this normal? It is particularly painful at the top of my head and it has been there for 3 years now. will this pain ever go away? Doctor: HiThanks for using healthcare magicSometime due to head injury, patients feel continuous pain and memory issues. Memory loss would take time to become normal and that localized pain may be due to underline hemotoma. Sometime, hemotoma get calcified due to calcium deposition and that may be reason in your case. You can conform by through CT scan. If CT scan comes normal, in that case, this pain may be psychological.Thanks
| 209,963 |
Suggest treatment for gum infection
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Patient: I have advanced periodontitis: bone loss pretty far on upper front teeth. One of my front teeth had become really loose & not wanting to have it pulled I opted for splinting it 2 wks ago. Right after my splinting, i noticed a small Mount of white pus between my front teeth, when my tongue would hit the roof of my mouth behind them. It happened couple of times but I thought maybe I wasn't brushing well enough. Then yesterday lots of white pus pushed out. Tonight after hot tubbing greenish-yellow puss was pouring out above 3 of my teeth...please help. I am on vacation & tried two emergency dental calls only to have NO one return my call tonight. Doctor: thanks for your query, i have gone through your query, the gum infection, bone loss, mobility, pus discharge, could be secondary to deposits around the teeth. if the teeth are very much mobile then there is no meaning in retaining those teeth. the splinting will help to retain the teeth for some days. its better to get your teeth removed and go for fixed or removable prosthesis. you can start with antibiotics after consulting the physician and so saline gargling. i hope my answer will help you, take care.
| 186,558 |
Suggest remedy for breathing problems in night
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Patient: Name : Anubha Age : 26Height : 163 cm Weight : 50 Kg As such I dont have any medical history.Problem:I feel breathing problem specially in night.I feel its a kind of allergy which increases in pullution. I am taking "Montec LC", which helps me to easy breath. And I have to take it daily.Can it have a permanent solution.I am facing this problem from August 2010. And last year in Dec 2010, I went out of bangalore to a hill station for 2 week. After that this problem was gone. But again this year I started getting this peoblem from August 2011.Thanks & Regards,Anubha Doctor: Hello,Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I would agree with Montec LC and would suggest you to take it regularly before going to bed.2. I would also suggest you to use inhaled corticosteroids (Budesonide) for at least 3 months.3. I would suggest you allergy testing which will help you to identify the substances you may be allergic to and also to know the measures to avoid them.Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve your allergy symptoms.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. Regular breathing exercises and a healthy nutrition rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will help you in a longer run by improving lung capacity and immunity in a long run.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you & Regards.
| 100,593 |
Does chest pain with fluttering and cough need cardiac evaluation?
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Patient: Had one episode of a fib brought on by dvt in leg and pulmonary embolism. Stopped heart twice before it regained normal rhythm. Had extensive testing done by cardiologist, including stress test with persantine and thalium. Result: small leak in one of my valves, but nothing to worry about. On pradaxa since March and have been having chest pain under breast bone annoying but not unbearable, accompanied by a flutter feeling, not intense like the 205 bpm I had with a fib and also .. I have a cough too. BP has been normal (take med) and heart rate around 60. Should I seek cardiac evaluation again? Doctor: HelloThanks for posting at HCM.I have gone through your history. Since you have been completely evaluated for the heart including a thallium and persantine scan, there is no need to seek a cardiac evaluation now. Since you had DVT with pulmonary embolism, it may be possible that some amount of lung tissue was affected by the embolism and infarcted. This may be the reason of cough and the chest pain. Another reason for cough can be lung congestion brought on due to atrial fibrillation. But you have mentioned that you had only one episode of AF so i suppose, you have reverted to sinus rhythm.In your case, I suspect there is a lung issue more than a heart involvement. I recommend a chest X ray initially and if it shows any abnormalities, a HRCT chest to look for lung issues.Cardiac wise you need no evaluation except an ECG.Wishing you good healthRegards.
| 20,803 |
Is tiredness common in cancer survivors?
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Patient: A year ago I had left lung cancer and surgeon removed half my left lung I have had pneumonia twice before cancer I m 59 lhe last month caughinh really sever titeness only on left side chest I also have several stents have had heart attach 3 times on SSDI lost ins only have part b at this time Doctor: Hi, Yes, tiredness is common in cancer survivor patients. However, it is not wise to label any tiredness due to cancer. Cancer survivors are able to lead an almost normal healthy life. So if there is any tiredness, that needs to be evaluated for common causes. I would like to know details, such as is this tiredness new or been there for more than 6 months? Has it worsened recently or intensity has remained the same? Are you able to do your daily activities with ease or there is discomfort? Have you noticed blood in stools? Any other associated symptoms? These clues will help me determine the probable cause. In your case, it is very important to rule out whether the symptoms are cancer-related/ pneumonia-related/heart-related. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Jatin Bhatia, Radiation Oncologist
| 152,398 |
How long antibiotics should be taken after wisdom teeth removal?
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Patient: Hi. I just had my wisdom teeth removed. The prescribed antibiotics (3pills a day for 3days) has finished. Do I go get another? There's still a hole in my gum and I really don't want an infection but I also don't want to become resistant? What do I do? Doctor: You should always take your antibiotics after a dental procedure. It is the only way to prevent any bacteria from adhering and/or infection from occuring.
| 182,344 |
What does this semen analysis report indicate?
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Patient: Hi, I am 31 years old, My semen report:Macroscopic::::volume:1 ml, color: greyish White, reaction: Alkaline (PH: 8.0)Viscocity: viscid, opaque,liqueefaction: 30 minsMicroScopic::::sperm count: no spermsMotilit::::Active: NillSlugglish:: nillnon motile:: nill>morphology::::normal forms: nillabnormal forms: nillother Findings::pus cells:: 4-6/HPFEpithelial cells: nillRBC:: OCC/HPFImpression:: azoospermia<Could you please advice me based on my repor Doctor: Hi, This report shows no sperm. You can repeat from a different lab after 3 weeks. If same consult an ANDROLOGIST at the earliest. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr B. Radhakrishnan. Nair, OBGYN
| 194,603 |
What causes low white blood cell?
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Patient: i have just had a slightly low white cell blood result and have gone into utter panic about lukemia and such like, i had the blood test as i have had a lot of heartburn and tiredness and trouble with my sinus' i am waiting for a helicobacter pylori test to come back could it be something to do with that or could it have something to do with the fact i have just had my flu jab a week ago or should i be very worried Doctor: Slightly low wbc count is of no worry.it may happen many times in certain viral infection or some other infection. dont worry about that.and leukemia is out of question because in leukemia most of the time wbc count is too high. Your heartburn maybe due to gastritis. H.pylori infection. so take treatment of that. Forget about leukemia or low wbc count.
| 117,905 |
What causes tenderness in left chest,pain,headache and dizziness?
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Patient: hi yes i have chest pains headakes and dizzyness that cum an go noww an then also sumtimes my left side of my chest gets really tender wen touched went to my gp he sent me to see a specialist and told me he couldnt find any thin wrong but i no sumuts up inside Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In my opinion, we should first rule out cardiac diseases for your symptoms. So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for heart diseases. Sometimes, undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic drugs too. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 74,084 |
Need medication for shingles & chickenpox
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Patient: I'm about to go on a trip with someone who has shingles and I've never had chickenpox. I was in the service in 2004 and may have been given chickenpox immunization but definelty had the smallpox immunization. Am I still at risk and if so how do I cut that risk down? Doctor: If you never had chickenpox or received the immunization, then you are at some risk of acquiring chickenpox from exposure to active shingles lesions. You could consider getting a blood test to see if you already have antibodies to chickenpox, and if you don't, could consider getting the series of immunizations, although you may not have adequate time before the trip. You can reduce the risk by avoiding any direct physical contact with the person who has active lesions, particularly contact with the lesions themselves, be sure the person covers them well and that both of you wash your hands frequently and don't share any clothes, towels, sheets, etc. Hope this helps.
| 36,479 |
Will taking oral morphine for cancer lead to pain?
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Patient: My sister has lung cancer and is taking oral morphine. The cancer has stopped growing but the pain in her side in increasing -- the cancer has spread to the hip but it is also not spreading in the last two cat scans. Is it possible that the morphine is causing her pain to increase. She is taking a large dose. Doctor: Morphine is a strong narcotic pain killer and with time tolerance develops in body to its effect so dose has to be increased or other pain killers or adjunct drugs have to be added. Also it needs to be investigated if there is some underlying pathological fracture causing pain which may benefit from fixation or radiaton therapy.Please discuss with the treating doctors.
| 156,633 |
What would cause a high AST level of about 108 from the blood test?
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Patient: My blood test results show high level of AST. During 1 year from 86 to 108. I don t drink alcohol and my diet is pretty balanced. I also have unpleasant feeling under my right ribs and fatigue. What could be the cause and what shall I do to lower AST down? Thank you in advance Doctor: Hi, I had gone through your question and understand your concerns.An AST or SGOT level of 108 is not very alarming.A right upper abdomen discomfort can be due to many reasons like- gall stone disease- hepatitis- pancreatitis- a liver abscess (fever would be present)to name a fewIt would have been great had I examined you on my own.I would suggest you to get an abdominal ultrasound done. This will help in the diagnosis.Do not worry.Visit a gastro-enterologist. He/she can examine you and correlate clinically.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. Wishing you good health.
| 56,304 |
Cause of consistent abdominal pain after typhoid fever?
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Patient: hello doctor, my son age is 8 years, he has abdonal pain from last 6 years. last 28th janurary he got sufferd from typhoid high grade fever for 10 days, now the abdomen pain having much. his stool test showing PUS CELLS- PRESENT (STRAY) and also CANDIDA BODIES - PRESENT(+), his CT SCAN of lower abdomen has done on 02/03/2014 and the said test is normal. so whats is the cause of pain ? Doctor: HelloYou said that pain abdomen is for last 6 years. I want to know the character of pain1) Is it severe enough to disturb his daily activities or sleep2) Is it associated with vomitting3)What is the frequency of pain abdomen4) Is it occurs in morning hours only(at the time when he gets ready to go to school5) Is there any association with food6) Is he growing with normal paceNow pain abdomen for last 6 years without associated symptoms( as you have not mentioned the other symptoms I assume it to be not there)is very unlikely. Stool positive for pus cells may be due to present infection. But this does not explain such long history.Normal CT scan rules out any intraabdominal lymphadenopathy or anatomical abnormalities.I would suggest you to give him some antibiotic after consulting your doctor and to get the answers of the question mentioned above. If it is there then discuss it with your physicianRegards
| 176,278 |
Are Azithral and Meftal the right medication for throat infection?
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Patient: Hello My daughter is having viral and mild throat infection since yesterday. Last night she had taken Azitral 500, Meftal 500 and a cough syrup Today morning she has taken meftal500 with breakfast (6am) Right now (2pm) her temp is around 103 We have given one dose Calpol 650 She is 60 kilo age 13 years Kindly advise No body pain Doctor: Hi...by what you quote i feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. if it is negative then it might be viral illness and doesn't require antibiotics at all.Do not use antibiotics like Azithromycin without proper evaluation.Meftal contains Mefenamic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Meftal-P.Regards - Dr. Sumanth
| 163,788 |
How to cure a painful lump on neck?
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Patient: hi I have a lump on my neck, its been there for about two months that I am aware of. My boyfriend found it and ever since then it has seemed to be getting worse. It's painful and i have a hard time sleeping. It moves and causes dizziness and earlier I almost passed out. I have a doctors appointment next Wednesday. Im afraid they will look past it like they usually do. Doctor: Hi, dearI have gone through your question. I can understand your concern. You may have some enlarged lymphnode due to reactive hyperplasia, tuberculosis, lymphoma or metastatic carcinoma. Or youmay some soft tissue tumor. You shshould go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 62,445 |
Diagnosed with pancreas cancer. Did chemotherapy. Now eyes is yellow with a bilirubin. How long will be the survival?
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Patient: Hi my mother in law was diagnosed with pancreas cancer stage 4. Metastases to the liver. She had 2 session of chemotherapy already, we were informed that this an advanced stage already , bt now her eyes started to become yellow with a bilirubin of 3.4. Just want to be prepared in this situation how long is the survival of the parient? Few more months? Weeks? Or days? Doctor: Hi, Difficult question to answer. Though there are data regarding your query but every patient not behave alike. Jaundice means metastasis to the liver and it can be said this has grave prognosis. Further chemotherapy will be difficult to continue. Best supportive care may be treatment possibility at this stage. Consult your doctor. This is not curable at this stage.
| 158,599 |
Suggest remedy for extreme mood swings and short temper while being on multiple medications
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Patient: I am concern about my sister who is 34yrs. My mom went to her room and find out she had too many medications... Not just over the counter but most of them are I believe narcotics,.. Too many of different kinds of medications,like pain, allergy, insomnia,,,, she has a pharmacy in her room that my mom called it. Pls help what we do to minimize her meds, because she s starting to have a mood swing that we can t understand her, she like to argue a lot... Doctor: Hello,Thanks for choosing health care magic for posting your query.I have gone through your question in detail and I can understand what you are going through.Mood swings are a common side-effect of most of the medicines and especially narcotics. Before commenting on reducing the medications, it is necessary to uderstand why she is on medicines. Its possible that she could be genuinely be requiring these medicines. We request you to provide further details regarding the indications for which she is on drugs so that we can comment on the future course. Hope I am able to answer your concerns.If you have any further query, I would be glad to help you.In future if you wish to contact me directly, you can use the below mentioned link:bit.ly/dr-srikanth-reddy
| 210,007 |
What causes gurgling sensation on lung?
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Patient: For a couple of years I have had a gurgling sensation on my left lung. No pain but it feels uncomfortable and definately as if something isn't right. When I breath in or out either slow or fast it carries on in a specific place for a few seconds. I'm a 31 male, otherwise healthy and quit smoking 5 months ago (only ever a light smoker) Not sure what it could be. Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* There is possibility of some sort of lung problem which may be - allergic bronchitis - emphysema of the segment - lobular pathology - cyst or bulla - others .* Primary evaluation with x-ray and if required CT thorax can be proven diagnostic tools for the same .Always feel free to ask any further questions .Regards .
| 73,501 |
What causes lump in breast?
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Patient: This is really awkward but when I was taking a shower today, I was doing the check-up thing for breast cancer and I found a lump in my breast that wasn't there yesterday. Since I have my period right now that might be why but I don't know. I'm been really worried all day. I'm going to tell my mom. Please help Doctor: HiDuring period due to some hormonal changes one feels lump like feeling giving rise lump in the breasts.nothing to worry, wait till your period is over.If lump remains there afterwards, consult Gynaec and get both breasts examined thoroughly.Ok and take care.
| 62,766 |
Are there pregnancy chances with non penetrative sex?
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Patient: Please am a 25 yr old boy n i romanced with my girlfriend 3months ago. We didn't have sex cos she still is a virgin. Although her menstral cycle is not regular,this time around she feels she may b pregnant because 3months now she hasn't seen her period. Meanwhile,in may,we used a home test kit and it proved negative. Could she still be pregnant after 2 neg home test kit? Doctor: Hi there is very little chance of pregnancy if a urine test is negative. Period can get delayed due to many other factors. As you told she has irregular periods tell her to meet a doctor to find out the cause of her irregular periods.It can be due to a thyroid problem or due to ovarian problem. Better she meets a doctor. hope I have answered your question.
| 2,106 |
Suggest medications for low hb in beta thalassemina minor
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Patient: hi Doctors i am suffer the problem to weekness after marriage ,my age in 30.,weight is 54 Kg..i talk to the doctors for that prob. he say you check the haemoglobin 1st.i gave the report .my haemoglobinis 9.90 gm%,& say you are Beta Thalassemia Minor..in that case which syrup or mediacne i use to increase my haemoglobinis ? plz answer it..... Doctor: Hello,Thank you for your contact to healthcare magic.I understand your health concern, if I am your doctor I suggest you that Livozen Z is the best available tablet you can have it one tablet a day for as long until you have good haemoglobin plus 3 month to replenish the store of iron in the body. If you have thalassemia minor than your haemoglobin might going to be down. So for you continuous treatment with the hematinics is necessary. Do not discontinue the treatment.I will be happy to answer all your future concern. Thank you,Dr Arun TankInfectious disease specialist.Wish you a best health at health care magic.
| 116,651 |
What causes frequent stools in a child and how to treat it?
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Patient: My son is 4 years old and he suffered from bladder injection about 8 days back. After the treatment was completed, he now has frequent bowel movement and sits for long in the toilet and visits 3-4 times a day. Can you please advice what could be the reason and treatment for it? Doctor: Hi,Welcome to Hcm,Few possibilities can be considered with these symptoms:1. Gastroenteritis which probably a viral infection of the gut.2. Dysentery, bacterial infection, especially if there is blood in the stools and aassociated with fever.3. Can be as a side effect of medications given for bladder infection especially if augmentin-amoxycillin group of drugs given..in that case you need to stop those medicine aand child will get better.4. Lastly, it can be non specific and will resolve on few days.You need to check if he is passing good quantity of stools everytime else a possibility of constipation should be thought.Get a stool routine examination done if its loose and watery and rule out infection to start off with. Happy to clear further doubts. Take care .
| 171,489 |
What caused numbness and pain down both of my arms and legs?
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Patient: I had anterior cervical fusion nine years ago and have been relatively fine until recently. I am experiencing extreme numbness and pain down both of my arms and legs. It is worse when I lie down or sit for a long period of time. Is it possible for the plate to slop over time? Doctor: Hi, If you are having problems after 9 years then there is a possibility that your bones have overgrown and now the spinal canal may be narrow. Plates do not matter anymore unless the fusion has failed. Get fresh X-rays to assess the canal size or Cervical myelogram. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
| 124,252 |
What causes severe hair loss and boils with puss on scalp?
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Patient: dear doctor, i am suffering from severe hair loss quite long time. i get boils with pus all over the scalp and sometimes over chin and forehead too frequently. last 10 days there is itching on forearm and leg where there are hairs . what would be the reason? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion, you are suffering from folliculitis decalvans. You must take antibiotic according to pus culture and antibiotic sensitivity report. Please do consult your dermatologist as soon as possible. Hope I have answered your query. Let me know if I can assist you further.
| 10,207 |
What are the symptoms of mumps?
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Patient: could u tell me if my 3 tr old may have mumps?he has only had his 1 lot of mmr jab he is due the second next wk, but he has been off his food lately and in and out of sleep during the day then hot and cold sweats and today i noticed slit swelling under his ear and towards back of his neck Doctor: Hi,Thank you for asking question on health care magic.Swelling behind ear raises the ear lobe and obliterates the angle of the mouth preceded by fever malaise.The swelling may be unilateral or bilateral increases up to 3-5 days and gradually recedes back completely by 2 weeks.It is a self limited condition.The symptoms may be mild as you have already given one shot to you baby.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics
| 173,921 |
Is it safe for an elderly person to take Tramadol for knee pain?
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Patient: Hi I am taking tramadol 50mg, I was taking 2 three x a day now I am taking 1 three times a day. My question is it safe for me , I have real bad pain in my knees and just my whole body. I am 72 years young, and have been told that I had chf. Right now that is under controled. I am getting ready to have knee replaced on my left knee. I just want to take a safe pill. Doctor: Hello, Tramadol is a safe medication to take for the pain. I would recommend trying taking Acetaminophen. It is much safer. If it won't be effective, you can try Tramadol. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 85,846 |
What does this kidney report indicate?
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Patient: Both kidneys move well with respiration and have normal shape, size and have increased cortical echoes. Cortico - nedullary differentiation are well made out. No evidence of calculus or hydronephrosis. Impression : increased cortical echogenicity in bilateral kidneys. Significant postvoid residue Doctor: Hello, The given report is almost normal and nothing much to worry about it. There is no obvious defects or abnormalities are detected. There is some post-void residual urine present, which means that there is some amount of urine left in the bladder after voiding. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 45,653 |
What causes elevated C-reactive protein levels?
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Patient: Hi, may I answer your health queries right now ? Please type your query here...family member has blood in stool, waiting to see a specialist tomorrow, very worried, just came back that his c reactive protien level is extrememly elevated, what could this be an indicator of Doctor: Hi & Welcome.I can understand your concern for your family member.Incomplete data like age, gender, purpose of doing the lab test C reactive protein, results of other tests and presenting problem.High levels of C reactive protein with a history of passing blood in the stool is suggestive of inflammatory bowel disease like ulcerative colitis.Your family member needs to be evaluated further by a gastroenterologist, an endoscopic examination of the colon with biopsy, CBC & ESR may be needed to confirm the diagnosis.Hope this answers your query.
| 32,324 |
Is there any side effect of implanon contraceptive?
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Patient: Basically i d like a second opinion. When i was 14 i had an implanon inserted i had it until it expired early this year and another one inserted straight away ( i think it may have been nexiplon) I have some serious concerns about being on the bar as i have had what i believe to be negative side effects my doctor insists its safe and im fine but i just dont know can you please tell me your opinions on this type of contraceptive Doctor: hello dear.understand your concern.as you said, you are 14,when you implant.according to me its early age for implantation,may be it can difficulties in future.I think you have to take another method for contraception like condom,diaphragm,hormonal tablets & patches....Implanon have some side effects like,bleeding,amenorrhoea,nausea,dizziness,loss of appetite,headache,changes in libido,acne,depression,infection at implantation site,etc...I hope,this will guide you.stay safe & healthy.thanks.Dr.sagar
| 223,710 |
What is the treatment for high fever , abdominal pain and vomiting?
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Patient: Hello Doctor,My daughter had high fever since morning (today). Later, she started vomiting. Doctor suggested we have a urine analysis which showed the following result:SG:1.020PH:6NIT: posPRO: 0.25 g/lGLU: normKET:5mmol/lUBG: normBIL: negERY: 25 u/lWBC: 200/mm3 Bacteria seenThe dr said that her result was not good and she has some kid of infection and that she should also come for a detailed check up.Can you please tell me clearly what is wrong with her. She is 6 years old. Is she having a kidney problem. She has never complained of any pain in abdomen except ones caused by gases (we found that out through x-rays). Why does she have a high ery?Please guide me. Doctor: Young girls get urinary infection frequently. Get USG of abdomen and pelvis done, give her as antibiotic and per paediatrician. She will improve and keep good hygiene. Keep watch that it should not recur.
| 33,533 |
What causes short tempered nature with aggressive behaviour?
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Patient: Hi my name is Brandon Im about 58 to 59 and I weigh around the 155 pound mark I think I might think I have IED just from the things that I do and notice about myself Well Im very short tempered This could be emotional hangups I dont knowbecause when I was in school I would constantly be harassed teased and picked on I would very angry very fast Itd be so bad I even think straight and I tend to throw and destroy objects which I have A LOT and most times it gets to the point that I want to brutally beat them up bad or kill them when I get angry like that its usually over something small like doing bad in a video game or getting into an argument Being teased made fun of or even the way someone is looking at me Sometimes, things which I find very hard to ignore and believe me, I ve tried... Im really not able to control my anger Do you think from all this that I have IED Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. You are thinking about those occasions on which you get angry or you are short tempered. There are so many occasions in your life itself when you behave maturely and with patience when troubled. If you just sit and search your past, you can find so many such occasions. To trigger your positive journey, traveling in a crowded bus, getting pushed, pulled, punched, gnawed, braked etc. You cannot avoid such a journey because there are no other means of transportation available. This is just an example. Now you can think of such experiences you had. That means your short temper is only towards those people whom you are sure, will not react. Why so? That is the answer to your question too.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
| 207,693 |
Suggest remedy for fluctuating blood pressure
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Patient: My blood pressure runs from about 106-124 over 55-65, depending on time of day, etc. My pulse is between 52 to 61, also depending on circumstance. I am 62 years old, and I have been a runner for almost 40 years. Also lift weights. 6 2 , 188 pounds. Are my BP readers a cause for concern? I worry about the pulse pressure. Thanks. Doctor: Hi,Welcome.This is Dr Sameer.Your bp & pulse are absolutely normal & you don't need to worry.Athletes like you (runner) generally have a low heart rate, which can be as low as 40-45. Pulse pressure is also fine & their is nothing to be concerned of.Come back if you need any more help & keep running.Thanks
| 21,643 |
How to wean off Geodon?
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Patient: I wanted to quit taking geodon, so my dr. told me to go cold turkey about a month and a half ago.. and I haven t felt the same since before I started taking the medication. I was diagnosed with bi polar depression and I have always suffered from occasional depression and anxiety, but lately my depression/anxiety are CONSTANT. I feel like my thoughts are always racing, I feel so depressed I can t get out of bed, I feel like I m almost hallucinating at times, I cant think about anything else other than how bad I feel... I read you should never just quit taking antipsychotics without tapering, so I want a second opinion.. what should I do? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Tablet geodon is a first generation antipsychotics with lot of Side Effects so it's better you shift from the first generation antipsychotics to the second or new generation antipsychotics which relatively has left side effects. As your suffering from bipolar disorder it's better you take mood stabilizers under supervision of a psychiatrist. Tablet geodon should be tapered over a couple of months. Hope I have answered your query. Let me know if I can assist you further.
| 204,354 |
What causes chest pain, headache and vomiting?
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Patient: Last Wednesday I woke up with chest pain; i ve had previously and they said there was something wrong with my liver but then it suddenly went away so I didn t go back. With that symptom I also had major headache and I was throwing up constantly and my all my muscles ache so that was Wednesday, thursday I had all the same symptoms, still throwing up, friday morning I woke up and had bruises all over my body all down the back of me down my legs my arms everywhere and then I also have another symptom which is itching, all symptoms are pretty much still there today except for I m not throwing up anymore. You know what this could be? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. By your history and description, possibility of liver disease is more. Because liver pathology causes high bilirubin and high liver enzymes(SGOT and SGPT) . These can cause itching, vomiting and skin rashes. So better to get done ultrasound examination of abdomen to rule out liver disease. Also get done serum bilirubin, SGPT and SGOT to know about severity of the disease. You may need injectable drugs because you are having vomiting. So consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
| 80,069 |
Suggest management of occluded aorta, brain shrinkage, strokes and blindness
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Patient: My 69 year old husband has a totally occluded right aorta and has been for several years. He is not a candidate for surgery according to surgeons. His last MRI showed significant shrinkage of the right side of his brain and he is experiencing severe issues with walking and falling. He has had several strokes since 2005 and is now blind and has random periods of even finding his arms and will flail unknowingly. Is there anything that might help at this point or what can I expect to happen in the future? Doctor: You are having severe atherosclerosis with is is chemical brain damage. Please control your vascular risk factors like diabetes and hypertension if any and consult cardiovascular surgeon for opinion regarding surgical intervention.Hope my advice will help you. Take care. Don't forget to rate me.
| 146,632 |
What kind of virus causes infection in uterus?
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Patient: my period is almost 1 month then i go see ob but mt ob do for me a ultra sound then he say my womb got virus then he give me midicine norethisterone good for 21 days then i finish take this coming 17 but until my period still got but the doctor say i come back on this coing 29 so i want to know this virus is what ind im single ang this dec i coming 40 my age Doctor: Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.There are no viruses that can infect womb and got diagnosed by ultrasonographyI think its only a hormonal imbalance that is affecting your periods. Norethisterone prescribed to you will help you in recovering such a imbalance and establishes your normal cycle.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.
| 37,459 |
What causes back pain and tingling sensation in fingers while on Aromasin?
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Patient: For about two weeks I have had lower back pain and tingly in numbness to my RUE, mostly lateral extending from just below AC to tips of fingers. Today I have tallied over 20 episodes of this tingling/numbness. Neither the pain or tingling and numbness is debilitating, however, is concerning. I am 4 years post stage 3 breast CA, mastectomy, chemo, radiation and now on Aromasin. Had to stop Arimidex because of 60% bone loss per dexa scan (took for 18 months). Was osteopenic with last year s scan. Having another scan in Sept, (will have been on Aromasin for 1 year) to check bone mass. These Sx could aIso be related to the Aromasin. I guess I am wondering if I should make an apt earlier with the oncologist or wait until the scheduled Sept appt. Going through my mind is side effects, osteoporosis, mets.... Doctor: Thank you for asking Healthcare majic. My name is Dr Ehsan Ullah & I have gone through your query. A serious side effect of AROMASIN is bone loss over time that may increase your risk of osteoporosis and bone fractures..as there might be mets to bone especially lumbar region back pain occurs with radiation to one of the leg along with numbness and tingling sensation.also get routinely vit D status every 3 months. the most common side effects of AROMASIN in your scenario with advanced breast cancer arehot flushes, nausea, feeling tired, increased sweating and increased appetite. Get Gabapentin 150mg BD for two weeks and visit your oncologists as soon as possible.you will feel relax and comfortable after follow-up checkup. Hope this may help you. Let me know if anything not clear. Thanks.
| 144,868 |
Suggest ways to manage diabetes
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Patient: Hi Doctor, my mother is diagnosed with diabetes for last one year, her fasting was 120,post lunch was 136,hba1c was 6.5,doctor changed the medication to gluformin i 0.5, she started talking this tablet morning and night after food, it's been 3months now, she is doing yoga also, she started eating sweets, sugar related items, drinking tea with sugar for last one month and taking half tablet in the morning and half in night, I scolded her not eat sugar items, she said I am doing yoga now I am in control she said, she has got tests done at vijaya diagnostics center yesterday now the results are fasting-143, post lunch is 158,hba1c is 6.9, after seeing this I got scared of this, I scolded her, she told she will stop eating sugar items, she is going to walking in the morning, but I am getting tension about these reports, is fasting, post lunch and hba1c high or normal suggest me doctor please, is it dangerous to have this much range, her age is 47.she has got surgery (uterus removal) four years back, since than she got BP n sugar levels changed, please help me doctor, can she control sugar permanently. Are these reports high or normal, is she in control with sugar. Doctor: Hello, Thanks for the query.Diabetes T2 is occurring because of either deficiency of insulin or resistance to its action mainly due to excess fat or both. Since insulin is needed every day for carbohydrate, protein and fat metabolism, treatment has to be for life time. There is no cure.Apart from taking appropriate drugs she has to adapt a modifies life style. Which means : 1) Avoid sweets, sugar, jaggery, pastries, bakery items and sweetened aerated drinks. 2) Consume more of green leafy vegetables, salds and permitted fruits (about 100 g a day). 3) Exercise regularly so that accumulated glucose is burnt, weight is in control 4) Should maintain a BMI of Doing yoga or yoga asanas and pranayam is definitely helpful. But she should not indulge in taking sweets because that will increase the blood glucose very rapidly. In a well controlled diabetic ideally FBG should be<100 mg, PP 150 to 160 mg and HbA1c% <6.8. Fortunately her diabetes is still in good control. But it is better she follows all the above mentioned suggestions. Uncontrolled diabetes is dangerous as it affects every single vital organ in the body like eye (retina), small and large blood vessels, nervous system, lower limbs and heart. So please impress upon herself to strictly adhere to the suggestions. Alos get her eyes checked (retinal examination). Thanks.
| 191,728 |
Have bilateral chronic kidney disease and minimal ascites. Low hemoglobin and high fever. What should I do?
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Patient: my brother is 34 years old and he is suffering from bilateral chronic kidney disease and minimal ascites . He has been on dialysis for the past 3 days . Before the urea and creatinine was 274 and 15 after the second dialysis the urea and creatinine is 147 and 10. During the process he keeps getting high fever as high as 104 degree C and his hemoglobin is the same 6.1 which is very less. what should i do? Doctor: HiThanks for the query1) Low haemoglobin is common in patients on dialysis. This needs treatment in the form of erythropoietin and iron injections under the supervision of your nephrologist. He may also transfuse blood if required2) The cause of fever can only be determined by careful examination of the patient and review of all blood and imaging tests.Hope this helpsGood luck.
| 50,049 |
What causes a lump on the head in a child after a fall?
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Patient: My son is almost 8 months. He fell off the bed a little over a week ago.We were not sure if he hit his head. We took him to the ER and everything checked out ok. No marks or bumps on his head or anywhere else. 6 days later he has a big, soft, squishy lump on the right side of his head. He is acting normal. Took him to the pediatrician yesterday and they sent us for a cat scan. They said everything looks fine and it s probably swelling from when he fell. And it could be there for another week or so. But, it s doesn t seem to be going down and Ifeel like it may vbe getting harder. Why would this lump take so long to show up if he in deed hit his head? Could it be something else? Should I get another opinion? Doctor: HI...coming to your queries..1. Usually a soft tissue swelling like this will take sometimes 2-3 weeks also to go off completely.2. The other possibility is a hematoma or a subcutaneous blood collection and it is also harmless and take almost the same time to resolve.3. You need not get another opinion. . First be reassured that your kid is normal. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorium or behaviour. If none of them are present, I don't think you should worry about his trivial head injury. Regards - Dr. Sumanth
| 179,229 |
Suggest remedy for sinus infections with rashes
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Patient: Where do I start?Head aches ( temples, top of head, behind eyes), sore neck pain when I turn my head= all the way down my spine on right side, swelling at base of skull/neck. Major sinus infections last 2 yrs. Rash behind ears and chest. Post nansel drip, chest feels like pins and needles sometimes comes and goes??? I have been on zithro max, augmnetine, and a 6 days prednisone pack. ENT gave me yet another antib. which seamed to work two weeks since the last meds. Stress is a major player in my life. Doctor: Hello,The symptoms seem to be related to a sinus infection. I see you have already taken a cycle of antibiotics to treat the infection. I recommend using an antihistamine such as Cetirizine to relieve the rash. I also recommend using a Calamine lotion for local application. I suggest to drink liquids and rest.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 12,730 |
Eye sight got affected
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Patient: sir, my uncle who is a known case of DEAF AND DUMB has undergone brain surgery(evacuation of hematoma ICH craniotomy) 3months back, because of brainhaemorage(at stem and intraparietal lobe midline shift) due to high BP. now he is doing well, but his eyesight got effected. he is only having straight vision. he is unable to see whats below his eyes. signlanguage is the only mode of comunicating with him. now im highly worried. need valuable sugestion of healthcaremagic. Doctor: hello, As your uncle had undergone craniotomy so quite possible there are some pressure induced changes on optic nerve i.e he is having field defects.So its better to consult any good neurophysician and neurophthalmologist and after having field test they can come on some conclusion. take care
| 151,968 |
Would refraining from alcohol improve liver function tests?
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Patient: I had a Gamma GT reading of 85 and have slight fatty tissue on my liver (identified in an ultrasound scan). My doctor has told me that if I refrain from alcohol for 6 months I would then be able to drink within my female weekly limit. Is this correct? Doctor: Hi there,I'd agree with your doctor. A GGT reading of 85 isn't particularly high and a slightly fatty liver is common, especially if you have a typical western diet. Having a couple drinks a week probably won't hurt you, but the more important thing is to adjust your diet. I'd really try to limit foods high in cholesterol and salt, and try to incorporate more fruits and vegetables in your diet. Limiting the amount of red meat will help you as well. I hope this answers your question. Please feel free to contact me if you have any further questions.
| 52,791 |
Suggest ways to terminate pregnancy
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Patient: Dear doctor I want to do abortion. I have done a sonography, according to the results I m 4 weeks pregnant. the doctor said because you came soon, nothing can be seen in your sonography results. she said me do another sonography in next 10 days. then I can use cytotec pills. I just wondering can this postpone make the abortion be failed? which week is the best time for using this pills? best regards azad Doctor: HiDr. Purushottam welcomes you to HCM virtual clinic!Thanks for consulting at my virtual clinic. I have carefully gone through your case, and I think I have understood your concern. I will try to address your medical concerns and would suggest you the best of the available treatment options.1] Please follow the rules of the land where you stay, for the abortion process. 2] termination with pills is safe till 9 weeks of pregnancy, get it done only under medical supervision.3] It involves, Tab MIFEGEST 200mg followed by Tab MISOPROST 800mcg 48 hours later; also an appropriate dose of antibiotics is advisable.I hope my answer helps you.Thanks.Wish you great health.Dr Purushottam
| 220,951 |
Suggest treatment for severe back pain
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Patient: Hi i have a sever ack pain started after second week of delivery i visited a doctor i had mri . as per the doctor report nothing on the spine vert. something related to muscles in L1 L2 region. he gave me cyclobenzeprine medication and brufin for one month. after one month i had improved about 30% only with physopherapy. and today after one week i have sever mback pain in same area but it is worse than before am unable to stand to walk to move . am crying from pain and feeling like am paralysied Doctor: You must see following exercise1. gentle core stabilization grade one just drawing in maneuver2. pelvic bridging 3. lower trunk rotation will help you a lot4. gentle self stretching of hamstrings5. Kegals exercise also knows as pelvic floor exercise6. Check for diastasis recti and add abdomen bracing according to that.
| 107,966 |
What are the reasons for having sharp abdominal pain and constipation?
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Patient: The last 3-4 days I've been having sharp pains in my abdominal areas... Mid, lower and upper. Along with that my stool is completely liquid.. No solid stool for 4 days. No fever, no blood but it has been coming out orange and yellow when in the water (with and without urine in toilet). I haven't traveled any either. Doctor: Hi...its gastroenteritis... take a course of antibiotics, ppi and preprobiotics... and take care of what you eat...drink plenty of fluids...Dr. Ashish Verma
| 92,269 |
Is swimming safe after getting hand,foot and mouth disease?
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Patient: Two of my grandchildren went to church camp and got hand, foot and mouth virus on 7-15-14. We are getting ready for vacation 8-1-14. We have other grandchildren that will be there, we have a swimming pool. I read that virus can stay in body 1 to 2 months Are we safe to have them all in pool ? Doctor: Thanks for posting your query on HealthCareMagic. Hand,foot and mouth disease is a very contagious viral disease. Although it is not unsafe for themselves to go into a swimming pool, it is unsafe for others who would go to such a pool as the virus may spread to others if they are still shedding the virus. I would insist that you wait some more time before allowing them to go into a swimming pool.Hope this helps. Feel free to revert back in case of further queries if any.
| 179,236 |
Suggest treatment for constipation and rings around anus
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Patient: Hello. I have a 22 month old son that has had constipation issues since he was an infant. He is constipated and when I was changing his diaper I noticed that he has a few red rings around his anus. It looks like he may have been bleeding....not sure if it is just diaper rash, or if it is related to the constipation, or an allergy of some sort. Doctor: Hi...Thank you for consulting in Health Care magic. I think your kid is having habitual constipation. I have certain questions and suggestions for you.Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fibre diet) appropriately?You can get back with answers at the following link - www.healthcaremagic.com/doctors/dr-sumanth-amperayani/67696Suggestions:1. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 168,552 |
How to treat autoimmune cholangiopathy?
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Patient: I have been diagnosed with autoimmunate antibody negative cholangiopathy which I understand is a rare disease. I cannot find out much information. I think it is a problem affecting the bile ducts. I have been prescribed ursodeoxycholic acid. Is this similar to primary biliary sclerosis? Doctor: Hi there,This is a diagnosis that is a combination of primary biliary sclerosis and autoimmune hepatitis. The treatment is exactly what you are taking, and if it becomes worse, steroids can be used. You're right, there isn't a lot of data on this disease, and it's variable as to how many patients end up ultimately need liver transplant. I'd recommend you try to avoid alcohol and fatty foods, and exercise as much as possible, and continue to follow up with the specialist who prescribed you ursodeoxcycholic acid. I hope I have answered your questions. Please feel free to contact me should you have any further questions.
| 52,794 |
Suggest treatment for dizziness and vertigo
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Patient: I am nearly 81 years old, white female in relatively good health, had a sudden onset of extreme dizziness, went to hospital (3 days), diagnosed with vertigo, CT scan negative. Home now much better, only taking Meclazine. What things can I do to get rid of the residual dizziness and cloudy head and eyes? YYYY@YYYY Doctor: considering ur age get MRI and MRA brain done.....these symptoms may be an indicators of vertebra basilar insufficiency.try tab Betahistine for vertigo...it safe and u can continue it for long term also.Control ur BP and Diabetes if present.Vestibular exercises will help u.regards.
| 143,923 |
How can allergic rhinitis be treated?
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Patient: Hello, my kids seems to have Nasal congestion, Runny nose, Sneezing, Eye irritation. Doctor says, its an allergy due to weather change. Its been around a month now, the conditions still persist. I already changed the kids blanket, removed our house carpets, got the curtains changed and also arranged for humidifier, but still the conditions did not change. At times he is perfectly fine, and at times the allergy triggers. He is 3.5 years old. Kindly suggest. Doctor: Nothing to worry. keep the children from possible allergen. use antihistamine ( like T-minic Syrup) , xylometazoline nasal drop when needed, specially during seasonal change.Avoid cold. Some of the childhood allergy usually subside with age.
| 98,538 |
How to treat lymph node infection?
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Patient: Hi I'm a 56 year old female who was injured in a serious automobile accident on 4/2/2004. When my truck rolled thr airbag deployed in my chest, and seatbelt cut me across my chest. 7 years later i have a damaged Lymph node system. I have 2 lumps with abnormal cells present after a needle biopsy. I have had lymph node infections since this accident. Are abnormal cells cancer cells, do they have the potential to become cancer. Thank you. Doctor: It is not necessary that after a trauma the lymph node cells convert into cancer cells.How ever repeated infections are common after any trauma or surgeryBut a final diagnosis on to what kind of cells are there in your lymp.node i would advise you to take an appointment and get a fine needle biopsy of the affected lymph node. That will clear everything and your future treatment can be planned acoordingly
| 33,334 |
Took kit tablets along with wife, feeling tired, dizziness, nausea, vomitting. Need to see a doctor?
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Patient: HI, me and my wife took af kit tablets on 30th July. Out of 3 tablets we took the first one at 12 noon, second one at 5PM and white pair at 9PM. After that we travelled from India to UK starting at 1 AM of 31st July. I had unusual sleeping during travel. I consumed a bottle of wine from the flight also. Reached UK at 8PM 31st July. I feel very tired now( dizziness , nausea and vomiting ) for the last two days. Is there any need to consult a doctor here or will it be okay? Many Thanks Rahul Doctor: Hi i think dizziness .nausea and vomiting can be due to ur travelling or due to drugs.usually kit contains secondazole which causes these symptoms when taken along with alcohol.nothing to worry as it subsides by its own by taking rest for one or two days
| 203,839 |
What causes lumps behind the ear of a 8 year old?
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Patient: My 8 year old son had three knots behind his right ear on his skull that I noticed last night. Now he has one on the back of the right side of his skull, and two small in the center of his neck at the base of his skull. Do I need to take him to an emergency room? The ones behind the ear are tender to touch. Doctor: these lumps are called lymph nodes , which are found in neck , below the chin , below his jaws , infront and back of his ears and back of his head, they enlarge and become tender once there is an inflammatory process likely due to an infection , its usually preceeded by upper respiratory tract infection and some times small wounds and scratches .there is no need to worry unless they are growing in size , or have other lymph node enlargement like under the arm pits or at his groin .I hope this helps
| 167,752 |
Suggest treatment for shortness of breath
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Patient: back of head hurts neck is swelled shortness of breath i have arthritus and take cardizum cd and degoxin to prevent atril fibulation i am having extreme trouble with vision and my legs give out and i fall alot my chest sems to not expand sometimes and for a day or two shortness of breath numness in arms especally right arm and i see things move before my eyes thats like shadows Doctor: Thanks for your question on HCM. In my opinion you should consult cardiologist first.Since you are having atrial fibrillation, possibility of cardiac cause for your symptoms are high.So get done1. BP monitoring2. ECG3. 2D ECHO. Hypotension is common in atrial fibrillation. And this can be the cause for your symptoms like chest pain, headache, dizziness, blurring of vision and shortness of breath. So consult cardiologist and discuss all these.
| 81,631 |
What is the cause for chest pain around the right side?
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Patient: Hi I smoked some Meth the other day & the next morning I got up I had horrible pain in my chest around the right side & hurt alot when I would take a deep breathe can I keep smoking it without this happening every time not take as big of hits or does that matter much? Doctor: Hi Welcome to HCMSmoking Meth can rarely cause pain in chest. It is really not advisible to take Meth on long term because it can cause lot of health damage including insomnia neurological, lung damage and COPD
| 79,254 |
What causes difficulty in swallowing when diagnosed with amyloidosis?
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Patient: my dad was dx with mm and amylodosis in march 2014. he has had 3 blood transfussions since and now has amylodisis in his throat which tumor is pressing on his esophagus preventing him from eating or swallowing. he has been on peg tube for almost 2 months and oncologist is changing his revlimid to a different chemo treatment. what do you think is his life expectancy? Doctor: Hi,Thanks for writing in.Amyloidosis is an autoimmune disease which affects various organs. It causes deposition of amyloid material and this is abnormal. The esophagus is the food pipe which connects the throat to stomach.Your father might be having wall thickening in the esophagus which is causing the sensation of difficulty in swallowing also called dysphagia.Many patients respond to dysphagia with steroids and chemotherapy. The survival rate at 2 and 4 years was 84% and 72%, respectively in a research study for gastrointestinal amyloidosis. Please do not worry.
| 153,504 |
What are the side effects of washing mouth after tooth extraction?
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Patient: Hi I got my tooth extraction today after we went to the dentist I decided to eat some noodles after I ate the noodles I seen my tooth wasnt blood no more so I decided to wash my mouth and literally brush my teeth away from the extraction side. After I brush it I seen a doctor papers showing what to do and not to do i feel stupid coz I didnt read it first so I kinda panic now coz I wash my mouth today that it not supposed to my question is what is the side effect of washing my mouth after my tooth extraction? I still feel pain and numb around my tooth.. Doctor: Thanks for using Health Care.Read your query.Vigorous gargling after extraction is usually advised to avoid to prevent the dislodgment of the clot formed. If there is dislodgement of the clot it can lead to dry socket.Relax ,if you have already done it. Continue with the proper medication prescribed by your dentist. Pain and numbness will gradually reduce.Salt water gargling is to be done though not vigorously.Hope this was helpful.Thanks and regards.
| 182,765 |
Suggest treatment for bruise on finger caused by an injury
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Patient: Hi, my son 11 years old was playing basketball and injured his ring finger. Theres is a bruising seen between 3rd and 4th phalanges. I applied cold compress and bandaged together, but he is still complaining of pain. Today is 3rd day, bruising going away, theres no sweeling, should I still X-ray him? Doctor: Hello First I will advise to do x ray and rule out any unicortical fracture in your finger.According to your history it looks that there is possibility of injury to soft tissue due to injury.If you are having swelling and pain you can strap your finger to get proper rest to joint.And apply crepe bandage for support and compression.Use ice packs to reduce swelling, inflammation and pain.Physiotherapy with ultrasound and Tens will help you,For early healing you can take Tab celin [vit C] and antioxidant with anti-inflammatory [Tab enzomac plus ].If there is no relief them you may need to consult doctor again.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 135,832 |
What causes heart to skip a beat and doesn't back up for 30 seconds?
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Patient: Hi my boyfriend has been telling me about his heart skipping a beat and it doesn't start back up up for like thirty seconds. He Is constantly grabbing his left chest and he's really worries He heard about a friend who was 22 and had a heart attack and he is scared that that's what's happening to hi. It worries me as well. Hes 26 and has been ina couple of quad accidents. And he also stresses a lot over little things.. help! Doctor: Hi,Your friend has palpitations, & taking the history into account he had been having these symptoms mostly due to stress and anxiety. It had been proven that people with palpitations have associated anxiety or stress.palpitations can be precipitated by Anxiety and depressionCaffeine, Alcohol, drugs such as cocaine, amphetamines, ecstasy, beta-agonists, theophyllines, calcium channel blockers, antiarrhythmic drugs, antidepressants, antipsychotics.Does he have the symptoms while at work or test? because when occur at rest it's generally not harmful.Palpitations when occur in isolation without any associated factors like Breathlessness, Blackout episodes, Chest pain, etc are generally bening.If he has it repeatedly then you can advise him to go for Thyroid Function Tests, 2D Echocardiography, Holter Monitoring/Event Recorder.Some Lifestyle Modifications like regular exercises, yoga, meditation, engaging in some creative activities that's would be of his liking would help him.
| 25,379 |
Whats the cause and treatment for 10 year long depression?
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Patient: My son is highly intelligent but has been suffering with chronic depression for about 10 years. He is now 25. He lives with us( his parents) and has a good doctor. My question is how do I handle this..... We have been reassuring and kind and available. I have made him promise not to hurt himself but now he is only willing to say he will try to handle this for as long as he can but he doesn't want yo live like this forever. Why has he had depression for this long? How can we help him?Thanks Doctor: hithanks for using healthcare magicIn ur son case, he has depression since age of 15 years means it is towards early onset depression. It will go in favor of genetic cause. sometime due to some genetic region, patients develop depression which take time to improve. In this case, he need medicine for rest of his life, but try to maintain his social life like take him everywhere u people go, help him to join some activity etc. It would help him to come on the track. Gradually with this he would get result.thanks
| 148,234 |
What causes chest pains with headaches and mental confusion?
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Patient: my wife was admitted for chest pains monday, nuclear stress test was given no cath needed discharged tues. my wife has become confused and friday got lost taking kids to school i had to go and find her on side of road, she wasnt sure were kids were . took her to her doctor and was sent for ct scan result didnt get back before five. ct scan was given at 1145am , I took her to e.r. and sugar was checked and i thought we were not worth the docs time they gave her .5mg atrivan and lortab5 for headache shes had since test. we were sent home today headache confusion still here i dont know what to do e.r. sent us home and her docs answer service wont call what can i do Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Sudden onset headache, mental confusion, disorientation etc are more suggestive of brain pathology like meningitis (infection).So better to consult neurologist as well soon as possible and get done MRI brain and lumber puncture to rule out meningitis. If both these are normal then possibility of psychiatric illness is more likely.So consult psychiatrist and get done counselling sessions. She may need anxiolytic and anti depressant drugs. Don't worry, she will be alright but first diagnose her and start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
| 73,028 |
How else to treat the painful back and neck caused by a hit in an accident?
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Patient: hii had an accident on the job since june which ended up hurting my back and my neck. over the past few months i have being aching to the point where i can barely sit or lie down or i cant move my neck. i have being receiving medication everytime but it does not seem to help. what can i do or what is wrong with me? Doctor: hello, u need to undergo to mri scan to see d depth of injury to your spinal cord from cervical to lumbar region.if it is simple sprain ,absolute bed rest,pain killers and physiothrapy helps,if its a major injury it can be treated by spine surgeon.
| 97,221 |
When will swelling of the knee subside after a gout attack?
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Patient: My left knee became very swollen and looks like photos online of bursitis. I went to my Dr. who thinks it is a gout attack due to med history of this. I was given an injection of toradol. The pain is gone but it is still badly swollen. I ve been keeping it elevated and alternating ice and compression wraps. How many days should it take for the swelling to subside? Doctor: Hi Hope this message finds you in good health.I have gone through your complaints and understand your concern.I generally see many cases like this at my clinic.such swellings generally take 2- 3 weeks to go depending upon ur immunity,tablets u take, and the amount of rest you take.try avoiding over exertion.You should eventually get back to normal in coming few days.Nothing to worry about. I hope your question has been answered.If you have any follow-up queries,feel free to consult me anytime.Thanks,Take care,God bless.
| 132,508 |
What does positive UPT with dizziness indicate?
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Patient: I have taken an HCG pregnancy test only ONCE. And it appeared to have a positive result. (With two red lines, one dark red and one slightly faded). I want to make sure if this really is an accurate result. I haven t experienced puking but every morning. I tend to feel dizzy and sort of a feeling of disgust. Am I really pregnant? Doctor: HI, Thanks for the query. I understand your concern. Delayed periods with weak + ve pregnancy test ( probably due to earlier testing )along with dizziness does suggest pregnancy. Still it needs to be confirmed . An uncontaminated urine sample ( Collected in boiled bottle & without being polluted with vaginal/ urine infection).. gives confirmatory pregnancy test results after 8 days delay in normal periods. In case menses are irregular, Blood HCG testing or USG of pelvis after 5 weeks is confirmatory of pregnancy. Thanks.
| 222,265 |
What is the right dosage of taking Mifepristone?
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Patient: i m a housewife, i have taken 1 tablet of mifepristone yesterday and i forget how to take further dose which my doctor told something like after 48 hours take misoprostol 4 tablet. please guide should i take all 4 tablets together after 48 hours of taking 1st tablet of mifepristone. Doctor: hello dear.understand your concern.you take abortion kit which contain 5 tablets after confirming intrauterine pregnancy by USG scan. It should be used under the advice and observation of gyanaecologist.1 tab of mifepristone 600mg which taken orally.after 48 hours,you hv to take another 4 tab.of misopristol 200mcg each.place 4 tablets of misopristol in vagina one by one under the observation gynaecologist.Do not take as self medication at home as it cause serious complication like excessive bleeding, incomplete abortion, and abnormal development of pregnancy in case of failure.Follow up at 7th day and USG should be done to confirm the compete process of medical termination of pregnancy.after this take some healthy diet,drinkmore water,take tab.meftalspas for pain etc.this kit is only applicable for 9 week intra uterine pregnancy,so do it underobservation of your doctor,its more safe.hope this will guide you.best regards.dr.sagar
| 224,028 |
Any suggestion for having bone on bone showing several hot spots mean?
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Patient: I had a nuclear bone scan on my knees. The left knee which I had a TKR on 10 years ago showed nothing. The right knee which I am told is bone on bone and needs a replacement showed several hot spots. Does this mean I have an infection and if so, would it be in the tissue, the bone, or possibly both? Thank you, BH Doctor: Hi, I have read the details posted by you. Hot spots on nuclear scan show that your bone turnover is high in the bones concerned. Infection is diagnosed by other means. A higher activity is seen in any condition like Osteoarthrosis, Fractures ,etc. It is better to discuss the report with your doctor, who on seeing the clinical condition will be able to interpret better.
| 131,610 |
Cold sore prescribed Valtrex, Zovirax. Dry chapped lips used Vaseline, chapsticks. Bottom lips swollen, red, throbbing like heartbeat
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Patient: I had a pretty bad cold sore outbreak at the beginning of September. 2 prescriptions of Valtrex and Zovirax and it lasted almost a month. Since then, I've had very dry chapped lips. Consistently using vaseline, chapsticks, etc... The last few days my bottom lip seems to get swollen a little, red and throbbing like a heartbeat. I've had bloodwork done, full physical, everything looks good. I'm taking daily vitamins, d3, b6 & b12 but I can't figure out what is happening. I'm scared to death everyday that I'm getting another cold sore (I've had them since I was little). Doctor: hi dry chapped lips after using valtrex indicates it can be due to drug induced.applying regular moisteriser like nmf e lipcare twice daily and use of saline compressors before applying moisteriser can cure the condition.if there is swelling oral steriods should be used for treatment and a antiinflammatory agent like combiflame to relieve from swelling can be used
| 9,484 |
What causes swelling of left arm?
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Patient: I have swelling of my left arm.. I had a catscan and it showed nothing,so my doctor said that she didnt know what it was...This was months ago,and the swelling is still happening There has to be a reason..What is your opinio? Now,the arm is swollen and it feels tight... Doctor: It can be due to ur work like ur work related (job) and see that ur most of time ur shoulder mov. R involved in ur job life. If u have swelling then for icepack and have ultrasound or IFT machine by physiotherapist or physical therapist
| 133,065 |
Intestine cancer spreading to liver, consumption of liquid food less. Can stent be used for Intestine cancer?
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Patient: Hi, Can stent be used for Intestine cancer My Uncle has a intestine cancer & it is slowly spreading to liver . Already many Chemotherapy are done & now he is under medication but he is not able to have any solid food and trying to have liquid food. Even consumption of liquid food is too less & that also he will puke. So our regular DR suggested to for stents & inserting 2 bottles of blood. So wanted to know if stent is required. Doctor: Hi Its very sad that your uncle is having cancer. Your history does not tell me which part of the intestines it is affected. with the available history the tumour can be either in the esophagus or stomach. In both these location with chemoresistant disease which has already spread to liver, cure is not possible. But to reduce the symptoms mainly vomiting , If it is a esophageal cancer stent can be used. For stomach cancer it is of not much help and technically difficult. Dr. Mohammed Ibrahim Surgical Oncologist mdibrahimdr@yahoo.co.in
| 159,723 |
Does fibromyalgia cause burning sensation in the feet?
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Patient: When I go to bed my feet become very very hot and turn bright red it s unbearable. Nothing seems to help i have to sleep with ice packs in my feet. They even become swollen. I have to get up and put my feet in cold water. What could possibly be wrong? I have severe fibromyalgia could that be a cause? But I ve had that for years now and never had this problem. Doctor: Hello, Fibromyalgia cannot cause burning in the feet directly. Burning in the feet is directing us towards the uric acid issue. Which needs some attention and diagnostic test. If the test is negative then we may have to check for lumbar spine MRI and rule out the pathology associated. It can be due to high levels of uric acid or either it's due to lumbar spine pathology. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,746 |
What causes severe fluctuations in heart beat?
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Patient: Hi, may I answer your health queries right now ? Please type your query here..hi i am wondering why when i go to sleep at night my heart beat is very slow to the point my wife checks to see if i am still alive, and when i go to wake up i have a hard time catching up to a normal heart beat pace i am wondering what could be wrong i know this is not normal. Doctor: sir ..as a routine thing the pulse rate dips at night but there is not much variation as more than 10- 15 ...so kindly get your BP checked .and ECG done ....if it is ok ..please go for holter monotoring to see that upto what are range of variations in pulse rate ...holter is a simple recording of ECG for 24 hours
| 19,591 |
How to reduce pigmentation?
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Patient: hiii my complaction was so fair before my delivery but after delivery it's very change.and pinmentations also plz u give me some tips how can i reduse to my pigmentations.i he taken your meladerma but nothing effect on my face.. thx Doctor: Hello,Thanks for the query.After delivery pigmentation of face is very common and it is called as melasma.This hyper pigmentation can be removed by using skin lightening creams.Various creams are available like melalite xl, lookbrite, Lumaglow etc.You can take any of them.The following should be procedure to use it.1. Wash your face in evening around 7.2. Dry face and apply cream all over your face.3. Keep it for one hour.4. Wash face again.5. Apply some moisturising cream and sleep.6. In morning apply a sunscreen with spf at least 30.Do this for a month, you will see the results.Let me know if you have any other doubts.Thank you
| 11,554 |
Diagnosed with tuberculosis and would like to know which tablet to be taken after and before breakfast
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Patient: Hello, Doc, I am diagnosed with Tuberculosis and my doctor has prescribed me AKT 3 kit, which has one capsule and one tablet(one in Ethambutol and another is Riifampicin). Now I m not sure which is which and what am I supposed to take empty stomach and which one after the breakfast. Please help me! Thanks and regards, -Abhishek Doctor: Hello,You have to take RIFAMPICIN in the morning on empty stomach,while ETHAMBUTOL is to be taken after breakfast.Thanks
| 40,074 |
Does saw palmetto supplement cause erectile dysfunction?
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Patient: I have been taking saw palmetto for prostate issues and male pattern baldness for many years - works great. I am 69 years old now. Now I have sexual problems - lack of erection and weak orgassium and insomnia. Are these a side effects, similar to propecia, side effects from saw palmetto?. Doctor: Hi, Saw palmetto is a herbal medicine and it does not get any proven evidence for its efficacy. I suggest you consult a urologist and get evaluated for your problem rather than going behind wonder drugs. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr Shinas Hussain, General & Family Physician
| 195,021 |
What is the cause of an excessive sleep?
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Patient: my baby is 30 days old. as per the doctor's prescription i have given him 1 tablet of lanzol 15 as he was vomiting after every feed. After taking the medicine he is sleeping continuously, but took his feed in his sleep afer 3 hrs and agin sleeping after that...is it ok or any abnormality? Doctor: hiYour doctor has prescribed lanzol ie lansoprazole to treat his reflux vomiting. There is no evidence of known side effect of excessive sleep in infants after lanzol. If your baby is sleeping for more time but taking feeds well ie suckling your breasts well then it is unlikely that your baby is drowsy or sleepy. Quiet and peaceful sleep post feeds is normal. There might be another reasons for excessive sleep. Is your baby taking any other medicines? or you are on any medicines? Are there any other symptoms other than sleepiness like fever, vomiting, shrill cry, bulging anterior fonatannel ie soft spot over scalp is swollen. Wait for one day if it still continues then please consult a pediatrician.
| 175,084 |
What causes loss of appetite and sleeping problems?
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Patient: i am 12 years old. im not a very happy girl and i havnt eaten in a few days because im simply not hungry.i also wake up in the middle of the night and cant go back to sleep. i recently lost my best friend in an accedint. why is all of this happening? is it related? Doctor: Hi,I do understand your distress regarding your symptoms. Losing your best friend can be a very traumatic experience. The symptoms that you have mentioned is suggestive of stress leading to depression. I would advise that you talk to your parents regarding your problems and seek a psychiatric consultation. Medications like escitalopram can be safely used in your age group and is an effective treatment option for depression.Hope this information was helpful. Best wishes.
| 209,588 |
What causes palpitations in patients with stents &heart monitor?
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Patient: My husband had four stents put into his heart in 2007, and is now weaing a heart monitor for a month, as he had some palpitations of his heart a couple of weeks ago and felt lightheaded. He said he has not had any since wearing the heart monitor. What could have caused these palpitations. Doctor: Hello and thank you for using HCM.I carefully read your question and I understand your concern.I will try to explain you something and give you my opinion.Palpitations are related whith a heart rhythm issue. There are some electrical impulses that generates from different parts of the heart different from normal sinus rhythm.They cause a premature heart contaction that its not a normal one followed by a pause and than a normal heart contraction.In this cases the person experience palpitation, flattering sensation, anxiety, difficulties in breathing deeply. There are different causes of this rhythm issue like simple stress , coffee and alcohol consumption so it is mandatory to avoid this.Also there are many different pathologys like anemia, hyperthyroidism or ischemic heart disease that might cause palpitationsSo, if I was the treating doctor I will recommend some examination like a fool blood analyze to exclude anemia , hyperthyroidism. I will also recommend what your doctor has already done, a holter rhythm monitoring to see the frequency of the extra beats.If your husbant will not experience palpitations during the hole month than this is nothing to worry about. If it is possible I will also recommend a stress test.After knowing the frequency and excluding some factors we can decide how to treat them.Hope I was helpfull.Best regards.
| 25,274 |
How to treat redness, pain and lump in my shin?
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Patient: Hi, earlier on today I got kicked in the shin by my 7 year old niece straight after it happened I was faced with immense pain, a lump on my lower shin and redness. I can t put all off my weight on it. Do you think I should seek medical attention on Monday morning. Your advice would be greatly appreciated. Kind regards Amy Doctor: Hi, dearI have gone through your question. I can understand your concern. You have minor trauma. You may have some haematoma formation due to injury. You should take anti inflammatory and analgesic drugs. It will be cured within few days. If you don't get benefits then consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 66,611 |
TTC. Diagnosed polycystic ovaries. Delayed periods after taking Eltroxin. Prescribed Ovacet. Will this help?
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Patient: Yesterday, my gynecologist did a base line scan and said that I have Poly cystic ovaries. My period was very regular [30 day dot] till April 2013 when I started my Eltroxin [25mcg] for Thyroid as my TSH was 8.9. After taking Eltroxin tab my period went on to 35-36 days in past 2 months. Unfortunately this month I have not got my period so went to the gyno who said I have PCO. she has given Ovacet for a month. Will that help doctor ? I want to conceive and have been trying completely from past 7 months. Please help.Thank you in advance ! Doctor: Hello,You are already taking tab for hypothyroidism. For your TSH level the thyroxin dose may not be sufficient. Recently you have been diagnosed with PCO.Insulin resistant inhibitors like tab metformin can be given for PCO.You need complete thyroid and ovarian hormone analysis and hormonal treatment as per your need. First your cycle has to be regularized.Do a USG abdomen and assess the PCO - unilateral/bilateral and extend of PCO.PCO and Hypothyroidism are interlinked.Take proper treatment - There are every chance for you to get pregnant Only patience and proper treatment are important.Best wishes
| 5,076 |
How can a lump on the palm be treated?
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Patient: I have a lump that has developed in the palm of my right hand. It is underneath the skin and has progressively gotten larger. It started out very small, about half the size of a pea, and now after a couple of years it is about the size of a dime. It's not painful but I'm just curious about whether or not it's something I need to have checked out since it is increasing in size. Thank you for any help you can give me. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.As per my surgical experience, this lump suggests callus in palm.I would suggest to consult your surgeon for figuring out proper management guidelines.Till that time, immersion of palm in lukewarm water will support.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
| 60,916 |
What is the reason for the pain in the knee and muscles around the knee?
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Patient: I have been doing physiotherapy on my left ankle x momths for an old ligament injury,therapy included laser for pain management.However about two months ago I began having intense pains in both knees and th muscles around the knees on attempting to stand or sometimes doing nothing at all what do you think could be the cause I m in my 50s Doctor: please don't worry ,everything will be fine with your physiotherapy and take good ointment for pain removal,holter compress will also be helpful
| 135,909 |
What causes kidney pain even after laser surgery?
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Patient: respected doctor. Sir 3yrs before i had a pain in my left side kidney . After that i go to doctor .he gave me some medicine after that i had severe pain in my both kidney more in left kidney.urine came quickly .some time whole day not came .some time after every 20 minute.when i have test ivp its show swelling in my left kidney .and stone in ureter .after that i undergo laser surgery .and take out stone . sir after surgery i dont have releif stil i have pain. infection. And inflamation in left kidney.sir take lot of medicine .but no releif .urine is not came properly . Doctor: HelloThanks for query .You have undergone URS and fragmentation of stone in ureter 3 years abck but still has severe pain in abdomen on left side .Persistent pain in abdomen after URS could be due to stricture of ureter at the site of impaction of stone.Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis3) Intra Venous Pyelography.(I.V.P)Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil.
| 47,326 |
What causes sudden passing out?
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Patient: My grandson,24, has been passing out and has been taken to the hospital twice. He says he doesn t have any warning before it happens. The last time he was in the hospital they did an EKG that came back kind of iffy . Could his have a problem with his heart that does not show up on an EKG? Doctor: Hello dear Sudden onset loss of consciousness at such young age may be due to seizure, cardiac arrhythmia or sometime conversion reaction. If loss of consciousness is associated with tonic posture, frothing, tongue bite or incontinence then seizure is the possibility. History of palpitations, chest pain, sweating, pallor associated with loss of consciousness may be due to cardiac cause. Loss of consciousness related to standing posture may be due to syncopal attack. And lastly if everything comes out normal then a possibility of conversion reaction has to be kept. Brain imaging, eeg, ecg and 2d echo needs to be done. Hope he recovers early God bless him Dr Neeraj Kumar Neurologist
| 145,055 |
What is the treatment of burning sensation on top of penis ?
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Patient: On August 2nd, I had unprotected oral sex with a woman for about 30 secs to 1 min. Afterward I place a condom on and continued with intercourse. Two and a half weeks later I started having a burning sensation around the head of my penis and urethra. No discharge. It ll only burn after I urinate & burn afterward for some time. It s an on and off thing. On August 26, i had sex with my significant other in the morning using a vibrating rubber ring around my penile shaft, which felt alittle tight. The very next day, I woke up with a dime size looking painless bruise or rash. It has almost dissappeared by August 28th (3 days later) I m not sure what I m experiencing.. I m worried. I had ask the previous woman I ve had sexual contact with if she has anything, and she said the last partner she had sexual intercourse with was 6 months ago and she has no symptoms and have not tested for any std. So yesterday, I went to see a Doctor and he wasn t able to tell me anything. He said the bruise was probably from using the ring, and that there s no bacteria in my urine. I ve just tested for chlamydia, Gono, herpes 1 & 2, syphillis and HIV..I ve been stressing, because the burning sensation still remains, the bruise is almost gone and I ve been having slight testicle tenderness, although not too noticeable. Any help would be appreciated, thanks Doctor: HelloThanks for query.You have burning after urination which you noticed it after having oral sex with unknown woman .This is mostly due to inflammation of Urethra acquired through oral sex.Oral cavity contains plenty of bacterial flora hence more prone to get infection after oral sex .Since most of the tests for STD are negative you need not worry atall.You need to take broad spectrum antibiotic like Cefexime along with anti inflammatory drug like Diclofenac twice daily.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it gets cured completely.Dr.Patil.
| 199,459 |
Could congestion and wheezing be signs of bronchiolitis?
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Patient: I have a 21 month old who is constantly teething and congested. Ped says he's normal. Tonight I heard a slight wheeze when he woke up. He's been waking overnight at least 4-5 times crying. I have a humidifier in his room on now. Does this seem to be allergy symptoms or pneumonia/bronchiolitis? Doctor: Hi, If you got him checked by the ped recently, and if he did not mention pneumonia/bronchioliti, then, this is excluded. However, I highly suggest to get him physically examined by the ped for further evaluation. Usually, when having common cold/viral infection, the upper airways are congested and become narrowing. This is associated with difficulty in breathing. I advise to: - do aerosol-therapy with saline - keep his nose/airways cleared/opened - give him plenty of water/fluids to avoid dehydration - keep monitoring his body temperature All the best! Dr.Bardha
| 102,385 |
Can I get pregnant if my FSH and Prolactin are higher than normal ?
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Patient: i am 26 years old . female. i am trying to conceive from 8 months but i am no getting pragnant. last month i got menses on 18 of march then i took cerophene 50 mg from 5 day of my cycle but nothing happened then i got menses on 14 of march but they are in brown colour and only last for 1 day then my doctor suggest me for harmones test on 2 day of my cycle but i got menses again on 29th march i gave the blood for FSH, prolactin and LH. Lh is n normal range and it is 5.8 where as prolactin is 36.2 and FSH is 17.7. i am very much disturbed please help me Doctor: Hi welcome to HCM Read your prob.first you have to rule out the cause of infertility by getting sonography, follicular study. as your hormon leval is normal so find out other cause of infertility like PCOD, Tuberculosis, defect in ovulation in you n semen analysis of your partner. discuss all of it with your doc n start proper treatment. Dr aseem 9982583020 aseemadhuri@gmail.com
| 44,887 |
Suggest remedy to improve complexion of 2 month old child
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Patient: Hello, My baby is 2 month old when she was born she have fair complexion as along as days are going her complexion got reduced( wheatish brown) my husband and myself are normal color so how my baby is going to be.Can you suggest any tips to have my baby good complexion. Doctor: Hi, Thank you for posting you question. Complextion and colour of skin are genetically determined and depends of the skin colour of the blood relatives.Hence no external applicators could really bring about any significant change in your child's complexion. Newborn children have a layer of hair on them when they are born, and when this layer is lost some changes in complexion could be appreciated. Also in the first year of life, the skin undergoes a lot of natural changes which are a part of maturation of skin, these may also lead to subtle changes in skin colour. However, the final colour of skin is genetically predetermined and cannot be changed. Hence focus here should be on keeping the skin healthy.
| 179,107 |
What causes social anxiety and depression?
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Patient: My 58 year old wife is displaying symptoms that are hard to understand.... she is reclusive, shy and possibly bi polar, she is nervous, she can t seem to sit still - always moving her arms, tugging at her shirt (you have to see it to understand). She gets manic and depressed. She has social anxiety and is afraid to see anyone. I told her she needs help but she says nothing is wrong. I m the problem and I m mean and a bully etc. She seems to be in total denial. If she won t see a doctor or professional what choice do I have? I could try to have her committed but that s a final option. Maybe some type of antidepressant would help. I just don t know and I don t have much money right now (until I get paid0. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The symptom you are presenting are of psychoses rather than depression or anything else. You can consult a psychiatrist in person and explain the symptoms and he may give you medicine. 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.
| 204,544 |
What is the treatment for cat bite?
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Patient: Hi, may I answer your health queries right now ? Please type your query here...my mother is 86 years old and still living in her own home. She has two feral cats from 12 years ago, and they are now domesticated. She has complained about bites on her legs which are large welts, red, and take several weeks to heal. I thought they were bug bites, but her physician says that they don't look like bug bites, but more like an infection caused by the cats' nails kneading into my mom's legs. What do you think, and if so, is this harmful to her health? Doctor: HiThank you for asking HCM.I have gone through your query. If she is getting cat bites or scratches better to give her rabies prophylaxis vaccination. Those wound will can contain bacteria and cause infection. Proper cleaning of wound and applying betadine or brilliant green will help in healing. Antibiotics will be required if this is not helping.Hope this may help you. Let me know if anything not clear.Thanks.
| 32,652 |
Fitted mirena coil, no bleeding, tiredness and weight. Is this normal or any other symptom?
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Patient: hi i had a baby in march, used the mini pill until beginning of may and then had a mirena coil fitted, i carried on taking the mini pill for a further 7 days after the coil was fitted as doctor suggested i do. 2 days after i had coil in i had a little spotting which was fine and then 2 weeks after i had some bleeding but not alot. i havnt had any bleeding at all since that so a good 9/10 weeks ago. i was supposed to return 6 weeks after the coil fitting to check it was still in place, but with a new born baby that was poorly i didnt go for the check unfortunately. for the last couple of weeks i have had a very strong sense of smell, very overpowering at times and its making me feel very sick and i have also tody been sick, i have had no bleeding as i explained for about 9 weeks now, also tired and gaining weight. is this normal for the mirena coil or could it be something else? thanks Doctor: Hello, and I hope I can answer your question.The Mirena coil normally produces irregular bleeding in the first few months of use, so those symptoms are completely normal. However your fatigue, weight gain and feeling sick make me concerned that your IUD may not be working properly (you never went back for the re-examination) and that you may have gotten pregnant. The device can fall out occasionally, especially in women who have given birth recently.I suggest you do a pregnancy test right away. If the test is positive, you should see a doctor immediately, as there is a risk of a tubal or ectopic pregnancy if you get pregnant with an IUD. An ectopic pregnancy is an emergency and can even result in death without proper treatment.If you are not pregnant, I would still advise you to see a health care provider to check that the Mirena is working properly and evaluate your other symptoms. I hope this advice was helpful, and that you feel better.Sincerely, Dr. Brown
| 224,231 |
Should i be worried about cerebral/cerebellar atrophy?
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Patient: Hi Dr. I am a 63 year old retired pastor with a 14 year history of PACs (45,000 / day when 1st diagnosed and still 30,000 / day 4 years later) and bradycardia (mid to high 20s to low 30s for about 8 to 9 years). I also had an MI (95% blockage of the LAD) and stent 6 years ago. After a year and a half of investigation trying to determine the cause of hypotension (60/40) and a consistent heart rate in the 120 range, my cardiologist ordered a CT scan that indicates mild cerebral / cerebrellar atrophy. A nerve conduction test last month determined there is sensorimotor poly neuropathy. I have been plagued with dizziness over the past 14 years. I've lost 50 pounds since my MI and have kept it off. About a year ago, my appetite nose-dived and I dropped to 142 pounds (5' 8" tall). Is the atrophy something I need to be concerned about is the basic question. I have been referred to a neurologist whom I will see in late February. I should also mention that I started to develop a slight tremor in my hands about 3 years ago, have memory issues, trouble reading and understanding. The numbness in my feet is quickly moving up my legs. Thanks so much for your time and kind help. Rick Doctor: The isssue that you have is normal according to your age talking about brain atrophy that is due to your increasing age and all other symptoms goes towards parkinson?
| 142,762 |
Suggest treatment for seizure disorder and vomiting
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Patient: I am on Eptoin (3 tablets) and one LEVERA 500 since the year 2007 because of seizures. From August, 2009 to March-2009 had did not have any Seizure. The doctor reduced my medicine to one LEVERA in March-2014. I again had seizure. Since then I have again been put to Eptoin (3 Tablets) and one LEVERA 500. I was going on well and without any problem had gone to various official tours. I developed a sudden stomach flu recently wherein I had loose motions and vomiting. During one the bouts, my family says that my eyes went up and body also stiffened. Loose motion & vomiting cannot be predicted it can come again in the life without any pre indications. How to prevent the seizure in such a situation. Doctor: Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : How to prevent the seizure in such a situation.Answer : The best way is to avoid Stomach Flu, by avoiding eating foods which are likely to be contaminated. Try foods like biscuits etc which are relatively safe. If that can't be done, please do a repeat EEG and check the seizure potential as of now. Based on EEG, we can further decide Hope you found the answer helpful.If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.Let me know if I can assist you further.Take care.
| 144,177 |
What causes spreading breakout in 2 year old?
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Patient: My son is 2 went with my mom to DMV when leaving she noticed a Breakout on his wrist and hand when she got to the car she looked and it was on his stomach she called me and I went to meet her and found it had spread to his arms legs and face and he was hoarse... no fever and he is still drinking and eating Doctor: Hi...this seems like a rapidly spreading allergic reaction or anaphylaxis - as his voice has already turned hoarse and he is also having skin rash. I urge to rush him to the nearest emergency room immediately.Regards - Dr. Sumanth
| 172,869 |
What to do for abnormal activities like emotionless?
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Patient: OK so here is the deal, my whole life as far as i can remember i have been an emotionless, shallow, uncaring person. Nothing to do with my child hood, it was great. This has just been the way I am for some reason. I mean seriously you could blow someones head off in front of me an my response would be that sucks and walk away, my father always told me i would make the perfect soldier in the military.. I m not crazy, depressed or any of that dumb stuff. Just empty/emotionless inside. But the one day my friend hands me this pill, well it was a pain killer that changed me like no other. I loved my job, my friends, was very open, caring, had emotions, I was a completely different person, i felt......human. Well it lasted a month an was like forget this i m not gonna be a junkie. So back to the blah me, month later another friend hands me a Valium. Well, it didn t make me as happy/outgoing as the painkillers but little things wouldn t bother me, controlled my temper, i was very relaxed and easy going. Gave up on that for same reason then maybe 2 months later a friend said try this, it was Xanax. Well it gave me some feelings/emotions, was pretty happy, relaxed, could hold conversations and hang out with friends again. So once again i said screw this now almost 2 months later i m back to the same emotionless asshole. Out of all 3, the painkillers worked the best, they made me feel a lot more amazing versus the other 2. Oh also, when not on any of those i am a very quite person, i try to avoid conversation and when hanging out with friends i usually just sit there, all 3 meds made me pretty talkative. And one other thing, this one could be because ive done it for a few years now, but i can not fall asleep unless i smoke about half a bowl of weed before bed, which is fine. About me a little bit, I have a very good job, im actually quite happy with my life, I have done quite well for myself, so why am I like this, what is wrong me. Like i said im not depressed or anything, im just a quite person that doesn t really care about much of anything or want to do much of anything unless im on some kind of drugs (i was this way before the drugs). And not being on any of those drugs days seem to last forever, my 8 hour shifts at work seem like 15. Is there something mentally wrong with me, is this normal in a lot of people. What kind of doctor would i see about this kind of thing and what do i tell them and what kinda crazy shit are they gonna try and give. Ive seen all those commericals for antidepressant meds and that kinda junk but like i said im not depressed. So whats out there for whatever i am. Doctor: HiI admire your positive outlook and congratulate you for the attitude. Now I guess you have underline depression and it could be due to some stress in your personal life. That would be the reason of taking weed, xanax and painkillers. In that case, you need some help. However let me give my opinion here. I think a combination therapy of antidepressant and low benzodiazepine would help you. That would help you to come out of this depressive phase. You can try some relaxation exercise like JPMR or deep breathing exercise. That would keep you calm and relax. For this you need expert's guidance by psychiatrist or psychologist . Hope this helps.
| 208,734 |
Should i re-test for pregnancy due to one day bleeding?
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Patient: My partner and I have been TTC. I took a pregnancy test yesterday, negative. My period was due today. This morning I had light red blood followed by a brownish discharge.. Then nothing for the rest of the day. Should I re-test tomorrow morning? What is the blood, implantation bleeding? Doctor: welcome to hcm, The best time to take your pregnancy test is one week after your missed periods. if your period due is today you have to do the test after one week. otherwise you can get a false negative result. Implantation bleeding occurs at 4- 5 weeks of your pregnancy. so this is hopefully not implantation bleeding check your preg card test after a week to confirm.hope this explainsDr.Amarnath
| 3,940 |
Does Clome-50 help one get pregnant?
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Patient: Hello Dr. I am Soma, Female, 35 Years. From last few months I am trying to get pregnant. And as per my family Physician, I am taking Clome-50 Tablets (from 2nd day to 6th day of my cycle). I am not able to understand whether I am pregnant or not. In this juncture is it okay to continue Clome-50? Is this tablet having any side-effect for pregnant woman ?? Regards, Soma Doctor: Hi.. Thanks for writing.. Clomid is taken from 2nd to 6th day for ovulation induction.. its not taken in pregnancy.. After taking ovulation drug a scan need to be done on day 12 to see for ovulation.. If there is no ovulation the dose has to be increased.. Also get a semen analysis done to see for sperm viability.. Hope I have answered your query. Good day.
| 3,258 |
Liver enzyme test done, high SGPT, SGOT, bilrubin levels. Causes for elevated levels?
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Patient: hello..warm regards...respected doctor..i got some test done of sgot sgpt and full liver functioning test...the values are not high but as high as could not be imagined..sgot value has come near 1500 and sgpt value has come to 3500.. bilirubin direct has has also come around .54..what could be the reasons and what exactly is it...? Doctor: Hi, Thanks for writing in. The presence of such high levels of liver enzymes suggests active inflammation anf functional derrangement of the liver cells. this can be due to avariety of causes such as, hepatitis B, C infection, cirrhosis, fatty liver, portal fibrosis, auto immune hepatitis or even drug induced. You will have to undergo a battery of radiological and hematological investigations to find the cause and rectify it at the earliest. With regards
| 59,820 |
How to treat side effect of septra ds medicine?
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Patient: I am on day 6 of septra ds for sinus infection & starting 2 nights ago I developed intense itching on the soles of my feet. The itching comes and goes but when it happens I can't stop. I feel like I could just claw my skin off! Is this a reaction to the antibiotic? Doctor: Dear Friend.Welcome to Healthcaremagic.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.Yes this can be due to allergic reaction from Septran.I advise you following:1. To stop taking Septran2. To take Tablet Avil.3. If any skin blisters are there, consult your doctor for injections.4. Always mention your doctor that you are allergic to sulpha drugs.This is my personal opinion based on details available here. If you still have any other query, you may please ask me.Stay Healthy. Dr Anshul Varshney , MD
| 39,580 |
Nasal discharge, cough, green phlegm, body slightly warm . On drops for pink eye, no relief. Due to allergies?
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Patient: My son (21months) has had a runny nose/ cough for a good month now. We thought it was allergies as it was clear out of the nose. A week ago he ended up with green out of his eyes and nose..I brought him in and they have me drops for pink eye. We did the 2 drops 3 times a day for 3 days like the doc said.. However he still has the gunk and cough/nose thing has not gone away. any other ideas? He has felt warm but has not had a fever Doctor: THE CHILD NOT TOLERATE EXTRA MILK AS THE CHILD NEEDS BREAST MILK FOR 2 YEARS AND AFTER THAT NO MILKIN MANY CHILDREN THE DISEASES STARTS AFTER WE ADD MLK AND DIARYSO WITHDRAW MILK AND DIARY ADD OTHER FOOD LIKE VEGETABLES CEREALS AND FRUIT AND WAT TILL HE PASSES SOME AGEMILK PROTEINS ARE ANIMAL PROTEIN AND THEY AR NOT COMPETIBLE WITH HUMAN PROTEINS
| 103,586 |
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