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How to treat UTI and yeast infection?
Patient: Hi. I had an ectopic pregnancy last November and since then I have been having hair growth on my chin and neck and a thick discharge, that is odourless and sometimes yellow. The hairs are now thick, but they are increasing all the time. Can you tell me what is the cause of this? I am 35 years old, the mother of two teenage children, my height is 5'7 and 145lbs ( recently reduced my weight from 155lbs). I have had no problems medically in the past, except for a urinary tract infection and have had a few yeast infections before. Doctor: HI, thanks for using healthcare magicAbnormal hair growth would be called hirsuitism. This is hair growth in women in parts of the body where hair does not normally grow.The most causes are: (1) PCOS- polycystic ovarian syndrome(2)side effect of medication particularly steroids(3)cushings- disease associated with increased steroid release in the body(4)agromegaly- too much growth hormone(5)tumorThe discharge is likely a yeast infection which can be treated with oral or topical antifungals.It may not be related to the hair growthIt may be best to see your doctor for assessment and treatment.I hope this helps
33,901
What causes recurring abdominal pain and gas formation sensation?
Patient: Hi, Murali Here, I am suffering from abdominal pain from last 4 months. Occurs once twice in months and stays for 3 to 4 days. When its there it makes me wake up at night. Currently from last 10 days I am taking Pataprazol 40mg daily. Still the pain and gas formation sensation is there. Doctor: Hi, The pain you are having might be related to too much gas accumulating inside your bowels. I suggest to start taking simethicone for gas and probiotics to optimize intestinal flora. If your abdominal pain is also associated with changes in bowel movements, I suggest to get your stool examined for ova/parasites and cultured too. Abdominal ultrasound is necessary to rule out abdominal pathologies. It will take few days to get the symptoms relieved. If within a month after starting the medications, you will still have the pain, then, abdominal Ct-scan might be needed for further evaluation. Dr.Sejdini
91,814
What could be the large lump and bruise on inner thigh causing pain while walking?
Patient: I am a 68 year-old male with a past history of 2 strokes, quintuple by-pass, and am taking an array of meds, including blood thinners. I have just noticed a very large egg-shaped lump and bruise on my inner thigh that gives be pain when I walk. Could it be from carrying wood for my wood stove? Doctor: Hi ! Good evening. I am Dr Shareef answering your query.From the history, it seems that you might have sustained some kind of trivial trauma while cutting woods resulting in oozing of blood in the tissue forming a collection of blood (hematoma). Usually, small collections of blood get absorbed of their own. However, this may not happen in cases where the blood clotting is hampered by the intake of blood thinners as is in your case and the same might also get infected causing more pain due to an abscess.If I were your doctor, I would consult your physician who started your blood thinning agent for consideration of discontinuing these medicines for some time till it heals up.If it does not even then, I would refer you to a general surgeon for a clinical examination and further management.I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts.Thanks for choosing health care magic to clear doubts on your health problems. Wishing you an early recovery. Dr Shareef.If I were your doctor,
70,462
What causes loose motion and fever?
Patient: hi, my baby is 2 month 24 days old.he had loose motion with fever from yesterday. yesterday he had it 5-6 times. today it happends 2 times from morning (right now its 1.37 pm) and his fever is 99 deg approx. he is taking formula from the very beginning of hi birth and does not want to take breast milk.from today i am giving him rice salaine. is it ok? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query your baby have symptoms of loose motion and fever which is due to viral infection of body leading to acute gastroenteritis. It could be due to poor digestion, poor absorption or rapid movement through the intestines and all this leads to watery diarrhea. Need not to worry. I would suggest you to take zinc supplements along with oral rehydrating solution. You should maintain the hydration of the body by taking plenty of oral fluids. Your symptoms will resolve in 3-4 days. If your symptoms keeps on persisting visit gastroenterologist once and get it examined and start treatment accordingly. You should take antibiotic empty stomach one hour before meal. . Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
169,457
Is the tightness in foreskin and pain due to adhesion?
Patient: Hello Doc, i am asking continuously, I have a problem of tight foreskin by which I have started developing pain when my boxer touches my penis. I showed it to urologist, he said it is penis sensitivity. But I want to ask is that what is a difference between sensitivity and pain? I have no problem in urine. Just while adjusting boxer, wearing jeans, it hurts. Is it cancer? Or is it serious? If not, what are the remedies? Please suggest Answer I received: Hello When you feel electric like sensation we call it as sensitivity .While pain is a defense feature and if it hurts all the time. When you wear jeans etc may be a pain or sensitivity. As far as concerned about tight foreskin may be a case of paraphimosis i.e. don t retract skin of penis so that glans of penis don t expose.So consult a surgeon and get hsi opinion. My question: I dont have problem in pulling foreskin up.I have pulling foreskin down. It is pain as you described and not sensitivity. There is nothing like current feeling in there. When penis is being pushed against the boxer, it hurts. so boxer and penis are 90 degrees to each other when it hurts. I have read about adhesion. Am i facing this issue? If yes, is it serious? Is it cancerous? I am very much scared, please help me come out of this. Doctor: HelloI really appreciate your concernOf course you need to be concerned, its severity and probability of cancer can not ascertained based on your short history,Looking at present condition you might have injured your foreskin during the sex or masturbation or may get infected if it was healthy previously.In my opinion you should keep it clean and apply any antiseptic ointmentApplication of hot packs will help in healingIf it doesn't improve or gets worsen than you must see your doctor for physical check up and a course of antibiotics if need be.Hope this answers your questionIf you have any more queries please feel free to write back to me, I will gladly answer you Best wishes
199,094
Kidney problems,dialysis,bruises,itching on feet
Patient: I am 95 years old, and I get bruises quite frequently and all over my body. Recently I had them on my legs, and before the bruises appeared, I had this terrible itcht on the bottom of my legs. The following day my carer pointed out the bruises to me. I think it is important to let you know that I do have Kidney problems, for that I go two times a week for dialysis . I am physically well, what do you think is causing the buises to appear and then later go away. Thanking you Doctor: In patients suffering from chronic renal failure , the platelets usually develop a dysfunction. They are responsible for preventing small bleeds. But if they cease to function then the patient develops a propensity for small hemorrhages which usually develop spontaneously. As soon as the dialysis session is completed the platelets will function optimally for some time. If the problem goes beyond control then a particular medication is given which is a synthetic anologue of vasopressin. You should consult your nephrologist who will guide you in this respect.
51,495
Suggest treatment for rashes between balls and thigh
Patient: I have a rash between my balls and my thigh for over 25 years now am 39 since secondary school we used pit toilets becouse of bad management and neglect like everything else in nigeria. It gets a bit sore some times like when its hot and I sweat and it ichies and smell a bit like ass and can be a bit slimmy and pale. Please what s the best treatment for my condition it is getting embarassing in my relationship Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.It could be Tinea cruris. Please keep skin dry by application of clotrimazole dusting powder. Avoid tight fitting clothing. Wear inner wear after sun drying it. Initially, you can go for Terbinafine cream twice daily. If you do not get improvement in 2 weeks, visit your nearby dermatologist.Hope I have answered your query. Let me know if I can assist you further.
14,099
What causes fever and foul smelling greenish stool in a baby?
Patient: hi, i have an 8 months old baby daughter, she was born 2 months premature, so really she is now about 6 months old, she has been running a fever for a couple days now, took her to hospital last night and while waiting, her fever broke, so we went home thinking its gone, tonight she is getting the fever back and has a greenish foul smelling stool with a fever and just out of the blue developed a red rash on her buttox and has some reddish spots on the back of her head. Any clue as to what this is please? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. She seems to be suffering from gastrointestinal infection along with diaper rashes. Ensure ORS for proper dehydration and use following measures for early recovery:- zinc supplement such as Syp ZnD or Zinconia- zinc oxide lotion for diaper area rashHopefully it will be of help. Let me know if I can assist you further.Take care.Regards,Dr. Archana Verma
166,911
What causes sporadic back pain on the lower left side of the buttocks?
Patient: sporadic back pain (sometimes severe) on the low left side at the start of the curve of my buttock. I went to an urgent care clinic and the physican assistant on call would not do the blood test, only urine test for a uti, which was negative. My insurance wont cover a pcp visit until my annual physical (july2018) Doctor: Hello, It could be due to spine related conditions like a prolapsed disc. As a first line management, you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist better to consult an orthopaedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
215,687
Suggest remedy for long running cold and facial and throat pain
Patient: Hi, I got cold from last 3 to 4 years. First I have done the X-Ray. Doctor told me that I got some sinus problem so he started treating for sinus. Later on period when I went to a better doctor he has done the CT scan and told me that me right side nose is slightly bent but it's not too serious problem. But he told me that I have some infections at sinus happening places that's why I'm getting cold. I have tried too much homeopathic, pathological and Ayurveda treatment but nothing is happening. till now I am having heavily running nose with sometime a bit facial pain and throat pain. Kindly suggest what to do ?? Doctor: Hi. I can understand your concern. You are probably having allergic rhinitis.Allergic rhinitis is a due allergy to dust , pollens etc. Usually presents as running nose, excessive sneezing, blocked nose, headaches etc. It is ideally treated after consultation with a pulmonologist / allergist. Usually treated with intranasal steroids and anti leukotriens.For prevention you can undergo allergy skin test which will tell you allergens which you can avoid, done by allergist usually. Avoid pets at home, clean your bedspreads once a week in hot water and sun dry the same, get yourself vaccinated against influenza and pneumococcal pneumonia to avoid asthma exacerbations.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
77,991
What does heavy white coating on tongue indicate?
Patient: I've noticed a heavy white coating on my tongue that I cannot brush off. I've done online searches on it and it seems it may mean some other health conditions are the cause of it. I need to find a local doctor by me to assist me in my problem. Can someone help me, please? Doctor: I have gone through your query.You did not mention any history of trauma in the tongue.The non-scrappable lesion suggests it can be lichenplanus or other types of candidiasis. check if your immunity is low /diabetic. Cut down on tobacco if you are a smoker. Visit your oral surgeon.They can take you for a biopsy for a definitive diagnosis and treatment.Hope this helps
186,072
Can Hepatic Encephalopathy be cured?
Patient: I am a 23 y.o. male that went into the hospital last summer with all the symptoms of HE. I had high ammonia levels in my blood cause dizziness, confusion, numbness of my body and couldnt remember where I was or who I was. I also was in and out for about 1 month of the hospital which also included being induced into a coma for 5 days. I was treated the final stay and prescribed Lactulose. I was never properly diagnosed with HE but I was wondering is HE something that is cured and gone or something that is with me for life? Doctor: If u r cured u should b so happy..in stages one and two..we are to able to cure our patients mostly..its reallt a dangerous condition but if u have cured..its best now...aftr traetment of liver disese fully u ll not get it
54,173
Is it safe to remove gall bladder during the second trimester of pregnancy?
Patient: Why are some surgeons willing to remove gall bladder during second trimester and others are not willing? I don t eat greasy, high-fat or spicy foods. Stay away from foods that are an irritant and still suffer severe pains that reduce me to tears in the middle of the night. Heart attack type pain at 8 weeks pregnancy caused trip to ER and discovered sludge in gall bladder. I meet with a surgeon on nov. 2 and want to know how to best advocate for myself and my baby. I have lost 18 lbs, now drink ensure plus frequently and throw up pretty much all solids, broth, water, etc. Doctor: Hi and welcome to HCm. yes it is safe, and risk of complications is the same as for those who are not pregnant. Wish you good health. Regards
57,055
Suggest treatment for cough, diarrhoea, vomiting and nausea
Patient: I have had been coughing several times a day for two weeks. Ten days ago I vomitted every two hours for 10 hours and had diarrhea. I felt very weak for three days and then I flew to Hawaii. While there, I was coughing the same amount. My voice is very hoarse but I don t have any pain in my throat. It is just raw from coughing so much. Three days ago, I had intense and uncontrollable chills for three hours, which then turned I to a fever. I took Ibuprofen and it helped. Yesterday when I was flying back from Hawaii, I felt nauseous for the whole flight and then vomitted after we landed. Today I have eaten a little. Ore than I have been. I don t have chills and I don t feel nauseous. I am continuously coughing still. Doctor: Thanks for your query at HCM!I am Infectious Disease Specialist! I went through your query!You need to take few tests to establish the cause of fever.It could be acute bacterial infection or tubercular in nature.Get your throat assessed first by ENT specialist it could just be allergy.Coughing is causing vomiting. Diarrhoea could be due to infection.Take a course of antibiotic to see if symptoms resolve.If does not improve get X-ray and sputum culture/sensitivity for bacterial/tubercular infection. You might require CECT scan test to see for lymph nodes.Happy to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query.Take care!Dr. Sheetal VermaInfectious Disease Specialist
35,794
Suggest treatment for dairy protein intolerance in babies
Patient: our 14 month old son has been diagnosed with dairy protein intolerance recently. He has a very bloated tummy, is constipated and seems to be in a lot of pain when he has a bowel movement. We have had him on soya only and a varied diet of fruit and veges etc.for over 4wks and there doesnt seem to be an improvement. He had a week when we first changed his diet where he had a 2-3 very loose movements a day and his tummy went down to a normal size, but its gone back up again. Its very upsetting and I am not sure what else to do. He is generally a happy little boy until he has a bowel movement. Your help is very much appreciated. thanks Jennifer Doctor: HiI am not aware the way the diagnosis of milk protein allergy was made. If it is a true milk protein allergy, we expect rapid clinical improvement after proper diet modification. But very rarely, children with milk protein allergy can have cross allergy with soy protein also- in such cases, we can try with a different specific formula feed(called protein hydrolysate), which is not easily available in some regions. If still not improving, definitely we will have to reconsider the diagnosis and workup to rule out other conditions- a pediatric gastro-enterologist will be the best option for that.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician
160,818
Suggest remedy for kidney disfunction
Patient: My husband had a penile prosthesis inserted in the early 1980's.He was experiencing ED due to diabetes. His potassium level is very high now. Could there be some kind of blockage from the prosthesis that is causing the kidneys to not function properly. The prosthesis no longer functions. He is 67 years old. Doctor: HelloThanks for query .Your husband has penile prosthesis implanted in 198o for ED and now has raised Serum Potassium levels .The penile prosthesis has no role to play in e directly or indirectly to raise Potassium levels .He needs to consult qualified Nephrologist 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) Renal Function tests 4) Serum electrolyte evaluation Further treatment will depend upon result of these tests and final diagnosis.Dr.Patil.
47,442
What causes burning sensation between the shoulders and back pain?
Patient: HELLO MY NAME IS LORI, I HAVE HAD BACK PROBLEMS FOR A LONG TIME, BUT THE BURNING BETWEEN MY SHOULDER BLADES FOR AWHILE, HAD CORTISION SHOTS, EVERYTHING, I GET PHNHUENIA EVERY YEAR FOR LIKE 13 YEARS , I NEED HELP THIS IS TO MUCH PAIN, CAN T HANDLE MUCH MORE, CAN YOU TELL ME ANYTHING? ANY TEST? MY FATHER DIED FROM A BRAIN TUMOR 5 FINGER, CANCER I Doctor: Hi ! Thanks for the query in Healthcaremagic platform. Poor postures while sitting , standing & or in workings , nutritional deficiency related conditions and other musculoskeletal disorder can lead to various aches and pain in backs. So no need of worry. Consult your primary Physician in these matter. Regards,
110,788
Can I conceive after terminating pregnancy and having semi brom and folic acid?
Patient: Hi ! i m 37 yrs old n trying for baby having unprotected one year sex. Till not concive. last yr i terminate 5 month pregnancy having trisomy foetus. now Dr prescribe semi brom and folic acid tablet. now i m worry about my pregnancy. i concive or not at this stage.pls give advice. Doctor: As your age is more than thirty five so less ovarian reserve.. So less chance of getting pregnant.. And there are more chances of anomalies in baby
2,453
Suggest diet to control cholesterol levels in blood
Patient: Greetings!I just got my blood report the cholesterol is high. Serum Cholesterol is 5.4 mmol/LSerum triglycerides is 1.3 mmol/LSerum HDL is 1.0 mmol/LSerum LDL is 3.8 mmol/LThe doctor say there is no need of medication and wanted me to control through diet and exercise. Please advice. Doctor: As a general rule the fats derived from animals should be avoided while those derived from plant sources be consumed for maintaining a healthy heart. You can use edible oils in cooking rich in omega 3 fatty acids like canola oil, sunflower oil. A portion of dry fruits like almonds, peanuts can be taken daily. Avoid butter, creams, and bakery items. Maintain a healthy daily aerobic exercise for 20mins atleast for 6 days per week. Finally check your lipid profile after a month, Hopefully it will show improvement. Best regards.
19,661
What causes severe abdominal pain?
Patient: I have a dr apt tomorrow, but am trying to decide if I should go to the emergency room tonight. I ve had uti in the past and bladder infections but this feels much different than that. the pain is severe in my lower right abdomen and back. it has gotten progressively worse in the last few hours. I ve suddenly developed a case of diarrhea...and I don t know if it s a kidney infection. appendicitis, or something else. my dr is a country dr that hasn t been real knowledgable and helpful with other medical conditions I have .what are your thoughts. I; m 41 female.. ask what you need to if you need more info.i cant afford this i m on ssi and ssdi Doctor: HI.Thanks for your query and an elucidate history. The most probable cause of such a pain in right power abdomen and back with the known history of UTI in the past and sudden development of diarrhea are :Appendicitis as the most probable cause.Severe intestinal infection can also cause same things. Infection in the right kidney or a stone in the ureter - but less likely to give diarrhea.I would advise you the following:Rush to ER to check for the vitals and to get urgent ultrasonography, blood and urine checked to get an idea so that further steps and decisions can be taken fast. A course of antibiotic, metronidazole, probiotic ans symptomatic treatment should solve the problem,IF no relief further investigations and specialist's opinion can be sought.
88,226
What causes hair fall during maintenance treatment?
Patient: My daughter is in the last months of her maintenance treatment her diagnosis is ALL (leukemia) Through the intensive chemo she lost her hair twice, since being on her maintenance for over a year she has a full head of thick hair. We just noticed last night that her hair is falling out again, can you tell me why this would be, as the medication hasn't changed? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.In my opinion, you might be suffering from Anagen effluvium. It is the side effect of your chemotherapy drugs. You can use minoxidil solution and biotin supplements. Hair loss occur together (bunch of anagen hairs fall together so the name anagen effluvium). Take care.Hope I have answered your query. Let me know if I can assist you further.
10,228
What causes pain in kidney after an open partial nephrectomy?
Patient: I recently had an open partial nephrectomy of my right kidney. It has been almost 3 months now and i am still having alot of pain in that area. My urologist said the pain should not be there now and won't believe me. What should i do and how else other than ibuprofin and tylenol can i help the pain? Doctor: With an open partial there could have been entrapment of your intercostal nerve causing that pain. Usually it can take up to 6 months for it to go away. Lyrica is a medicine that works well for nerve pain. You may also have a bulge in your side where the incision is. Please rate 5 Stars! I strive to provide you the best answer to your questions.
49,078
Does bronchitis cause low blood platelet count?
Patient: I suffered a very bad case of bronchitis for about 3 weeks, which included blood mixed mucus for over a week. I had a Physical that was already scheduled just as I was recovering in which a blood test came back with low blood platlets, I was sent to a hemotoligist, and began taking predisone. Within a few days I felt great because the predisone finished clearing my chest. However my platlets went from 48000 to 38000. I haven t had any of the signs of Itp (my diagnosis) and there were no other issues with the blood test. Could the bronchitis cause the low platlets Doctor: Hello,Infections anywhere especially, a viral infection can cause low counts; no doubt about this and your bronchitis might be a viral one. However, there are a lot of causes of low platelets count, and after your bronchitis is over, the count should have gone up so there must be other things in mind.ITP (Idiopathic thrombocytopenic purpura) can well be the cause of your low platelets and ITP most of the times do not produce any symptoms and is not very uncommon.Whatever could be the cause (if other things are ok and the patient is stable), I generally ask such patient to repeat the count frequently if not improving seeing hematologist again is very necessary. They may think about bone marrow examination then.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Mahboob Ur Rahman
114,399
What causes severe backache and numbness in the leg?
Patient: I have had some severe back pain that it is so hard to walk or lie down on my back. Lately I have been unable to stand up straight cause it cause more pain in my back and causes my legs to go numb. What could be wrong and how can I make myself comfortable to sleep? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I have understood your concern about pain and stiffness in the back, see there may be many cause for back pain, like spasms of back muscles, injury to muscles of back, over activity, heavy weight lifting, that may cause compression or irritations to nerve roots of spinal cord, that may give raise to tingling, numbness and parasympathesia. So my advice is to go for Physiotherapy treatment and take traction and Lift therapy for 15 days. Hope I have answered your query. Let me know if I can assist you further.
106,599
Suggest remedy for tender to touch, painful bruise on thigh
Patient: I was struck on the inner side of my left thigh about 3 weeks ago.. The bruising has left bit there remains about a 1 inch wide by 3 inch long almost a w shape mass under the skin. It s is still very tender to the touch and now there is discomfort if I run or step down .. ??? Doctor: Hi,Thanks for your query.According to your description , pain over your thigh seems to be inflammatory in nature. I advice you to give you rest to the part affected, take anti-inflammatory drug likemotrin 1 tablet with food as and when required (upto 4 tablets daily) to reduce pain and inflammation and consult your doctor for thorough examination and rule out any infective cause.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
139,215
Suggest remedy for numbness in toes caused by twisted foot
Patient: I fell while working out. I twisted my foot. Most of my foot feels fine now aa couple days after but I can t put a lot of weight on it and the whole top and sides of my foot is swollen. I can t move my last two toes on their own. It seems to hurt the most right under my pinkie toe and the toe next to it. Idk what to do. Will it get better? Right now it did this weird thing where all my toes are crumpled together... Idk Doctor: hihope this msg finds u in good health. i have gone through your complaints and under stand your concern. u seem to have injured ur bone or soft tissues in that region. u should get an xray done to find out whats wrong. until then apply ice packs. .take analgesics and anti inflammatory tablets rest and elevation. avoid weight bearing nothing to worry about. hope your question has been answered. if u have any follow up queries, feel free to consult me anytime. thanks Take care
132,790
What is the cause of tongue numbness and pain after teeth removal?
Patient: Had all 4 wisdom teeth removed 3wls ago and 2 were impacted. Half my tongue is still numb and I still have a lot of pain where one of the impacted teeth were. Also within the last 2 days my tonsils are now huge especially on that side. I dont know what is going on Doctor: Hello, Welcome Thanks for consulting HCM, I have gone through your query, as you have numbness in your tongue dont worry it happens in cases where neddle stuck the nerve during anaesthesia . It is known as paraesthesia of tongue . You do is warm saline gargle two - three times a day. Take one tablet vitamin supplements once daily for one month . If still your problem continues then consult your dentist again and go for examination.Hope this will help you.
186,961
What is the cause of swelling below teeth?
Patient: My 16 year old son has been prescribed ferrous fumerate 210mg tablets 3 times a day , after getting blood tests back and being told he has an under active thyroid TSH level 4.12+ serum free T4 12.4. This was yesterday 28/9/12 We were told to go back for more blood tests in 2 months. Whilst at the doctors , we pointed out a painful swelling and soreness below his front teeth into his chin. She prescribed Daktarin 2% oral gel. It has not helped. The pain has got worse , swelling more pronounced. The doctors out of hours say its dental and the dentist cant see him for 24 hours. Being a weekend. He has no fillings or cavities. His last visit to the dentist 2 months ago was all clear. He has good dental higine. Is it doctor or dental and could it be an abcess or conected to the thyroid problem ? Thankyou. Doctor: thanks for your query, i have gone through your question, the swelling in the chin or below the teeth area could be a periapical abscess or periodontal abscess leading to cellulitis you need to take a radiograph like IOPAR in relation to those teeth till you meet your dentist take a course of antibiotic like penicillin if he is not allergic...dont apply pressure on that area..do saline gargling 3-4times...its not related to thyroid problem...
187,017
Why do I have difficulty in passing urine ?
Patient: I am 49 years old. My backside pain, face growth and difficult urine. Doctor: Welcome to Healthcare Magic Your complaints are not clear. Please rephrase. Back pain and difficulty in urination can be due to prostrate problem which is causing difficulty in urination and back pain due to kidney damage. It can also be due to stone and urinary infection. Drink plenty of water. Consult a Urologist immediately and get examined and receive appropriate treatment.
51,557
Diagnosed with right arthritic hip
Patient: I have been diagnosed with right arthritic hip but I am confused because my bone density tests the year before showed an increase in bone density which I attributed to increased exercise and vitamin supplements. I am 60 years of age, had played tennis competitively and often. I am told that there is little to be done but take ibuprofen for pain, exercise, but in time I will need a hip replacement. Is that all ther is? Thanks Doctor: Hi First I would like to make it clear to you that arthritis has nothing to do with Bone Density increase as such. Arthritis is an inflammation of the joint causing joint pain and limitation of movements. In early stage pain killers like Ibuprofen help but they cannot be taken for long due to it's side effects. For long term , if the pain prevents you from doing your daily activities it will be better to go for Hip Replacement.
131,897
Is marijuana causing the complications?
Patient: I was just released from hospital diagnosed with Pericarditis and WPW I am not a user of Tobacco nor alcohol I use marrijuanna at least 3 times a day do you think that the marijuanna is causing complications I told the doctors I m a heavy user but not one doctor told me to stop the marijuanna Doctor: Hi,I did review your concern, Marijuana can cause lot of complications when used in excess amount, can cause lung problems including chronic obstructive lung disease like illness and also increases chances of lung cancer according to recent studies. Your WPW and pericarditis may not be related to marijuana use but i would advice you to cut down on your marijuana and eventually quit it. It is advisable to join a cessation program as they help in overcoming withdrawal and dependence and will help increase your will power.i hope this helpswish you a very healthy life ahead.
27,975
What causes sweat bumps in the foot?
Patient: i have a clear discharge that came out of my right foot...initially it developed into what looked like a sweat bump..like when you over sweat and the sweat gets trapped underneath the skin creating a sweat bubble...it had all those same properties expect the discharge the discharge didnt come out like sweat..runny but it came out more like a cream out of tube..it was clear but it was a little more dense then sweat...wondering if you knew what it was...standing by Doctor: Hello,Your symptoms could be related to a sweat gland infection or a fatty gland infection. If the discharge persists, I recommend consulting with a dermatologist for a physical exam.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
119,802
What causes chronic cough?
Patient: Hi. I have a chronic cough that is getting progressively worse and interfering with my life. Here are the triggers: food touching both sides of the back of my tongue, talking, singing, whispering, turning my head to the side and up, anxiety, Symptoms- cough until I gag, sometimes wet sometimes dry, and when I cough really hard I feel a burning in my chest and wrists and I get an instant headache on both sides of my head. Food gets stuck in my throat and I have trouble swallowing sometimes. And sometimes when I cough it feels like I am coughing up into my nose. Bizarre isn t it? I am on meds for high blood pressure and reactive airway disease. I don t have acid reflux. Barium swallow was normal. I am 55 years old and in great physical condition otherwise. :) I was thinking glossopharyngeal or another nerve. Good luck with this one! Doctor: Thanks for your question on HCM.I want to ask few questions first.1. Have you under gone PFT (Pulmonary Function Test).2. Which medicines you are taking for high blood pressure.If you are taking ACE inhibitors (AngiotensinConverting Enzyme) for blood pressure than your cough must be due to side effect of this drugs.As 20-30% patients on long trm use with ACE inhibitors develop dry cough. You need to replace this drug. So consult your doctor and discuss about this possibility. Reactive airway disease needs PFT to confirm. And once confirmed you need to take inhaled medicines. So better to consult pulmonologist and get done PFT and start treatment as untreated airway disease can also cause cough.
82,288
How safe is using Hairu4U for hair loss?
Patient: Hello, I am using Hair4U lotion as my doctor suggested to use for reducing hair loss and regrowth of my hair. By the time using that I m getting papules on my head. Is it because of this lotion or any reason. Do i need to stop it or take any extra medication for controlling that papules(pimples). Any Suggestions. Thanks in advance. Doctor: hair 4u lotion is a combination of minoxidil and amenexil and usually given for the male pattern hair loss. you may be developing irritant reaction to it or an aggravation of seborrheic dermatitis due to its use. you can stop using it or change the brand or you can start with some ketoconazole based shampoo for SD. else you should again visit your dermatologist for change of medicine.
10,918
What is the bump like thing under my clitoris?
Patient: i have been celibate for 2 yrs. I recently found something that doesn t really feel like a bump but there s a small area where the skin feels a little hard. It is located under my clitoris but on the rim of it (left side). It does not hurt nor does it itch. Is it something I should be worried about? Doctor: HI,Thanks for the query to HCM.Treatment for bump under clitoris-after second gonorrheal contact after anti-gonorrheal 1 shot treatment--Confirm by smear testing if its-Gonorrhea or something else.In my opinion you have Skenes cyst below clitoris .AS its not painful,second contact infection possiblity is less.Though you need to take care as by another smear test from vagina discharge.Hope this would help you to plan treatment with ER doctor.Welcome for any further query to HCM.Hit thanks and write good review if this reply helps your health concerns, for the benefit of new and old patients at my virtual clinic at HCM.Good Day.Dr.Savaskar M.N.
63,857
Does swollen gum cause chest pain?
Patient: hello, im 29 years old and im experiencing chest pain, like sticking needle then connects to my shoulder,armpit and lower rib cage. but last year sept of 2010 i had an ecg and 2 d echo and the result was normal. except my left ventricle is a little thicker due. according to the doctor this is normal for hypertensive people like me. i just want to ask what is this pain that im experiencing now? does it have connection with my toothache because i have swollen tooth and gums now. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. No, your current chest pain and toothache, swollen gums have no correlation. Since you are hypertensive, we should definitely rule out coronary artery disease (CAD) for your chest pain. So consult cardiologist and get done blood pressure monitoring, ecg, 2d echo and stress test. If all these are normal then no need to worry for this pain. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
74,294
Late period, pink spotting, headache, lower back pain, clear discharge. Implantation bleeding?
Patient: My periods are never late. I had sex 5 days before my period was due and my husband left it in. I had mild cramping or burning sensations about 3 days late, at 6 days late i took a test and it was negative, I called to make a doctor appt when i was 9 days late she told me to wait til i was 14 days late and retest then call back. On the 12th day late I started spotting periodically throughout the day a very very light pink when i wiped. I put a panty liner in thinking i was getting ready to start but never did, that light pink spotting has lasted for 4 days and there was one day it was only twice when i wiped and it was a light brown color. No flow whatsoever. I am now 17 days late and going in tomorrow for blood pregnancy test . I have had headaches , lower back pain , and the first few weeks excessive discharge clear . Could I have experienced implantation bleeding? and what is the chances I am actually pregnant? Ive never done this before and I have a period every 3 weeks give or take one or two days at the most. Doctor: hello,.You did almost safe sex, 5 days before period. However, pregnancy should be ruled out through home pregnancy test or blood test for beta-hCG. In this case, chance of implantation bleeding is quite LOW as implantation occurs around D21 -D23. Late conception should be confirmed.Hormonal imbalance, stress, PCOD, over weight, pelvic or vaginal infection, change in eating habit etc may cause late period and above features.Review with test results and consult with your gynecologist for next level management. Take healthy diet, proper sleep and avoid stress.Be well and take care.
219,146
What are the possible medication for total knee replacement?
Patient: I have had a total right knee replacement when I had medical insurance through my employer. I no longer have insurance and my left knee is giving me serious pain. I have been told that I would eventually need a total left knee replacement. What can I do? Doctor: HiFor pain you may take accelofenac 100mg twice a day, do hot fomentation, wear knee support,use walking stick and take physiotherapy exercises.Tramadol 100mg if severe pain sos.Consult your knee surgeon.
131,479
What causes puss filled bumps ?
Patient: What is causing me to keep bumps with puss all over the back of my head? Different shampoos seem to make it more irritating than others. I have tried all kinds of things and have been to two skin doctors and nothing works, but the nail fungus pill medicine? Doctor: Hi,From history it seems that there might be having scalp infection giving this problem.This can be folliculitis, yeast infection, sebohrric dermatitis, dandruff.Consult dermatologist and discuss about this.After finding the cause go for treatment accordingly.If there is fungal infection in nail, this can be yeast infection in the scalp.Go for one oral course of anti-fungal medicine like Flucanozole 150 mg once in a week for 4 weeks.Take head bath daily with plane warm water.Avoid using shampoos, conditioners.Ok and take care.
35,434
Can teething cause cold sweats and low body temperature in a child?
Patient: Can teething cause cold sweats and low temp? My son is 13 months and has been super fussy today and tonight. Woke up last night crying too. I assumed he is teething again. Tried a temporal digital thermometer on his head and it keeps reading between 96.3 and 96.9 but i know they arent always accurate. However when i do it on myself its much higher so i think his temp is low. Hes also sweating but very cold and clammy. Its not hot in our house. Im very concerned Doctor: Teething dont cause cold sweats and other problems. It only cause irritation at the eruption site so the baby wants to bite anything for soothing.
166,040
Severe pain with edema in the foot. Diagnosed with gout. Had mesentery thrombosis in the past. Family history of strokes. Advice?
Patient: I am a 54 year old woman with a history of blood clots. I had a mesentery thrombosis at age 30 that resulted in losing 12 feet of intestines. Recently I have been suffering with extreme foot pain of the right foot. It is only on the top of the foot and the toes and has pitted edema , and today I noticed the pain extends up the leg along red painful streaks. Brief history, both maternal grandparents and mother all died of strokes. I have been diagnosed with gout and there is a an extense history of RA in the family. Mallorie Doctor: Hello and welcome to HCM Since, you have a history of mesenteric thrombosis and family history of stroke, you are at high risk of stroke and heart attack. You need to get your lipid profile done-Cholesterol, LDL, HDL, Triglycerides, homocyteine and lipoprotein (a). If there are derangement then you need to start medications. Regarding gout, medications have to be started (you must be taking them) and low protein diet. Thanks and take care Dr Shailja P Wahal
119,261
Suggest cause for muscle twitches
Patient: ive been feeling weird and confused at times. i have trouble concentrating and have been having muscle twitches all over the place. i do have anxiety as well. im not sure if i could make all this up in my head. but i feel weird and not myself and am not sure why Doctor: Hello, I suggest you to take magnesium supplements, rest, walk in fresh air if it is possible. Measure the blood pressure. If you don't feel better consult with your doctor. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Blerina Pasho, General & Family Physician
120,914
Dry, itchy lips on using lipstick, swelling, redness in arms, legs. History of chronic allergies. Treatment?
Patient: hi this is regarding my allergy problem it has been 1 year by now i cannot use lipstick as whenever i use (whatever brand)it my lips goes dry and itchy........ so i have been using lip balm from past 8-9 months to make it moist. and when it start itchy on my skin may be on upper eyes arms legs , redness appears and it get marks all around (like swollen bruises) please suggest me to get rid out of it regards Doctor: Hello Mona, You may have developed a Type IV hypersensitivity (delayed sensitivity) to chemicals often found in cheap lipsticks but also in expensive ones and patch tests (through a Dermatologist) will help in determining which chemicals you have become allergic to. Patch tests involve a series of chemicals (in tiny amounts) applied to the back and secured with a tape and remains in contact with skin for 48-72 hrs and then read by a skin specialist. Any redness or blisters around the chemical confirms the allergy. Hope this was helpful.
105,521
How to cure painful lump with pus in it on the eyebrow?
Patient: I have a major hard lump/ ball on my eyebrow that looks and feels like staph esp when I got it to pop alitttle the pus looked the way it did when I had my other staph infections. What can I do to ease the pain until I go to the doctor? Should I be concerned about the staph moving to my brain?Thanks, Natasha Doctor: Hi,Apply an warm compress to the area to help soothe the pain. Take paracetamol and ibuprofen as needed. Topical antibiotic cream may help. Regards,Dr K A Pottinger
69,189
What causes elevated eosinophils after being treated for cough?
Patient: i m 39 year old male, 2 months back i had cough & cold with little blood in cough in morning , gone to doctor, sputum checked for AFB (not detected) , chest x-ray was normal, & blood test report was also normal with ESR 47mm, eosinophills 9%, Now , i have no cough & cold , but for my reference i tested the blood once agin after two months, which shows hemoglobin 13.2,wbc:6700 /cumm, polymorphous 53%, lymphocytes: 36%,Eosinophils : 10%(670/cumm), monocytes 1%,Basophills 0%,RBc 4.38, ESR 13mm after 1hr,pcv 38.4%,mcv87.7 fl, mch30.1 pg,mchc 34.4 %. would like to know why eosinophils is 10%, need worry for me? platelet count is 2.63 Lac/cumm Doctor: Hi thanks for contacting HCM.Noted your absolute eosinophil count is high.AEC high if greater then 600.If you have periodic mild dyspnea like symptoms asthma ruled out by pulmonary function test.Here I also want to rule out allergic conditionYou can perform allergic test for it to detect causative allergen...Test your blood by peripheral smear examination for filariasis...Get your stool examination for round worm.As parasitic infection can lead high eosinophil.You can use fexophenedine plus montelukast for allergy....If no cause found then it is pulmonary idiopathic eosinophilia.....Hope your concern solved....Take care....Dr.Parth Goswami
77,117
Suggest remedy for staph infection on face
Patient: Yes, my boyfriend has an infection on his face. I think it may be a spider bite or staph. He had one on his knee about a month ago, and he hit in the shower by accident, and ended up draining all the puss out. It got better on its own eventually but it was painful and gross. He refuses to see a doctor. What do I do? Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have staph infection on face which is a bacterial infection. I would suggest you to go for a combination treatment with antibiotics such as penicillin along with a topical application of either mupirocin ointment as this is the most effective way. If you are allergic to penicillin you should go for cephalosporin group of antibiotics. If condition doesn't get better in a month then consult dermatologist again for proper diagnosis and to rule out any underlying condition . Doctor may prescribe isoteritenoin , steroid ointment or antibiotics course. Take Multivitamin supplements.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
31,908
What treatment is necessary after biopsy of calcified nodules?
Patient: hi im 42 have got 2 nodules with calcification on both of them have yet to have biopsy what is the next step after i have that and if they have to be removed what does this entail and how long would i b in hospital for and of work i no this depends on any problems but needed rough idae as i have kids and need to be organized thanx sue Doctor: welcome to Health care magic.1.It should be around 2-3 days according to me after removal of the lymph nodal mass. And revisit for the followup dressing of the post operative site.2.After that you have to wait for the biopsy result, and evaluate the cause for the lymph nodal enlargement.3.In females mostly the underlying cause could be breast - which needs to be evaluated ( if females ). Get an ultrasound examination of breast and axillary region, If nothing found even a mammogram may be helpful.4.Recomment to take good post operative care.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
68,709
How can a failed fusion surgery be corrected?
Patient: I had a fusion surgery on my second toe 19 days ago. At my check up appt yesterday my dr said the pin was loose and decided it need to come out. I m still in the boot and went home with a scooter not to walk on it. What do you think is my success rate now and why did the pin never tighten up ? YYYY@YYYY Doctor: Hi, It is right now too early to declare that the fusion surgery has failed. It takes at least 6 weeks for a proper recovery. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopedic Surgeon
126,023
Continuous stomach pain, sleepiness. Does it require immediate medical attention?
Patient: My 7 year old brother has been sleeping for almost 3 days. He has been complaining about a stomach ache that seems to be sensitive to the touch. Yesterday he said the pain was around his navel, today he is pointing more to his intestines. All he wants to do is sleep. He doesn t even want to sit up. He hasn t been vomiting or having any diarrhea . He doesn t have a fever either. He is normally a VERY active and talkative boy. He barely answers questions when he is laying down. He says it feels like he ate a stone . Should we take him to the hospital? Doctor: Hello. Welcome to hcm. It can be a case of peritonitis,either subacute or chronic where the fever will be absent. Other reasons might be a localised infection in his abdomen,abdominal tuberculosis etc. I advice you to take him to hospital where he needs a ultrasound abdomen first. If it is normal,he needs a endoscopy or rarely CT scan to rule out pathology and then treated accordingly. All the best
94,889
Do saw palmetto supplements help in the treatment of prostate enlargement?
Patient: Does saw palmetto help the prostate in any way other than possibly reducing the lining swelling ? I had a portion of my prostate burnt away with ultrasound three months ago because of cancerous cells. I m wondering if the saw palmetto pills can help the rest of the gland ? Doctor: Hi, Many people claim health benefits of saw palmetto. It’s a herbal supplement and available scientific studies do not support claims that saw palmetto can prevent or treat prostate related problems. It is always better to take proper treatment rather than going behind alternatives to prevent unwanted complications. Consult a urologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further.
195,072
What causes elevated HCG level in blood after tubal ligation?
Patient: hi dr,iam a nurse i had my tubal ligation with my second c/s 4 years back.now my beta hcg is high,150, my LMP was on 30/01/2011 and i have lower abdominal pain, last month my period was late for 10 days,that time beta hcg was high123 ,but after period also betahcg is not in tha normal leval what could be the reason? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.TL operation never causes high beta HCG. It is likely to be some malignant condition. Some malignancy of the genital system can cause increase on the HCG level. Or you may be pregnant again that's causing increase in the HCG level.In both of this situation you can do USG abdomen. It will differentiate both this situation, and help in further management of the condition.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
115,849
What are the symptoms of pneumonia?
Patient: More than three weeks ago, I had a sore throat, fever and yellow fluid coming out of me...I was given amoxicillin 875 mg with 125 mg of Potassium added to it...Sore throat went away, but was then diagnosed with Bronchitis (was given two inhalers and they make me choke more than clear my passageways, so I stopped using them)...I am still coughing and having shortness of breath when I speak after a full 4 weeks of these symptoms..could I have walking pneumonia instead of bronchitis? Doctor: hello Mr, first thing I want to know about you is ,do u smoke or not .and yes pneumonia can happen.but if its a infective pneumonia kind off there should be high grade fever with chills,cough with yellow sputum, bodyaches.
79,833
Can Nexium Astrazeneca help with stomach pain?
Patient: last week i ate corn beef and then sudden my stomach is paining till now but no vomits and i went hospital the doctor said i got an acid will i used (NEXIUM ASTRAZENECA 40 MG ) which dotor been given but no works with that medicine ( it seems wanting to go to toilet for stool but i cant Doctor: HIGreetings from Dr.Divakara.PThanks for posting your query. It seems like you have been diagnosed with Acute Gastritis and the doctor have given Nexium for that. But what I feel is i addition to gastritis you have Indigestion because of which you are getting Intestinal spasm . Hence you require Digestive medications ( like Aristozyme ) and anti spasmodic medications (like meftal Spas ). Kindly ask your doctor for these prescription. Also avoid non veg food , very oily food and eat more of fruits. Hope this information is useful to you. Any clarification feel free to ask.
87,303
Has cough. X-ray shows opaque spot on soft tissue around lung. Has Asthma. Cancer?
Patient: Hi, my mother had a chest x ray results today which have shown an opaque spot on the soft tissue around her lung . Her x ray was due to continuous coughing. She is asthmatic and has had pleurisy . The doctor wants to see her in a week and has wants a CT scan done. There seemed to be no urgency in terms of when they saw her. My automatic fear is cancer - is this automatically the case? Doctor: Hi, Lung opacity at this age should always be carefully investigated. There may be some other causes but malignancy is also a possibility. High resolution CT scan of chest should be an initial diagnostic test, based on the HU the characteristics of the lump can be commented upon by your radiologist. Follow your doctors' advise.
159,027
How to remove a rolled up paper stuck in the nose of a baby?
Patient: Hi my 3 year old daughter stuck a tiny piece of rolled up paper up her nose, I do not see it but she says it is stuck in there. She is not having trouble breathing. Do I need to take her to the ER or can I take her to to the doctor first thing in morning. Doctor: Hi...it is an emergency as there is a possibility that it can get sucked into the windpipe. I suggest you take her to the nearest emergency room immediately. They will take it out with the help of a nasal spatula and speculum. It's very simple but do not at any cost attempt at home.Regards - Dr. Sumanth
170,343
Suffering from hair fall issue
Patient: hello siri am experiencing hair fall since 3 years.one expert told to use renocia spray and shampoo.i want to know about this product.as in earliar medication i have used Finasteride for 6months once daily,biotene and mioxidl 5% still in continous use.but still it has become worse now please help me out. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It is first very important to find out the cause of your hairfall. There are multiple reasons for the same: hereditary/ diet/ lifestyle/ stress/ weather changes/ hormonal changes/ any medications/ any hair products that you use etc to name a few. I would suggest you start doing PRP (platelet rejuvenation plasma) therapy where plasma from your blood is injected into your scalp with the help of tiny needles. This plasma is extremely rich in growth factors and platelets which help new hair growth. Hope I have answered your query. Let me know if I can assist you further.
10,311
Can the fatty liver be controlled through diet having the LFT results normal?
Patient: My doctor has prescribed udizia 300. LFT results are normal except for SGOT(AST), serum & SGPT(ALT), serum. results are 40 U/L for SGOT & 83 U/L for SGPT. My uncle & aunt has been diagnosed with liver cancer. and hence dr adviced all the family members for LFT. can fatty liver be controlled by diet? Doctor: Hi & Welcome.Yes, fatty liver can be controlled through diet having the normal LFTs.I have gone through your query, I am of the opinion that the liver enzymes are slightly raised.With the following life style modifications the liver enzymes and thus fatty liver can be restored to their normal conditions;1. Refrain from alcohol or alcohol containing beverages2. Avoid taking fatty meals3. Take plenty of fruits, vegetables and eat home cooked foods4. Do regular exercise.5. Multivitamins rich in Vitamin E are effective in restoring the raised liver enzymes to their normal levels.Hope I could answer your query.
55,833
What causes frequent chest pain?
Patient: Hello. I have been having pains in my chest for awhile now. Went to the er about a month or so ago and they told me it was heartburn. The pains kept on so I went to my doctor and told her about the stress I am under and what was goin on. She put me on celexia and told me to take heartburns meds. She seems to think its anxiety. I have been taking my meds and it seemed to help for awhile but now the pains are back and seem a little worse. I am having pains in the chest that seem to move around and get better when i work or excercise. I am so afrais it is a blood clot or something deadly. Please Help. Doctor: Hi thanks for your question.According to history mostly you have Anxiety induce ulcer or gastritis like condition.You have not mentioned which drug you have taken for it.Take simple omeprazole drug for two week.Meanwhile avoid stress.Take fatty and spicy diet minimum.Avoid smoking.Cooked oatmeal useful.Fruits more.Green leafy veg more.Water taken more.If still no benefit test for h.pylori done to rule out its infection.Here cardiac and respiratory cause for chest pain seems less likely.Still for that x ray and ECG can be done. Take careDr.Parth
77,328
Suggest better treatment for hair fall
Patient: hi. I am 22 years and i have a very hard hair loss that started at around 4 years ago i attended a doctor he prescribed me minoxidil 5% and Genesis tablets it was working just for one year but now it is not being stop so i respectfully requested you to help me or advice me? tnx Doctor: Hello, If minoxidil and finasteride are not working as expected I suggest you to take a few sessions of Platelet Rich Plasma (PRP) therapy along with the medical treatment. The best option would be to go for hair transplant. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S., Dermatologist
10,046
How to reduce pain around testicle?
Patient: I was hit my cricket ball on my right testicles. Initially the pain was on right side of lower abdomen. But when I checked at home, there was severe swelling on right testicles. The swelling has reduced, but the size of testes is still very big. I cannot sleep on either side, cannot bend for longer time as i feel pain in some nerve around right side of testes. Doctor: HelloYou need to have a doctor examine you since you may have torsion--twisting--of that testicle and if you do you could lose it without surgery
197,445
What causes pain in teeth after being hit with a ball?
Patient: Hi, may I answer your health queries right now ? Please type your query here... I am 25 year old, i am hit by tennis ball , i have pain in tooth, if i press even little , i feel like its gnoign to break. and this is my milk teeths, never fall. Doctor: Thanks for your query, I have gone through your query.The pain in the tooth can be because of the impact by the tennis ball. During the time of trauma, the tooth gets compressed and apply pressure over the nerve endings in the root tip. Nothing to be panic, consult a oral physician and get a rdaiograph done to rule out any tooth infection. Usually the tooth will loose its life after impact. Check the vitality of the tooth. So confirm whether that tooth is milk tooth or permanent, if it is permanent tooth, get it restored with RCT if it is non vital. If it is a milk tooth and infected get it extracted and replace it with a bridge or an implant.I hope my answer will help you, take care.
182,681
Child has chronic diarrhea, lactose intolerant, no improvement with lactose prevention. Options?
Patient: Hi I have a 3 year old son. All his life he has chronic diarrhea . About 3 to sometime 6 episodes a day. He has gotten an endolscopy and colonoscopy . They did a biopsy and confirmed he was lactose intolerant. I have took him to an allergist I ve taking anything lactose away from him and he still getting the diarrhea. I feel hope less Doctor: Hello Kersy, Sorry to note that you feel helpless with your current situation. Chronic diarrhoea in a three year old can have several reasons: 1. Depending on the geographical location, coeliac disease (immne reaction against wheat proteins) definitely must be excluded. Blood tests such as IgA-TTG and IgA-endomysium are available, and duodenal biopsy is the final test if serological tests are inconclusive. I am not sure why a diagnosis of lactose intolerance was made with the biopsy as it is NOT possible to say, this needs to be discussed with your doctor. 2. Lactose intolerance is far commoner than coeliac disease, and complete avoidance usually leads to normalisation of GI system, unless he has a concominant wheat intolerance as well. 3. Irritable bowel syndrome can happen in kids, although toddler's diarrhoea at this age is also a possibility that settles on its own as he grows up. 4. Infection-related diarrhoea needs to be excluded, or whether he is antibody deficient (such as IgA deficiency, or hypogammaglobulianemic [all 3 Ig isotypes low] which can be diagnosed with a simple blood test. I hope that was helpful. Thanks.
105,060
What causes bad smelly urine?
Patient: Hello dr, my name is sivapriya,my husband name is ganesan,he is a software engineer in bangalore,last weeks he had urine is very wost smell is coming,my parents & husband parents old check the dr,what problem is there,had had smoking 1/2 pocket per day ,drinks (monthly 2times) ,some chinni kaine also he had what we have to do?pls tell me my number0000 Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.These symptoms are suggestive of uroinfection and this is common in your age and usually is manifested with pain during urination, fever and changes in urination frequency. Also, blood traces may be present in urine which can have odour or colour change. Other common cause are urinary stones. Diagnosis is established by doing urine analysis and urinoculture and after this antibiotic treatment may be started if necessary. If there is negative urine analysis then you should do ultrasound of kidneys to check for stones. You should drink plenty of fluids and take raspberry tea or juice to promote urination.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
196,782
What causes irregularity in period after taking birth control pill?
Patient: I ve been taking my birth control but 5 days in I started my period. I thought maybe I was just spotting so I just continued taking my pill everyday. Unfortunately this never happened to I just kept taking the same pack but Now I have like 6 days left in this pack and I already started again. I notice every time I start my period, it happens right after I poop. I don t spot before or anything and even after I go I m not really bleeding until awhile after. I m not sure if that has to do with anything but it s just weird how frequent I m getting my period. Ps. I have been on this pill before but just got a refill from planned parenthood. Doctor: Hi Hope this message finds u in good health.I have gone through ur msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body,though there may be other reasons as wellNothing to worry about, You should eventually get back to normal.Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsenGet back to me for any FOLLOW UP QUERIES anytime.Regards,Dr Mahaveer Patil...(MBBS,MS,Mch)
223,892
Constant back pain, tried yoga, exercise, no help. Currently doing gym. Is it harmful ?
Patient: Hi,I have back pain from last 2 week, i did exercise and yoga to cure this but all in vain.Finally i have taken medicine for back pain..........I wanted to know that Currently i am doing GYM and taking medicine at for back pain, Is it harmful or does it have any effect on our body to take medicine while doing GYM.Thanks,AAAA Doctor: Hello and Welcome to HCM, Thanks for writing to us. According to the clinical history provided the back pain could be part of a mechanical back pain complex of symptoms. This mechanical back pain is caused due to bad posture at work, long work-hours in particular position, lack of proper sleep or healthy diet as well. One must also rule out inflammatory disorders, for which I recommend you to get a X-ray of your spine after consulting with an Orthopedician. MRI can be taken in case you have any nerve compression symptoms or as deemed necessary by your Orthopedician. After a thorough physical examination by your Orthopedician, you may be prescribed pain killers and/or muscle relaxants which should give you relief Avoid weight bearing exercises. Do only mild aerobics which does not put your back to strain. You can discuss about this with your Gym instructor. Hope this helps you. Wishing you good health... Regards. Dr Saurabh Gupta.
112,631
What causes itching red rashes/blisters all over the body?
Patient: I came back from a holiday in Bali with red rashes and mini blisters on my skin all over my body. It is very itchy but I can't scratch because it makes it worse. I have been to the doctor but he doesn't know what it is. I have the feeling I was allergic to the pool water there. Each time I came out of the pool I had massive red rashes and scary round blisters. Not sure what it was as my husband didn't get any of these. He just got an ear infection. It's been now too weeks. The blisters are now mini but the rashes are all over my body and it keeps me from sleeping at night. Any idea? ThanksAge: 35 years oldHeight: 1m65Weight: 64kgMedical history: AshtmaI never had skin or food allergies before (only ashtma related) Doctor: The symptoms you had mentioned are mostly suggestive of some fungal infection. For treatment you can take antibiotic preferably cefadroxyl or doxycycline after an expert opinion along with cetrizine or avil for severe itching. You can take fluconazole 150mg once daily for at-least 5 days or use candid-b powder or betnovate-c cream for local application. Don't worry it will be fine.
99,033
Persisting cough, swelling in the throat. Could this be due to weather?
Patient: Hello Doctor I've had a very bad cough on and off for as long as I can remember sometimes I have cough attacts so bad that my throught gets swollen and I cant talk I'm not a smoker never smoked in my life I'm now 50 years old and cant stand the coughing anymore the doctors cant find out what is wrong with me I even stayed in a hospital for three days so they can do tests on me and during the stay at the hospital of course I never coughed I noticed that air conditioning building or drinking coffee has an affect on me Doctor: actually you are allergic when you are neglecting it it flares up allergy may be to foods pollens dusts or drugs when off and on attack occur the immunity goes down initially the symptomps ocur only during season change thw body cannot tolerate sudden temperature change and causing these problems slowly it starts in between and condition starts bad you get your tests done (allergy tests)from allergist whocan tell you the cause of allergy and you can treat them till then you can take off and on antiallergics tab allegra 120 bd and singular 10 mg bd syp ascoril 1 tsf bd and tossex 1 tsf bd can take off and on for 10 days each time you get it
103,946
How to get rid from black lips due to drug reaction ?
Patient: i will get allergy due to drug reaction due to which my lips and area around lips turned black it makes me look very ugly please help me to remove it and bring it to normal skin color Doctor: Take Tab.Wysolone 5mg one tab thrice a day x 3 days then 1 tab twice a day x 2 days then 1 tab once a day x 3 days Then Start Ta. Raktashodhak Vati 1 tab thrice a day Dr. Manish R. Rijhwani +91-9422571734 drmanish78@gmail.com
215,071
How to cure Temporomandibular joint disorder?
Patient: I have had a case of TMJ for approx. two weeks. It seems to be subsiding but I still have difficulty opening my moth to eat. I have no pain otherwise and it is only on the right side. It appears to have happened as a result of unintended, repetitive jaw popping while sleeping. Is two weeks normal? Will it go away on its own? Doctor: Hello, It is necessary for consulting with a dentist for a physical exam. Performing an X ray of TMJ may be needed. In the meantime, I would recommend avoiding chewing hard food and taking ibuprofen against inflammation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
122,243
How to get rid off the lump after got hurt above the left eye?
Patient: I fell down three steps to the garage on Feb 20th,and fell on my face, hitting the left side of my forehead, just above my left eye, on the hard cement floor. I was not able to save my face with my hands as I was carrying a basket .I went to a hospital emergency dept., and was given a C.T. scan. There was no bleeding or other problems internally. The lump was as large as a ducks egg...and now it is about the size of a pigeon s egg. there are still black marks under my left eye , as the veins continue to clear out the blood. How can I help this process to speed up ? Doctor: Hi ! Good morning. I am Dr Shareef answering your query.With your history this seems to be a resolving hematoma in the subcutaneous tissues of the area. As the hematoma was large enough initially, it might take more time for the blood to get absorbed gradually. You can apply a pressure bandage over it if need be. However, it would take its own time unless it has got organised. In that case it might have to be evacuated by a small incision under local anaesthesia. You have to take the opinion of a general surgeon in that case. I hope this information would help you in discussing with your family physician/treating doctor in planning your treatment. Thanks for using the health care magic forum for your query on health. Wishing you an early recovery. Dr Shareef.
69,637
What is the small and hard inside the scrotum?
Patient: So I just recently discovered This small Marble sized knot on the right side of my ball sac. I did not feel any pain but it is very hard and its not attached to my balls on the inside of my skin. I tired to pop it but it wouldn t pop so I just left it alone. It was not there yesterday. . I was just wondering if I should be concerned. Doctor: Hi, dear. I have gone through your question. I can understand your concern. You may have tuberculous orchitis or epididymoorchitis. Or you may have some cystic lesion. You should go for examination. If needed go for fine needle aspiration cytology. 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.
68,110
How to treat gum swelling?
Patient: Hi have swelling on the lower left gum and it feels like a burning. I cant open jaw fully as its hurts. And also pain on left gum and throat when swollowing. Any ideas of what it is, im making an appointment for the doctor tomorrow.. my name is rory, my email is YYYY@YYYY thankyou! Doctor: thanks for your query, the gum swelling is because of the gum infection which is caiused by food debris. this can be treated by cleaning your teeth..but the limited mouth opening could be secondary to the gum infection around the wisdom tooth causing pus formation spreading into tissue spaces..confirm the diagnosis by taking radiograph of that tooth...take a course of antibiotics and do saline gargling..maintain oral hygiene... i hope my answer will help you..take care..
186,688
Will penicillin cure gum problems also?
Patient: i have just been diagnosed with possible glandular fever or tonsilitus, i am taking 8 penicillin a day as perscribed but now my gums are swollen and hurt on the left side of my mouth where i had my wisdom teeth removed about 6 months ago. will the penicillin treat the gum issue too? Doctor: thanks for the query, penicillin is effective in tooth infection but if it is gum infection then you can go for doxycycline or metronidazole...first consult a oral physician to confirm whether the pain is because of gum infection or some bone spicule or remnent of tooth root...take radiograph and rule out..i hope my answer will help you..
186,738
What caused pain in my neck, shoulder and back?
Patient: i was sleeping last night and i heard a tearing sound and immediently had pain in my neck, shoulder and muscle opposite side of back, i felt dizzy and sick. now i cant move it to the right arms fine dont feel sick/dizzy anymore. medical history- i have cmt so bad posture, that side of neck cracks alot Doctor: Hi, As a first line management you can take analgesics like Paracetamol or Aceclofenac for pain relief. Most probably it will be due to conditions like cervical spondylitis. If symptoms persists you can consult an orthopedics and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
125,354
What is the hard module with PSA 3.1 on DRE?
Patient: On my brothers DRE a hard nodule was felt. His PSA was 3.1 which was up from his previous reading of 2.8. The urologist thought it might be a calcium encapsulated but after the biopsy he said it wasn't. He said it had a 50 - 50 chance of not being cancer. If it is not cancer what could it be.? My brother is 58 yrs old. Doctor: Hi, dearI have gone through your question. I can understand your concern.His PSA level is slightly high. PSA more then 4 gives chances of prostate cancer. There are other causes also. Benign prostatic hyperplasia and chronic prostatitis can also give increased PSA. Moreover Hard nodule can be due to cancer or it can be calcification in BPH. In BPH corpora amylasea also turn in to calcification so it may not be cancer.. He should monitor his PSA level and if needed go for repeat biopsy.Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
154,541
Suggest precaution after having unprotected sex
Patient: hi, my wife s period started on 30th july 2014 and today the very 6th day we had sex unprotected, though i din ejaculate inside(took out at the time of ejaculation), i wanted to know what are the chances of having preganancy, should she take unwanted72, and , she is 23 years old, and have never taken any pills like that, pleasehelp Doctor: hello dear.understand your concern.i think,you don't have to worry about pregnancy(no need to take unwanted 72).you do unprotected sex in safe period of cycle so,no chance to be pregnant if your cycle is regular.i advised ,do sex in safe period means 10 days after cycle & 10 days before cycle.in this period you have no chance to become pregnant.for more safety ,you have to use condoms,it protects you from unwanted pregnancy & also from STDs.hope this will help you.best regards.Dr.sagar
223,797
What causes chest pain and light headedness?
Patient: last week I had chest pain and felt light headed and sick to my stomach. It lasted about 5 minutes. today I seen a pain management doctor and he asked me if I knew why I have weakness on one side of my body. stroke runs in my family. could that be whats going on with me? Doctor: Thanks for your question on HCM.In my opinion you should consult neurophysician and get done1. Clinical examination of central nervous system.2. MRI brain.You are having following risk factors for stroke.1. Light headed ness.2. Positive Family history of stroke 3. One sided weakness in the body.So consult neurophysician first and rule out stroke.In stroke management, early diagnosis and treatment is the key in recovery.So first rule out stroke for your symptoms.
80,987
What causes inflammation on testicles and lower back pain?
Patient: am worried about me sexuality and the current situation how far my erection goes, the fact that i have an inflammed or shrunk testicle and now lower back pains and regular fever and weak muscles and bones and ofcourse a weak memory due to over masturbation. Please i will like to havr clues on how to reverse these pls. Doctor: Hello dear,Thank you for your contact to health care magic.I read and understand your concern. I am Dr Arun Tank answering your concern.Masturbation is never causes harm to your health.So if you are worrying because you have masturbation, I assure you that this problem has not arise because of this.But you can investigate yourself with the serum testosterone levels. This is the male hormone responsible for the overall male characteristics.If the level of the hormone is low we can say that you have problem with the sex.For pain you can do USG of the abdomen and genitalia examination. This will guide us regarding possible pathology.I will be happy to answer your further concern on bit.ly/DrArun.Thank you,Dr Arun TankInfectious diseases specialist,HCM.
199,806
Is BP reading of 134/69 a cause for concern?
Patient: My dad s blood pressure spiked recently and he had a huge bloody nose. Went to te hospital and it was crazy high can t remember the number right now. He then had it go down to 75/18 which can t be good. And now it s 134/69. Is that a good number for him to be at now? Doctor: Hello .No , The blood pressure mentioned is perfectly in normal range and it wouldn't harm your father is any way . Upper / systolic blood pressure between 120-140 and lower blood pressure between 70-90 would be a good range for your father . Also as you have recorded the blood pressure with an electronic machine +/- 5 variation is generally present . So don't worry for the same . Regards Dr Priyank Mody
25,872
What causes abdominal pain during pregnancy?
Patient: Hi DrI am 11 weeks pregnant and sometimes i get pin pricking like pain in my lower abdomen and both sides of lower abdomen as well. the pain is not harsh at all but it raises concerns for me as i already had 2 miscarriages in the past. Can u please advise if this is normal Doctor: Hi, thanks for using healthcare magicIt is understandable to be concerned.The pain may be due to round ligament pain which is common in pregnancy.This is a sharp pain in the lower abdomen that can be felt during pregnancy.It does not mean that there is any problem with the baby.If you are still concerned, you can consider visiting your doctor for reassurance.I hope this helps
89,786
What causes passing of pale stool?
Patient: My five yr old daughter has had pale faeces and upper abdominal pain for a week. The pain comes and goes and seems to appear approx half an hour after eating. She had diarrhoea one week ago and now her stools are soft and pale but no more diarrhoea....Is this just post-upset tummy from last week? Or should I be more concerned re; diet issues and malabsorption of fats..? Doctor: Hello, thank you for posting in healthcare Magic. Pale faeces as you have said, can come from a problem of malabsorption, but can also indicate cholestasis which is a problem in the movement of bile (which gives the colour to faeces) from the liver to the gut. Does she also have very yellow coloured urine, and yellowish eyes or skin? Diet issues do not make faeces pale, so that is not a cause.I would suggest you get a urine examination along with a liver function test with bilirubin, ALT/AST, GGT, albumin, and an ultrasound abdomen. Hope I have answered your question. Take care!
168,935
Suggest treatment for painful lumps on the armpit
Patient: I HAVE VERY PAINFUL LUMPS UNDER MY ARMS THAT I HAVE HAD OVER 2 YEARS NOW THEY ARE FULL OF PUSS BUT SOMETIMES THEY DONT POP AND I CAN NOT GET THEM TO GO AWAY. IT IS NOW SPREADING TO MY BREASTS AND MY INNER THIGHS AND I DONT KNOW WHAT TO DO ANYMORE I CAN NOT STAND THE PAIN AND IT IS VERY EMBARRASSING. I HAVE TRIED ALL KINDS OF ANTIBIOTICS AND I WASH EVERYDAY WITH HEPICLEANSE I AM LOST AND WISH I COULD GET SOME ANSWERS Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be hidradenitis suppurativa. these lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. hair follicles get infected. inflammation and subsequent abscess formation occur. medical (proper antibiotic regimen) and surgical (excision or incision and drainage) management will be directed accordingly.hope this helps.good day!!~dr.kaye
61,833
Suggest treatment for kidney stones
Patient: Dear sir/ madam, My father underwent laser treatment for kidney stone problems. After the operation my father has lost hearing in right ear.But already before 20 yrs hearing has lost in left ear. we have admitted to ENT hOSPITAL for treatment, but there were no improvement. Kindly suggest the treatment in ayurveda to recover hear email : YYYY@YYYY Doctor: Hi and welcome to HCM.Most small stones in patients with relatively mild hydronephrosis can be treated with observation and acetaminophen. More serious cases with intractable pain may require drainage with a stent or percutaneous nephrostomy. Treatment of nephrolithiasis involves emergency management of renal (ureteral) colic, including surgical interventions where indicated, and medical therapy for stone disease. In emergency settings where concern exists about possible renal failure, the focus of treatment should be on correcting dehydration, treating urinary infections and preventing scarring.Kindly regards. Wish you a good health.
46,386
What are the symptoms of potential pregnancy?
Patient: February 19th was my last normal period. then i moved in with my boyfriend on February 27th. we had sex all from that day until about March 4th, he got off in me and i had an orgasm quit a few times as well as him getting off in me. Then i started bleeding about March 7th and it only lasted about 2 or 3 days. and it was nothing like my normal periods at all. my periods are normally about 6 or 7 days. it was really dark at first and light. then lasted 20 minutes, then the next morning it started back up again and it was dark still but with some pinkish red in it, and then it had a little more blood but not a lot to fill a pad. but i wasn t suppose to start my period until around March 19th which i didn t never start that.On march 11th something bad happened and i was under a lot of stress. But i had already ovulated around the time i was suppose to which was march2nd-march7th. then i thought since i was bleeding beginning of march that i would start around the beginning of April but i haven t started yet. i took a pregnancy test like 2 weeks ago but it said negative. =(. but i still just feel like i could be pregnant. and plus no period still. so ill wait until next week and if no period still then I m going to the hospital to find out why I m not starting my period if I m not pregnant. but i hope they will tell me that I m pregnant. we re really hoping I m pregnant. but if not then we re TTC ASAP and going to keep trying. But i know that stress can cause your period to be late, but people have told me its only caused to be late from stress if also the women ovulated late. because i read that when a women ovulates late then period will be late because there s no menstrual cycle to pass through. but that it the women had already ovulated and then got stress then only stress its self can t make woman s period late if they have already ovulated. So does anyone think I could be pregnant? please give me advise. and me and my boyfriend are hoping I m pregnant. Doctor: HI, Thanks for the query. I understand your concern. You have very sleek chance of conception.. because of the sex on 4th of March.. & sperms can be active up to 3 days after ejaculation. The bleeding you had on 7th was probably ovulation bleeding. In that case pregnancy test should be positive by end of March ( with home pregnancy test. ) / by 3rd week of march by blood pregnancy HCG test . You should go for the test at proper time for exact results. Absent +ve test would signal at some problem with menses cycle,( in case it remains irregular for a couple of months ) it needs to be treated under Gynecologist's guidance. Thanks. Thanks.
219,309
How to remove large hard lump on top of head?
Patient: I have a large hard lump on top of my head with two deep dents on either side..not painful at all..I seem to have noticed it over the last few months. I did fall on my head quite heavily about 15 months ago..it did not cause me any problems as my shoulder was more painful.please advise. Doctor: HI,Welcome to HCM.I studied your query.I understood Your health concerns.Based on the facts of your query,you seems to suffer from Fibrosed Hematoma with 2 dents on side of it,which could be calcified knots from small accompanied hematomas besides it.FNAC biopsy with USG n CT scan if need be,to rule out any other causes would be needed in your case.As the facts are very scanty,I would also suggest you to take Second opinion from Surgeon,to rule out other causes which would cause such symptom/complaints,after physical/clinical examination.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!! Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
62,219
How to avoid low hemoglobin count?
Patient: Hi, I'm a 39 yo women from Malaysia. My height is 169cm & weigh 78kgs. Recently I was diagnose with low HB count at only 5.5. I was told to undergo blood transfusion immediately. After given 3pints of blood, basically I'm ok now with lesser heart palpitation. What shall I do to maintain the HB besides taking iron tablets as prescribed by the doctor. Second question is, I'm also planning to get a 2nd baby and recently my gynae prescribed me some fertility pills. How will the blood transfusion affect the baby if I'm conceive within these period, which may be like in 1-2weeks time. Doctor: Hello ,I understand your concern. I am Dr. Arun Tank, infectious disease specialist, answering your concern.Taking iron tablet is the heart of all anemia treatment. you can eat high iron diet, like wheat, dats, etc. Regular exercise in early morning also helps improving the hemoglobins.you should not plan for second baby untill you get your hemoglobin level near normal. Blood transfusion adds more of antibodies in your system. Antibodies increases chance of RhO antigen incompatibility.Glad to answer your further concern contact me on bit.ly/DrArunWe wish you a best health at healthcare magic. Thank you,Dr. Arun Tank
116,083
Are creatinine level and urea level related?
Patient: my mother is 62 year old, diabetic for 25 years, her creatinine is 5.7 and urea is 120. we observe that when creatinine level comes down, her urea level also drops. are these two related ? is dialysis essential ? she is normal and carries her routine activities Doctor: Hello,Yes urea and creatinine levels are related.Both of them are waste products of protein degradation occuring in body.They both are excreted by kidney. So if kidney is not functioning properly, then the levels of creatinine and urea goes above normal levels.That is why we check serum creatinine and urea to indirectly see the functioning of kidney. Normally creatinine should be around 1.0 and urea below 45.She might need dialysis if the levels keep on going higher because if it goes higher it affects functioning of brain, kidney and lungs.So, if you are advised dialysis by your doctor, its advisable to undergo the procedure. Thank you
47,753
Suggest treatment for Sjogrens syndrome
Patient: Hi my name is Nancy. I was diagnosed in 1998 with fibromyalgia. Over those 16 years I have had 2 lumbar back surgeries due to disc deterioration and now need neck surgery. I also had bladder lift and reticele surgery in 2008. I was diagnosed with Sjogren s Syndrome in 2011. Here are the symptoms since that time: eye dry and blurry especially upon waking, tingling and pain in legs and arms, confusion and memory loss, extreme fatigue, insomnia, clumsiness, balance problems, weakness, itching, burning sensations, bladder problems such as emptying and incontinence, severe constipation, muscle spasms in legs, stiffness, very low sexual drive, tremors in hands, etc. Doctor: Brief Answer:The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms. You should have a regular follow-up with your dentist, oftalmologyst, and rheumatologist.Detailed Answer:Hello,Thank you for using HCM.The treatment of Sjogren syndrome, is complex as the disease is manifested with a wide range of symptoms.First you need to use artificial tears, ophtalmic lubricating ointments, or local cyclosporine drops to avoid eyes drying. You should avoid some medications (with anticolinergic effects), such as phenotiazine, three cyclic anti depressive drugs, anti Parkinson drugs, antispazmolytics (buscopan), etc. You should avoid smoking.You may use Pilocarpine for your dry mouth. You should drink water frequently during the day, or other beverages, except sweety ones to avoid caries. You should have a regular follow-up with your dentist and oftalmologyst.You can use hydroxycloroquine (Rutor) 200 mg per day, which may help you with myalgias and arthralgias.As you have begin to have bladder problems (extraglandular manifestations), you may need a more specific treatment such as glucocorticoids, or imunosuppressors.You should discuss this with your treating doctor about the dosage, and the follow up plan.Hope this is helpful.Let me know if you need more clarifications. Otherwise please close and rate the answer.Kind Regards, Dr. Juarda
132,674
Should I be worried for left sided weakness/numbness during heavier aerobic activities after a febrile seizure?
Patient: A MRI last week showed: A single nonspecific focus of subcortical T2 hyperintensities noted in the posterior left frontal region , and is viewed as normal . I have a condition since 2003 called bilateral endolymphatic hydrops , as a result of a MVA (and the dizziness and balance problems have worsened in the last 6 months). From 1984 to about 1989 or so I had left sided weakness/numbness after a febrile seizure on the left side in 1984. Tests were done for MS during those years, negative. Only have reminders of those symptoms with heavier aerobic activities (i.e. swimming or running). Otherwise normal. I m glad the test is normal and don t want more tests. But is there anything else I should know or watch for in the future with the above information. Doctor: Hi,Thank you for posting your query.I have noted your case history and would like to reassure you that there is no need to worry about them now. We do not expect any problems in future too on account of your past illness.Febrile seizures typically appear until the age of 6 and do not occur after that, as part of its definition.It is common after seizures to get numbness or weakness after seizures, a condition called as Todd's paresis. It has no serious consequences. Your MRI of brain is also within normal limits.I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.Wishing you good health,Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)Senior Consultant NeurologistApollo Hospitals, Hyderabad, IndiaClick on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumarMy BLOG: http://bestneurodoctor.blogspot.in
148,117
What does a lump behind the knee indicate?
Patient: I have found a lump on the back of my leg just above the knee area. It feels deep and not at surface level. It is not quite an egg size but it surprised me with how big it is. Just hurts when I run my hand over or press. Any ideas? I did not feel a bite or strain my leg in any way. Doctor: Hello Dear Warm welcome to Healthcare magic I have evaluated your query thoroughly. * This is a popliteal cyst most likely behind the knee , must get confirmation. * Do physical examination or ultrasound examination for further management guidelines . Hope this clears your doubt. Wishing you fine recovery. Welcome for any further assistance. Regards Take Care Dr. Bhagyesh ( MS , FMAS - consultant surgeon )
61,080
Suggest treatment for knee pain
Patient: Severe knee pain. Front of the knee and to the right. Was in the backyard when I heard a pop and immediate pain after. Went to a Dr. got an X-ray that didn t show anything. Was told to stay off it for a week, no work. Did that. Went back to work this s morning. Very painful day. As long as I am off it it doesn t hurt. As soon as I am on it for any length of time the pain gets to be unbearable. Barely made it through today. It is ok now that I am off it again Doctor: Hello, I have studied your case.As per your history there is possibility of soft tissue injury in knee.Most commonly meniscus injury occurs. And MRI may miss meniscus tear,diagnostic arthroscopy can help and cure the problem.As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion .Small meniscus tear can be managed conservatively with physiotherapy with USG andTENS.Meniscus injury can be managed by arthroscopic repair,and same day you can go home.Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
128,042
How should arachnoid cysts in the brain causing tremors be treated?
Patient: I have had an arachnoid cyst on the left side of my brain for about 6 years. There is a hole there as well. Just had an MRI and now I also have an arachnoid cyst on the right side. What s going on? What should I do? What should I expect? I do have tremors and have depression. Recently diagnosed with diabetes. I am 74 yr old woman. Doctor: Hello, I have gone through your question and understand your concern.Arachnoid cysts are common findings in MRI and considered incidental, generally not responsible for any symptoms at all.The tremor you are having is probably an essential type of tremor and not related to the arachnoid cyst, nor does the depression has anything to do with it.Thus, the arachnoid cyst does not need any treatment.Hope this answers your question, I wish you good health.
146,232
Is nose bleed in a toddler a matter of concern?
Patient: My 2 year old has had a nose bleed almost every day for 2 weeks also developed a rash I believe to be eczema or heat rash and he also suffers asthma attack’s but hasn’t had one lately however this week I’ve had to buy piriton as he had been dealing with hay fever symptoms. Is he just really unlucky to have all of these allergies and should I be worried about the nose bleeds? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. For nose bleed when it bleeds hold baby in sitting head stooping forward and pinching the nose or apply ice or cold water externally on node. It will control bleeding. For finding cause of nose bleed more detailed history and physical exam is needed. Sometimes it can occur with cold cough or nose picking habits especially in children with allergies. Generally allergies get worse with allergen exposure. Keep bed sheets and Pillow cover clean or you can wrap it in plastic so that the dust doesn't come out when child sleep. Wash curtains at least once in 2 weeks. Keep dust and smoke exposure as less as possible. Do pest control. Keep dogs, cats and pet out of house. Hope I have answered your query. Let me know if I can assist you further.
162,746
Suggest treatment for liver and stomach cancer
Patient: hi my sister has bowel,lung liver and stomach cancer is 50 years old has gone on driver last thursday and was taken in st johns hospice on monday she apeared her usual witty self but day after being in there she has been drifting in and out of sleep her life expectancy was 6 months but that was up in january Doctor: Hi, dearI have gone through your question. I can understand your concern.She has bowel, lung liver and stomach cancer. Treatment is very difficult with multiple cancers. She may have multiple metastatic cancers. So its late stage disease and no treatment will cure the disease. Only symptomatic treatment and palliative treatment is given. Chemotherapy and radiotherapy is given to control the disease. Despite of all treatments prognosis remain poor.Life expectancy is very low. It is very difficult to say exactly about life expectancy. Consult your doctor and plan accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
154,293
How can ischemia with breathing problems be treated?
Patient: i am suffering from breething from past 30 years i met dr krishnan he told that i am diabtic and finally told stress positive for icshmeia at adequate workload in 2008 and in 2009 dr hareshkumar of moorthys hospital told the same after TMT i am poor aged 63 years unable to spend more Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Positive TMT report is suggestive of coronary artery disease (CAD).Diabetics are more prone for CAD. So you have to undergo angiography to identify severity of CAD. Based on the this, you will need either angioplasty or bypass surgery. I know these are costly procedures. Yoi can consult government setup or satya Sai heart institute in Bangalore whereas they perform such procedures free of charge. Strict control of diabetes is also needed. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
72,768
Can staph capitis be caused by Stryker Trident hip implant?
Patient: I had a stryker trident hip implant in dec. of 2004. I had to have it replaced in oct. of 2013. within a week of that surgery I developed a lump on the incision cite. blood test revealed a slight elavation in infection levels. finally the lump was asperated in early april 2014. I had a staph capitis infection and had to have a spacer surgery. My question is--stryker was told by the FDA that their manufacturing facilites were contaminated. Could the original stryker implant have been contaminated w/staph capitis at the facilities and finally became active when the stryker hip implant was removed? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion they sterilise the implant before It is supplied for use. So allay the worry of contaminated implant.There is possibility that at the time of operation it gets invaded in surgical site. Also there is possibility that you are carrier of the staphylococcus aureus and so you are infected with it.Maintaining the good hygiene will reduce the chance of infection. So if proper hygiene is not maintained it will surely causes infection.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
37,223
What causes red, lumpy rashes around nose and mouth?
Patient: My daughter who is 11 years old has developed a red lumpy rash around her nose and mouth area. We have used paw paw cream which didnt help. We have consulted a pharmacist who suggested Phisohex for 1 week which also hasn't helped. We have since taken her to the doctor who prescribed Finacea which has calmed the redness but the lumpy rash is still persisting. She has been using this for over a week. Do you have any suggestions.Thanks, Tracey Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
170,386
Low O2 in elderly man being treated for upper UTI
Patient: Dad is 90, mid-stageAlz, on 6th day of Ceftin 500 mg for upper UTI (heisting for 16 years). Out of it this a.m. No fever but O2 at 74% BP 89/62 sitting. Then at 3 pm he gets up from nap & is just fine & normal. This is 5th upper UTI in 6 months - urologist cannot find reason. Low O2 scary today. He is DNR & no extraordinary procedures. What to do? Doctor: THanks for the query O2 of 74% is def a concern. I suggest ECHO and an exray. He might require admission as well. It very hard to assess the person over the pc. Please take him to a doctor Have a healthy living
51,844
What is the remedy for chest pain?
Patient: HI Doctor, I,m having some chest pain since a month, I visited a doctor and took ecg,and ultrasound . Doctor gave me panadol joint, arcoxia and Nexium. chest painn has almost gone , but I,m still feeling some pain in my left side chest. can you please let me know what to do Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Possibility of musculoskeletal pain is more. And your doctor prescribed you painkiller only. You improved with these drugs, so musculoskeletal pain is more likely in your case. So along with painkiller drugs, do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Apply warm water pad on affected areas. 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.
77,547
Suggest remedy for lump on artery
Patient: a couple of months ago i went to my gp andvsaid i had a lump in my neck and i had an ear ache. he gave me anti biotics for seven days. i then started to have chest pains and shoulder pains and my neck was inflammed. i went to the walk in emergency and he sent me to ent ward . as the lump was on the main artery. my blood pressure was up and my ecg was irregular. he gave me another course of anti biotic which took the swelling down but the lump had got bigger. i went to ent today and they stated it was not a lymph node and could not do a biopsy because of it being on the artery. i am waiting for a ct scan and seeing the radioologist Doctor: Hi, Thanks for query to My HCM virtual Clinic And welcome to HCM services.I studied all details of your query.I understood your health concerns about remedy of a lump on artery in the neck.Based on facts of your query,it seems that-you have a lump of infective origin with your earache.Due to its weird progress,many causes need to be worked up. Ent Surgeon has already asked a CT Scan.Second course with changed antibiotic controlled its swelling but the lump got bigger.In such a scenario I Would suggest Second Opinion from another ENT Surgeon in the meanwhile.In my opinion-this could be Branchial Cleft lump of first/or atypical second branchial cleft/ or could be hidden Cystic Hygroma with Infection.The association of the earache,increases its possibility of being First Branchial Cleft which extends to external auditory canal.But its relation with the carotid artery needs to be confirmed as,in that case Second Branchial Cyst possibility increases.These are congenital anomalies due to embryological defects in the closure of the clefts.Remedy-Conservative approach is preferred due to the proximity with carotid bifurcation.Surgery does not guarantee recurrence and hence Conservation is to be preferred.Hope this reply would help you in resolving this complex query and anxiety with it. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at HCM.Welcome for any further query in this regards.Good Day!!Dr.Savaskar M.N.M.S.Genl- CVTS.Senior Surgical Specialist.
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