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How to treat porous cheek rashes?
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Patient: Hello Doctor, My name is Bobby D. I am 20 months old and have very fair (white) skin. I have light orange blotchy skin on each cheek (face). I have the the blotch that is a bit porous and 3/4 inch on my left cheek for about for about 10 days and 2 or 3 days on my right cheek, but smaller. It is not itchy and not red, but maybe some kind of rash or skin conditiion. It is not on other parts of my body. Thank you, Bob Dyken Doctor: Hi Dear,Understanding your concern.As per your query you have porous skin rashes. I would suggest you to wash your face with mild soap and cold water. Apply cold compresses to affected area. Do skin exfoliation twice weekly. Apply coconut oil on rashes. If condition doesn't improve or get exaggerated then consult dermatologist for proper examination and start treatment accordingly. Drink plenty of water.Hope your concern has been resolved.Best Wishes,Dr. Harry Maheshwari
| 12,729 |
Suggest treatment for gas problem in baby
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Patient: My 7 month old baby since starting solids seems to have an excessive amount of wind. She is breastfed and never had any other issues such as reflux etc, and was not colicky as a younger baby. She now wakes with stomach aches and passes a great deal of wind. Her bowel motions are also very smelly. Have used simethicone (infacol) drops which don t appear to make a great deal of difference. Eliminating certain foods (dairy etc) has made little difference thus far. Any suggestions would be appreciated!1 Doctor: Hi...Thank you for consulting in Health Care magic.This is called evening colic and is quite common in this age group. This happens when the baby sucks at the breast very fast and in eagerness to drink milk will gulp in air too. Unless the air comes out like burping or flatus this discomfort will be there and next time check if the baby is sucking too fast and gulping in air too. You will be more convinced. Usually I don't advice any medicines for this as they give only temporary relief.The two best ways to relieve this distress is - 1. Do not put the baby in lying position after feeding till the baby burps out the swallowed air.2. If still crying - put the baby in prone position and keep patting the back gently so that the baby passes off the flatus and gets relieved.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 168,248 |
What causes stomach pain, skin coldness and discomfort?
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Patient: Hi, My 3 yr old son has been complaing about stomach pains for a few days, he s been eating ok and has opened his bowls twice today. He s been sleeping for a few hours, and just got up crying with stomach pain, his skin feels cold. He s seems to be in discomfort. What could this be? Doctor: Hi...this could be a worm infestation too. It is very common in this age group. Chillness of the body might be due to ambient temperature. If he is passing urine well and active you need not worry. You can use dewormitizer and see the result.Regards - Dr. Sumanth
| 177,293 |
What happens in Liver abscess type B ?
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Patient: yes! i really to know all about Liver abscess type B. thank Doctor: Thanks for the query I think u meant, Hepatitis type b, or rather hepatitis B. WHich is a more severe form of hepatitis but most of the times self limiting. It is transmitted through blood, body fluids including saliva but not urine and feces. Vaccination is available. Treatment is given only in forms where the viral load is high. Have a healthy living
| 60,384 |
What causes soreness in shoulder followed by lump in the area?
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Patient: I have been under some stress this week. Yesterday I was having some soreness in my left shoulder area. Today I seem to have a lump in the area of my bra strap and it is very tender. Could it be a blood clot. My blood presurre is 116/64 cholesteral is within limits? Doctor: Hi,Dear,Thanks for your query to HCM. Studied your query in full depth of its details.Reviewed it in context of your health concerns. Based on the facts of your query,You with stressed shoulder, seems to suffer from-friction induced bruised lump inline of the bra strap. Take care with your doctor,before it complicates in to infected swelling leading to abscess. Possibility of blood clot is very less,as its in tender stage after the friction,suggesting acute inflammation with ? local infection at the frictioned area. Hope this reply would satisfy you and would help you to plan further treatmentwith your doctor there. Welcome any further query in this regard,which would be replied in next session. Will appreciate YOU,to write your excellent review feedback comments of this service experience, to help the needy patient visitors like YOU, at HCM services. Good Day!! Dr.Savaskar M.N. Senior Surgical Specialist M.S.Genl-CVTS
| 62,247 |
Awaiting PAP results for recurrent abdominal pain, have history of Prolapse repair. What could this be?
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Patient: Hi, i am 36 and have been having a recurring abdominal pain for over a year. The pain is quite severe and can spread to lower back and left side. I am feeling very tired and have also noticed a blonde downy hair over my face and neck (i have dark brown hair) the pain comes and goes. My labia has also gone very dark, almost black in colour. I am normal healthy and take no medication but did have a front and rear prolapse repair along with the cervix 5years ago after having my only child. I have seen a gynaecologist who said the repair is still in place and have no urine infection. I am also waiting results of a smear, my doctor is not concerned but i know something is wrong. Doctor: hi thereplease be patientif your dr is convinced all is okjust wait for the reports to arrivehaving said that it could definitely be an infectioni would suggest you have a urine routine and urine culture testedand get a ultrasound of abdomen while we wait for the testsi would also like to know your fasting sugars and cortisol levelskindly bear with me because i cannot give you a direct answer without investigations. for all that it matters, your kind of pain can be explained by constipation. so you see abdominal pain has a vast ddlet me know the reportsdr.saumyamittal@gmail.com
| 92,474 |
Can birth control implants cause thyroid problems?
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Patient: HI, I just found out that my thyroid level is at a 42... or hypothyroid problems. I have had implanon birth control for 1 and a half years now and have been reading online to find that many women in this medication experience what I am going through right now. Should I get it removed or ask my doctor about it at my apt next week? Doctor: HIWell come to HCMI really appreciate your concern, Intra uterine device and thyroid dysfunction are complete different condition and nothing to take anything with each other, unless you have some clinical complaint due to IUD then this can be removed else this is no need to removed, hope this information helps take care and have a nice day.
| 224,225 |
Lung congestion, eye congestion, allergies. Having runny nose. Cause for constant nasal congestion?
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Patient: hello ive been experiencing lung congestion, in bed at nigt and also when i work... ive always had eye congestion and some allergies to cats and the like,also dust and pennecilln.airborne mold spores mildew and jsut plain old dust get me too. so thats all been fairly ok but ive had a runny nose for over a year.... i also have epilipsy and a few sezuires a year, takid 300 mg of dilantin a day for ten years. ive been doin some research about a connection to constant nasal congestion and parasites, i dont know what else coulsd cause constant nasal congestion Doctor: HI, the symptoms described show clearly that there is an atopic milieu (meaning, hypersensitivity of ALLERGY). Eyes discharge and itching constitutes allergic rhinoconjonctivities. Respiratory symptoms also fall into this allergic table. It would be important to know whether there is any family history of allergy of asthma. Doing a serum Immunoglobulin E and complete blood counts to search for increased eosonophils could be important. getting a chest X ray and peak flow to access the asthma state. Treatment ranges from local anti histamines and steroids. Systemic steroids and anthistamines could also be used and the treatment could go for a year or two depending on the response. Other conditions that need being excluded are aspergillosis. Consulting a pneumologist for a proper evaluation and treatment could e very important. thanks and best regards, Luchuo, MD.
| 104,674 |
What are the reasons for an enlarged heart?
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Patient: my husband is 42 and has an enlarged heart and his doctor told him that they are going to put him on the heart transplant list just as a precation and if and when a heart becomes available depending on how he is doing they will either do the transplant surgery or cancel if he is doing well. What are the causes of this? I read that sleep apnea may have caused the a-fib but how about the enlarged heart? And does anyone really know one's live expectancy. Doctor: hello, Common causes include coronary artery disease leading to blockages and dilated cardiomyopathy(DCMP). I guess coronary angiography must have been done and if not it should be down to rule out blockages. Life expectancy depends upon the heart function called as ejection fraction. Normally it's 55-60% and if it's too low like 10-15% then may not have very long life except heart transplant. Otherwise can be fair. He should on med to prevent further deterioration and if ef < 35% then he ll also need ICD device. So you can discuss all these issues with your cardiologist.
| 22,043 |
Have low blood sugar level. Feeling dizzy and sick. No medication as of now. What is the cure?
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Patient: I shot method that someone had madeup in there top drawer for 2 days. Ten minutes after i done it my eyes started going sideways and i hit.the.floor couldnt look up or walk i puked for 3 days scared to go to Er but 4th day ambulance came n got.me they said only thing they find is low blood sugar feed me n realeased me i still get real dizzy n feel sick if i walk far or fast what is it? Doctor: Hi Thanks for using Health Care Magic Forum, There is no need to be panic. You have recovered from hypoglycemic attacks , Remember Do not Go in to hypoglysemic/hyperglysemic Level in future too. My Advise is to purchace a portable Blood Glucometer as they are cheap nowadays and it could save your life. It is not adviced to take Sugar during this attack without noting Blood sugar level. Therefore Kindly do simple test before suffering from attack as it prevent low blood sugar level. Take Healthy diet and Check for Hemoglobin to prevent giddiness due to anemia. Consult doctor for every 3months and be free of disease. I Hope I Provided Useful Information. Do ask Furthur Questions to help You get well soon. Regards Dr.J.Kingson John David
| 119,089 |
What can be the reason for heart catch?
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Patient: I had a heart cath three weeks ago. It did bleed post op, I became very ill. the day after. I had a very large hematoma and through a ct scan they found quite alot of free air in my groin and suprapubic area. After waiting one week, I ended up in ICU, then went to emergent surgery. Can you tell me what possibly might have happened. They opened up my groin and placed a Penrose drain. I now have at least 7/10 pain and have an extremely large very ropey hard, painful lump in my groin, Doctor: it's a common side effect of cath study. large lump you must be feeling may be a hematoma and it will take some time for it to resolve. Also sometimes artery at operation site may bulge and called as pseudoaneurysm which probably happened in your case. by doing surgery they probably repaired that bulge. so you should be better after few weeks and that swelling will be absorbed. however maintain follow up as advised by local doctor.
| 23,135 |
Is practising sex during TB infection safe enough?
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Patient: My wife was diagnosed with TB in January 2011.Plural effusion had taken place for removing water from her right chest n then she was put on antibiotics for TB.She is taking medicines from last 1.5 months now.Since then we have not indulged in kissing,oral sex or penetrative sex.Is it safe to kiss n ve sex now or shud we wait for couple of months more? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your wife is having tubercular pleural effusion. It is classified as extrapulmonary tuberculosis. And so it is not infectious to you or others. Only pulmonary tuberculosis (involving lung) is infectious. So you can do kissing, sex without fear of spread of infection as your wife is having extrapulmonary TB. Hope I have solved your query. I will be happy to help you further. Wishing good health to your wife. Thanks.
| 74,454 |
What is the right medicament for anxiety?
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Patient: I need anziety meds bad i have hard attack at twenrty one an can t see my son twelver year old son an im just starting a good job inside i just have anziety so bad it feels like sombody is stepping on my chest in to my mouth. but idint knw what to to do im a hard worker an machinist but i need some anxeity meds to cope threw the day. you could reach me at316-621-1838 Thank you much Travis Cunningha WWW.WWWW.WW Doctor: HIThank for asking to HCMI really appreciate your concern looking to your history given here I could say that the best medicine for the anxiety to control your thought keep your moral value high, low down your stress level, if this fails then in my opinion better to consult the psychiatrist, hope this information helps you, take care and have good day.
| 210,644 |
Suggest treatment for cough,fever and headache
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Patient: Hello doctor , I am a 40 year old man with history of gastritis , now from the past four days I m having chills with fever and headache and cough and lots of almost yellowish green kind of phelgm and I feel like there is something stuck in my throught , also I can not eat much it comes to my throught , please help,I have taken Theraflu , Motrin and tyenol.thank you Doctor: HiThank you for writing to Health care Magic.The symptoms you have mentioned in the history indicate upper respiratory tract infection.This requires treatment by the use of antibiotics and anti-inflammatory drugs.Do consult your doctor for prescription of drugs.Hope this information is helpful to you.Please do write back to me for further questions.With regards
| 35,618 |
Suggest treatment for bumps on tonsils and tongue after treated strep infection
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Patient: Hi, about a month ago I had a double ear infection and sore throat. I was given antibiotics and after I was feeling good without any symptoms. Then about a week later I had swollen lymph nodes, tonsils and a sore throat. I went to see the doctor where she had blood drawn and did a strep test. She contacted me about a week later and told me I had Strep throat. I have finished the antibiotics almost 2 weeks now and my tonsils have gone down a bit but now i notice these clear bumps on my tonsils and under my tongue. I feel like I m going crazy and that I have cancer. Please help. Doctor: Hello and thank you for your question. I am sorry that you are having so much trouble. The clear bumps are not concerning and are probably a reaction to the infections that you have had. It would be good for you to get on some vitamins and supplements to build up your immune system and hopefully you will be able to fight off further infections. Take a multivitamin daily, add some additional vitamin C and fish oil. Eat fresh fruits and vegetables. Try to stay away from people that are coughing and sneezing. Drink lots of water and avoid alcohol and nicotine. I hope you are feeling better soon.
| 35,208 |
Suggest medications for bumps in the mouth
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Patient: I have had pain in my mouth for the past two days. it hurts to eat anything. it feels like theres cuts in my gums, my inner cheek, the roof of my mouth, and my throat has been killing me. I looked in the mirror and it looks like theres groups of white bumps in the back of my jaw. it hurts so bad! whats wrong with me Doctor: Hello, Thank you for consulting with HCM.It looks that you are having multiple aphthous ulcers in your mouth. You should start with a multivitamin capsule once daily. A topical ointment named mucopain or pansoral gel twice or thrice daily and an anesthetic mouthwash before every meal for symptomatic relief.Hope it will help you.
| 186,610 |
Suggest remedy for back pain
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Patient: my mom has segvere back pain where she can barely walk. she has not had a bm in quite a while. she can not control her bladder either. soo much pressure she says. she has urinated twice on the floor? she has taken so many laxitives and miralax for a few days now and still isn't able to go. her back is in very severe pain. on a 1-10 scale with 10 being the worst it is at a 10. Doctor: Hello, Thanks for your query.All the symptoms in your description typically suggests nerve compression at lower spine. I suggest her to have MRI scan of lumbar spine to know the exact pathology. The management protocol depends on the severity of nerve compression.Temporary pain relief can be obtained by using an appropriate analgesic or muscle relaxant ,Pregabalin & methylcobalamine supplements.Consult an spine surgeon for further workup and management.I do hope that you have found something helpful and I will be glad to answer any further query.Take care
| 110,927 |
How can stiffness and pain in the legs be treated?
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Patient: i am having continued stiffnes and pain in my leg leg/hip. It radiated from my hip down through the knee and lower leg. It feels tight throughout entire leg. i am able to walk on it however to left my leg (i am not able sit with legs cross or to lift leg up to put on a sock or tie a shoe). Along with these symptoms I have had unexplained itchiness in legs (Top of thighs, back of knees and tops of feet) I did see my family dr She ordered Hip x-rays that showed no fractures and slight narrowing in hip joints. Blood test were done: Erythrocyte Sedimentation Rate was 44 mm/mr RA Quant (CPAL) was ANA Screen (CPAL) was negative. The dr s diagnosis was that I have bursitis in my hips. I was given a cortizone injection yesterday afternoon. No follow-up. I ve been takeing Aleve daily and Aleve PM at night for the last 4 months - no relief HELP! Doctor: Hi, I wish you gave us some other important information such as your age, your sex, the duration of the symptoms, whether you have concomitant low back pain or not, whether you feel any weakness in your legs. Erythrocyte Sedimentation Rate of 44 can be normal or abnormal according to your age. Anyway, based on your provided information, it seems there are some other possibilities which are more probable than bursitis of the hip (which is actually not a common finding). I will summarize some of them for you: - A disk protrusion between the lower lumbar vertebra sometimes causes pain which is felt in the hip and the legs but not at the low back itself. One simple test is that you can lie down on the floor with both legs stretched and then raise one of your legs slowly (with extended knee), up to about 70 degrees, if you felt a pain radiating to the back of your thigh or leg, the test is positive and there's a possibility to have a lumbar disk problem (We call this test as SLR): plan: A more detailed exam and possibly a lumbosacral MRI (according to findings) - A trigger point (some sort of muscle tightening) in one or more of your hip muscles. The pain of hip trigger point can refer to the lower limb and sometimes mistaken by disk problem. Plan: A detailed exam by a neurologist, orthopedist or physiatrist then physiotherapy: if positive for trigger points you need repeated stretching of those muscles as well as some physiotherapy sessions. Dry needling ( a technique that the therapist pierces tiny needles into the muscle repeatedly) could be of great help. - Irritation or local inflammation of the soft tissues at hip region could also become problematic sometimes. This also can be diagnosed easily during your exam.: plan: a few days of rest as well as taking an anti-inflammatory medication such as Ibuprofen, Diclofenac. My Overall suggestions: 1- Provide me with the other information that I mentioned above 2- Do the SLR test that I explained earlier 3- see if there are one or more points in your hip, gluteal area or low back that are sensitive to pressure and become painful: if you have some, report them 4- If you already have taken a lumbosacral MRI or EMG test, give me the results. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Hooman Mahmoudi, Neurologist
| 125,709 |
Any suggestions for occasional few seconds of dizziness, tinnitus in a healthy 74 yr old female who is on calcium & vitamin supplements?
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Patient: Sometimes a feeling comes into my head like dizziness but things are not spinning. It only lasts for a very few seconds. It does not happen often. I am not on any medications except for Viactive (calcium) Sentrum Silver vitamins, and Alavert (allergy medicine). I am almost 74 years old. Female. Not overweight. I walk and lift weights several times a week. I am physically fit for my age. Recently I had routine checkup. My tests came back like a 40 year old. I do have a ringing in my ears or hissing but I understand that there is nothing that came be done for that. What do you suggest? Doctor: Hi and welcome to HCM, This may be due to vestibular disturbances or affected seventh nerve which will cause imbalance. Consult your ENT surgeon. Wish you speedy recoveryThanks
| 102,572 |
Suffering from acne excorice, marks all over body. Treatment options?
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Patient: Hello Sir, I am taking treatment for Acne excorice for past two years.still it did not get cured and having acne marks all over the body..At home parents looking for matches to get married , am in full tension not able to understand what to do.Can some one help me in suggeting good doctor in and also the best treament for this.. Doctor: these conditions are found in resistant cases stop all milk and diaryt products NO OILY FOODS NO MUSTRD COCONUT,ALMONDS,GROUNDNUT WALNUT OIL SOYA APPLY AMLA LOCALLY USE OLIVE FOR COOKING NIKKO SOAP NIZRAL SHAMPOO NO OINTMENTS CREAMS CAN USE MILK AND NUT FREE APPLY CLINDAC A GEL IN MORNING HISTOCAMINE AFTERTNOON AND RETINOIC ACID .25 MGM AT NIGHT IF U FEEL DRY SMALL AMT OF MOMEETASONE ON SPOTS DO FOR 3 MONTHS YOUR PROBLEM IS SOLVED
| 7,592 |
Suggest medication for tooth ache and sore jaw
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Patient: I have had a bad tooth ache all week. Thought I needed a root canal. Went to the dentist he thought maybe I had a high part on my crown and sanded a part off yesterday. Today hurts more, underneath my jaw very sore, very sensitive if I bite down. I have been taking ibuprofen, every 4 hours, still a lot of pain. I have some old pain medicine, from a previous root canal. The medicine is hydroco/apap 7.5-500 tab from 5/25/2011. It says it expires 5/25/12. Is it still effective? Should I just continue the ibuprofen? Doctor: Thanks for using Health Care Magic.Read your query.First , regarding the medicine you have asked whether to take , please do NOT take it as it is expired. Expired medicine cause more harm and reactions to your body. Continue with the ibuprofen for the pain.Second , visit your dentist and get a radiograph done of the tooth and go ahead with the root canal treatment to get a full relief from the pain.Antibiotic may be required after consultation with your dentist . Do warm saline gargling.Hope this was useful.Thanks and regards.
| 185,198 |
What causes a painful lump on the shin after an injury?
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Patient: I hit my shin bone two weeks ago. lump swelling at site of injury and blood pooling in ankle. After two weeks I still have a lump on the shin and some blood still in ankle area. I can walk or run without pain. only painful when you touch the swollen area. Id this normal healing or should I get an x-ray? Doctor: Hello,As per my surgical experience, this is hematoma formation at the injury site.Primary working guidelines are:- Ice application over the part 3 times a day.- Keep the foot elevated over 3 pillows when resting.- Prescription of anti-inflammatory and antibiotic medicines with your family doctor for better healing.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Bhagyesh V. Patel
| 60,905 |
How to cure the condition of skuliosis on the rib?
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Patient: i have a hard lump on my first rib right where it attaches to my sternum. It isn;t painful, but sometimes it hurts, sort of a aching feeling. It keeps getting bigger. I had it checked out and and a doctor said it was my skuliosis causing my rib to be higher than the other. But im 21 and i never had that lump there before . Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. I don't think it is Scoliosis. Scoliosis is related to spine, not sternum. Scoliosis is sideways protrusion of spine. So I don't think your lump near sternum is due to Scoliosis. In my opinion, you are mostly having costochondritis. It is inflammation of costal cartilage and it can cause swelling. So follow these steps for better symptomatic relief in costochondritis. 1. Avoid movements causing pain. Avoid bad postures in sleep. 2. Avoid heavyweight lifting and strenuous exercise. 3. Take anti inflammatory and painkiller drugs. 4. Apply warm water pad on affected areas. You will mostly improve with all these in 1-2 weeks. If still not improving then get done ultrasound examination of local part and CT scan to identify the cause of swelling. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 75,845 |
Can adenoids be removed in an 18 month old child?
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Patient: My 18 month old child has had ear tube surgery. But she continues to get sinus infections that clear up while on medicine and then comes back within a few days after finishing the medicine. Is 18 months to young to have her adenoids removed? Would they just do the adenoids or can they go ahead and take out the tonsils as well? Doctor: adenoidectomy is done in children with recurrent middle ear infection who are 3-4 years of age , it's effectiveness in preventing ear infections in children younger than 3 years has not been established yet . another indication for adenoidectomy is chrnoic sinusutits which generally speaking it can be relieved by the surgery .and yes most surgeons remove tonsils too .
| 167,834 |
Loss of breasts size. Was taking micronor. Should I discontinue?
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Patient: hi i was taking micronor after giving birth in all ive had 3 children can micronor make my boobs disappear i stopped taking them for about a year and now my doctor gave them back to me but i got no boobs i went from a normal size bust to nuffin theres nuffin there just a little lump with nuffin in side them could this be the pills or is it having 3 children they are not saggin put when i lean forword they just hang because theres nothing in side them is there any thing i can take or do to get them normal again Doctor: Hello. Thanks for writing to us. The birth control pills do show a different effect on the breast size. It can both increase or decrease the size of the breast. If there is a major change in the size then you can consider changing your birth control pill.I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/Dr-Rakhi-Tayal Regards, Dr. RakhiTayal drrakhitayal@gmail.com
| 226,081 |
Suggest treatment for lower back pain
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Patient: Hi I was just wondering I ve been having trouble sleeping due to my lower back hurting sometimes when I take a deep breath I get sharp pains in what seems to be my kidneys it s been sore through the day to when leaning forward ect. I ve been needed to pass urine a lot more also however it keep getting pains down my legs and also my body seems achy and lifeless could you help ? Doctor: Hi,From symptoms it seems that you might be having acute urinary tract infection giving all these symptoms.Go for routine urine check up for infection.After report go for treatment accordingly.Meanwhile take Diclophenac, paracetamol combination to get relief from pain and generalized bodyache and malaise.Take plenty of water.Ok and take care.
| 108,258 |
What to do for breathing problem?
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Patient: Hi My Mother is 57 years old and she has breathing problem i mean difficult breathing. Carried out some tests, in Renal function test Blood urea is 126 mg/dl and serum Creatinine is 2.1 mg/dl also Serum Electrolytes sodium is 118 mmol/L and Potassium is 6.9 mmol/L what i can do best plz help i am too much worried? Doctor: Thanks for your question on HCM. I can understand your mother 's situation and problem. By her reports, in my opinion she is having breathing difficulty due to renal (kidney) failure. All the reports, high urea, high creatinine, low sodium and high potassium, favour possibility of renal failure. In renal failure, ability of kidneys to excrete water and other harmful substance is reduced. So there is metabolic acidosis and fluid retention in the body. This fluid can accumulate in lungs and pleural cavity. These causes Pulmonary edema and pleural effusion respectively. Both these cause breathing difficulty. So better to consult nephrologist and start appropriate treatment for her renal failure. Hyperkalemia (high potassium) can be fatal due to cardiac side effects, so immediate treatment is required for this. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
| 80,219 |
Is taking hydromorphone safe for acute pancreatitis?
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Patient: May 27 2014.After a week in hospital with acute pancreatitis (11 visits in 2013) the attending doctor suggested that we try treating the attacks at home using hydromorphone IR, rather going to emergency and then being admitted.Our pharmacist has advised us that this drug is no longer produced; is this correct? Alan Cullum Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist. Hydromorphine is an opoid analgesic and has a very high addiction rate.Recurrent acute pancreatitis has many causes like alcohol intake, gallstone, abnormality in pancreatic duct. So first these causes should be ruled out. If you take alcohol then stop it, gallbladder surgery if there is gallstone etc.Even if no cause is found as it may be possible in around 30% of the acute pancreatitis then pain can be controlled in most patientss with tramadol and paracetamol only. I dont think there is any need of hydromorphine to control it.Moreover get CECT abdomen to see whether there are changes of chronic pancreatitis or not. If it is there then visit a Surgeon for managementI hope I have answered your query and this will help you . Wish you a good health
| 55,376 |
What causes pain around gallbladder area?
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Patient: I have a stabbing feeling approx where my gallbladder is. It hurts more when I breath in and it comes and goes. It has also sent pain down to my right testicle that almost puts me to my knees. I can pinpoint the pain and have an ultra sound, blood test, and urine test and everything looks normal is what I am being told. It will shoot to my lower right side of my back. Seen doctors and no one says anything is wrong but the pain can be unbarable at times. I have not had a good stool since the notice of the pain. Need advise t take to a doctor, something is not right. Thank you Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have cholycystitis or some intestinal colic or some muscular pain. You should go for repeat ultrasound abdomen once. Many a times cholycystitis is not diagnosed in early ultrasound. You should take dicylcomine and and aceclofenac tablet for pain relief.First we have to search the cause and then specific treatment should be taken.Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer.Thanks for using health care magic. Wish you a very good health.
| 55,350 |
How long would it take for me to find out if I m pregnant?
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Patient: I ve been off of the depo povera shot for about a month. I ve had some irregular spotting and some abdominal pain. It s been about two weeks after intercourse. My breast have been a bit tender and a off whitish/clear substance came from my breast. I took an at home pregnancy test and it came back negative. I wanted to know how long would it take for me to find out if I m pregnant? Doctor: Hallow Dear,Breast secretions during pregnancy start usually 2 weeks after the missed period. I would advise you to wait till you miss your period. If you miss it, then also carry out urine pregnancy test after 8-10 days, that too on overnight first morning urine sample. Done earlier, these tests may give false negative results. Alternatively, you may go for Beta hCG test which gives reliable results even few days before missing period. The possibility of post Depo Provera irregularity and spotting should be kept in mind, however should not be presumed. If your pregnancy tests are negative, you are not pregnant. Then you have got two opions: 1. Wait for the periods to appear naturally. or2. Take Tab. Deveri for 5 days. 4-7 days after discontinuing them, you will get withdrawal bleeding. The choice is up to you. I hope this helps you.Dr. Nishikant Shrotri
| 220,592 |
What causes cold hands, sensitive skin, tiredness and sore muscles?
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Patient: My husband is suffering with cold hands , no energy, weak and sore muscles. his skin is very sensitive. He is a diabetic ..Over a year ago he had four teeth pulled and hasn t seemed to bounce back after that .What can I do for all of the symptoms he has ? Doctor: Hello!Thank you for asking on HCM! His symptoms may be related to an autonomic neuropathy or another metabolic disorder besides diabetes. Chronic anemia, thyroid gland or adrenal gland dysfunction can mimic a similar clinical scenario. I recommend performing a routine blood test for anemia or inflammation, blood electrolytes, HbA1c to see if it is a well treated diabetes, thyroid hormone levels, cortisol plasma levels. A nerve conduction study may be necessary to exclude a motor and sensory neuropathy. Hope to have been helpful!Greetings! Dr. Iliri
| 144,902 |
Does biting inside of cheek cause swelling and lump?
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Patient: Hi, My 8 year old son had bonding put on his upper molars on Mon. He apparently bit his cheek creating a holes before the Novocaine wore off. His cheeks swelled up and he complains of the pain. It is now Thurs. night and his cheeks are still swollen. I gently rubbed my palm on the outside of his cheek and I can feel a hard lump where he bit. On the inside of his cheek where he bit, I can see white. I have been giving him ibruprophen as well as rubbing orasol liquid on the wound. Is it normal to feel a hard lump and be noticeably swollen? Or, could this be infected from the open wound? How long does it take for such a wound to heel and the swelling to go down? I plan on calling the dentist tomorrow, I am just looking for a potential answer tonight. Thanks Doctor: Thanks for your query, I have gone through your query.The swelling could be secondary to the trauma caused by the cheek bite or it can be super imposed tooth infection leading to cellulitis. Consult a oral physician and get it ruled out. Do not rub or apply pressure over the swelling, becaue it worsens the swelling. If i am your treating doctor, I would have suggested you to take a course of antibiotics like amoxicillin 250mg tid (if you are not allergic) and an analgesic like ibuprofen. For the wound you can take topical anesthetic and analgesics like anabel gel. apply 3-4 times daily before food.The swelling will come down in 2-3 days.I hope my answer will help you, take care.
| 183,787 |
What causes pain in back and legs after taking HCG drops?
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Patient: I just started taking hCG DROPS. and I'm experiencing weird pain in my back and legs. Not sure if it has anything to do with the hcg drops. It might have started prior to me taking the drops but seems to be worse. But that could be what was happening anyway. I've been on the drops for only 5 days. Doctor: Thank you for writing to us, Brief Answer-headaches for the first couple days and leg cramps.Detailed Answer-HCG drops has these side effects like headaches for the first couple days and leg cramps.Both of these effects are from the low calorie diet and your body detoxing and can be fixed easily.First, for the headache that’s just your body detoxing from all the bad food that you have been eating before the diet. It is leaving your body because you are drinking so much water and your body is feeding off of your stored fat which has these bad chemicals stored in your body. But don’t worry, it only last a day or two and you can take a headache medication to help with any discomfort.Now onto the leg cramps. Leg cramps are common while on the diet and that’s from a lack of potassium. You can’t eat bananas while on the diet so in order to fix this you take a simple potassium supplement and that always solves the problem.
| 110,507 |
What are the side effects of dioxin exposure?
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Patient: I have been exposed to dioxin daily for a year in 1970 to 1971 from agent orange. 1997 to 2000, problems started. Now 62, 5'10", 260lbs and have hypertension, hypothyroid from Graves treatment, Diabetes Mellitus type2, sinusitis, headaches, apnea, skin rash. I have info from board certified doctors that agent orange (dioxin) can cause DM2, Hypertension and Graves. Does it really? Is this true and Could it also cause headaches , sinus problems and apnea? Doctor: HIWell come to HCMI really appreciate your concern, no medicine could cause the diabetes and thyroid disease because this is endocrine system dysfunction and not due to any drugs neither such drug could cause any sinusitis the reason for that all could be something else, hope this information helps.
| 98,804 |
What causes pain in gum?
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Patient: Hi i'm 25 year old female. I've started to have gum/teeth pain since November on my right side of my face....upper and lower gums. I wear braces and by the time i got an appointment with the orthodontist he's telling me that he can't do anything until i take the braces off and see from then. the only problem is that he can see me in 2 months! (end of March) i can't take the pain....i wen to the emergeny room today to see if they can take them off for me but they don't. the pain is getting worse and worse, can't sleep and the only thing that seems to dull the pain is if i swish some water in my mouth. My orthodontist said that there might a tooth that has a "dying nerve"? and first signs of gum disease. I'm lost what can i do!? please help Doctor: Hi! Greetings to you. It seems you are at an active orthodontic treatment process. During active treatment the teeth move slowly and at the same time the bone remodels itself to the new teeth position. At this time you'll have a mild to moderate gnawing pain since the teeth are pulled by the appliance to a new position which is NORMAL as the pain would decrease in a few days from activation which can be relieved by an ibuprofen. Please stay calm and there is nothing to worry.. :-)Meanwhile it is important to keep your teeth and gums free of deposits as it might lead to gum disease as well if not maintained properly as your orthodontist said.So kindly bear with the little pain to gain a beautiful and impressive smile.. :-)
| 183,046 |
What causes recurring red circle with itching after bitten by beetle?
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Patient: I got bit by a Japanese beetle aprox,10 years ago.on my leg.there appeared a quarter size circle that was red and itched awful.it stayed there for 2 years then one day just went away.now it is reappearing in the same exact place on my leg and itches and is red.do you know why this is? and does this sound normal for a Japanese beetle bite.p.s. I tested negative for lime disease Doctor: Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.It is suggestive of infection to you. The bites are infected and so red circle is started. I advice you to take polysporin cream over it. Also take cetrizine and paracetamol cream as and when required for itching and fever.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.
| 37,452 |
Have hallucinations in the morning. Taking cymbalta and metoprol. Seeing things in detail which are not real. Need help
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Patient: Hi, I have morning (upon wakening) hallucinations. I take Cymbalta 90mg. and Metoprol 25,mg BID. I have been taking these medications for quite a while and never had these hallucinations before. They happen everymorning upon wakening and seem to be circular in shape. A circle of bees a round spider or crab. All kinds of random things. And when the object is like a ball of yarn or tennis ball etc. they are always spinning. They are very detailed and realistic. They use to scare me but I have become aware and they don t unless they are really close to my face as they are there the moment I open my eyes. My counselor doesn t feel these have a mentle health base. Can you help me??? Taylor from Idaho Doctor: Hi there ~ Cymbalta is not known to commonly have this side effect of hallucinations. Dreams close to waking up is associated with a normal physiological process. We tend to remember these dreams as they occurs during the early morning hours when we are waking up. It is however interesting that you are having the same kind of dream all the time. I would not give it much though however and try to distract yourself. Hope you are practicing relaxation exercises like yoga and pranayama. It is also useful to have good sleep hygiene and night time habits. I hope this helps. Consult a doctor if this problem persists and is causing you to have problems during your daytime. Take care and have a good one.
| 212,699 |
How to treat BPD by myself?
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Patient: I have BPD. I have been seeing my gp every two weeks I found this valuble support and I get my medication at the same time. My gp has left snother doctor has said they will not see me and pamper me sort myself out. I feel hurt and rejected by my support network Doctor: HiThanks for using healthcare magicIn bipolar disorder, you need mood stabilizer like valproate or lithium. You can not get these drugs without prescription. In that case, you should consult a psychiatrist for proper medication and treatment. You can control yourself by keeping you relax. For that, you can try relaxation exercise that would keep you relax and avoid mood swings. In case, you need further help, you can ask.Thanks
| 209,793 |
Have fat in hip, chest and leg, clotting in period. Is this cancer?
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Patient: Hello sir i am kavita i am 32 year old i am unmarried girl sir my aiims ki test normal hai i am eating a tablet overll treatment aiims hospital but sir my legs fat chest fat hip fat and my period cloting sir mujhe kya problem hai jis ke reaction hai period ka effect mere face par bhi hai sir kya mujhe cancer hai sir mai abhi bhi medicine le rahi hu but koi relief nahi hai Doctor: Hi, your exact problem is not very clear from your complaint. Excessive fat has got no relation to frank malignancy associated symptoms. Clot passage during period can be due to many causes associated with menstrual irregularity that can be examined by your gynaecologist. But what the symptoms you have mentioned not fits to the cancer right now. Better information would be helpful.
| 159,014 |
What causes a lump on the chest?
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Patient: i have this bump on my cheast it started out like a pimple, but slightly bigger and red around the surface with a head in the middle. i talked to a friend of mine and he said it kinda looking like staff infection or mrsa. could i get info on this health condition? Doctor: Hi, dearI have gone through your question. I can understand your concern. You have lump on chest with head. It can be sebaceous cyst or some abscess formation or inflamed cystic lesion. You should go for examination. Then you should take treatment accordingly. If it is infection then take antibiotics treatment and if it is cyst or tumour then excision biopsy should be done. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 63,984 |
Suggest treatment for eosinophilia
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Patient: Hi iam thumila 34 yrs. Iam suffering from eosinophilia. Last week only i came to know report shows 13%. I am suffering for cough and breathing problem. If cough starts after that i cant beath normally, especially in nights i cant sleep. Dr. Game me some tablets but not yet started. Please suggest me some home remedies for cough n breathing problem. Doctor: Hello Eosinophilia may be due to many reasons like allergy,helminth infection etc.You need proper chest auscultation.I presume you must had been prescribed medicines after proper examination.You should take medicines regularly.Underlying cause should be treated otherwise only home treatment is not very effective.You can avoid allergen like dust,smoke if you have allergy to these things.Take Care Dr.Indu Bhushan
| 81,660 |
Suggest treatment for uncircumcised Penis
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Patient: Hi, I am cercumsized (not sure on spelling) but for some time now I get a tight band nearthe head of my penis . When I have intercourse I get painful "cuts" or breaks in the penis skin itself and it takes about a week to get better. I was trying different techniques to enlarhe my penis (jelquing) where you exersize the area to allow more blood flow. It worked, but now that Im having these issues Im afraid it is jepordizing my relationship. Doctor: HelloYour findings may suggest phimosis.It is a surgical condition in which fore skin can't be retracted over glans penis.I suggest to go for circumcision.It is a minor operation in which foreskin is cut out and skin is tied over coronal sulcus.It is better to get rid of this condition earliest because phimosis may cause surgical emergency if it is stuck over glans penis.It may compromise distal blood supply.So,you should consult surgeon for proper management.Get well soon.Take CareDr.Indu Bhushan
| 199,424 |
What is the treatment of pressure wound on shoulder ?
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Patient: I have a pressure wound on my right shoulder. It s been two months and it s still raised and very hard to the touch, also dark and dis colored. Will this go away or be permanent? Also my range of motion and weight bearing with that arm is not right. Will that improve? Doctor: hihope this msg finds u in good health. there is absolutely nothing to worry about. .any wounds over joints may take pretty long time to heal..take proper medicines n care of the wound make sure the wound doesnt go down till d bonekeep moving ur arm so that it doesn't get stiff later onwhen needed, feel free to contact me anytimethanks Take care god bless
| 132,918 |
Constant dizziness, worsened while looking up or down, getting up quickly. History of start of dizziness while extracting wisdom tooth. Help
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Patient: I'm experiencing a little dizziness that doesn't seem to go away. Especially if I move quickly or look down or up. If I'm laying down and get up quickly, it is at it's worst.I had this about a year ago and it went away. Now I can't seem to shake it. It's been about a month now. It started when a dentist put me to sleep to extract a wisdom tooth last month. Doctor: Hello,Thanks for posting your query.Constant dizziness followed with extraction of wisdom tooth may be due to-unhealed extraction socket.Overstrained work shedule ,anxiety and stress can also cause this.Take adequate rest and avoid anxiety.Irrigate the socket with betadine and apply eugenol into the socket.I would suggest you to take augmentin-625mg as well as analgesic with muscle relaxant.Take nutritious diet as well as plenty of fruits and fluids.Also monitor your blood sugar level and blood pressure .If symptoms persists,please do visit a dentist.Hope this helps.
| 188,576 |
What causes pain in the fingers?
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Patient: in my both hand after wrist whole palm and fingers with thumb getting trinking with pain with decreasing sensation especially more at late night. in a day time it also feels but some what less than it was at night. in night due pain I have to wake up and do some exercise & rub hand wih somebalm tube to relax temperrarily. give some idea for its treatment. my e-mail YYYY@YYYY J H Patel Doctor: Hi your symptoms are suggestive of Carpal tunnel syndrome.. You will need clinical examination and an ncv test to confirm your diagnosis. The treatment depends and varies from local steroid and surgery. One important thing, do not waste time, as if the compression continues the nerve may enter to a non recovery phase.
| 138,825 |
Suggest remedy for skin rash
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Patient: I have had to have a blood test as they wish to put me on dapsone as I have a skin rash ( sorry don t know the correct name for it) and it hasn t worked with UVB treatment. It has come back as quite low level, so I have to repeat the blood test this week. The blood test is a G-6-PD Assay. Doctor: Hi, Dermatologist wants to put on dapsone... that is why the investigation of G-6PD is advised... if it is positive... dapsone cannot be taken. I think you may be having dermatitis herpetiformis. In this condition, dapsone has a marked role in improving the condition. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilyas Patel, Dermatologist
| 13,346 |
Can masturbation cause pain in testicle and dark coloured urine?
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Patient: hi iam 26 years old male , i have dark color urine if i not drink plenty of water means , if i drink plenty of water it ll going normally . Also pain in my left testicle around after i mastrubate , would i meet doctor ? wats d problem with me ? pls help me.... Doctor: Hi, Masturbation doesn't cause these effects. the pain can be due to any infection caused and the dark coloured urine can be due to UTI.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. S. R. Raveendran, Sexologist
| 193,114 |
Had robotic hysterectomy due to pre cancerous cells. Having back pain. Suggested surgery or injection. Guide?
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Patient: I had a robotic hysterectomy 11/05/2012, due to pre cancerous cells. Everything was removed. I have had painful intercourse with my husband of 34 years since I have had the hysterectomy. I have seen 2 gynecologists one said I had adhesions, another said I have a neuroma on my vaginal cuff. I have had 4 children and the back pain I feel right now after my exam today is very similar to the back pain I felt with labor. I was advised that this is uncharted territory and can either have an injection in the site (painful) or surgery. Note: I have had Morton's neuroma in both of my feet. Doctor: Hello, Thanks for writing to us, Back pain is common after uterine surgery you can first do physiotherapy, If pain doesnt relieve then you can get a shot of injection.The pain is of neuropathic origin , either Pregabalin or Gabapentin or Amitriptyline usage will resolve the symptoms.You need to learn and continue back strenthening exercises.I hope that I have answered your query. Let me know if I can help you further.Take care
| 112,441 |
What causes chest and abdominal pain while laughing and sneezing?
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Patient: my son has 'internal' chest/abdomen pain which doesn't feel too bad until lying down, laughing, sneezing...Started Monday and gradually getting worse. He is 19, fairly fit and has increased his weightlifting activity over past couple of months but had not done any lifting on chest for over a week.....what could it be? Doctor: Hello,Welcome to HCM,As your son is doing lot of weightlifting he his putting lot of work on the muscles of the the body.As most of the weightlifter do lot of chest and abdominal workout, it will put lot of load on the muscle.While doing this the abdominal and thoracic pressure will increase which may lead to pain.While laughing and sneezing pressure in the abdomen increases which will leads to the abdominal pain.Hope I have cleared your doubt. Hoping to see more queries.Thank you.
| 92,077 |
Suggest treatment for low platelet count in blood while treating for dengue
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Patient: my nephew has dengue fever says the doctors. he is hospitalised for 3 days and his platelets have come down from 136000 to 88000, 75000,63000,57000. but his cbc is normal range, his hb is 16 and pcv is 48. they are giving him antibiotics too. he is taking lots of fluid and urinating every 2 hours. is the treatment correct, why the platelet is coming down? is this dangerous? Doctor: Hi, dearI have gone through your question. I can understand your concern. He has dengue fever. It is viral infection and low platelet count is very common. His platelet count, hemoglobin and hct should be monitored regularly. No any specific treatment is available. Just plenty of fluid orally as well Intravenous fluid should be given. Antibiotics is givwn to prevent secondary infection. Normally platelet count more than 20000 is not dangerous. If it decreased below 20000 then platelet concentrate should be given. Otherwise nothing to worry. His platelet count will increase automatically within few days. Just give symptomatic treatment only. He is given perfect treatment. Nothing to worry. Just be relaxed. 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.
| 114,724 |
What causes funny taste in mouth?
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Patient: Yes please, I get a funny taste in my mouth and then my right side off my body is kind off hard to control (legs and arm) and I feel a little giddy, this started once a day but is more often now, have just done a cardio echogram ejection fraction 55.1 ,was involved in a hard fall motorcycle accident a week ago Doctor: Hello,Thank you for your inquiry. Since you have reported a recent trauma, I suspect you may have some nerve issues. Have you had an appointment with a neurologist? Inflammation can cause swelling and temporary pressure on nerves. Anti-inflammatory medication such as Tylenol or Motrin may help reduce inflammation. Plan to schedule a visit with a neurologist if problems persist or worsen.A fall with trauma to the mouth can cause cracked fillings. If you have any metal fillings such as amalgam, this could be the cause of a metallic taste. Fractured teeth may occur at the time of an accident or months later. I suggest you consider a full dental exam with a complete set of x-rays. This may detect tooth problems and be a basis for any future problems to help a future diagnosis. Infections of the mouth and taste buds not functioning properly are other causes for a change in taste. I suggest that you discuss your condition and accident details with your dentist.I hope my suggestions are useful to you and your condition will improve.
| 182,174 |
What causes elevated WBC and neutrophil count?
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Patient: Ive had some blood tests done recently and The last ones were done a week apart. One on 9/21/17 and the other 10/12/17. the first one showed high wbc as 13.4, normal rbc and high neurtophils (absolute) 9.0 and high lymphs (3.6) the second one showed high wbc and rbc as 12.7wbc and 5.30rbc . the neutrophils and lymphs have been high since january 17.. why are these high and is this is a sign of cancer or something else? Im scheduled to go to a hematologist but havent gotten appt yet and im freaking myself out thinking its lukemia or tumor or hiv or anything.. Im just thinking any possibility. I know you cant give direct answer but please tell me if these numbers are cause for concern. Ive been extremely tired, getting lots of headaches, my head feels heavy and almost like its swaying. but i think that stuff has to do with a strain on my eyes maybe so maybe not connected to above? I only take meds for high cholesterol and just vitamins nothing else. Doctor: HiI have heard your history in detailsAn elevated WBC and neutrophil count could be due toInfectionImmunosuppressionMedications such as corticosteroidsA bone marrow or immune disorderCertain cancers such as acute or chronic lymphocytic leukemiaInflammation such as that experienced with rheumatoid arthritisInjuryEmotional stressLaborPregnancySmokingAllergic reactionsI would advise you to do a blood culture test.I do not think you have cancer.RegardsDR DE
| 114,488 |
What could be the lump on the hand in the area of adductor Pollicis?
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Patient: I have a slight lump on the top of my hand in the area of the adductor Pollicis Brevis Muscle. It is slightly painful (not too bad though). FYI I play a lot of tennis and am a personal trainer so I use my hands a lot. Could it be arthritis ? (I do not think it is ganglion since I do not believe it is next to a joint or tendon.) Should I get it looked at ? What could it be? Doctor: Hi it should be checked by x ray.if not from bone, then may be from soft tissues.Wait and watch if it grows or produces symptoms or interferes with movement, then consult doctor for evaluation.meanwhile apply voltaren gel and use wrist band or strapping.Thanks
| 131,822 |
What is provocable myocardial ischaemia?
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Patient: My wife age about 45 yrs is suffering chest pain and discomfort on excertion last 3 months i have consulted with one cardiologist and advice me for TMT test, accordingly after test 74%of cardiac excercise test is positive for provocable myocardial ischaemia. what is the next treatment and where I can get proper advice please confirm immediately. Doctor: HelloThanks for posting at HCM. Your wife has symptoms of chest pain and discomfort on exertion which are very typical for angina pectoris or ischemic heart disease. This means there are some blocks in the heart arteries. When a patient with such blocks walks or exercises, the heart rate increases and its blood and oxygen demand increases. Since the arteries are blocked, they cannot cope up with the extra demand of blood and oxygen while exercising or walking. This causes the chest pain/discomfort. This same principle is used in a TMT. you are made to exercise on a treadmill while your ECG is continuously being recorded to see whether the ECG shows changes while walking corresponding to her chest pain. Hence it is called provocable ischemia since we provoke the event. Before a TMT, a target heart rate is set for the patient till which the patient is usually made to walk on the treadmill. This target heart rate is usually 220 - age of the patient. Your wife's TMT showed changes of ischemia or deficiency in blood supply at 74% of this target heart rate. Hence this is a positive test and indicates a strong possibility of blockages in the heart in view of typical symptoms and a postive TMT. Your cardiologist will advice a coronary angiography for her which is a invasive test done through a small hole in the hand or the leg. This will show the blockages in the heart and their severity. On basis of the angiography findings, further treatment (medical management vs angioplasty vs bypass) can be discussed. My feeling is she would require an angioplasty.Please go ahead with an angiography and revert with the findings. Wishing her good healthRegards
| 20,728 |
What causes pain and numbness in the lower back and legs?
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Patient: Lower back pain tingling and numbness in both legs. Hi of plantar fascia ‘‘tis and heel bump removal right heel pain is worse in that leg. Given gabupenitin 300mg 2 times a day. Have nat started yet. How long would it take for this to help. Or will it. 600 mg of ibuprofen does help. Should I see a specialist. Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. This is likely to be related to a nerve root compression or irritation at the level of lower spine. Gabapentin and Methylcobalamin will help. Hope I have answered your query. Let me know if I can assist you further.
| 106,565 |
What do swelling and fungal skin infection on the legs indicate?
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Patient: My dog has had recent ear infections that pathology showed proteus miiibus while I’ve been struggling with I think a fungus on Lower legs and swelling. It’s everywhere. Also strangely since the syndrome I feel ther is always people following me or creating sabotage for me. Is that part of symptoms? Please guide me in right direction. Thank you Christine Doctor: Hello,my name is dr.Dorina Gurabardhi.I understand your concern.Some advices that I can give to you are: -keep the affected area clean and dry-apply topical antifungal medications-take oral prescribed antifungal medicationsConsult your doctor about this treatment.Hope my answer was helpful.If you have any other question Ill be glad to help.Regards, dr.Dorina GurabardhiGeneral &Family Physician
| 28,745 |
Suggest medicine for loose motion
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Patient: Hi Doctor, My baby is 5.5 months old he had loose motion a week back and a doctor recomended Trifix 1.5 ml twice a day and Bifilac Sachet after giving these the number of timed he passed stool was reduced and then few days after we stopped medication he started again. We did a stool full report and the results were all normal except pus cells 100 hpf and reaction acidic. Then we went to another doctor and she prescribed Taxim syrup 3ml twice a day for 5 days. After 5 days the stool report indicated pus cells as 40 hpf. But all these time the baby is fully normal and active. After seen the 2nd report yesterday doctor asked to stop the medication and wait for another week or so to monitor him. But since last night he pooped 4 times till now. And since morning he pass stool while we feed him. He is both formula and breastfed. We give him Nan 1 HA. He has a red rectum ring and since yesterday the but area is reddish and a bit swallowen too. We even did a stool culture test but it was normal as well. Please advice me whatvto do? Im so worried. Doctor: Hi thank you for choosing healthcare magic. Your child is having a simple case of post gastritis lactose intolerance that's why he is passing loose stools now also with redness in perinatal area. As his stools are less no need to stop mother feeds but you can use a lactose free formula for a week like Zerolac. And apply a zinc oxide containing cream on the red skin. Slowly as his intestines heal you can introduce a lactose containing formula.Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Dr J Sravanthi, SIRI CHILDREN CLINIC, HYD, 9490424470
| 178,805 |
Suggest treatment for shin bruising
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Patient: hi i fell on my shin 2 days ago, and its brusied and numb to the touch but if you put pressure it hurts and when i strech my foot out wards it stings? im a lil worried i know my shin isnt broken but i have a little indent when i landed, my question is this normal and will it heal? Doctor: Hello, It could be a contusion. Nothing much to worry and it will settle by itself. If lesion persists, you can consult an orthopaedician and get evaluated. In that case, you might require an MRI scan for further assessment. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 125,237 |
Can severe pain in foot be due to having the cervix removed because of cervical cancer?
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Patient: My Mother now 69 was diagnosed with cervical cancer and have been operated and removed the cervic...now after 1year & 10months, she is suffering with chronic & severe pain in here right foot & leg....is this connected with here recent operations? Thanks Doctor: i dont think that thisis related so you should find another cause of her symptoms. wish you good health. Regards
| 155,907 |
On prednisone for an allergic reaction on neck. Suffering from itchy hives. Which moisturizer can I use?
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Patient: Hi - I m currently on a prednisone treatment for an allergic reaction on my neck. I broke out in hives & was miserable with all the scratching . Although the prednisone has begun to work, I am now left with itchy, very dry, red, irritated skin. What is a gentle moisturizer I can use on my neck? I believe that Eucerin lotion was the original irritant/cause of my allergic reaction, so I m reluctant to use any typical OTC body moisturizers. Will plain Vaseline or petroleum jelly give me some safe relief? Doctor: It is seen that calamine lotion can provide you with much need relief from your symptoms. With further treatment your symptoms will further resolve. However, if your symptoms persist you can consult your doctor for a steroid cream for local application.
| 104,495 |
What causes hallucinations after taking medicine for streptococcal infection?
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Patient: My granddaughter was given this medicine for strep and took it for 3 days and started seeing monsters and would totally flip out she had to medicated to calm her down. She is ten years old. We had her at childrens hospital twice and so far all they found was high protein count in one of the tests. She still tested positive for strep and had it for 3 weeks with antibiotics 3 times. She was released from the hospital yesterday and had another attack tonight and is back to the hospital. She was seeing the monsters the first few days then she was becoming unresponsive the first time 40 minutes and the second 20 minutes. She seemed to be back to herself the last couple days until tonight my queation how long for this med to get out of her body. Thanks Doctor: hello, This may or may not be related to the medications. She needs to have an MRI of the brain to make sure there is no problem there causing the hallucinations. Let us know the name of the medication she was given and perhaps we can be more helpful.Regards
| 29,214 |
When should one take Lo-Loestrin-Fe after having unsafe sex?
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Patient: Ive been on Lo Loestrin Fe for about 3 years now. I take my pill every day at 5:40. I forgot to take it yesterday and had unprotected sex. Then I remembered and took the pill six hours later than the usual time. Am I still protected or should I take Plan B? Doctor: lo loestrin fe is a effective birth control pill..no need to take plan b treatment...as u took d pill within 6 hrs..its suffient..dont worry..
| 223,400 |
Stones in left kidney. Taking medicines. Constant pain in right side. Solution?
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Patient: Dear sir, I am Ajmal 35 years old male.I have a stone problem.I had small stones and one 14mm stones in left kidney .on 19/02/2013 I undertake an ESWL treatment.After that treatment am taking the following pills. 1)spasmo-proxyvon-1-0-1 2)flavocip-1-1-1 3)urimax-0-0-1 now I have a continuous pain in right side.after taking pills am still having pain.am taking foods are very light only.drinking lots of water too.What to do sir? Doctor: Hi,Thanks for writing in.Going by your query, you have few small stones and one big 14 mm stone in your left kidney for which you had ESWL.Medicines given areSpasmoproxyvon a anti spasmodic and pain reliever.Flavocip an urinary antispasmodic.Urimax (tamsulosin) for prostate problems.You might be knowing that ESWL breaks larger stones into small portions and then these come out in urine.If your right side is paining now, I suggest you get an ultrasound scan and tell the radiologist that you have right side pain. In case of kidney stones symptoms can recur on the opposite side after a few months due to new stone formation.Hope this helps.
| 50,331 |
What causes limpoma in the back of neck?
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Patient: My 19 month old son has a limpoma in the back of his neck that's small and moves when I touch it. I went to his well care pedestrian an she told me that its something that fights off bad bacteria and that my son will outgrow it. Im very afraid that she wasn't being completely honest. Doctor: Hello,Welcome to HCMI understand your concern.Your son is most probably having enlarges lymph nodes.Lymph nodes are normally present in our body.They are abundantly distributed in the neck region.The doctor you have consulted has told correctly.These help our body to fight against bacteria and viruses.Whenever body faces some type of infection,these will get enlarged and become palpable.So,no need to worry.If your son had upper respiratory tract infection or tonsillitis in the recent past,it might have got enlarged.Hope you are happy with the answer.Thank you
| 39,486 |
What do hyperintensities involving periventricular white matter as shown on MRI mean?
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Patient: i had an mri done yesterday. the observations are as follows kindly elaborate on the same. Is there anything to worry??nonspecific punctate hyperintensities involving periventricular white matter of bilateral frontal and right frontoparietal regionpartial empty sella noted.Also let me know about the other tests to be done. One of the doctor told me a clot passed through brain. What should be done to prevent this clot from going to brain in future Doctor: Hello Thank you for trusting HCM Major causes of periventricular white matter (PWM) lesions include normal changes from aging (then they are called UBO's, for unidentified bright objects), small strokes, and disorders related to multiple sclerosis (MS). PWM are also correlated with vitamin B6 (pyridoxine) deficiency.Usually clots to brain origin from carotid artery atherosclerosis with thrombosis. Other causes like cardiac problems may cause this problem (atrial fibrillation, dilated cardiomyopathy, valvular disease of heart etc...). Keep healthy heart, keep healthy blood vessels, if your carotid doppler shows already a thrombus then you have to take anti platelet adhesion drugs, with anti hyper lipidemic drugs. Please consult your doctor he will examine and treat you accordingly.
| 142,416 |
Suggest treatment for indicates my AST is at 247 and ALT at 77
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Patient: Hi I just had my blood test done! And it indicates my AST is at 247 , and ALT at 77. Birirubin at 1.3! And found keytones at 2+ , occult blood 2+, and bacteria at Few on my urinalysis!! What do they mean?? I am worried sick.. My doc is out of town. I hv no idea what I should do Doctor: Welcome at HCM I have gone through your query and being your physician I completely understand your health concerns Based upon your history it is difficult to diagnose.....what is your age? Are you diabetic? Any history HCV or HBV infection? Any history of fever?have you done your abdominal ultrasound?any history of alcohol intake? In my opinion you should visit a physcian so that you are examined and investigated properly.. If you are diabetic then continue with your medications... Meanwhile take rest and drink plenty of water. You can use acetaminophen to relieve pain if you have any... Hope your query is adequately addressed RegardsDr saad sultan
| 55,844 |
Suffering with runny nose, watery eyes, excessive sneezing during morning, take Montek-LC under severe conditions. Permanent remedy?
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Patient: hi doctor, i am suffering from runny nose and watery eyes. also get lot of sneezes especially during the morning. this is there since almost 6 months. i have consulted doctors and also taken medicines but i am not getting rid of this. I do take MONTEK-LC sometimes when the problem increases. Please guide me so that i can get rid of this completely. Thanks Doctor: Montek-LC is a drug unapproved by drug controller general of india you can see on the website combination montelucast levocetrizine is unapproved you can see on no of the lis the main culprits of allergies are milk,wheat,rice,egg,potato get your serum blood test for specific antibodies for these foods in the meantime you can start with montair 10 mgm twice a day fexofenadine 120 mgm daily neosporin eye onitment in the nose twice a day tab methotrextate on2.5 mgm once a week (latest ) do for 3 week get xray pns done and blood tests as described earlier post after results
| 105,343 |
What causes discomfort and feeling of something stuck in throat?
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Patient: I am 39 4/7 weeks pregnant and everytime I eat I get a feeling in the back of my throat where I feel like I have a hairball or something in there, and I cant get it to go away. My throat also gets dry from trying to get whatever it is to come out. Doctor: Hello, and i hope I can help you today.The sensation of feeling something stuck in your throat is a symptom of reflux- when the food that you eat or the acid in your stomach can back up and irritate it. This is common when you have a large belly at full term because your stomach is being pushed up towards your chest and also the hormones from the pregnancy cause the top opening of your stomach that connects to your esophagus to be looser, so food and acid can leak more easily.The best way to try to control this is to eat only small amounts at one time and to make sure you sit up for at least 2 hours after meals. Taking antacids, which for the most part are all safe during pregnancy, can also help. Trying to cough up what you feel in your throat will not help because there is not actually something solid coming up.These symptoms may be difficult to treat, but the good news is the symptoms will get better after you have the baby.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes for the rest of the pregnancy,Dr. Brown
| 219,609 |
What causes burning sensation in left leg?
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Patient: I have a burning sensation in my left leg, like someone is holding a flame to my pants leg, and have a headache as well, I don t have a Dr., very seldom do I feel I need to go, other than to get stitched up, but this seems like it has potential to be serious, any ideas??? Doctor: Seems sciatica pain where sciatic nerve is compressed at intervertebral joints and pain is radiating. Otherwise pain could be generalised.X-ray of lumbo sacral spine are needed to assess the affected part and management thereafter.Treatment is only sos dose of antiinflammatory and analgesics. If you can arrange, leaves of Night Flowering Jasmine tree may be boiled and drunk for few days. Nerve pain will subside.Ni side effects. Taste may not be enjoyable.Hope it helps.
| 136,976 |
Does crack filling procedure affect the scaling and root planing procedure?
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Patient: I had scale and root planning done . It went well but it was found I have a Crack filling that may be cause for throbbing and inability to chew. I have appointment next week to get it checked and possibly repaired. What can I do at home until then. Also will this Crack filling cause problems to the scaling and root planing I had done Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you have a cracked filling, then it can cause the food and water to enter deep into the tooth via the cracked spaces and it can lead to secondary infection in the tooth that can progress further and can even infect the nerves..As you already have throbbing and difficulty in chewing,it should be taken care of to prevent further damage to the tooth..As of now the only thing that you can do until you consult your dentist is to avoid chewing from the side where the tooth has a fractured filling as well as you should also keep the area clean by gargling after meals and brushing the area properly to avoid food accumulation..But get the tooth treated soon to prevent progression of decay..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 181,441 |
Having twitching on my right lower lip
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Patient: For the past 15 days I am having twitching on my right lower lip. It was there for 10 days. Now, if i am raising my right eyebrows some sort of pulling sensation on my right lower lip. It is there whenever i am raising my eyes or if i am touching my right eye. In my family nobody is having thiskind of problem. I have consulted our family Dr. (MBBS) and he told tat there is no need to worry and he prescribed Renerve Plus tablets for 10 days.This is the first time i am feeling like this. I am little bit worried. Please give reply Doctor: A consultation with a neurologist near your place of residence is recommended . Most often this is a benign and self limiting sitution However, it is advisable to investigate completely.
| 152,366 |
Suggest treatment for swollen and unable to bent finger
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Patient: hello doc, i dislocated my middle finger about 9 weeks back. I wore a splint as per an orthipaedic surgeon s advice and after 10 days removed it and again my finger got bent in the middle joint . Now it is swollen and I can t either straighten it nor bend it below certain level. Please guide me Doctor: Hello, As during dislocation, there is ligament injury which takes place along with soft tissue damage. The first foremost thing I can advice is to meet up for the orthopedist to check out if you have not again re-dislocated your joint. Also, I would advise you not to do much strain for now and make the finger and hand immobilized for now. Once you confirm with the orthopedist that it's not dislocation than you can follow the exercises which will Include ROM and gradual strengthening exercise for the muscle groups first support ones and later the involved ones. For time being use hot water fermentation and slowly move finger within the hot water bowl. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,168 |
What does a painful lump on left breast areola indicate?
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Patient: Hello, I am 37 (never been pregnant) and with no history of breast cancer in my family. Two months ago I found a very painful lump on my left breast areola. I waited four weeks, just in case it was a lump due to my cycle, but nothing changed. In fact, it is even worse now. The lump is larger, it covers a wider area of the areola and one of my glands seems swollen. The skin color is a bit darker, but there is no discharge. I am in constant pain, especially when I touch it. I went to my GP five days ago. He examined the area and squeezed the lump. He verified it was a lump and arranged on behalf of me an appointment at the hospital, which is for next week. A few hours after I left his office I started to have a low-grade fever (I still have) and the lump area seemed irritated. Could you please give me any ideas of what the lump may be? Thank you very much in advance Doctor: HI. With the history you have provided this can be an impending abscess with cellitis and you have too much pain. Ultrasonography would have diagnosed it nicely, go for one , Go for blood test as WBC may be elevated in infection. A course of an antibiotic and anti-inflammatory medicine would give you a relief. Another dreaded possibility is to have a cancer. Diagnosis has to be made faster. Ultrasonography and FNAC would give a faster diagnosis. If needed incision and drainage with a sample for biopsy id the best way to diagnose or rule out the diagnosis.
| 70,254 |
Are olmesar h 40 and revelol xl 50 enough for present health?
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Patient: I am 58 years of age and my BP four years back was 190 which now varies between 130 to 150, I also checked my Blood Sugar recently it shows 140 upon 90. I am for India and at alternate days take Olemesar H 40 and Revelol XL50 are these enough for my present health? Doctor: Hello,the target levels for systolic arterial pressure are below 140mmHg. If most of your measurements are OK then your treatment should not be altered. Otherwise, you may need some changes. Keeping a diary with your measurements may help your doctor decide whether you need to change your regimen or not. Regarding your blood sugar, you should measure your serum glucosylated hemoglobin A1c. Having a high fasting blood sugar is not enough to decide about treatment options. When you have the necessary information, I'll be glad to comment on it.I hope I've answered your question. Please let me know if you need further assistance.Kind Regards,Dr Panagiotis Zografakis,Internal Medicine Specialist
| 84,194 |
My 3 month old daughter has bloody bowl movements for the last 8 weeks. What could be causing this?
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Patient: my 3 month old daughter has bloody bowl movements. shes had them for the last 8weeks. Ive taken her to the hospital twice and dr offices almost every week since this began. at first they thought it was a milk based formula allergy but shes been off of that since this started she is now on nutramigen. she has no other symptoms of anything but blood. the blood is no longer just strictly located to the stool but is being absorbed strait into the diaper and on her legs. the bloods color switches from bright red to dark. shes had x-rays done that haven't shown anything that could be causing this. Doctor: Hi welcome to Healthcaremagic hi..., The baby must be examined and evaluated..., local examination must be done to rule out the possible causes.. anorectal anomalies or defect can result so... Hence consult a pediatric Surgeon for the further treatment... Hope I have answered your question.. Takecare...
| 106,036 |
What does diarrhea, nausea and spreading rashes in the whole family suggest?
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Patient: my kids have had a stomach bug and they have passed it around to everyone in the house, symptoms have been mostly diarrhea n some nausea, minor body aches. only seems to last about 48hrs. but my 7 year old also has a rash on his wrists and has spread up his forearms. any thoughts on what the virus might be? Christina Doctor: HI, thanks for using healthcare magicGastroenteritis can be spread from one person to the next mainly via the fecal to oral route.It can be caused by bacterial or viral infection though viral infections may be most common.Viral infections can be accompanied by a skin rash especially in children. The rash should resolve as the other aspects of the infection resolve.It would mainly be treated symptomatically eg if itching then the of oral anti histamine would helpI hope this helps
| 35,917 |
Irregular periods, hairloss, depression, stress and anxiety. High sexual urge, unable to control sexual emotions, short temper. Recommendations?
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Patient: I am female of 24 ,having problem of losing hair on head ,hair are grown on neck with moon face,I have problem of mensus shifting every month by 6 to 15 days before since last 2 year's high depression with anxietty and stress,I have heavy flow,my pussy is wet every time after mensus outside vagina, heavy watering with white water,but internal it is dry in vagina,high sexual urge,can't control my emotions and heavy anger, short height with 50 weight,low immunity.I have boy friend wanted to yloose virginity but feel guilty,what should I do,what is benefit of sex pls explain,emotions heart when I am unable to do sex,have high feelings for him,I think there is some hormonal imbalance,can sex improve my hormonal imbalance,getting tired easily,with heavy body pain with headache everytime,I have high anger,I think I am suffering from pcos,can I go for transvaginal sonography,will that lose my virginity. Doctor: Hi, Thanks for using healthcare magic. I have gone through your history. Anxiety and stress is known to cause irregular menses, hair loss etc. You should consult psychiatrist for detailed evaluation and management. Doctor may rule out physical causes like thyroid dysfunction , vitamin B12 deficiency,. You must rule out thyroid dysfunction as you have moon face, irregular menses and anxiety itself. Sex does not improve your hormone level. To loose your virginity is decision to made yourself. thanks.
| 212,131 |
How to treat rash?
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Patient: Was wondering what might be causing a rash that is very similar to the malar-rash: flaky itchy/burning brows and cheeks, the rash seems to be at the top of my scalp as well and has trailed to the upper lip. The rash is slightly raised and almost always leaves it feeling tender. Doctor: Hello,Thank you for posting on HCM.From your history, it looks like you have got seborrheic dermatitis.Sebaceous hyperplasia is enlarged and swollen sebaceous glands which produces excessive sebum and this in turn can lead to dermatitis of skin called Seborrheic dermatitis. Excess sebum production promotes fungal growth and these in turn eventually contributes to seborrheic dermatitis.I would suggest you a course of oral antifungal drug like fluconazole for few weeks. Fluconazole 150mg tablet should be taken once a week for atleast 6 weeks.Apply a cream containing mometasone and terbinafine twice a day and a salicylic acid 1% based gel in evening over affected areas gently.Use ketoconazole based shampoo on regular basis for hairwash.I am sure you will be fine with this treatment.Let me know if you require any more assistance from my side.Wish you best of health.Thank youDr Hardik PitrodaM.D Dermatology
| 14,424 |
Suggest treatment for ear pain
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Patient: My 9 year old son has had almost constant ear pain for 10 months. Originally he was treated with multiple rounds of antibiotics for an inner ear infection by our pediatrician. The antibiotics are believed to have caused an outer ear infection which took 4 months to treat by our pediatric ENT. The ears are now healthy (per exam and CT scan). The ENT suggested that this pain might be migraine related, though my child does not have headaches. Pain is relieved by heat and motrin. However daily motrin use is not encouraged. Could these be Otic migraines? Doctor: HIWell come to HCMMigraine is out question here, if there is no any ear infection, wax inside the ear, no foreign body in ear then the pain could be non specific and functional one, and this is just nothing to worry, if you are asking to child for pain in positive way then obviously you would get the positive reply too, try not to ask this instead if he complaints for this then try to assure him that this would be okay soon, placebo treatment can be tried, hope this information helps, have a nice day.
| 177,299 |
For what purpose is atorfit20,udilivel150 is taken?
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Patient: hi Dr..hw r.u..? I am seli , age 26 .I had tested my blood and urine the sugar is normal but the cholestrol is 226 , Ldl is 139 and the sgpt is 44 ihad consullted a Dr he prescribed atorfit20(atorvastatin20mg ) udilive150 in twice daily for 10days. whats your openion about my condition,,.? Doctor: hi, your doctor has rightly given you both medicines, atorvastatin will decrease total as well as ldl cholesterol in your blood, udiliv will act at liver level to reduce cholesterol metabolism, pl cont both medicine and do some physical activity like brisk walking, you will be better in 6 months.
| 27,023 |
How long will it take for pigments to reduce after applying creams?
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Patient: I hv pigmentation here and there. Hv been advised to apply Hyalu gel, Stream C10 + Sunscreen Sunheal in the morning and ECA Cream + Depiwhite + Physiogel every night along with Melrio Cream on patches of pigmentation. How long will it take to fix my skin. Doctor: Hello,Welcome to healthcare magic.You are using quite a lot of creams of varying kinds!With the above mentioned regime, you should be able to lighten the patches in 2-3 months time. It depends on the depth of pigmentation, age, sun exposure , etc.Hope this answers your query.Take care.
| 11,615 |
What causes redness in the surgical site after hernia repair?
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Patient: i had a hernia repair 2.5 weeks ago and now i am having redness at surgical site and an area that is hard as a rock next to it , i feel sick to my stomach and have been running a fever i went to the the ER on wednesday but am feeling worse instead of better they gave me keflex and it is not helping Doctor: Dear friend, greetings. I think there surgical site infection plesase continue the tablets and see that the part is not wet and go for dressing .. Meet your surgeon ... Don't lift heavy weight ... Continue tablets for 5 days .. With regular wind care .. I think you will be alright.. Thank you and do contact us for more queries
| 87,700 |
Suggest treatment for red blotches and bumps on the legs of a child
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Patient: Hello, I have a 2 year old who yesterday woke up from her nap with red blotches on her legs and arms. I could tell she d been itching them. I washed all her bedding and gave her a bath. Gave her some children s benedryl (with nurse ok), seemed to go away. She seemed fine today, but this evening it s back. More red blotches and bumps. Doctor: Hi, Itchy red blotches may indicate an insect bite reaction or an allergic reaction to some insults. If she do not have fever or other associated symptoms, just continue benadryl for 3 days and apply calamine lotion there to soothe the area. If it is not resolving in 3 days, or she develops fever, kindly take her to doctor, as this can also be a manifestation of other diseases like a viral illness or HSP (Henoch-Schonlein purpura). Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam T. K., Pediatrician
| 160,583 |
Is pain normal after a wisdom tooth extraction?
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Patient: I had a wisdom tooth extracted on the bottom left and have dry socket now, my dentist packed it with a medicated gauze yesterday and now I'm hurting with lots of pressure in jaw and temple area and jaw running down my jaw line and the front of my neck. I don't go back in till Monday to have it repacked, is this type of pain normal? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain pain in the extraction socket with a dry socket is a normal finding and getting it packed with a medicated dressing is a correct line of treatment but in case if you have such a severe pain it means that you are not advised to take medications that can relieve pain..Nothing to worry, you can take a course of antibiotics and painkillers like antibiotic Augmentin and a higher painkiller like Tramadol as it can relieve severe pain and it will relieve the pain..If the pain does not improve you can slightly loosen the medicated dressing that is placed in the socket as at times if it is packed with too much of pressure it can also cause increased pain..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 216,903 |
Suggest treatment for constant vomiting
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Patient: My 11 year old son has had vomiting episodes for years now. He gets quiet and lethargic then starts vomiting and continues vomiting for 4 days straight. He calls for gatorade, but vomits it within 10 seconds of drinking. He has been checked out by many doctors and for lack of findings, they ve called it cyclic vomiting syndrome. He has had 5 episodes this year (they are occurring more often). Long term: Could this be something else? Short term: Should we keep giving him gatorade, or is it making his vomiting worse? It hurts me to see him vomit constantly, but its what he wants. Doctor: Hi....I have just read through your query. By what you quote I too feel that your kid is having a cyclical vomiting syndrome. This might get better as the kids grow. Coming to your queries - 1. On long term - sometimes these kids can c=have seizures and you need not worry about as of now. It is only a possibility and if this happens then it can be taken care of.2. Short term - the only thing he needs will be Intravenous fluids/ IV antiemetic medicatoins and not gatorade. Please avoid giving gatorade.Regards - Dr. Sumanth
| 170,869 |
Can prostate cancer spread directly to lungs and liver as scan shows nodules in lungs and spots in liver?
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Patient: Can prostate cancer spread directly to lungs, liver? My husband had 4 prostate biopsies PSA rising and at 18 at last biopsy which found adenocarcinoma Gleason 3+4. After CT scans they found 7 nodules on the lungs, spot on the liver and small spot in pancreas. He is 69 and never been sick except this rising PSA. Doctor: Hi,There might be having primary focus in prostate and there might be having secondary spread in other parts of the body.It can spread in adjoining organs and spread in distant parts like lungs, liver, pancreas, bones and brain through blood and lymphatic system.Ok and take care.
| 157,050 |
Why there was blood in my urine?
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Patient: Hello i was urinating in the shower with my girlfriend and she squeezed my penis while i was urinating. It was very painful when she squeezed. Afterwards drops of blood came out of my penis. After the shower i waited to urinate but there was no blood. What does this mean? Doctor: HelloThanks for query.Blood from the penis that you had was mostly due to trivial injury to urethra due to tight squeezing of penis by your girl friend.You need to take broad spectrum antibiotic like Augmentin along with anti inflammatory drug like Diclofenac twice daily. for 5 days.Ensure to wash your genitals with warm water twice daily.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil.
| 199,446 |
What should be taken for a week old cold and flu?
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Patient: Hi I have had a cold or flu for 6 days, fever spiking at 102.5, loss of appetite, terrible coughing, mostly unproductive and raspy except in morning when the product is green and sticky, i have some edema in my lower legs and around my neck and fluttery feeling in my chest Doctor: well u must take antiallergic like tab. citrizine 25mg 1 daily at bed time or we fr 5 days . tab paracetamol sos. tab. amoxiciling/clavulanic acid 625mg thrice fr 7 days. also take soups, blacks tea , honey and boiled egg. keep yourself away frm dust and cold
| 32,471 |
Suggest treatment for social anxiety and depression
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Patient: Yes, I have a friend that has been changed for about 6 month now. He was intelligent, handy, chef and business owner as some of his talents. Family oriented, outdoor man and loves music. It is like he was plugged in for life and now unplugged. He spends his day indoors, mostly pacing the floors. He cannot concentrate on anything. He doesn t want to talk to anyone. He is fearful of going outside, other people. He cannot go anywhere and doesn t know why. It is driving him crazy and myself. He s been to the ER several times, once baker acted and spent time in a recovery center that just drugged him and made him worse. First his PCP felt he was severely depressed and tried prestiq but it didn t do anything good. He bacame more depressed and isolated. At one time he refused to eat and drink and lost 40 lbs. He s been to the PCP, psychiatrist, and ER several times since October. Nobody knows what this is and nothing has helped. Doctor: Hello,Social anxiety disorder is a chronic mental health condition in which social interactions cause irrational anxiety. For people with social anxiety disorder, everyday social interactions cause irrational anxiety, fear, self-consciousness and embarrassment.Symptoms may include excessive fear of situations in which one may be judged, worry about embarrassment or humiliation or concern about offending someone.Talk therapy or psychotherapy and antidepressants can help increase confidence and improve ability to interact with others. I suggest online psychotherapy and counseling.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. K.V. Anand
| 204,658 |
Suggest cure for cyst like bumps on buttocks
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Patient: I have been getting a lot of cyst-like bumps ON both my buttocks cheek, since they get so painful, to the point I cannot sit down properly, I try to pop them, and once I do, some sort of puss comes out and then when I squeeze more, blood comes out. Since this has happened so many times, I now have, what seems to be scarring. I want to know why this keeps happening, what it is exactly, how to prevent it and how to cure/treat the scarring? Please help, I really truly need it. Doctor: Hi,From history it seems that there might be having some local skin infection like dermatitis or friction bumps precipitated with perspiration and friction.This can lead to secondary bacterial infection producing pain and pus formation.Clean local part with plane water and apply triple action cream for some time.If infection is more then go for one antibiotic medicine course.Avoid synthetic inner wear and use cotton inner wear.Ok and take care.
| 31,126 |
Are the lumps on the calf and shin related to baker's cyst on the knee?
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Patient: I have at least half a dozen lumps under the skin on my calf and shin, they don't hurt, are not red or hot, but I do have a baker's cyst on my knee and wonder whether the two things are related? I am in my 50's, female and far too heavy for my height. I also have varicose veins in both legs. I suffer with osteoarthritis. Doctor: Welcome to healthcare magic for your health concernsI am Dr Fahim, and I will be looking into your problem . . . I have gone through your question and understood your concerns. Bakers cyst is a benign swelling of the semimembranosus or more rarely some other synovial bursa found behind the knee joint. It might results in discomfort while flexing the knee joint but certainly not associated with lumps on the calf and shin and that too half a dozen. There are many differential diagnosis of lumps on shin and calf which includes lipoma, sebaceous cyst, boils, moles etc, You need to see a general surgeon who after clinical examination, will be able to diagnose the case and will further guide you. I hope my answer will help you. Do rate my answer if you like itRegards
| 64,236 |
What causes increase in heart beat in certain positions?
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Patient: Hello I am 30 years old and my heart will start suddelt beating rapidly for about one minute. It has happened when I suddenly raise my head quickly from a kneeling position. To straight standing. It had happened 3 Times on three weeks. I have no pain or shortness of breath.what could be wrong? Doctor: Hello!Welcome and thank you for asking on HCM!I carefully passed through your question and would explain that your symptoms could be related to a postural intolerance. I would recommend consulting with your attending physician for a careful physical exam and performing a Head Up Tilt test to exclude this possibility. Further tests are needed to exclude other metabolic causes that may trigger this symptomatology: - a complete blood count for anemia- blood electrolytes for electrolytes imbalancesHope to have been helpful!Best wishes, Dr. Iliri
| 24,889 |
Right side of neck is sore. Have hard lump in SCM muscle. Cancer?
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Patient: The right side of my neck has been sore for over 4 months and I have a hard lump deep in the scm muscleIt was discovered by a neurologist who did trigger point injection along my right side close to the location of the lump. My pcg ordered a ct with contrast which I had on Friday I'm afraid it's cancer. I'm a healthy 49 yr old do not smoke or drink I exercise and eat healthy Doctor: Hello friend,There is a general trend in the society to suspect any tumour as cancer. you are no exception. That is why you also do the investigations to rule out cancer. The very sight of the lump started frightening you. Now you are in a panicky stage till you get a negative report after the CT scan. Cancer is associated with in curability and death and that is why you are scared.If you can remember the date on which you started noticing the lump in the SCM muscle, then take it from me, there should have had a shocking and unexpected conflict in your life just before that. That must have been in your mind level . In certain part of the brain which corresponds to the particular organ and side of the neck, there was certain changes which ultimately produced the tumour. This tumour is not to kill you but to save you. If the lump is continuing to remain there as a sore that means,the conflict is not yet resolved. I am a Homoeopath and this I am giving from my experience. Homoeopathy can identify how you reacted to the above mentioned conflict and can select a corrective constitutional remedy to assist you to get back to original condition. Please do not get frightened even if the investigations tell you that you have cancer because Homoeopathy can cure cancer . Your fear can reduce the chance of recovery but once you are aware of the condition and reveal everything to an expert Homoeopath, he can help you. With best wishes for a speedy recovery through Homoeopathy,Dr. C. J. VargheseHomoeopathdrcjvarghese@gmail.com
| 158,613 |
What alternative treatment do you suggest for large right paracentral disc protrusion in the MRI report ?
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Patient: Large right paracentral disc protrusion at C3/C4 causing impingement of the spinal cord on the right side Good morning! My MRI report concluded that at C3/C4 there is a large right paracentral disc protrusion causing impingement of the spina cord on the right side. At C5/C6 there is mild annular disc bulge with a small central disc protrusion. There is no significant central canal or neural foramen stenosis. What does this mean? What are some traditional treatments you could recommend for this? Doctor: hi i understand your problems and suggest you homeopathic medicines gives you better result along with exercises.homeopathic medicines works by stopping the degenerative changes in the bones of the spines.consult your local homeo doctor and discuss your problemmall the best
| 97,842 |
Suggest treatment for chest pain,cough and weight loss
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Patient: Help. I'm very worried about a friend who I think may die. Shes been unable to eat poperly for over a year because of severe chest pains when she eats or drinks. She's been in and out of hospital in Thailand and put on a drip several times to build her weight back up, but now she's weaker than ever and unable to walk. She also has a cough when it rains. Any adice on what I could do to help her. The family has very little money and I am worried she will just die without proper medical advice. Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Coughing, chest pain, weight loss etc are common symptoms of lung infection (tuberculosis) and lung cancer.So better to take him to pulmonologist and get done clinical examination of respiratory system, chest x ray, CT thorax and sputum examination. He may need anti tubercular drugs or chemotherapy based on diagnosis. Hope I have solved your query. I will be happy to help you further Wishing good health to your friend. Thanks.
| 72,067 |
Suggest treatment for cellulitis on the hand
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Patient: My mother got cellulitis in her hand just from blood being drawn from her arm. She was on antibiotics when it came in her other hand. She had been on the antibiotic for 2 days. She had blood drawn from this arm since the other arm was hurting from the cellulitis. Doctor: Hello,Welcome to HCMAs your mother is already on antibiotics,ask her to continue the full course of antibiotics.This is the treatment for cellulitis.Also take pain killers like analgesics for pain.If the swelling doesn't come down by this measures,surgical intervention like fasciotomy is needed.Hope i have answered your query.Thank you
| 38,819 |
Feeling disconnected from the world, heart palpitations, breathing difficulty, chest pain
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Patient: hi, i m 21 female and for about a year to 2 years i;ve been feeling disconnected from the world like i m in a dream or not reality. about a month now i ve been having heart palpitations and having a hard time breathing , it happens alot more when i m laying down. i also have cheat pains along with the palpitations. i have been to see my family doctor but he doesn t take me serious because of my age. i m at the point if something does go wrong that i may need medical attention i dont think i will go to the hospital because the doctors dont believe me. just wondering if someone could maybe help me out? Doctor: Hi and welcome to Healthcare amagaic. Thanks for your question... The symptoms you describe of feeling disconnected from the world, as if you are in a dream and not in reality are suggestive of 'depersonalization' - which is a kind of psychological symptom. It is often associated with stress / anxiety and can be also part of a psychological disorder called dissociative disorder. The other symptoms such as palpitations, difficulty in breathing, chest tightness can also be anxiety-related. Now, I understand and fully agree with you that your symptoms are quite real and quite distressing indeed. I presume that you have had a medical examination and assessment to rule out any serious medical problems, and that is the reason your doctor is not suspecting any major medical causes for your symptoms. But you should be also open to the fact that these symptoms can be due to a psychological cause. There is a close link between our mind and body, and sometimes, psychological problems such as underlying anxiety can manifest as bodily symptoms. I strongly suggest that you have a consultation with a psychiatrist and discuss your current problems. He / she would be able to assess you in detail and suggest an appropriate management plan. And remember, just because you are seeing a psychiatrist, it doesn't mean that your physical symptoms will be ignored and you won't get any medical attention. Psychiatrists are also medical doctors with sufficient clinical skills to detect and treat medical problems, if any are present. All the best. - Dr. Jonas Sundarakumar Consultant Psychiatrist
| 213,557 |
How long does Budecort and Levolin take to treat coughing in child?
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Patient: my daughter is 6y 9months, one doctor has prescribed this medicine with budecort 100mg levolin is 3times & budecort is twice a daily. but she has no breathig trouble or ashma. she had only cough, sir how many days it will take or i don t know our has prescribed this Doctor: hi, it usually takes 4 to 5 days for the cup to settle. If the cough is not settled then re examination of throat should be done to know the possible cause for cough. Take care.
| 165,354 |
What could it be if child has red around belly button ad red spots around waist?
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Patient: I just noticed a red ring aournd my 3 year old s belly button. it is not swollen, or very sensiteve to the touch. i have also found small red spots on her body. There is an abundance of spots around her waist band, but there are sparatic spots on her back and in her arm pits. what could this be? Doctor: many thanks.it will very if you can send a photograph of the lesions.red spot or lesion around the umbilicus could be a polyp or umbilical granuloma but that is usually occurs in Small baby. other red spot or rashes if are itching at night could be scabies???. or heat rash.Advice for clinical picture to understand the ledions
| 173,140 |
Why is my wife having abdominal pain after taking duphaston?
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Patient: HI Doc. Our OB-Gyne ask my wife to take Duphaston 3x a day for 1 week, but he told us to come back in two weeks. So, can we buy another Duphaston for 1 week to make it two weeks? My wife has diagnose at early 5 weeks pregnant via Transvaginal Ultrasound, and they only see the Gestational Sac alone.. and it is normal that my wife feel comfortable after taking duphaston, especially her abdominal pain? Thank You and GOD BLESS Doctors Doctor: Hi.Thanks for your query.Read and understood that your wife has been advised and she is taking Duphaston - the progesterone. This is given to hold back the pregnancy. About the trans-vaginal ultrasonography- showing the sac, 5 weeks is too early to comment upon reports of Gestational sac. Yes, you have to take one more week as advised by her Gynecologist. Get the review ultrasonography after say a few weeks to see the progress of your baby
| 86,702 |
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