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What is the treatment for Chronic Lymphocytic Leukemia?
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Patient: I have been told that I have Chronic Lymphocytic Leukemia and I would like to know will this cause my bones to hurt? I have been getting very fatigued and my bones in my legs are starting to hurt. I am 58, 5'4",weigh 147 lbs and pretty good medical history. No BP problems, high cholesterol but taking medication,taking thyroid medication and hormone medication. Doctor: Hi, dearI have gone through your question. I can understand your concern.You have chronic lymphocytic leukemia. It will not hurt your bone in initial stage. There is no treatment is required in early stage. Just wait and watch approach is sufficient. In later stage chemotherapy is used. Bone pain in not very common in CLL. You should search for other cause also. Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 154,364 |
What causes a lump in the upper left quadrant with numbness on it?
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Patient: I have an oblong acorn sized lump in the upper left quadrant. The lump just became noticable over the past few weeks. For months, I have felt an odd sensation of numbness, spasm and brushing of a feather on the skin in the 2" diameter area of the lump. When I bend over to tie my shoes, I can definitely feel pressure on the lump. At times, the lump is pulsating, especially when I've been active. It is located directed below the middle of my breast about 2" below my last rib. When in a car, it feels like the seatbelt is pressing on the lump area but in fact, nothing it touching it. There is relatively no pain, unless I have been pressing on the lump. Doctor: hello dear thanks for query on HCMwith the history you have given i would suggest you to meet you physician at the earliest , get a complete blood investigation with peripheral smear, ultrasound abdomen and follow the instructions... hope your query is answered
| 65,536 |
Suggest remedy for mental health problems
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Patient: Ive been in a relationship for 5 months now and I cant help but snap on every little thing and I go crazy when we fight and I don t understand why I do most things I do. I don t think about the consequences before I act and in turn most of my family and friends turn against cause I always feel like my point is right. And im living with this guy and im so worried about what hes doing behind my back but I don t even think hes doing anything. Why do I always feel like things are so wrong and why do I snap at the drop of a pen? Doctor: Hi, thanks for the query. What your current set problem is seemingly a tough middle phase of relationship. Usually during early part of any romantic involvement; physical attraction prevails & tends to hide every flaw mutually perceived by partners. As one starts to settle in a relationship & relationship matures; one starts finding many undesirable things in one's partner & then gets into overdrive to correct them. This leads to conflicts, frequent quarrels & the earlier perceived charm starts to vanish. Hence, to have a great relationship; first thing is accept your partner as he is & dont try to correct his perceived faults hastily. Secondly, trust him for a while at least till the time when you don't find 100% conclusive proof of cheating. Men are usually solution givers & women are usually fault finders. Hence, sit down with each other; talk things calmly. You can also read a book by John Grey (Men are from Mars Women are from Venus) or consult a Psychologist for marital therapy. Dont worry, try things differently & you ll settle down fine. Hope this helps. Good Luck
| 208,219 |
Suggest an alternative of Oxycodone for pain management
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Patient: Two weeks ago I had partial knee replacement surgery. I was prescribed Ocycodone for pain management and to take 1 or 2 5mg tablets every 3 hours as needed. The the first six days following surgery a maximum of 1 tablet every 3 hours was sufficient. At the end of day six I endured 4 hours of vomiting finally call 911 as I was not able to walk to the car to go to emergency. My question: Is their a pain management drug that I could use in place of the oxycodone that may not cause vomiting or nausea. I am now just using Tylenol, 500 mg every 6 hours and could use something stronger. Doctor: Hello, Not taking the narcotic. Surgical pain winds down after 2 weeks or there is a problem. Either way, the use of the narcotic should be quite limited. 3 days in Maryland. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Matt Wachsman, Addiction Medicine Specialist
| 215,696 |
What are the symptoms of malaria?
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Patient: Hi,my children one is 6 and the other is 4. The 6 years old had high fevers up to 40 degrees cent vomiting with dark brown fussy smell and dark brown diarrhea. when you give the anti antibiotic or anti malaria the temp goes up. What does this mean. this is now happening with the young brother after a week. Doctor: Hello, Thnx to contact us. I understand your concern. If I am your doctor I advice you to do blood culture for both of them also do Malarial parasite detection and widal test for malaria and typhoid fever respectively. It is very important for you to diagnose the disease first to treat it. Once you have diagnosis in hand you can treat it very fast.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
| 37,727 |
What causes fast heart beat and tightness like heartburn in a child?
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Patient: My son is going to be 16 in 20 days. He said that while sitting at school his heart started beating fast and he felt tightness. It happened before and he said it felt like heartburn. He's also been having knee pains. Which I think it's from jumping a wall onto the pavement to go to school. Doctor: Hello!Thank you for asking on HCM!These symptoms seem to be related to anxiety. Does he have any bumps or swelling in his knees? An immunological disorder affecting the joints and the heart could mimic this clinical scenario. I recommend consulting with the GP for a careful physical examination, a resting ECG, a chest x ray and some blood lab tests: - complete blood count- PCR, sedimentation rate, fibrinogen- liver and kidney function tets- thyroid hormone levels- anti streptolysine O titer - blood electrolytes. If all the above tests result normal, the most probable diagnosis would be just pure anxiety. Hope to have been helpful!Best wishes, Dr. Iliri
| 26,609 |
Suggest remedy for persistent fever
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Patient: My daughter is 2.11yrs and she is suffering from fever from last couple of months. Earlier fever use to come once a month, than it changed to week and now the fever only goes till the medicine is effective i.e after ever 4 hrs the fever is coming. Her blood test report: Hemoglobin:- 10.2 against 11.5 - 15.0 PCV:- 30 against 34 - 45 RCB:- 3.4 against 3.8 - 5.0 Total WBC count:- 12,800 against 4000 - 11000 Neutrophils:- 86% against 40 - 70 Lymphocytes:- 10% against 20 - 40 CRP:- 12 against Less than 6mg/dl Need help to cure my daughter Doctor: Hi...Thank you for consulting in Health Care magic.Looks like a viral illness. I will explain you how a viral illness behaves. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day.If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all.Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active.Paracetamol can be given in the dose of 15mg/kg/dose (maximum ceiling dose of 500mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol.Regards - Dr. Sumanth
| 164,205 |
Is it required to take rabies vaccine after the dog bite?
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Patient: Dear sir,my 12 years old daughter was given three shots of rabipur vaccine in march 2014 for pet dog s bite whose anti rabies vaccine was due in april end 2014.Since the dog has been vaccinated and again bit my daughter s hand,punctured her skin to her blood vessels,should i get her vaccinated again ?The pet dog does not come in contact with the stray dogs and generally kept in confinement.Thank you ! Doctor: Hi,I understand that your daughter took 3 anti rabies vaccine shots in March. This is a standard dose schedule and is recommended. The dog is healthy and vaccinated so there in no immediate risk from rabies. You have also mentioned that the dog is at home and never comes in contact with strays.With the above information, it is best to give your daughter a single shot of the same vaccine. This will act as a booster dose and since 6 months are over since the last vaccine dose, this will be beneficial for her. Please be sure you are giving her the same vaccine and its only single time.
| 37,400 |
Swollen gum, pus around canine and incisor teeth. Taking medication, increased urine. What could be this?
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Patient: hi there, i just wanted to ask what remedy to cure for swollen gum and check where the affected site is located. i cant see any pus around the teeth canine and incisor teeth of my dad. we give him mefenamic 500 and amoxacillin 500mg. How ever after taking those pills after 24 hours he just complain bloody urine output. what is the indication of that. Swelling is still noted both gums and check. i need your help asap thank you Doctor: Hello, Thanks for posting your query. I understand that your dad is suffering from swollen gums and cheek . Did his urine output increase or did he get blood in the urine? If there was blood this needs to be sorted out with a nephrologist[kidney specialist]. For the swelling there is definitely a decayed tooth or a serious infection in the gums which has lead to spread of infection in the spaces. Did he apply anything hot on his cheeks? Avoid any hot application as it can increase the swelling. Visit a dentist immediately. Take Care Dr.Sushma Rajesh
| 189,261 |
How should severe back pain with discomfort be treated?
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Patient: Hi, I have severe back pain that started two years ago and has gotten worse in the last year. I had a surfing accident last year where I face planted in the water and my legs went backwards over my head (like a scorpion) The pain has gone from just lower back to now all over nearly and sometimes il get very sharp stabbing pains that will stop me from walking for a few minutes. It s hurts a lot to bend backwards, even slightly It s uncomfortable to stand, lay down and walk . I ve had x rays and it s shown nothing Please help me, I m only young and I want to solve this problem Doctor: hellowelcome to hcmthe pain you are suffering from is certainly from a condition called as PIVD i.e PROLAPSE OF THE PROTECTIVE DISC FROM IN BETWEEN THE 2 VERTEBRAL BONES,these discs works as a protective cushion and their prolapse from their place causes compression of spinal nerves and spasm of the surrounding muscles which in turn lead to pain n at times numbness in that regionyour xray was normal but its common not being able to diagnose this condition from a xray so you should get a much more specific investigation to diagnose your conditiopn i.e MRI OF LOWER SPINE n then you can consult a orthopedician with your MRI REPORT who will prescribe you the appropriate treatment for your conditionregardshcm
| 109,374 |
Root canal, traumatic nerve injury to v3 branch, burning, throbbing in gums, pain in root canal area. Advise?
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Patient: I had a root canal on tooth 30, 21 months ago. I have been told that I have Traumatic Nerve Injury to the v3 branch from the Local. I have tried all the meds out there. I have a RFL which a numbed what the neurosurgeon thought it would, but my major complain of fierce burning and throbbing in my gums on the the right side is still there. I did feel a horrible sharp pain through my gums and tongue when the root canal was being done( enough to make me "Tap out" and I cried the rest of the procedure. I have been to 2 oral surgeons. Ant thoughts? Doctor: Hello there , Thanks for writing your query, Any injury to the nerve branches during dental procedure takes a little longer time to heal. The nerve fibres regenerate with a course of time and the symptoms will subside . burning sensation and pain in the gums can be due to other gum problems , i would suggest you to get the examination done consulting a dentist. exact diagnosis can be made only after clinical examination and evaluation by taking radiographs. i would suggest you to get and OPG radiograph done which will help in diagnosis and accordingly treatment can be planned . consult an oral surgeon and get the examination done. i hope this helps , take care.
| 189,200 |
Is it to be concerned about the lump near the collar bone?
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Patient: I have a pea sized gland like thing on the left hand side of the collar bone. It keeps moving. It sometimes slides behind the bone. It is sometimes felt on the bone and sometimes I cannot find it, but that is very rare. I do not have any pain in that gland like thing,but I feel some pain when I sleep on my right side, and not on my left side. I also do not feel any pain when I sleep on my back. Please help Doctor: Hi,Welcome to Healthcaremagic.You need to get it investigated as it could be lymph node swelling.You need to consult your doctor and get it diagnosed as there are many causes for enlargement of lymph node at that area. If it is just a lipoma or sebaceous cyst then no need to worry. It can be differentiated by clinical examination. Hope I have answered your query. RegardsDr.Deepika Patil
| 67,087 |
What causes frequent painful spasms in neck towards left side?
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Patient: HI DOCTOR,I FREQUENTLY SUFFER FROM A SPASM IN MY NECK IT ONLY OCCURS IN THE LEFT SIDE AND IS EXTREMELY PAINFUL. IT USUALLY STARTS WITH A CRACK NOISE AND THEN ESCALADES TO A SHARP ELECTRIC STIFF PAIN THAT COMES WHEN THE MUSCLE IS MOVED. WHAT IS THE CAUSE OF THIS? HOW DO I TREAT IT AND CURE IT ONCE AND FOR ALL? Doctor: Hi , I have gone through your details and In my opinion you are probably suffering from cervical spondylosis. I suggest x ray of neck , mild pain killers , muscle relaxants and most importantly Isometric neck Exercises. There is nothing called cure for once and all- you will have to do regular exercises to prevent future episodes.
| 131,378 |
What causes painful lump in the armpit and canker sore in the mouth?
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Patient: I woke this morning with a small but painful lump in my right armpit. I have had issues in the past with swollen/inflamed lymph nodes in my armpits but this case seems to be different. Mainly due to the secretion of an emmincely foul fluid from the lump. When pressing on it with a white tissue I discovered a yellowish brown discharge which smells more fecal-like than typical B.O. To be frank; it downright smells like turd juice. The leakage and odor has persisted almost immediately after a thorough scrubbing with soap and water. I am a 26 year old male. I am 5 10 and 200 lbs. My diet is lacking in fruits and green vegetables. I have an annoying canker sore located in the back of my mouth next to my uvula. Apart from the discomfort of the canker sore, I haven t felt ill or had a sore throat . I take adderall daily. My intent is to gain a basic understanding for what I might be dealing with to determine whether a non-insurance supported trip to the doctor is needed. Thank you. Doctor: HelloLooking at your history this could be an enlarged lymph node infected sebaceous cyst or an axillary abscessIn my opinion you should consult a general surgeon for examination and a battery of tests like hemoglobin CBC liver function test and blood sugaryou may require a course of antibiotics under supervision of your doctorWash it with antiseptic solutionsmaintain good hygienehave multivitamin supplementsThanks for your questionwish you good health
| 65,729 |
Have acne on back, shoulder and arms. How long does acutret 10mg takes to cure?
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Patient: I have been prescribed acutret 10mg for my acne problem on my back shoulder and arms. I have facing this problem from many years. Now i have been taking the medicine since last 2months. My whole back from shoulder to lower back has been blacken out due to acne problem.. Kindly suggest how much time it would to recover with the current medicine. Doctor: acutret effects skin; hair abnormalities; hirsutism; hyper- and hypopigmentation; increased sunburn susceptibility; infections; nail dystrophy; paronychia; peeling of palms and soles; photoallergic and photosensitizing reactions; pruritus; pyogenic granuloma; rash; sweating; urticaria.
| 7,415 |
Taken mext, sazo, defza. Have liver dysfunction. Worry much?
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Patient: hi doctor, i have liver dysfunction after taking mext. now doctor stopped mext but prescibed sazo, defza and hcqs.Can i take these drugs with such liver dysfunction?(sgpt 55, sopt 44, bilirubin1.1). is theer any alternatve of methotroxate which do not affect liver? very much worried abt my liver.. but cant stop medicine due to severe joint pain if i stop so.. e mail: YYYY@YYYY Doctor: Hi and welcome to HCM. Thank you for your query.There are no alternatives unfortunately. These are medicines with bad effect on liver and you just need to do frequent liver LFT sheck ups and ultrasounds. YOur doctor must determine cost-benefit of these cytotoxic medicines. Also, this isnt significant elevation of LFT and it diosnt mean that liver function is compromised very much. Wish you good health.
| 58,946 |
What causes shooting pain in my ankle?
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Patient: Hello I am a bartender and two days ago I severely cut the top of my foot on a metal door it bleed for hours and I could stick my finger in the hole. It continues to bleed so often and leaks a liquid out of it. I can t flex my smaller three toes and its shooting pain into my ankle. Should I go to Er even though it s been two days? Doctor: hi,thank you for providing the brief history of you.As you had a lot of bleeding you should have a clinical examination done by a physician.As most of the blood losing is not good for the body and the abnormal symptoms will surely occur.also a thorough wound checkup is advised followed by a tetanus injection if not taken one in the past 6 months.Regards Jay Indravadan Patel
| 216,629 |
Suggest treatment for distal radius fracture and dislocation
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Patient: To Whom It May Concern, RE: R distal radius fracture and dislocation with major cartilage damage I write to you in regards to my injury that I received on the 22nd June 2014. I have enclosed copies of the x-rays from before and after surgery where the surgical team at Rotorua Hospital (New Zealand) have inserted a plate and pins…………………………………… I am currently located in New Zealand and As I have private medical insurance I am hoping to return home to the UK for the best possible rehabilitation and recovery, with the hope of finding a wrist specialist that can work with my injury as to consider the prospects of further surgery and possibilities to recover as much function to the wrist and hand. I am only 24 years old, a qualified electrician and passionate about racing motocross as well as a competitive physique athlete that spends a lot of time fitness training. As you can imagine facing the daunting future of limited use of my right arm I wish to consider all the absolute best options for further surgery and innovative possibilities for my wrist so I can perhaps be able to return to doing the things that a young active person like myself, loves and lives for. If you would like more information or to speak to me I would love the opportunity to discuss my injury with you further. My email address is YYYY@YYYY and I would be available to Skype with you if that is a possibility. Alternatively my contact number is +64 21 034 0794. I thank you for your time and consideration of my injury and I look forward to hearing from you if you have any advice or suggestions for how I can proceed, that would be so greatly appreciated. Yours sincerely, Doctor: Hi thereit sounds that you had a major injury to your wrist almost 2 years ago. You will need some adjustments to your lifestyle within limits of the best possible function your wrist will allow. at 22 months bony injuries must be healed but cartilaginous injuries need to be followed up. I suggest that you see a orthopaedic hand surgeon for an assessment and follow up plan.
| 133,795 |
Colon cancer, metastasis in liver, diabetes. Have yellow eyes. Done Chemo therapy. Should I worry?
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Patient: Hello....I was diagonised with stage 4 colon cancer which had metastasis to the liver ...they removed the signoid colon in June 2010...at that time they said my liver was too far gone to do a resect...and chemo would not prolong my life...I do not have good insurance,so have been seeing my GP,who is helping with my pain...at present my diabetic numbers r increasing,though my diet is the same...alos I have no yellowing of eyes or skin...but my pain seems to be increasing....Is there anything new or hopeful in the past 2 years? I feel blessed for the good days i have had. Sorry to have taken your time.Do not have finances to pay at this time..Things have been very hard financially . This is a good site for people who can afford .May all of you be Blessed with your help for others. Doctor: Hi and welcome to HCM. i am sorry about this serious diagnosis but I see you are a fighter and this is a good sign. In these cases blood sugar isnt something that determinate your life expectancy. Also it can be pretty easily managed by certain medicines. Only important findings are liver function tests and liver morphology. So you will be fine till your liver works good enough and it means that there should be more than 20% of normal liver tissue. It is obvious that all you need is palliative care and sometimes GP can be more helpful than any insurance or institution. You just need to use adequate painkillers, prevent ascites accumulation and prevent weight loss. Everything else isnt in your hands.
| 158,768 |
How to treat the condition of bilateral chryptorchism?
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Patient: hello,doctor,this is sudeshna...my husband is born with bilateral chryptorchism....tried to do surgery at 10 yrs of age but it was of no use....next he underwent surgery at dominican republic,at his 27 yrs of age ,but both testis dint descend...we have normal sexual life both reach orgasm also....but intercourse is not very frequent...because his hormones are very low...now his age is 36,ht is 5"10 wt is 84kgs....so please let me know what are the treatment options for us ....am anxious to conceive.. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that your husband has bilateral Chryptorchism..which has failed to descend down even after surgery twice. You have not mentioned the present location of testicles whether they are in inguinal canal or higher up in scrotum.Please get his ultrasound scanning of abdomen done to locate the testicles ..Please note that testicles in abnormal position are prone to under go malignant changes (Cancer) 50 % more than normal positioned testis.Please consult qualified general surgeon for evaluation and further treatment.Dr.Patil.
| 202,201 |
What can cause mental illness after suffering from typhoid fever?
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Patient: After my brother had a typhoid fever, his attitude become very different,he is like having a mental illness, he used to be very organized and smart but not anymore. Every day he always asking about the day and month. He is always talking about the past history about politics.and other irrelevant matters.which is very unusual of him.We are so worried, and we want to help him. Doctor: Hello and thanks for your query.I understand your concern about your brother's recent behavioural problems. Now, there could be two possibilities for his presentation:1) The fever could have been due to a meningitis or encephalitis (brain fever) or if it was typhoid fever it could have caused neurological complications.2) The fever could have just been coincidental and his recent behavioural disturbance is due to a psychiatric illness such as an acute psychosis.Since his problems appear to be serious, he needs an urgent evaluation. I would advise you to take him to a psychiatrist as early as possible to have a detailed evaluation. He also needs to have a neurological examination, and a brain scan.Regards,Dr.Jonas Sundarakumar
| 207,586 |
How to remove the stitches from the penis?
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Patient: Hi,I have started a relationship with a new partner and he told me as a teenager, about the age of 13, he had to have operations to reduce the size of his genital area. I didn't like to ask too much but during oral sex I can feel my to Tongue catching on what feels like stitches, this isn't a problem but during intercourse I am starting to get sore. I know I should probably tell him but feel a bit embarrassed and don't want to make him feel uncomfortable. Is it possible they are stitches and can anything be done to remove them? Thanks Doctor: Hello,There is no chance of presence of stitches after many months or years. However you can ask for any operation if done in last few days on genital area. The stitches can be seen visually by eye as well. So you can discuss all these with your partner without feeling shy. You can use Lignocaine like jelly if intercourse not smooth. Hope I have answered your question.Let me know if I can assist you further.Regards
| 193,811 |
What are the chances of getting pregnant when results are normal?
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Patient: hi, after marriage i concieve but my baby is not growing.and doctr did dnc after that 1 year i didnt concieve and my husbnd reports of siemen analysis was worst.now his reports is fine and doctr advised me to take proflien.my mensus are regular .and iam 24 yr old Doctor: hello...thanks for trusting the healthcare magic doctors for ur health related queries.I guess ur concern is about..chances of getting pregnant when results are normal..right.well..there is HIGH CHANCES of getting when all reports are normal.for getting pregnant following things are required-in women-regular mensesreproductive age group(15-45years)normal reproductive organs(uterus,tubes,ovaries etc). in man-normal semen analysis( normal sperm count, motility etc) as u told that u both have all reports normal then DON'T WORRY..RELAX..there is high chances of getting pregnancy in ur case.u also told that u had abortion, but DON'T WORRY, it happens with most of the women. it doesn't mean that u can't be pregnant in future. it's normal..nothing is wrong in this.with the above discussion u can try out my suggestions-1. try to do coitus during fertile period(it is from 10th to 16th day of menses during this period chances of getting pregnancy is high).2. KEEP PATIENCE...there is high chances in ur case. just RELAX.3. if u r in hurry then visit nearby infertility specialist. He/she can help u.I hope the above information is useful, informative and helpful for u.regards-Dr sudha rani panagar(RELAX..I can understand ur tense-full situation, DON'T WORRY, I pray the God that u will be blessed with a cute n healthy baby..hopefully TWINS)
| 1,500 |
Sharp and painful stabbing in soft areas beneath skull, hollowed areas. What could be this?
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Patient: Hi, i have been getting brain misfiring which cause a short sharp and painful stabbing of pain which causes painful,soft areas beneath the skull. I have hollowed areas where they have happened. When they happen it is usually caused by stress (like a fright, multi tasking or getting overheated) . The areas that have been effected are left tender. i had one really big one behind the back of the ear and my jaw got locked, making it so tender that i couldn't chew for nearly a week.thanks Rosalyn Doctor: Hi, Rosalyn, thanks for calling, as you had locked jaw, probably everything of this pain must be of the locked jaw only, other causes may be hypertension, or cervical spondylosis. I advise you to consult a surgeon for diagnosis and treatment,You may need to have an M.R.I. for confirmation. Thank you.
| 149,732 |
What could be the cause of mid-tibia stress fracture?
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Patient: I was diagnosed with a mid tibia stress fracture in March. I was booted for 2 weeks and then casted and non-weight bearing for 8 weeks, re-booted for 4 more weeks, and then rebooted again non-weight bearing going on 2 weeks. The fracture is not healing....doing blood work now, what could be the problem Doctor: Hi,I have studied your case with diligenceThis can be delayed healing may be due to poor bone stock or due to smoking/drinksFracture line may be seen for 3 months.If you can send all your x ray reports I can help you better.You can send your reports of x ray directly to me onhttp://doctor.healthcaremagic.com/doctors/dr-vaibhav-gandhi/63503Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 110,169 |
What is the significance of Mifegest?
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Patient: I m 31 yrs old having a one and a half yr old daughter. Missed my period this month and checked after 10 days of the scheduled date, confirming pregnancy. Consulted my gynaecologist the same day and she gave me the medicine mifegest stating two tablets to be taken today and 4 tablets to be taken after 48 hours. Kindly brief me up regarding what all exactly will happen during this so that i can be mentally prepared for it. Doctor: Hi, mifegest is given to soften the cervix and it is embryotoxic also. You can have bleeding after taking this or may not be. 4 tablets given to you is of misoprostol which will initiate the uterine contractions and you will have abortion after that. You can have heavy bleeding along with pain after 4 to 6 hours of taking it. Bleeding can persist for few days. You can take some pain killers for that. Hope I have answered your question. Regards Dr khushboo
| 223,538 |
Vertigo, nausea, sweating. Cause?
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Patient: I woke up this morning with severe vertigo , and when I sat up in bed I felt severe nausea and had to run to the bathroom, followed by a sudden sweat that accompanied the nausea. the room is spinning and the vertigo does not go away even when my eyes are closed. The only time the nausea is lessened is when I lie down. once I sit, stand, or walk, the nausea becomes so unbearable that I have to immediately lie down again. 8 hours have passed since the vertigo started and I still feel the same. What is this sudden vertigo, nausea, sweating? Doctor: Dear it is better to consult a doctor to exam your neurological status anyway symtoms you are suffering seems to be periferic vertigo and are treated with betahistine 24 mg twice a day starting first week with 24 mg per day.Wish you all the best dont hesitate to contact for any other question
| 148,583 |
Suggest remedy for panic attack disorder
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Patient: Hi my name is bhupender , i am 34, height is 176 cm and weight is around 78 kg. for last 2 months i am suffering from acute anxiety dissorder. the cardiologist has termed it as cardiac neurosis and the physician call it "Panic attack dissorder". i was a normall human being befor 6th of march,2010 and on 7th that strange wave of fear came all of sudden and and started feeling that m y BP is going high and i may have a heart attack. since then there has been 5 occasions when i was rushed to ER. my TMT test is ok where in i worked out for 9.5 minutes with 3 step increase in speed and reached a maximum heart rate of 190 with bp of 160/80. my LFT, KFT, blood sugar are normal, Thyroide , Vit-B12 and serum foliate is also normal but still i have a fear that my BP will go high anytime and that i will have a heart attack and i am not able to over come it. I am taking Concid twice a day before meal and Nexito 10 mg before i go to bed everyday for last 1 week. how can i reset my mind again. please help Doctor: HHi dear . I had gone through your query . I understand your concern . Panic attack define as sudden rise in anxiety .Symptoms like palpitation / tachycardia / sweating etc...it may mimic like heart attack . But all investigations came normal . In panic attacks there is no life threatening but it has severe anxiety .No need to worry . Just relax and accept your psychological problems . Proper psychological evaluation and councelling will help.Supportive psychotherapy will increase your tolerance to bear that anxiety . It can be treated with medicine like combination of SSRI and benzodiazapine . In SSRI sertraline / escitalopram / peroxetine will help . Sudden attack can be relieved by etizolam and clonazepam . But consult psychiatrist for better evaluation and assistance . Still if you have a query then feel free to ask . Happy to help you further . Thank you .
| 206,428 |
Upper gum surgery done. Having pain along with headache. Should I consult a doctor?
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Patient: i have had a uper gum sergery to trie to save a ,molar ,said the dentist .And i always have pain like if never has been healing .Last night i bite a cookie and i felt extremely headhache at the level of want to go to the hospital.Today i could t bite anything becouse of it.I cannot afford to go to the hospital,Do you think Doctor is an emergency???(the gum sergery was 5 years ago) Thank you so much! Doctor: Hi and welcome to HCM, As you said you have undergone a Flap surgery for your gums to save your tooth and its been 5 years now. so the area is giving you problem after a long time. This needs an x ray examination of the affected area which will show if there is some infection or bone loss . Pain in the molar on biting indicates decay or some kind of pulpal infection, or root caries.i suggest you to consult a dentist and get an OPG radiograph done which will show the success of flap surgery done ,condition of gums and underlying bone. Till then you can have aceclofenac with serratiopeptidase tablet which relieves paintake care.
| 189,947 |
Can reddish discharge be due to yeast infection?
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Patient: i have a question.. i took my daughter to the doctors on wednesday for a yeast infection and the doctor said it was nothing to worry about and to just put diaper rash cream on it for a couple of days. but my worry is that she keeps having a a reddish discharge coming it out and is still complaining that it hurts. i am thinking about taking her in to get a second opinion. Doctor: Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 170,419 |
What causes bleeding gums?
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Patient: Hi My gums bleed when i brush but i have blood in my spit in the morning when i just wake up(before tooth brush)Sometimes in the middle of the sleepBut last night it happened just when i was sitting i tasted blood in my spitI took torch to see which gum is bleeding but couldnt figure outCan i know what other things could cause bleeding and which tests to be doneI have no cough no chest diseasesI workout n try to eat healthy as much ask i canThanks :) Doctor: helloo...read thru ur query....1st of all i must say dont panic and get stressed..stress wont reduce ur problem it always increses problems...now bleeding of gums while brushing can be due gingivitis which can be reduced by meeting a periodontist and get it cleaned...bleeding from mouth when simply sitting can be due to some systemic cause...so v have to find the cause..it can be done bytaking a blood test....and meet a physician ...he may tell various tests and get it done..and get ur problem treated...u can keep ur mouth and gum clean by brushing twice daily and tongue scraping..use dental floss and listerene mouthwash(good for gingiva)..these all can reduce bleeding fron gum...be cool and calm...stressfree mind can be best medicine and can solve all ur problems..hope ur benefitted something from this reply..have a healthy day!!!
| 183,331 |
More rash and itching after the case of shingles, now covering much of the body, looks like whelps. Quick relief ?
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Patient: I have had a case of shingles. Just right afterwards (shingles had not gone completely away) I developed more rash and itching (a lot of itching!) from the sight of the shingles on, and to now covering much of my body. A lot of the area even look like whelps. I've been to the doctor at least 4 times. Then to a dermatologist. The last time I was given a prescription of Triamcinolone. Its' been about a week. I have had no relief. HELP! It is becoming unbearable. Doctor: Hello,Thanks for the query.Shingles involves the nerves and hence causes pain.Itch is uncommon but can occur in shingles.Another possibility is that you might have developed a contact allregy to any of medication applied for shingles.A photograph would have helped me in giving a closer diagnosis.You might need treatment with oral steroids.Please meet a dermatologist and discuss regarding this.Let me know if you have any other doubt.you can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.healthcaremagic.com/doctors/dr-rahul-kumar/64818Wishing__;!!Mih3wA!SBzm6_kI6hCZ58EPH6N_05MFfiPbxWXT0a2TJCdFQObRWm5mV5ur7hUOMa8clQ$ you a good health.Thank you
| 15,565 |
What are the chances of getting pregnant without penetration?
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Patient: My boyfriend and I were dry humping, but the thing is that he was naked and i was wearing underwear and shorts. I'm not sure if he ejaculated, but I'm scared that I might be pregnant. So is it possible to get pregnant that way? Is the sperm strong enough to get through my clothes? Doctor: DearWe understand your concernsI went through your details. There are no chance of you being pregnant unless the male semen enters inside your vagina directly. Sperm cells are not at all powerful to get through your clothes. You need not worry if the given scenario is true. You cannot become pregnant.If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome.Good luck. Take care.
| 221,378 |
What treatment is suggested for pneumonia?
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Patient: hi,my mom just had a heart bypass surgery last year nov 11, 2011. ever since she s on dialysis and she s also diabitic. She s was diagnose for pnuemonia after her surgery, she is finally home now 2 weeks. 3 days ago shes unable to stand up. she gets so tired and unable to move her shoulder and unable to raise her hand. kindly let me know what to do? pls advise. thank you. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of brain related event like CV (cerebro vascular) stroke is more. Unable to walk, move, not raising her shoulders and arm are suggestive of paralysis sort of thing. And shouts at high risk of CV stroke due to diabetes and heart diseases. So immediately take her to the hospital and get done CT scan or MRI of brain to rule out CV stroke. She will need intensive care with 24 hours monitoring. So don't wait at home, take her to the hospital as soon as possible. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
| 76,805 |
What causes pain in left side of the body from neck till foot?
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Patient: For the last two years, off and on I have had major pain on my left side of the body. It started after my wife died in my arms and every since that day I have been in pain. The pain starts from my lower neck all the way down to my left foot. Here lately I had some major pain from left shoulder, under my left arm, on my left chest and on my lower side on my left. What is causing this? Can this be from my wife pulling on me while she was dying? Doctor: Hello,What I can infer from your complaints is that you may be having symptoms of cervical spondylosis with radiation of pain to your left arms and left leg. It's unlikely that the injury may have occurred due to you carrying your wife. I would suggest you consult an orthopedic surgeon so that he can examine and suggest treatment. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Santosh S Jeevannavar
| 127,801 |
Suggest treatment for severe jaw pain, swollen gums and headaches
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Patient: have terrible pains in my jaws especially when I eat food whether its hot or cold I can chew only on one side. These pains make me grind my teeth together and get worse when i sleep, I can t seem to sleep its like i have swollen gums like a baby. It is really affecting me and my ear aswell I get headches too. What should i do? what do you recommend? Doctor: Hello,Your symptoms seem to be related temporomandibular joint and muscle disorder. The temporomandibular joints are the hinge joints on each side of your jaw. Several things can cause TMD jaw pain. I suggest using OTC medications such as Ibuprofen to relieve the pain. Cold compresses at the jaw area can also be helpful.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 120,762 |
Have tiredness, sore joints, bump on groin and red bruises on cheek. Leukemia symptoms?
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Patient: Hi, I m a 17 year old female. For the past few months, I ve had some odd symptoms. I ve been feeling extremely tired, sore joints, developed a swollen painless bump on my groin twice in the past couple of months, a dry patch on the roof of my mouth. I have gotten much paler in my face & arms. I can see my veins much more clearly in my breasts & arms/fingers. I do have Ulcerative Colitis , but have been in remission for a while. I have paid no attention to these symptoms, & have thought of them to be hormonal as I have started & stopped birth control within the past few months. But today, I noticed two red/purple bruises on my cheek. It appeared out of nowhere & I decided to do some research. I don t know what this could be, I don t want to freak myself out. I have seen diseases linked to this such as leukemia but I don t want to think the worst, even though I do have a lot of symptoms. Doctor: Hi, You have mentioned about varied medical problems. I want to mention that blood malignancy like leukemia can be identified by blood tests. There are many other possibilities also. You should be examined by your physician. History of gum bleeding purpuric spots are important and sternal ( bone in middle chest) tenderness to be elicited. A complete blood count will be the baseline investigation of choice. Consult your physician.
| 158,984 |
What causes headache, abdominal pain and bloating?
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Patient: Hi , i been having headache with belly pain, bloating gassy and discomfort about 3 menthes and i have seen a several Dr for these problems that start from the morning till i go to bed. I don t know what to do anymore . I can not do anything because of constant headaches and belly problem and pain from being bloated . No body seems to know what is wrong with me. Doctor: Respected user , HiThanks for using Healthcaremagic.comI have evaluated your query thoroughly .* This seems in relation with intestine infection most likely .* Needs reports done till date to study in depth so that I can focus on what is remaining for the diagnosis .Thanks .Regards .
| 86,170 |
Why did my finger turn black and numb?
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Patient: Today one of my fingers went completely numb and then turned black with pain shooting uptoward my arm. I put heat to it which helped until I removed it. What caused this. In the past I havehad the blood vessels in my fingers break and is very painful but never go numb. Doctor: Hello,I think you have Raynaud's disease like symptoms where blood vessel get spasm due to ice . it is common if you take bath in very cold water or keep your finger close to ice. You need to get examine by surgeon and in case you have this disease you need to avoid coming in contact with ice . I hope this answer will be useful for you. Let me know if there is any other followup questions.thanks
| 129,992 |
Compression in both shoulders, fits. Have side effects of anxiety, hair loss on taking Levipil. Suggestion?
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Patient: Hello doctor i am Jayanth, i have a problem from past 1 year like having compression in both my shoulders, becuase of this i got a health problem called(fitts), i became unconcious and doctor advised me to consume Levipil 500mg morning and evening 1 tablet per day, this is to continue for 3 years. Now i have a side effects like anxiety , loss patience, hari fall. Please suggest me some advise. Doctor: Hi Mr Jayanth, Thank you for posting your query. Fits (or epilepsy) is a common problem, and it is well treatable with medications. Levipil (levetiracetam) is a safe and effective medication for controlling epileptic fits. However, if you are having side effects, then, please discuss with your doctor. The doctor may be able to substitute levipil with another anti-epiletpic drug such as valproate, or oxcarbazepine. Wishing you good health, Dr Sudhir Kumar MD DM (Neurology)
| 151,120 |
What tests can help to understand why the liver counts are abnormal ?
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Patient: I dont expect a full answer, but maybe you could just steer me in the right direction. My neighbor is 70 yrs old, has had bladder cancer,(they removed the cancerous part only), no radiation or chemo. This was abut 5 yrs ago. She has no thyroid and major back problems from a car wreck. The car rolled 5x. she was completely twisted 180 deg at the waist. Recently, as in the last few months I have noticed a decline in health. I finally got her to my DR and she did blood work. Her liver count was three times normal, she has dark urine, and occasionally very dark streaks in her pee. The Dr has ordered an ultrasound for the 15th. Is there anything else that should be done? or do I need to just relax and let things take their course? Doctor: Hi thank for contacting healthcare magic.Which bladder cancer does she had???Although she had accident but now after few month of accident she is complaining these symptoms....Here let me know you it could be progression of cancer.It can metastasise to liver and so liver enzymes can high....The picture will more clear after ultrasound and if needed CT scan done....for further work up.....Proctoscopy examination also done for rule out anal fissure , piles or inflammation...Hope your concern solved.Take care
| 54,734 |
How to cure infections caused due to mosquito bite?
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Patient: when ever I go abroad on holiday I get severely bitten by mosquitoes and such like despite using carious tropical strength repellents. Some of these bites become infected and weep even if I haven't scratched them. Why am I so prone to these bites and is there anything I can do to prevent them? Doctor: Thanks for informing me about your health concerns.The fact is that your skin is rather sensitive. This is because people from temperate zones do not have the necessary skin defenses to deal with the rather harsh conditions obtained in the tropics.Mosquito's in the tropics have now mostly become resistant to repellents. Your skin gets pricked with a mosquito's "proboscis" once you are bitten by one. The saliva of the mosquito carries germs (naturally) and some chemicals called "antigens". These "antigens" cause your immune system to immediately respond. This causes swelling, redness and itching which is called as "inflammation" that leads your insect bites to "weep". I think you have an "allergy" to the mosquito's in the vacation spots that you frequent. This is because there are many different kinds of mosquito's in different parts of the world. I advise you to kindly ask a physician to give you "anti-histaminic" pills, and a local steroid-antibiotic combination ointment to apply to your insect bites. The "anti-histaminics" will stop your skin from over reacting, the steroid in the ointment will speed up the healing process, and the antibiotic will eliminate infections if any. In the tropics, you can find many products to repel further, and outright kill nasty mosquito's. There are vaporizors and neon electrocutor traps, and various perfume grade aerosols that eliminate the pests. I suggest that you wear fine cotton wear that would keep you cool and would prevent insect stings. Please feel free to inquire about any other health problems.
| 34,812 |
What causes a lump in the elbow after receiving a Cortisone injecttion?
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Patient: I had a cortisone injection in my thumb joint (at the wrist) and two days later developed a large and tender lump on the inside of my elbow. It is painful and has not gone down in four days - even with heat. Could this be a lymphatic reaction to the shot? If so, what do I do other than hot compresses?a Doctor: Hi there, There are a few possibilities here. One cause is a hematoma (blood underneath the skin) that may have traveled down from the injection site to your elbow joint. This is probably less likely, as you'd notice bruising down your entire forearm.Another possibility is an infection that travels down the area of injection to the joint space. This would be accompanied by redness, heat, and worsening pain, as well as fevers and chills. Finally, the last thing that is possible is an allergic reaction, although this is also unlikely as cortisone is a naturally occurring hormone in the body. A third possibility is swelling causing nerve compression and pain. For my clinic patients, I usually recommend warm compresses which you have been doing. I recommend a 15 minute on/15 minute off interval at the minimum, but you can increase the interval on time. Ibuprofen will be helpful here, and as long as you don't have a history of stomach ulcers or kidney problems, you can take 800mg every 8 hours as needed. You can also try some benadryl, which may help as well with swelling. I'd try doing those two things. If your pain doesn't get better or your symptoms worsen, then I'd follow up with the doctor who gave you the injection. if you start having fevers, chills, nausea, or vomiting, then go to seek medical attention sooner. I hope this is helpful.
| 61,332 |
How long will it take for a lump to get cured caused by a hit?
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Patient: Hi, I took a direct hit by a softball last September while playing third base on the inside of my shin above my ankle. It instantly swelled and bruised up. A month after the bruise faded but it was still swollen and had a lump where the ball hit me. It is now end of January and I still have a lump in my leg, bruising and can still small amount of swelling. I have put off going in to get it checked out since I could walk, run and continue to play sports afterward but not I am getting worried. Doctor: HiGet an x-ray done for any periosteal crack and elevation due to hematoma.use a long leg brace for support for 2 weeks, do minimal walking so that maximal rest is achieved to promote healing.Take calcium and vitamin D3 supplements and apply voltaren gel.
| 131,386 |
What causes a niggling feeling in left side of chest?
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Patient: I noticed a niggling feeling to the left side of my chest last night i had been playing in a band so thought may be it could be to do with blowing my instrument but i have noticed it again this morning. I am thirty four not over weight and very active i dont smoke or drink. I am generally well apart from hormone related headaches. Its not a pain but feels like a little electric wire niggling. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more. So follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant drugs. 5. Apply warm water pad on affected areas. You will mostly improve with all these in 1 week. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 75,432 |
Suggest treatment for sharp pain in the sole of my foot
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Patient: This morning I woke up and when I put my left foot onto the floor I experienced sharp pain in the sole of my left foot only . I can walk on it but for the last few hours it has been painful to do so. It is the front and back sole of the foot causing the problem I think. Can you offer any advise or remedy please.Thankyou,James Doctor: Hello It can be a symptom of condition called plantar fasciitis. However we have to rule out other conditions before making a diagnosis. As a first line of management you can take analgesics like Ibuprofen or Diclofenac for pain.Soaking the foot in hot water will also help in symptomatic relief. If pain persist, you have to consult an orthopedic and get evaluated. In severe cases steroid injection to the soles may be required. Hope I have answered your query. Let me know if I can assist you further.
| 215,893 |
What causes severe pain in lower back?
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Patient: Hi, I have been experiencing pain that is mainly to the right and left side of my lower back. when walking, standing or doint other normal activities I experience no pain. The pain is quite severe when I getting out of bed or getting up from a sitting position. inthe last day or so, the pain seem to have moved to the far side (right and left) . I m not experiencing any other symptoms. Doctor: HiThank you for asking HCMI have gone through your query.From your history a lumbar sprain or a disc injury can be suspected.A physical examination with an orthopedician and an X ray followed by MRI should be done after that if necessary.That can rule out it.In such case i treat my patients with muscle relaxants like thiocolchicoside NSAIDs like aceclofenac and neurotropic drugs.I also recommend to do physiotherapy and exercises also.Hope this may help you.Let me know if you have any further query.
| 110,817 |
What causes difficulty in getting pregnant?
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Patient: hi i am married for last 6 month & we have plan to have baby. There is 8 yrs diffrence in me & my husband, i am 28 & he is 36. Till date we nevr used any protection but still not avle to conceive. I know its only 6 months but affraid if in six month without protection i am not able to conceive trend will contnue.. pls help me on this..and can you suggest next step for me to take..and if possible give me the good doc refernece will be very appreciated if in navi mumbai,... thnx very much for such wonderful social service.. Doctor: Hi dear and thanks for your query to healthcare magic .Six months of trying to conceive is not enough to say that you have any issue .You should try and other six months and than if you will not conceive after other six months than you should contact with a gynecologist and should do minimally:transvaginal scan to see your reproductive organs monitor your ovulation partner semen analysisIf all these will be normal than you should talk with an infertility specialist to to a proper examination.During these six months you will try to conceive you should be calm and:take folic acid exercise daily eat a healthy balanced diet Best regards
| 518 |
How to treat for the pain in my thigh caused by a hit?
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Patient: Hi Doctor:I was hit with an elbow very hard in my thigh last night (front right). The pain was excruciating and I collapsed. It's been incredibly painful. Hurts to walk, bend, any pressure near the injury. However there is no bruising. I'm not sure if this is considered a Charley horse. What signs should I be looking for in the event a serious injury has occurred and what steps should I take to treat myself? At the time of the incident the pain traveled straight to my groin (which has ceased) and to my knee. I am unable to sleep and laying on my back for short periods of time seems most comfortable. Any thoughts? This has never happened to me before. Thank you. --Prinda Doctor: Hello,That pain is due to contusion. If you can bear weight and walk now then no need to worry. Just apply ice. Hope I have answered your query. Let me know if I can assist you further.Regards, Sreenivasa Rao
| 127,850 |
Suggest remedies for pain in the stomach with nausea and loss of appetite
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Patient: My Father is 74 yrs old Post CABG patient and has intense pain in the stomach region. He has been vomiting bile and feels nausea and no apetite to eat. All the time he complains of pain. His SGOT and SGPT levels were 760 and 350 , very high with T bil of 2.3 , please let me know what do we do?? Doctor: HIThank for asking to HCMI really appreciate your concern and from the history given here I could say that this could be cholecystitis and this need to be ruled out and better get done the ultrasonography test and consult the gastroenterologist, meanwhile the symptoms can be managed with, Tab Omeprazole with Domperidone, take care and have a nice day.
| 90,006 |
What does micro vascular Ischemia mean?
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Patient: I had an MRI which showed stable microvascular ischemia white matter changes without demylinization. I am a 34 year old, 284 lb woman with a hx of migraines with aura. The MRI was done because the aura prior to a migraine changed from the electrical current type to seeing tracers. For the past few months I have had chronic headaches, not just the hormonal migraines I typically see. I take Fioricet for my headaches because nothing else has seemed to work. I do not have high blood pressure or cholesterol issues despite being morbidly obese. I do not have pre-diabetes or other blood sugar issues. My mother has a hx of TIA s, diagnosed when she was 40. I am still waiting for a neuro appt because the neurologist wants to review all of my medical files before setting the appointment. 1. How does the radiologist know the changes are stable when I have never had these show up on an MRI before? 2. Could this be migraine related as opposed to TIA s? 3. What can I do to prevent the changes from becoming chronic? Doctor: Hi, Regarding your concern, I would explain that these MRI findings could be related to the migraine attacks, which is known to lead to microvascular dysfunction and brain white matter changes. The fact that they are stable is related to the fact that they are not enhanced on DWI images (a specific MRI technique), which means that they are older than three months. The only thing to prevent those changes would be daily baby aspirin and a close monitoring of your blood pressure, fasting glucose and blood lipid profile. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ilir Sharka, Cardiologist
| 17,936 |
What causes pain in groin area on walking/sitting?
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Patient: hi there i have a problem. every time i walk , i feel pain in my groin area and its not my penis area just underneath and every time i sit on a chair, i cant sit fully cos when i do, feel the pain when ever i sit and it doesn't itch its just painful please what is the problem i and how do i go about solving it. Doctor: Hi,It could be an Inguinal hernia or Funiculitis.Please see a Surgeon who can examine you and advice accordingly.You might also require an Ultrasound for complete diagnosis.Do not worry, whatever your problem maybe can easily be tackled once a Specialist has examined you.Take care, Dr Rishi, New Delhi, India.
| 197,735 |
Suggest remedy to treat sunlight allergy
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Patient: hi.. I am 25 year old girl who is sufferring from sun light allergy. i ve itching on the top portion of my upper part of the hand. Tat too aft that area gets exposed to sunlight. Sun block creams are all a temporaray remedy. Is there any permanent cure for that? Thanks Doctor: Hello.Thank you for asking at HCM.I went through your history and first of all I would think of what is known as "Solar urticaria" (itching with rash due to sun exposure).I would like to suggest you as follows:1. Prevention is the best treatment for this type of allergy. Please try to avoid direct sunlight by suitable clothes.2. I would suggest you to apply sun block creams with SPF (Sunlight Protection Factor) 15 or more before anticipated exposure to sunlight.3. Personally I would suggest you to take foods rich in vitamin A (retinoids) like carrots, green leafy vegetables, mango, other "yellow or orange" colored fruits, etc. Retinoids can improve solar energy.4. In spite of above measures, if you develop itching and/or rash following sun exposure, I would suggest you to take an antihistamine like cetirizine or levocetirizine immediately, which will help.Hope above measures will be helpful to you.Sunlight allergy is usually a very benign condition. Sometimes it subsides by itself within a few months/years. It does not have any serious consequences. Please do not worry about it.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health.Thank you and Regards.
| 101,095 |
Having pain around abdomen. Have moderate diverticulosis. Taking meloxicam, amtripyline. What is wrong?
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Patient: I have 24/7 discomfort/pain and have had it for 3 1/2 months. The pain/discomfort moves around my abdomen . I have had a pap , ultra sound , 4 blood test ,4 urine test. I have gone to DO, Internist & GI. I do have moderate diverticulosis and had a colon test 1 1/2years ago with one polp. No constipation , diarrhea , vomit , losing weight, fever, bloating , and very little gas. I take Meloxicam, Amtripyline. Liptor, Omeprazole and have been taking all of them for years. I am very worrried that I have something serious and the doctors haven t found it. Can you help? Doctor: Hi welcome to Health care magic forum. Thanks for choosing H.C.M.F. You are having mild abdominal pain, 24/7, since 3 1/2 months. pain moving all round the abdomen. You have got all the tests done and found only diverticulosis. It appears to be the exacerbation of the diverticulosis. or worms in the intestines, or some thing else. I advise you to consult a G.E.surgeon, for diagnosis and treatment. You may need to go for gastroscopy, M.R.I. besides other routine tests for confirmation. I also advise you to follow some diet recommendations as avoid taking foods rich in spices, junk foods, and oily foods, to avoid irritation of the gut. Take more of bland foods, like bread, curd etc. Take more of water and liquids. Wishing for a quick and complete recovery. Best regards.
| 94,014 |
How can male infertility be treated?
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Patient: i'm mumu from bangladesh.i'm 29 years old my height 5'1' & my weight 63.i'm married 6years grow up our marrige life.our have no child we never use anything never take any medicine than we gone dr. ta chowdhury we r tretment 1 years & dr find out falt is my husband he has many prb and then he suggest us for test tube baby other wise we have no chance normaly i can't pregnent so nest month we come kolkata and now i wanted knw what we can do now?who is prfect doctor for us how we can tretment & where we can go? Doctor: As dr said that your husband has a problem then you should investigate some reports.1 semen analysis ; is basic reports to find out male potency of becoming father. Semen analysis contains many parts like sperm count , motility, active sperms liquidifaction time etc.2 ultrasound of scrotum ; to know the status of testis , vascularity of testes. As varicocele of testes is also a cause for infertility.So consult a urologist for these reports.
| 41,933 |
Having noticed a red ball inside the mouth after lip piercing
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Patient: I got a lip pircing. A hoop. Its been about 4 weeks since I got it. Ive noticed that I have a red ball inside my mouth on the lip and it went from small to really big. Not sure if its still getting bigger. There is no puss or anything what should I do Doctor: thanks for your query, i have gone through your query, the red ball could be because of the hematoma or the mucocoele secondary to the trauma by lip piercing. consult your oral physician to rule out these two conditions. or it can be because of allergic reaction resulting in oedema of the lips. i hope my answer will help you. take care.
| 186,367 |
Abdominal pain radiating into back after cholecystectomy. Can a general anesthetic procedure be used for ECRP?
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Patient: I have had a laparoscopic cholecystectomy procedure 7 months ago. I was in pain 5 years before it was decided to remove my gall bladder and from the day of surgery to present I am in constant pain in the right side of my abdomen radiating into mg back. I have been told I have post cholecystectomy syndrome and told there is nothing that can be done for my pain. I was offered an exploratory ercp but I am absolutely petrified of having this done unless under a general which was not offered. I have had other procedures previously with sedation and have fully remembered the experiences which have now contributed to my white coat syndrome and sheer panicking Wight regards to procedures. Can u please tell me ice a general anaesthetic could be used and any types of pain relief which may help. Even tramadol does not ease my discomfort. Doctor: Hi friend, Welcome to Health Care Magic Take care - a vicious cycle of pain and analgesics may end up in addiction... Anaesthesia is generally avoided in the procedure. The doctor needs to monitor the patient's response to assess the success, to avoid injury and so on. You may try CT scan - it can often clarify the situation. Keep following up - with GASTRO-ENTEROLOGIST Wishing speedy recovery God bless Good luck
| 59,757 |
Suggest treatment for kidney tumor and lung nodules
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Patient: just received a call 1 hr ago. my 63yr old brother went to hospital with severe kidney pain. after test they found 7cm tumor on top of rt kidney pressing onto his liver and a couple nodules on lung. they are doing further testing and i m very scared. he is in great physical condition with no prior med problems and pain was sudden and unexpected Doctor: Thanks for your question on HCM.In my opinion your brother is having tumour spread in lungs and the nodules seen in lung are nothing but metastatic lesion from primary site (renal).So this categorise your brother in stage 4 cancer. And in stage 4 disease surgery is contraindicated. Only chemotherapy and radiotherapy is indicated. In rare cases if renal tumour mass is too big and compressing vital organs like aorta and ureter than debulking surgery is done. Better to consult oncosurgeon and discuss all these.
| 155,806 |
Suggest medication for dog bite
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Patient: My friends dog bit me on my right hand but didn t puncture my skin, the dogs tooth dragged sharply across the top of my hand and drew blood tearing my skin open. The next day I looked at it and its raw and bloody with pus coming out of it. What should I do? Doctor: HIThanks for posting your query to Healthcaremagic. First of all you need to get Tetanus Injection immediately . If pus is coming then you need to consult a doctor , get dressing done for the wound and also start on Antibiotics . Also check whether the dog has been vaccinated for Rabies . If not then the dog has to be observed for 10 days and in these 10 days if the dog dies then you need to get Rabies vaccination done . Hope this answers your query.Any clarifications or Queries feel free to ask. Happy to help you. Regards.
| 37,922 |
Liver function test done. All levels high. Under control after taking Udiliv 300. Should I continue?
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Patient: I HAD lever function test deranged , SGPT 224, albumin , SGOT , Alkaline phosphatase out of range . i understood this happened because i had taken Norgest for 10 days. i started Udiliv 300 for 20 days and now my SGPT is 20 SGOT normal ,but alkaline phosphatase is 127 and direct bilurubin is 0.26. is it ok or should i continue udiliv still? Doctor: Hi, Udiliv is not the drug of choice for your problem .You should be taking a combination of ornthine containing compouds along with tricholine citrate and sorbitol. That will help in improvising your liver function . Stop udiliv immediately. Regards
| 59,399 |
Loin pain hematuria syndrome, pain in kidney
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Patient: I have been diagnosed with Loin Pain Hematuria Syndrome . Tonight I started having a bubbly pain in my right kidney . What could this be and should I be worried? Doctor: hi it could be kidney stone or kidney infection get ultrasound abdomen, urine examination
| 51,477 |
Is Hydrochlorothiazide effective in the treatment of osteopenia?
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Patient: I have osteopenia. Dexa Scan = left hip/T-score:-0.4 and L1 to L4/T-score:-1.7 Internist said 10-year probability of fracture is 6%. Internist has recommended I take Fosamax. I do not want to take this med - too many ill side effects - but Dr. says it is the most effective of the meds and most people only experience heartburn. What do you think of hydrochlorothiazide (keeps calcium from escaping in the urine) as a treatment? Doctor: Hi , Hydrochlorthiazide is a diuretic and will lead to loss of electrolytes and is never recommended to stop calcium outflow. Fosamax is a good medicine and it can be taken for 2-3 years before giving a medicine break of one year. Since you are in the early stage of osteopenia, you should take medicine as recommended. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopaedic Surgeon
| 126,744 |
What is the cure to get rid of hand practice and to have a healthy body?
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Patient: Sir....I have a big problem of hand practice from last 5 year now iam still 18 .... I do hand practice 4 - 5 in a week ...when I do this I control my mind I losss my mind ? A Sir...I am week from my childhood ...but In that case I started hand practice ....now I am fell iam no healty from my body still I look 12 year boy.....I am think many time to drop but I can t ? sir tl me how I quite this from my life ? What wil treatment & medicine ? but sir pls pls tell me the solution how I quite otherwise I quit.....? Sir pls pls ...tell me the medicine also anf how will make health.& diet also ? pls pls help sir Doctor: HelloThanks for query .You have been indulged in masturbation since 5 years and now facing problems related to your general health which you think it to be due to masturbationFirst of all there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body.All the problems that you are facing now are mind related and due to anxiety.Following measure will help you to boost up your confidence and improve your general health.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and Vitamin A,C,D,E.and Zinc3)Take anti oxidants like Almonds 5-6 everyday.Though it is harmless, excessive and frequent habitual masturbation does affect quality of erection and delays ejaculation.Please try to reduce the frequency of masturbation by keeping yourself busy in activities like sports,reading ,social work etc so that you will not get free time to masturbate.Finally it is your self determination that will help to quit this habit.Dr.Patil.Dr.Patil.
| 199,458 |
What causes patch of dry whitish skin on both the upper inner thighs?
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Patient: Underneath my genital area on the upper inner thigh I have a patch of dry white-ish skin on each side.....Is this just from chafing? (I am overweight). Or is this some sort of fungal infection? (it is only on the upper inner thigh-not the genital area) Doctor: Hello. Thanks for writing to us at healthcaremagicMost likely it is a fungal infection. Fungal infection are common at sites of body folds like upper inner thighs, axilla, submammary folds etc. Chaffing/scaling is a feature of fungal infections. Itching is usually a feature too but it is subjective in individuals.Being overweight adds to the possibility of fungal infection.If I was the treating doctor I would have asked you to use a topical antifungal cream. Clotrimazole 1% cream is available OTC and you may use this for 4-6 weeks.Oral antifungals e.g fluconazole are more effective in controlling the symptoms and are usually prescribed once a week for 4-6 weeks. However, oral antifungals are prescription drugs.An OTC oral antihistamine e.g cetrizine 10 mg once daily would provide you symptomatic relief from itching.Once the condition resolves, you may use an antifungal dusting powder in the groin folds regularly, twice daily.Antifungal dusting powder would not only keep the folds dry but also be inhibitory to fungal growth, thereby preventing recurrence.Regards
| 9,354 |
Which tooth brush will prevent dental caries ?
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Patient: I am seeing lot of advertise ment about the tooth brushes. which tooth brush is ideal and good. Can any one tell me which is the best tooth brsuh in the market to use. which tooth brush will prevent dental caries? Doctor: Hello, Thanks for writing to us. Use interdental Toothbrush which will be helful. Follow these tips to help prevent cavities: Brush after eating or drinking. Rinse your mouth. Visit your dentist regularly. Avoid frequent snacking and sipping. Eat tooth-healthy foods. Hope this helps you. Wishing you good health... Regards.
| 188,729 |
Suggest treatment for lump caused by a fall
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Patient: My 18-month-old son started walking very early (10 months) and has always been a climber. During some of his adventures, he s has had some nasty falls. He ended up with a concussion back in December and had a clean cat scan, but was hospitalized overnight for observation. Now everyone he bumps his head, no matter how minor, he will get these noticeable knots/bumps. Should we be concerned about these bumps? He has some severe language delays (suspected apraxia). Doctor: Regarding language development there is a lot of variability, most toddlers are saying about 20 words by 18 months. If at 18 months your child is using gesture instead of vocalisations to communicate then you should consult speech and language pathologist for detailed clinical evaluation and investigations.Regarding head bumps, are these bumps appearing only on head or anywhere else after minor trauma.As you said CT scan following previous head injury was normal, possibility of most of the internal injuries is ruled out.Bruising after minor trauma may be a sign of blood disorder. Consult your doctor and ask for investigations like CBC, coagulation studies.
| 165,385 |
Trying for baby, tried laproscopy, mayomectomy, HCG test, uterine wall not ok. Hence IUI postponed, delayed periods. Am I pregnant ?
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Patient: Dear Doctor, I,m tring for baby for 3 years.i faced laperouscopy and mayomectomy and HGC test .now my tubes are ok. last month my docter gave me folistim to get ready for the IUI ,but finaly he said me my uterian wall still not properly ok.therefor postpone my IUI for next month. but now I periods 11 days delay.but my beta HCG was 2 yesterday.(at 10 th day)am i pregnent.I never ever delay my periods.my docter yesterday gave me Primulet N 5mg to begin periods again.i am warried.please docter I dont like to take that pill .I still think I am pregnent.please answer me.... Doctor: no you are not pregnant....delay is due to the medicine..that u have received....folistim was given but IUI was postponed ...may be your endometrial thickness was not good....your doctor is right....as your beta HCG is too low...it is sure that u r not pregnant....best of luck...
| 43,384 |
What causes bleeding from mouth?
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Patient: hello there. I m here to ask for help. my daughter has been acting weird. she doesn t want to eat or drink anything but water. she will always cry in the night, and she will want me to hold her to sleep, but today she was sleeping, and all of a sudden. she was crying nonstop and I looked at her mouth it was bleeding. so I call my sister to get me orajel and squeeze alittle to my index finger n massage the medicine on her top gums and I took out my index it was bleeding a lot. I got scare and I want to know what s going on.but she went to sleep already. but what is causing it Doctor: You should open her mouth and examine it under a strong flashlight to figure out what caused the bleeding. It could be dental, gums, tongue, floor of the mouth, tonsils, roof of the mouth. There could be a cut, ulcers, or other problems. Look for redness, swelling and oozing from the site. If nothing is found, it might be best to go to an oral surgeon to discover the cause of the bleeding. You could do it after she is awake and about. Please mention the age of your daughter in your next follow-up question so that we can help you better.Dr. Taher
| 171,903 |
Suggest remedy for unbearable pain in the knee
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Patient: About 3 weeks ago, I twisted my knee while standing. It really hurt at first but got ok. Since then, the pain has worsened daily. I finally went to the ER last week, X-ray was negative. I saw an orthopedic doctor the next day who ordered a MRI which showed a bone contusion of the tibial plateau, no tears of ligaments or meniscus. I am in a wheelchair now, can put absolutely no weight on it or turn it because the pain is unbearable. I have to take Dilaudid or OxyContin (left over from a knee replacement of the other knee in April) to get any relief. At night I wake up in excruciating pain. This has been worse than the pain of my knee replacement and the doctor says it will just take time. Getting worse every day, please give any suggestions. Doctor: Hi there.\If your MRI has come clean of any ligament or cartilage tears, it appears that the pain could be due to the bony contusion. Not to worry. Just ice it. Keep the limb elevated. Avoid walking on it. You can wear crepe bandage for some relief. Take Tab. Ibuprofen 200mg twice a day for pain relief. You can also apply pain killing gel over the knee.
| 137,221 |
What is the treatment for an enlarged tonsils?
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Patient: My four year old daughter has very large tonsils there so large that they almost touch, the left side touches her uvula. They also have bright red veins at over them. She said her throat doesn't hurt at all. She sleeps with her mouth open and snores very loudly. Should I be worried? Doctor: Hello. I just read through your question.This is a very common problem. If she is sleeping comfortably, even with the snoring, there is really nothing to be worried about. However, if at any point during sleep you notice that she stops breathing for a period of 20 seconds or more before beginning her breathing again, it is a good idea to be evaluated by a pediatric ENT. Additionally, if she experiences recurrent infection in the throat, that would also be a good reason to be evaluated. Outside of those two scenarios, there is nothing to worry about.
| 175,646 |
Suggest treatment for breathlessness and facial swelling
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Patient: i suffer from copd since 3 years, a lot of calcification is observed in my lungs and i suffer from extreme breathlessness, i have been taking wysolone 30mg per day since 2months however i am becomimg more breathless everyday and my face is swelling can u please advise thank you Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are taking very high dose if oral steroid (wysolone) since long time (2 months). Oral steroids can cause facial edema. They can also damage kidneys and decrease urine output. So breathlessness and facial swelling are seen. End stage COPD can also cause similar symptoms by severe Pulmonary hypertension. So in my opinion, you should immediately consult pulmonologist and get done clinical examination of respiratory system, PFT (for severe of COPD), 2d echo (for severity of Pulmonary hypertension) and kidney function test. If possible, avoid oral steroids and increase the dose of inhaled corticosteroid (ICS). Hope I have solved your query. Wish you good health. Thanks.
| 79,097 |
Suggest remedy for back pain with nausea with blood in urine
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Patient: Hi I am currently in BaliToday I got caught in some rough surf, shallow water that threw me around a bit - I did bounce around on my back for a little bit.As soon as I got out of the water I felt back pain (flanks/lower back) like a strong cramping. I started to feel nausea as well.On arrival back to the hotel I took a Volaren 25 - within a few hours I have blood in my urine (no its clear) black stools that looked like ground coffee . leg cramps!! What do you think this might be? Doctor: Hello,I think you should consult a surgeon now. Blood in urine and black stools point toward some internal hemorrhage. You need to do an ultrasound abdomen and pelvis.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Nikhil Chandurkar
| 108,146 |
What causes discomfort on middle of spine?
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Patient: This is hard to describe, but I have a weird discomfort in the middle of my back, right on my spine. I say discomfort because its not really pain, just a weird feeling like there is something lodged in my spine in a very specific spot. You probably don t take questions like this, but does that sound like something I should be worried about? I understand you can t make a diagnosis. Doctor: Hello. I have been through your question and understand your concern.Spinal discomfort are common condition and totally harmless. There is nothing to worry about. Generally these are caused by non correct postures and tend to be recurent. There is no specific treatment but physical activity with back muscles exercises are very helpful.Hope this helps.Please feel free using MHC again
| 145,362 |
What causes oval shaped bump on the bottom side of penis?
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Patient: I have a oval-shaped bump on the bottom side of my penis. I haven t had sex since last February but I used a condom. Is this an STD? It s a reddish color and it has a dome shape to it. I ve done research on genital warts and i ve found that they mainly come in clusters. This is just one single bump. It felt like there were two smaller bumps under my skin about last week. now it feels like they ve bot combined tomake an oval shape. Any ideas on what this might be. It does hurt a little to touch. Also it looks like I m peeling a little bit on the bump. Please reply ASAP! Thanks Doc. Doctor: HelloThanks for query,Based on the information that you have provided the oval shaped bump that you have at base of the penis is mostly a Sebaceous Cyst .Penile and scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed you may need to get it excised in Toto (Completely along withthe sac).Dr.Patil.
| 199,952 |
Will intake of protein supplements during workouts cause problem during conception?
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Patient: Hey,M 24 Yrs Male. I have average body, I started workout in Gym somewhere around 8 months ago. I hear from a doctor taking Proteins from supplements will cause problem in marriage life. M not married yet. But is it so Will it give any kind of problems in Child productivity? What is the different between Steroieds and other medicine which helps you to gain Size and body weight? Does those medicine contain Steroids?Thanks Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You can check content on protein supplement. Only protein containing supplements are useful because to workout we need protein to replenish lost protein. But steroid containing supplements should not be taken which has hazardous effect on health. So don't worry in taking supplements which only contain protein. I hope I have answered your query. Let me know if you have any further questions. Regards,Dr. Parth Goswami
| 195,811 |
Is it possible to have hair regrowth?
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Patient: Hi Sir,Good Eveng.My name is srinath,age is 31.basically from udupi,working in bangalore as accountant in Pvt Firm. i am facing hair related( baldness) problem since 7 years. one of my friend suggested to meet cutis clinic at chandra layout bangalore.is there any chances of regrowth of hair??.if chance,in howmany months i can get satisfactroy hair?? what it costs?? i am eager to meet you soon.hope you help me in this regard. thanks and Regards, Shrinath Shetty Doctor: Hi, You to apply minoxidil 5 percent lotion on the affected areas of the scalp twice daily and take hair supplements like tablet follihair A once daily. These need to be continued for 4-5 months to see significant results. You can consult a dermatologist and consider going for Plasma rich platelet therapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist
| 9,821 |
How to get rid of head ache in back side?
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Patient: i have sevier head ache in back side...tell me the solution sir... Doctor: Hi,Head ache and migraine are so complicate, it could caused by nervous system disorders, injury your back, neck and head , food, any fragrances, sleep disorder, living environment, etc. i had migraine head ache for 30 years, 7 years ago i met a person and she told me about negative ion clothes, open mind and tried so far no pain anymore, i highly recommend to try it, it will surprise you. check here http://healthtalk88.blogspot.com
| 151,967 |
What is the pain I am having in my left arm?
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Patient: I got a catheterism done last january and lately been having stabbing pains, but this morning i woke up due to this left hand pain which i can deeply feels like blood going down and into my hand finds a blockage and gives me this punching pain hard pain Doctor: Hello!Welcome and thank you for asking on HCM!I understand your concern and would recommend consulting with your GP for a careful physical examination. Your symptoms may be related to a pinched nerve or a vascular disorder. A nerve conduction study (electroneurography) is necessary to rule in/out possible pinched nerve, which could cause these symptoms. From the other hand, a Doppler ultrasound is needed to examine better the blood flow in the arm vessels. Some blood lab tests ( complete blood count, PCR, sedimentation rate) are needed to exclude possible vessel inflammation (vasculitis). Hope to have been helpful!Feel free to ask any other questions, whenever you need. Greetings!Dr. Iliri
| 26,397 |
What causes high pulse rate with shortness of breath?
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Patient: I am a 52 year old woman with high blood pressure and hypothyroidism. Recently I have had instances of high pulse (102 resting), shortness of breath, and tingling in my hands and feet. These usually go away after a few hours. My blood pressure is staying within normal limits when this happens, but my heart pounds very hard. It happens whether I am exerting myself or not. What is going on? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Your all symptoms can be due to heart diseases like heart failure or coronary artery disease (CAD). You are also having hypertension and hypothyroidism. Both of them can increase risk of heart diseases. So first get done ecg, 2d echo and stress test (trade mill test). If all these are normal then no need to worry for major heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So better to avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 25,143 |
Suggest remedy to overcome depression
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Patient: Hi, may I answer Hi doc i am worried about my carrier choice since i just completed my secondary school educatiom and will be joining university. I want to be a doctor since its my passion but i dont know if i will make it. If i dont manage my world is gonna crush. Please help Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Even if you don't become doctor, your world will never get crushed. Don't worry. Instead of doing something for which you do not have any talent, why don't you do something you are talented for? Understand the basics. if you have it in you, you will become a doctor. if you do not have it in you, you cannot become a good doctor even if you try hard. You may get certificate, but becoming a doctor is more than that. Rethink. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 207,327 |
How to quit masturbation as it is affecting workouts at gym?
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Patient: hello doc am guy who do a lot of workout at the gym.i just turned 18 two months ago. height is 6ft. weight around 85 kg. am really a very healthy guy but my problem is that i masturbate.:P is that a bad thing to those who workout in the gym. ? because when ever i masturbate i feel good nut when i got to the gym i feel low.. is there any problem in it. Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Please understand that masturbation is not a sin, unhealthy habit. It is natural and even animals masturbate. One masturbation of 5 minutes can cause energy loss equivalent to a 300 meter jogging. Such a paltry energy loss can be regained easily. Yes. frequent masturbation habit is anxiety provoking. Masturbation 5 times a week is normal at your age. If you masturbate in excess control it. Otherwise do not be anxious about it. In your case you are more anxious about health. That is creating your problem. Mental reseove is the best way. Concentration in your education and career an other leisure time activities keeps you engaged and masturbation habits lessens automatially.In case if you need more of my assistance in this matter, please post a detailed direct query to me on this portal. I shall help you with psychotherapy tips to overcome your problems.Hope this answers your query. Available for futher clarifications.Good luck.
| 202,000 |
Suggest treatment for loose motions in a child
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Patient: my 10 months old daughter is having loose motions with pus cells in stools since 20 days. doctor recommended us to give zifi & nutrolin -b . when she finished her course of medicine , she was recovering but when medicines were stopped as told by dr. she again got it. how to recover her from illness? Doctor: Hi...Thank you for consulting in Health Care magic.It seems your kid is having viral diarrhoea. Once it starts it will take 5-7 days to completely get better. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics (LIKE ZIFI) unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhoea.I suggest you use zinc supplements (Z&D drops 1ml once daily for 14 days) & ORS (Each small packet mixed in 200ml of potable water and keep giving sip by sip) as hydration is very important and crucial part of treatment. If there is vomiting you can use Syrup Ondansetron (as prescribed by your paediatrician).Regarding diet - You can use cerelac...any flavour will do. Avoid fruit juices as they might aggravate diarrhea. You can give zinc supplements & ORS apart from normal vegetarian porridges & soups.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).,
| 166,408 |
Can plenty of water and coconut water cure UTI?
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Patient: hi. can a uti be cured just by drinking plenty of water and coconut water and not taking antibiotics? my husband was diagnosed with uti last july. he was cured as per doctors advised after having urine test. but he is having the same symptoms now. what shall we do? Doctor: Hello,I understand your concern.I am Dr. Arun Tank, infectious diseases specialist, answering your query.In my opinion you should do urine culture and sensitivity, also look to find out underlying pathology which is causing a recurrent UTI to you. USG will help in diagnosing the underlying pathology.Also take plenty of water that will flush out the residual bacteria from the urinary tract.I will be happy to answer your further concern, you can ask me on bit.ly/DrArun. Thank you.Dr Arun TankInfectious diseases specialist.
| 37,253 |
Sore, burning sensation around abdomen and pelvic area while walking. Suggest
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Patient: what does it mean when you have a sensitive,sore and burning sensation around your lower torso, the lower back and the abdoman and pelvic area? it hurts when I walk and laugh. very sensitive on the left side in the front of this circle of pain when i push in on it or laugh. this is my third day and i feel week, and have been sleeping day and night. Doctor: Hi Thanks for writing in The information you have provided does not help coming to a clinical impression What is your age and sex? Is there any history of a surgery earlier ? Pass on some information about your bowel habits and your diet ? Your medical history also Once I get this information, will try to help you out WIshing you a healthy life ahead
| 93,842 |
What causes cramps in glutis maximus?
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Patient: For the past 4 days I have been awakened with an extreme cramp in my glutis Maximus . I also have been experiencing pain in my upper arm fornabout a month or two. Are these pains related? They both subside with moving around, but the pain in my GM lasts for a agonizing 10 minutes or so. Doctor: Hello, The symptoms seem to be related to a muscle cramp. I suggest using a spasmolytic such as Baclofen three times a day. I also suggest using magnesium supplement twice a day. Warm compresses can also be helpful in relieving the cramps. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 122,097 |
How long does a viral fever last?
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Patient: Hi Doctor,I would like to know how long does a viral fever last? My fever goes up to 101.5 F and then i take advil. Can you explain how does the virus gradulally eliminate / leave the body ? At what point should i start antibiotics to prevent any bacterial infection.What diet will help me with quick recovery other then lot of rest and plenty of fluids.ThanksMike Doctor: Most fevers with viruses last for 2 to 3 days, but sometimes they can last as long as 2 weeks. release of virus progeny following successful reproduction during a host-cell infection. Once replication has been completed and the host cell is exhausted of all resources in making viral progeny, the viruses may begin to leave the cell by several methods. keep your diet light and healthy. Drink lots of water throughout the day, to keep the body hydrated. Foods rich in Vitamin E and Vitamin C should be consumed. Vegetarian food is a preferred option.hope this is sufficient.
| 31,858 |
Weak memory, rashes on legs, nausea,sleepiness, eye vision. Taken tegrital, epilan, levopsy for seizures. Suggestion?
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Patient: doctor,this is mirza 27year,i am now taking tegrital cr 300 + epilan 130 + levepsy 250 only since 1 year.my history in short i have seizures since 10 years only bcoz of irritation(fed up) and side effects of medication i left all the prescribed dozes given by all the doctors since all this years,and now again i have problem with medication rememebrance(weak memory)rashes on legs,during and after medication nausea ,anxiety, mood swings, body weakness,sleepiness,weak eye vision,body shivering,weak sex ,fever ,depression,hearing problems,i get angry soon and what not............ Doctor: Hi Mirza,Thank you for posting your query.Epilepsy treatment requires medications to be used long term, even lifelong in most cases. So, I would request you to continue the medications, as per the neurologist's advice.Regarding side effects, you can discuss them with your doctor. It is possible to make changes in the drugs as well as the dose to reduce or stop the side effects. Most people with epilepsy lead normal lives.Best wishes,Dr Sudhir Kumar MD DM (Neurology)Senior Consultant Neurologist Apollo Hospitals, Hyderabad
| 149,587 |
What can cause pain in the broken arm when hold tightly?
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Patient: my daughter broke her arm - radius and ulnar in April and had surgery to insert pins and plates as the bones were not able to be aligned. At the time I was advised that she would need to plates removed. I attended a review last week and was told that she may not need to have them removed and am now confused. She complains of pain in the arm if someone holds her arm tightly but is otherwise fine. Doctor: Hi, there!Metal construction removal is planned after 12-24months since surgery.The pain is possible,when pressing soft tissue against plates, pins etc., but otherwise its possible that there is no full consolidation of fracture.Follow-up X-rays needed.I hope this helps
| 129,716 |
What does painful lump on top of spine with neck stiffness indicate?
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Patient: I have just noticed a hard like painful, marble sized lump at the base of my neck on left side at the top of my spine. My neck is very stiff and feels like a muscle pulling down into my shoulder. The lump moves when I touch it, and feels like a marble. What could this be? Any idea? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have occipital lymphnode enlargement. or you may have some soft tissue tumour like lipoma or neurofibroma. You should go for fine needle aspiration cytology or biopsy. It will give you exact diagnosis then you should take treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 65,763 |
Suggest medication for dry mouth
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Patient: I hope you can. my last neck radiation tx was on 7/11/16. I had cancer hpv on r tonsil, I'm clear now but still have feeding tube, and can't go a few min without sipping water. It's the dryness that is making it hard to eat [well pain also]. Is there any medication that increases saliva? Doctor: Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain it seems that you have suffered radiation damage to the salivary glands leading to reduced salivary flow causing Xerostomia or Dry mouth..-For dry mouth chew sugarfree chewing gums..-Drink plenty of water.-Avoid regular mouthwash and use specialized mouthwash that are formulated for dry mouth patients like Biotene..-You can also instil artificial saliva drops..-Suck tart candies as it also stimulates saliva flow..If does not improve consult an Oral Physician and get evaluated..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 181,260 |
Done follicular study. Taken HCG 5000 IU. Ruptured follicle. Done ovarian drilling. Abdominal pain. Reason?
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Patient: I had a follicular study on 14th day and it measured 2.3mm*2.4mm [ right ovary ] follicle size. Doctor advised me take injection [ HCG 5000 IU ] and on 15 th day morning the study shown that follicle is ruptured I have undergone ovarian drilling last month.We had intercourse on 14thand 15th day. I have a slight pain on my right abdomen. What could be the reason for that ? Doctor: Hi and welcome HCM. It can be another follicular cyst but also many other disorders such as endometriosis or pelvic infections. YOu should do ultrasound again to evaluate your ovary if pain persists or progresses. Pain can always be provoked by sexual intercourse, but this isnt a reason to avoid it. Take some standard painkillers half an hour before intercourse. If nothing is helfpul then hormonal therapy may be started,but go step by step and I am sure everything s gonna be fine. Wish you good health.
| 93,854 |
Hit head leading to bump, no dilation, had diarrhea. Consultation?
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Patient: My 70 year old mother hit her head last night on the marble floor and was out for few seconds. When she awoke she knew her name, date of birth, social security number... so we thougth she was okay. She did not want to go to the hospital.She had a bump on her left side of her head, not big. She went into the bathroom and had diarrhea . We checked her eyes about 1/2 hour later and they were not dialated (we used a flashlight) - now this morning I m concerned should she have seen someone? Doctor: Hi, Thank you for posting your query. Based on your description, your mother seems to have suffered only a mild head injury, and as such there is no cause for concern now. Please watch for the following warning symptoms, which could suggest a severe head injury- severe headache, vomiting, double vision, fits, decreased alertness, etc. If she develops any one or more of them, take her to a doctor. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com
| 150,581 |
What is the treatment for joint pains?
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Patient: most morning when i wake up i cant fell my legs as they are numb and have constant pins and needles , i also get bad pains within the joints , legs ankle fingers and hips , i keep getting sick when i eat and its been going on for a long time now but seems to be getting worse . any help would be much aprrcieated Doctor: Hello,Have u met any accident or fell down before?It seems to me there is nerve compression over lumbar region or sciatica pain.in sciatica,the pain with low back refferred to lower limb with foot ankle and thigh and sometimes along with numbness and tingling sensating whole lower limb due to nerve compression.there are many other causes of nerve compression or tingling sensation as lumbar stenosis,fracture,lumbar radiculopathy,herniated disc,diabetes,nerve root injury.Usually, the non surgical treatment for the lumbar radiculopathy or sciatica are physical therapy,massage,accupunture,medicines and some spinal injections.You can take hot/cold therapy,apply ice packs or hot water fomentation either therapy is convenient for you for 20 mins.Take massage therapy.Take medicines as ibuprofen or naproxen which reduces the pain with spasm.Avoid long sitting or standing,avoid forward bending or heavy weight lifting these can aggregate the pain.Although you don't get the relief get MRI or X ray.
| 130,399 |
Can masturbation lead to damage of penis tissue?
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Patient: Hello I'm 15 years old and my penis seems to be quite smaller than most of the other guys at my age. I am slightly overweight, my BMI is somewhere around 25-27. I masturbate quite alot and I hear it might cause penisial tissue to damage. Should I stop masturbating or is my growth just a little late? I have pubic hair and I have had it since I was 12 or 13. Doctor: HIThank for asking to HCMI really appreciate your concern and I would like to say that masturbate cause no harm to tissue if this is being perform in right method otherwise halfhazard act could cause the trauma and care need to be taken for this, take care and have a nice day.
| 202,041 |
What causes dryness in mouth with metallic taste?
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Patient: Hi I'm 30. During my last period I experienced a completely dry mouth and a bit of a metallic taste in my mouth. Now today where I expect my period I'm experiencing the same: dry mouth with a weird taste. What's wrong because I have never experienced this before? Doctor: thanks for your query, the dryness could be because of decreased salivary secretion from the salivary gland due to a stone in the duct or any other pathologies..dryness can also be because of certain drugs...seconadry to the dryness you might be feeling the metallic taste or if you are taking metronidazole then it can cause metallic taste..consult your oral physician to rule out these causes and for prompt daignosis. you can yuse artificial salivary substitutes like wet mouth gel...keep sipping lot of water...i hope my answer will help you..take care..
| 186,692 |
What causes shooting pain left side of chest and hand?
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Patient: i have been having chest pains for the past 2 months now and im only 17. i have been to the doctors 6 times. the first couple of times they said it was muscle pain but the tablets never worked. next time i went back he said it was deffenatly not my heart and that made me less worried because ive had panic attacks over this. i went again because i was scared and to calm me down he gave me an ecg test and it came back fine. they now think its due to worrying to much but i cant help but think different. it is not a bad pain, it is usually on the left side of my breat near my arm. sometimes on the right but hardly ever and sometimes theres a slight tingle in the middle of my chest. also i have little tingles in my hand and fingers and shooting pains. the pains everywhere mostly feel like shooting pains. please help me, im very scared. Doctor: Hi,This is Dr Sameer, cardiologist.Pain in chest due to heart disease is very rare at your age. Chest pain due to heart disease is non localized, squeezing type & increase on exertion. Still you need to do a 2D Echo for cardiac evaluation.Chest pain at your age can be simple muscle pain or costochondritis(inflammation of joint between bone & cartilage of chest wall). Both are treated with pain killer. Tab Ultraset will be safe & good for you. And i also think that your anxiety is increasing the pain. So don't worry & stop thinking about the pain. You will see than that pain will go away itself.Thanks
| 21,887 |
How to heal wisdom tooth pain?
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Patient: Hi I am suffering wisdom tooth pain since last four days....No medicine is permanently effective. I have been advised with ronclav-625 (Mrn - Eveng), Flexon (three times) and ketnov (three times) for three days but still no relief from pain...kindly suggest Doctor: Hello, thank you for consulting with HCM.Actually the medications which has been prescribed to you are good for a tooth pain. But if you are still with pain you can start with 600 mg dispersible paracetamol tablet, which will give you relief.But still for complete relief you have to get the tooth removed.Hope it will help you.
| 187,112 |
Can Ibuprofen be taken with Hydrocodone/Acetaminophen for hand pain?
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Patient: Today my son was operated on to remove glass from his hand. The nurse who discharged him, said if he had pain he could take Ibuproven with the prescription Hydrocodone-Acetaminophen. Is this ok, I want to make sure she knows what she is talking about. Doctor: Hi, As your son was operated it can cause postoperative pain and inflammation and it needs to be controlled with anti-inflammatory painkillers. However, the use of painkillers is dependent on the severity of pain so you should give him painkillers depending on the need of painkillers. If your son is in pain you can give him Ibuprofen as it will help in reducing inflammation as well as pain. In case if the pain does not get better with it then it is advisable to consult his doctor once and proceed with Hydrocodone-Acetaminophen combination. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist
| 126,110 |
What causes joint pain,sore throat and fever?
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Patient: Last night my daughter started to feel deep aches in her joints and a sore throat She bought some cold medicine but called me at 4 am literally crying that she had a fever chills pain in her back pins and needles feeling deep in skin. She even got in the bathtub to try and bring down the fever. I told her to take 2 Tylenol at 6 am after the original medication time lapsed. She did and did not go to work and fell back to sleep. I checked to see how she was around 1030 or so and she was just beside herself with the pain chills and this restless pins and needles pain. I live an hr away so I drove here and she was very warm. She took 2 more Tylenol style noon. It is now 445 and no relief. Is this the flu can she take 2 more extra strength Tylenol now? Not sure what to do as she normally never complains Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern. You can give two more additional Tylenol with no problem. You are advised to consult a physician if she is not relieved of her fever. She will need investigations for knowing the cause. You can discuss with your treating Doctor about it.Hope I have answered your query.If you have any further questions then don't hesitate to writing to us . I will be happy to help you.Wishing you good health.Take care.
| 135,415 |
Should a shoulder surgery be done for rotator cuff injury?
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Patient: Should I be open to surgery if after an MRI and eight weeks physical therapy on shoulder for two small thick rotator tears, bone spur, bursitis and calcification has not helped? Also have some arthritis in shoulder as well. Only 49 years old. But this is the third injury to this same shoulder. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. A surgery is needed if it is more than a partial thickness tear. Hope I have answered your query. Let me know if I can assist you further.
| 127,568 |
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