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What causes itchiness all over the body while in contact with water?
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Patient: I am 18 years old and I have been struggling with my skin for several years. Ever since I was 14 I have had itching skin after I have been in contact with water. I have asked several skin doctors about this, but they have told me there is nothing I can do about it, even though they don't ever check what it is. They more or less ignore what I try to tell them. So that's why I'm asking you.It first started when I took a dip in the sea (Canary Islands). Ever since, my skin has been sensitive from water, itching a lot and becoming red, with white in the middle, as if mosquitoes has been there. However, sometimes, it won't be same. Like showering in upper Sweden (Stockholm) the itching was much less extreme, as well the water in France. (Avigon) Another detail is that if I have been in contact with water first, it will start itching and what not, but the second time (after becoming dry first, and that takes several minutes) it won't itch or anything. I will become a little red, but that's about it. My skin also reacts from sweat. It also doesn't matter matter what temperature it is.The skin doctors have told me that this would most likely disappear some years ago, but it's becoming worse. At first, it was only on my chest and on my back. Now, it's spreading to my stomach, arms, entire back, and thighs, and instead of just itching, it burns as well. I would be so grateful if you could help me! Swimming has always been a great passion to me, and taking relaxing baths is always something I have loved... however, it's hard to enjoy water when I become like this. It's torture, and it makes me so sad I can't find help. What could this be? Is there anything I should try out? Thank you! Doctor: Your body seems to be allergic to something in the water. Because you not feeling equally bad with the water at Stockholm and France, the dissolved contents in water must be troubling you. But, what is to be remembered is that we can not change the water always, so we need to change your body's constitution and make it less sensitive like any other's skin.1st - For this you need to have a proper workup of your case to find out if there is any allergic or Autoimmune process causing this in your body. You need to discuss this with your doctor.2nd - Homeopathy also can help you. There are certain remedies in Homeopathy which can change your body's constitution and reduce your body's sensitiveness. Consult a good Homeopath also who can understand your case and systematically analyse and treat you in the proper medical lines.
| 98,886 |
What causes inflammation in groin, neck and shoulder?
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Patient: im a 33 y/o edimetrial cancer survivoir, total hyst 2 years ago,ca present in uterus, ovary, abdomen, and i had cancer in my bladder. I had 5 abdominal surgueries so i have adhesions which cause pain daily. Now my lymph nodes in groin, neck and sholder are imflammed for 2 months, chest xray was clear, blood work ok, dr says to follow up in few weeks, my neck nodes swell so much my hand falls asleep, like a pinched nerve. where do i go now. also, i recently lost my job and am uninsured. i am on many daily vitamins, protien suppliments, xanax, lexapro, had lap band surgury 1.5 years ago and lost 130lbs, im 5'5" 155lbs, hav had a hx of htn, but after wgt loss i slowly came off my meds, my pressure now is normal, 110/70. my nodes are about the size of a nickel and are visible in neck and neck line. Doctor: HIWell come to HCMWith the malignant such swelling of lymph nodes are very likely and care need to be taken for fungal infection because this would be only worrisome and for this better to have clinical examination, else this is nothing to worry, if the swelling is limited only, as long as the diet is concern you can have the routine diet, hope this information helps, take care.
| 115,289 |
How can discomfort in the uvula after a surgery be treated?
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Patient: I have had I have had an operation where my uvula has been split in two to reduce snoring. The effect has been that I feel discomfort with the uvula tissues on each side of my mouth. Is it advisable to look at reducing the split uvula or removing it entirely? YYYY@YYYY Doctor: Hello,As per your query, you have discomfort in the uvula after a surgery which seems to be due to more of bacterial infection and due to conditions such as dry mouth which is giving you discomfort.You can take Amoxicillin drug thrice a day. Do warm saline gargles 3 times a day. Chew one Vitamin C pellet daily. If there is a pain in the throat, then you can take Tylenol drug. Avoid spicy and cold foods.Visit ENT specialist once and get it examined. Start treatment after proper diagnosis. I would suggest you go ahead with preventive methods first rather than going for complete removal. Drink plenty of water to avoid acid reflux and dry mouth.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Harry Maheshwari
| 180,576 |
Experiencing cold,cough,sore throat,fatigue and smell of blood at the back of mouth
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Patient: I ve been having the smell of blood in my nose and the taste of blood in the back of my mouth. Sometimes when I blow my nose, the mucous is bloody. This worries me. Besides that, it seems like I have other constant sinus problems; sneezing, coughing, headaches, burning eyes, irritated throat, lack of smell and taste, and fatigue. I don t necessarily eat unhealthy or have unhealthy habits, but I never feel any better. What should I do? Doctor: Hi, thanks for using healthcare magicThe bloody discharge would be related to the inflammation in the nose and sinus passages.This inflammation may be due to allergies and/or infection.You need to consider treatment with antihistamines, decongestants, a topical steroid nasal spray.You would also need pain medication to help with any discomfort (eg paracetamol or ibuprofen).These , with the possible exception of the topical steroid nasal spray, should be available over the counter at your local pharmacy.If there is a bacterial infection then you would need antibiotics. If you use the above meds and do not notice any improvement, then you should visit your doctor to find out if you have bacterial sinusitis.I hope this helps
| 100,884 |
Severe tooth pain, swollen jaw, numbness in lips, pain shooting to ears and temple. Treatment?
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Patient: I have the worst toothache ever. Its the left side bottom 3rd tooth from back it had a filling that came out and it looks cracked i been on keflex double dose for 4 days now and now jaw is swollen and have knot in jaw and my lip keeps going numb on that side and shooting pain goes to my ear and timple and my dentist is out of town til monday, what should i do thanks Doctor: Hi, Thanks for choosing HCM forum, Your filled teeth has cracked which may lead into periapical infection. Since the jaw is swollen and numbness in lip occurs,chance of developing periapical abscess is high. an x-ray will help to rule out periapical infection if present. If teeth can be retained,root canal treatment is indicated. If further treatment is impossible,it has to be extracted. Meanwhile warm saline gargle and betadine rinse has to be done. Avoid chewing hard/solid foods on the affected site. hope this helps.
| 189,690 |
Asthma and bad feeling till the chest, shoulders hurt, numbness of legs. Why is exhaustion caused?
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Patient: i started feelin bad saturday i thought maybe it was just the cold weather messing with my asthma but it has gone to my chest being tight my shoulders hurt and everything is heavy jus readjusting how im sitting in the cough i feel winded and exhausted and i dont know is it has anything to so with it but my legs also keep going numb Doctor: Hello, It is possible you have the flu now that the weather is changing and having viral pleuritis that is worsening the asthma. If you are hyperventilating, or having a panic attack this will change the electrolytes in your blood and make your fingers and legs numb. However, a flu-like illness and legs numb could also mean you are having sensory neuropathy (nerve disturbance affecting sensation) and is a sign of an inflammation of the blood vessels and referred to as vasculitis. CBC, LFT, Urea creatinine, urine dipstick, CXR, autoantibody profile are mandatory tests if this diagnosis is considered and your doctor will be best placed (after a physical examination) to ensure whether or not the tests are required. Thanks.
| 105,019 |
What causes bleach smell for the stool?
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Patient: My 3 year old has recently had some bowel movements that smell like bleach. She doesn t have any discomfort or symptoms of and illness and he bowel movement appears normal. She has been in antibiotics every month for the past 4 months, but finished the last one 3 weeks ago. She also takes miralax daily for constipation. What could cause this smell? Doctor: HiWelcome to the HCMI understand your concerns. It seems that the use of antibiotics and miralax for long duration has lead to the change in gut flora of your daughter. Don't worry. I would recommend you to start her on probiotics such as enterogermina to replenish her flora.Constipation in kids of this age is most likely due to lack of fibres and dehydration. So, enrich your child's diet with fibres and give her plenty of fluids to avoid dehydration. This will help in relieving her constipation and regular use of Miralax.Also, avoid use of antibiotics as far as possible as most common infections are viral in this age group and requires only symptomatic treatment.Hopefully this will help you. I would be happy to help you in any further child health related questions.Take care
| 171,742 |
Suggest treatment for cough and difficulty in breathing
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Patient: I have had bad cough for 4 years which only seems to appear in the damp weather, I am being sick due to coughing and am struggling for breath been tested for asthma and tests were negative, it is getting really annoying and i am struggling to do my day to day jobs ? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. By your history and description, possibility of allergic bronchitis is more likely. Your symptoms get worse with damp weather. This is because of bronchitis induced by humidity of air in damp weather. So get done PFT (Pulmonary Function Test).If this shows obstructive Airway defect then you will need inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 73,230 |
What causes mood swings?
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Patient: Hi lately I don't feel very good usually I'm a very bubbly person but for the past month I'm always down upset sometimes start to cry without any reason I don't wanna Go out anymore Coz I feel that I don't fit in anywhere . Some days I get really angry and frustrated I shout on my family members then I cry Coz I feel bad Coz they don't deserve this . I don't eat much I constantly feel sick , I don't know what is wrong with me it's like I'm losing my mind , and all I want is to be back to normal me . Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. From the description I am to understand that you are disappointed with some negative happening in your life. You are dissatisfied and disappointed. That does not mean you are clinically depressed. Everyone in their come across some happenings which they never desire for and feel hapless and worried. Everyone feel dissatisfied and disappointed at those times. Then they come back. Elders, friends, parents etc come as help. once the affected understands that such negative things are common with everyone, they realize and slowly come out of their emotions. With you, such escape shall happen. Of course, it takes some time. Mean while do not worry. Engage yourself in activities which keeps you engaged.If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further.Hope this answers your query. Available for further clarifications.Good luck.
| 209,053 |
Whats the medication for itchy anus?
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Patient: Hi, These are the symptoms since a month: primarily a) very itchy anus (esp when passing stool); b) slimey stool; c) lots of gas which sometimes give a tiny bit of discharge / also: d) tiny bits of bright red blood but very minimalI live in tropical Africa since 1/2 year. Doctor: Hi,From history it seems that you might be having some local condition like dermatitis or yeast infection.apply triple action cream locally.For itching take antihistamine like Cetrizine.Keep local hygiene proper.Ok and take care.
| 37,140 |
Pain on the right side, normal urine and blood test, no relief with naproxen, suspicion of gall stones. What can be done?
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Patient: my 15 yr old daughter is having pain in her right side since wednesday I took her to ER today and they did urine test and blood work. they said all tests came back normal and gave her naproxen to take. she s still having the pain and they said it could be gall stones to check with our family doctor. is there anything we can do for her Doctor: Hello, she is very young for developing gallstones, however it is not impossible, particularly if she is overweight. The easiest and fastest way to check for gallstones is with an abdominal ultrasound. However keep in mind that other illnesses can cause right sided pain. If the pain is severe you should take her back to the ER for further evaluation. They might end up doing a CT scan instead to look at the entire abdomen. If the pain gets worse with food intake or fatty meals, then that is consistent with gallstone related pain. Hope that helps.
| 59,887 |
How to get rid the E.coli?
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Patient: Hi, i have recently got my sperm culture conducted from a few labs and the results are surprising. 1st test result had E.Coli, 2nd had staph and 3rd one had enterococcus.. I have been on antibiotics since and i am wondering what's going on? please advise the next course of action Doctor: Thanks for your query at HCM!I think probably the way you are collecting sample is improper. E. coli and Enterococcus are faecal contaminants also.I suggest you to get your test repeated after cleaning your perineal region with soap water then collect your sample wearing sterile gloves.Get tested for gram stain and culture and sensitivity.Look out for pus cells in gram stain and correlate with culture results.Start treatment based on sensitivity results.take care!
| 36,653 |
Suggest treatment for pain and swelling due to bug bite
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Patient: I woke up with a bug bite on top of hand. A little itchy, and no noticable bug bite mark. It is swollen up about the size of half dollar. Bye this evening it is still swollen and fingers are now a little puffy. But, now my pinky finger hurts/aches, especially when I flatten my hand out(extend fingers). Any ideas on what this is? 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 bitten by a poisonous insect leading to a severe localized allergic reaction and it is the cause swelling of the fingers..You should take anti allergic medication like levocetrizine or benadryl, take anti-inflammatory medication like Ibuprofen.Apply a steroid ointment over the swollen area to reduce inflammation, you can also apply calamine lotion to reduce irritation and soothe the skin..Do cold compresses over the swollen area..In case if there is no improvement or the swelling exaggerates consult a general physician and he can advise you injectable anti-allergics and steroids for faster relief from the inflammation and swelling..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.
| 216,896 |
Trying to conceive, IUI, IVF failed. Semen analysis normal. Can wife's age be alarming factor?
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Patient: I am 33 years old. My wife is 37 years old. we are married since 2 years and trying for baby. But no luck yet.We even did IVF once but doctor said embryo quality is poor before transfer itself but we transferred and failed and before this same doctor converted IUI to IVF but it failed also.My semen analysis is normal.So, kindly let me know whether my wife age is alarming factor?what other option I have to get results.Also, whenever I go to give sample in lab I never used to get erections. I went 3 days for giving samples but failed.Do I have to worry about this. But i never had erection problems while having intercourse with wife and even when i masturbate I never had ED problem.Please let me know your opinionsThanks Doctor: Hi, I am afraid your wife's age is 37 years which is more and hence embryo quality is bad. You may consider option of egg donors. You can consider option of semen freezing if your erection is problem. Regards, Dr. Mahesh Koregol IVF & Infertility Specialist
| 43,188 |
Prescribed vicodin for pain after falling into manhole. How to overcome panic attacks having at night?
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Patient: I am looking for a pain management Dr. about 3 years ago i fell into a manhole at night, I sued, and ended up setteling for an amount that at the time was fair. I just thought the pain would get better. Went to a really good doctor in S.F. She prescribed me vicodin. About 3 mo. after that I started having panic attacks at night- I'm afraid to go outside and im afraid to drive. Now i'm having hard time ansewering door etc. But she then perscribed me antivan( only for sleep though) She also prescrbed me S Ci Doctor: Hello.Lorazepam addition, it is important the prescription of aeffective antidepressant for panic attacks for example Paroxetine.I treat my patients with Paroxetine 20 mg per day+Lorazepam 1mg thrice a day when Panic Attacks is the diagnosis.Please consult your local doctor for a prescription.I wish you good health.(If the answer has helped you, please indicate this)
| 211,318 |
Is natural conception possible with normal periods and nausea?
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Patient: I am a 40 year old woman and sexually active. just got married and trying to conceive. I have a normal 28 days period but last two months a had a 19 days period and this month it was 24 days. i feel nauseous most time. what do i expect. can i conceive naturally with this development? Doctor: Hello, and I hope I can help you today.First of all, your having symptoms of chronic nausea has no effect on trying to get pregnant.However, your age is a factor to be considered. Many women can get pregnant in their 40's but the overall fertility rate is decreased. There is no way to know if you have the ability to conceive in advance without actually trying to get pregnant. However, the majority of women will conceive within one year with regular (at least every 2-3 days) intercourse from the time their period finishes or day 7 of their cycle (whichever comes first) until they start to develop premenstrual symptoms.So yes, it is possible for you to become pregnant, however I would recommend evaluation by a fertility doctor if you have not conceived within 6 months.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown
| 3,401 |
How to treat neck stiffness and swelling due to wearing bulletproof vest?
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Patient: I had what started out as neck stiffness, this was after a 8 hour shift wearing a bulletproof vest (very heavy) I thought I just strained something. Over time now my glands are very swollen all the way around the front under the chin. Worst of all now I can't swallow without intense pain. Doctor: it looks to me that you had neck muscles sprain. this can happen when your muscles has to work hard or sudden jerk at your neck. my suggestion to you is that first avoid any sudden movement of neck. apply local heat either warm water bag, moist towel with warm water. you should also take muscle relaxant like myoril or myospaz. Apart from this you can also apply local ointment such as Diclofenec gel. I hope York pain will be better in next two to three days avoid very cold temperature as it tends to prolong stiffness .take care.
| 218,109 |
Suggest treatment for a painful hard lump on the back
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Patient: I have an itchy sore on my back that scabs over very quickly (4-6 hours) and the scab is very thick and feels like wood splinters. I m always tearing it off when I scratch the itch. There is a hard lump way under the skin. I ve had this for over six months now. what might it be? Doctor: hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. based from your description, it could be a cyst (a sebaceous or a keratinous type). these lesions can occur anywhere in the body and have the tendency to recur. medical (proper antibiotic regimen) and surgical (excision of the lesion) management will be directed accordingly.hope this helps.good day!!~dr.kaye
| 62,037 |
Suggest remedy to relieve nasal congestion in infant
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Patient: my baby boy is 7 months old and has suffered from nasal congestion since birth. I have been to Dr several times and they say its normal. Baby sleeps 30 mins at most during the day at any given time, at night baby constantly wakes up. about once every 45mins due to congestion. During the day babies breathing is heavy. Please help. Doctor: Hi...Thank you for consulting in Health Care magic.Cough and cold are viral 95% of the times in children. For cold you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do.For nasal block, plain saline nasal drops will do, every 4-6th hourly to relive nasal congestion.Regards - Dr. Sumanth
| 164,139 |
What causes fever even after taking medication?
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Patient: i had mild fever a few weeks back. i consulted a doctor and took antibiotic which i presume not enough to my age. once i completed the antibiotic, i started to have fever a week after the course. Then I went to the doctor again to have a stronger dose of antibiotic. After seven days of completing the course, I again had mild fever. What do yo9u diagnose of this condition. I am 59 yrs with an active life. Doctor: HelloThis is case of fever of long duration ( because you took two courses of antibiotics ) fever , so the cause of this prolonged fever may be, these includes.1 Typhoid fever , diagnosis can be confirmed by Widal test and serology test. This is a case of fever of long duration and may have not responded to antibiotics prescribed by your doctor.2 Tuberculosis is another reason of such fever . Diagnosis can be confirmed by X RAY chest with blood for C B C & E S R ( if very high e.g. > 90 mm suggestive of tuberculosis or any other chronic illness).Tuberculin test is also suggestive.3 Jaundice is another cause of such fever . Get in blood for HBASG A B C E , (hepatitis most common cause).There are so many other causes of such fever as carcinoma , anemia ( general weakness ) , malaria , dengue.In my opinion consult another physician and get his opinion as mentioned above.Hope this will be helpful for you.Don't take further any other antibiotics without proper diagnosis .
| 38,997 |
Suggest remedy for liver cancer
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Patient: Hi, may I answer your health queries right now ? Please type your query here... Dear doctor, I need your help very urgently.My mother has got a cancer & i want to get it cured as soon as possible. We did check up @ tata memorial hospital mumbai, they have written in their report that she has heptacellular lives cancer. They removed one tumor kind of thing from her liver & they told us to take her to any doctor & she will be ok.then she was feeling good for two months but suddenly she has started to become thinner. Her liver got swelled thats why her stomach has increased. So now as per tata's instruction we are treating her in one local cancer specialist. Now he says that there's no chance of her survival.Please advise what to do now. Can her liver be transplanted?How much it can cost. Please advise other treatment if there's any. Please give me contact details of some hospitals. Doctor: Hi,Thanks for writing in.I suppose your mother had a hepatocellular cancer in the liver and the doctors at TMH did a liver resection procedure. Liver resection is done for small tumors that can be managed operatively. However, cancers of liver might reappear within months. A close watch is to be kept with post operative screening done for her.It will help to take her to the tata doctors and get an opinion after doing required testing on the present state of disease. You have written about the liver swelling up. This needs to be evaluated in detail and alternate treatments keeping in mind the survival of the patient must be started.Liver transplant is still in early stages in India and it is not easy to find a transplant liver and this must be done only if the patient if fit to accept another liver. There are criteria for liver transplantation and cancer patients in advanced stage might not be physically fit to withstand and accept a new liver. The cost is around 20 lakhs rupees and even after surgery there is requirement of life long medicine and regular monitoring.
| 154,634 |
Suggest remedy for stress,forgetfulness and lack of concentration
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Patient: I am 22 years old, and I think that I am suffering from ADHD. I am constantly forgeting appointments, and I spend more time looking for stuff than actually using it. I can't concentrate on one thing very long and I am always waiting until the last minute to do everything. My thoughts are everywhere and it stressed me out. I has gotten worse since I have began my job, it is hard for me to get anything done at work because I can finish anything or sit still. What should I do? Doctor: don't worry you are not having adhd. i think it is due to vitamin deficiencies. take multivitamins like neurobion fort and rechamp gold cap bicasule z. so dont worry you will be fine in a week. and also go for thyroid test.
| 207,349 |
What is the procedure for a coronary angiogram?
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Patient: I am George Daniel , 56 year old wants to take angiogram and to consult the Dr. George Thayil. Now I am working in Dubai,what is the procedures and how many days will take for angio +consultation.some days back I am went a hospital with chest pain.taken the ECG, ECG was perfectly ok, I am having diabetes, hypertension and cholesterol but blood sugar and BP under control Ldl cholesterol is above normal Still I am taking medicines. If I am getting the telephone number of Lourdes hospital that is well to contact. Doctor: Hello, After going through your medical query I understand your concern and I would like to tell you that angiogram is a daycare procedure which can take 4-8 hours depending on the site of puncture radial or femoral. If your angiogram is normal then you can go back the home same day or if you are going for angioplasty then 2-3 day hospital stay. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Bhanu Partap, Cardiologist
| 16,777 |
Will REVILUS tablet be safe for hair fall issue?
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Patient: Hello Doctor, I have lost lot of hair on my crown, now my scalp is easily visible. My problem is not hereditary, everyone in my family has good dense hair. I am 28 and getting married in next 3 months. I am planning to take REVILUS tablets, eat Walnuts everyday and apply a Walnut oil or Saw Palmetto oil on the affected area regularly. Will this help? Doctor: Hello. Thank you for writing to us at healthcaremagicAfter going through your query I suggest a possibility of androgenetic alopecia.Hair loss in androgenetic alopecia mainly affects the front and crown part of the scalp.There may also be gradual recession of anterior hair line and widening and deepening of angles of anterior hair line.Family history is positive in most, however, absence of family history in close relatives like father, brother does not exclude this possibility.Presence of family history in uncles, nephews and cousins is also significant.Specific treatment for androgenetic alopecia includes topical minoxidil and oral finasteride.The goal of treatment is to arrest further progression therefore it is important to begin therapy as soon as possible.The tablet you are inquiring about is a biotin supplement.While it would help in supporting hair regrowth but itself it would not be sufficient in addressing the problem.You may nevertheless take this tablet along with specific treatment for androgenetic alopecia.I suggest that you visit a dermatologist for a confirmatory diagnosis as well as appropriate prescription.Regards
| 11,188 |
Can Lisinopril cause dizziness, stomach upsets and breathing difficulties?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... I have been on 20 mg lisinopril(once a day) since 9-15-10 with no side affects. Recently it is making me sick to where I can not function (dizzy, upset stomach, breathing difficut , anxious, shaky). I decided to not take it for ONE day (felt MUCH MUCH better) took it the next day(same AWFUL symptons). Quit the next day (MUCH BETTER). Is this normal or did they re-fill the wrong medicine in Dec 10, 2010. Doctor: Hello!Welcome on HCM!I passed carefully through your question and would explain that your symptoms could be related to lisinopril adverse effects or high potassium levels. For this reason, I recommend consulting with your attending physician and performing some blood lab tests: - blood electrolytes- liver and kidney function tests. If all these tests result normal, I would recommend discussing with your physician on the possibility of switching to another anti-hypertensive drug, which you may tolerate better. Hope you will find this answer helpful!Kind regards, Dr. Iliri
| 19,401 |
What causes chest pain after it was hit by a shoulder?
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Patient: 14 years old. Girl. 5'7. about 130 pounds. I was playing basketball today and a girl's shoulder hit me right in the middle of the chest where there was like all bone, straight down the middle. Right after that it felt the worse, it was really painful to breathe. I thought it was going to go away a while after that, but it hasn't it still hurts when I breathe, in and out. Should i see a doctor? And what are the possible things that could happen if i don't see a doctor? Doctor: Hi I can understand your concern....It is good that you are serious about health and want to know detail about blunt trauma...See you can have rib fracture if trauma sufficient enough....Chest x ray useful for it ...Analgesic needed.If needed compression bandage applied...Rest done....If inflammation associated then brufen needed.Now if trauma severe enough pulmonary contusion can be there ...Also chance of hemothorax or pneumothorax if injury severe enough....They might interfere ventilation ...Although you have less chance of severe problem to be safe just consult pulmonologist for examination....Take care ....Do rest ....
| 76,200 |
Is fluttering chest, rapid heart rate and feeling of quivering atria normal while being on medication for a fib?
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Patient: My husband is medicated for a-fib. Lately while sleeping, he wakes up with fluttering in his chest that feels like a really rapid heart rate, but his pulse is normal. I do not think this is a-fib since his pulse is regular and not overly fast. But he thinks his atria is quivering. Have you any knowledge of this? Doctor: Hello! Thank you for asking on HCM! Probably your husband is right. That chest fluttering, or heart quivering may be related to any kinds of supraventricular arrhythmia, like atrial flutter or PSVT (paroxysmal supraventricular tachycardia). Atrial flutter is frequently a common transitory finding in patients experiencing atrial fibrillation. ventricular rate (measured heart rate by pulse palpation) may seem regular, even in the presence of atrial flutter (because of AV block presence).I would recommend to perform a cardiology visit and an ambulatory 24 to 48 hours ECG monitoring to identify any possible arrhythmia passages (if the complains are frequently seen: daily).Hope to have been helpful. Greetings! Dr. Iliri
| 28,206 |
What causes chest pain?
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Patient: Hello I am 25 yrs old and i have chest pain at the end of the sternum n exactly opposite of the sternum on the back. the pain sometimes radiates towards left shoulder and hand. have done all the essential blood tests, ECG and xray too. Everything is normal. I am prone to hyper acidity but m anxious bout whether my pain is due to acidity or any heart related problem. Doctor: Hi thanks for contacting HCM...According to history, heart problem ruled out first ....Your ECG normal so no need for worry ...Still for confirmation about rule out ischemic coronary artery disease you can investigate with echocardiography.If it is normal cause is acidity and excess stress...Try to avoid taking stress...For acidity take omeprazole capsule 20 mg before meal on empty stomach ....Lots of fluid taken....Avoid excess spicy food , smoking etc that aggravate acidity .Consult physician for it .Take care
| 76,264 |
How to develop cartilage in the joints?
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Patient: I have two joints that have no cartilage. My left knee and my right ankle are both Bone on bone joints. I read an article that said there is a cell therapy that can be injected into the joint that will result in cartilage being developed in the joint by your body. Is this possible? Doctor: Dear HCM user. I understand your concern regarding loss of cartilage over your knee joint and ankle joint and you are seeking treatment for regrowth of cartilage. You might have heard about autologous chondrocyte implantation techniques. Yes, with that technique it is possible to regrow cartilage. But whether it is ideal for you or not depends upon various factors like.. How big is the defect. Which bone is involved. What is reason behind it. What is your age. And many more. I suppose you have MRI which has diagnosed this problem... Consultation with specialist will be ideal for you to know details.
| 134,860 |
How can elevated liver enzymes and bilirubin levels along with vomiting and diarrhea be managed?
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Patient: My sister has elevated Liver Enzymes and Elevated Bilirubin levels with Stomach pain, Vomiting and diarrhea for the last two weeks. Normal abdominal ultrasound. Only medications she is taking currently are Gabapentin and Zofran which is supposed to stop the vomiting , but isnt. What comes to mind? Doctor: Hello, She should rule out viral hepatitis by viral marker investigation like anti HAV estimation, Hbsag estimation, Anti HCV estimation, Anti HB E antibody estimation etc. You can revert back with reports once done. Meanwhile, take care not to eat high fatty foods and sugar cane juice should be taken more. Apple juice also beneficial. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician
| 52,363 |
Suggest medication for gallstones
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Patient: I have gallstones and had one bad attack six months ago. I do plan to have the surgery within the next couple of months. However, I have had no further attacks. But I frequently feel a bit light headed and slightly dizzy. Is it possible that I am having a reaction to the gallstones even though I feel no pain? Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I understand your concerns and I will try to help you as much as I can.Yes, it is possible that there is no pain since gallstones may be asymptomatic, but stones will rarely disappear on its own.It is consdered that in most cases, treatment of gallstones is considered necessary only if you are having symptoms. Of the various conventional treatments that are available, surgical removal of the gallbladder is the most widely used. Though a gallstone episode can be extremely painful or frightening, almost a third to half of all people who experience an attack never have a recurrence. In some cases, the stone dissolves or becomes dislodged and thereby resumes its "silence." which may be your case. So wait-and-see approach following the initial episode is justified as well.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
| 52,988 |
Suggest treatment for pain in left shoulder blade due to my breast implant
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Patient: Hi I have had this knife pain in my left shoulder blade due to my breast implants for a few years, then one day something popped in my shoulder blade, I feel like I can t take a deep breath, pins and needles down my left arm, I also have needling pain all over my upper back. My back is so tight since it popped, I have not been able to breathe properly for one year now since this happen. Please help me. Doctor: Hello, It's very common after surgery and especially breast surgery. you need to do regular exercises. you can get ultrasonic therapy from any nearby physiotherapist. If no relief in that then you can get local infiltration in your shoulder. It's very simple and OPD procedure. It will alleviate your pain and will help you do exercises. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Anuj Gupta, Spine Surgeon
| 125,675 |
Is omega 3 and b12 advised for patients with cerebral dengenration?
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Patient: My mom is 71. She is in hospital and they diagnosed cerebral degeneration. She is quickly declining. Several weeks ago she suffered 2 grand mal seizures and this started the rapid decline. We were able to restore basic function and strength to get her home. She fell again. They have her on statins, kreppa, and now synthesis - prescribing to treat symptoms. I would like to recommend b12 and omega 3 I m a nutritionist so I prefer not to watch decline but so something. Am I being realistic about benefits? Doctor: HelloI agree to give her the omega 3 and B12 supplements but I'm afraid it may not make much difference with her condition at this point.Physical and cognitive therapies may also help
| 143,849 |
Is the temple pain in both sides of head due to side effects of medicines?
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Patient: i recently had two mini strokes tia my blood pressure was 163 over 95 i have been taking lisipronil 10 mgs for over twenty years my doctor doubled my dosage to two tablets per day i have coronory heart disease cervical spodylosis as well as osteoathritis i also take lipitor as well as the pain killer gabapentin for my carpal tunnel and ulna nerve problems as well as trigeminal neuraligia i have a lot of temple pain both sides of my head could it be due to my medicines Doctor: Hello,Pain in the temples is very common. While many factors can cause it, this pain most often stems from stress or tension. Temple pain can result from an underlying medical condition, though this is rare. Over-the-counter pain medication and lifestyle changes can often relieve pain in the temples.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 83,405 |
Why i am getting stomach pain while asleep ?
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Patient: When I am falling asleep, my stomach muscles contract painfully and it makes me think of the dry heaves...I am never sick but this happens to me almost every night. What causes it? Doctor: You might be suffering from a gastric ulcer. Get a upper gi endoscopy to rule it out. You can try ppi like esomeprazol 40mg od for 7 days along with sucrafil 2tsp tid
| 95,429 |
What causes feeling of water passing through head?
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Patient: Hi. So I ve had this weird feeling in my head. I first noticed it when I threw a football way too hard once and I got this sudden feeling of like cold water being rushed through the right back part of my head. I ve had it happen several times, sometimes also when I turn my head too quickly. I never thought anything really of it because it first started 5 years ago, and not it seems to happen less frequently, if not rarely. Do you know what this could be? Doctor: Do you have recurrent Upper respiratory tract infection (URI)?. Is there any history of any discharge from ear?. You could take opinion of ENT specialist.
| 145,598 |
Does a brain injury lead to dementia in the future?
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Patient: I want to know if I m likely to have dementia eventually in life, since at age 6 in 1979, I d a tramatic brain injury, brain dead for 5 weeks from a bus having ran me over, and had to restart my life at age 7 like a premature baby. now 45 going on 46 in May, I only feel between 18 and 20; I hardly have short term memory, whereas a lot of long term memory of negative experiences. Ask me anything if you need more info. Doctor: Dear moderate and severe TBIs increase risk of dementia between 2-and 4-fold. research has linked moderate and severe traumatic brain injury to a greater risk of developing Alzheimer's disease or another type of dementia years after the original head injury.Regards
| 204,695 |
I have a tasteless tongue with a ulcer type sensation on inner side of my lips
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Patient: I am facing issue of tasteless tounge from last 2 days and there is ulcer type sensation on inner side of my lips. While streching the mouth i am feeling slight pain. I do smoke sometimes. Does this means i am suffering from tounge cancer . Doctor: Dear Hi, Welcome to Healthcaremagic! Loss of taste is known as ageusia. This can occur with feeling of or presence of ulcers. There are a number of causes like lichen planus, pemphigus, aphthosis, Behcet's syndrome, nutritional deficiency, burn eg. from hot coffee, drugs like ACE inhibitorsetc. Two days is a very small duration for a cancer development. Take a multivitamin tablet, & do antiseptic gargles for a few days. Please consult also your family doctor also. Good luck.
| 160,207 |
Could the dizzy spells be caused by the aneurysms and would the sharps shown up on the EEG really be epilepsy?
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Patient: Dear Dr. Keerthi. I have been having weird spells in my brain for almost 5yrs. now. I had MRI s with and without contrast that showed nothing. I had an EEG performed for 48 hrs. and was told I have left frontal lobe seizures. My Dr. wanted me to have more extensive tests done at the Cleveland Clinic hospital last week. I had another MRI and that detected 2 aneurysms. One on each side of the brain. Then I also had a video EEG done. During my stay of a week, I did not have any of these spells while on the EEG. However, the Dr. said she seen what they call sharps on the left frontal lobe and said I am epileptic. Could these spells be caused by the aneurysms and would the sharps shown up on the EEG really be epilepsy? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Well these spikes shown in your EEG show the excess electrical activity (discharges) in your frontal lobe and are indicative of seizure foci. Aneurysms and particularly large one may cause seizures but rarely. Arteriovenous malformations are more prone to seizures and you need CT angiography to correctly define aneurysm or AVM. Well, whether aneurysm is causing seizure or not they require treatment as their rupture may cause catastrophe.So you should consult an endovascular neurointerventionist or neurosurgeon for proper management. Hope I have answered your query. Let me know if I can assist you further.
| 141,597 |
What causes soreness around belly button after lifting weight?
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Patient: a few days a go I lifted something heavy and later found my belly button area was sore. a day later when I woke up I found my belly button area had leaked and a crusty pinkish fluid had dried around the area. this went on for a few days. Now my belly button area twinges every time I lift something heavy. Its not a sensation I have experienced before Doctor: Hi.Thanks for your query.Read and understood your history which is very self-explanatory.Lifting of heavy weight has caused your belly button to have leakage which has formed a crusty pinkish fluid. Continued for a few days. Now your belly button area twinges every time you lift something heavy.All these things area suggestive of an umbilical granuloma which has ruptured due to pressure exerted on it. Since this is still there without any proper treatment the pain will persist. I would advise you the following:-First of all get a physical check up done by a General Surgeon to confirm the diagnosis. -Ultrasonography of the abdominal wall, umbilical area and abdomen to see if this thing has an extension as patent urachus or patent vitello-intestinal duct. Get relevant blood, urine and stool done for fitness.Get operated properly and take a post-operative care properly. You will be fine.In the meantime you can clean the area with liquid Povidone Iodine and use oral antibiotics and anti-inflammatory medicines.
| 86,882 |
Is rash of moles and cancer related?
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Patient: My mother had a break out of moles then later we found she had lung cancer. Her dermatologist called it Lestat-teslar??" I was named by a couple of French doctors who discovered the link between cancer in the body and this resultant "rash" of moles. What is the name? I noticed a similar pattern on my neck this morning. Doctor: Hi. The sign you have mentioned is called Leser-Trelat sign. It is the explosive eruption of multiple seborrheic keratosis. It looks like pigmented skin lesions with an inflammatory base. It has been linked to an internal malignancy as a paraneoplastic syndrome. Seborrheic keratosis can also occur in individuals without malignancy and is common in elderly.A history, physical examination and then relevant investigations to rule out an internal malignancy is required. The sign is linked with adenocarcinoma of stomach & colon, squamous cell carcinoma, lymphoma and leukemia in decreasing order of frequency. I would suggest that you see a doctor and discuss it with him/her.If you have any further queries I will be more than happy to answer. Thankyou for choosing Healthcare Magic.
| 156,291 |
What causes sharp pain in chest while breathing?
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Patient: hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !! Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Since your doctor is denyin any serious illness for your chest pain, no need to worry for major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,882 |
What causes severe jaw pain?
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Patient: I occasionally get fairly severe teeth/gum/jaw pain about 30 min. or so after I have gone for a brisk 45 min walk. It usally happens when it is cooler outside or a cold wind. It is not very consistent, one day it will act up and the next it won't with very similar temp outside. When it does happen I usally have to take pain killers to get relief. This has been an ongoing problem the past 2-3 years. Doctor: Hello,Thanks for consulting HCMRead your query as you have pain in jaw due to cold wind or cold weather this can be due to some reason like it can be associated with periodontal problem , wasting disease like Attrition , Abrasion or it can be due to Trigeminal neuralgia .For this I will suggest you to consult oral surgeon for examination and evaluation .Inmeantime maintain proper oral hygiene. Hope this will help you.
| 181,876 |
What causes lower back pain and swollen lymph node under chin?
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Patient: Over the past three nights I have developed a slight pain in my lower back (right side) It's not too painful, but wakes me up and keeps me up for a while. About two weeks ago, i developed a swollen lymph node under my chin on the right side only. No pain, but its still there. The dr. says it is just swollen and there's nothing to worry about. Doctor: I have gone through your question and Appreciate your concern. I have in better condition to answer Your question if u have mentioned ageAnd country. U have to wake up in night bcz of Pain means it is severe enough To be investigated. Lymph node in neck may beDue to infection in spine like Tuberculosis. I think it is Better to do Mri of spine and fnac from lymph node. It is Better to reach at appropriate Diagnosis before it harms u.Thanks U can write me back for any query.
| 108,045 |
Can extreme fatigue and stress be related?
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Patient: i have been suffering from extreme fatigue for 5 weeks [ hot flushes at night ]. i feel like my brain is in a fog. had blood tests all tests showed nothing wrong physically. in fact i am in very good shape according to the doctor. he said my condition is stress related. how long will it take for this fatigue and fog to lift. i am concerned i am stuck with it. is there anything i can do to speed things up? Doctor: DearWe understnd your concernsI went through your details. Yes. your doctor is right. Most appropriately your condition is stress related and such symptoms are common. You need to take rest. Take a vacaton trip to somewhere you love with family or friends you love. Enjoy a week or so at the holiday spot and you shall see the difference immediately. Involving yourself in activities which interest you the most shall also help. If you still want my services, please post a direct question to me here an I shall be happy to help you. Hope this answers your query. Available for further clarifications.Good luck.
| 208,865 |
What causes pain in the balls?
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Patient: i am 27 years old guy,50 KGs,170CM tall.recently i feel a little pain in my balls and it seems like my veins in the left side of my balls are combined in one place. it felt much better when i started drinking lots of water as my doctor suggested me to.however it's still feel like it's there and whenever i have an orgasem, i shoot sperm more than i ever had then it feels a little bit pain in my back. does this have to do anything with my sex life? P.S: i am gay and i always have save sex Doctor: Good day and thank you for being with healthcare magic! You may have a condition called a varicocoele and it's an abnormal dilation of the veins in the testis. It can cause dull pain on the scrotal area and it can be confirmed by doing a Scrotal ultrasound with Doppler studies. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.HealthcareMagic.com/doctors/dr-manuel-c-see-iv/66014 I would gladly help you. Best wishes
| 201,865 |
What to do for swollen knee after bumping into a board?
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Patient: I ran into a board Friday hitting my knee. It swelled up right away. Now I notice that my leg and foot are swollen. I did have an ace bandage on it for a while, but that seems to make it feel worse. Should I be using hot or cold on the knee. I did use cold on it to begin with and have taken aleve and asprin. Doctor: Hello, It could be a contusion. Fracture is unlikely. Consult an orthopedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 124,733 |
How to get rid of the pain starting from the left hip to left leg?
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Patient: Hi, I have some pain which is in my left leg, starting from the left hip, the pain is constant with mild relief from Paracetamol, when i get into my car i sometimes have to lift my left leg into the car as trying to get in the usual way causes pain again should i go to the physio? i have had this pain for about 18months. Doctor: Hi, Thanks for choosing healthcare magic.Got your querry. But you have not mentioned your age and sex as there are several different reasons for pain in the leg. So I can not do a proper diagnosis. Consult an orthopedic doctor and also get one xray and if needed MRI done . Meanwhile you can take tab. dolo ( 650mg ) or some other painkiller like combiflam or hifenac temporarily . Donot neglect the pain. Get it treated properly. Thanks . take care.
| 217,310 |
Have shoulder pain, back pain, right hand feels heavier than left hand. Suggestions?
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Patient: I am kiran, I have shoulder pain in right hand , 4 month back this pain start during hard work, by putting hole in HDPE pipe, First two days pain was more, hands cant move any side, then this pain was deacrease step by step. till date I am suffering this pain in normally but whole days I fill right hand is heavy as compare to left hand. pl suggest what isthis? Doctor: hi i had gone through your query and understand your concerns. i would come up with the possibility of PERI ARTHRITIS OF SHOULDER JOINT;injury may be the cause in your condition.x-ray for shoulder joint may confirm the diagnosis.treatment plan;i advise you taking Homeopathic medicines gives safe and permanent cure for your complaints Usually in such cases I will give treatment for my patients in the following manner ARNICA 30 four times/day for 10 days then report. consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints. or mail me at drravib4u@yahoo.co.inwishing you good health
| 112,504 |
Is asthalin inhaller safe to use in children?
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Patient: respected doctor,My son is 4.5 yrs old, he has the allergic problem, in the age of 2.5yrs he was admitted hospital for pneumonia. Now once in a 2 to 3 months he is suffering from cold & cough. Dr. suggested to take asthalin inhaller. we are using this. but is the asthalin inhaller safe for my son? how to protect him from this type of desease.regards rupak saha Doctor: Hi,This inhaler should be used as required and is safe if used accordingly. If he use more than 3times a week then another drug to prevent his symptoms to appear like montelukast or low dose steroid inhalation. If asthma protect from the allergen or irritants to prevent any symptoms to appear. Hope this information helps you. Feel free to ask for any further queries. Regards
| 102,068 |
Is the pill with WATSON 853 printed on it a form of hydrocodine?
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Patient: I was given a prescription from my dentist this evening after having 5 teeth pulled from lower side. I am in the process of the beginnings of having dentures. The pill is white, oblong, and is stamped with WATSON 853. Is this a form of hydrocodine? I have always received pain meds from my dentist that are white, oblong, but have red speckles. Can't find WATSON 853 on Google search. Can you inform me of this med? Thank you for very much. Doctor: hello thanks for consulting at hcm..WATSON 853-- Acetaminophen and hydrocodone bitartrate 325 mg / 10 mg..drug class narcotic analgesic combinations for pain relief,, yes it is having hydrocodone...hope it helps,,take care
| 185,295 |
Suggest cure for severe toothache
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Patient: Hi I have had severe toothache and have been taking 500mg paracetamol every 4 hours for 2 days ie 6g a day when the rec daily dose is 4g per day. My urine or faeces has a strange and strong smell. Have I taken too much. I have now ceased taking it. Thanks Doctor: Hello,Thanks for consulting HCMRead your query , as you have toothache dont worry dont take too much painkillers , pain in tooth can be due carious tooth , decayed tooth , or impacted tooth . For this I will suggest you to consult dentist and go for oral examination and investigations xray to rule out the cause of pain and go for it treatment . Inmeantime do warm saline gargle two - three times a day, for pain you can take painkiller like ketrol dt dissolve in water . Consult dentist as early as possible for treatment. Hope this will help you.
| 182,907 |
Suggest post treatment post removal of hemorrhoid
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Patient: I had a hemorrhoid removed a week ago. Tonight, I felt a lot of moisture there. When I felt the area, I noticed that the suture has opened up as big as my finger. I ve been feeling weak today and am not sure if I should see my doctor. Can you please advise me on what to do? Doctor: Hi,welcome to healthcare magic forum.Your description is suggestive of postoperative wound infection.It need immediate consultation with your doctor,to decide whether you need wound debridment and antibiotics.Sometime,it can happen without infection also,and need just supportive treatment only.But it can decided only after seeing the wound.Meanwhile,you keep the area clean and dry.Hot saline bath is good.Take soft,fiber rich diet.Hope you will find this information useful.Thank you.
| 39,956 |
Can severe anger and disappointment in elderly be treated with medicines?
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Patient: Hello doctor, My mother is 88 years old. She had a very tough life all along. She didn t get along with my dad who neglected her pretty much and didn t take care of her. My mother being a middle school teacher raised us independent and strong. Now both parents are living with my sister who takes care of them. My mother is a very frail health. SHe hardly can walk. But she is so angry and impatient with everyone in the home, always shouting at my father, cursing him, complaining about him. She also can not stand when my sister and her husband go out for fun or any get together. Its so painful to watch her in this condition She takes Nexito and Admenta these days. Is there any prescription medication that can help her to be positive, clam and tension free. Please advise. Thanks in advance. Doctor: hi dear,at this age anger and disappointment is treated with medicine but first of all it is necessary to know underlying cause. what kind of insecurity or thoughts she have and why she behaves like that.for proper diagnosis detail history and mental status examination is must.what about her memory?at this age brain atrophy occurs and so such behavior problems also rises and so we need to differentiate such condition from depression.there are many medication now a available to calm like tiapride hydrochloride , antipsychotic medication also mood stabilizer works best at low dose a this age.consult psychiatrist and discuss.Thank you
| 208,505 |
Can abnormal hilar indicate T.B?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... My son has hypermobolity syndrome. He recently had a CT scan which showed left hilar abnormality. He is having aPPD test. What will happen next assuming he does not have TB? Also, what are the possible causes? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. In children, hilar shadow is mostly due to enlarged hilar Lymphadenopathy. And tubercular infection is the likely cause for this. So if PPD is positive and his symptoms (weight loss, low grade fever, cough) are suggestive of TB then start anti tubercular drugs. Sometimes simple pneumonia can also cause similar kind of hilar opacity. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks.
| 74,401 |
Diabetes,tuberculosis in kidney,urine infection,pus cells,fever
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Patient: hii.. my father is a daibetic pateints from last 20 year... his age is 52 yr. From last 2 yr he is also suffering from tubercolousis in kidney bt now it get cure bt still he has urin infection ( pus cells ). nd get fever in very few days of gap. from last 3 days again he is in fever around 102 wht the reason for this problem? plzz rply fast.... Doctor: hi, your father has persistent (pyuria) pus in urine associated with fever , suggests that he has recurrent urinary tract infections. Possibilities are- 1) he has persistent ureteric obstruction / reflux secondary to tuberculosis. since he is diabetic , makes him prone to urinary tract infection. 2) he has bladder pathology secondary to tuberculosis or even longstanding diabetes. 3) his tuberculosis is resistant to treatment. What you need to do is to consult a urologist who can evaluate any urinary tract pathology, as well a physician who can evaluate his tuberculosis and diabetes .
| 51,492 |
shivering and pulse high
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Patient: My wife had cough cold and pain in right lower rib for past 10 days. X ray shows nothing in the chest but doctor guessed it may be brochities / allergy cough. Last night she took medicine but from this morning onwards her body shivering and she is not able to stand more that 10 mins i checked her pulse 105/min. what should be done, is it ok to continue the medicine? pls suggest Doctor: With some medicines given for such problems, I have been told by my doc that there can be increased BP and heart rate as a side effect. But that shall subside after you discontinue the medicine. But if you are already having any heart problem then it is of concern.
| 106,399 |
Suggest medication for nose bleed which lasted for 12 hours & platelet count 76
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Patient: Hi I had a nose bleedon Monday which lasted about 12 hours. My bloods came back and all were ok apart from the platelets which were 76. I'm now home but feeling tired and weak all the time. Is this normal? I'm due to have some more bloods taken to see if the platelets have gone back up. Doctor: Hello and welcome to HCM,Spontaneous nose bleed can be due to low platelet counts.The platelet counts are low in your case.However, the counts are not so low so as to warrant the infusion of platelets.However, the cause of low platelets has to be found out and thus treatment has to be instituted.Consult your hematologist for assessment of peripheral blood smear and bone marrow aspirate.Lo platelet occurs due to increased destruction or decreased production.Drugs are very common cause of platelet destruction.See whether there is history of use of any drug and bring this into the knowledge of your hematologist.Thanks and take careDr Shailja P Wahal
| 117,390 |
Diagnosed with Carpel Tunnel syndrome. Taking injections. Any other alternate medicine for this?
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Patient: I am almost 84 years old and have been diagnosed with Carpel Tunnel syndrome. I am advised, that at this age going under general anesthesia is not advisable. The finger next to my index finger is the involved finger. It is a situation of numb and needle pain. I have had unbearable and painful injections to the hand, ( My Right) .Do you have any other suggestions? Doctor: Hi,You don't mention any other health problems but general anesthesia is possible at your age depending on any other conditions you have. Alternatively, many operations for treating carpal tunnel syndrome are done under local anesthesia very successfully. I would suggest you find a surgeon who is willing to do this under local anesthesia and discuss the risks involved. It is a relatively minor operation that could significantly improve your pain.I hope this advice has been of help to you.
| 97,877 |
What causes right side basal zone inhomogeneous opacities in chest x-ray?
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Patient: Hi,my mom is 55 yr old, suffering from right side chest pain since a month... she is on antibiotics n AKT... recent chest x-ray showed right side basal zone inhomogenous opacities, what could be cause of it and how long hospitalisation needs to be continued? Doctor: hello. from your description looks like she had got pneumonia most probably due to tuberculosis and added infection with bacteria- that's why she is on both antibiotics and AKT. right basal inhomogenous opacities is just to describe a pneumonia patch.she would require to stay in the hospital to the time her vital parameters like blood oxygen saturations, pulse, BP temperature oxygen requirement all are near normal ranges. AKT is to be taken for a long term duration and there is no need to stay in the hospital to complete that treatment. right sided chest pain may be due to involvement of the pleura ( outer covering of the lungs) being involved by the infection.thank you.
| 21,177 |
What is the cause of red and swollen cheeks?
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Patient: my q year old daughter has a a molar coming in and its bleeding. Her cheek is red and swollen. I dont know nothing about this really. She has never had problems with teething. Im just worried about this. I want to know what i can do or why her cheek is red and swollen. ??? Doctor: Hello and welcome.Thanks for sharing your concern.Please do not be worried if you are sure that the redness is due to erupting teeth.Give her warm water with a pinch of salt to gargle twice daily after breakfast and dinner.This should solve the problem.In case there is any irritation or pain then she can apply dologel on the affected area for a week.This should help.Please let me know for further doubts.Thanks.Take care.
| 186,768 |
What causes throbbing pain in my left chin below the canine?
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Patient: Hello... For the past 3-4 days ive been feeling some throbbing in the left part of my chin just below the left canine/first premolar.. Its not painful at all. However, it is visibal to the other person. Could you explain what it is (just for the record... I have a missing pre-molar and a cavity on my 2nd lower left molar and have had a minor cold/soar throat)? Should I be concerned. Thanks Doctor: thanks for your query, i have gone through your query. the pain in the chin region could be because of the tooth infection from canine or premolar or even molar. consult a oral physician and take a radiograph of the teeth to rule out the infection from the canine, premolar and molar. if the teeth are infected then treat the teeth with RCT or extraction. i hope my answer will help you, take care.
| 184,975 |
Does numbness in hands, arms and finger indicate poor blood circulation?
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Patient: I've noticed in the past few weeks/months that the blood circulation in my arms and finger(s) is really bad. If I crook my arm for a couple of minutes, I'll lose some of the sensation in my hand and fingers. Also, during our school play we hit on scaffolding with wooden sticks, and whenever I play, the left sides of my hands go completely numb. Is this just bad circulation??? Is this normal? Someone said this could be a sign of a stroke! I am only 15. Also- I just had a migraine yesterday, and during it my whole mouth went numb; including my tongue! It was so weird. Is this normal too? Thanks! Doctor: Hi, dearI have gone through your question. I can understand your concern. There are many causes for this kind of numbness. It may be due to diabetes, some vascular disease, vitamin B12 deficiency or some other cause. It does not looks like stroke. And it is very rare at your age. You should go for investigation first. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic.
| 114,989 |
What causes wrist and palm pain?
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Patient: I am 33 years old. I have been sporadic muscle and nerve pain, throughout my body for a couple of years. Yesterday afternoon, my right wrist began to bother me. It was out of the blue, there was no injury. I found it difficult to flex, or even rotate my wrist. When I woke up this morning, I had the same pain in a ddition to severe pain in the palm of my hand. It is painful to make a fist, and it is a very relaxed fist. I also began to feel as though I had sciatica. I do not know if the two are related, but the pain is becoming unbearable. Doctor: Hi, Sometimes, we injure ourselves not only by trauma but also by unknowingly overexerting or doing abnormal movements or just by keeping the part in abnormal position. Your symptoms doesn't points towards a pathology. Treat your pain conservatively by warm saline fomentation and over the counter painkillers. If the pain persists for more then 3-5 days then get an X-ray and blood investigations done. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rohan Shanker Tiwari, Orthopedic Surgeon
| 119,517 |
Suggest cause or sharp pain around the arms in elderly woman
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Patient: I am having shooting pain down my left arm I am overweight at 220 # 62 years old and a female.I was wondering if the pain could be related to a heart attack. It is very sharp pain but not continual. I may have an hour or so between pains and then it shoots down and it will do that on and off for a while. Any advise. Doctor: Hello, This is most likely due to cervical pain, due to compression of nerves between spine. Possibility of heart attack is little lower as cardiac pain usually occurs on exertion and relieves with rest. Also, pain of attack is usually retrosternal and associated with left arm pain, sweating uneasiness etc. and will not persists so long. Does this pain increases on neck movement, or any neck trauma, these may be the associated symptoms. You should get x cervical spine AP/ Lat view and further may need MRI. You need to visit physiotherapist after x ray and also orthopaedician. Till the time he can have tab Neurobion Forte once a day which is a nerve vitamin. If this is not helpful then you need to Tab Pregabalin 75 mg bedtime, which is a nerve stabilizer. Hope this helps you and get back if you have any doubts. Take Care Regards, Dr. Sagar Makode, Cardiologist
| 19,201 |
I have pimples due to body heat and oily skin
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Patient: I am 25 now. Now-a-days i am getting pimples continuously at my face . I have an oily type of skin . Usually i will get the pimples only during the periods not often. but now-a-days i am getting pimples more often. I had a doubt like, i am under follicular study treatment so I am taking tablets regularly. Will that be a reason for getting pimples at my face?I am doing home treatments to avoid pimples. But i am not getting the solution. How to prevent this? Kindly help me out by giving some suggestions. Doctor: Hello .. .Ayshwarya garu.....welcome to HCM....according Ur complaint....these acne are common during fertility treatment ......because all hormonal medicines are comedogenic...hence U are getting....after cessation of treatment , automatically it disappears.........in meanwhile U do one thing go for safe treatment that is topical one, otherwise , these tablets will interfere your anti-infertility treatment...,hence safer one is..1) morning times use Clindamycin gel.., 2) night times use...Adaplene gel for one month will get good result 3) washing the face three times daily with Triclosan soap (awailable as Acnil,Acnederm or Acnerest).4) take some instructions like..avoid oily foods, take fresh fruits and plenty of oral fluids without sugar...ok ..wish U get good recovery...
| 7,931 |
How long shall one using fertility supply take to get pregnant after terminating depo ?
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Patient: I been off Depo since December done had two normal periods. Since Then how much longer will it take for me to get pregnate? P.s Im using female fertility supply too. Doctor: After depo the cycles are usually irregular and sometimes amenorrhoea also. it might take time to conceive , you should get an USG done for follicular studies on 11th and 13th day of the cycle.If there are no mature follicles then you should take clomiphine citrate or letrozole after consulting your gynae.
| 6,439 |
Does all the fish oils contain EPA and DHA?
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Patient: Does all fish oil contain EPA and DHA even if it s not mentioned on the container? I was told that Cod Liver Oil has more of EPA and DHA than other fish oils, and to take one tbls early morning on an empty stomach so the oil will not go to the liver but straight to the joints. I have big capsules of regular fish oil, so how many would make one tbls? I also take one tbls of ground flax for the Omega-3 - is it still necessary if I take fish oil? Doctor: well in general fish that live in salty cold waters contain EPA and DHA 250 gm fish would be = to one tablethope you got your answerGood Luck
| 131,351 |
Suggest treatment for twitching and spasms of cheek and lips
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Patient: My dad - 67 yrs old, height 5 feet 8 inches, weighing 82 kgs- has HFS since 2 yrs, that started with right eye twitching and now involves spasms of the right cheek involving right side of the lips as well. The frequency of spasms is higher n the morning after he wakes up and relatively lower in the evenings. He has hypertension since 2 yrs that is kept normal with a single dose of 5 mg amlodipin salt. Oral medication since last 1.5 yrs has not helped and the only option seems to be either surgery OR botox treatment. Given the risk and availability of treatment at Bangalore India, we prefer to opt for Botox treatment. Can you please advise the duration botox is expected to remain effective for... and preferably the best place to get this done at Bangalore India... and any other advise in this case. Thanks & God bless you. Doctor: Hi, Botox is the safest and most effective treatment for hemifacial spasm. It is a simple outpatient procedure, and the effect lasts for 3-6 months. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Sudhir Kumar, Neurologist
| 139,392 |
Does prolonged masturbation cause problems?
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Patient: hi . i am doing this hand job since i was 8 now iam 25 . due to work i will not do it regularly but in a week i do it 7 times. but some time on weekends i do it 4 to 5 times continuously . will this cause problem. i know this is not a bad habit but if i stop doing it will it effect on my health please answer me to YYYY@YYYY Doctor: masturbation is ethically wrong..it makes you weak and drains calcuim and protein content in your body.. it creates nervousness and neurological problems..it is the main cause of erectile dysfunction..it addicts u the more you do it the more u cannot control it..it creates drowsiness, u will need to sleep and become very tired after doing it..it causes stress and strain in your mind and soul..it creates depression and makes one feel bad on his own.. it leads to the noxious problem that you can not see any girl without having a single though: sex..it leads to illegal contacts because the urge increases dau by day.. it is the main cause of speedy sperm relaese during intercourse so it will create dissatisfaction to you and your wife.. it reduces sperm count..
| 196,988 |
What causes rashes and fever for more than a week?
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Patient: question my son has a fever that has lasted longer than a week and is developing a rash that is spreading on his body. three days ago he was diagnosed with an ear infection.at times his temperature spikes up and he seems a bit lathargic. what do you think it could be Doctor: Dear Friend.Welcome to HCM. I am Dr Anshul Varshney. I have read your query in detail. I understand your concern.Fever with rash requires proper evaluation. It can be chicken pox, Measles, or even can be due to low platelet count.I would suggest you to send us the photograph of the rash.Also get her:1. Hemogram2. KFT3. LFT4. Malaria AntigenThis is my best opinion for you based on available details. If you have any further query please.Stay Healthy.Dr Anshul Varshney, MD
| 39,578 |
What are the balls around the knee area that hurt while stretching?
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Patient: i have several balls around my knee area that really bother me. it hurts to stretch but after i am warmed up i can complete my entire work-out. unfortunately, by the next day i am feeling the pain. i have gone to get a massage where the balls have been broken and the pain goes away. my question is it safe to have the balls broken? is there a general cause to getting these horrible balls? Doctor: Hello,Where is the exact location of as you said bals? How much is the size of each one.Possible causes are:1. Baker's cyst.2. Bursitis.3. Arthritis.4. Meniscal cyst.5. Boils.Until examination is done it is difficult to say what it is. Please take me a photograph and send me or consult with your orthopedician he will examine and treat you accordingly.Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist
| 120,133 |
Suggest medication for bad breath,spitting of blood due to history of having ulcers
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Patient: well ive recently started spitting blood. before an after bed. my fiance had also recently started complaining about my breath smelling some what like scabs. especially in the morning. I am quite a drinker. I dip smokeless tobacco "Copenhagen" wintergreen. i also have a history with ulcers. im 22yrs old Doctor: Thanks for asking.You need immediate dental cleaning and scaling to fix your gum bleeding.Go to a dentist get your teeth cleaned and maintain a good oral hygiene thereafter by controlling your bad habits i.e tobacco.
| 187,231 |
Infant woke up with swollen ear lobe and bumps all over face. Allergic reaction?
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Patient: My 14 day old baby woke up this morning with a lot of red bumps all over his face, his ear lobe is swollen on both sides. He has been crying non-stop and is very irritable; he is a very calm baby and usually does not cry much at all. I think this could be an allergic reaction , it is very much like the allergies I have myself. Is this a reason to bring him to the emergency? or what can I do to treat him at home? Doctor: Hi, Thanks for writing in. from the history given above, it definitely looks like allergy. You should apply first cetaphil lotion to your baby's body. If that is not available, apply at least moisturiser till you get medical help. You need to consult pediatritian to get medicines prescribed like antihistaminic syrup like cetrizine or atarax. Mean time try to find out cause for allergy as new soap or oil or cloth. Continue breast feeding and keep him hydrated. I hope I have answered your query. In case of doubt, revert back. Best regards, Dr. Neelam.
| 104,780 |
Suggest treatment for an injured nose
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Patient: Hello I broke my nose 7 days ago when I was hit by a cyclist and fell to the ground. My nose was smooshed to the right and I pushed it back. I went to the ER but the doctor said I would have to go see the nose doctor after the swelling went down which would be this week. Now that the swelling has one down (my left eye is still black and blue and my nose hurts) my nose looks slightly off center. I cant stop worrying about it. I want my straight nose back. The problem is I could only get an appointment for July 1 and the secretary on the phone said that that was fine. Can the doctor still fix my nose? Thank you. Doctor: You could be having nasal bone fracture and nasal septum fracture. The ENT Doctor needs to examine you and look for the damage before one can say anything. Repair by septoplasty operation is usually possible to correct septal deformities.
| 135,472 |
Could the elevated GGT value be due to chemotherapy?
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Patient: Dear Dr. Oana, my friend was operated in December 2012 - gallbladder removed together with 6 nodes around with a diagnosis cancer in the very initial stage. The liver was proved not to be affected. Seven months later a PET scanner revealed a still good state of the liver but 2 small abdominal nodes (2-2.5 mm). This autumn since September he has started chemotherapy procedures which so far have indicated very satisfactory influence (nodes are diminished by 25%). Examinations and scanners show good treatment effect BUT - the GGT measured today (after hes 5th chemotherapy ) is too high - 1503. Please, tell me is it possible this extremely high GGT to be the result of the treatment. Does this happen with patients in similar state of medical treatment. Thank you very much, Dr Oana, for your answer. Doctor: Hi dear greetingsraised ggt is unlikely due to chemotherapy side effects.But it is a marker of common bile duct pathology.I recommend following.MRCPCa-19liver profileHope these investigation will help us to know the cause of GGT raised.good luckwish you good health
| 152,936 |
High SGPT/SGOT, non drinker, non smoker, not taking junk food, ursocol 300 and liv-52 ds, diet?
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Patient: Hello doctor, My husband is having high sgpt/ sgot . this is 250 and 245 respectively before 3 months. He is non-drinker, non-smoker. He also does not like junk food much. His height is 5ft 7inch and weight is 80 kg. he drinks lots of water. Rite now, he is taking ursocol 300 as a medicine along with liv-52 DS. Could you please tell me what is the reason for this increase. What kind of diet he can take. Doctor: Dear Friend.Welcome to HCM.It seems you have been suffering from Chronic Hepatitis B. I would suggest you following:1. HbSAg, Anti HCV Antibody.2. Ultrasound Abdomen.3. LFT4. INRReview with the investigations for a better helpStay Healthy
| 57,444 |
Is canditral capsule effective medicine for onychomycosis ?
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Patient: age : 24, height : 5.5, weight: 68 i am suffering with onychomycosis from last 10 years. i have not used medicine regularly. is canditral capsule are the right medicine fro this or any suggestible medicines are there... my nails are coming out from nail beds.. please help me out of this.. Doctor: hello, thanks for your query, u r telling correct medicine( itracanazole) should b taken for twice daily. hope I hav answered ur query. all d best. take care.
| 38,762 |
What hampers embryo growth in the womb ?
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Patient: what are the reasons of emroyo not growing in the womb , i was pregnant but it stopped growing, now i am pregnant again, want to avoid the same problem please suggest. hi i am 28 yrs old and want to know that what are the reasons of emroyo not growing in the womb, i was pregnant 5 months agao but it stopped growing, now i am pregnant again, want to avoid the same problem please suggest. also want to know is there a constant clear white discharge and urination during pregnancy? is it good and also at what stage does it start? Doctor: Hi ! there are many reasons to it first being chromosomal anomalies, then uterine diseases, infections,etc..Please do undergo thoruogh medical checkups and scans regularly.yes some amount of white discharge is normal during pregnancy as it primes the genital tract for delivery.It increases towards delivery.
| 6,433 |
What measures should I take to increase my sperm count as the count is zero ?
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Patient: hi doctor i am 35 years old and am an exserviceman i am blessed with a boy who is now 5years old. i have got a semen analysis done and the sperm count is zero. I have got a scortal doppler test done in which i have got an indirect inguinal hernia . right testis measured 42*26*18mm(vol10.2cc) left testis measured 41*23*14mm(vol6.8cc) right epididimis measured 0.8cms and left measured 0.7cms are there any chances for increasing my sperm count for i want to have a second child and should i get the hernia operated for better results awatng for your reply Doctor: Hello Thanks for your query. I will try my best to provide you with best possible professional recommendations to your questions. As you have children that means your count was normal. As you have mentioned that your sperm count is nil it indicate towards obstruction. Obstruction in vas, which you have not mentioned. It is better to correct the hernia. if that is responsible for causing the obstruction. Yet again, I do hope that you have found something helpful and I will be glad to answer any further query. Regards
| 44,607 |
What are the chances of pregnancy after taking birth control pill within 10 hours of an unprotected sex?
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Patient: Hi, I am taking levest and am on the third week (I take 3 packs together so I only get 4 periods a year) I had unprotected sex a few days ago and had forgotten to take my pill that day. I took it when I got home, it had been 10 hours since I should have taken it. Am I at risk of pregnancy? From what I read in the leaflet Doctor: Hi, if you have missed only one pull and taken it within 12 hours, I don't think you are at a risk of pregnancy. But if you don't want any chance of pregnancy, emergency pills are also there which you can take after consulting a doctor. Hope I have answered your question. if you have any other query I will be happy to help. Regards Dr khushboo
| 1,771 |
Small raised red itchy patches on skin. What are they?
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Patient: I have small, (most are about the size of an eraser on a number 2 pencil) raised, itchy red patches of skin on my arms, chest and back and a few on my torso. These patches start out as dry patches of skin....then the dry skin flakes off and the raised patch turns purplish red and somewhat shiny and is still somewhat itchy. This all started about a week ago. What could this be? Doctor: Hi, it seems that you are having either lichen planus or psoriasis vulgaris. Both the condition are benign. Do not worry. Avoid stress. Take proper sleep. Avoid soap bath. Apply mometasone oint. And take antihistaminics, till itching is relieved... But, still you consult dermatologist for perfect diagnosis and treatment... Ok
| 15,932 |
What causes headache, abdominal pain, acid reflux, chest/leg pain, throat burning, strep?
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Patient: My son is 9 years old, and he has an abdominal pain with headaches, high acid reflex with his chest hurting and throat burning (Prevacid 30mg twice daily, prescribed by GI specialist from Johns Hopkins hospital, does not help at all), upper legs ache. It is all started year ago after 2 round of the stomack flu, all blood works and stool speciment test were done, he had 3 round of different antibiotics, upper endoscopy, finally he was diagnosed with lactose intolerence he dveloped, over the last summer he was OK, and then lst October he have gor a strep, and after that he have gor all this symptoms I mentioned above. He had an endoscopy prosedure again, nothing was found. Please help Doctor: Hello, When the symptoms have been so long-standing and persistent and related to the gastrointestinal tract. If I were his paediatrician, I would recommend going ahead with testing for inflammatory bowel disease. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Sumanth Amperayani, Pediatrician, Pulmonology
| 162,229 |
What is the treatment of blisters on jaw ans back bone and lump on penis ?
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Patient: Hi,I had a unprotected sex with girl at 12/01/2012. I have tested HIV 1 + HIV 2 negative at 12/06/2012 at five months. From the five months I have been suffering from symptoms like blisters on jaws and back bone. And a painless lump in penis. Please suggest what to do? And please suggest where to treat in kolkata. Doctor: Please see a Surgeon who can examine you. Without examining it is very difficult to comment as to what it is. It is unlikely to be due to the sexual encounter but still better to get it checked and treated. Both the problems also could be unrelated but can say with surity only after examining you. So my advice is that dont delay it and get yourself checked soon.Take care. Dr Rishi, New Delhi, India.
| 66,121 |
Suggest treatment for severe back and hip pain
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Patient: hello sirmy cousin is been sufferig from severe back pain near the hips since 5 years.in the beginning the problem wasnt serious but now he cant sit for minutes.he is always lied down on the bed because of the pain.we have tried a lot of scans and consulted a neurologist who has adviced him to take tablets for 6 months.but inspite the pain has not been cured.is it possible to do any type of surgery or back bone disc surgery?? Doctor: Hi,I have noticed that his symptoms have gotten worse of late to the point that it pains to sit for a few minutes too. Also you have mentioned that scans were done. Was it a MRI scan of the lower back? If yes, and it shows a normal study then you would need to do dynamic X-rays to search for any disk slippage. On the other hand if it shows a disc protrusion or compression of spinal cord or nerve roots, you would require microdiscectomy surgery after a careful and thorough neurologic examination. Initially you can also go for physical therapy where your pain can be managed with ultrasound therapy and interferential therapy. Hope this has answered your question.
| 108,838 |
What does non-itchy pinhead rash on tummy and lethargy indicate?
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Patient: For last few days I have had a red pinhead rash on my tummy. It isn't itchy and doesn't give me any hassle really but at the same time I am feeling very very lethargic and tired all the while almost narcoleptic . I have no energy at all what can this be Doctor: Hello, This rash could be part of viral infection as other symptoms like lethargy and malaise seem to suggest. I advise you to use a soothing lotion e.g. calamine lotion to calm down the rashes. In addition, I suggest you take an oral antihistamine e.g. loratadine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kakkar S., Dermatologist
| 13,155 |
How can bruxism be treated and prevented?
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Patient: Dear Sir,i am age of 56 Yr.i have problem of teething grinding in sleep.sleep of my wife is being disturb when she wake up in night.please advise me what actions have to take and any exercise i have to do to prevent from above.Thanking you,Pinakin Doctor: Hi, Grinding teeth in sleep or nocturnal bruxism can be due to a number of causes like stress and anxiety, alcohol abuse, smoking, snoring, sleep apnea, excessive intake of caffeinated drinks, etc. So if any of these are responsible in your case you should try and eliminate the same. Secondly start doing meditation and deep breathing exercises. Avoid alcohol intake if you do. Consult a dentist and get examined. A night guard can be made for you to wear at night. At times low doses of anto anxiety medicine can be advised. Jaw alignment exercise can be demonstrated and can help in improvement. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Honey Arora, Dentist
| 180,374 |
Suggest treatment for depression
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Patient: i been feeling very depressed lately and i dont know why everything in life is pretty decent i have a girlfriend who loves me and i love her but i feel like sometimes i just need room for myself and everything i do is kinda revolved around her, is this causing my depression im not sure it just constantly recurring. i also recently went on a hair drug called minoxidil its a topical treatment and my depression started around this time, could this be the cause? Doctor: Hi.I understand your concern.Minoxidil doses not associated with depression or it wont cause depression.Low mood/loss if interest/ sleep problem/ Flactuation in mood etc may indicate depression.Proper psychological and thought assessment will give better idea and diagnosis.It can be treated with combination of antidepressant medicines like SSRI and anxiolytic. Choice of medicines depend upon diagnosis.Psychotherapy and counseling can help.Glad to help you further.Thank you.
| 206,015 |
Kidney stone detected. Gas problems after taking Potrate MB6. Duration for stone to pass out?
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Patient: Sir I have a kidney stone of 5.2mm unobstructive and it was detected on 2010 but i never thought that i will have a kidney stone and also i nevr had any pain till today and as the doctor advised me to take potrate MB6 for 3months so i have started taking this medicines from the last 3 days but i am having GAS after i start taking this medicines. So is it because of POTRATE MB6 i am havin gas? And how long it will take for the stone to passed out? Doctor: hello, the medicine prescribed can cause tummy upset acidity. i would sugest take it after food and and dissolving it in at least half glass of water. no one can predict if the stone will be passed out or not or when it will be passed out. but stone of size 4 to 5 mm can spotaneously pass out. hope this settles your query.
| 51,414 |
Right sided abdominal pain, backache, discomfort on sitting, appendicitis ruled out, normal ovary and uterus, cleared UTI. Cause of pain?
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Patient: im 29, female single, i have right side abdominal pain and backache . when i sit it causes discomfort. i been to the hospital twice this week but nothing abnormal found on my ovary, uterus. i was also cleared of appendicitis . i was diagnosed with urinary tract infection but yesterday i did rectal exam blood and urine test. they noted i was improving because the presence of bacteria was greatly reduced from 404 to 44. i just like to ask what causes my right side abdominal pain and backache? because it still hurts Doctor: Hello Madam, I understand you did get most of the common work up for right sided abdominal pain. I am happy that you were cleared of appendicits and ovarian causes. I hope you got CT scan to get that ruled out. If anything else major causing your problem, that would be shown in the CT scan. Also, as you know, the urinary tract information can also cause abdominal pain that should be resolved after it is totally treated. I would recommend you to keep yourself hydrated enough if this is the only problem. The other reasons in an young woman to be considered for abdominal pain are irritable bowel syndrome and any muscle spasms. If it is a irritable bowel syndrome, the abdominal pain is more likely to be associated with alternating diarrhea or constipation and may be related to any stressful factors in the life. If it is a muscle pull that is causing your back and abdominal pain, it might get better with warm compressions or a muscle relaxant which you can get after seeing your primary care physician. At this stage, I would recommend you to keep hydrated and finish the course of antibiotc for uti. If it does not get better after a couple of days, may be you may have to be re evaluated by your primary care physician for possible other causes as I discussed above. Hope this helps you to some extent.
| 94,796 |
Suggest treatment for kidney calcium and mass
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Patient: My husband has Kidney Ca, mets to lung, and now new mass in area of nephrectomy. Persistent fever, fatigue. They suspect bldg. into Psoas. ( flank pain). He has diabetes, CHF, 2 open heart surgeries, a-fib, CVA history. Any suggestions? He is 64 yo, 250 lbs. Also on meds for HTN, hyperlipidemia. We elected no chemo. Diagnosed 11 mos. ago Doctor: Hi, dearI have gone through your question. I can understand your concern.He had carcinoma in kidney and now it spread to lung also.It is stage 4 cancer. So surgery will not helpful. Moreover he had open heart surgeries, hypertension and other co morbid condition. So surgery is not an option.Chemotherapy and radiotherapy can be given but again it has its own side effects which will worsen the remaining life.So in my opinion no definitive treatment should be given. I am sorry to say but it is true. Life expectancy is very low.Hope I have answered your question. If you have any doubts then feel free to ask me.I will be happy to answer.Thanks for using health care magic.Wish you very good health.
| 46,512 |
What causes pain in calf,hip and lower front ribs?
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Patient: Hey. For the last few days I have had pain in my calf, hip and lower front ribs and getting sorer each day. It started with pain in my calf and I just thought it was a cramp as I hadn t hurt it but then my hip started to get sore and hard to walk on then the bottom of my ribs at the front. What would this be? Doctor: Hello,It looks from your details that you are most probably suffering from transient migratory myalgias. Such type of myalgia may occur due to:- Smoking- High blood pressure- Diabetes- Excessive fatigue or exercise- Decreased level of vitamin D- Some medicines like cholesterol lowering medicines (Statins)- Pre-viral /viral illnesses.In my routine OPD, I prescribe some analgesics like aceclofenac 100 mg twice a day which is very helpful. If your problem continue to persist then you may have routine blood examination to rule out the pathology.Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Mukesh Tiwari, Orthopedic Surgeon
| 121,022 |
What causes elevated BP?
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Patient: Hi, I am a hypertensive who has been on amlogard 5 mg bd and Xirtam 20 od . The last month was very stressful for me . For the last 5days my BP is around 150/100. I was asked to increase Xirtam to 40 mg. Now I don't have any headache ,but still my BP is elevated. What do I do? Doctor: Do continue with xirtam 40 od with amlogard 5 bd for time being, both of the meds have reached it'd optimum levels. However try diverting your stress to other useful direction, as adding meds is not the solution. However the BP will be normalise withen a week of the increase in dose. Tc Any further clarification you may mail on Priyankmody86@gmail.com Regards
| 27,798 |
Why does one have dents on the skull?
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Patient: I noticed about a month ago that I have an 1 long dent on top of my skull in the center. My skull is raised up and also have a dent forming on the other side of raised portion of skull. So in fact I have 2 dents on top of my skull w/a significant raised area of skull in between the dents. I m starting to get nervous, this doesn t seem normal! What would cause something like this to happen? Doctor: HIWell come to HCMThis could be normal one, as such you do not have any clinical symptoms then this is nothing to worry, the appearance of skull greatly varies form person to person with no any clinical symptoms nor any other abnormality, if you want to clear the doubt then CT brain is the only best option you have, hope this information helps, take care.
| 146,189 |
How to treat persistent discomfort in the mid and the upper back?
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Patient: I have a long standing problem in my mid to upper back, aggravated by lifting heavy weights (bench press), or doing things like serving in tennis or throwing a ball without properly warming up. I ve had it for 30 years. Is this just likely a muscle that I injured and that I keep aggravating? Doctor: Hi there. The pain you experience in your mid upper back could be due to mainly a faulty technique while using bench press or that you're not giving your back muscles adequate time to rest and recover. This can have possible long term implication on your spine by causing degenerative changes earlier. I suggest that you take enough breaks between each rep and if you're planning to increase the weights do so gradually so your muscles get time to adapt to it. Throwing motion without properly warming up can also harm your back muscles as well.
| 107,341 |
Is the pain in legs and arms due to PAD or PVD?
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Patient: hi i have had a heart attack in 2007 i had 3 stents i also have h.a.v.s hand arm vibration syndrome and i have recently been diognosed whith p.a.d..-p.v.d. i have had the pain in my legs since 2006 i am convinced this is wot brought on my heart attack now i have a simaler pain in both arms when i overstretch i get cramp pain so bad i think my arm is going to explode do u think this is related to p.a.d. ore p.v.d. im having angioplasty in my leg in 1 weeks time should i mention this pain in my arms to my consultant ? Doctor: Hi,Welcome.PAD is blockage in arteries other than organs. Their blockage can cause severe limb pain.If you also have similar pain in the arm too, you should definitely tell this to your doctor so that it can be evaluated properly.Thanks
| 21,484 |
What causes an elevation in the BP level after placing a VP shunt?
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Patient: I have a ventricular shunt due to hydrocephalus I am having problems for the past several months with my blood pressure being too high my family Dr is sending me for several blood tests to rule out other things but I m concerned this may be caused by my shunt Doctor: Hi, I understand your concern. The increased blood pressure (bp) you are facing for the last months after placing VP shunt could be due to:- shunt itself- thyroid issues- stress/anxiety- other cardiac issuesYes, you need to run further tests to determine the right cause. Meanwhile, keep monitoring your bp, record the results for future reference. All the best.
| 19,717 |
What is the treatment for yeast infection?
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Patient: I have ongoing issues for the past 18 years with having about 6 yeast infections per year and have seen specialists. they have put me on boric acid (600 mg 3-5 nights capsule inserted) Been doing this for 2 years and it usually takes care of it. As with every treatment... after a while... my body doesn't respond to it. I took my 4th capsule last night after things were feeling better but then woke up with it itching worse than I started. Should I continue taking 3-4 more days or just stop treatment and hope it gets better? PS I don't eat sugar. AND I am sooo tired of dealing with this Doctor: Hello.I recommend continue the treatment.Yeast vaginal infections, appear frequently in women using tight pants, no cotton underwear (nylon ....)periodic intake of antibiotics....Sometimes even if the person follow these recommendations, infections continue to appear.I wish you good health.(If the answer has helped you, please indicate this)
| 36,904 |
I have been diagnosed with hidradenitis suppurativa. Is there any Online doctor available who can suggest me better ?
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Patient: I am a 29yr old lady & have been diagnoised with hidradenitis suppurativa, I need help. Can you suggest a good doctor Doctor: Hi...dear user., Thanks for choosing HCM.., HYDRADENITIS SUPPURATIVA....It is infection of APOCRINE GLANDS.., usually seen in the Axilla.., Treatment is depend upon the stage of disease.., Antiboitics ,antiinflammatory drugs will give good result.., Some times it requires ....Surgery....to drain the pus.., WSo consult....Surgeon..he can guide U in Right way.., ok..thanQ
| 16,352 |
What could cause large sore on the roof of the mouth?
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Patient: I am HCV positive but they aren't recommending TX until the newer treatment comes out in a few years. My question is I have a large sore on the roof of my mouth. This occured about four months ago. I was prescibed some antiseptic mouthwash and to rinse with Benedryl and Milk of Mag. mixed together - but why am I getting them. They are incredibly painful and I can not wear my denture. My throat is sore also.... Doctor: thanks for your query, i have gone through your query, the soreness on the palate could be secondary to fungal infection like candidiasis or denture stomatitis. consult your oral physician and get it ruled out from other lesions like tooth infection. if it is candidal infection you can use topical candid mouth paint. maintain oral hygiene. do not use denture for a week. wear only when it is absolutely necessary. during night time it has to be removed. i hope y answer will help you. take care.
| 186,014 |
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