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Seizures 1-2 per day. Taking different medicines. Advised surgery. What are the pros and cons?
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Patient: My 23 year old daughter starting having seizures 15-20 per day when she turned 18. she was born 2 months 2 weeks premature, her seizures are somewhat controlled with medication, she is on 12 different meds per day, she still has seizures 1to 2 per day, her neurologist is suggesting surgery, what are the disadvantages vs advantages. Doctor: Hi, Welcome to Health care magic forum. The treatment failure of the patient depends upon so many factors. If she is irregular in taking medicine, if she is using some medicine which has seizures as side effect, like antihistamines,ofloxacin etc. Should not be exposed to bright light, or continuous exposure to light like Tv, or computer.Premature delivery may not be the cause, other wise they would have started at an early age. Regarding the surgery, the attending doctor will be the correct judge, and pros and cons will be there with all the procedures. Wishing for a quick and complete recovery.Thank you.
| 148,781 |
Suggest remedy for severe pain in middle and under the heel of feet
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Patient: Hi, I have fairly severe pain directly in the middle and under the heel of my left foot. I get the same pain in my right foot in the same place, but not nearly as bad. I am currently icing the heel and using gel pads for the heels. Both help, but overall it seems to be becoming more resistant to my efforts to alleviate the pain. This keeps me from walking and I am beginning to put on weight as a result. Can you help? Either way, thank you. Email: YYYY@YYYY Doctor: You are suffering from planter fascitis. Continue what u r doing, if resistant may inject local steroids. If still resistant may require surgical intervention.
| 136,333 |
Suggest treatment for persistent cough and chest pain
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Patient: I have a chest pain in the middle portion of chest including back shoulder,frequentlly somtimes it appear at walking and even in rest.I went to cardiologist but ECG,ECHO,etc, are normal,he advice me to go further investigation viz;ENGIOGRAM.I have a prolonged cough,X-RAY shows lung is not clear.cardiologist ignore it.please suggest me for further steps. Doctor: Hello dearWarm welcome to Healthcaremagic.comI have evaluated your query in details .* This seems to be respiratory infection , not controlled by treatment till now .* Taking second opinion with expert pulmonologist is recommended rather than marching ahead for angiography .Hope this will help you for sure .Wishing you fine recovery .Welcome for any further guidance .Regards .
| 71,802 |
Suggest treatment for cyst like mass in upper back
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Patient: My husband has a large cyst like mass on his upper back , actually r shoulder I guess. It had started to drain a couple of days ago, I examined it and with even light touch large amounts of pus like substance came out, now 2 days later, still red, sore, smaller and still w pus on pressure. I used a sterile needle and opened it up a bit and drained out a pretty large amount of malodorous yellowish puslike material, again today....smaller, remains swollen and hard to touch. Doctor: Thanks for asking inhealthcaremagic forum It is very common to get boils(carbuncle) on back and neck region. Decreased immunity can cause these. If I were his treating doctor I would have put him on oral and local antiboitics with Inscission and drainage of pus. Visit a doctor for early relief. All the best.
| 35,544 |
Suggest treatment for alcohol allergy
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Patient: Hi, I think I may be allergic to some of the ingredients in alcohol. Every time I drink alcohol I sneeze and there have been occasions where I have had an asthma attack when drinking too. Is there anything I can do besides giving up alcohol? Thank you Doctor: Hi and thanks for the query,It is good you have identified the substance that causes allergic reactions in your case, which is usually difficult under most circumstances. The best of things shall be to do everything possible, though difficult, to stay off alcohol. Kind regards
| 101,760 |
Blood during bowel movement. OBT positive, US showed gall stones. Root cause of OBT?
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Patient: Hi, I m 36 y.o. I m currently experiencing blood when I defecate. So, I had my stool occult blood test and I was found positive. I also had my ultrasound test and I was positive with gallstones. May I know your view on this considering that a lot of my medical literature readings on Occult Blood Test (OBT) positive cases; gallbladder stones is not among of the main causes of OBT. What would you recommend to determine the real cause/s of my OBT? Should I conclude now that gallstones is the main problem? If so, I wonder because I don t experience abdominal pain especially at the upper right portion of my stomach? Thanks... Doctor: Hi,Welcome to HCM,You are having basically 2 medical issues first one is GIT blood loss and Gall stone.Usually GIT blood loss result in Iron deficiency anemia, this blood can come from upper portion of GIT that is stomach, Duodenum where Acid peptic disease and ulcers are common cause,other common cause is use of alcohol which can cause bleeding from stomach or also as complication to liver disease, esophageal varices.Other cause may be malignancy,adenoma,polyp etc.If fresh blood is passed then source could be lower GIT colon or rectum,even piles.You must see Physician/Gastroenterologist and after CBC,Peripheral smear study,other liver function ,Lipid Profile and kidney function along with Upper GI endoscopy or colonoscopy as required may be performed to know the source of bleeding.One very important cause could be analgesic use like aspirin/Diclofenac like NSAID.You should stop alcohol or tobacco if you take.You are not having symptoms of gall stones they are mostly made from cholesterol so Statin or Oral bile acid therapy could help(UDCA)Please take careGood Luck
| 59,501 |
What diet is good for hepatitis ?
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Patient: hi sir gud evening.... may i get a complete gud diet for hepetitis e.... Doctor: Hi, Welcome to Healthcare magic forum, Avoid oily and spicy food, No junk food, Eat Boiled vegetables, Eat bread, idly, rice bland, Drink 3 lts of water a day Cereals u can it, bland. fresh fruit juice u can have. Hope I have answered ur question, Regards
| 60,502 |
What is the treatment for knee injury?
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Patient: I was hiking down a trail and stepped off a small ledge with my right foot. My knee gave out because the step was higher than anticipated, I am experiencing sharp pain in the left front side of the knee when I walk. I m not sure if it s a joint or ligament. How should I treat the injury? I haven t applied anything to the site and have taken extra strength acetometophin last night and this morning. Doctor: Hello,I haves studied your case. Pain in knee joint with swelling is suggestive of ligament injury. You need to see a doctor and get MRI of the knee joint.It will tell us if there is any injury to cartilage or ligament. According to that further management can be planned. You need to apply ice and wear knee brace till then.Avoid walking or knee bending.
| 131,396 |
Detected tiny benign cysts on kidneys causing blood in urine. History of taking piperacin medication for lower back pain. Advice
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Patient: 40 yrs + , Ninpthrologist evaluated me having tiny benign cysts on my kidneys that may cause the unseen blood in my urine. But 10 yrs before that test, I was prescribed Piperacin Medi by company Doctor for complain lower back pain when I ate salty food. I was on that medication for 3 to 4 yrs. when the was gone. The unseen blood in urine was seen 6 yrs. later . The situation is the same until now. Is the blood in urine is cause by benign cysts on the outer surface of kidneys? Doctor: Hi, the blood in the urine could be due to the infection, or may be the cysts, that is to be confirmed by the nephrologist. Don't worry you will be fine with the treatment. Take more of green leafy vegetables, pulses, sprouts, and proteine rich foods besides medication. Thank you.
| 50,077 |
What could a lump in arm pit be?
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Patient: I have a tiny lump around an inch above the arm pit. It has been there for over a year. One doctor told me that I had a clean bill of health. No tests taken. My sister who is an RN advised me that it looks like a fat sack. It has not changed since I first noticed it, and does not cause any pain at all. My gyn didn't notice it when she did her examination, and I had forgotten about it at that time. Should I be concerned? Doctor: Hi,From the information you have provided this is likely to be a lipoma which is a fatty lump. This is not serious and can be left alone. If it starts to give you pain or if it enlarges then I suggest you see your doctor. Regards,Dr K A Pottinger
| 68,465 |
How to treat breath shortness with enlarged heart?
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Patient: My sister is suffering of shortness of breath that gets worse when she walks or bends down. She has an enlarged heart and is functioning at 60 percent according to recent tests, had a cath of the heart that came back normal. Had an exray last night showing no fluid in lungs and no swelling of legs and feet. She recently overcame an infection of the right lung that finally got treated five months later ( I guess it got worse with time and created scarring of the right lung as a result). She takes med for CHF and is on a diuretic . She is like 20 lbs overweight . Please advise on what can be done to help her because they keep sending her back home from the hospital and she cannot work feeling this way as her job is physical. Please help. Thanks Doctor: Hello,I have gone through your question .for guiding you properly I need exact reports of echo n cath.as you have mentioned that functioning is 60% ,that does not match with CHF.as per your information cath is normal.There is some paradoxical information .so if can send me proper details I can guide you precisely.She may have cardiomyopathy and diastolic dysfunction.But please provide full details.My best wishesDr.Teli,MD
| 27,701 |
What cause twitching of outer thigh?
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Patient: Hi my left outer thigh just started twitching when I tried to fall asleep and would stop after a few minutes and than start again. I have had them before but they do not happen on a regular basis. I do not know what it is and why it is happening. Any information regarding this would be appreciated. I am also 15 years old. Doctor: Hi, What I feel with the history is this should be related to some vitamin deficiency. I will don't want to mention in direct to make you panic until we get some diagnostic reports. Since you are 15 you should not be having major issues. With simple medication like multivitamin you should do well. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,332 |
Can change in diet cause B12 deficiency?
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Patient: Hi I have just come across this site. Is it free?!! I have had a biopsy of a red rash across my abdomen and arms and I have been told that I have morphea. I have ITP (variable platelet count of between 20 and 80 so no need for regular treatment) and had a B12 deficiency when I was vegan a few years ago but I am now vegetarian again and haven't had my B12 checked for years. Could any of these things be connected? I would be grateful for any advice. thanks O.V. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Vegetarians commonly have Vit B12 deficiency, but not necessary always. Vit B12 in vegetarians is usually produced in gut by bacteria. 2. Also, green leafy vegetables are rich in Vit B12.3. No, all of them are not connected. ITP is secondary to viral infection and affects usually only platelets. It does not affect Vit B12, neither does morphea.4. Additionally, during deficiency, you can take Vit B12 supplements or injections, which will rapidly improve it. Pernicious anemia will require evaluation, if vit B12 does not get corrected after taking oral Vit B12 for a long time.Hope it helps.Any further queries, happy to help again.
| 116,057 |
Any suggestion for rash and recurring ulcers on penis?
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Patient: Around my penis head there is a rush and small recurring ulcers. They dried out but comes sometimes again. Specially when erect. Doctor prescribed penicillin injection eith antibiotics but no cure. Ointment of condom reinstate the ulcer mostly. Can you help me. Doctor: Hi, If you had unprotected sex - need to rule out sexually transmitted infection if penicillin was given you doctor would have suspected syphilis. Doing a complete panel of sexually transmitted infection tests can help. According to your coplaints it can also be due to herpes. Share a picture for confirmation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 193,547 |
What is liver and kidney mass mean and what causes it inconclusive?
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Patient: Hi my name is maria I recently was in Jefferson hospital in philadelphia n was told I had a liver n kinney mas my biopsy was inconclusive n want to take more biopsy from me. I do have budd carie n was given a shunt in 1997. Since then I feel great my question is could they be mistaken my liver disease with a mass also id like to find a more experienced dr. In philadelphia who is experienced wit my disorder n cancer. Can u pls help? Im sorry to waste your time. I wasn t aware of there was a fee that I regret to say I cant pay at this time. I am overwhelmed with medical bills along all the medical problems going on in my depressed state of mind.. thank you for your precious time. Doctor: Hi,Thanks for writing in.Budd Chiari is a condition in which there is thrombosis of veins in the liver. There are 3 forms of the condition such as acute, chronic and fulminant form. As you are doing well after 15 years following shunt, it is likely to be a chronic form.Chronic form is the most common presentation and approximately 50% of patients also have renal impairment. Budd chiari can rarely be associated with a renal tumor and this might be happening in your case. In most patients with a kidney tumor, doing a surgery with removal of the affected kidney helps.It is possible that the liver and kidney findings in you are associated with Budd Chiari. Please do not worry.
| 154,821 |
Is carotid artery surgery safe?
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Patient: I have a dissected right carotid artery with an aneurysm. I was informed that if I surgery to correct it that there would be a 50/50 chance of the surgery being fatal. Is this true? I m only 52 years old I ve had this for 2 years.I go in for regular MRI s and CT scans but just worry about if it. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. After going through your medical details I understand your concern and I would like to tell you that dissected carotid aneurysm means you are already at death risk , in such case going for carotid surgery means you are giving yourself 50% chances to live and is highly recommended to go for this as soon as possible. Hope I have answered your query. Let me know if I can assist you further.
| 18,479 |
What cause faster heart beat, shortness of breath and dizziness?
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Patient: What does it mean when your heart starts beating really fast(over 160bpm), short of breath like someone is pushing on my chest, and dizzy? This was while I was at home, not doing any activities just walking around the house, bent down to pet the dog and it started when I stood up. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, we should first rule out arrhythmia (rhythm disturbances in heart) like atrial fibrillation (AF), atrial flutter, supra ventricular tachycardia (SVT) etc. All these can cause rapid heart rate, dizziness, chest tightness and discomfort. So get done ecg, 2d echo and Holter monitoring (24 hour continuous monitoring of ecg) to rule out arrhythmia. On the basis of reports, you may need anti arrhythmia drugs. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 25,714 |
What is the best treatment for back pain?
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Patient: hi my son is 25 and as back pain , he is fit but he had this pain in his back brought him to the ground he had to try his hardest to get back in the care could not more for an hr , and then when he tryed to get back to his apartment he fell again and someone had to help him , can you please tell me what he could be Doctor: Hi Thanks for your queryI hope the other joint's beside the spine are normal,please share.Does he has more pain and stiffness in the morning?He needs physical examination and blood test to rule out spondyloarthropathy .Please share.Take care
| 111,660 |
What causes pain and stiffness in the joints?
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Patient: I am 55, menopausal and have a history of breast cysts. I have been diagonased with microscopic blood in my urine and have had tests done, but no cause has been found. I have hot flashes and then feel very cold. I am now having pain and stiffness in the small joints of both hands. I can barely close my fingers at times. I have a family history of rheumatoid arthritis.Do you think that the joint pain is a symptom of menopause or is there something else going on. Doctor: Hi, It's possible to have rheumatoid arthritis based on your provided information. To establish the diagnosis,few blood investigations preceded by history and clinical examination is necessary. I would suggest that you visit an rheumatology specialist. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Rajesh Gayakwad, Orthopedic Surgeon
| 120,770 |
Can a UTI or a prostate infection cause erections to not be as hard?
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Patient: Can a UTI or a prostate infection cause erections to not be as hard/big? I was diagnosed yesterday by a doctor who said that I have either a UTI or prostate infection. I started taking the meds for two days, prescribed for 10. I had asked the doctor if it was safe to have sex (with a condom) and he said yes. Tonight I had sex, but I noticed that my election was not as hard or as big as normal. Could this be because of the UTI/prostate infection or should I go back to the doctor? Doctor: HI, thanks for using healthcare magicAny infection or other disorder affecting the genital tract can cause erectile problems. This complication is temporary in most cases, when the infection resolves then this should resolve as well.I hope this helps
| 39,811 |
Cause for foul smell from the child s skin and breath?
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Patient: Hi, my 4 year old son skin smells foul, it started yesterday, his breath also smells, I am really worried because I smelt the same smell on my gran that suffered from renal failure. I have bathed him and sprayed him but the smell is too strong to disguise. Doctor: Hi...strong body odours are usually suggestive of inborn errors of metabolism. Renal failure wouldn't cause a strong body odour. But inborn errors of metabolism might cause renal failure. So I suggest you consult your pediatrician and get the baby evaluated for inborn errors of metabolism.Regards - Dr. Sumanth
| 173,834 |
What causes excessive saliva in a 2 year old kid?
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Patient: hi, I have a 22 month old weighs approx 13 kilos and about 88 cm tall, and has been getting excessive saliva the past few days. The saliva will run out of her mouth down her cheek...She does not feel uncomfortable or whingy about the excess saliva.could this be a stage of growth or just a process? Doctor: Hello,I can understand your concern. As your daughter is 22 months old, she might be teething right now. When new teeth erupt in the oral cavity, tongue repeatedly touches the newly erupted tooth and that causes production of excess saliva. This is just a temporary phase.As all the teeth will erupt into the oral cavity and she will get used to teeth in mouth, the excess salivation and drooling will stop on its own. It does not require any treatment. I hope this information helps you. Thank you for choosing HealthcareMagic. Take care.Best,Dr. Viraj Shah
| 168,066 |
Suggest remedy for acidity, constipation and vomiting sensation
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Patient: Hi doctor, I am having severe acidity. Motion is hard, but painful. Acidity worsens in the night. I took nutrilin b plus after dinner. Still a vomiting sensation is there. Please let Me know if any remedy is there so that I get sleep. Regards, Binita Doctor: hAI BINITA,.it seems to be peptic ulcer. so ur stomach wall got a ulcer. so u are getting pain,acidtity,vomitting.so u shuold take medicine which heals ur ulcer.Aswaganda capsule 2 cap thrice a dayellathi powder (ellathi choornam) 3gm with butter milk thrice a day.himcocid syrup thrice a day-5-10ml himalaya drug company.as u r suffering from acidity follow the advise below.take food in regular interval.dont skip food.avoid food which is spicy,hot,masala ,fried,otake steam food like idly,iddiappam,dal rice,curd rice,spinach rice, vegetables steamed without much oil and chillie.avoid taking heavy meal. Follow this for 15 days and feel the difference.If u need more detail kindly inform me.
| 214,624 |
Suggest ways to manage hypertension
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Patient: hi my father is 76. he is in great shape. he takes a pill for high blood pressure and that is all. for the last 2 months he walks 25 feet legs are give out has to set. no other problems with health looking for answers, doctors in col, s.c. have no clue Doctor: Hello, This appears to be a peripheral arterial disease in which there are blockages in the leg arteries and decreased blood supply to limbs leading to symptoms. He should first get arterial Doppler of the lower limb vessel which will confirm the diagnosis and later we can start medicine. Hope this helps you and get back if you have any doubts. Regards Dr. Sagar Makode, Cardiologist
| 19,217 |
Can I increase the ventolin puffs for severe asthma?
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Patient: I have asthma my name is ruthie I am asthmatic I coughing a lot and wheezing loud I am on ventolin inhaler which I take through a spacer which 10 puffs like every 3hours I am on inhaler steroids fostier is new inhaler two puffs twice a day and and another inhaler 2 puffs twice a day I feel not well and now I can't go the doctors because it Christmas no buses and my parents wont take me to hospital.can I take more of the ventolin like every 1 hour ten puffs as well?thanks Ruthie Zangi Doctor: For time being u can increase the frequency and dosing of ventolin.But that is not a definitive solution.Get an immediate nebulization.Take iv steroids.Get admitted to rule out infectious exacerbation.Increase steroid inhaler frequency also till then.
| 101,214 |
low RBC
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Patient: dear sir i had been suffering from fever for two months, i tried many doctors finally i am told that it is due to kidney infection. i have taken medicine for two months but my rbc count is still very low at 6 %-7%. please help me. Doctor: Hello.welcome to HCM.Unless and until we know the exact picture of what happened in past 2 months and your body profile,very difficult to advise.Best would be to consult a nephrologist also.Good luck.
| 51,761 |
What causes CHD in infants?
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Patient: MY YOUNGEST CHILD NAMED SHAFKAT,AGE 6 MONTHS 21 DAYS HAVE GOT DIAGNOSED CHDs. IN A ECHOCARDIOGRAPHY THE FINDINGS ARE 1) EBSTEIN ANOMALY G-2, 2)MULTIPLE VSD S, NONRESTRICTIVE, 3)FENESTRATED ASD, RESTRICTIVE,4)PAH, SIGNIFICANT AND SUGGESTIVE TO EARLY REPAIR. I AM A DOCTOR. IWANT UR HELP. CAN U HELP ME? Doctor: Hi, It is congenital condition due to drug or infection during pregnancy. Please note that child needs urgent surgical repair by shunt placement. After that, definitive surgery will be done. You should see a pediatric cardiac surgeon soon. If your place has long waiting time, you may come to PGI Chandigargh or AIIMS New Delhi, India. Here surgery has almost negligible waiting time. And surgery expenses are much lower than western countries but treatment standard is of international level. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Varinder Joshi, General & Family Physician
| 162,213 |
What are the side effects of tattoos?
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Patient: I have suffered from what seemed to be RA for five years now. I was treated with methotrexate yet continued to suffer joint pain at times when having allergic reactions. I was tested by an allergy doctor and told I did not test positive to any known allergens on tests. Yet continue to have knee joint pain and itchy tattoos that turn bumpy throughout the year. On and off. I discontinued Methotrexate treatment and I went on a hunch and was treated for Lyme disease. I am around rescue dogs as a hobby not all the time. I got better and was able to walk again. However now I find whenever I have allergic reactions itchy tattoos sinus issues my knees become painful again. Any ideas? Tatto related? Doctor: Hello,I can understand your concern for side effects of tattoos. After analyzing your query it appears that you are quite stressed regarding the tattoos and its side effects. Though in general if the tattoos are made in sterile procedure then there is no any harm of the same but in case if the tattoos are carved by unsterile needle or is made with infected needle then can transmit multiple infections.Temporarily it can cause secondary infection and later on the tattoos can cause permanent darkening of the skin which is actually difficult to be managed. You can take further guidance from a family physicain.Take care.
| 8,320 |
What causes syncope with behavioral disorders?
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Patient: my brother does weird things. he has fainted thrice this month and we could not figure out why. whenever my mother tries to explain something to him which he does not like then he starts shouting and screaming, he throw things at us and then cries all night. we dont understand whats wrong with him Doctor: his illness is treatable. so dont worry. go to the psychiatrist he will give him olanzapine and clonazepam. he will be with in a week. so don't worry. hope my answer is helpful and thankful to you. take care.
| 207,342 |
Fever,rash on torso,feet,around mouth,irritable after eating almonds
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Patient: I gave my son a piece of chocolate with almonds about 3:30 pm yesterday. I noticed him getting very irritable lateron in the day. He developed a fever and when we got home around 7:30 p I noticed that he had a rash . I assumed it was an allergic reaction to the almonds ( I think he has an allergy to walnuts, but he can eat AAAAAAA nuts and pistachios) so I gave him son benydrl around 8 pm. It is now 1 am and the rah has gotten worse could it be something else? Cortisone is not working either. The rash is on his extremities, torso front and back bottom of feet and a little around his mouth Doctor: Hello, Welcome to Healthcare Magic forum. Tree nuts are frequent causes of allergy in children especially almonds & walnuts .Your suspicion is most likely true as an allergy frequently presents as rash as described. However please remember that if the rash is worsening or he develops symptoms like breathing difficulty, swelling of tongue,high grade fever, vomiting, decreased urine or bleeding from any site then you should seek prompt consultation with his doctor.Since benadryl and I assume local cortisone has not been effective the doctor might precribe hydroxyzine or levocetrizine or prednisone as per his weight and indication. The less likely possibility is that of a viral exanthem but its usually preceded by prodrome illness like cold, fever, stomach upset etc before 3_4 days of rash.Also viral rash usually subside in a couple of days on its own. So you may wait and watch for progression and as per feasibility consult your doctor for confirmation of diagnosis and management. Wishing him a speedy recovery. Regards,
| 105,715 |
What are the sudden episodes of severe labor pain?
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Patient: My son, student, 15 years old, has been hospitalises 8 times in the past two years with what I can only describe as a severe sudden onset of labour pains. Last night they dosed him up with 37mg of morphine and it did nothing, he was still screaming in agony for hours. In past 12 months Gallstones rules out, appendix taken out, they have performed cat scans, ultrasounds and every blood test under the sun. Today they administered dye and he had a gastointestial xray which also showed up nothing. During the surgery to remove his appendix they noticed he has a large piece of redundant bowel but now the doctor thinks this is not an issue. Tomorrow he will be finally seen by a gastrointerologist. Can you give me any clues as to what I could ask the specialist to look for, or what further specialist tests could be performed? The only common denominator surrounding each episode is stress, I have no doubt that stress trigers it, but it is clearly a phsiological issues. Do you have any clues or suggestions ? Doctor: Hi,welcome to the HCMSince your son has been thoroughly evaluated by doctors and different investigations which came normal.It means it can be psycological pain.As nowadays it is very common in teens with school work pressure, some family issues or anything which is bothering them psycologicaly.This is called functional gastrointestinal disorders. it can be 1. cyclical vomiting syndrome2.functional dyspepsia3.irritable bowl syndrome4.Abdominal migraine ( which i think your child should be evaluated for)5.childhood functional abdominal pain syndrome.Further you can discuss with gastroentrologist .you can ask further from HCM without hesitation.regards,Dr.Maheshwari6
| 88,306 |
What course of treatment should be done for shortness of breath and chest pain?
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Patient: Symptoms: shortness of breath, chest pain, and chills. Has happened three times in the span of three days. We are taking a 12 hour flight in a couple days, and are looking for ways to help ensure that this doesn’t happen, or at least not as severely as it has been happening, until we get home and can properly find a cure. Thank you in advance. Doctor: Hello, First thing contact your doctor to do a chest X-ray and to see what do you need for your situation. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Jnikolla, Pulmonologist
| 70,658 |
Could the distended belly be due to impaction of colon on lower part?
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Patient: My son has had a distended belly for about 3 weeks now. We had an xray done and they said he had an impaction in his lower part of his colon. They gave him a enema and a laxative to get him cleaned out. His belly is normal first thing in the morning. After he eats it begins to swell and it is rock hard by nighttime. He complains of pain in his stomach and also has tons of gas. What should I do? Doctor: Hi.Thanks for your query and proper history. The problem of distension due to fecal impaction, relieved by laxative and enema but recurrence after food and regaining the distension by evening has to be investigated properly. I would suggest you the following:-TO admit the childkeep him on liquid diet .-Cleanse the bowel by saline enema, laxatives.-Barium studies preferably using water soluble dye. - Colonoscopy.Once the diagnosis has been made- get an appropriate treatment instituted.
| 88,331 |
What causes lack of orgasm during intercourse in a 16 year old?
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Patient: Hi Doctor, I'm a 16 year old boy (I'm about 1,80 meters and I have no medical history concerning medicins or whatsoever) and recently had sex for the very first time. It felt great, and my girlfriend enjoyed it too, but I didn't have an orgasm and/or ejaculation. After this first time I haven't had an erection just by thinking about sex and before my first time this was very easy. I do masturbate once a day and I move my penis pretty fast and hard when I masturbate. Also I do smoke 1 maybe 2 cigarettes a day. Hope you can help me, A normal boy Doctor: Hello,You are very young aged boy and at this age, there is usually no any erectile dysfunction occurs. One time failure of ejaculation or achieving orgasm cannot be considered abnormal. The achievement of orgasm is learnt after few sexual attempts usually. I suggest you stop smoking because it have multiple bad effect in body along with affection of sperm count also.You should also focus on study at this young age. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Parth Goswami, General & Family Physician
| 193,726 |
Taken Risperdon, Clonazepam for dementia and epilepsy. Skin tears, heart attack, coma. How long does this last?
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Patient: father had dementia (18 months) had accident (hit by vehicle but wanted to go home) ended up in hospital, had aggressive outbursts when family weren't around (he also has epilspsey) was given risperdone, then higher then normal dose of clonzapam and halpidol then went on to olanzapine for one year with really no effect to the aggression 10mg a day though I think it went up to 20mg after 6 month. (other drugs were trialled and used as well but not sure what they were) After the accident they diagnosed him with severe dementia,(was 23/30 before after acc 8/30) his cognitive function decline severely after the drugs,(zombie and lunatic at times) he had a lot of skin tears and infections, lost function of his bowels completely, and memory after two months, had mild heart attack, went into coma for 10 days, was physically restraint for 4 months after coma, 12+ more falls, broken hip, he hasn't been on any meds for 1 year but is still very healthy and is walking is in his fourth year of severe dementia how long does this last Doctor: Dementia is generally a chronic and deteriorating condition. The behavioural and psychological symptoms of dementia (BPSD) are severe in early and middle stages of the disease. As you have mentioned, your father had more aggression and required a trial of two to three medications initially. Later on the need for medications has reduced. In fact, if he is not having any aggression now, it may be advisable to avoid these medications altogether. These medications do have their own side-effects in the elderly and are best avoided. His current condition seems to be advanced stages of dementia (MMSE 8/30) where he has suffered multiple medical complications.You can give him adequate nursing care and ensure adequate hygiene to prevent any infections or diseases. It will help him have a good quality of life despite the illness.
| 211,921 |
What causes right-sided shoulder pain radiating towards arm and hands?
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Patient: pain in right shoulder blade sharp, right arm shootig pain down arm external of hand numb been linguriing pain last 3 monts went away last week came back last week.. pain 8-9. no fever, no vomiting ,, taking 800 mg pain releiver, flexiral q8 ,, no relief =no sleep worse when lieing down Doctor: going through symptoms you might be having cervical radiculopathy most likely due to tingling sensation. Get an x ray done n and Consult nearby doctor
| 128,726 |
How to treat pain in the lower left back and stomach?
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Patient: I went to the ER for two days straight because I ve had very very painful pain in my lower left back and left stomach,the doctors found pus cell in my test the second day and high levels of cells not sure in the liver I ve was given morphin and some other pain medhigher than morphin Doctor: Hi, thanks for posting your concern in the HCM.My understanding is that, without identifying the underlying cause, taking only pain medications, and that is even opioids, can never be a good choice. If at all, your pain cannot be managed with simple analgesia, you should be hospitalized and given symptomatic treatment until the underlying cause is known. However, pain in the lower left back and left stomach can be sue to numerous reasons, including pancreatic pathology, an abscess or a lump, splenic pathology (less common), enteritis or colitis, renal or ureteric cause.You haven't mentioned where your doctor actually found the pus cell. I guess it was your routine examination of urine. If that is so, you have got a pyelonephritis or a UTI. Whatever the location is, pus cells do suggest infective or inflammatory pathology.Hope you are satisfied with my answer. If you have any further query related to this, please write back.In case you have any new query in future, you can directly ask me questions @ http://www.HealthcareMagic.com/doctors/dr-kaushik-sarkar/68460. I will try my level best to help you.Regards,Dr. Kaushik
| 57,152 |
Suggest remedy for pain in back, knee and neck in an obese person
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Patient: hi yes 69 year young overweight male sudden neck pain for a few months followed by pain in front of leg btwn knee and waist hardly able to walk for shooting leg pain 4 a few days then burning knee pain 0000 a few hours then lower back pain and headache Doctor: hi,Thank-you for providing the brief history of you.As mentioned by you, about your pain which is shooting in nature, and also the chronic neck and back pain. I will recommend you to undergo and orthopedic assessment test of the cervical and lumbar spine. Also, dude to degenerative disc disease the symptoms of radiating pain will arise. So getting an MRI scan of the cervical and lumbar spine will be recommended.The treatment line will be kept simple as you are 69 years.- Rest- Medication- Physcial Therapy.99% of patients of mine have recovered at this age and above with the above mentioned treatment line.I wish the same from you and also wish you a healthy life ahead.RegardsJay Indravadan Patel
| 134,022 |
Is there any home remedy to get rid of pimples and redness on the face ?
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Patient: hi may i ask a question?actually I am getting small pink colour size pimples on my cheeks and some kind of redness is also there and my face is looking very bad ,what should i do?If possible can you suggest me the home remedy to get rid of this and what could be the reason. One more thing my skin changes with weather.Please help me out. Doctor: Hi..dear Rathi.., Thanks for choosing HCM.., Small pink colour pimples with redness...and changes with.., weather..., Usually....congenital types.., These are VASCULAR LESIONS are caused by an abnormality in the growth of blood vessels..., Although most vascular lesions are formed before birth..., some develop later in life ...,when the body is changing..., such as during pregnancy.., or puberty. Sometimes called “port wine stains,” vascular lesions are flat pink or red areas that may turn purple with age. Sometimes they grow larger to form a bump. Another type of vascular lesion is caused by a..., collection of veins and appears as thin, blue lines...., So evaluate it...consult Dermato-surgeon..., He can give good diretion...thanQ
| 214,929 |
Can oral sex lead to SIDS or pregnancy?
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Patient: Hi dr.till yesterday me and my wife were virgins but yesterday night we had sex. while doing sex i sucked my wife's ass and she sucked my penis. Dr plz tell me that we both were virgins so is there any chances of an AIDS for both of us? & Chances of PREGNANCY of my wife? can oral sex lead to an AIDS or PREGNANCY?... Doctor: Hi, if you were Virgins previously, then there is very little chance of getting AIDS. So, don't worry about it. Regarding pregnancy, there is a chance of pregnancy after any unprotected vaginal intercourse not after oral intercourse. You can confirm the pregnancy if the periods delay by doing a urine pregnancy test. Hope I have answered your question. Regards Dr khushboo
| 1,600 |
Had wisdom tooth extracted. Granulation tissue, turning yellow. Dry socket?
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Patient: Hi, I just got my wisdom tooth on the right bottom side extracted 6 days ago. It stopped hurting the third day and fourth day I felt some pain. Fifth day it got a little worse. I noticed there s so granulation tissue and it was white but started turning yellow and it s coming out. Is that a sign I m getting dry socket? It s worrying me Doctor: hello, this can be initial stage of dry socket. it has to be examined clinically by a dentist to know the condion of extraction socket. take frequent warm saline gargle. obtundant dressing using iodoform gauze has to be done. take complete course of antibiotics and analgesics prescribed by your dentist. regards dr.bindiya
| 189,997 |
What could be the reason for feeling like a dull or faint heart rate?
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Patient: I have had what feels like a dull or faint heart rate today. After lunch I felt strange and a bit dizzy. It lasted for about an hour. I feel ok now 8 hours later, just get concerned when it s your heart. Not the first time it s happened. Bout 3 times in last 5 months Doctor: hello there I understand your concernYou need to get an EKG done and based on that we will go ahead with the solution for your problemHope that helps
| 24,680 |
What are the effects of high calcium in a child?
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Patient: I am writing this in hopes to find medical help for my daughter. She is 8yrs old and has had high calcium since sept of this year. Her calcium can gone as high at 15.5. My daughter has been hospitalized 3 times in the last couple of months do to this. We are from Carson City, Nv. Renown hospital was unable to find what was causing this and sent her to Sunrise childrens hospital in las vegas, nv. We have been here for a little over 2 weeks and the doctors here are unable to find a reason. her heart and kidneys have been effected. The doctors were able to get her calcium levels back to normal by using Pamidronate Disodium Aredia. its been 3 days since she was given the drug and the doctors want to send her home. I was informed by the doctors that they don t know what is causing the high calcium and they think in a few weeks to a month her calcium will go back up, as soon as the medication is out of her system. Please I need your help! My Name is Yvonne Salas My contact info. Email YYYY@YYYY Doctor: Hi, I had gone through your question and understand your concerns. My opinion is that you should not worry so much about it now unless the diagnosis is confirmed. We should differentiate next statements:- primary hyperparathyroidism(check parathormon);- manifestation of vitamin D intoxication(check level of Vitamin D);- Williams syndrome, tubulopathy (consult genetics); - leukemia, lymphoma, myeloma, neuroblastoma, hepatocellular carcinoma(consult haematologist, oncologist);- after chronic ingestion of vitamin A;-Hypophosphatasia, a metabolic bone disease characterized by bone and teeth hypomineralization due to defective function of tissue-nonspecific alkaline phosphatase (TNSALP), is also associated with hypercalcemia.- Familial hypocalciuric hypercalcemia - an autosomal dominant disorder You should avoid severe hypercalcemia,it can affect the nervous system and cause weakness, hypotonia with proximal myopathy, lethargy and stupor, and rarely seizures. Hypercalcemia can also induce polyuria and dehydration, diabetes insipidus, nephrocalcinosis . I would suggest you:- reduced calcium diet(avoid milk products, cheese and etc.);- continue pamidronate,it is inhibitor of bone resorption;- consume food enriched with Potassium, because it is Calcium antagonist(apricot, raisins,banana,potato and etc.)If you do not have any clarifications, you can close the discussion and rate the answer. Wish your daughter speedy recovery and good health!
| 173,146 |
What causes lower back pain?
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Patient: I do have lower back pain. Lately my left leg feel swollen and tight and my feet hurt. But my leg does not look swollen. I have back pain for yrs. I did fall a yr ago and hurt my lower back and tail bone. I do have pain when I set on anything and painful when I get up until I get going then we are good to go. Doctor: Hi , Welcome to healthcare magic. It seems that some nerve is got pressed at back.MRI may confirm it.your tail bone pain will be relieved by HOT SITS BATH and analgesics. AVOID SITTING HARD SURFACES .USE SOFT CUSHIONS FOR SITTING. I think this will be of use for you.
| 110,330 |
Does increase in dosage of Escitalopram takes 5 weeks to show effect?
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Patient: My father is taking escitalopram, 10 mg. for 14 months. It was just increased a week or two ago to 20 mg. Does an increase take 5 weeks to take effect just like the initial startup? He is extremely depressed. He sleeps most of the day and night and lately is missing two of 3 meals a day. He lost his wife of 65 years 15 months ago. Every day when I visit I find him slumped over in his chair, sometimes with his face in his hands. He also takes Primidone, Atenolol, Tamsulosin, Xarelto, Vit. D3-50, and maybe Furosemide though I thought that was to be temporary. He is 92 y.o. Thank you! Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. As you seem to know escitalopram effect may need some time. Times vary from one patient to the other, 5-6 weeks is the maximum time, in some may happen already in the first few weeks. An increase in dosage as well needs some time to judge its efficacy, may not work right away. However not as long as 5 weeks, some benefits should be visible after a couple of weeks. If nothing has changed after two weeks then I don't think there is much hope for improvement and I would consider another antidepressant. Hope I have answered your query. Let me know if I can assist you further.
| 141,393 |
Suggest treatment for stage 4 breast cancer
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Patient: Hello, My mother has stage iv breast cancer, she was diagnosed about 6 years ago and after treatment everything was looking good, however last year she began suffering pain in her back and was continually misdiagnosed until august when it was confirmed that the breast cancer had spread to her bones, after extended periods on chemotherapy, in february this year she had to stop as it was affecting her Heart, since then she has started to suffer from nauesia and headaches and so she was given an MRI three days ago, today the results show she has LOTS of brain tumours, the biggest being 2cm so they are going to start radiation therapy. I am currently working away and in three weeks i am going to be home before going away for another month. Should I be planning to organise some time off work? Im worried that she will really start to go downhill quickly. Doctor: Good morning. Treatment in a case of metastatic breast cancer depends upon the receptor status and the areas of metastasis. Receptor status like ER PR and HER-2/nue rectpor. Depending upon the positive receptor, drugs are chosen. Similarly if the disease is only in the bones and breast, drugs acting on ER receptor like tamoxifen(oral drug) will help in early stage and no need for chemo in the beginning. IF HER-2 is positive then a targeted agent for HER-2 is added(trastuzumab drug). For bone strengthenng another agent like bisphosphonate or denosumab is added. So you need to know her receptor status before planning out the treatment. Radiotherapy will of course required for brain metastasis.Regards
| 153,140 |
I have lower back pain but my ultra sound is OK
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Patient: I am suffering from lower back pain (right side) for the last 1 month. I feel the pain only at wake up time in the morning and it exists for 2 or 3 hours. In this connection, I have consulted the Doctor and conducted Ultra Sound as suggested. However, the report was found normal and there are no any symptoms of Stone or any other medical problem. It is therefore; kindly send something helpful suggestions, as I am still suffering from the back pain. Doctor: try out hot water fomentation twice a day. consult a physio try out these simple exercises. static back and static abs physio modalities will help you. back mobilisation by trained physio. follow these simple precautions: use a lumbar roll behind you lower back while sitting. avoid bending with your back rounded in order to pick up anything from ground.squat with ur knees and then pick up. while standing for long place one leg over a stool. when getting up from lying position turn on one side and then get up
| 114,095 |
How can small bumps on the penis be treated?
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Patient: Hi, I’m hoping you can help, I’m a 24 year old male, I have 8 small lumps on shaft of my penis and clustered together and I’m guessing it’s genital warts. Please can you tell me if there Is any home cures/ remedies I could use to help get rid of them as fast and as effective as possible. Thanks Doctor: Hi, Very difficult to comment without seeing directly or pictures. Genital warts have to be shown to a skin specialist and podophyllin has to be applied under his instruction. You may need blood tests to rule out other STIs. Hope I have answered your query. Let me know if I can assist you further.
| 195,174 |
Suggest remedy for frequent bowel movements
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Patient: My 2 year old has been having problems with her bowel movements. she has 4 or more a day, she cries, and they are thick and sticky, although not discolored. She has a good appetite, and is very active. This has been going on for several weeks. Any suggestions Doctor: hi...she might be suffering from a condition called irritable bowel syndrome ...avoid giving her spicy, oily foods ...some might have increased bowel movements for diary products.
| 164,576 |
Is increase in mean platelet volume fatal ?
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Patient: Is increase mean platelet volume a threat for life. Doctor: Dear Naresh Typically range of platelet volumes is 9.7–12.8 fL (femtolitre), equivalent to spheres 2.65 to 2.9 µm in diameter. Normal Range is 7.5-11.5 fL The higher the MPV the larger the platelet size and the lower the MPV the smaller the platelets. High MPV can cause a person to be at a higher risk for strokes and heart attacks. Thanks
| 119,383 |
Suggest remedy for soreness in cut on foot
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Patient: Hi, I have a brother that is diebitic and has a cute on his foot. it is swollen. He went to the doctor and the nurse said for him to go the the hospital to have it check out and make sure is not gangurring. cant spell it. He has been cleansing it and putting Iodine on it and soaking it. He says the bubble that in side cute busted and its draining out. He says he cant hardly was on it. I trying to get him to check in to the hospital, but no luck.in the mean time he tring to keep it clean. Is there any good medicine I can get to keep it clean, untill I can get him to go to the hospital and check it out. Doctor: Thank you for you question. Diabetes is a chronic condition and its complications predisposes people to have chronic wounds on the lower limbs which can lead to gangrene and cause lead to an amputation of the said limb. This situation is worsened when the Diabetes is poorly followed up. I would ask you to first of all check his blood glucose level with a One stop machine and make sure it is within normal values for diabetic patients ie 1 - 2 g/l, secondly verify if he is taking his diabetes medications, do twice daily wound dressings of the wound on his foot with Iodine solution and clean sterile gauze and band it afterwards, take a broad spectrum antibiotic like Ciprofloxacine 500mg tabs 1 tab twice daily. Consult a diabetologist when you can. Good luck
| 37,900 |
Experiencing severe abdominal pain due to gall and kidney stones
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Patient: i have had severe pain in my abdomen that changes spots it started with severe weakness am chills and now my entire abdomen is bloated i have been to the hospital an they ruled out appendicitis gullstones an infection andan kidney stones its very worrisome becaus i am now going on four days and i can even lay down without being in severe pain even with narcotic pain relievers any ideas of what it can be an wheather i should return to the er Doctor: Hi.Your history is very classical::: '''the pain is severe and changes spots'''. This itself suggests the most probable diagnosis of Meckel's diverticulitis. Please discuss this with your Doctor. Get a reference to a Surgical Gastroenterologist, If the ultrasonography and Ct scan does not help any diagnosis, diagnostic laparoscopy with SOS procedure is a good alternative.You should return ti ER.
| 91,706 |
What does bump on back of head indicate?
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Patient: I noticed a bump on the back of my head when i woke up this morning. It doesn't give me constant pain but i have had a migrane all day today. It hurts only when i apply pressure to it. It can't be seen but i can feel it and it's pretty big. Should I go into the doctor or what could this be? Doctor: Hi,This is likely to be a sebaceous cyst. It is common to find them on the head. If it is painful then you should have it examined as it may be infected. In which case you will need a course of antibiotics. Regards,Dr K A Pottinger
| 68,659 |
What causes swelling in leg and pain in body?
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Patient: I was diagnosed for high uric acid problem more than an year back. Doctor prescribed allopurinal. My condition stabilized. I stopped taking medicine two months ago and then again started taking after 2 weeks for gap. I take 2 100 mg tablets. Now, my legs are swollen and I have pain almost everywhere. I do not understand what can go wrong? Is it some kidney problem? Doctor: Pains and swelling are due increase in uric acid levels u shouldnot suddenly stop the medicines.u should continue the medicines. Or u can use alternate medicine like homeopathy u wil relief after long term use of Homeo medicines
| 216,912 |
What could lumps on leg with bruises suggest?
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Patient: I have a lump about the size of a quarter on the oside of my leg above the knee. Its hard and very painful. Its red and looks a little bruised. And some days its surrounded by a larger pink area and some days its not. I woke up today with a low grade fever. I have tried hot compresses to see if it would form a head thinking it might be a boil. Do you have any advice? Doctor: HI,Welcome with your query to HCM.Based on the facts of your query, you seem to have Unripe Boil on outer side of leg above the knee,as the larger pink areas around are suggestive of cellulitis with Boil.The low grade fever today confirms it being Boil with cellultis and unripe still.Remedy-At this Stage I would advise Cold Compresses to restrict its spread and reduce your complications and pains.Tab Motrin and Opinion with your GP doctor would help you.Hope this reply would help you to plan treatment of your lump.Will appreciate writing your feedback review comments,to help the needy patients like you at HCM.Good Day!!Dr.Savaskar,Senior Surgical SpecialistM.S.Genl-CVTS
| 62,704 |
What causes low grade fever with left sided rib-cage pain?
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Patient: I have a 11yo daughter with low grade fever complaining of left side pain under rib cage. i am treating for potential constipation with magnesium citrate - no bowel has been been produced since first dose. Is there any other condition I should consider before seeking medical treatment? Doctor: Hi Dear Welcome to the HCM,Probably some viral infection may be the cause of fever and chest pain. This may be taken care with some paracetamol with doses Of 15 mg per kg 4 to 6 hourly basis.Constipation to be take care .Hope the query is answered.Thanks
| 175,760 |
What causes anal itching?
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Patient: For several weeks now I have had problems with anal itching. It seems to be worse when I m lying down in my bed, it almost has a tingling sensation. I have also seen a small red stripe extending about 1 inch on the edge of my anus and it appears to go further inside. Sometimes there are more than one. Any insight into what could cause this could be greatly appreciated Doctor: hi, u have pruritus ani.there are many causes behind that like hemorrhoids,skin tag,worms,fissure.the best treatment is to find out the underlying cause and cure it.u go to general surgeon,he will examine u and investigate accordingly.
| 99,717 |
What causes anxiety while on Alprazolam?
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Patient: today i took alprazolam. 5mg i have taken this pill at other times since i struggle with anxiety. today i got deathly sick. i m thinking the pharmacy must have given the wrong med. i cannot read the imprint because it is too small. it is a little yellow pill. would you be able to identify it? thank you.....Darlene bowman Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Anxiety is part of your life and your body's defense mechanism and it is required and cannot be completely cured. So instead of taking medicines and suppress it you should learn to manage it. I suggest counseling and psychotherapy. Hope I have answered your query. Let me know if I can assist you further.
| 204,451 |
What causes delayed menses and vomiting after taking ipill?
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Patient: my girl friend took 5 ipills with in span of 1.5 months. She missed her periods last month in Sept. Last ipill she took on 27 sept. Last 2 days she got very little blood in term of thick tissues. And from last 3-4 days she is vomiting also. Please tell why she is vomiting and is she pregnent? Doctor: Hello dearUnderstand your concernIf I pill should be taken with in 24 hour after sex then chance of pregnancy is less but it also depends on the time of your period when you did sexual intercourse.As Your gf use 5 pills, it causes high chance of hormonal imbalance because of high progesterone. It should never be taken as regular contraception as it cause menstrual irregularity and ovarian hyper stimulation.Very little blood may be due to breakthrough bleeding as it prevents the implantation.Delayed menses and nausea may be be due to side effects of I pill as you used frequently. Period may be delayed by 10-12 days.If period may be delayed by >14 days then go for pregnancy confirmation by the Blood HCG and or Urine pregnancy kit. If t will be positive then should be terminated by abortion pill under the advice of gynecologist.If period become irregular consult the gynecologist.Take tablet panmax-D, drink plenty of foods and healthy diet with iron supplementsHope this may help youBest regardsDR. Sagar
| 223,955 |
Had unprotected sex, using Implanon, have mood swings, loss of appetite, nausea. Pregnant?
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Patient: Hello, I am 16 years old. I have that contraceptive implanon for about a year and a half now, but I have known people to get pregnant on it. My boyfriend and I had unprotected sex early (4 or 5 am) on the morning of April 29th. He did ejaculate in me because he didn t pull out in time. I have been very tired, moody (one minute i could be happy the next i could be on the verge of tears or pissed off), I have been urinating alot (4 times today between 5am and noon), but I have a loss of appetite . If I eat spicy food I get very nauseous and if I eat a normal portion of food (for example half a order of carne asada, just the steak) i feel so full like im going to throw up. No bleeding , just very light spotting, with no odor. And my boobs are getting bigger, and my nipples are more erect. Could I possibly be pregnant?? Even with this birth control?? Doctor: hello,.You are on Implanon for 1 and half yr. It is sub dermal contraceptive implant and gives protection more than 99.5%.Your features probably due to hormonal imbalance and psychological upset or stress. It is more resembles with Pre Menstrual Syndrome.If you missed your period,then do a home pregnancy test after 1 wk to exclude confusion.So take healthy diet, avoid stress by doing regular deep breathing,do regular exercise,avoid tea/coffee & salty/spicy food in 2nd half of cycle,drink lots of fluid,proper sleep and wear tight breast support to relief symptoms.Be well and practice safe sex in future as you are too young.
| 219,158 |
Could pain in knee and right foot be due to injury during childhood?
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Patient: Hell Dr. For the last three weeks on my left knee and on the right side and little behind the knee started to pain, and I did take X ray the DR. said nothing on X ray, just gave me some pain killer, but this did not stop. The most painful situation is when I try get up from the chair I can immediately stretch my let it pains..like upper and lower part of the legs are pulling each other .. But I remember I had sport injury my left portion of the knee hitting the floor hard during a flying kick karate practise..17 years ago I also have pain which is continuesly remains on the bottom of my right foot just below angle .. some times it is sever and some times is bearable.. it is remains 3 - 4 years no Dr. could find a solution. ^ months ago I had pain on my left elbow as well as on the right wrist.. but those pain no longer there .. Now I just suffering with knee pain Doctor: Hi, You have not mentioned your age,there is very unlikely that you are having pain at old age because of the injury in the young age, however chances are there if any deformity develops due to to the injury in the childhood. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Jaideep Gaver, Orthopedic Surgeon
| 120,420 |
Suggest treatment for rapid heart rate and atrial fibrillation
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Patient: I have the flu at the moment and my heart is beating 110 beats per minute! But I also have dilated cardiomyopathy which I have medication for! And Atriil fibiration! When I rest it seems to be ok but when I get up and move around my heart beats quite fast?? Doctor: Greetings. Welcome to HCM and thank you for your question. I understand your concern. Usually, during flu and other infectious issues in the organism, that are accompanied with fever, there is a hyperdinamic state and the organism has to regulate itself to cope with this strain. One of the compensatory mechanisms in hyperdinamic states is the rapid heart rate. Furthermore, the centre of temperature regulation in the human body is settled in the hypothalamus, the highest regulator in the brain. Due to this engagement, also the heart rate goes up. As for the other concern, that heart beats fast when moving around, in case of dilated cardiomyopathy, it is accompanied with heart insufficiency. This insufficient heart cannot cope as easily as a normal heart with a workload put onto it. Therefore, also here, the heart rate compensates as much as it can, for the strain put onto the heart. To illustrate it more figuratively to understand it more clearly, imagine the heart is a donkey, and an enlarged heart is like an old donkey, and it is clear that the two donkeys cannot cope in the same way with the same loads put on their back. As about the atrial fibrillation, I would need further information to address your concern, because with the information provided, I am not clear if these is paroxysmal or chronic, under medication or not, rate controlled or rhythm controlled, arrhythmic heart rate. However, if this is an enlarged heart caused by ischemic reason, then an antiarrhythmic such as amiodarone, would be appropriate to treat or prevent this supraventricular arrhythmia. I hope I was helpful with my answer. Feel free to ask again. Take care. Regards, Dr. Meriton
| 26,639 |
When will chest pain and leg pain go after removing mirena?
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Patient: had mirena taken out 3 days ago, was experiencing chest pains, pains in legs and arms...had several tests done. (stress test, ct scan, xrays...) everything came back fine. doctor said it could be mirena, how long should it take for these pains to go away if mirena was causing them? Doctor: HIWell come to HCMActually the symptoms of pain are not due to the IUD, but these could be functional only, nothing to take with the mirena (IUD) try to keep the stress level low, pain would come around even without the medicines, no need to worry about this, if you can not bear the pain then you can take the analgesic, but better control the impulses, everything would be fine soon, have a nice day.
| 224,388 |
Died due to hepatomegaly. Black stools. Done nephrectomy. Done liver function tests. Help
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Patient: Hi Doctor, i lost my daughter last month due to what the doctors said was hepatomegaly, why was her stool black in color?Could it be that her liver had a problem after she underwent Nephrectomy in December last year?Following some liver function tests done shortly before her demise it showed her Liver had stopped functioning long time ago, but she had never presented with jaundice, help me understand these as im stil trying to get into terms with the death f ma one and only daughter. Doctor: Hi thanks for your question.Liver failure could be the biggest reason for her death. What lead to liver failure? Liver function test done before death along with autopsy report could establish cause of liver failure. Nephrectomy cannot lead to liver failure unless it was performed for malignancy. Black stool could be due to bleeding from gastrointestinal tract, especially stomach, as she was having complete liver failure. Which means her coagulation system was not working, as all coagulation factors are produced in liver. In liver failure, jaundice is always there, autopsy can also resolve this issue.Hope this answers your question.
| 58,912 |
Suggest treatment for nervous breakdown and anxiety panic attakcs
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Patient: Hi, I have been suffering with severe anxiety panic attacks for 6 weeks, it has made me physical sick, my stomach stays upset, cannot sleep, diarhea , can t eat, have night sweats and heart palpitation with heart rate of over 100 beats per minute, also have since February an awful roaring in my brain that will not go away and made me so agitated and nervous and I cannot concentrate and do anything, I also had Rheumatoid Arthritis since 1970 and am in great pain since then. I been under care of an Rheumatologist since . I have seen an Psychiatrist for 8 month, has me on 2 depression pills Britellix and Mirazepam, My depression is not the real problem , my problem is more of the anxiety. He prescribed lorazepam .05 mg one at night and 1 for daytime . I told him it does nothing for my constant anxiety, I get so nervous and so very scared all the time. My anxiety got so bad so I took 1 extra lorazepam and I felt much better. So I told him that and he got furious with me. I asked him to increase the dosage but he refused. He always increases the depression medication to the strongest dose, but will not help me with the anxiety or is not willin to try some other med for severe anxiety. I was on Valium about 40 years ago for anxiety caused by my constant homesickness. I am from Germany and met my husband while he was in the Army stationed in my hometown Oberammergau and then moved to virginia in 1963 when I became so homesick I had a nervous breakdown , was in hospital for a week and put on. Valium 5 mg for a short time. But since then my anxiet stopped. Until just recently. My question is why this doctor won t give me the right meds for anxiety. All he does is treats me for depression which is not really the big problem right now. Yes while in constant severe pain in my back and neck and joints for so long I feel sometimes depressed, which comes with RA. When I got depressed sometimes because of severe pain I still coul do things like going to work, raising 2 sons and everyday living. Now with the anxiety I cannot function at all and cannot concentrate on anything. I am 71 years old. My husband of 51 years is very ill for the last 5 years kidney cancer. COPD, on oxygen 24/7 for 4 years, heart failure, insulin dependent . His prognosis is not good, I used to be able to take care of him (he has been in the hospital 11 times in the last 4 years. But since I have this terrible anxiety attacks he is taking care of me instead, which is too much for him and we live alone. There is nobody that can help us.. Sorry to give me my life story . Can you please give me some advise if it s time to get a second opinium about my problem, since my doctor does not want to help me with my anxiety, he seems to ignore it. I am in desperate need for help to overcome the fear everyday. Hope to hear from you soon and please excuse my handwriting mistakes. My English is not that good as it used to be. Please help me and God bless. Hilda Doctor: DearWe understand your concernsI went through your details. I suggest you not to worry much. Panic attacks always happen due to underlying anxiety. Therefore you must address the underlying anxiety first. Please understand anxiety and related problems. Once you understand your anxiety, you will be able to keep yourself away from panic creating situations. Therapy always starts with avoiding such situations along with coping techniques when forced to be in such situations. Start slowly, progress gradually, attain neatly.You should know that these problems are not mental diseases, but are mental disorders. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Exercise, Life style changes, change in thinking pattern, relaxation etc are as essential as medicines. Psychotherapy can help you changing your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information.Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques.Hope this answers your query. Available for further clarifications.Good luck.
| 206,319 |
What does a lump behind the leg indicate?
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Patient: Hey I noticed a lump on my 5 year old son on the back of his leg last week. He said he fell at school the day before so I took him to the doctor and said it was a hematoma, but I talked to my friend and she said she noticed it on him about a week and half ago when I saw her. Should I take him back to the doctor again? Doctor: Hello dear , hiWarm welcome to Healthcaremagic.comI have evaluated your query thoroughly .* This is in relation with trauma giving rise to accumulation of blood in the subcutaneous space of the area and hematoma formation .* Get recovered with ice application , necessary antibiotics and anti inflammatory molecules for its resolution ; surgical intervention in some of the cases .Hope this will help you for sure .Wishing him fine recovery .Regards .
| 61,211 |
Does a 13.5 cm spleen and enlarged lymph nodes (Mesenteric and retroperitoneal adenopathy) suggest lymphoma?
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Patient: I had a stabbing pain in my lower right side. Dr. recommended CT scan. Does a 13.5 cm spleen and enlarged lymph nodes (Mesenteric and retroperitoneal adenopahthy) discovered from a CT scan mean that you have lymphoma? I have an appt tomorrow with a local oncologist. What tests should be given. White male good shape 48y/o Thanks Doctor: Hi and welcome to HCM, thanks for the query.If there is no any other symptom or blood work disorder then it is not likely to be lymphoma. spleen enlargement and lymph node enlragement can be found in any systemic infections and in many benign hematologic disorders. So you need further tests but lymphoma is the last thing to think of.Wish you good health.Regards
| 157,121 |
Suggest treatment for facial and jaw opening dystonia
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Patient: Hello Dr., I am Chander Mohan aged 53 years is suffering from facial & JAW OPENING DYSTONIA. My tongue twist while speaking,due to that one cant understand easily what I am saying. Also i cant chew the food properly because of jaw opening. I am experiencing all these since last 15 years. Hardly I had left any Neuro specialist. They either recomend BOTOX or PACITANE TABLETS,RIVOCON OR RIVOTRIL, but unfortunately no one is showing positive results. Pls. suggest any remedy for this desease. I shall be highly obliged. My mail ID is YYYY@YYYY . I am from JALANDHAR ,Punjab INDIA. Doctor: Hello, This may be a case of coccydynia, you need to take sitz bath twice or thrice a day, sit on soft pillows and surfaces only, void sitting for two long. Start doing ergonomic exercises and apply ergonomic bands. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr. Rohan Shanker Tiwari
| 119,618 |
stomach pain
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Patient: ive jst came off my period about a week, and i have been feeling sick on and off through day and night but i have been getting few pains in th bottom of my stmach could you tell me what it could be please? Doctor: Even during ovulation YOU can have such pains. Do check about it.
| 96,346 |
What causes itchy bumps in genital area?
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Patient: I have 5 red bumps on my genital area. 2 on my penis shaft and 3 on my scrotum. They are itchy and are raised and somewhat shiny. They seem to have some sort of a head on them but it s not like a normal pimple. I ve had these for about a month, I have been having unprotected sex with my girlfriend but as far as I m aware she wasn t infected Doctor: HelloThanks for query .Based on your statement I would state that you have multiple Sebaceous cysts over penis and scrotum.The penile and scrotal is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin.Normally they fade away without treatment however they need to be treated if increase in size or get infected.Please consult qualified General Surgeon for clinical evaluation and further treatment.If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac)Dr.Patil.
| 198,434 |
How to reduce pain in tail bone?
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Patient: hi about a week and a half ago i started getting pain on what felt like my tail bone about 4 days ago it started getting extremely painful i cant lie on my back because the pain and when i lie on my left side i can feel a lump about 2 inches long but when lying on my right side its seems to go but is still painful Doctor: Hello, I have studied your case. Due to fall on hard surface sacrum may be injured. Due to microtauma there may be fibrosis formation.Do hot fomentation over sacrum. It will take weeks to months to subside.Use ring cushion and take sitz bath [sitting in lukewarm water for 10 min]Take analgesic like nucoxia 90 once daily along with tab methylcobalamine 1500 mcg once daily consulting your doctor.If not relieved with all these methods then local injection may be required. You can take this consulting your doctor.Clinically spinal origin of pain needs to be ruled out, if required MRI spine can be done. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.Take care
| 109,877 |
What causes lumps in armpit with family history of non-hodgkin's lymphoma?
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Patient: My husband has had a couple of small lumps in right armpit, but now has four hard red lumps, each larger than a thumbnail. He is seeing a doctor tomorrow, but am fearful because his father died from Non-Hodgkin's Lymphoma. What other diagnoses could it be? Doctor: welcome to Health care magic.1.Lymph nodal enlargement is seen in any infections / inflammations, any underlying medical conditions, malignancies and lymph node malignancy itself.2.Since he have the familial risk, better to get evaluated as soon as possible.3.If you are my patient i would have ask for a ultrasound lymph nodes masses in axillary region, neck, inguinal and abdominal area for enlarged. after that an FNAC to confirm the nature of the node.4.After that plan for the treatment according to the findings.5.If it is only one side that to one side, looks like some benign cause.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
| 68,741 |
What to do for joints and back pain and weight loss?
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Patient: Dear Doctor,This is Srinivas from Velachery, chennai.Recently from past 3-4 months I am going through the following list of symptoms.1) Frontal and Anal gas (burping), chest heaviness2) back pain 3) pain from knees to foot, and pulling sensation in feet4) joints pain (hands and legs)5) burning sensation near joints, palms and thighs skin 6) unexplained/ untried weight loss (68 to 64)In last 3-4 months I consulted Gastro/ Artho and Cardio, and also went through the below diagnostics procedures.> Master health check-up showed all fine, except Vit D and Vit B 12 deficiency> spine x-ray showed all fine> endoscopy showed all fine> ECG/ TMT/ Echo showed all fineEven after all these, I am facing all the symptoms, except my weight is constant at 64.Could you please tell me how I can proceed further? Whom I have consult next?I am confused whether to consult a general physician or ortho.Please give me your advice in the next step I can take.Thanks,Srinivas YYYY@YYYY Doctor: Hello,I had gone through the case and found that first start the medication for Vitamin D3 and Vitamin B12 deficiency.Take Calcium twice a daily with Calcirol once a week with milk for vitmain D.Take Meganeuron OD once a day for vitamin B12. If it is very low then take injectable Vitamin B12 5 dose on alternate day.For gas or indigestion take antacid before meal two times a day.You did not mention the hemoglobin report.if normal or less then go for TRBC, ferritin level.Further if have any query then I will advise to consult the Rheumatologist super specialist doctor in chennai.Hope you will find the answer of the query and do not worry, your problem will be solved.Thanks and Take care
| 111,582 |
Can bleeding due to high estrogen level be cancer?
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Patient: My estrogen levels were low so my doctor prescribed estrogen. My count went from 80 to 1200 in 3 weeks. Now I m off all hormones for a week and will be rechecked this Friday. Due to the high estrogen, I m bleeding. What is the probability that it s cancer of the adrenal or pituitary gland? Doctor: Hi, dearI have gone through your question. I can understand your concern. High estrogen level causing proliferation of endometrium and increase the bleeding. It may leads to adenomatous hyperplasia. You should go for endometrial biopsy or d and c. It will give exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 154,829 |
How to improve penile size?
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Patient: sir my penis size is too small,but when i will see any sexual content or any hot girl then it becomes bigger.Then after that becomes small so how can i keep continusely longer to my penis.Because of small penis sometimes i loose my confidence.Because of that i afraid to speak to girls.Give me solution sir plzz Doctor: Hello,This is the normal phenomenon. When a person feels aroused, he has erection and the size of penis increases.You need not worry about this at all.Here i would like to mention that there are no drugs that can increase the size of penis. Please dont get trapped into fake claims and promises made by anyone.Thanks.
| 201,723 |
Can i use ban a tan cream for dark skin? Does it have any side effects?
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Patient: acn ban a tan cream be used for dark skin..........? if yes...............how long should it be used ? what are the side effects of ban a tan cream ? Doctor: Hi ban a tan can be used only for pathological conditions like melasma.post inflammatory hyperpigmentation etc.but not for fairness of skin.it should be used only for short time.u can use b glow cream .botanica or boxylak cream for improving complexion.the main side effects of ban a tan are xerosis of skin.irritation and sunburn like reaction
| 11,660 |
What causes itchy feeling inside penis with fluid leak?
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Patient: Hi I'm 18 years old and lately i have had an itchy feeling inside my penis but it goes after i pee, theres a fluid leaking now and again but my penis looks fine? i thought it might be a water infection but theres some doubt in my mind even though i took a chlamydia test four weeks ago and it was negative? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. In my opinion you are having a urinary tract infection most specifically urethritis. I would recommend you to get your urine complete examination done and if it shows infection the start appropriate antibiotic , my preference would be from quinolone group. In the meanwhile start cranberry extract juice twice daily for 5 days it will relieve the itching. Hope I have answered your query. Let me know if I can assist you further.
| 195,416 |
Cough, cold, given ventolin inhaler. Wheezy bronchitis or bronchiolitis?
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Patient: My son (21months) has had alot of coughs and colds for the past year. It seems to take him a long time to get over them. My doctor Thinks he may have wheezy bronchitis/ bronchiolitis (not sure which one! (I can t hear him wheeze )) and has given him a ventolin inhaler to try but I m not sure it works that well. The asthma nurse said she thought he should try a steroid inhaler. When he coughs it sometimes sounds like barking and sometimes it s productive. He isn t coughing as much now so should I try it anyway? Or wait until he develops another cold? Thanks. Doctor: get your child tested for milk specific antibodies give him tab montelucast 4 mgm tds syp ventrolin 1/2 tsf tds syp cpm+codeine combination 1/2 tsf at nighjt give for 4 weeks get the test you will get it in mean time stop giving milk and milk products and diary after test you can go for sublingual immunotherapy for tratment
| 105,637 |
What causes swelling in the penis?
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Patient: Hi. I am concerned because my penis has been swollen for a couple days. Until today the swelling was throughout my whole penis. The swelling has seemed to go down throughout most of my penis, **but now there is an obvious, somewhat large, soft lump on the underside of my penis right beneath the head.** I don't think it hurts, but my entire penis is sensitive. I have been masturbating a lot over the last few days, before and after my original swelling. This has never happened before. I haven't been sexually active in months, and the last time was with my faithful (now ex) gf. I trimmed my pubic hair recently, which I don't often do, and it has caused me irritation. But I'd be surprised if that's what this is.I was going to go to my college's clinic today, but they're closed. Should I go to the ER? Can I wait until tomorrow and see the doctor on campus? please help me... :-\ Doctor: Hi, There are many options for your issue. It can be due to injury due to rough masturbating. It can be due to infection. It can bedue to allergy. Share a picture for conformation. Yes go to ER and have it checked. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist
| 193,657 |
Infected boils on eyelashes, seasonal allergies. Treatment?
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Patient: hi, i am infected with boils in my eyelashes ...whenever i go ENT they just say its an infection and prescribe some medicine .but its not curable 100 % .i have noticed that during this season i suffer , as last year same time i suffered from same problem . plz guide me with some medicine as i find difficulties in day to day routine life YYYY@YYYY Doctor: this is seasoanl allegies and may be due to pollens you can start with tab allegra 120 mgm twice a day apply neosporin h eyeointment over the effected area no antibiotics do for 3 week you get your allergy test done and start with slit low dose you will get permanent cure
| 105,315 |
Dizzy spurts, leg aches and numbness are symptoms of some kidney problem?
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Patient: I had a ureteral reconstruction surgery a year and a half ago. Recently I have had dizzy spurts and my right leg sometimes aches. Its like a dull numb ache. The right side was also the side I had surgery on. Could these symptoms be a sign something is going on with my kidney again? Or is it something else completely? Doctor: Hi, welcome to HCM. Looking to your history, such symptoms are usually not related directly to kidney disease. you can check basic urine report, S.creatinine and sonography. consult with your urologist ir you can get bacj to me with above reports.Best wishes. tc.Dr Jay Patel.
| 47,666 |
How to deal with constant crying in old age?
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Patient: hi, my dad is 69 years old and just called and said he is very lightheaded esp. when he stands and his girlfriends said he started crying for no reason and when i talked to him i could tell he had been crying. what could be going on with his? Doctor: Hello He is 69 years old and he is having complaints of crying without any reason. Crying at this age without any significant reason can occur due to following reasons-- One possible reason is old age depression. Depression at this age can present with symptoms of crying. - Dementia at this age is other possibility. Dementia can cause intense crying and mood fluctuations. Even individual fails to find reason of crying. He starts to lose interest in day to day routine and this cause significant burden to care giver. I would advise you to consult a good Psychiatrist and get him evaluated. In old age even low dose of anti-depressants like Escitalopram, Sertraline helps to improve clinical picture.Provide him warm supportive care.If he is taking alcohol ask him to decrease the intake or stop completely.Hope this helps you, thanks
| 206,412 |
Should i go for x-ray as i fall on the backbone?
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Patient: slipped on stairs and fell on the backbone. Hurts more on the right side of the "butt crack". Tool Aleve, ibuprofen and asa, pain can range from dull achy to hurts when trying to get up. Trying not to put pressure on the right side. should i ice and then heat? x-ray? dont think it is broken but will see how the pain is tomorrow. Doctor: Hello,Thank you for using healthcaremagic I read your question and understood your concern I think you should do the X ray to exculed the fracture of the tailbone. Also you should see if there is blood on your stool as sometimes the fracture damages the rectum ( the end part of the bowel)I wish you quick recovery Dr. Selmani
| 129,102 |
Is it serious to have jaundice, stomach cramps after being diagnosed with hepatitis C?
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Patient: My husband was recently diagnosed with hepatitis c and is now experiencing symptoms such as jaundice and stomach cramps Is this a sign of a more serious type of the disease? He was a regular blood donor through the Red Cross and his blood was just tested positive for hepatitis within the last month or so. Doctor: Dear Friend.Hi , I am Dr Anshul Varshney , I have read your query in detail , I understand your concern.Yes , this can be serious.Get the following investigations :1. Liver Function Test2. HBsAG3. HCV RNA - Quantitative & Qualitative.Chronicity is the hallmark of hepatitis C , and so a treatment is always indicated.Get him treated with no second thought.Also , i would advice you to get yourself tested for Hepatitis C also , as it can be transmitted by sexual route.This is my personal opinion based on details available here. If you want to discuss your issues further, you may please ask usStay Healthy. Dr Anshul Varshney , MD
| 57,633 |
Suggest treatment for cough and upper abdomen pain
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Patient: I had violent coughing (due to chemical exposure) 2 days ago. I woke up yesterday to extreme pain in the lower chest/upper abdomen area. It hurts to move in basic movements, most painful when coughing or breathing deeply. I went to an after hours clinic today and found no broken ribs (thank God). my job requires walking & lots of movement (assisting the elderly). How can I heal properly when trying to work? What are the best methods in caring for bruised/sore ribs/ Doctor: Thanks for your question on Health Care Magic. I can understand your concern. In my opinion, you are mostly having musculoskeletal chest pain due to excessive coughing. So better to take antihistamine drug. Also take painkiller and muscle relaxant drugs. Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. 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.
| 78,319 |
What causes difficulty in walking and abdominal pain?
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Patient: I am 42, 5, 8" and am disgustingly 13 stone. I have recently been diagnosed with over 10 stomach ulcers having suffered with abdominal pain since Feb 2011. I've had a colonoscopy which was pronounced clear even though there was 'cloudy fluid' and after my endoscopy when the ulcers were discovered my consultant has requested another colonoscopy be carried out (although noone seems to know why). Anyway my current problem (and I don't know if they are linked) is that I have severe fluid retention from the knees down to my feet on both legs. My skin is also mottled just above the ankles and the soles of my feet are extremely painful. I also find it difficult to walk due to the pain. Should I walk more or sit with my legs raised above the level of my heart ? Doctor: You have got swelling over both the legs. The reason for it may b related with your heart or your kidneys. Please go to a specialist and get your BP checked and get full pathological workup done.The reason for pain and swelling in ur legs can also be varicose veins. So please get yourself checked by a specialist.
| 217,456 |
Pain from abdomen to tummy, didnot get menstrual cycle. Should I take pap smear test?
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Patient: I have sharp needle like sharp pains from my abdomen up into my tummy if I may call it an had this pain in my left shoulder an neck fr the past three weeks I have not had my menstrual cycle all of November an it was late as well last month an if I may add I had my tubes cut 8 years ago an doc cannot pick up a baby in my ultra sound tht was done 2 weeks ago I was last wth my hubby in early October an I don't know what is wrong please help desperate my doctor suggested a papsmere but I still fear I may be pregnant in my tubes even if the home preg test says negative Doctor: HiPlease go for ultrasound abdomen for confirmation of pregnancy which may also help to find out if everything is ok inside No harm in going for pep smear Please follow your doctor advice Take careDr Lal
| 92,459 |
Abdominal pain, vomiting, thought it was stomach bug. Please suggest what might be the cause?
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Patient: My 8 year old son has been complaining of abdominal pain on and off for nearly 5 weeks and has vomited along with it. He will curl up on the floor once to twice a week for a few hours, get sleepy, then vomit. I originally thought it was a stomach bug but it has been reoccurring and no one else in the household has caught it. Please help! Thanks! Doctor: Hi, From what you have described it is not a simple viral infection that your son has. As it has been for a long time and his curling up shows that there is cramping in his abdomen. You need to take him to a pediatrician or a gastroenterologist who could tell you after a physical exam what exactly is wrong with him. Is he passing a normal stool? Is he eating well? Many things need to be assessed along with some tests that can tell us exactly the problem and treatment accordingly. So do not wait longer and take him to the physician. Take care.
| 95,092 |
What causes small tiny blisters in mouth?
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Patient: Hi, 3 days back I develop very tiny small blisters in mouth , Today morning I saw them turned white in color, look like small patches like tip of pimple. They are not very painfull but they cause some in comofort. I am really worried Please advice should I meet my dentist or I should meet another specialist? Doctor: Hello,Do not worry and try to rinse the area with warm salt water. Avoid extreme temperatures, spicy and acidic foods. Take some anti-inflammatory medication and try a gel with benzocaine to control discomfort. Keep the area clean and give a chance for healing to occur. See your dentist if continues or gets worse. Allow a week, but make sure to schedule a routine dental exam if you are not up to date on your dental visits and report all symptoms to your dentist.Possible causes include trauma such as biting your cheek, hot temperature burn, allergic reaction to food or change in products used. You may have an mouth ulcer. These can be viral, bacterial or fungal. You dentist can best deterime cause with a clinical exam.Thank you for your inquiry. I hope ou feel better soon.
| 183,716 |
Is there a chance to conceive if the condom is pulled out before ejaculation ?
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Patient: if i wear a condom for intercourse and i pull out before ejaculation, is there a chance of pregnancy? Doctor: Hello. Welcome to HealthcareMagic forum. If you wear a condom before starting foreplay then the chances of pregnancy are almost negligible. The initial secretions of prepuce also contain sperms so wearing condom right from beginning is essential. Dr. Rakhi Tayal
| 6,996 |
What is the cause of darkening of child s bottom lip?
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Patient: I have noticed that my 2 year old s bottom lip has darkened. The appearance is as if he has eaten a purple popsicle. No other visible changes. Appetite is consistent (well, as consistent as you can expect a two year old to be ). What may be the cause? Doctor: Hi...Darkening only of the lower lip can be either a normal phenomenon or a pigment related disorder of the skin. The other possibility could be Peutz Zegher Syndrome. I suggest you consult your pediatrician regarding this or upload images here on this website so that we will be in a better position to help you.Regards - Dr. Sumanth
| 170,638 |
Suggest remedy for lungs problem
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Patient: Hi, I am a 63 year old female. I have been sarcoidosis of the lungs, lymph nodes and. bones. I am on 10 mg of prednisone , 6 tablets of methotrexate weekly and remicade every 5 weeks. I have been having pain on my right side just under the rib cage. My doctor performed liver function tests which came back normal. He has also ordered an abdominal ultrasound and upper GI with intestinal follow through. Should I still have these tests when liver function panel is ok? Other meds I am on are furosemide, fosamax, hydrocodone, celebrex, gabapentin, enalapril, metoprolol, vitaminb12, carbamazepine, crestor, duloxetine, folic acid, prednisone, dexilant, sulfamethoxazole Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Yes, you should definitely get done these tests to diagnose your condition. Sarcoidosis is inflammatory disease affecting almost all organs. Normal Liver function tests don't rule out liver disease. We need to looked at liver parenchyma, bile duct, gall bladder etc. So ultrasound abdomen is must for all these details. Sometimes gastritis, stomach related other problems, intestinal infection etc can also cause similar symptoms. And to diagnose these, upper GI scopy and intestinal follow through are needed. So my suggestion is to get done ultrasound, upper GI scopy and intestinal follow through to rule out internal abdominal pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 78,246 |
What is the cause of small lump on the upper back?
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Patient: My boyfriend has had a small, pea sized, skin colored lump on his upper back for several months. It has a small black spot in the middle, has not grown in size, and is painless. I've tried to research what this could be online and have come up with multiple diagnoses. What is the most likely cause? Doctor: Hi.The swelling has a black spot- not increasing in size and painless. The most likely cause is a sebaceous cyst. Can be excised if he is willing.
| 70,536 |
What causes sharp burning pain in left side of abdomen?
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Patient: I have been having burning to sharp pain in the upper left side of abdomen. I have had CT of abd. by oral contrast, abd. U/S. XRAY, colonoscopy and EDG which was all normal but this pain has been present for 2 years. I had a robotic hysterectomy about 1-2 years prior to this issue. What could be causing this pain? It is not getting better. It is present most of the time. Doctor: Hi....Welcome to healthcare magic..According to your complain you have problem of burning sensation in abdominal area that may be because of indigestion problem..More spicy food and alcohol drinking may cause burning pain..Intestinal infection also cause burning sensation..Gastroesophageal reflux disease may ruled out..Consult a gastroenterologist for further diagnosis..Endoscopy can done if needed..Detail history and investigation give exact idea..I hope my guidance helpful to you...Take care. Thank you
| 216,434 |
What are the symptoms of pregnancy?
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Patient: I got my pd on May 10th. It lasted 7 days. On May 23rd I spotted for a day and half. Today is June 14th and no pd yet. I have been having slight cramping like my pd is coming for over a wk but no pd. My nipples are sore and feeling slightly bloated. I took a dollar store preg test today and it was neg. Could I still be preg? Should I wait and take a test again next wk Doctor: Hallow Dear,The spotting you had on 23 rd seems to be ovulation spotting, also known as Mittelschmerz. Your periods are just 4 days overdue. Pregnancy test on urine may give false negative results if done so early. These tests are more reliable 8-10 days after missed period. So you may repeat the test again after one week. You have another alternative of going for Beta hCG test. This test gives reliable result even few days before missing period. All other symptoms of pregnancy appear only after ten to fifteen days of misse period. So, do not go on those symptoms. Get the pregnancy diagnosed by reliable test. If you are not pregnant and still do not get menses, you may take Tab, Deviry for 5 days; 4-7 days later you will get the withdrawal bleeding. I hope this helps you.Dr. Nishikant
| 220,296 |
Why is there a delay in periods after having sex and taking ipill?
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Patient: hi my name is rita. i had sex with my boyfriend on 12th of this month. then i had taken i pill within 12 hrs of sex. last month my periods started on 20th. this month it has not started yet. is this delay normal or not? as i m having some white discharge coming out from last two days. reply as soon as possible please Doctor: hai rita, if your periods is regular you have to get your periods by this time.so do urine pregnancy test .
| 224,850 |
Should I visit the doctor for sudden bad abdominal cramping?
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Patient: I woke up this morning feeling fine. I felt the urge for a BM and went to the bathroom and suddenly had really bad cramping in my abdomen; it became worse. Suddenly I found myself on the bathroom floor waking up. I must have passed out. I rested the remaining of the morning. Now this early evening, I m a still bit weak and lightheaded, otherwise fine. I did go for a short walk--a little over a mile--this afternoon. I m usually a very healthy, active 59-year-old. Should I visit my doctor? Doctor: Hi, Noted your history about having sudden cramps, passing out in bathroom, still have weakness and so on. All the history is suggestive of gastroenteritis with secondary effects of dehydration, electrolyte imbalance and may be bacterimia or septicemia. Hence you should consult your Doctor for clinical evaluation supported by proper investigations of blood, urine and stool, ultrasonography of abdomen and thus get a proper diagnosis and have a proper management as per the findings. If there is no nausea or vomiting you can take plenty of oral fluids, electrolyte solutions. Take probiotics, curds, bananas and soft diet. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. T. Chandrakant, General Surgeon
| 85,887 |
Suggest medication for hacking cough and discomfort in throat
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Patient: I ve had a hacking cough for 3 weeks now. I ve been to the doctors twice last week. One said I had upper respiratory infection, which I knew I didn t, and the second dr didn t quite know what I had, but ordered a chest x-ray which he knew would come back negative. He also gave me an inhaler, and promethazine with codeine. The past week my cough has died down some, but I still have the hacking cough as well as it gets so bad that it feels like my throat is closing up making it extremely difficult to breathe. I use the inhaler to help open the passage. I also choke so bad that I vomit at times. I have no other symptoms. What could be causing my throat to swell during my coughing episodes, and what is causing the hacking coughs? Doctor: Thanks for your question on Health Care Magic. I can understand your concern. Since your chest x ray is normal, no need to worry for lung infection (pneumonia). By your history and description, possibility of bronchitis is more. So get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. Along with inhaler, you may need mucolytic, anti inflammatory and expectorant drugs. These all will dilute your sputum and makes it easy to cough out. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 80,001 |
What is the prognosis for TB-MDR?
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Patient: Hi Doctor, There's a case of TB - MDR in my family which was under treatment for the last 3 months for MDR with 3 medicines that were shown to be sensitive towards the bacilli. But the patient developed hypersensitivity to one of those drugs after a month because of which it was discontinued by the doctor for 15 days and now that medicine is not responding. The doctor has adviced for another sensitivity test which will be done today. The doctor says that the chances of survival are near to zero. The patient's condition went better after the sensitive combination of 3 drugs were administered, but because of gastric hypersensitivity and urticaria, one of the 3 drugs was discontinued. Now the condition is worsening. Is there really any hope that some treatment could work? The doctor is administering bactericidals intravenously but says that no bacteriostatics are available. Doctor: HI...MDR-TB is very difficult to treat.It requires treatment for minimum of 15 to 20 months depending on the response and culture. Because they are multidrug resistant sensitivity test is very important before choosing combination of drugs.Unfortunately since he is having hypersensitivity reaction to a drug its need to stopped.But there are lot of medications which come under 2nd line and 3rd line ATT (anti-tubercular) drugs which can be used after sensitivity test. Don't loose hope, give doctor full cooperation so that he can give best possible treatment and combination of drugs...
| 30,178 |
Suggest treatment for constant pain in the jaw
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Patient: Hello, i have had pain in my jaw for a couple of months now it started around the time i lost a filling. This was filled in and i was prescribed antibiotics and it felt like it went. After a week it came back and has been on and off since lasting for weeks at a time. It hurts the muscle linking my top and bottom jaw and sometimes my neck can feel quite swollen. I have trouble opening my jaw fully. and it feels like my ears are clogged and under pressure slightly. i can also hear what sounds like cereal popping inside my mouth which is presume is my TMJ? I went back to my dentist a month a go and they said it was not dental related and shunned me away quite quickly. Since then i have tried a longer course of antibiotics which have done nothing. however it went for a couple of weeks and has reoccurred. I am 21 male 6 foot 1 and work in a factory using headsets which doesn't help. I am going to go back to my dentist before returning to my doctor but wanted a second opinion. I have been told it could be TMD and i have found blowing out of my nose puts pressure in my ears. Sorry if this seems complex but i do worry quite a bit naturally. Thankyou Doctor: Thanks for your query, i have gone through your query. The pain in the tooth could be because of the tooth infection. If the infection is from wisdom tooth this kind of pain can arise. Consult a oral physician and get a radiograph done and get the tooth root canal treated or removed. Antibiotics will help for a short period of time we have to treat the cause. Infection can cause limited mouth opening. The pain and clicking sound can be secondary to disc displacement in TMJ. You need to take radiograph like TMJ views and see the movement and position of jaw bone. Later you can start with piroxicam tablet. Do not open your mouth too wide. Take soft diet for 15days.you can give hot fomentation over the joint. I hope my answer will help you. Take care
| 185,202 |
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