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Suggest treatment for hydrosalpinx and cyst on left ovary
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Patient: hi there i am a 21 year old female and had an ultra sound and transvaginal ultrasound just over a week ago and have been diagnosed with hydrosalpinx in the right fallopian tube and have a 2cm cyst on my left ovary. i suffer with pain everyday with this mainly on the right side but in the last week the left side is just as tender. i had an emergency pregnancy test which came back negative. my mother had severe endemitriosis and i know that it is hereditary. i am concerned that if i dont have something done soon my chances of having fertility problems will escalate. my breasts have been very tender in the last week also. i also have an IUD, i had it put in September 2012. what kind of doctor or specialist should i be seeing for treatment? Doctor: Herbal medicine is one of the most popular alternative treatment for hydrosalpinx. Some herbal formulas are highly powerful in removing the blockage and adhesions, and even make fallopian tubes function well. Fuyan Pill produced by Dr. Lee Xiaoping, has been patented as a treatment for multiple gynecological conditions, which works on hydrosalpinx and can cure it after three to four months medication.What's more, this pill is also effective on curing endometriosis. And small cyst could also eliminated by it.You could have a try first. And since it it made from natural herbs, you could eat it without worries. It could repair you reprodutive organs at the same time.Hope this is helpful for you.
| 40,979 |
What causes delay in periods?
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Patient: Hello ! The thing is I am married since 2 years & I am unable to conceive. Doctors diagnosed it as PCO, I am under treatment. Now my periods were due on 16th oct but till now there is no sign.....& i started taking folic acid from last week whether thats the reason or i shud go for preg tests Doctor: Hi dear, I have gone through your question and understand your concerns. Delay in the periods can be due to pregnancy or stress, hormonal disturbances like PCOS.Folic acid do not causes the periods to delay.I will suggest you to get a urine pregnancy test done to confirm the diagnosis and get further management accordingly.Hope you found the answer helpful. RegardsDr Deepti Verma
| 3,629 |
Healthy, B positive male, age 32 yrs willing to donate kidney for compensation. Suggest
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Patient: Hai sir i am Rajubellary from karnataka i want to donate my one kidney for who wants the kidney i am healthy person and my blood group is B positive sir please can you arrange me 6lakhs rupees urgently please help me sir my age is 32 years i need money very urgently so please contact me to this no-0000 and also my YYYY@YYYY please help me i am requesting you sir please. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you want to donate your kidney for want of money.As per recent organ donation act donations of any organ for monitory gain is a criminal offence and can attract severe punishment of imprisonment for 10 years..Please do not make open offer like this.Dr.Patil.
| 49,564 |
Could I have broken a bone as i have tenderness and swelling?
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Patient: I feel down the stairs two weeks ago, bruised my knee and shin which is somewhat faded now, I can walk fine but still tender to the touch, now my heel has a bruise on it and ankle is swollen, also have a fever, could I have broken a bone even though I am walking ok? Doctor: HiIf you are walking fine than its rare chances to have a fracture. Pain and swelling may be due to soft tissue injury also. But is fever is there some infective cause has to be ruled out. Get an x ray done to rule out the fracture. Ice paks will give you some relief.Thanks
| 136,470 |
Trying to conceive, irregular periods. Prescribed APCOD powder, gestofit. Will they help in conceiving?
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Patient: Hello doctor,im married almost 2 years. now planning for child. i had regular periods but past 3-4months it was irregular. Last month went to doctor and took blood check were everything is normal. She advised me to take APCOD powder twice a day. Also she gave Gestofit 300mg tablet for 10 days. Let me know whether this powder or tab will try to get pregnent. please help me Doctor: Hi thanks for your question. You want to concieve and all your investigations are normal.Chances of conception are high if all investigations are normal.Gestofit is a hormone called progestrone which ripens the endometrium (inner lining of uterus) for conception APCOD is a nutritional supplement for maintaining good health .Good health is very impotant Hope this answers your question.
| 43,649 |
Should i be worried as it hurts while breathing after hitting a tree?
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Patient: I was sledding yesterday and hit a tree with my back. Was going maybe 15-20 mph I guess. It knocked the wind out of me and now it hurts to breathe and move my neck and body in certain directions. Only hurts to breathe on deep breathes on the right side of my back. Doctor: Thanks for your question on Health Care Magic. I can understand your concern. You are having blunt chest trauma. Rib fractures, pneumothorax, pulmonary contusions and musculoskeletal injury are common complications after blunt chest trauma. All these can cause chest and back pain on breathing. So better to first get done chest x ray. If chest x ray is normal then no need to worry for major complications like pneumothorax, rib fractures or Pulmonary contusions. Simple musculoskeletal pain is more likely in your case. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Take painkiller and muscle relaxant drugs. You will mostly improve in 1-2 weeks. Don't worry, you will be alright, but first get done chest x ray. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 77,485 |
What causes low fever?
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Patient: Hi my name is Jenny my oldest son is 14 he has had open heart surey twice, the last one was in 09 for parachute like mitral valve at that time they told us that he would need mitral valve replacement done later on. He had a fever with a headache about a week or 2 ago but he started getting another low fever for no reason just a couple hours ago. when we go to his appointments with the cardiologist he always ask me if he has any fevers for no reason. we don t go back to the cardiologist untill march 13th. should i be conserned and see if they can squeez him in earlier or just wait....he is 14 but with how fast he grows he looks 16 or 17 Doctor: Dear Jenny,It is better to see a doctor, as in his case a temperature may be a sign of an inflammation on the valve. It is possible that he just caught cold, but to be on the safe side it is better to see a doctor and undergo examinations to find out if there is nothing serious.Take care
| 21,872 |
Suggest treatment for allergies and asthma
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Patient: My 8 yr old son suffers from allergies and asthma. He has been on Predisone 3 times this year for flare ups 40mg daily for either 5 or 7 day treatments. He takes Claritan , Singular and Nasonex daily and his Dr just added Symbacort inhaler daily. He also has an albuterol inhaler. He is having a flare-up now with lots of wheezing so his Dr put him on the 2 inhalers. I am just concerned that he is taking lots of steroids. Is there any other options. Doctor: Hello.Thank you for asking at HCM.I went through your son's history and would like to make suggestion for him as follows:1. If your son has frequent flare ups and needs oral steroids (prednisone) 3 times a year, that means his asthma is not under good control.I understand your concern about steroids, and would like to mention that, I have no concern about inhaled corticosteroids, but I do have a concern about oral corticosteroids.As inhaled steroids work locally, they are least absorbed in body and mostly have local side effects. But frequent oral steroids are not desirable, although they have to be given when they are needed.2. So I would like to first get reviewed your son's technique of using inhaler in presence of a doctor. This is most important as if it is not proper, there are high chances that he may not be actually getting enough drugs into his lungs.3. I would like to step-up his controlled medications of asthma.4. I would suggest you to get his allergy testing done. This will help him identifying the substances causing troubles to him and also you will know how to avoid them.Also, an Allergist-immunologist may prescribe him allergen specific immunotherapy based on the allergy testing, which works on immune system to gradually improve allergy symptoms.5. Please try to avoid exposure to dusts, smokes and air pollution as much as possible to him.6. A healthy diet rich in vitamins & minerals (adequate amounts of green leafy vegetables, fruits, sprouts, etc) will improve his immunity in a long run.7. There are other options like Ayurvedic medicine, homeopathic medicine, herbal medicine, etc. Please consult alternative medicine experts for information about these therapies. Hope above suggestions will be helpful to you.Should you have any other query, please feel free to ask at HCM.Thank you & Regards.
| 100,817 |
What causes palpitations and pain in the left arm?
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Patient: My heart rate is suddenly speeding up, making the veins in my left hand and arm visibly pulse. After a short period of time, the pulsing will slow back down to a normal heart beat, before starting up again later. It has become painful to fully extend my left arm, and my left hand/arm has gone tingly, with a decreased sense of proprioception in it. What should I do? Doctor: Age, diabetic, any neck pain, or trauma to neck.it's look like neurological problems, probably nerve must be compressed some where. so it's need to be evaluated. First get chest and cervical spine x-ray done. if it suggest some we may ct or mri.Till than you can nerve vitamin like neurobion forte once a day and ask your local doctor for pregabalin. Also get yourself examined from local doctor for obvious finding.
| 22,952 |
What causes little brown dots and swelling on foot?
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Patient: Hi had little brown dots start 2 hrs ago an since bk at work had thick socks an warm weather its got worst on left foot started there now on right foot an browny patches up shin. Doesn t itch but left foot swells up after being on it heaps . I m over weight an thought that mite have sumthjnk to do with it. and been wakeing up with back pain so sleep on side. Feet feel really tight . Doctor: Hello,Welcome to the magical world of health care, I went through your query, and i would advice you to see your doctor early, as these may be due to some infection, and will need a battery of tests to come to a conclusion.I hope my advice would have been useful, in decision making regarding your treatment, still if you have any clarifications or doubts feel free to contact back.Thanks.
| 138,154 |
Is almond effective in improving intelligence?
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Patient: In Indian Ancient considerations it is supposed that almond can enpower our intelligency. Now i want to know that is it right according to medical and physiological contaxt.If yes then will you please tell me how this work?what physiology or concept is behind it? Doctor: hello sirit enhances the amount of omega 3 free fatty acids that help in memory enhancement indirectly.antioxidants will be increased
| 214,412 |
Is it abnormal for a man to masturbate into woman's underclothing?
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Patient: hallo I work with men who have learning disabilities. My client likes to masturbate into womens underclothing. Personally I don't think there is anything wrong with that. I am going shortly to meet his psychiatrist and I want to pad out my argument to say this behaviour is normal any suggestions ? Maureen Ryan. York. Doctor: HiI understand your concern.Though this behavior is not a normal but as you said he has learning disabilities so sometimes it depends on intellectual insight.Intellectual disability can produce such type of behavior.So meet his psychiatrist and discuss all about it.Proper evaluation and counseling helpful for such behavior.Hope for the best.I hope i have answered your query.Still have a query then feel free to ask.Thank you.
| 207,658 |
What causes contracted bladder?
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Patient: I HAD AN ABDOMINAL ULTRASOUND DONE AND THE TECH SAID MY BLADDER WAS CONTRACTED WHICH WAS ABNORMAL. I WASIN THE ER FOR NAUSEA AND VOMITING FOR ABOUT 48 Hours. My lack w as s 2·7 . I JUST VOMITED AGAIN BUT I FEEL BETTER SHOULD I RETURN TO THE ER OR WAIT IT OUT TO SEE IF I VOMIT AGAIN? Doctor: Welcome to health care magic. 1.There are several reasons for nausea and vomiting could be food allergy at first place. 2.The other possibilities could be renal calculus / appendicitis / enteritis / gall bladder pathologies. 3.In females in reproductive age group - pregnancy related issues can be suspected.4.In this case - ultrasound will help to rule out most possible causes of the solid organ pathologies. 5.Contracted bladder is not a pathology - empty bladder always seen as contracted for which you do not have to worry. Empty bladder will not let tech to evaluate the pelvis.6. If you continue to vomit you can take anti emetic, but need to find out the cause.Good luck.Hope i have answered your query,any thing to ask ? do not hesitate to ask.http://doctor.healthcaremagic.com/doctors/dr-ganesh/62888
| 88,289 |
Is there any home remedy to get rid of intestinal worms and is it infectious ?
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Patient: I am 13 and my weight is 33.5kg This is about human intestine worms, more specifically pinworms, 1. Can they be as small as 1mm?(because i keep itching everywhere on my body) 2. If you see a doctor and got the medicine for it, how to you keep any more unhatched eggs around the house or on your clothes from infecting you again?( cause i went to the doctor before and ate the medicine but somehow my itching got back after a month) 3. Is it a bad thing to have worms inside you? 4. Is there a way to kill these worms by eating something not a medicine(something like orange or lettece)?(cause I really don t want to bother my mum again to take me to the doctor after only just a month) 5. how do you keep other people from getting infected in your family when you have them?(I don t want my mum to get the same thing) 6.does doing sports such as swimming kill them off gradrually? Doctor: Hi Dear,.Intestinal worms such as pin worm and thread worm are small but visible to naked eye. It is their eggs which are too small to be seen by naked human eye. These worms lay their eggs at the anal opening at night time and cause irritation, leading to itching. When you scratch the anal opening due to itching, these tiny eggs get collected under your nails and when you eat something these eggs get transferred orally to the stomach where they grow into adult worms and the cycle is repeated.To avoid reinfection, keep your nails closely cropped, wash your hands with soap and water regularly, especially after toilet. Do not insert your finger in drinking water.Don't worry your mom will not get the infection.I have no idea of any natural edible substance capable of killing these pests.
| 214,953 |
Suggest treatment for excessive crying and refusal to feed in a child
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Patient: Hi My 10 month old baby refuses any solids and even milk for the 3rd day now, all she does is crying all day long. First day she had a littler temperature 37.3, after panadol she felt better, but still crying non stop and not eating, I can even get she to drink water. Please help! Doctor: Upper respiratory tract infection may cause middle eat infection in young children. This may b a cause of excess crying. Child may refuse to feed in case of throat infection. So u should consult your pediatrician to rule out that.
| 165,995 |
Suffering from paranoia and taking both drugs. Interaction between two?
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Patient: my 94 year old mother is taking both drugs and is suffering paranoia I have never seen before with her, she has been through a lot of stress and appears disoriented and distressed about people attacking her, this frightens me as her daughter. This is not who my mother is . Can you help me with info about interections with these 2 drugs please. Doctor: Hello and welcome to Healthcare Magic. Thanks for your query.I understand that you must be quite worried about your mother's recent symptoms. You have mentioned that she is taking 2 drugs and wish to know about the possible drug interactions, but unfortunately, you haven't given any details about the drugs. So, please mention the drug names, dosages and the duration for which she is on these drugs, so that we can see if there could be possible drug interactions.The symptoms that you have described briefly (such as paranoia, fears / beliefs that people may be harming her) could point to a type of mental disorder called 'psychosis'. Now, the reasons for developing psychotic symptoms could be many, like underlying brain / neurological problems, metabolic abnormalities, dementia, etc. The first step in managing such a scenario is to have a detailed medical evaluation including a neurological evaluation, so that the cause of her problems can be identified. So, I would suggest that you take her to a doctor as early as possible for a detailed evaluation and further management. Wish you all the best.Regards,Dr. Jonas SundarakumarConsultant Psychiatrist
| 211,649 |
How can chronic sinusitis be treated?
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Patient: What can I take for a long standing sinus infection that causes a cough, have tried caugh syrups, drops, allergy pills all perscribed by Dr,s and allergy specialist, I m desperate, Thats ok, I called customer support number, and a person with an accent answered and seem to have no idea as to what I was speaking of, seem like a scam to me Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. You can benefit for treatment of chronic sinus infection by doing the following:- 1- Avoid allergens as possible as you can such as perfumes, dust and others. 2- Avoid smoking. 3- Take decongestants to relieve your symptoms. 4- Take anti-histamine. 5- Take Fluticasone nasal spray guided by your doctor. I hope I have answered your query. Let me know if you have any further questions.
| 28,746 |
Suggest treatment for child suffering from cough, cold and loose motion
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Patient: Hello Dodtor, My son is having severe cough and cold due to which he constantly having High fever.Moreover having severe loose motion too. We are giving him Sinarest-AF, Paracetamol syrup, Amoxyxillin with clauvunate and Metronidazole. but the problem still persist. His age is 8 months and weight is 9 kg. Please suggest what to do? Doctor: Hi,Some time amoxicillin, claunate syrup cvan cause loose motions.consult your doctor.Change of antibiotic will help to control loose motions.Keep him well hydrated.Ok and take care.
| 178,211 |
What causes stinging sensation on right side of chest?
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Patient: I recently noticed a tingling or stinging sensation on the right side of my chest about 5 inches below arm. It only lasts a few seconds and comes and goes. No heart problems and in good condition - age 63 and exercise 7 days a week - no trama to the area. No shoulder problems. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Sometimes, vitamin B12, vitamin D3 deficiency can cause similar kind of tingling and stinging sensations. So better to get done blood reports like vitamin B12 and vitamin D3 levels. If deficiency then you will need supplements. Anemia can also cause similar symptoms. So also get done CBC (Complete blood count). Don't worry, with appropriate treatment, you will be alright. Better to 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.
| 76,886 |
What causes blisters at the base of penis after using sex toy?
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Patient: Hello. I recently bought a sex toy called Fleshlight and have been using it for about two weeks. Recently, I noticed some blisters at the base of my penis; they are very discomforting. It is not an STD for I had a clean std exam about 3 months ago, and have not had sex since then. Age: 23. Weight: 200 Ibs, Medical History: nothing significant Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. It could be an allergic rash due to the sex toy. Need a direct examination to confirm. Consult a skin specialist directly. Hope I have answered your query. Let me know if I can assist you further.
| 195,297 |
What causes pain in the left collar bone area after eating?
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Patient: I often experience odd pain in my left collar bone area after eating. What could be causing this. I have tried pinpointing certain foods and a lot of the time it s after I ve had chicken. I eat an extremely clean, natural organic diet and tonight (no chicken) and I m having that pain again. Doctor: Hello, The pain in the collar bone area after eating can be related to reflux gastritis. You need to avoid having hot and spicy food and you can have omeprazole for relief. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon
| 123,114 |
What could cause voilent seizures while being on lamitical and lyrica?
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Patient: My daughter in law started having seizures 4 years ago. She is 30 years old . She has a fracture skull when she was 3 from a fall in the playground.They feel it is from scar tissues on the right side ofher brain. She seems so have a seizure about every 4-6 months. her last two have been lasting longer and also she stated states they are more violent in the way that she is aware of them but terrorfied and feels like someone or something is attacking her, she bite my son during her last one and spit out the Ativan which she usally take with no problem. I am concerned of the voilentness of these seizures.She is on lamitical and lyrica. Doctor: Hello!Thank you for asking on HCM!Regarding your concern, I would explain that her symptoms are related to the brain damage caused by the trauma. The aggressive behavior may be explained by the damaged brain area (usually it occurs in frontal or temporal brain lesions) or from the aura before seizure. I would recommend discussing with her attending physician on the possibility of switching from lyrica to carbamazepine or valproic acid, which would help stabilize also her aggressive behavior. Consulting with a psychiatrist may be necessary, especially if she is aggressive even in every day life. Hope to have been helpful!Best wishes, Dr. Aida
| 143,533 |
Can a pinched nerve cause severe pin in lower abdomen or back?
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Patient: My mom's having really bad pain somewhere in her side/lower back/side stomach and it hurts even when she doesn't move really bad she keeps kind of screaming. She thinks it could be a pinched nerve or something with her kidney. She's not throwing up but she is coughing sometimes, what could it be and how can she make it feel better? Doctor: welcome to Health care magic.1.The way you have explained the symptoms, it seems like low back pain mix with abdomen pain.2.Back pain generally radiated to legs not much to abdomen, due to nerve compression.3.If she is my patient i would have started with x-ray lumbar spine AP/LAT, and an ultrasound abdomen pelvis, depending on findings MRI may be necessary if it is related to nerve compression.4.So, get an appointment with your GP and get the through investigation and treatment done.5.You can make her feel better by investigating well, and getting proper treatment.Hope it helps you. Wish you a good health.Anything to ask ? do not hesitate. Thank you.
| 89,955 |
What to do with small cyst of epididymis?
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Patient: my son has done ultrasound n it shows small cyst seen head of epididymis left measuring 3.3mm 2.5mm is it dangerous n how it will go and he has pain also but after taking antibiotics and pain reducing medicines since more than 2 weeks he is better than befor but still when he walk too much he complain of pain Doctor: HelloThanks for query Your son has been detected to have small epididymal Cyst.Epididymal cyst is benign in nature and does not need any treatment .Treatment is advised only if it increases in size or gets infected .Dr.Patil.
| 199,090 |
Why are my bilirubin levels fluctuating?
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Patient: The results of my routine (every 6 months) blood work revealed that my billirubin levels have fluctuated over the past 4 visits. An MRI is suggested, which I plan to do. What should I worry about until that MRI is done, and will it be sufficient to diagnose the cause.? Doctor: Hi, I had gone through your question and understand your concerns.I think you are probably talking of MRCP or magnetic resonance cholangiopancreatography.Fluctuating bilirubin level can be due to many reasons like hepatitis, gall stone disease , pancreatitis obstructing the common bile duct etcetra.It would have been great had I examined you on my own.I would suggest you - not panic- avoid oily,spicy food- take a soft , bland diet - get a full liver function test done- also get an abdominal ultrasound done.I would also suggest you to visit a clinician. He/she can examine you and correlate clinically.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
| 56,299 |
Have chest pain, anxiety, depression, gastritis and depression
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Patient: Hello, I am 50 years old and I have been suffering from some kind of heath issue for past 20+ years. Every test that has revealed a different issue. It started with a sudden chest pain and cold sweat along with light headedness while I was driving. I pulled over for few moments and continued and had the same feeling maybe 15 minutes later... that is how it started 20 plus years ago. I went to the doctor next day, blood work was done, then stress test for heart issues. Micro valve prolapse was the diagnosis. I started having cronic fatigue, was diagnosed with anxiety attacks, then I started getting heart burns, was diagnosed with GERD. Fatigue continues to this day, Drs said it could be depression, was treated for that. Was treated for gastritis, was told the pain on the chest could be arteritis on chest joints! Everytime I get tested something else seems to come out, about a year ago I was told my Tyroid is slow and now I am on medication for that, 2 years ago I had yet another stress test and catherization done and was told one of the arteries was about 65% blocked, was put on few different medications. I had a follow up tress test done about 3 months ago and was told by my doctor that it has gotten worse so they may have to put a stent to open the blockage. Also on every follow up test that was done for other diagnosis they all came back negative, including mitro valve prolapse. My complaint about fatigue never got better, maybe even worse now since I also am loosing strength and muscle that maybe due to age. One thing I like to add is since these problems started I have had issues with bowle movement and gas. Also I was diagnosed with low blood sugar level at one point too. Finally my question is, what could be causing me to feel like I am in a daze and tired all the time?.. I really have forgotten how it felt to get up and stretch feeling good, I used to be very active person before all of these issues stared, use to play soccer for an amature team. Is there any particular test that I should ask for? Thanks, Mike B. Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.In my opinion, your all symptoms are due to stress, anxiety, and depression. All these causes hyperacidity, gastritis and GERD (gastroesophageal reflux disease).So first, it is better to control stress, anxiety, and depression. For this, you should consult the psychiatrist and get done counseling sessions.Try to identify the stressor in your life and start working on its solution. You will mostly improve with newer anxiolytic drugs (Propranolol and Flunarizine combination) and anti-depressant drugs like fluoxetine.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Kaushal Bhavsar
| 71,286 |
Suggest treatment for abdominal distention
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Patient: I have been having a problem with abdominal distention (looking like I am pregnant) for about 5 months now off and on. I have been swelled since Aug 8th this time. 6 years ago I had surgery for the same type of issue where they said my intestines were too long and they adhered part of it to my side instead of removing any. I went to a gastroenterologist a couple of months ago and he was concerned that I had fluid in my abdomen - then he noticed spider angioma on my chest so right away he thought liver. I had all kinds of bloodwork done for the liver and an ultrasound and all of that came back normal. When I went back to him, i was not swelled and that was great. When i swelled again, i called and he brushed me off saying it was constipation. I have never been an every day person. Every 3 days is my normal. i really don't feel that is the problem. He went from concerned to patronizing. I really don't hurt (except in my upper abdomen - right under the middle of my breasts). I'm just very uncomfortable. I feel like going to an emergency room in a great hospital and just saying ok here i am... please find out what is wrong with me. Doctor: Hi.Thanks for your query.Bloating or distension with going for a poop once in 3 days can indicate a problem with the large intestine causing the distension without much pain, nausea or vomiting. I would suggest you the following:First of all, preparation of the large bowel first with enema and then with peglac, you have to undergo the Colonoscopy. This will help to see the entire colon, take a biopsy from the suspected area to determine the cause. This can be in the form of a cancer or a hypoperistaltic segment with distension and so on. secondly to go for contrast enhanced CT scan of the abdomen to see if there are signs of obstruction, mass and so on. The Enteroclysis done by an expert Radiologist can help to know the intestines in detail. Second-look Laparsoscopy too can help a lot to have proper diagnosis and gives a plan for further management.
| 86,941 |
Can intake of Calcium supplements cause plaque?
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Patient: I am a 65 year old male. years ago I was told to take calcium by my doctor. consumer reports now says that calcium may be bad as it can add plaque. my BP has gone from 120/80 to 140/85 within the last year and a half. should I continue with the calcium? Doctor: Hi..Thanks for the query..I have gone through your query and can very well understand your health concerns..As per your complain it has been documented in researches that long term intake of calcium can cause formation of plaques or deposits in the arteries leading to Atherosclerosis causing hardening of arteries..So you should consult a Medicine specialist or a Cardiologist and get proper examination done and let him assess the need for taking calcium if needed or not..Secondly plague formation over the teeth is not very severely seen over the teeth with calcium intake, therefore if proper oral hygiene maintenance is done like brushing twice a day, flossing, using mouthwash etc is done then you can maintain a good oral hygiene..Hope this helps..Thanks and regards..Dr.Honey Nandwani Arora..
| 181,217 |
What are the treatment options for aggressive bladder cancer?
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Patient: My brother has been diagnosed with aggressive bladder cancer. However, it will take a month before he can get into a specialists. If it is aggressive wont a month make it even worse. Can he do any of the testing, etc. while waiting to see a doctor. Doctor: Hello, Treatment options depend upon the stage. If it is superficial, then BCG therapy. If it is muscle invasive, then chemotherapy followed by surgery. If advanced, then only chemotherapy. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Deepak Sundriyal, Oncologist
| 152,439 |
How to treat ear and throat infection and bronchitis?
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Patient: Been sick for month,Dr. first said ear infection,throat infection and Bronchitis.Now on third antibiotic-Avelox,cough is better,swollen glands went down,but still fatigue,fever blisters healed but gums are different in mouth and have white spots on lips....should I see another doctor? Doctor: You have not mentioned anything about the lab investigations that were done for you. Were any samples/swabs collected from you? Was the causative organism determined? What are the results of the antimicrobial sensitivity tests?If none of these were done and you were prescribed antibiotics just on the basis of a physical examination, then you should definitely see another doctor. Just taking one antibiotic after another without ensuring if the antibiotic is capable of attacking the causative bacteria will not help you. The lesions on your gums and lips are probably a fallout of prolonged antibiotic treatment.
| 32,225 |
Is sickle cell anemia related with bleeding of eyes?
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Patient: Hello doctor I. Have been wearing this particular sneakers for a long time ...that I love so much the shoes is tight on my feet but I still wears it. Latelyi have been getting bleeding in my right eye..but I also has sickle cell diease..can the bleeding is from wearing the tight shoes over a long period or its the sickle cell diease making my eye bleed. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. No, bleeding of eyes not related to sickle cells.2. Wearing tight shoes, would cause local damage like ischemic gangrene, black colored foot or fungal infections.3. Meet an opthalmologist to evaluate the cause of bleeding of eyes. Hope it helps.Any further queries, happy to help again.
| 116,137 |
Suggest remedies for shortness of breath
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Patient: Hi, doctor, i am having some breathing difficulties for the past three days, during the evenings specially, but its mild, not so rigourous.. i am confused, as to which specialist should i consult for this, and what could be the reason for this? is it anything to be too much worried?? i have had this in the past, but a very few times...and it cures on its own..with in some time... please advice... Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of bronchitis (inflammation of airways) is more likely.It causes bronchospasm and this in turn causes breathlessness, cough, chest tightness etc. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilators (formoterol or salmeterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 72,722 |
Could chills and fever be related to swollen lymph nodes at base of skull?
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Patient: hi, ive had swollen lymph nodes at base of skull and has recently spread to neck under the jaw...started off with chills then fever the other night and now have itchy scalp and face/neck with some breaking out with clear fluid and scabbing...could this be chicken pox or shingles? Doctor: Hi! thanks for writing to us and I must tell you that if I were your family physician, I would like to ask you to take rest at home for 15 days now as these are nothing but symptoms and signs of chicken pox only1Please see your doctor today for a microscopic test of the secreted fluid to confirm the diagnosis.regards!
| 65,779 |
Suggest remedy to get rid of kidney stome
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Patient: I have stone in the left kidney with the size of 4mm. It was been first diagnosed on mid of november. Again i have check yesterday because again it causes a mild pain now the same stone with size of 5 mm. What next can i do to get out the stone ???I'm taking more that 6 litres of water everybody. My height - 181 CM and My weight 86.5 KG Doctor: Hi,A 4 to 5 mm stone is small and does not need any surgery. It will help to know where exactly is the stone present. Is it in the calyces of the kidney or has is come in to the renal pelvis. Any obstruction in the kidney arising due to the stone has to be regularised. If the stone is in the renal pelvis or ureter then it will come out by itself but can cause severe pain when passing through the urinary passages. Drinking 6 litres of water each day is adequate. A 5 mm stone is not a concern usually unless it is causing obstruction.
| 48,662 |
What causes unexplained hard lump on the sides of knee?
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Patient: I have noticed a hard lump/knot on the side of my knee (right, inside). The past few months its became larger and now my leg calf bone is bowing and I have weakness in my right leg and mobility is off. I am 46 yrs old and I haven t sustained an injury. I workout 3-4x per week (lite weights and cardio - recumbent bike). What could this be? I m now experiencing hip / side discomfort. Doctor: Hi, thanks for sharing your health concerns with HCM! If I were your treating Doctor for this case of hard lump on the side of your right knee, I would come up with three possibilities, these include: 1. a bursa or ganglion-like benign cystic lesion2. a lipoma or benign fatty tumor or neurofibroma3. collection of uric acid crystals (gouty tophus) in gouty arthritisOverall, it is benign and not to worry about this but you could go for Fine needle aspiration biopsy / ultrasound test for confirmation and also consult a surgeon in your area!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
| 65,857 |
What is causing tender back pain and soreness in hip?
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Patient: hi .i have very tender buttock pain and pain behind my hips i also have abdominal pain. along with these sy,ptoms i have a very sore lower back which gets worse thougout the day. its worse when i sit for long periods also my buttocks get a little numb feeling. my back also gets sore if i sit to much, excersise to much or lift heavy things. i have had physio to no effect and my doctor is sending me to a specialist. any ideas on the cause ? i know back pain is hard to diaganoise but some suggestions would be appreciated. also i sometimes get a weird feeling down 1 leg but not all the time.thanks Doctor: Hi, I have read your problem. Usually back pain and hip pain are managed with pain-killers till 1 month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done, x-ray pelvis with both hip joints, send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger pain-killers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening . I hope it helps. You are welcome to ask further health related queries. Thanks. Dr.Singh.
| 111,976 |
What causes high fever, shaking, runny nose with ear pain?
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Patient: Hi, may I answer your health queries right now ? Please type your query here... my dad was told he has the tail end of the flu. However, his fever has gone up to 103.6, uncontrollable shaking, runny nose and ear pain. He is a diabetic, with high blood pressure and high cholestrol. Doctor: Hi,It seems that he might be having acute upper respiratory tract infection giving all problems.Give him analgesic, decongestant medicine for 2-3 days.If there is no improvement then he might require one course of antibiotic medicine for 5 days.give him light food and plenty of water.Ok and take care.
| 32,659 |
What causes lethargy and nausea after a short period of exercise?
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Patient: I frequently feel dizzy and neasous after short periods of excercise or even for no apparent reason. My feet sometimes tingle. I am always sleepy and can hardly stay awke for 8 hours at a time. I have recently started eating more than usual and I am constantly hungry even after eating large meals. Is there something wrong? Doctor: Hello, Dizziness, nausea, tingling sensation in feet and increased appetite are suggestive of impaired glucose metabolism or even diabetes mellitus. I suggest you get blood glucose levels fasting and postprandial. Fasting glucose levels below 100 mg/dl are normal, between 100-125 suggests impaired glucose tolerance and above 126 mg/dl suggests diabetes mellitus.Postprandial glucose levels (after two hours of having food) below 140 mg/dl is normal, between 141-200 mg/dl is indicative of impaired glucose tolerance and above 200 mg/dl is suggestive of diabetes mellitus. If the test results are abnormal appropriate treatment can be started, and thus the symptoms will relieve.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Shailja Puri
| 115,420 |
Headache, nerve twitching, dizziness, numbness, hearing problem. Is there any relation?
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Patient: I ve been having headaches nearly every day for over a year now, and lately I ve been having muscle/nerve twitches and dizziness, like the room is spinning, and I have to sit down for a few minutes until it stops. Then, about four days ago, my right shin went numb and it hasn t returned to normal again. My hearing has also been very weird lately, and I ve been hearing ringing in one ear occasionally, which only lasts for a few seconds. Can these things all be related somehow? Doctor: Hi, Thank you for posting your query. Headaches and dizziness can be a part of migraine, in fact, that is the commonest cause. However, in view of your recent symptoms such as tinnitus (ringing in one year) and shin going numb, we need to exclude any pathology at cerebello-pontine ange, in the region of hearing or balancing nerve (vestibulo-cochlear nerve) of brain. An MRI scan of brain may be advisable. I hope it helps. Please get back if you require any additional information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, My personal URL on this website: http://bit.ly/Dr-Sudhir-kumar My email: drsudhirkumar@yahoo.com
| 150,402 |
Suggest treatment for sinus infection
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Patient: i am pretty sure i have a sinus infection cause i have had it before , but i went to walgreens and bought some Alka-Seltzer plus severe sinus and cold , do u think that will work for me ,and it doesn t say night time but will it keep me awake? YYYY@YYYY Doctor: The medicine may give you some symptomatic relief. Depending on what's in it, it could keep you awake. Sinus/cold medicines may have decongestants which act like mild stimulants. They may also have antihistamines which often cause sleepiness. It would depend on specifically what's in the particular medicines you purchased. If you have a bacterial sinus infection, you will probably also need antibiotics. If you're having fevers, yellow or green discharge, and a lot of sinus pain and pressure, it could be bacterial. In that case see your doctor to confirm this and get a prescription for antibiotics. Hope this helps.
| 36,477 |
What can cause burning sensation on the foot upon sitting for a long period?
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Patient: i have MS and sit for long periods of time at work, today I notice that the top of my left foot would get a rush of heat then go away. I happened several times, so I started timing it at first it happen every couple of hours and now it happens 4-5 times within the last 2 hours, No pain, just heat. Doctor: Hello, It is due to prolonged weight bearing which slightly compromise the blood supply and causes pain. As a first line management you can take analgesics like paracetamol or aceclofenac for pain relief. If symptoms persist, it is better to consult a physician and get evaluated. Hope I have answered your queries. Let me know if I can assist you further. Take care Regards, Dr Shinas Hussain, General & Family Physician
| 124,862 |
Is sofradex effective in healing itching on thighs?
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Patient: My father has itching(khujlii) on thighs n the area looks red where the itching is occupied space so sofradex cream is usefull or not for it n any other cream anything u can suggest plz and is this allergy can be person to person or safe means only on onean allergy.... ?!!!! Doctor: Hello, Most probably it will be a superficial fungal infection. Sofradex does not provide much of use. You can try topical anti-fungal like Clotrimazole for best results. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 13,415 |
Can sore rashes around vulva and abnormal discharge be yeast infection?
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Patient: Hi, I m an 18 year old female and for almost two weeks I ve been experiencing - a very rash around my vulva, sore and dry clitoris and opening to vagina, slightly abnormal discharge and occasional swelling. And today I realised that my anal hole is kind of purple with what looks like skin tags. I ve had yeast infections before over the last few years but they have always gone away when I have my period ( I m on the pill ) but it hasn t this time and it s beginning to be unbearable. Is this a yeast infection or something else? Thank you. Doctor: Hello,Welcome to HCM,The history and symptoms suggests me that you are having a fungal infection but it should be confirmed by physical examination. Don't be embarrassed to show and confirm the diagnosis.The fungus are the normal commensals of this area which will be kept under control by the helpful organisms, whenever there is a change in environment because of multiple reason these fungus will multiply and produces the symptoms.I would suggest you to follow1.Keep the area dry and clean by maintaining the good hygiene.2.Topical antifungal cream should be applied.3.Tab Diflucan, 150 mg single dose will help to control the symptoms.4.For itching you can take anti histamines.Thank you.
| 37,345 |
Pain below the rib cage radiating to the lower abdomen, tests show high liver enzymes. What could this be?
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Patient: my sister has been in and out of the hospital for days now they ve done blood work found high liver emztyes and did an ultrasound and found nothing she crying of servere pain in her upper right under her rib cage part of her body pains so servere she said it goes from her back to the front to the lower adomal. no one can find andthing wrong but the high liver emzytyes in her bloodwork what is this? Doctor: Hi, Thanks for writing in. Pain radiating from back to abdomen is more likely to be renal colic or biliary colic. But as ultrasound has come normal, those possibilities become zero. Again hepatitis can cause raised liver enzymes but sever pain will not occur. Even cholecystitis can cause similar pain. I would recommend you to get CT Scan abdomen to rule out above conditions as ultrasound can miss few things. I hope I have answered your query. Feel free to revert back for further clarification if required. Best regards, Dr. Neelam.
| 59,978 |
Left tooth pain after using rented regulator while scuba diving
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Patient: I went SCUBA diving with a rented regulator (the piece you put in your mouth ) on the 25th. That night I realized my lower left tooth was hurting, much akin to wisdom tooth growth. I woke up yesterday with white and clear bumps on my outer gum that resemble the blisters which show up on skin because of fever blisters. I had to use the same regulator yesterday for my certification and this morning my gum has several small, shallow holes where the blisters burst or were rubbed away by the rubber. It is not swollen but it is tender when pressure is exerted. My teeth do not hurt, but under my chin behind the jaw bone is also tender. There is no swelling to speak of. The dive shop puts rented gear in a tank of Mean Green to disinfect everything before renting it out. I called to ask if they had heard of this situation occurring before and no one seems to know anything about this. Thanks for your help! Doctor: Hi, Sometimes when there is already bacteria in the teeth and the nerve of the tooth is also irritated then going under pressure like scuba diving or airplane/flight, can lead to pain in that particular tooth. I would recommend you to visit your dentist for the same. The dentist may take an xray to determine if there is a cavity or an old filling that needs to be changed. You maybe given a dosage of antibiotics for the same which will also help with the pain under your chin. The infection in the tooth may be the cause for lymphadenitis ie: infection of lymph nodes which you are feeling behind the jaw bone, under the chin resulting in tenderness. As for the ulcers, rubber regulators can abrade the mucosa and result in ulcers. They will go on their own once you use a betadine mouthwash (not an alcohol based one as it will cause irritation) along with warm saline gargles. Also you should include lots of green leafy vegetables to increase your vitamin intake and body resistance. Regards
| 189,299 |
Is it dangerous to have a shoulder mass about a size of a soft ball ?
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Patient: I have a large mass on my left shoulder about the size of a softball. They have just done a MRI , blood work and 6 x-rays before they will even consider surgery . Am I looking at something serious? Did I let it go to long? My Dr. always said it was just fine for the last few years, I finally said I want it off. Doctor: dear x, it is very difficult to coment without a biopsy/Fnac report
| 159,929 |
Is Rheumatologist consultation required for high CRP?
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Patient: I went into my PCP for a routine physical and the C-reactive protein blood test that they did came back @ 77. Dr. then ordered a mammogram, add'l blood tests including repeated CRP, thyroid anti-body check, ESR & CBC with diff. I was told that those tests came out fine except the CRP was still high. After some thought, I was called today and told that I'm being referred to a Rheumatologist. With the exception of a pulled shoulder muscle, I'm not having any symptoms. Any thoughts? Doctor: Hi, dear. I have gone through your question. I can understand your concern. You have very high crp. You may have some inflammatory connective tissue disease. You should consult rheumatologist and go for complete ANA profile. 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.
| 116,483 |
What could sore areas in mouth feeling like blisters be?
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Patient: I have had these sore areas in my mouth where my top gums meet where the start of my cheek. Oddly enough they are symmetrical in regards to my face, they are directly across from one enough and are about a half inch long. I have brushed them assuming it was a gum thing, usually that helps but it did nothing for these. When I feel them with my finger, it almost feels like a blister. I keep reading about canker sores but these are not just little dots. I am curious as to what these sores might be and what I might be able to do to cure them. Doctor: Hello, thank you for consulting with healthcaremagic. As you are mentioning that they are sore blisters present on your gums, it looks like that this is the canker sore only means called as aphthous ulcers.They appear because of many reasons as stress, stomach problem, some iron deficiency. But there is no need to worry as it will heal within 1 week, just apply mucopain ointment on that 3 times a day. Observe the lesion and if it takes time more than 10 days then you should visit your dentist to get it examined. Hope it will help youTake care
| 188,157 |
Can gallbladder be the reason for throwing up after eating?
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Patient: i am had dinner at a local resturant with my family and friends. One is a doctor at LSU medical center. talking about our order I explained that i would have the spring rolls because if i ate the fried eggrolls I would be in the pot within the hour throwing up. He said it might be my galbladder. Doctor: Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.Yes, this is one of the symptom of gallbladder stones so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are see more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated drinks, coffee, alcohol and spicy food. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. Other causes include pancreatitis or pleuordinia and should be considered if gallbaldder stones are ruled out.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.
| 52,848 |
What is given to an elderly person for relief from back pain?
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Patient: RECENTLY MY NAN WAS TAKEN BY ABULANCE AT AGE 93 FOR SERVERE BACK PAIN THEY GAVE HER A SHOT OF SOMETHING THAT BASICALLY KNCKED HER RIGHT OUT BUT WE WHERE TOLD IT WASNT MORPHINE OR ANYTHING TO THAT EFFECT, SO WHAT WAS IT THEY GAVE HER . iAM WELL VERSED IN PAIN MEDICATIONS AS I SUFFER FROM CHRONIC PAIN , BUT THIS WAS UNUSALLY QUICK. Doctor: Dear- thanks for using our service. First of all, we need to be very careful with pain medication,specially in older patients, like 93 y/o. Most likely it was an opiod or opioid like medication that has a longer clearance from the body . That is why knocked her out.I hope that my advise has been helpfulDr.Sara
| 107,671 |
Is it possible that diarrhea and vomiting are signs of gallstones?
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Patient: I have been having diarrhea and vomiting continuously, can t eat or hold any kind of fluids down. My mom says the samething happen to her abc she had goldstones from eating fatty and greasey foods. Haven t ate in days. Been to the emergency room twice. Should I get checked for goldstone Doctor: Hi and welcome to HCM Thanks for the query. These 2 signs can definitely be caused by gallbaldder issue and this should be rule dout first but also some other gastroenterolgoic disorders can be considered so you need more detailed work up. it includes ultrasound and colonocopy and ct if neccessary. Wish you good health. Regards
| 57,767 |
Could hurting with a iron nail on the wrist be dangerous?
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Patient: Hi today I was working on a roof and a old nail tack went into my wrist, I had to pull it out. It was bleeding for a while but seemed ok. Should I be worried and do I need a jab, its slightly tender where it pierced my skin. Anymore to the left think it may of been more dangerous.. Are the any side affect too Doctor: Hello,Thank you for posting st HCM.Any external injuries especially with metallic objects should never be neglected. I would advise you to visit nearest doctor and get a shot of tetanus injection. Also, gr would advise short course of antibiotic tablets with some anlagesics. Apply antibiotic cream containing mupirocin twice a day.Hope this will take care of your query.Thank youDr Hardik Pitroda
| 40,215 |
Been taking green tea extract and raspberry ketones, sore and tender stomach, esophagal spincter. Reason?
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Patient: I have been taking green tea extract and raspberry ketones . All the sudden yesterday my stomach became very sore and tender. When I move or breath deeply it hurts worse. It is in the very upper cental part of the belly, close to the esophogeal sphincter . Is is due to the pills or is this something else? I have also been working out and doing ab exercises. Doctor: Hi welcome to Health care magic forum. Thanks for asking a question to H.C.M.F. Your stomach suddenly became sour, and tender, hurts when you move or breath in, at the upper central part of the belly. Most probably it is due to the green tea, and rasberry ketones also can cause the pain. Probably you have taken them in empty stomach, or they may show irritation with out any reason also. If you happen to get the gastric pain it could be due to gasritis or ulcer. other causes are pancratitis, gall bladder pain, hepatitis. Such occasional pains usually subside automatically, if no relief consult a surgeon for diagnosis and treatment. You may have to go for M.R.I.besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best wishes.
| 93,762 |
Does microlite contraception pill cause weight gain?
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Patient: Hi im 17 and about to start the microlite contraception pill. Im very worried about the weight gain. Im not skinny im just a normal weight but anything more and id be chubby i do alot of excercise and eat properly so what are the statistics of women and weight gain with this pill ? Doctor: Hi.Yes, it is known to cause weight gain. Microlite (levonorgestrel and ethinylestradiol) is a combined oral contraceptive pill. Weight gain is an important side of Microlite seen in between 1 and 10 in every 100 users.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mohammed Taher Ali, General & Family Physician
| 84,578 |
Reason for abdominal pain during urination and missed period?
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Patient: Hi Doctor Samuel My name is Katrina and I have a query.........I missed my period last month and I still haven t seen one as yet....I have been experiencing some discomfort such as abdominal pain when I urinate on the left side....bloating and nausea....can you help me please Doctor: Hello!Thank you for the query.Lack of period, abdominal pain and nausea can be caused by pregnancy. So if you find this possible, pregnancy test is the first thing you should do.Pain and discomfort while urinating, can be also present with urinary tract infection. This is the second possibility.To have it diagnosed, please have also urine analysis and abdominal ultrasound done. If infection will be present, antibiotic is necessary.Hope this will help.Regards.
| 91,974 |
Suggest treatment for radiating pain in leg
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Patient: good morning sir my name is sudheer , sir i am getting some pain in left leg (from thie to bottom ) some what serious some one saying that it is a sciatica whats the remedy to this case i am unable to bear this pain sir , so please give me nice suggestion to get out of this thanking u Doctor: Hello Sudheer!Welcome on Healthcaremagic!Your symptoms could be related to sciatica, which is an inflammation or irritation of the sciatic nerve, probably as a result of a discal hernia in the lumbar spine region. For this reason, I would recommend taking painkillers (acetaminophen, ibuprofen, ketoprofen,etc.) and have some bed rest. I would also advice performing a lumbar spine CT scan to exclude possible hernia, which may need surgery. A lumbar brace may help. It is also important avoiding lifting heavy weights. Hope you will find this answer helpful!Kind regards, Dr. Aida
| 142,394 |
Frequent urination, nausea, increased appetite, sore nipples. On comid for fertility help. Pregesterone levels 31. Possible pregnancy?
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Patient: Hi, I am taking comid for fertility help. This is my 4th cycle. I had my progesterone levels checked 8 days after I ovulated it was a 31 which I feel is much better than my previous 11. I normally sleep through the whole night with out having to pee but I noticed I've been needing to go before I wake up. Then I noticed nausea. I feel nauseous and hungry, ill eat the 45 to an hour later I'm ravenously hungry again. I have sore nipples, however they aren't horribly sore. I took a hcg test 3 days before missed period, it was negative. I am supposed to start my period tomorrow. Could I be pregnant? Doctor: HelloThanks for your query.With a negative HCG test, chances of pregnancy are quite low.The symptoms that you describe are quite non specific and could be indicative of an approaching period ( pre menstrual symptoms ) rather than an ongoing pregnancy.It is best to wait it out till you miss a period, and THEN take a pregnancy test, thus avoiding unnecessary stress.All the best.
| 4,932 |
Does carpometacarpal bossing need surgery?
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Patient: Hi, I think I may have a carpal boss on my left hand. I remember lifting my hand up very swiftly and hard hitting a hard surface. A few months later I noticed a hard bony protuberance on my wrist. After some research it sounds like a carpal boss - I am seeing a doc for an X-ray in a month. But keen to know what treatments there are apart from surgery. I have just started using a wrist brace as it s been hurting abit lately. Can it go away on its own? I think I ve had it for a few months. Thank you Linda Doctor: Hello,If there is pain, surgical correction is required. If the symptoms are mild, conservative measures like physiotherapy will be more than enough.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 121,690 |
What causes pain in chest, dizziness, high heart beats and shivering?
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Patient: I am 14 years old and I weigh 65 kilograms, I am 158 cm tall. I think I had a panic attack a month ago from stress because I felt pain in my chest and it felt as if it had popped. Afterwards I felt dizzy and felt like I would pass out. I have been stressed since the incident. The next night blood pressure moniter read 130 beats per minute. My body was shaking as if a was freezing and my head felt as if it went from hot to cold and back again many times. My dad took me to the doctors and they said I was fine. Today I had a simillar incident to the last one. My throat feels swollen and I find it difficult to swallow and chew food. I just took my blood pressure reading. My SYS is 116, my DIA is 72 and my heart rate is 139 beats a minute. Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. By your history and description, possibility of stress and anxiety related symptoms is more. Stress actually causes sympathomimetic response in the body and this response will cause tachycardia, chest tightness etc. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on it's solution. You may need anxiolytic drugs too. Counselling along with anxiolytic drugs play very important role in management of stress, anxiety and panic disorder. Don't worry, you will be alright. Avoid stress and tension, be relax and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 76,055 |
Suggest a remedy for rashes on the knee
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Patient: Hello sir,i applied clop gm on the back side of my knees..as there were rashes and itching from long time..i contiued using it for a long time as the rashes appeared again and again.now the skin where i applied it has become very soft and it feels like there is nothing inside of it.how to cure it?? Doctor: Hello, I have gone through your complaints and you seem to be having striae atophicans due to long-term use of steroids. I would recommend you to apply Tretin cream on the affected areas at night along with the application of a moisturizing lotion during the daytime. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Asmeet Kaur Sawhney, Dermatologist
| 13,395 |
What causes pulling sensation in the calf muscle?
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Patient: I have a strange pulling feeling on the outside of my left calf, it feels like the beginning of a cramp (no pain just strange sensation) I also have had some pain behind my knee. I have had an ultrasound on my leg and they said it showed no sign of dvt. I have been experiencing this for a month now. Doctor: Hello, Your symptoms could be related to a stretched muscle or a pinched nerve. For this reason, I would recommend performing nerve conduction studies in order to exclude a possible pinched nerve. If everything is OK, consulting with an orthopedist may be needed. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Ilir Sharka, Cardiologist
| 121,997 |
Suggest treatment for inability to get erection
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Patient: I am 25 years old and have been with my wife for 8 years (3 married). We used to have sex all the time, after we had our 2nd child, it seems that her sex drive went down. We stopped have sex regularly. We tried having sex the other night and I couldn't get hard for a while. When I finally did, it only stayed hard for about 5 minutes. Then we stopped because I couldn't get it back up, even after she tried oral sex. Please help, any advice? Doctor: Hi, There are multiple reasons for Erectile Dysfunction ED. Stress can be the reason considering your situation (marriage with 2 kids).Frequent try during the early morning can give you a change. Other causes are 1. Decrease sensation of the penis- can be due to infection, diabetes, spinal injury, recent masturbation2. Varicocele3. Negative attitude towards your partner 4. Hormonal issue – thyroid issue, low testosterone 5. Long term drug usage6. Diabetes and Hypertension Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. S.R.Raveendran, Sexologist
| 194,178 |
What causes rising blood pressure?
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Patient: am 58 female and have had blood presure every other day raise.. sitting my heart can take off to 100 to 135. and at times I loose all energy.. Some days am fine... I do have history of ashma but havnt had ashma attact for a while and dont take meds for that.. I just take a low dose blood pressure pill every other day. My legs will sweel up terrible also . Doctor: Hi, and pleased to answer you. You have a set of symptoms that I think leads me to believe that you lack informations about your hypertension and asthma, if I think about the diet and the consultations that need to be periodic. For your asthma, you absolutely must treat it, because given that you have high blood pressure, if unfortunately, a severe asthma attack occur the repercussions will be severe on your health. So, first I invite you to see your pneumologist in order to manage correctly your asthma. As for your hypertension, you should check your cardiologist to see if you do not also have a thyroid or kidney problem, and of course to assess if it is not your antihypertensive drug that swells your feet of course to change it. Amlodipine (an antihypertensive drug) for example is known for these swelling effects. But the diet and hygiene of asthmatic and hypertension diseases are things you need to master well with the help of your consultant doctors. May this informations help you and best wishes.
| 23,419 |
Asthma, fever, no vomiting, no diarrhoea, abdominal pain, feels shaky, lips turns blue
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Patient: My daughter is seven. History of Asthma . For two days she has had a fever of 102.5 with periods of breaks. No vomiting, no diarrhea . Leg pain and intermittent mild abdominal pain . Last night she had an episode of uncontrollable shaking ( more excessive than chills but not a seizure ) lasting for a 20-25 minute period during this time her breathing was very labored and her lips began to turn blue. Her Xopenx was given and effective. Today fever, leg pains and some shaking are still present. Should we hold off through the weekend or go to the ER or Immediate care clinic tomorrow? Thoughts ? Thank you Doctor: Hello Hch, Welcome here on hcm. I suggest you to contact your family doctor immediately. Thanks
| 105,695 |
What causes fever and vomiting with changes in behavior?
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Patient: My kid was very active and healthy till she started going to school in June 2011 ( Nursery and her age was 2 1/2) After she started going to school she don t eat well she gets fever vomiting and became very adamant and she starts crying for everything. Dr initially gave her tminic, c - tax 0 and for fever crocin DS she takes medicines without any problem but she lost weight We took to apollo Dr suggested a big list of tests where as a child specialist whom we go told not to take those tests and give ascoril for a week and c-tax 0 for a week. What could be the problem Doctor: Hi Dear,Welcome to HCM.Understanding your concern. As per your query you have symptoms of fever and vomiting with changes in behavior which is due to compromised immunity of body and increased susceptibility of getting infected. It is due to viral infection of body. Fever is happening just because of that. Need not to worry. I would suggest you to visit pediatrician once and get it examined. You should take proper course of antibiotics to fight against infection. Drink plenty of fluids. If not taking any antibiotic start Norfloxacin for 5 to 7 days. Drink plenty of water as well. You should take plenty of fluids to rehydrate body. Take diet rich in multivitamins. Get culture test of urine done again after few days and start treatment accordingly. Avoid intake of outside food. Hope your concern has been resolved.Get Well Soon.Best Wishes,Dr. Harry Maheshwari
| 169,709 |
Could severe pain in abdomen be due to stents implanted in kidney?
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Patient: i had kidney surgery in oct. do to bleeding had stints put in(never found out why left kidney was bleeding). had lots of complication after surgery. it s now april and i still have severe pain and now my upper part of kidney hurts and left side of stomach cramps that come in waves. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Stents placed in the kidney ureters after surgery SHOULD be removed within 1to 3 months. pain can be due to leftover stent. Consult your urologist and get it removed or if required replaced with a new one. after checking urine tests. Cramping type of pain is either from ureter or gut. Presence of stent or a stone can produce that pain. Painkiller medicines and other drugs can irritate gut and produce that kind of pain. Take plenty of water. Do not postpone urination. Hope I have answered your query. Let me know if I can assist you further.
| 45,930 |
What causes a lump on the medial side of clavicle?
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Patient: I have a lump on my left medial clavicle. My family physician ordered an xray that was neg. She ordered an ultrasound that is scheduled for aug 8 . I am a little concerned because I haven t been feeling very well lately and although I haven t had night sweats, I have had periods of profuse sweating during the day. I was working outside at the time but it was a drenching sweat and it happens several times a day. I do have pd and it may just be one of those wonderful side effects from my meds. today my husband said the lump on my clavicle looks bruised. I looked at it and I think the skin may be a little darker there but I m not sure that is of any consequence. Doctor: Hi, Thanks for query to My HCM virtual Clinic And welcome to HCM services.I studied all details of your query.I understood your health concerns about cause of lump on medial side of clavicle with drenching sweats.Based on facts of your query,it seems that-you seem to have ?NHL/HL lymphoma,with drenching sweats,though you are on Parkinson Diseases medicines.CT Scan and FNAC Biopsy with Histo Pathological study would fix the cause of such a lump from NHL/HL or other causes Like TB,infectious mono etc.Hope this reply would help you in resolving this complex query and anxiety with it. Will appreciate your hitting thanks and writing excellent review comments to help needy visiting patients at HCM like you.Welcome for any further query in this regards.Good Day!!Dr.Savaskar M.N.M.S.Genl- CVTS.Senior Surgical Specialist.
| 62,856 |
I have regular periods with tube rupture
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Patient: Doctor 1.Periods are regular with 28 days cycle. 2. 2.5years that I am married but waited for 2 years to start a family 3. I had the surgery for ectopic on Jan 30th,2008 since the left fallopian was be burst open due to the embryo growing in the tube I had to undergo a sugery which involved in the removal of the left fallopian tube too. The doctor told me that the right fallopian tue is perfect and could conceive without any problems. Also to bring to your notice I am 32 yrs so has this got to do something with unable to conceive but my health being i perfect condition.(I have read articles regarding age and pregnacy hence this question). Lastly does induction of abortion leads to ectopics in future. My doctor asked to wait for 4 months to plan again and we followed his advice. Since we are trying but no luck at all. Advise Doctor: Since the Salpingectomy is done (Cutting of the Fallopian tube) and the age is also over 30 years there is a decreased chance of pregnancy. We cannot customized say this percentage is the chance. However trying to put the statistics. After one ectopic and a tubal sparing surgery: The subsequent delivery rate is about 55-60%. The recurrent ectopic rate is about 15% (so about 20% of pregnancies are ectopics). The infertility rate is about 25-30%. If the other tube is absent or blocked (You come under this category) : The subsequent delivery rate is about 45-50%. The recurrent ectopic rate is about 20% (so about 30% of pregnancies are ectopics). The infertility rate is about 30-35%. Though left tube is cut, the right tube can as well collect the egg released by the left ovary and the right tube can be a place of future fertilization. It is true that the pregnancy becomes high risk with the increasing age of mother after 30 years of age.
| 45,475 |
Should i take anti TB medicines if symptoms improving with antibiotics?
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Patient: im 63 year old male, had a skin problem for which i have to take steroid for 2 months. i got lung infection, bacterial type, but the doctor checked the sputum for PCR TB, and it was positive. Though my symptoms were improving with antibiotic and the lung xray was improving, the doctor still recommended me to take anti TB meds. do i need to take the meds? can it be a false positive result considering my symptoms were actually improving with the antibiotic? Doctor: Thanks for your question on Healthcare Magic. I can understand your concern. Yes, you should definitely take anti tubercular drugs. TB PCR (polymerase chain reaction) test is highly specific. It's specificity is almost 100%. So no chance of false positive report. You might be having mixed infection (tubercular and bacterial). So with antibiotics, your bacterial part is improving and hence chest x ray is also improving. Tuberculosis is basically a chronic disease. If don't take treatment at present, it will show after 1-2 months. So even if you are improving with anti tubercular drugs, since your TB PCR is positive, you should definitely Complete the course of anti tubercular drugs. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
| 77,201 |
How to overcome my high gfr?
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Patient: I am a 28 year old white female with a gfr of 144.9. My recent hemoglobin a1c was 6.2 and my tsh was 0.65. I have been fatigued and not feeling well for the most part. I am concerned about my results. I know that having a high gfr is better than low because my kidneys are not failing however I am stumped on having a high gfr? Please advise Doctor: HIThank for asking to HCMI can understand your concern in my opinion you should more concern about the clinical sign and symptoms rather than the test figures, if you do not have any symptoms then why to worry again to know the exact cause of GFR further investigation is needed, hope this information helps you, have good time.
| 49,219 |
Suggest treatment for peeling dry skin under eyelids
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Patient: I have been getting dry skin under my eyelids and now starting to peel and sometimes bleed and it s getting a little puffy and wrinkled. I have been putting a good cream on but doesn t seem to help. It s been about a week to 10 days now and it s not getting better. Doctor: Hello. Thank you for writing to usSkin under the eye is sensitive/ delicate and can easily become dry/ irritated to cosmetics that one may be using.Soaps and face washes that are too harsh and drying can also lead to this presentation, specially in those who have inherently dry skin.You may use a bland moisturizer e.g light liquid paraffin and white soft paraffin for face.Specifically for the patch of skin under eye I would suggest you to use an OTC topical steroid e.g cortisone cream, twice daily for 3-5 days.Avoid soaps. Use a gentle cleanser for face wash e.g cetaphil cleansing lotion, twice daily.Regards
| 9,237 |
What does this ECG report indicate?
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Patient: what is beside the code, an nonspecific abnormal electrocardiogram, Diagnosis: benign hypertension, hyperlipidemia, obstructive sleep apnea, unspecified hypertensive heart disease with heart failure, pure hypersholesterolemia, type 1 diabetes - vitals 144/88BP, 57 Pulse, Height 5'6, weight 310, BMI 50.04 -lost 40ilb in past 3 months with gastric sleeve, age 58 Doctor: HelloI can understand your concer.These prescription mean that the person suffers from as follows:HTAHeart failureDislipidemiaDMThe treatment should be according to relevant specialists,cardiologist and the endocrinologist.Wish you good health.Thank youDr.JolandaPulmonologist
| 75,253 |
Suggest medication for UTI during pregnancy
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Patient: Hi I m 35 years old and 7 weeks pregnant. I recently was diagnosed with a uti and was prescribed amoxicillin. On this third day taking the antibiotics I m experiencing very bad backaches. I don t know is this is normal for pregnancy or something more serious due to the antibiotics? I m not spotting or cramping. But the backache is starting to get really uncomfortable. Doctor: Hello dear,I understand your concern.In my opinion the backache might not be amoxicillin.The backache might be due to various reasons like:-1)Muscular pain 2)Renal stones leading to urinary tract infection(UTI)3)Back pain associated with abdominal cramps with spotting might suggest miscarriage.As you have a history of UTI I suggest you to rule out renal stones by getting done ultrasound.If the ultrasound shows normal study without any renal stones then the back pain can be attributed to muscular pain.And some or the other types of non specific pains are commonly seen during pregnancy which subside spontaneously after delivery.As per your information the symptoms doesn't suggest miscarriage.So relax.Nothing to worry.Take adequate fluids upto 3 litres per day and cranberry juice to prevent UTI.Take rest.Avoid physical strain and intercourse.It will subside.Hope this helps.Best regards....
| 220,169 |
Pain and discomfort in stomach after having intercourse. Due to constipation?
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Patient: hi doc i have been experiencing pain and discomfort in my stomach, it started shortly after my boyfriend and i had sex, i often feel the need to go take a crap but as soon as i get there just a small portion come out, i thought it might be constipation but i have abdominal pains which last for 10min then go away. i am concerned it might be something serious please help. Doctor: This is known as Dyspearunia or post coital pain. Constipation can aggravate the problem but you need to do an Ultrasound Pelvis to rule out any other cause. Meanwhile you can start Lactulose 20 ml at night regularly to avoid constipation, drink plenty of water and eat fruits and vegetables. Also if there is any vaginal discharge it needs treatment.
| 93,496 |
What are the medications for back pain and kidney stone?
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Patient: when i was 7years old i was diagnosed of kidney stone.i dont know the medicine i take but it cure me now im 38 yrs.old 5/6 tall 65kls. and last 4 years my kidney stone comeback and the doctor advice me to take acalca but i forgot the antibiotic.for last 3days i starting to fell a lower backpain the same pain i fell when i had this,what medicine should i take?and what antibiotic? Doctor: First i would advice you to do a ultrasound to check the size and location of stone. If it is below 8 MM it can come out through urine. If it is bigger than that you may need surgical removal. Also what is the location like it can be in kidney,ureter or bladder, so according to that we can plan further management. Avoid very high protein diet, drink lot of water. For pain drug is buscopan tablet. If you want drug for prevention of stone that you need chemical analysis of stone. According to that you can take drugs. In homeopathy there are drugs like acalculia for prevention of stone.
| 111,706 |
How to stop masturbation?
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Patient: I am 24, and am having a problem since i was 13, i used to do mastribution since 13 till now.but now a days it seems me that it takes only few seconds to get the sex. and i am feeling i am becoming week day by day. what should i do. i cant stop myself. My organ gets erected when i see any light sexy thing, even a handsome boy having smart body. i am tired, please guide me. Doctor: Hello,First of all, do not get influenced by any drugs claiming to eliminate sex drive. Masturbation is a normal phenomenon at your age and does not have any side effects on the body or mind unless you get addicted to it. Since you are feeling that masturbation is interfering with your normal functioning, you can try out the following measures:1. Improve your social life by spending more time with friends and relatives.2. Keep your mind active and busy at all times either through curricular or extra-curricular activities.3. Have a diet rich in fruits, vegetables, fish, nuts, and honey.4. Avoid fast foods and lipid-containing diet.5. Avoid smoking and alcohol.6. Keep away stress, think positive.7. Exercise regularly and practice meditationThese measures will help improve concentration and build up the confidence level.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Polash Sannigrahi
| 202,001 |
What kind of tongue ailments can be cancerous?
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Patient: Hi i am suffering from tongue disorders and usually those are painless, i did extensive research on internet and looks like i have have all below symptoms:1. Geographical tongue (black area towards front of the tongue on upper side)2. Circumvallate papillae (red visible bumps, towards back of the tongue, upper side)3. foliate papillae (tonsillar tissue) on the posterior lateral border of the tongue, I just would like to know if you see any one of the above can be cancerous, i am more suspecting about the third one, please help. Doctor: Thanks for asking the question.First of all you should not worry at all as all your symptoms do not indicate any form of cancer. These are all normal or variation of normal development. Rest assured.regards
| 153,049 |
What causes huge lump on lower back?
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Patient: Hi, my boyfriend has a huge lump on his lower back. he gets back pain a lot from doing little things and when his back hurts the lump gets very hard. the lump is squishy when his back is ok. the bump is about 2 inches in diameter. i poked it with a sterilized pin last night and clear fluid was coming out and it smelled like feces but a little worse. i tried to drain it completely but wasn't able its still huge but he said he didn't feel as much pressure from it. any idea on what it might be? or what we can do about it? Doctor: Hi,Dear,Thanks for the query to HCM.I went through your query and understood your health concerns.In My opinion- that lump on back of your boy friend Infected Sebaceous Cyst / Or could be -Chronic boil -folliculitis- with sub- acute stage, which could be dealt by your family doctor.Treatment-a-Surgical Drainage from your ER doctor is needed,as you already pinned it and its still there,else it would complicate further with infection and abscess , which is worst and painful.b-Antibiotics x 5 days form ER doctor.c-Dressings d-Tb NSAID to control pain and inflmation.This would recover in 5-7 days time.Hope this would solve your query. -Hope this would help to resolve your worrysome query on your next visit with your family GP doctor.Wellcome for further query to HCM in this regard.Wishing you fast recovery.
| 64,126 |
Suggest treatment for difficult breathing with asthma
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Patient: stupidly used spray paint despite being asthmatic for an art project, now having trouble breathing, is there anything I should do excluding going to a hospital? Also seeing as I am in another country which has a shitty medical system what should I tell them if I do go? Doctor: Hello.Thank you for asking at HCM.I went through your history and would like to suggest you as follows:1. I always advise my asthma patients to keep a rescue inhaler (such as salbutamol or levosalbutamol) with themselves. So if you are having a rescue inhaler, I would suggest you to use it before going to hospital so that it would start working inside your lungs.2. I would suggest you to inhale fresh air. Please do not be in a crowded/closed room which may have reduced oxygen levels as compared to fresh air in open surroundings.3. If you go to hospital, you could inform them that you are an asthmatic and are having breathlessness after paint spray use. I would also suggest you to inform them the medications you are using for asthma (and other medical condition, if any) and also whether you have used any rescue treatment at home.Hope above suggestions will be helpful to you.Wish you a rapid recovery and the best of the health.Thank you & Regards.
| 101,038 |
Abdominal pain after eating. Intestinal TB suspected after US and CT scan. Is surgery necessary?
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Patient: Good evening Doctor,My friend ( 28 years old) is suffering from abdomen pain when he ate food. Recently he met the Gastroenterologist who did some tests i.e. ultra sound and CT scan and recently he attended colonoscopy and after suspected that it may be TB due his intestine has some wound and it was closed in some area inside of the intestine. He sent piece of that for biopsy test for further investigation to get clear picture. Also he advised us to go for surgery.My question is this can normalize by using medicines for certain period or is it mandatory to go for surgery.Also if we go for surgery is there any future complications. How will be the life of him after surgery.Also do advise that is it contagious disease.I would be grateful If I can get reply from you. Doctor: Hi Thanks for writing in The information you have provided is suggestive of some stricture in the intestine, if there are symptoms of obstruction may be subacute and it keeps on repeating he might need surgery Otherwise abdominal TB can very well be treated with medicines Any surgery has its own inherent complications but these are negligible in safe hands This is not contagious Hope this helps Do write back in case of concern Wishing your friend a speedy recovery
| 94,107 |
Suggest treatment for remitting multiple sclerosis
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Patient: Several years ago I was prescribed an anti-depressant that caused me to lose weight. I do not remember the name of the drug. It was a nice side affect however. I am 58 years old and have relapsing remitting multiple sclerosis. I don t see the same neurologist as I did at that time and my current neurologist is not sure what medication it might have been. Any ideas? Doctor: Hello and welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. No Idea . I hope this information has been helpful for you. Hope I have answered your query. Let me know if I can assist you further.
| 127,674 |
Suggest treatment for lump in vagina
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Patient: Hello. I ve had a lump on the one side of my vagina for over a week now. It seems big and slightly painful. 5 days ago, my vagina was slightly itchy, but that stopped today. I had some milky discharge for 2 days, very light pinkish discharge yesterday and now brownish discharge today. The itching went away. Also had slight cramping the last 24 hours. My period is due in 1-5 days, but I have never spotted outside if my period. Any thoughts? Doctor: Hi, dearI have gone through your question. I can understand your concern.You may have some benign cyst or soft tissue tumour. Benign cyst like bartholin cyst or other cyst is common in vagina. You should go for per speculum examination. If needed go for excision biopsy of that lump and histopathological examination. It will give you exact diagnosis. Then you should take further treatment accordingly.Hope I have answered your question, if you have any doubts then contact me at bit.ly/Drsanghvihardik, I will be happy to answer you.Thanks for using health care magic.Wish you a very good health.
| 62,442 |
Is it due to rubbing of shoes their is a discoloration on the pink toe?
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Patient: I have a light discolored rub mark and/or corn on my pinkie toe. I believe it is a rub mark from shoes. My bunion forces my pinkie to to rub against shoes and has caused this discoloration. Can you please suggest a way to get rid of the discoloration? Doctor: Hi, As you have a bunion and the discoloration of the little finger, I will advice you to use lose foot wear or flexible ones and put some cotton in between the toes and also do hot water fermentation and avoid using shoes for few days. The discoloration will go off and nothing more to worry. Hope I have answered your query. Let me know if I can assist you further. Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 123,973 |
I am getting pain after partial colectomy
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Patient: I am a 50 year old woman who had a partial colectomy 4 months ago after suffering from diverticulitis . I had very little pain after the surgery but now that I m eating a full balanced diet , I have pain in the same spot as where the diverticulitis was (12 of bowel removed, appendectomy and large umbilical hernia repair) especially after a bm and my stomach gets swollen like when I had my attacks, is this normal recovery stuff? Doctor: Thanks for the query There are possibilities of post op adhesions which might be causing the pain. I suggest you undergo a usg abdomen to rule out other possibilities. Chances of adhesions are high with abdominal surgeries Have a healthy living
| 95,693 |
Suggest treatment for high BP in between dialysis treatments
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Patient: I am a dialysis patient and I am recently having trouble with HTN in between dialysis treatments. I currently take Metoprolol 100 mg BID along with Hydralizine 100 mg BID and it is not controlling my BP between treatments. I was on 50 mg. each BID but was recently increased to 100 each BID but they are still not controlling my BP in between treatments. This has only been very recent. perhaps the last two weeks. I have informed my nephrologist but no changes in medications have been made. Any recommendations?fr Doctor: Hi,Calcium channel blocker (Amlodipine/Cilnidipine) is a safe & effective drug to control bp in CKD patients. You can discuss it with your doctor for the addition of the medication.Thanks
| 21,544 |
What causes body pain after viral infection?
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Patient: i am 20 yr old. i recently had a viral infection and eventually got severe pain in both the arms specially the shoulders, wrists and fingers, pain in ankles, knees and calf muscles of both the legs. At times, i also have numbness in my right hand and have cough as well. I also feel fatigue and have severe headache all the time. Its been a week since the viral ended but there has been no improvement. What could be the reason for the pain? Doctor: this is myalgia and reactive arthritis. this usually occurs due to the toxins left over in the body by the viral. that acts against the body tissues. to get relieved of it faster eat citrus fruits, take vitamin C suppliments and drink a lot of water.
| 217,896 |
Suggest treatment for non stop out break didn t work with anti viral
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Patient: I was told by my dr threw a blood test that I had the mouth kind. How ever I have never in my life had issues with there however I have had a none stop out break that gets increasingly worse for about 6 months. I have taken steroids. then the three pill at once anti viral then a pill a day anti viral and now 5 800 mg 4000 a day anti viral and nothing is helping could I have something else they are not figuring out? Please help I am at wits in... Doctor: HI, Herpes can sometimes cause frequent outbreaks. This more commonly occurs: (1) When the virus has been recently acquired(2) If the immune system is impaired or not working well in some way(3) Fever or excess sun exposure(4) If there is another infection present.You should consider holding off any steroids because these reduce the immune system and may increase the frequency of outbreaks in some persons.If you recently got this infection then this is likely the reason for the frequent outbreaks, they should decrease with time.If this is not the case, then you should also be screened for diabetes, infection, HIV and, very rarely, any cancers that may be affecting your immune response. This would require physical examination and blood tests as well.I hope this helps. Let me know if I can assist you further.Regards,Dr. Michelle Gibson James
| 30,044 |
Suggest treatment for heavy growth of Klebsiella pneumoniae in semen
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Patient: Good evening My question is about secondary infertility and the presence of heavy growth of klebsiella pneumoniea , and probably enterococcus spp, semen analysis was done before 7 mons, the result was : vol:8ml, pus cells 0-1/ hpf, total count 4 millions, active motile 20%,slugish 0%, & nonmotile 80% & the liquification time was more than one hour , I repeat it 2 days ago vol:3ml,pus2-3/hpf, total count 20 millions, active 40%,slugish10%& non motile 50% , and the culture shows heavy growth of klebsiella pneumoniea Doctor: HelloThanks for query .Your routine semn analysis has revaled infection presence of 2-3 pus cells suggesting infection and Semen culture has revealed infective organisms to be Klebsiella pneumoniae .You need to take appropriate organisms as per culture report for one month .Klebsiella Pnumoniae are generally sensitive to Third Generation Cephalosporine like Ceftriaxone and Aminoglycosides like Gentamycin . Taking these drugs in combination gives excelled results as far as eradication of infection is concerned .Dr.patil.
| 197,910 |
Is TB genetic?
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Patient: firstly,i would like to say you thanks very much!to come to my point, my family is suffering of TB, Already 5 of my family are deceased of it and still transferring to the rest of us.Even they go to hospitals the medicine is for nothing,no one can safe his life.now i need you to answer me the following questions,*Is TB genocide?that can be transfered from generation to generation?*If it became chronic how it can be treated?*how we can continue our life?*what do you conclude about the life of the family,if you know any organizations that can help the family in re-establishing its life? Doctor: HiThanks for your query.I appreciate your concern for your family unfortunately suffering from TB.It is not a genetic disease.It is not the type of genocide, but a contagious diseases which spreads by airborne droplets (coughing or sneezing) from an infected person.It is a chronic disease treated with antibiotics which are given for 6-9 months depending upon the severity.Since, if used properly these antibiotics are very effective with almost eradication of the germs responsible for it.You must contact the local public health (preventive medicine) department for the treatment and prevention (those who are not infected).Hope this answers your query.
| 33,466 |
What causes tailbone pain in a patient with no swelling, bruise or redness?
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Patient: My son is complaining of tailbone pain 2 days now with no precipitating factors. No swelling, no bruising, no redness. No pilionidal cyst or open areas. Painful if touched or any bearing down. Also hurts to sit, worse on soft pillow. He had surgery for a benign tumor in his foot in 2011 I wonder if it could be similar? Doctor: HiWelcome to healthcaremagicI have gone through your query and understand your concern.This is called coccyxdynia. Treatment of it is avoid sitting on hard obects , hot sits bath and analgesic such as ibuprofen for pain relief. In hot sits bath patients are advised to seat in warm water for 10 minutes evening and morning for few weeks. For further investigation you can go for MRI lumbosacral spine. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.
| 135,939 |
What causes vomiting and dizziness after being hit on the head?
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Patient: my sister was in bed a few nights ago and a 1 foot ceramic staue fell off of her head board shelf and hit her in the head. There were two egg sized bumps, which we treated with ice and pain killers. The swelling went down after a day, but she did vomitt that night and has been dizzy ever since. Now she is having seemingly more pain, even though the swelling has lessened. Also, her sinuses feel congested and she has some clear liquid seeping out of her ear when she sleeps on her side. I deas? Doctor: The statue fall on head might have caused internal bleed in the brain which is usually the cause of vomiting. Many of the small bleeds resolve spontaneously. There can also be a fracture in the skull bone after injury. It advised to take her to a near by hospital and get a CT scan of the brian done to ruleout the above said injuries.
| 96,870 |
What causes a disoriented feeling after experiencing an electric shock?
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Patient: My 49 yr old husband accidentally shocked himself while fixing a piece of machinery 220 a/c a week and a half ago. He seemed to be fine so he didn t go to the doctor. Now he has been having symptoms of his left chest back the ring him even along the front of his shoulder. He has been under a lot of stress lately but otherwise healthy. This strange nagging feeling has been going on about 2-3 days. Should I take him to the doctors? Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I think an evaluation of your husband's primary care Doctor and chest x-rays are necessary to understand better your husband's condition. If he felt after the electric shock, fractured ribs, for example, may cause such symptoms. Hope I have answered your query. Let me know if I can assist you further.
| 141,580 |
Taken dianne 35 tablet. Is intercourse safe during 7th day of menstruation?
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Patient: Hi, I just want to ask about safe intercourse during dianne 35 taking. I started my 1st dianne 35 tablet on the 7th day after my menstruation has started. I had a sexual intercourse and he come inside me on the 8th day since i started taking the tablet. I just want to know if i was safe that time. Thank youHope to hear your respond soon. Doctor: Hi and thank you so much for this query.Yes, you are safe during this period. Even without being on contraceptives, pregnancy is highly unlikely during the 7/8th day after menstruation.I would like to remind you that Dianne 35 protects against unwanted or unplanned pregnancy but not sexually transmitted diseases. please, always consider using protection during sex whenever possible. It would also act as an added protection against unwanted pregnancies.Hope this helps and wish you well.Thanks for using our services and feel free to ask more questions if need be.Dr. Ditah, MD
| 225,475 |
What causes frequent fever in tuberculosis patients?
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Patient: sir, my daughter aged about 5 years, effected with tuberculosis and treatment is going on for the last 5 months. she has been suffering with frequent fever every 20 days and one month. all the diagnosis are showing normal. but problem has not been rectified. plz help me. Doctor: Hi thanks for asking question.You are suffering from tuberculosis, treatment of it by AKT take time in completely clearing the infection.Because of some residual mycobacteria you might suffer from occasional fever.Look for improvement of clinical symptoms and chest x ray improvement with sputum examination.If it show improvement then chances of akt failure are less.So try to avoid stress and complete akt.Wish you good health.
| 77,533 |
What causes the frenulum to harden and the foreskin to toughen?
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Patient: What causes the frenulum to harden and the foreskin to toughen, thicken, and have a burning sensation when pulled back, causing the outer layer of skin to tear? Drug and still free. Worried about other types of infection, or posable diabetes (not diagnosed as a diabetic) Doctor: HelloThanks for query.You have not mentioned your age in your query.Difficulty in retraction and thickening of foreskin can be due to Diabetes or Phimosis..Please get your blood sugar level estimation done to rule out the same .Please consult qualified general surgeon for clinical examination If required you may need to get circumcised .Dr.Patil.If
| 201,222 |
What are the symptoms of torticollis?
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Patient: I run a room & board and inducted a new resident. He has torticollis. He just woke up one day last August with this terrible disease. We live in a small town in Central Oregon. He just started seeing his primary doctor and today had an appointment. He looked really bummed when I picked him up. When I asked what was wrong with him- He replied: The doctor is going to paralyze my left side from the neck down. I am no doctor, but, he hasn t gotten a second opinion. I asked him what was the benefit of paralysis comparing to his condition now. I asked him which would he rather live with- not using his whole left side or having his neck like it is. He replied: my neck like it is. I am so glad he became my resident because I don t feel like not enough information about tortacollis (spelling wrong) has been given to him. He told me one doctor said it was caused by amitriptilyne (spelling) Are there no early signs to this disease? And do you think he should have the procedure done without a 2nd opinion. I want to as his primary doctor: How many cases have you treated like this? Please answer as much as you can. My resident has had seizures and can t swallow very well as time goes on. Thank you for your time. Faydra Johnsoon Doctor: Hi, Consult an orthopedician and get evaluated. An MRI scan is required for further assessment. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain, General & Family Physician
| 126,090 |
Suggest treatment for HBV
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Patient: i have HBV can you help me ? is there medicine for this scare ?i badly need your help on this.in case you want to get in touch with me please my email: YYYY@YYYY ; please help me am in terrible pain in all most all joints of my body Kind RgdsAndrew Nsigaye. Doctor: HIThanks for posting your query. By HBV I hope you mean Hepatitis B Virus. First of all don't get scared . If you are infected with HBV then we need to check whether the HBV virus is multiplying inside your or it is just sitting in your body without multiplying . To know this you need to get a test called HBV DNA PCR ( quantitative ). Kindly get this test done as the necessity to treatment depends on the result . Hope this information was useful to you. Any clarifications feel free to ask .
| 33,933 |
What causes hands to get shock themselves?
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Patient: shocking in hands yesterday my hands started shocking themselves. It was not normal but I thought it may have been my socks. It has continued today and I am concerned it may be serious and I m wondering what is the cause od reason... it is like if you brub you feet on the carpet and shock someone with the static electricity, but it s happening within my own hand. Doctor: Hello, What I understand with the history is that there may be 3 possibilities of injury for the reason of this shocking pain. First, you have to differentiate that is it a shock kind pain or tingling pain. Based on that we can come to some provisional diagnosis. If there is compression of the nerve beneath the flexor retinaculum at the wrist level then you may face one. the second is if the nerve is getting compressed in the elbow region due to muscle weakness or the third one is the nerve entrapment in the spinal column. We need to definitely assess this as this doesn't sound of the higher motor function issue at all. but a peripheral issue. Until we come to a conclusion giving you a diagnosis will be just like making you panic for no reason. I recommend you to meet up an orthopaedic to rule out the possible cause and the proper diagnosis as some diagnosis are made only when we have a physical hands on. But in all the above mentioned provisional diagnosis I feel that with exercise and care you should perform well. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist
| 124,396 |
Is ERCP recommended to evaluate carcinoid in liver
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Patient: I am currently being treated for carcinoid which started in my colon with mets to liver. On the last MRI there appeared a 1.3cm nodule on the upper portion of the pancreas. Although it has not grown within 6mo. would you recommend an ERCP to evaluate/biopsy or keep it on the watchlist ? It s possible to do an octreotide scan but that would only rule out if it was an endocrine tumor. Doctor: Good morning Sorry to hear about your ill healthI would definetely not put you to ERCPInfact, I would like to perform EUS and FNAC of the nodule detected on MRI scan. This would clinch the diagnosis. Octreotide scan would highly suggest an endocrine tumor but cannot confirm itERCP is usually used to evaluate and/ or bile duct obstruction and pancreatitis hope this would answer your questionwish you speedy recovery
| 56,420 |
How can abdominal pain caused by cyst in kidney be treated?
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Patient: I have lower right quadrant abdominal pain so I had a CT scan. It came back and said: There is an exophytic 12 mm cyst in the upper pole of the right kidney. The kidneys are otherwise unremarkable without evidence of mass, hydronephrosis, or calculus. I was told nothing to worry about, yet I still have pain. What do you suggest? Bob Doctor: HelloYour findings suggest small simple cyst in upper pole of right kidney.Simple renal cysts are generally age related developmental finding and it only require follow up ultrasound.Renal cysts may require treatment if there is pain,increase in size of cysts,infection etc.You are rightly advised that there is nothing to be worried about,Pain may be due to some other reasons.You may need proper clinical evaluation and conservative treatment.Get well soon.Take CareDr.Indu Bhushan
| 47,264 |
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