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What causes 4 month old child to make noise while feeding?
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Patient: Hello Doc,My son is 4 months old and bottle fed. Just recently, he started making this noise while feeding, almost as if he was holding his breath. When he exhales, the noise sounds like he just had cold air hit him in the face, as if his breath was just taken away. He doesn t do it the entire feeding but often enough that I am concerned. I don t notice any flaring of the nostrils or accessory muscle use. He seems fine otherwise. I just started him on baby food too so I wasn t sure if that had anything to do with it....maybe a little confusion on how to swallow? Anything would help. Thanks! Doctor: Hi...Thank you for consulting in Health Care magic.By what you quote I put forth these possibilities -1. Congenital airway anomaly - this causes noisy breathing (both inspiratory and expiratory noise, actually inspiratory will be more than expiratory noise). But the child will not struggle to breath and there will not be fast breathing and in-drawing of chest wall. The sound will be more heard during sleeping and feeding.2. Wheezing - Here the sound will be predominantly expiratory; the kid will be struggling to breathe, might turn blue and require oxygen and may have chest wall in-drawing.But both are associated with recurrent cough and cold. But these might not always be bacterial infections which require antibiotics and usually are predominantly viral and are self-limiting.Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,
| 164,386 |
What is the treatment for sever abdominal pain?
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Patient: yes thank you this morning I got up with pain that seemed to be in my stomach and some times it would radiate up toward my chest and sometimes down toward my intestines what could this be this is the first time for these symptoms thanks for any advice I am a 78 year old woman Doctor: HiIt can be due to severe gastritis or any abdominal infection or something else.Please take antacids like gelusil added with pantoprazole,if the pain still persists,i would suggest you to see your doctor.You may require some blood tests or USG abdomen to evaluate the pain.Until then avoid spicy,oily,jeavy meals.All the best
| 216,427 |
What will be the result of echogram in a congestive heart failure patient?
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Patient: My wife has developed congestive heart failure. She is being seen by doctors and has been medicated to solve the problem. She is 71 years of age and up until a month ago seemed in good health.We are to have an echogramm done soon. What will this test show? Doctor: hello,I have gone through your query.Thanks for using HCM.Echocardiogram will show the Dysfunction of ventricles in the form of reduced Ejection fraction.It may also point towards towards cause of CCF e.g.Ischaemic,hypertensive or ideopathic cardiomyopathy,It may give many more information depending upon underlying cause,My best wishesDr.Rajesh Teli,MD.
| 25,794 |
Suggest treatment for abdominal pain and lumps near the kidney
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Patient: hello dr...my brother age 20 years..he having complaint abt low back pain,joint pain, last 2years. and last 2 month he having sever abdominal pain.. now dr told 2 lump{ganth) growth near the kidney......so i want to know what is the best treatment and which speciality????and its dangerous???????????/ Doctor: Hello and welcome to HCM.As an Urologist, i must assure you, that a growth near kidney is treatable.But the growth needs more clarity in description. Hence, you're required to do a CECT of abdomen.(CECT-contrast CT).After seeing that, one has a clear picture of what this lump or growth is, and how to proceed in treatment.You can send a copy of the CT here to me, for an expert opinion, in my name.Dr.Matthew J. Mangat.
| 47,585 |
What causes testicular pain in adolescents?
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Patient: Hello, My 12 year old son came home complaining about his testicals being sore. I have my own theories but want to make sure its natural. He plays Baseball and is a high driver so, I m a little concerned. Weeks ago he had what we refer to as poop cramps so we took him to the DR. we all thought it was cause by eating dairy. Doctor: Hello,The causes of testicular pain are:1) Injury2) Testicle torsion3) Epidydamitis4) Orchitis5) Inflammation due to sexually transmitted disease.Give proper support to testicle. Take tablet Brufen, if pain occurs and also go for ultrasound of scrotum.The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with surgeon.Hope I have answered your query. Let me know if I can assist you further.
| 195,841 |
What causes bad abdominal pain after having sex?
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Patient: i had oral sex 2months ago! my boyfriend did the fingering! after that we did it many times but we never did intercourse only fingering! after that im not having periods for like two months mes only few drops of blood come out some times but blood is mixed with sperms not in pure form, and i also have a bad pain in abdomen, im so worried what kind of problem is this please help me out! Doctor: You should do tests to rule out pelvic infections and std infections which can be caused of your symptoms. Wish you good health. Regards
| 87,825 |
Suggest treatment for slurred speech and loss of consciousness
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Patient: M o m (58)Diagnosed with low sodium count below 124 ..loss of consciousness..memory unclear...urinary tract infection. History of brain metastatis with primary breast cancer...undergone chemotherapy and wbr and two cyberknife procedures Last 10 days nausea and weakness in body ...unable to walk...slurry speech...followed by loss of consciousness yesterday and in intensive care now Doctor: Hello!I understand your concern about your mother health!In my opinion this may be something more serious than just hypokalemia or the urinary infection.The symptoms you describe may be related to a brain lesion. The most probable diagnosed would be a new cancer metastasis in the brain.Breast cancer is known to give metastasis to the brain or bones even after many years after treatment.If she was my patient I would first perform a brain CT , followed by a MRI which is more sensible for these lesions. A blood routine test should be done to.Hope to have been helpful!Best wishes Dr . Abaz Quka
| 145,620 |
Dark lines around the sides of nose. Using sulfur wash, no relief. Treatment options?
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Patient: I have dark lines around and on the sides of my nose and its just getting darker the more i try and remove them or rub to hard. What should i do? I have already seen a dermatologist and he gave me a sulfur wash and it did not work and i have been using it for a year and it seems like it s getting worst and it makes my face look super ugly. What to do? Doctor: Hi there Jones. I read your problem with interest & note you have tried a sulfur wash for over a year. Dermatology However, is a 'visual' field & as such, it is always best to upload a good clinical photograph on this site that you can do using the upload data icon to the right of your screen. Do visit a dermatologist on the ground nearest to you for best results. In the interim, you may want to try a 2% hydroquinone base cream in the evenigs applied specifically on those lines & a good sunscreen applied each morning with an SPF factor of 30-50. Bioderma has one such 'spot cream' that has an inbuilt pigment reducing molecule. Wish you a clear countenance soon. Cheers! Dr Praveen Rodrigues MD.
| 11,851 |
What do red and white rashes on under arm bicep indicate?
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Patient: Hello, my daughter is 6 yrs old I have noticed spots on the underside of her arm under bicep, some are white there are some spots also on the side of her body. there is a rash surrounding a small group of them, the rash is red and slightly bumpy do you know what it could be? Doctor: HiThanks for writing to us. Kindly send some pictures if possible. Based on the history you have given us it looks more like a fungal infection. Antifungal ointments like clotrimazole is what I usually give to such patients. Wishing your child speedy recovery. Regards Dr Arun
| 170,463 |
What causes chest pain,numbness in hand and pain in knee?
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Patient: my boyfriend drives over the road about hour and half ago he started having chest pain on left side, his left hand is numb and his right arm hurts. The left side of his face is swallon . And now in last 20 minutes both his legs from the knees up are hurting. what is your opinion on this? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. Your boyfriend met with road side accident. So possibility of muscular and skeletal injury is more likely. For chest pain, we should rule out rib fractures and pneumothorax. So better to take him to hospital and get done chest x ray and x rays of both upper limbs and lower limbs.If there is no fracture then he will be alright with painkiller and muscle relaxant drugs like ibuprofen and thiocolchicoside.Don't worry, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your boyfriend. Thanks.
| 73,099 |
What causes skin discolouration while having leg cramps?
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Patient: I have been experiencing leg cramps(Charlie Horse). I am post menopausal it happens in my right leg which will stay sore days afterwards. Also I have noticed that the area of my leg that the cramp is in will discolor like a bruise. My question is why does my skin discolor,? Why does the area remain sore? And what can I do to stop the Charlie Horse? Doctor: Hi,If the the leg shows discoloration after Charlie Horse phenomenon then this is most probably related to the internal structures.The causes can be varicose veins with insufficiency.Deep vein thrombosis.Muscle cramps.These can be diagnosed by the following ways:Color doppler of the lower limb.This along with clinical evaluation and examination can help to get a proper diagnosis.Also get relevant blood tests for coagulopathy and so on.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. T. Chandrakant, General Surgeon
| 122,196 |
Suggest treatment for fall in blood pressure and dizziness
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Patient: Hi, may I answer your health queries right now ? Please type your query here... I am a 47 and on blood presure med and last night it read 108/80 is that a good reading coming from 160/95 my dosage is 160 with water tab am i on the right track but some time i feel light headed Doctor: because u r feeling lightheaded sometimes and ur BP has also fallen to 108 so u can decrease ur dose to 80 mg.BP should be maintained above 120 but less than 140 ideally.
| 19,165 |
Suggest remedy for dental health problems
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Patient: I am a dental hygienist. I have a patient who admitted that for the past few years she has had MRSA. Her teeth are decaying at a rate I've never seen. Fillings are falling out. In six months she has 10 new cavities. Her teeth are literally falling apart. Does MRSA cause or contribute to this. Doctor: Hello i have gone through your query.MRSA (Methicillin-resistant Staphylococcus aureus) also called as oxacillin-resistant Staphylococcus aureus (ORSA).in this case strain of Staphylococcus aureus is resistant to beta-lactam antibiotics.drugs like vancomycin or sulfa drugs can help.yes MRSA can contribute to oral and dental health condition.more colonization of resistant bacteria which hard to treat through regular antibiotics.i would advice you to visit a dentist and discuss about the treatment plan.Hope i answered your query.RegardsDr. Shesh
| 183,966 |
Will 10 placentrex injection help in getting pregnant ?
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Patient: Hello, I am married since 3 years and trying to be pregnant. I have completed 10 placentrex injection . will it help in my pregnancy? Doctor: Hi,Mansun, Welcome to HCM, First you should find out the causes of not having pregnancy, Your case is to be evaluated and some investigations are to be carried out. It is possible that you might have PCOD,hormonal imbalance,some problems in uterus,fallopian tubes,ovary. Consult gynaec and get examined. Placentrex inj. is very old remedy and given empirically. Ok and bye.
| 6,370 |
What cause severe abdominal pain as no pancreas,gall bladder or duodenum?
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Patient: Hi,I have been having pain that came on last nt. it is pain in my upper abdominal region mostly in the middle under my rib cage with sever back pain in the middle of my back. I have tried putting heat on it, but it didn't wk. I have no pancreas, gallbladder, appendix, or duodenum. What can u suggest? Doctor: Hi thank you asking HCM it may be related with GERD, gastritis or dyspeptic syndrome. you ned to be examined with upper endoscopy wishing you all the best DR.Kler
| 91,064 |
Can Meclizine be taken as an alternative for Stemetil for vertigo?
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Patient: I am in LA on holiday from Australia. I used to suffer from vertigo many years ago and was prescribed Stemetil 10 mg tablets and suppositories which worked well. At the most I needed to take 3 tablets a day for maximum 3 days, I used the suppositories only if I had severe nausea or vomiting. I had an attack 2 nights ago and have used up the Stemetil ( 4 tablets & 3 suppositories) I brought with me. Am I able to get a prescription for this as can only buy Meclizine tablets over the counter and I m not sure if it will work as well. Is it a condition that I need to subscribe to your service to receive your advice? I am happy to pay a fee if you can authorize a prescription for Stemetil - I am returning to Australia on Sunday and have my own family doctor so a subscription to your service will not be of use to me. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The answer to your question is yes, Meclizine can be used as an alternative to the Stemetil to control the symptoms of the vertigo. In the other hand, we can't prescribe any drugs online, so, I think Meclizine is a good alternative for your condition until you get home. Hope I have answered your query. Let me know if I can assist you further.
| 141,550 |
Suggest remedy to increase AMH level
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Patient: I am 40 years old. Married since 6 years and have had a miscarriage in the year 2009. Since that time am trying to conceive. My husband works out of this country. My A.M.H value is very low. Can you guide me as to how i should go about getting successfully pregnant. Doctor: Hi,I read your query and I understand your concerns.Following is my reply:1) AMH is decreased along with age.2) It is not possible to improve it.3) You please see an IVF centre immediately to check possibility of IVF in you.Let me know if you have anymore questions.Regards,Dr. Mahesh Koregol
| 42,282 |
Is brushing teeth with ultra acne cream a cause for concern?
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Patient: My 5 year old daughter accidentally brushed her teeth with clearasil ultra acne cream. She spit it out right away and then brushed her teeth with the right tooth paste. The cream has long expired, as well. She is showing no sign of anything wrong. However, it is late and she is now in bed sleeping. I have checked on her once already and she is fine. Should I be concerned? What would the side effects be or signs that something is wrong? Thank you for your help! Nicole Doctor: Hi...as of now you need not worry. Nothing serious will happen. At the most she might throw up once or twice and might have some diarrhoea too. But if she is waking up with tummy pain or incessantly vomiting then get her to the nearest emergency room. Unless the kid's having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. Regards - Dr. Sumanth
| 176,821 |
How dangerous is a poor functioning kidney?
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Patient: hi i am Bhargav from mumbai, i had a kidney scan done for its function in June 2010, at that time the left kidney functioned around 23% and right funtioned 73%. i wanted to know how risky it is. i was diagnosed with scars on left kidney and the kidney is half in size as compared to the right one. Also lately i have been having troubles with back pain on the right side, and had urine test done and have passed pus in it. in two earlier urine tests there was also albumin present. There is also bacteria. Doctor: welcome to hcm ...if there is no stone then please go for urine examination and culture ..then take proper antibiotics for specified time ...take care of your sugar also and bp ...70 perecent functioning one kidney will help you ..but first control infection ...bp ...sugar
| 46,009 |
What causes bad groin pain shooting down to knee?
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Patient: Hi my mother has very bad groin pain shooting down to her knee, she has had xrays, ultrasounds, ct scan with and without contrast and 2 MRI s and they still cannot figure out what the issue is. today she went to the cancer institute to see if that would be the issue? would you know? Doctor: hi,thank you for providing the brief history of you.a thorough clinical examination is advised.as she is having groin pain I suspect it to be muscle pain and needs physical therapy. Also this looks even a pinch of nerve in the lumbar spine which needs a thorough clinical examination.As with physical therapy the ROM of the hip will improve and also the strength in the muscles.In my clinical practice such cases are referred to physical therapy and with exercise they respond well.Regards Jay Indravadan Patel
| 216,637 |
History of miscarriage. Positive pregnancy test. Prescribed Gestofit and fertigyn. Will pregnancy be successful?
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Patient: I had 3 miscarriages in last 2 yrs because of no heart beat and today is my 31st day, my preg test is postive ... doctor suggested gestofit 100mg and fertigyn injection. but she raised a concern because of weight (85kgs) there can be some challenges. i had a DNC, hysteroscopy and laproscopy for the previous cases. and my Rubella iGg report was positive for which i had taken Rovomycin tablets for 8 weeks. will my pregnancy be successful this time. Doctor: Hi, Thanks for your query. I have read your query & I understand your concerns. Please start taking low molecular weight heparin as well as ecosprin 75mg tablets after consulting your doctor. These will help in miscarriage patients like you. Also discuss the possibility of taking progesterone suppliments to be on safer side. Please obtain prescription for above medicines from your doctor. I wish you a healthy pregnancy. I hope I answered your query. I will be available for any followup queries you have. Regards, Dr.Mahesh Koregol IVF & Infertility Specialist.
| 43,876 |
Allergies led to acne. Used ducray face wash. Why is there now dandruff?
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Patient: hello, i have acne since past 3 years. i never had bad skin but due to my allergies i got them and didnt really pay much of attention to it. but i did consult a dermatologist once. she had/s advised me to use ducray facewash and an oinment to my acne marks. it didnt really work plus there was itching to that area. i stopped using it. after a while my skin became clear. now again m starting to get red skin and yellow pus like boils on my forehead . i do have little dandruff , for which m taking an amway treatment. what would you suggest me for my skin? i have oily skin. Doctor: hi take care of the dandruff first. restrict use of cosmetics. if your skin is sensitive use lactocalamine lotion. for face wash use oil free ones enriched with aloe vera. if the forehead lesions are pus filled you would need an oral antibiotic ointment as well.
| 105,433 |
What causes high respiratory rate in a 21 month old suffering from down syndrome?
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Patient: Hi i have a 21 month old with Down Syndrome, currently with a fever of 103 and respirations about 56 breaths per minute. O2 is about 93 (we have a portable oximetry machine) and his color is good, and his lungs sound clear, but i am worried about the high respirations. Can we wait til morning to call the Dr or should we go to ER? Doctor: Hi, the respiratory rate (56/min) is definitely high for her age. her saturation is also below 94% which is an indication for oxygen support.She is probably having pneumonia. A through clinical examination, chest x-ray and probably admission will be required. I will suggest you to immediately visit the emergency service of a nearby hospital.
| 165,605 |
Does MS cause pain?
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Patient: my doctor says that my ms does not cause pain and that I would only have stroke like symptoms with it. I am in a lot of pain and I itch so much I feel like I will go crazy with it , but he doesn't have me on anything for ms . can you tell me if this is true and if itching can be a symptom. thank you Doctor: Dear Friend..I am Dr Anshul varshney. I understand your concern.Yes MS can cause sensory symptoms. Even it can cause sensory symptoms all over the body when neck is flexed down.i would advice you to take regular treatment for this.Stay Healthy.Dr Anshul Varshney
| 217,993 |
What causes nausea and fluid/thickening in sphenoid sinus?
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Patient: I have frequent nausea simlar to morning sickness and have recently been told I have fluid and thickening in the sphenoid sinus..can they be related? I do not have headaches. I am 65 yrs. old and have trouble moving about in the mornings until the nausea goes away. Doctor: Hello and thank you for your question.It is possible that the two things are related. If you have a lot of sinus discharge then it could move down into your stomach during the night and cause nausea. Try using and antihistamine like diphenhydramine at bedtime and use nasal saline several times during the day and see if this helps.Regards,Dr. Robinson
| 34,274 |
What are the side-effects of Encorata Chrono given for a child s hyperactivity?
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Patient: Dear Doctor , My son of age 13yrs has been very hyper active and bold was taken for a therapy and the doctor has advised to take Encorata chrono 300 ,one tablet at night - which we had started since one month from now . Now my son complaints that he gets severe headache and drowsiness and feels tired in the evening and sometimes at day time too.We told this to the doctor who had advised not to stop the medicine but to continue and then gradually bring down the dose to half a tablet and later we can stop this it seems . My question is has this medicine started with any side effects in my son ?? Does this medicine has any side effects ?? Can we stop this medicine now since it gives other problems like drowsiness and tiredness ?? What type of patients are given such medicines ?? I understand from web sites that this medicine is banned through out the world due to side effects and active only in India & Sri lanka - is that true ??? Let me have a immediate reply pls Regards, Mathew Koshy Doha - Qatar . Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Divalproex Sodium is used to treat certain types of seizures (epilepsy). This medicine is an anticonvulsant that works in the brain tissue to stop seizures. Divalproex Sodium is also used to treat the manic phase of bipolar disorder (manic-depressive illness), and helps prevent migraine headaches.Rarely, this medication has caused serious (sometimes fatal) liver problems, usually within the first 6 months of starting treatment. Laboratory tests should be performed before you start treatment and periodically during treatment, especially within the first 6 months, to monitor this side effect.The risk of serious liver problems is increased in children younger than 2 years, especially if they have an inherited metabolic disorder, severe seizure disorder with mental retardation , organic brain disease, or if they take more than one seizure medication. Talk with the doctor about the risks and benefits of using this medication in children younger than 2 years.Due to an increased risk for liver problems, people with certain inherited metabolic disorders (such as Alpers-Huttenlocher syndrome) should not use this medication. Children younger than 2 years who might have these disorders should not use this medication. Children older than 2 years who might have these disorders should be closely monitored during treatment with Divalproex Sodium. Talk to your doctor for details.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Khan Shoeb Mohammad Sher Mohammad
| 165,525 |
What causes sudden syncope with disorientation, bruising and tiredness?
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Patient: My mom 91 faints suddenly and is falling down without warning, when she wakes back she does not know what happen. Two days ago she bruised herself and today she was unresponsive and we could not find her pulse, but after we put her down she woke up tired but coherent . She started to fall down about 2 years ago and first we were thinking that she does not pay attention how she walks but she has no warning . Doctor: HIWell come to HCMI really appreciate your concern, this could be due to TIA (Transient Ischemic Attack) and to rule out this she may need CT of brain some time this could be due to geriatric condition, rule out the hypertension too, condition and symptom need to be taken seriously, hope this information helps, take care.
| 145,742 |
What could be the reason for swelling and hardening of muscles?
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Patient: Hi, Could you advice me the reasons for swelling and hardening of muscles??? i was treated for burns in legs some six years ago. now the part is developing swelling and severe hardening of muscles. please advice reasons for same and whom to consult.. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Post burn contractures are common problem. It would have been of much help if you could just tell how much burn you sustained and what was the treatment after that. Anyways, for now I will suggest to report to your treating reconstruction surgeon for expert opinion and clinical evaluation as it could have been anything. Hope I have answered your query. Let me know if I can assist you further.
| 127,659 |
How much liver enzymes might elevate after one night drinking?
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Patient: I am wondering how long liver enzymes might be elevated..( if at all) after one night of drinking at a reunion. I am otherwise health 50 yr old female that does not consume any alcohol except on very special occasions... 1-2 times a year. I likely had 16 oz of alcohol over 14 hours....maybe more. WHat do you think? Doctor: Dear Madam,Welcome to Health Care Magic. I read your query and I understand your concern.I think that there is not any problem with your liver enzymes if you drink only on special occasions. You do not mention what kind of alcoholic beverage did you take, since different beverages contain different percentage of alcohol. I ensure you that your liver enzymes are just slightly elevated or not elevated at all for the amount of alcohol you took just in one special occasion. Liver Enzymes are normally elevated in binge drinking or chronic drinkers. Alcohol, to be more specific ethanol - the active ingredient, damages liver cells and spills the liver enzymes in the blood flow when is consumed in large amounts and regularly. Alcohol doesn't have just negative effects on your health, on the contrary, taking in consideration your age, I would recommend you consume 1 oz of ethanol, or 1 glass of wine a week, in order to help maintenance of cholesterol balance in your blood.Hope I answered to your question. For further concerns or follow up questions, feel free to ask again.Kind Regards,Dr. Ina
| 55,870 |
Pain in stomach, below belt line. Normal X ray, CT scan. Suggest treatment?
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Patient: hi my name is sherry i had pain in my stomach first so i had an ex-ray and a ct. everything was normal. i just had a colonoscopy and that was also normal i now have pain right below my belt line on the left side. i can't function. i take tylenol and tramadol. i have been to the dr at least 4 times relating to this pain. can you help me or suggest a different test thanks sherry Doctor: Hello!Thank you for the query.Lower left abdominal pain can be caused by urinary tract infection, inguinal hernia, ovarian cyst or strained adductor muscle.Urinary issues usually give also frequent urinating, burning while urinating. Blood in the urine can be present.Inguinal hernia usually gives a lump in the groin which can be more visible (or only visible) when standing and coughing. That is why it can be missed in the CT.Ovarian cyst does not give any other specific symptoms and should be visible in the CT.Strained adductor muscle gives hernia-like pain in the groin. The pain usually appears after regular exercises like running. I suggest you to have urine analysis, general surgeon consult for hernia (and ultrasound of the groin in case of doubts), gynecologist consult with trans-vaginal ultrasound and if nothing will be found, MRI to check for chronic muscles inflammation.Hope this will help.Regards.
| 92,782 |
What causes lower abdominal pain and constipation?
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Patient: Iam having pain in my lower left abdomen, especially when I make some movements like try to sit or stand. All other times, Iam not feeling this pain. I generally have constipation (even before I have this pain), and with this pain also I have consipation. Iam not pregnant. Please suggest. Doctor: Hi,Looks like your constipation is getting worse.The pain is mostly due to your loaded bowel. So you need to take some laxatives to help clear your bowel and releive your pain.Also eat more fibers in your diet, like oats, bananas, green leafy vegetables, cereals, etc., to prevent constipation.RegardsDr. Ashish Verma
| 91,320 |
What is the best medicine for high BP?
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Patient: Hi Ia m a 49 year old woman who has had high blood pressure for around 9 years, i was taking Antanalol 50mg but on my last 2 visits it was significantly higer than usual so my doctor has put me on Ramipril 2.5mg alongside Bendroflumathiazide water tablets, i have been taking readings at home and it fluctuates anywhere from 143/85 right up to 156/95 am feeling slightly anxious most times which does not help but are these readings significantly dangerous or good on some aspects? i have only been taking the new medication since last thursday so a total of 5 days is there anyway perhaps you could put my mins at ease? i go back to the doctor in 6 weeks and before that have bloods to be taken, thankyou for your help Anne Doctor: Hello, Ramipril with the water tablets is a good selection. The action of Ramipril will be obvious in two weeks after starting the treatment. If the blood pressure is still high in two weeks, there will be a need to increase the dose of Ramipril to 5 mg, as 2.5 my is a very low dose. In case of any further questions don't hesitate to contact me. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Lilit Baghdasaryan, Cardiologist
| 16,937 |
What is the chance of pregnancy if i have Tb ?
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Patient: i am28 yrs old Today i have done TB Igm Atibodies blood test it came positive with value 312 serounits Drsuggested not to take chance for pregancy for next 9 months please explain what this test means what precuations i hav to take i am28 yrs old Today i have done TB Igm Atibodies blood test it came positive with value 312 serounits Drsuggested not to take chance for pregancy for next 9 months please explain what this test means what precuations i hav to take? Doctor: hi! welcome to healthcaremagic.com.IGM antibodies when high indicate new infection by an organism.These can cross over via placenta and harm fetus hence with such high titres it was advised for you not to conceive.Wait till levels come down .Use barrier methods and also ask about non hormonal pills since hormonal pills are ineffective with some anti-tb drugs.Take care.
| 7,374 |
Advise treatment for chronic DU
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Patient: I am 35 year old diagnised with chronic DU and prescribed HAPPY XT Rabeprazole 20mg+zinc carnosine75mg. No antibiotics prescribed. I am taking this medication for last 10 days and there is not much improvement. Should I visit doctor again for a different prescription. Doctor: HelloThanks for query .You have been diagnosed to have Chronic Deodenal Ulcer and prescribed combination of H2 receptor antagonist (Rabeprazole) and Zinc Carnosine 75 mg.Since Chronic Deodenal Ulcer is not due to bacterial infection there is no role for antibiotics to play in healing of a ulcer .It takes few weeks for these drugs to see the results and has to be continued for long time .You have to follow following dietary restrictions to promote healing of a ulcer .1) Take frequent small meals at regular interval rather than having two full meals twice .2) Take milk and curd in sumptuous quantity .3) Avoid junk food and spicy food .4) Avoid alcohol and aerated soft drinks .This will help to cure your DU.Dr.Patil.
| 47,193 |
Suggest treatment for global cerebral dysfunction disease
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Patient: I was recently diagnosed with global cerebral dysfunction disease that first showed up in 2009 brain Mri with contrast and it was not caught by either the radiologist or my Neurologist who ordered it I just had another brain Mir with contrast done and it has significantly gotten worse since 2009.. No one looked at the 2009 scan because this new doctor said that they missed it in 09 because the new mri shows white matter or spots all over my brain now followed by a ton of symptoms...first thought they MS but had a spinal tap it came back negative no like disease blood work was all good.. I don t smoke or drink or drug never had. I fell out of a tree when I was ten and landed on my head and damaged my 1-7 vertebra and mri were not invented back then 35 years ago ....my personal care is stumped to know why I have this issue in the first place and squire frankly I am so frustrated that it should of been caught but wasn t....Can it be reversed or helped on any way please I m open for any ideas to pass along to my doctors Doctor: I would be happy to provide more information about your condition given your history if you are able to upload a copy in PDF format of your available imaging studies of the brain as well as any labs and/or diagnostic procedures you may have had such as LUMBAR PUNCTURES or EMG's/NCV's. I understand that all results have been reported to as normal but I would like to review them all the same before drawing conclusions. Please upload requested information to: www.bit.ly/drdariushsaghafi
| 142,426 |
Is constant pain in lower left stomach due to being on birth control?
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Patient: Hi, I have no idea if this is real. But I just need results of my issues.First off my name is Nicole, I have pain in my lower left stomach. and its the only stop that really hurts. Im on birth control, and have been for yrs. for health reasons. and I know its not from that. But I have had the pain for a week now. its off and on, everyday, every hour, every min. :( Doctor: Dear Madam,I dont think it is due to birth control pills . You will need to see a gastroenterologist for this .Dr. Shruti
| 225,188 |
Upper abdominal swelling, high lipase. Calorie restricted diet. Is it pancreatitis?
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Patient: I have upper abdominal swelling and have put on about 9 pounds in two months with no change in diet. I have tried calorie restricted but the pounds won't budge. I was recently diagnosed with high lipase. I believe the number was around 90 or 900 but was told for pancreatitis it would need to be in the 10,000s. What else could it be? Doctor: Hello! Thanks for putting your query in HCM. I am a Gastroenterologist (DM).Elevation of lipase more than three times the normal limit level is cosidered to be significant. So level of 900 is significant and suggestive of pancreatitis or pseudocyst formation as you have swelling in upper abdomen. So I will advise you to get an ultrasound abdomen to see for the pancreas and manage accordinglyI hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
| 92,810 |
Suggest remedies to increase the sperm count
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Patient: HAI DOCTOR, YESTERDAY ME AND MY WIFE GOES TO A HOSPITAL FOR NEED A PREGNANCY PURPOSE TO HER. DOCTOR IS GAVE ME A 5 TABLETS OF FERTOMID 50MG. THIS HOWLY WORK. AND I ALSO CHECKED A MY SPERM COUNT. IT IS A 35MILLON COUNTS AND MOBILITY IS 50. THIS SHOULD BE OK OR NOT. IF NO PLEASE SUGGEST ME A HOWLY IMPROVE THE SPERM COUNTS IN MY BODY. PLEASE GIVE ME A REPLY AS SOON AS POSSIBLE. Doctor: HIWell come to HCMI really appreciate your concern, just only one sperm is needed for conception so looking to this just keep trying for this, no need to have any medicine because pregnancy is natural phenomenon rather than physiological one, once the compatibility is there then conception can not be stopped, good luck.
| 200,372 |
I have head- banging while sleeping
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Patient: 21 years old and tired of it. it is ruiening my life and body. apparently only occurs in infants and kids till 11years. while i sleep, i bang my head on my pillow, wheter im on by back, stomach or side. started at 2 months and never stopped. i cant sleep at someone's house, or let them sleep over, im embarressed about it, my neck are sore and my back, i just cant anymore. no doctor i have seen understands it or believes me. please help Doctor: Thanks for your query on HealthCareMagic. It seems that you are very distressed and suffering a lot because of the problem. Your description could be due to several reasons- namely epileptic fit, REM sleep disorder or psychological problem. The good news is that, it appears to be a treatable condition. You may need some investigations to find out the cause such as EEG, sleep study, video telemetry. Consult your local neurologist, psychiatrist or sleep medicine specialist. Best wishes, Dr. Amardeep
| 151,973 |
What are the stages of Alzheimer s disease?
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Patient: I have a relative with alzheimer s. They recently had a angry reaction to a situation and couldn t get past it for the day. They were very agitated and mad for a silly reason. The next day they didn t remember what had happened. They just know that something had happened and wanted to know the details. what stage of alzheimer s is this considered typical behavior? Doctor: Hai, * Alzhiemers disease is progressively deteriorating condition *In view of Memory loss first patient looses Immediate memory,then recent memory,then long term memory * behavioural changes are part of the illness * Patient at a later satge become bedridden ---Bed wetting/bed soiling can be there
| 205,027 |
How to treat in a case of consumption of a full bottle of aspirin?
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Patient: hi my girlfriend at a bottle of aspirin (100 pills). she is 20 and about 100 lbs. she refuses to go to a hospital. she is vomiting a brownish color and is nauseous. what can i do to help her? i have given her water, ginger ale and chicken noodle soup. Doctor: Hai.u have not mentioned the dosage, whatever 100 tabs is too much, do not give any thing orally.keep her nill orally, take her to the emergency room as early as possiblefor an emergency stomach wash with cold saline, , checkout for vitals, bleeding tendency (gastrointestinal or rectal)haemogram, coagulation profile (pt, aptt, inr) )bleeding&clotting time.platelets.action of aspirin is normally for 7 days causing decreased platelets.tranfusion of fresh whole blood, fresh frozen plasma, or platlets, infusiom of pantoprazole, amino caproicacid will be of good help to stop the bleeding. This needs icu observationand she needs a good psychiatric counselling
| 97,148 |
What causes the appearance of spot on the chest X ray after recovering from bronchitis?
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Patient: my daughter was in the er two days ago and recieved a chest x ray. She was clear for any phemonia or brochitis but the ER doctor found a small quater size circle on her right chest and he didn't know what it was. It was sent to radiology and her Pediatrician told me it was something called a Hilum something that is common in a pediatric x ray is this true and why have they not noticed this in prior x rays? Doctor: Thanks for your question on Healthcare Magic.I can understand your concern. You are mostly talking about hilar lymphnode. Bronchitis can cause enlargement in hilar Lymphadenopathy. And this gives spot on chest x ray. It is common on children. So no need to worry much. It resolves itself once bronchitis is resolved. So don't worry about this spot. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
| 72,402 |
Can a lung nodule cause chronic coughing?
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Patient: Can a nodule grow big enough in 6 months to cause chronic coughing? I know 6 months ago when I was first diagnosed it was only 4mm but I m worried that this cough is something more. It started as Bronchitis but is still here and my lungs are clear and my x-ray came back clear. I feel like I have something stuck in my throat and ant extra activity (even just talking) causes me to cough, sometimes so bad I have a hard time breathing. My doctors believe its my asthma but I breath just fine. I ve rarely ever had and issue with my asthma over the last 20 years and now all the sudden I cant stop coughing. Please some insight! Doctor: i think you are correct and have adequate insight with your disease.if the nodule is very close to the large airway it could well cause severe coughs...avoid allergic materials and take some antiallergic to reduce your symptoms1all the best................
| 81,450 |
What is the prognosis for pleural effusion with an elevated diaphragm?
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Patient: my father is 60. he developed a pleural effusion about a week ago which got slightly complicated. the fluid became pus (acute bacterial empyema). a substantial volume of the fluid has been drained through a tube, and he seems fine. latest x ray shows an elevated diaphragm. what is a possible prognosis for that, and what should be done next? thank you Doctor: HelloThis is a complicated situation and exept the dranaige of the pus the insertion of the antibiotics in site should be done further.RegardsDr.Jolanda
| 72,524 |
Suffering from heart pain and swelling, kidney stone, swollen leg, vomiting. Looking for suggestion
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Patient: hi, I have lots of problem but Mizar is heart pain and swilling, brain all vain are starch and more pain, and i have both kidney stone . left kidney more pain swilling and, legs swilling, w omitting, i cant eat any thing i not filling good, i m very tide. filling very bed and i cant control my self i would like to finish my self. please give me some suggestion. Doctor: hi dear, you need help first from your family doctor, who can then send you to the appropriate specialist. If you have kidney stones and they are causing pain/vomiting/swelling, do see a urologist early. involving your family or friend will help. remember people can have diseases much worse than kidney stones, so dont lose hope. take care.
| 51,405 |
What causes swollen lips and pain in the knee and elbow after a bee sting?
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Patient: I have a ten year old grandson who presented this morning with welts on his back and arms and legs, along with pain in both elbows and both knees. It has gotten worse through the day and tonight his upper lip is swelling as well. I don t know if this is related but he received 6 bee stings about 8 days ago. Any ideas? No fever. Lots of itching. Doctor: Hi i do care for your concern. The bee sting usually cause hypersensitive reactions, and cause swelling of lips. In your case the sting was 8 days ago. I would advise to consult your physician and get thoroughly examined for any insect particles left over in the stung regions. In most cases tablet cetrizine would help to control itching. And due to inflammation the pain may be present, hope the condition recovers soon. Hope i have answered your question, If you have more feel free to ask. Thank you.
| 29,495 |
Is inverted nipple a symptom of breast cancer?
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Patient: I m a 34 year old female. I ve noticed that my left breast nipple is inverted only when I wear a bra and lay down. I also noticed that my left breast is much smaller than my right, but I only noticed that when I wear a bra. I ve done the usual self breast examine and nothing out of the ordinary, but should I be concerned? Doctor: Hello,Just presence of inverted nipple doesn't have any significance. It can be normal also. Nipple becoming inverted and not coming back is a warning sign.If you are not feeling any lump while doing a self-breast examination, that's ok.My suggestion is if you have still doubt, consult a general surgeon and have a mammogram and your doubts will be clarified.Hope I have answered your query. Let me know if I can assist you further.Regard,Dr. Siddartha
| 152,546 |
What causes pink phlegm while recovering from ear, sinus and respiratory infection?
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Patient: went to urgent care had breathing treatement to open lungs and was given arithrimyasin and prednisone and codine and an antibiotic shot. still no fever. diagnosis was infection in both ears, upper resp, infection, and a sinus infection. in the beginning had severe chills and no energy then coughing started then nasal stuffiness then ears. now phelgm is almost like gelatin and is pink i that ok, does it mean that i am getting better or should i go back? prior to the arith. I gad been given augmentin but it didn't work even though i stopped taking my doxycycline. Doctor: Hello, hope you are feeling better now. To paraphrase your question, I understand that you had chills and a cough, stuffy nose and then a ear infection. After treatment with azithromycin, you have pink sputum, is that correct? When my patients come with pink sputum, if they are not breathless or sick (in which case I would think of fluid in the lungs or heart failure causing the pink sputum), a small amount usually is not a major cause for concern. It should settle once you complete your course of antibiotics, as it could be due to the infection itself producing the colour. Do see a doctor if you have any of the following:1. Breathlessness2. High fever3. Loss of weight4. Blood in the sputumWish you a speedy recovery. Will be happy to clarify if there are any other issues.
| 32,303 |
Is Erytop cream good for pimples ?
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Patient: HIi Team, I am 23 years old and have pimples on my face so started using Erytop cream and i am applying in the night and leaving on overnite and washing in the morning. Please advise is that a good option or can i do something better Regards, Doctor: Hi Welcome to HCM Read your prob, this is common prob at your age, if you have suffering from painful acne then you should take an antibiotic after advising your doc along with that cream. you should wash your face frequently, take protine riched diet, n avoid fatty n spicy diet.
| 7,988 |
What could be the reason behind Night sweats and extreme bad breath?
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Patient: I have severe night sweats... It can be cold in the house but I still have them and I also have extreme bad breath, it's not due to dental work or poor hygiene because I do everything right..I went to my primary care doctor/dentist and they both can't find anything wrong with me...I even changed my diet,brush/rinse with oral probotic mouthwash and tooth paste,take a probotic twice a day,brush my teeth thru out the day as well as floss....I'm losing hope and going broke trying to fix this...What can it be Doctor: HI, THANX FOR YOUR QUERY . DON'T GET WORRIED ,REASONS MAY BE IMPROPER TONGUE CLEANING, HAVING FOODS WHICH HAVE STRONG ODOUR SUCH AS GARLIC , ONION.DRY MOUTH[ XEROSTOMIA] DUE TO INADEQUATE SALIVATION , OR CHECK IF YOU HAVE THE HABIT OF BREATHING THROUGH MOUTH, HAVING ANY ACIDITY PROBLEM, DIABETES MIGHT BE ALSO A REASON,TAKING ANY MEDICATION SINCE SO LONG. CHECK THIS OUT ,HAVE MORE WATER, TAKE BALANCED DIET,MAINTAIN GOOD ORAL HYGIENE.HOPE THIS IS HELPFUL.
| 188,022 |
How can amenorrhea with an incompetent cervix be treated for a pregnancy?
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Patient: Hi Doctor I have had to babies born prematurely and they both passed away shortly after giving birth. The obstetrician have confirmed that I have an incompetent cervix. It's coming on a year now that I lost my last baby, I have been trying to fall pregnant again but no luck. Prior to falling pregnant the first time my period was irregular and regulated for about 2years, in the last four months I have not had a period (I am not pregnant). I'm in my early twenties, I do not smoke, I exercise regularly, eat healthy and have a normal bmi..should I be very concerned. Doctor: Hello and Welcome to 'Ask A Doctor' service.I have reviewed your query and here is my advice.Before planning for a baby, you should get the treatment for getting regular menses. Consult a gynecologist for thorough check up and relevant investigations to find a cause followed by the specific treatment.You can plan a baby after you have attained regular menses with ovulation.Check for ovulation by LH surge test and have unprotected sex, from positive test, for 5 to 6 days. Pregnancy home test is done after 8 days delay in menses. Have regular pregnancy check-ups, take advised test regularly.In case of incompetent OS, stitch is applied to cervix to tighten the cervical opening at 4 to 5 months of pregnancy this may be followed by bed rest for few days. Stitch is removed in the ninth month or at the time of the delivery. This way with gynecologist's hello you can give birth to a full term healthy baby.Hope I have answered your query. Let me know if I can assist you further.Regards, Dr. Vasudha Jayant Athavale
| 264 |
Does using hydrogen peroxide as an oral rinse affect the taste buds?
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Patient: does using hydrogen peroxide as an oral rinse affect the taste buds? I've been using hydrogen peroxide for about a month, and while it's helped my gingivitis very much I've noticed that I've lost a degree of tasting ability on my tongue. I'm also using a fluoride rinse in the morning with the peroxide, and a Crest gingivitis rinse at night with the fluoride. Doctor: Hello, Thank you for consulting with HCM.As such there are no studies that prove that hydrogen peroxide causes damage to taste buds. But still excessive use of it causes altered taste sensation.Better you should discontinue with the mouthwash for sometime and observe the response.Continue with only one mouth wash at a time otherwise combined they will
| 187,318 |
Suggest treatment for heart murmur
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Patient: Please help me. My 18 year old son has some chest pains. He was rushed to the emergency room. Doctors said he may have heart murmur and has infection in his chest. He was diagnoist with asthma at the age of 1 year old. And has allergys. One pediatriction gave him nexum for his heartburn/ acid reflux. Doctor: Childhood asthma and reflux are closely associated and likely of no concern. An infection in the chest may have no relationship with a heart murmur. Murmurs are common and not always bad. The best thing is to let them get control of the problem making him ill at the moment. After that, your doctor can decide if there is any need to worry about the murmur.
| 20,281 |
Suffering from gall bladder stone. Prescribed with digene. Pain due to overeating. What immediate care to take?
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Patient: Patient is suffering from gallbladder stone . One and a half months ago, my grandmother was admitted to hospital for a week and doctor referred operation for her. Doctor prescribed Digene 3 times a day and a tablet which is used in case of pain. We want to avoid operation because of age factor. Now, she is facing with same pain again because of overeating. I tried to give her Epsom salt in a cup of water but she don t want to take it. Please advice what to do? Doctor: Hi, Thanks for posting your query. Pain after eating is possible in cholecystitis, pancreatitis and peptic ulcer disease. Pain due to gall bladder stone is because of development of cholecystitis (swelling in gall bladder wall). Gall stones causes pain in right upper quadrant of abdomen and patient may develop fever, vomiting and yellow discoloration of sclera and urine. Digene is effective for acidity problems and have no effect on gall stones. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for repeat ultrasound imaging for detection of gall bladder wall thickening. Your grand mother should take small amount of frequent meals. Hope that helps. Take care, Dr. Mayank Bhargava
| 59,659 |
Is it safe to give high doses of Zatofen syrup for GERD?
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Patient: aoa i m mrs khawar from islamabad my child has been suffering frm problem in feeding from the birth which i was thinking he have GERD Gastroesophageal Reflux Disease but when i take him to doctor he diagnose him as allergic patient because of which he produce collic and frequent burping and wind blockage ( according to doctor) from which i m not satisfied, cz my child has 99% symptoms of GERD as my old three kids already diagnosed with same when infants now doctor advise me to gave him zatofen syp a half teasapoon for six weeks after 4 weeks of no chang i stop using the medicine and my child behave worse. when i ask doctor again he said double the daily dose ( one full tea sapoon in eve daily . now i want to ask is it safe to give? he is now 4 months old i m not using medicine but my child is really annoying cant take feed cant sleep nd much much more like gerd, plz guide me as soon as possible. thanks regards Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Zatofen (kitotefen) is usually not advised below 6 months of age according to the studies. If you are having symptoms of GERD -- vomit of feeds, which is resulting in breathing difficulty, any arching of neck, then you have to show to a child specialist and get evaluated for GERD by radionuclide scan (milk scan) and can be started on domstal drops and antacids to decrease the problem along with keeping him in propped up position while feeding and proper burping.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Nagasudheerkumar Mekala
| 174,679 |
What causes limping on the left foot?
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Patient: My 14 month year old has been at ties walking fine and then limping with the left foot at other times. He ll use his toes to walk on it. I didn t notice a fall or anything that caused it. It s been about a week and i m concerned. He ll walk and run on it fine for a while and then back walking on his toes on the one foot and then back to being fine again. Do you think it s a spran? I can t keep a cold or warm pack on his foot long enough to do any good. Doctor: HiIt's unlikely due to any sprain as it's not giving any consistent disability. It can be just a behaviour which will improve within a few days. There is no need for any treatment at present.Take care
| 168,392 |
Feet slipping, lower back pain, left side sore, applied ice
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Patient: Yesterday during a game training for kids, I was supposed to go in the pushup position quickly & my feet slipped causing me to hit the ground hard on my stomach . My lower back hurt for about 5-10 minutes. Today the left side is extremely sore. I ve been icing, is there anything else I should do. I m a 29yr old female & avid crossfitter. Doctor: 1. Rest 2. Pain killers 3. Xray LS spine A/P & Lateral to rule out bony injury 4. Ultrasound therapy is sometimes helpful if it is a muscle spasm
| 113,710 |
Suggest treatment for fever in a child
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Patient: hi. my daughter is 15 months old. my doctor sugest to give crocin 6 ml on sos basis. is it require when fever comes? or should be provided continuous after particular interval of time. i gave her sos basis for 3 days but still fever is coming again and again. what should i do? is any antibiotic required. pls suggest. Doctor: HIThank for asking to HCMI really appreciate your concern and looking to the history given here I could say that it is good to treat the fever with Acetaminophen to the patient of 15 months old but with the certain time period say up to 3 to 4 days then this condition need to be investigated instead of thinking about antibiotic, have a nice day.
| 180,307 |
Can a girl get pregnant from pre cum?
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Patient: my gf and i were messing around, i first ejaculated and came, but it was no where near her vagina. then next i tried to go inside, but there was no penetration, because it won't go inside, i don;t know if i had precum, cuz i was wiping it with my hands or maybe it was from her vigina, can she be pregnant? Doctor: Hi, she can be pregnant bh precum also as it may contain sperms sometimes. So, she needs some emergency contraceptive. If her periods get delayed, do a urine pregnancy test. If positive consult a doctor if you don't want pregnancy. If negative wait for the periods. Hope I have answered your question. Regards Dr khushboo
| 1,454 |
What causes fluctuations in the BP level and fatigue while on Prazosin?
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Patient: My blood pressure is 86 over 65 with pulse at 104 ... Should I be concerned??? I am taking prazosin 5mg at night ...I know it can lower my blood pressure ... However , in the evening my blood pressure is around 130 over 70 ...Do you think something else is going on ??? I also feel lightheaded and sweat quite a bit ... Doctor: Low blood pressure with additional symptoms such as sweating, fast heart rate, and lightheadedness are concerning. You should see your doctor regarding this as soon as you can or go to the emergency room if your symptoms are progressing.
| 19,727 |
Suggest treatment for cellulitis staph
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Patient: I have a cellulitis staph infection and keep my place covered. A coworker found out what I had and went crazy even though my doctor wrote a note saying I was not contagious. The coworker says my doctor does know what she is talking about. Can that be true? Doctor: Hello, Thnx to contact us. I understand your concern. If I am your treating doctor I advice you that it is not much contagious. In other words it is not as contagious as other disease like swine flu. If you come in contact with the lesion having high bacterial load of the staphylococcus bacteria than it is possible to have this infection. But it can be stopped spreading by taking due care that is proper hand washing, using sanitizer, using proper disinfectants etc.I will be happy to answer more of your concerns, kindly know me,Wish you a very good health at health care magic. Dr. Arun Tank. Infectious Disease.
| 38,113 |
Are there any side effects of taking Yaz birth control pills?
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Patient: Hi Dr, can you help me? Or point me in right direction? I have been diagnosed with endometriosis had a lap op last year meanwhile I was prescribed Yaz flex birth control to help with symptoms. Only thing is I can t stand it I am bloated uncomfortable, have a dragging sensation after being on my feet all day. Also boobs very tender sore, hard as rocks once a month in line with cycle I m not having because of Yaz. I was told to take as long as I could to get my body in sync with it, I lasted 93 days then had to take a break, 4 days of no pills to have a period. No period happened, I did pregnancy test came back negative still no period to date 10 days ago (I ve stopped taking yaz now). Help what other treatments are there? What birth control tablet should I try next? Appreciate any input? Many thanks Catherine Doctor: Hello, and I hope I can help you today.First of all, the treatment of endometriosis with continuous birth conrtol does help a lot of women with the pain associated with endometriosis.However, the side effects of bloating and breast tenderness can be due to the birth control, and the fact that you are taking them continuously compounds the symptoms over time.Secondly, many women will have their period delayed after stopping birth control pills, especially if the pill has suppressed your period. So the fact that your cycle has not yet returned after stopping the Yaz is not unusual.Even though you had bothersome side effects from the Yaz, there are many brands of birth control pills with different active ingredients that you can try to take for continuous use. The pill brands vary in name by the country in which you live, but a pill with the active ingredient levonorgestrel is the most popular type of extended cycle pill in the U.S. and I suggest you discuss changing to a brand with this active ingredient with your local physician.I hope I was able to adequately answer your question today and that my advice was helpful.Best wishes,Dr. Brown
| 223,715 |
What does fainting mean after donating blood?
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Patient: My roommate fainted after giving blood. They revived her, but she came back to the room, ate something, and fell asleep. She woke up briefly and said she felt cold. I told her to put her legs above her head and lay on her back, but she didn't. I'm wondering if there's anything I should do, or if I should just let her sleep it off. Doctor: Hi,Thanks for asking.Based on your query, my opinion is as follows.1. Post blood donation, mild hypotension leading on to dizziness is common.2. Not to worry. If she takes plenty of fluids, it will improve her blood pressure.3. Adequate rest along with nutritional supplements should help.Hope it helps.Any further queries, happy to help again.
| 116,242 |
What causes numbness and tingling on lower leg?
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Patient: My husband had numbness and tingling in the right leg from the knee down two weeks ago and saw a neurologist and an orthopedist. Neurologist cleared him and orthopedist said stenosis of lumbar from xrays. Today he began getting waves of numbness in his arms and side of back. No nausea, sweats or dizziness, no headache, or difficulty with speech and no chest pain. Going back to doctor tomorrow. what should we do ? Particularly right arm. Doctor: you should check for the spine if its clear they should rule out GBSGBS is an immune mudulating neuropathy, it affects sensory nerves most of the time then motor nerve involve
| 143,844 |
Suggest treatment for anal irritation in a child
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Patient: Well, basically I am 13 years old and every day in the evening my bum just tingle's and I can't sleep. It is really upsetting me and I get really nervous. I do not think it is worms because I don't see them in my poo. Please can you reply asap. Thank you so much Doctor: Anal irritation is usually due to pinworm infestation which are not seen in stool. You should take albendazole 400mg stat dose for that.Other cause may also b poor hygiene. so u should look for that.
| 165,997 |
How multiple gallstones can be diagnosed ?
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Patient: can anyone explain how someone can be diagnosed with multiple gallstones and gallbladder polyps, to be told 6months later polyps have gone and one gallstone can be seen. Gallbladder Doctor: Hi. You haven't mentioned the number of stones and range of their size. Similarly, you have also not mentioned the details of polyps. Anyway. 1. The 'key investigation' for the diagnosis of both is ultrasound scan. 2. The disappearance of stones without having caused any symptoms (particularly severe pain) and spontaneous disappearance of polyps is unusual. 3. I would recommend you to repeat ultrasound scan from another experienced sonologist. I do not mean to doubt competency of your previous sonologist, but that's the best suggestion I can offer because of the fact discussed above (point number 2). Thanks.
| 60,131 |
Suggest treatment for asthma
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Patient: HI, I AM A NEW IN-HOME DAYCARE PROVIDER. ONE OF THE PARENT BROUGHT HER 19MO OLD BOY TO MY HOUSE COUGHING. (FOR 3WEEKS) JUST FOUND OUT THAT HE HAS AN ASTHMA. AND SHE BROUGHT HER CHILD AGAIN THE NEXT MORNIG AFTER THEIR VISIT FROM THE ER. is he ok to come to daycare ? Doctor: Dear friend .. i dont think having asthma is a contraindication for visiting your day care. i am sure you are are knowledgeable enough to manage the emergency situation if it arives.. ask the parents first to meet the pediatrician and get proper treatment. see that child is not exposed to dust. provide hygienic food and water to avoid infections which may exacerbate asthma. better keep an inhaler for emergency learn to operate. inform the parents that must be available on cal if required.
| 100,197 |
What does hard lump under breast indicate?
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Patient: I have a lump under my left breast its extremely hard like a boney feeling on my rib. Its sore to touch. I had severe pain before the lump occured which included shortness of breathe and was hard to breath my doctor called it chondritus now I have this lump. Doctor: Hi, dearIf you have hard lump undar the breast then you should go for fine needle aspiration cytology and memography. It can be carcinoma breast or it can be benign breast lesion. Just go for it and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
| 67,901 |
What can cause dark urine after masturbation and why am I experiencing pain in penis?
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Patient: Hi Sir, This is ALI Here. . . On 10/01/2014(09.00PM) i masturbate and after few minutes(Ten minutes) i go to pee and my urine color was very dark and blood was coming from my penis. . . After that i drank lots of water(I think it was because of drinking less water then required for Daily). till now my urine is coming like normal. But i am feeling too much laziness and feeling pain in my legs (Especially in SHIN part) and little pain in my penis. Sir please help me i am too much worried and i cant focus on my job due to this problem. . . Give me solution of this problem plzzzzzzzz Waiting for your reply Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have passed high coloured urine and blood after masturbation.Most likely this could be due to trivial injury to urethra due to vigorous and rough handling of penis while masturbation .Do not worry take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Ensure to drink more water.To keep your urine dilute This will help to control dysuria and pain in penis.Ensure to avoid sexual encounters or masturbation till it heals up completely.Dr.Patil.
| 203,625 |
Why am i ejaculating red semen?
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Patient: Hello docs n experts, Since yesterday I m ejaculating red semen. I noticed it yesterday while masturbating, even today I seen same thing when I was trying to confirm was it a normal one day case or a serious issue. Now I think it is a serious problem for me. Please help me. Doctor: HelloThanks for your query,based on the facts that you have posted it appears that you have got Haematospermia (Blood in semen) noticed after masturbation .This is mostly due to trivial injury to urethra due to rough vigorous shaking of your erected penis .Please get Ultrasound Scanning of the penis done to rule out any major injury.You need to take broad spectrum antibiotic like Cefexine along with anti inflammatory drug like Diclofenac twice daily.Ensure to drink more water.To keep your urine dilute.Ensure to avoid sexual encounters till it heals up completely.Dr.Patil.
| 202,021 |
Suggest treatment for back deformity in a child
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Patient: I just found out my 12 year old has this disease. We thought it was Scoliosis but this sounds worse! We were given exercises to do and plan on helping her lose some weight and then the doctor wants to see her again in 6 months. She has a 80% curve right now. Her back already hurts, and now my heart does for her! Why didn t her give her a brace to use? Would that help? What about Chiropratic, Massage or Physio Therapy? Would any of that help? We saw the top children s specialist in the area and want to trust him but this is all so scary! Doctor: Hello, I wish you had included the name of the other disease that sounds worse with the historical information you provided. An 80-degree curve of the spine is an extreme curve. I'm sure this is why your daughter has back pain. Progressive curves are more common in girls. She did not receive a brace because her curve is too great. The other methods for treating back problems will not be effective either. What a horrible way to live. To be 12 years old and have daily back pain. Please do not wait six months. Get a second opinion NOW! Let her be evaluated by a pediatric orthopedist who is on the faculty of a major medical center. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Arnold Zedd, Pediatrician
| 162,256 |
Why my daughter is coughing a lot?
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Patient: Hi, my daughter is 1year 9 months old, she was having running nose n coughing n lil fever. Doctor has given piriton cs 2 times and ventolin syrup 3 times. Now after two days she don't have much running nose n don't have fever as well, but she have coughing a lot. Can you please suggest? Doctor: Hi Dear Welcome to the HCM,Steam inhalation and nebulization frequently for 4 to 5 days will help to remove the expectoration.Hope the query is answered.Thanks
| 175,456 |
Is excess masturbation unhealthy ?
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Patient: Can the micturition reflex suffer any damage due to over usage like over masturbation? Can damage is possible because I masturbate more. Doctor: hi welcome to healthcaremagic no it doesnt affect your micturition..when u masturbate, u cant micturate and when u micturate,u cant masturbate..make sure masturbation doesnt become a habit cos it would affect your sexual life later
| 213,757 |
Suggest treatment for low WBC and platelet counts
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Patient: CLL Patient 6 Treatments of Rituxan in 20ll Worked well for 1 year. 2012 2 Treatments Rituxan Followed with 3 Treatments of Rituxan and Treanda Mix. Worked well for 2yrs. Oct 8th 2014. WBC 16.9 Platelet Count 48. Searching options for Treatment Now. YYYY@YYYY Doctor: Hi, dearI have gone through your question.I can understand your concern. Patients has CLL with platelet count 48,000. So it becomes stage IV in Rai staging sysytemTreatment is chemotherapy like chorambucil or fludarabine. Combination of above therapy with rituximab can be helpful.Consult your doctor and take treatment accordingly.Hope I have answered your question. If you have any doubts then feel free to ask me. Thanks for using health care magic.Wish you a very good health.
| 115,255 |
How can wheezing be treated during pregnancy?
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Patient: Hi Doctor, I am a 29 year old female in the 13th week of gestation. I am known case of Asthmatic since my childhood and I have been getting Inj. Deriphylline once in a while and when I was about 24 years I used to work in a air conditioned environment where I developed wheezing more often so I started taking Asthalin inhaler as per my doctors advice. Sometime after I became resistant to the inhaler so I was prescribed with Monteleukast (10mg) with levocetrizine(5mg) - half a tablet for alternative days. Even now I am getting wheezing so I am taking the same tablet. I would like to know whether it is okay to take it in alternative days during pregnancy? I am trying to reduce the intake of the tablet but I am unable to so that as I somehow get the wheezing daily. Doctor: Hi i do care for your concern. The wheezing is caused due to allergen exposure and in some stressful situations. The drugs that you are taking now have no proven safety records in pregnancy. I would advise to Consult your physician and change to lower class of drug such as chlorpheniramine tablet, and salbutamol for inhalation. It is important to prevent the triggering factor than to go for medications. wearing a mask avoiding dust prone areas will help a lot. Hope i have answered your question, If your have more feel free to ask. thank you.
| 98,604 |
i have tremendous pain while i sit inspite of having two herniated discs and one bulging disc
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Patient: i have tremendous pain from sitting position, or very uncomfortable, can t relax on my off day. I am a cashier and stand most of the time on my job. Now i want to sit down and watch tv, but just can t stand the pain. In the past, i had a steroid injection in my tail bone for three disc problems. I have two herniated discs and one bulging disc. The new injection i am getting help my discs, called fattigal injection in my back, which is better than putting it in my tail bone or the medical name-ccocyx bone. sorry for spelling. can you give me some advice? Doctor: You should decrease your weight. Apply medical waist and back wrap or brace while sitting. You should do physiotherapy every 6-12 monthes as this is very effective. Walking one half hour daily is useful.
| 131,347 |
Longer periods, mid-cycle bleeding post taking birth control named Generness Fe. Is it normal?
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Patient: I m 17 and this is my second month talking the birth control Generness Fe. The first month my period came out to be normal. Two weeks later, I had my period again; this time is was lighter. A week later, I have gotten my period again which I am currently on. Today is my 9th day having it; it is very light (such as my second period in the first month), and I have no pains or anything. So my question is, why is my period longer than 7 days? Doctor: irregular light bleeding like you describe is a not uncommon side effect of the pills. the good news is that it usually resolves after 2-3 months and you ahod start having regular light periods as long as you take the pills regularly.please let me know if you have any more questions.
| 224,678 |
Suggest treatment for coughing phlegm
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Patient: Hi Doctor, I started with cold symptoms more than a week ago and although i feel much better, i still have a post nazal drip and a cough. I have been drinking medicine fot the cough and taking something to clear the flemm, but I don't seem to be able to get rid of the cough. Doctor: Hello,Thank you for asking at HCM.I would make suggestions to you as follows:1. Were I treating you, I would suggest you a expectorant type of cough syrup with an antihistamine.2. I would suggest you to take plenty of water and warm fluids during day.3. I would also suggest you warm saline gargles and steam inhalation for 5-7 days which will help.Hope above suggestions will be helpful to you.Should you have any further query, please feel free to ask at HCM.Wish you the best of the health ahead.Thank you & Regards.
| 100,192 |
CT report shows mild DDD, disc bulge, stenosis. Do I have another herniated disc?
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Patient: I had a CT last week I m s/p spinal fusion L5-S1 with rods, cages and screws. My CT report said this. Mild DDD seen at L4-L5 with mild diffuse disc bulge and degenerative facet changes causing minimal central stenosis . Post surgical changes seen at L5-S1 with resection of the posterior elements. So my question is do I have another herniated disc? Doctor: DEAR FRIEND DISC DEGENRATION AT ADJACENT LEVELS TO FIXATION ARE COMMON DONT REQUIRE ANY TREATMENT UNTILL U ARE SYMPTOMATIC REGARDS Dr. Vineet Saggar (MCh) Neuro Surgeon / Spinal Surgeon Chandigarh, Mohali - Ivy Hospital Sector 71 Mob. No.:- +91-9855990990 http://neurosergeonhead.blogspot.in/ http://www.facebook.com/neuro.surgeon.7186 http://www.linkedin.com/pub/dr-vineet/56/2a9/863 https://twitter.com/drvineetsaggar MEMYMYSELFUS@YAHOO.CO.IN
| 151,363 |
What causes pain in penis during sex?
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Patient: Hello I'm a male 44 years old and I have pains on my left side of my penis when I have sex. And I use to take a 10 milligrams of cialisis and now it takes longer to harden my health is good. I Not fat. I take one a week so I can explore sex more with my wife but not I'm nervous could I have a cogged arterie? Doctor: Hello I share your concern This pain might be caused by cialisis (tadalafil) or injury due to lack of lubricationCialisis increases blood flow to penis and makes it hard, some time it may cause pain in penis due to vasodilation of veins in penis shaft and corporas.In my opinion you should use lubricants during sex to avoid injury caused by frictionYou can take ibuprofen for pain in penis if it is unbearable or reduce the dose of cialisis.Hope this answers your question and you will find my response informative and helpful.Please feel free to ask for more queries.wishing you good healthRegards
| 198,902 |
Is it related to Thyroid?
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Patient: When I see upward and Cough I get Vibrations to my Back Shoulders and knees is it related to Tyroid , Spondalitis or its some thing related to muscle pulling or just due to sinus Male 36 , Doctor: HI, Most probably it is due to cervical spondilitis,There is stretching of nerves coming out from vertebrae due to spondilytic changes in the vertebrae. You go for Xray cervical region and confirmed.
| 152,181 |
Can combination of implanon and dexamphetaime cause exagerated anxiety?
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Patient: My daughter has an implanon implant and changed to 3 tablets of pure dexamphetaime for ADHD around the same time. She is now showing signs exagerated signs of anxiety at timesand there are times were you cannot reason with her. I am trying to figure out if this may have been caused by one or both of these together. She always had some anxiety but not as much as she now shows. She has just turned 19 and has been on this combination for about 6 months. Doctor: HiBoth these drugs when taken together may not cause any drug interactions by affecting each other drug action.But the implanon is known to cause mood and behavioural changes due to the increase in hormone levels.The body needs time to adjust to the new hormone levels.These symptoms may reduce in the subsequent cycles.You need to wait and watch for the symptom pattern for 2 more weeks. Mind relaxation techniques,counselling and Physical exercise will improve the symptoms. Incase of persisting symptoms,you need to visit your doctor and decide whether to change the drugs.Hope I have answered your query. Let me know if I can assist you further. RegardsDr.Saranya Ramadoss, General and Family Physician
| 83,440 |
Are headaches, earaches, toothaches related to cord compression at C5-C6?
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Patient: I had an injury on the job in 2008 the MRI showed left sided disk protrusion with mass effect on thecal sac and minimal cord compression at C5-C6 then in 2013 MRI showed C5-C6 broad based left central herniated disk and now had MRI done two weeks ago shows Interval increase in size of C5-C6 broad based central disk osteophyte eccentric to the left which effaces the dorsal and ventral CSF space and flattens the cord there is mild right and moderate left foraminal narrowing. I ve had PT epidurals nerve blocks is surgery the only answer? And I keep getting horrible headaches, earaches, toothaches which the dentist hasn t found anything, are they related to the cord compression? Doctor: hi,as you mentioned about the C5 & C6 disc degeneration disc disease, the muscles supplied by them usually gets involved. Also due to continuously stress applied onto the muscles of the neck, the muscles of the neck are always in a state of tension which leads to the disturbed blood flow to the brain and there by leads to headache and other symptoms. Getting treated for the pain and spam in the neck region will help you ease of the symptoms like headache, earaches and toothaches. Also getting checked by a dentist for the toothache will clear any doubt about the pathology of the oral cavity. for the disc degeneration in the C & C6 region I advice to take therapeutic ultrasound therapy and TENS therapy which will alter the pain and spasm. Also performing regular strengthening exercises for the neck, upper limb and shoulder will help you ease of sysmotoms. Usually along with the medicine, physical therapy plays a good benefits. I have personal experience of cases with such symptoms and 99% of patients recover. I am hoping the same with you. As surgery is the last consideration made by the surgeon. physical therapy is a slow process but keeping patience and undergoing physical therapy will definitely give you ease of the current symptoms.with the grace of God I wish you a speedy recovery.
| 144,285 |
What could cause hard growth on butt crack?
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Patient: I have a hard whitest growth about the size of a pen point near my butt crack. It is also raised up like a skin tag some what. It is very sore but not nothing comming out of it. Please let me know what it might be or what I can do to get it gone. Thank you. YYYY@YYYY Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The skin tag and the growth like thing you are feeling could be because of a long standing constipation or passing hard stools. I feel what you have is a chronic fissure with sentinel tag. It is due to mainly passing hard stools which cause repeated trauma to the anal region causing linear injury and causing pain and bleeding. to protect the skin starts covering the area forming sentinel tag. I feel you need to see a proctologist who will examine the area and suggest diet modification and local ointment for the same.High fiber diet, stool softener, sits bath and plenty of oral liquids is the main stay of treatment in this condition. Hope I have answered your query. Let me know if I can assist you further.
| 127,612 |
What does sticky foul smelling stools in a baby indicate?
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Patient: Hi..my 20 month old daughter has very sticky foul smelling stools..when she has the urge she clenches her buttocks and starts going red and sweating..she can do this upto 4 times a day sometime producing a very small amount to a larger amount..the only way I can describe the consistency is like clay..what Could be causing this? Doctor: HiThanks for writing to healthcare magic.Sudden change in consiatency of stools with foul smell indicates viral infection.Dont worry , it will settle soon.You can give her probiotics like sachharomyces and zinc .If it persists get the stool tested for puscells ( infection ) and reducing substances ( lactose intolreance )Wishing your child speedy recoveryRegardsDr Arun
| 178,388 |
Suggest remedy for chickenpox
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Patient: I had a bartholin cyst or abcess (whichever one can burst) but I did not know I had it until it bursted. It bursted while i was peeing on the toilet. I then researched it because I got scared I had never experienced anything like that before. I felt instant relief as soon as it happened. Now here s where it gets tricky, I caught chicken pox a few days ago so I also have a few tiny blisters down there. I had the chills for about 2 days before this happened that I thought May have been from the CP but I m starting to think maybe it was infected because I read one of the symptoms for an infection is the chills and blood and pus did come out of it along with a whitish orange scab. It s still a little sore down there I m not sure if it s from the burst itself and needs to heal or it s just the blisters from the CP? Also every time I go to the bathroom or wipe a little discharge comes out of a blackish color. Is this normal? Please answer me I cannot see a doctor about it as I m still contagious from the CP. Thank you Doctor: Hello and thank you for your question. Bartholin's gland cysts are caused when this gland gets blocked and is a separate problem from the chicken pox, but is hard to know if the pain is from the healing cyst or the chicken pox. The cyst can ooze fluid, pus and even blood for a while until it heals up. Occasionally these cysts are so large that they have to be surgically opened and drained. If yours has already opened up, then the best thing to do is to use warm compresses and/or soak in warm water to encourage it to completely drain. If it gets blocked again then you may need to see a doctor at some point, but for now just use compresses and soaks to help it drain until it heals up. If you are having high fevers and a lot of pain around the cyst area (more than you would expect from the chicken pox) then you should see a doctor right away, since you may need antibiotics.I hope you are over the chicken pox soon. Thank you for using HCM.
| 36,200 |
Can allergy cause skin rash?
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Patient: Hi, I just recently developed an itchy skin rash (about two weeks ago). It started on my legs from what I noticed, and I thought they were just a few bug bites or maybe razor burn. But then over the next few days I began to noticed more and more itchy bumps on my arms and legs. On the front of my thighs, and tops of my forearms, back of my arms, and sides of my hips I began to get these little red clusters. They look like hives (urticaria from pictures online) now but don t go away. Some of the bumps have healed but I develop a few new ones almost every day. The rashes have not healed yet but do seem to be getting a little better. At first I panicked and thought we might have bed bugs but I ve searched my bed and surrounding furniture for them daily since the beginning of all this and have not found a single sign of them. I also share a bed with my husband, and our 3 children (4 years, 16 months, and 6 weeks old) most nights and I am the only one with these bumps and rashes. I went to the doctor and she told me that if she were just judging by the random bumps on my legs and arms that she would think they could possibly be bed bug bites, but with the huge rash up my entire right arm, and the small ones on the left arms, both thighs, and hips, that she was 99% positive it was not bug bites, and was some kind of allergic reation. She gave me a steroid shot and cream which seemed to help a little but certainly did not clear it up. A few days later we did a blood test and I just got the results back and I have a slight milk allergy and slight wheat allergy. My question is could one of these allergies be causing this rash? Can a slight wheat allergy cause the rash to take the form of bug bites in certain places of my body, and a very obvious rash in other places? If I only had the rash I would not be so concerned about bug bites, but on certain parts of my body (calves, knees, ankles, upper thighs, and arms where the rash has healed) I just have a few random itchy bumps here and there that pop up sometimes overnight and sometimes during the day. The only thing I can describe them as are bug bites, but they all are different sizes, and generally start out skin colored and not very noticeable until I scratch and then they turn red and stay red. Can a wheat allergy rash look like this? I m going crazy and at my whit s end because this is so itchy, and ugly/embarrassing. Any input would be greatly appreciated! Doctor: Hello, The symptoms can be related to an allergic reaction. I suggest using Loratadine for the itching daily. I also suggest using Hydrocortisone cream for local application. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dorina Gurabardhi, General & Family Physician
| 13,100 |
What causes itchy red rashes on the waistline and armpit?
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Patient: Hi, I hope you can help me. I have this red rashes on my waistline and near the armpit that are really itchy. When scratched, they kind of spread and form a small round shape with edges that are a little raised and reddish in color. What kind of rash do I have and how best can it be treated? Doctor: Hi, It might be fungal infection. You can apply topical antifungal creams like Clotriamzol for symptomatic relief. If symptoms persist, you can consult a dermatologist and get evaluated. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Shinas Hussain
| 13,612 |
Will I conceive after taking sifasi 5000 injection post periods and having sex?
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Patient: after how many days ,after periods can sifasi 5000 injection be taken for pregnancy. I had my periods on 21 july and doc told me to take injection on 10 august. after which i and my husband had intercourse for 3 days. Is there a chance for conceiving Doctor: Hello dearI understand your concernSifasi contain HCG and it will help to induce ovulation.Generally it should be taken after taking clomifene.Clomifene help in maturation of follicle and induction of ovulation.You should go for USG scan for monitoring.If ovarian follicle will have size of 18-21 mm then it has high chance to release quality egg and successful pregnancy.You can use it for 2-4 months.If it will not responds then go for ovarian drillingYou can also ask for progesterone pill: it will increase chance of implantation and support early pregnancy.Ovacare: it maintain reproductive healthAvoid stress, take healthy diet, drink plenty of water and maintain proper pelvic hygieneHope this may help youContact further if follow up neededBest regardsDr. Sagar
| 2,477 |
How to treat tonsillitis ?
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Patient: Hi, just started a course of Pen VK yesterday after being diagnosed with severe tonsilitis. Since taking the drug and changing nothing else in my routine I have developed severe abdominal bloating and some discomfort in my stomach area. My mother was allergic to penicillin but I did not think I was. I have had amoxycillin in the past with no problems. Is this a normal side-effect of the drug? I have hardly been eating since I got ill, just consuming fluids, so I don't think it's anything gassy that I've ingested. I am female, 42, and have a low BMI of 16. Doctor: Thanks fotr sending your query to hcm.if you are having problem with penicillin you can stop this drug however your symptom are not of penicillin allergy these are drug induced gastritis. So if you want to continue with penicillin take pentoprazole 40mg in the morning empty stomach . Capsule Darolac 2 times a day containing mixture of gut bacteria which maintain noramal flora of your gut . These two drug will releive your symptom.simultaneously do saline gurgle 4 ti es a day .it will fasten your re overy. If you are having pain in throat or difficulty in swallowin take pain killer diclophenac potessium 50mg as and when needed after meal.medication should always be taken under supervision of clinician.Good luck and feel free to contact.Regardsdr manish purohit
| 35,436 |
What causes severe hiccups and shortness of breath after a heart attack?
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Patient: my father just had a heart attack on Feb. 23,2011 and since then he has had the hiccups that last several hours out of the day. More time than not. He is experiencing loss of breath a severe fatigue from this. He has a doctors appointment tomorrow. Wondering what may be causing this? Doctor: Hello There After going through your medical details I understand your concern and I would like to tell you that Hiccups are caused by any number of factors that irritate the diaphragm. The diaphragm is a sheet of muscle that separates the abdominal cavity from the chest cavity and in your case after bypass surgery.Kindly consult a physician personally for further physical and diagnostic evaluation and treatment.Hopefully this information will guide you properly Kind Regards Dr Bhanu Partap
| 17,944 |
What might be the reason for putting on weight after the Gall bladder removal surgery?
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Patient: I had my gall bladder removed in January and ever since I am putting weight back on. I lost a little over 50 pounds prior to the surgery. Not because of my gallbladder though. I have gained around 12 pounds since the surgery and I don t know what to do about it. Doctor: Hi,There is no co relation of gaining weight specially after gallbladder surgery.We need to consider some other cause and try to rule out hypothyroidism .But when every thing is normal try to consider diet modification and physical activity ,that will definitely help youHope this information helps youthank you
| 55,840 |
Suggest treatment for sharp pain in the leg
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Patient: I keep getting pins and needles in my right leg at least 20 times a day and most off the time my leg just feels dead and have really strong painful shooting pains it normally comes and goes but tonight I ve had it for 2 hours and it s really painful ive had paracetamol but it s still hurts I m really worried because my mum sufferd from dvt and has now had a stroke can this be signs off dvt in my leg? Or what can this be? And why? Thanks Doctor: Hi. Your pain seems to stem from spine. First do not panic, you need an MRI done of your spine after that you may need surgery or just therapy.
| 139,101 |
What causes pain at the end of the backbone?
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Patient: Hi, I am having pain at the end of the backbone..at the center of pelvic girdle I guess. The recent cause seems to be excessive workout on treadmill. But I believe it started 2 years back. When I landed in US in 2009, I started having severe pain in my right leg. I would walk to the office and it d take 30 mins instead of 10 mins. The doctor didnt find anything in X-ray. I started getting muscle (gastronemius) leg cramp for no reason. Sometimes I get pain in hip-joint of right leg. This is the first time I am having pain at the end of the backbone and center of the pelvic. Doctor: Hi, It seems to be claudication, Do straight leg raise while lying on bed. Ankle-toe movements, knee and calf isometric, do stretching of calf, hamstring and quadriceps muscles. Gradually start lunches and hopping.Hope I have answered your query. Let me know if I can assist you further. Regards, Sunny Anand, Physical Therapist or Physiotherapist
| 121,397 |
What causes lump on left femur?
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Patient: Thank You. We took our 16 year old son for an X-ray this afternoon. He has a lump on his left femur. He has had it for a few weeks. He is a competitive soccer player and lifts weights. He doesn t remembering injury to the area. We are worried it might be Bone Cancer. Any other suggestions? Doctor: hi.it is best if you consult with a doctor, preferably a general or an orthopedic surgeon, for physical examination and clinical evaluation. diagnostics, such as MRI, x-rays and tissue biopsy, will be recommended as needed to rule-in/rule-out different tumor types. management (medical and/or surgical) will be directed accordingly.hope this helps.good day!!~dr.kaye
| 62,036 |
Suggest homeopathic medication for gross splenomegally
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Patient: Respected Dr.My mother is 55 years of age and suffers from gross splenomegaly. spleen size now is 25 one month back spleen size was 26, she is anaemic with low wbc count. She also has mild hepatomegaly. Kindly guide is there any homeopathic treatment available in this case. What should be done to avoid splenectomy and whom to meet in this case. An urgent response for the kind of treatment is required.Kindly guide with your valuable experience ASAPLydia,(Pune, INDIA) Doctor: Hey,i think your mother having severe type of aplastic anemia, which is responsible for all those complaints, which are happening with her. Yes there are best medicines in homeopathy,that can be work miracly..bt it needs complete case taking of the pationt. So u should have to consult best homeopath near by you.
| 97,406 |
What causes numbness in the left foot post lumbar discectomy?
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Patient: I m having L5 dissecdemy this Friday and all the pain killers, shots and steroid packs has lessen the pain. But my left foot continues to be numb and surgeon is a little optimistic numbness will go away! Could it be from nerve damage or something else. Is it repairable or will another surgery be needed? The MRI shows L5 definitely has ruptured disk. Doctor: Hello,How long have you been with this symptom? I think it comes from the ruptured disc of L5. It can compress the nerve that goes through your leg. As your doctor says that he is optimistic, I think that he has experience in his job and would know it better. Wish you good health and a successfully intervention.Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Emilda Belortaja
| 129,359 |
MRI reported nodular T2 hyperintensity scattered within the periventricular and subcortical white matter bilaterally. Meaning?
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Patient: Following an MRI with and without contrast, the report indicated that my husband has punctate and nodular T2 hyperintensities scattered within the periventricular and subcortical white matter bilaterally. Could you give me a fairly brief explanation of what this means for his future health and if it might be related to Alzheimer s disease. Thank you !! Doctor: Hi, Thank you for posting your query. I have gone through the MRI brain reports of your husband. The most common condition, which can cause these findings, is migraine. In addition, we need to exclude a diagnosis of ischemia (lack of blood flow to brain). This can occur in patients with high BP, sugars, cholesterol, etc. These findings generally do not suggest a higher risk of developing Alzheimer's disease in future. 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
| 150,562 |
What are the symptoms of laryngitis?
|
Patient: So my dr says I have laryengitis since I am losing my voice and have a sore throat but now I see what appears to be swollen taste buds towards the back of my tongue. Are the two things connected and how long till I am back to normal I also started coughing a lot today and had a runny nose is this a sign I am getting worse? Doctor: Hi,Relax, Laryngitis is pretty common and easy to deal with!Symptoms for laryngitis include 1. Cold2. Cough3. Sore throat4. Fever5. Swollen glands in the neck6. Pain with swallowing7. A feeling of fullness in the throat or neck8. Runny nose9. Loss of voiceSwollen taste buds (but an actual throat examination may show this to be congested layrnx/ swollen glands) may be associated with this. I would recommend you to have it checked again with your doctor to confirm the same. It usually takes 3-7 days to be back to normal. You can try salt water gargling thrice daily in the mean time.Take careRajesh
| 38,640 |
What causes inflamed prostate while sexually active?
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Patient: My boyfriend was just at a urologist apt and he has an inflamed prostate. The Dr asked if he we sexually active and of course the answer was yes. He then asked if I used tampons....what is the correlation between the two ? He has prescribed a cream...not sure what it is yet as Im not home from work yet to see what its called. Doctor: HIWell come to HCMWhen Doctor want to ruled out the infection then such history being taken to know the source of infection and nothing serous it is just suspicion, but this may not be infection, here the age of patient is more important because of Benign Prostrate Hypertrophy, if he is above 50 years then this is very likely, hope this information helps, take care.
| 200,180 |
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