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Can blood pressure medication be stopped to check improvement in bp levels?

I'm 35, BP 150/100 without medicine, never smoke, drink, BMIMy hdl:45, LDL:107, Total Cholesterol:168, Triglyceride:95, Blood Sugar(Fasting):83 (all are without medicine) My question is, should I stop this medicine to see the afffect. it is worth to mention that recently I've increased my physical activity,

Hello,Thanks for writing to Health Care Magic, I am Dr Asad Riaz, I have closely read your question and I understand your concerns, I will hereby guide you regarding your health related problem.BP is one major risk factor for major complication like MI or stroke...if pt have high BP as u r having ..1st we need to do life style modification to see whteher it work to de BP or not in whch i advice pt to lower salt intake,drinkng dec weight n exercise for a period of 6 month n still if pt have high BP then need to add med to control it so we prevent major comlication..as u having high bp u dont need to stop med n if u wanna it visit ur physian n then follow the what he/she advised to u..I hope this answered your question, if you have more feel free to ask.Regards.Dr.Asad Riaz.General and Family Physician.

What causes blood in urine?

Dr, My daughter is 5yrs old.i saw stains in her trousers a few days ago.the stains were light red colour.later i found some pus like liquid near her urinary tract.yesterday i saw light brick coloured liquid along her urine.feeling panic,gave urine for culter and routine test,culter result not yet recd.her routine test say,pus cells:4-8 and epithiall cells :2-4.What's wrong with my daughter? (she goes to urine only 4 to 5 times a day,drinking water too not sufficient)

Thanks for contacting HCMYou are concerned that your daughter may have a urinary tract infection. Your description of her urine and findings in her panties does suggest urinary tract infection. The urine analysis though is not very convincing for a urinary tract infection. The sample shows 2-4 epithelial cells and only 4-8 puss cells. The counts are normal and do not indicate infection. I recommend you wait for the culture results. I would recommend that your daughter drink plenty of fluids. I do not have an explaination for your daughters symptomsHope I answered your question. Please contact us again with your medical questions or concerns

What causes swelling and blisters around lips of my daughter?

my daughter is experiencing sever swelling of the lips, and parts of her gums for the past 6 days. There is light blistering and redness around the outer edge of the lips. We went to emergency and doctors thought it is allergy related but Benadryl and Reactine only works intermittently.

hello, thanks for your query, it's unlikely allergy medications ( Benadryl) causing allergy. check out her complete blood picture , viral infections with pediatrician. hope I have answered your query. all the best. take care.

What causes shoulder pain with stiffness in jaw?

Fell on sidewalk face first about 8 hrs ago. Swollen, cut lip bruised and cut knee, and hurt pride initially. Now have muscle and shoulder pain, stiff jaw(think this is from the really swollen lip),pain in wrist, and headache. I assume this is all normal but are there specific things I should look for or will I just be in pain for a while given the hard fall?

Hello and welcome to HCM,The injuries caused on various body parts have to be managed.The cut and swollen lip has to be managed by sterile dressing.The body pains, pain on injured site and jaw pain should be managed by pain killer and muscle relaxant.I suggest you to consult your primary healthcare provider for clinical assessment.In case there is evidence of infection in any of the injured sites, a course of antibiotics may have to be started to control the infection.Thanks and take careDr Shailja P Wahal

Q. My partner's nipples feel different. Is she pregnant?

Hello doctor,I had sex without protection but, I did not ejaculate inside her vagina. She had an I-pill within three hours. It has been 13 days and still, there is no bleeding. She says her nipples feel tight. So, does it mean she is pregnant?

Hello For more information consult an obstetrician and gynaecologist online -->

Is Vb7 forte tablet useful for hair gain?

Hai Doctor,I lost lot of hair from last 7 years because of heavy dandruff, I used to go hair bath daily otherwise my hair scalp getting oil. I am using vb7 forte tablets from last 10 days, is it usefull to gain hair?Can you suggest me how I stop hair fall and gain hair?MADHU YYYY@YYYY

Hi Madhu..VB& Forte tablets contain essential supplements for promoting hair growth. You have take these supplements for 3-4 months to promote hair cycle. If you have dandruff problem, use Nizral shampoo twice a week along with VB7 Forte. Avoid washing hair everyday as it will increase hair fall.

How can heart blocks be removed non-surgically?

Sir, I underwent by pass surgery during March 1996 for a triple vessel disease. By pass done 1. RIMA to RCA, LIMA to LCA.& OM2. Last month I took CT Angio, it shows RIMA to RCA have block, OM2 has 50% block & LIMA to LCA is normal. Cardiologist was consulted and advised to take aspirn & astravatsin. Pl. advised non surgical methods to remove blocks completely. Bakirathan

Hi, I can understand that one of the graft is completely occluded and other is 50% blocked.In such a case we generally advise angioplasty of the blocked graft which is done non surgically.If you have no symptoms, you can be put on optimized medical therapy and observed. You should continue Ecosprin and Atorvastatin as advised. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist

Frequent cold, sneezing and cough. Took Montek LC. Suffering from stomach pain and digestion problems. Side effects?

hello sir/mam.... i have an allergy since a year... frequent cold, sneezing ... so i went to ent specialist , he prescibed me tab montek-LC, so after 2-3 days my cold , cough, sneezing is gone.... but after a week, i have having severse stomach pain, digestion problem and even getting more and more sleep day time.... so is it the side effect of tab Montek LC or wat... ??

Hi Thanks for your query Yes gastric irritation occurs in case of motelukast after prolonged use and probably that is causing your stomach pain and digestion problem and sleepiness probably is occuring from levocetrizine component of the montek-LC medicine. So if your symptoms are well controlled now you can omit this drug now. Better to go for local application of azelastine fluticasone nasal spray now after consulting your doctor. For stomach pain you need to take local anesthetic gel like mucaine gel for symptomatic releive and pantoprazole tablets for healing of the erosions if any by montek-lc. Thank you.

What causes big nipples in a boy?

i am 21 yars old. i am healthy & stronger among our friend circle but i have problem. i am bangladeshi. first, my nipples are bigger than other boys. i feel something beneath my nipple.it's seems hard.sometime it causes pain .i feel embarass. what i do now . can gym recover it? i want now treatment.

DearWe understand your concernsI went through your details. Usually the size of breasts in boys are determined by the female hormone which is available at their body. In young ages, the breast size could be a little bit large and visible. When they grow older, it slowly tightens and becomes muscle mass. When they get older, the muscles slackens and most occasion can see the slackened breast reappearing. In your case, hard chest exercises and gymnasium work outs can tighten the muscles. I am worried about the hardness you pointed. Please consult a physician to investigate the hardness. If you require more of my help in this aspect, please use this URL. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications.Good luck. Take care.

Q. My wife is 6 months pregnant with placenta previa and not feeling fetal movement. Why?

Hello doctor, My wife is six months pregnant. Till, now she is not feeling any fetal movements. Her recent ultrasound shows placenta previa. She is having pain in her stomach, along with edema on both the feet. Please help.

Hello. With the symptoms you have mentioned, I feel you should immediately go to the obstetrician and get an urgent ultrasound done first to learn about the fetal well being. It is not a good sign that she has not felt the baby movements as of now. Secondly, with placenta previa and pain in her stomach, the first thing to rule out is abruptio placentae, which could be life-threatening for the child. Thirdly, pedal edema suggests that she has gestational hypertension as well, which makes her more susceptible to abruptio further. Do not waste time and report to the emergency now.

Can viral infection cause dizziness and nausea for a long period?

I woke up 5 days ago feeling dizzy and nauseous , went to ER, they said its a viral infection,went to ENT, he thinks its same or maybe caused by stress, it has subsided (no nauseousness ) but still feeling unbalance while walking. Could this be just a virus?

HI, thanks for using healthcare magicDizziness and vertigo are common problems. They are most often related to conditions of the inner ear.The three most common conditions are: (1) benign paroxysmal positional vertigo- episodes last few seconds to minutes and vary with the position of the headThis is treated by the doctor performing a maneuver called epley's maneuver.(2)menieres- episodes last a few minutes , associated with hearing loss and tinnitus(3)vestibular neuronitis- episodes lasts for hours at a timeMay be associated with a viral infectionIf your episodes lasted for hours at a time then it could be related to a viral infection. If however, it is in keeping with the other conditions mentioned then other treatment would be needed.I hope this helps

Suggest treatment for rashes on face and vagina

Hello my 5 year old grand daughter has a rash on her face near her mouth and on her lips that smells foul. She also has a rash above her vagina. She had what seemed like a cold from wednesday that lasted till saturday. Taken her to a doctor tomorrow is there anything I can do now to help the itch?

Hi, I'am Dr Suresh K Yadav MD (paediatrics), I had gone through your question and understand your concerns,It seems like viral illness . If otherwise baby is active , accepting feed ., passing urine you need not worry much .You can give antihistamine medicine like cetrizine for itching , and locally calamine lotion can be applied for symptomatic relief.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions.Take care

Nausea, vomiting, not sleeping, cant eat or drink without being or feeling sick

Nausea, vomiting, not sleeping, can't eat or drink without being or feeling sick Hey, symptoms are as lised: Nausea, vomiting, not sleeping, can t eat or drink without being or feeling sick, lower back pain, some stomache pain occassionally, constantly feeling tired with no energy, pains in the right side of my chest now and again, keep feeling hot and cold and keep shaking as if I m nervous. Help please!... This has been going on now for a few weeks and I ve not had a meal (only a few snacks) over the last 2 weeks

Sounds like you have some sort of condition you should see your doctor about mixed with some anxiety. Why are you waiting weeks? call your doctor ASAP or go to the hospital with chest pains. thats not something to mess around with...

What should be done for the swelling in penis after doing masturbation?

Hi I have my boyfriend a handjob last night and I lasted quite a long time and I was quite rough with his penis, then he noticed it had swollen and there was a type of line but now this morning he said it was hurting but the swellings gone down a little bit I just don t know what to do

Thank you for query.It may be due to phimosis.Please consult surgeon immediately for examination and confirmation.It may require simple procedure like slitting or circumcision.Clean the area with warm water twice daily.Dr Bharatesh

Can anti-depressants or other medicines cause deterioration?

My aunt has been on various anti-depressants for over 30 years. She has a history of cancer, has many digestive problems, and is 95 y/o. She has become increasingly agitated, and lately paranoid about friends stealing from her. Can anti-depressants or other meds cause deterioration or is it more likely just her age/Alzheimer s symptoms?

Thanks for query .all though antidepressants in fact all mood changing drugs have side effects and her age also has adding effects on it.it is better to take a regular follow up with psychiatrist as you mention she is being paranoid.

How to treat severe bronchitis?

i am taking prednisone 20 mg three times a day on decreasing scale.cefdinir 300 mg two times a day, atenonl 25 mg and proair hfa 90 mcg inhaler when needed. I just started all this yesterday for severe bronchitis, a sinus infection and severe ear infections. today, I took the inhaler and ten minutes later I became flush, my pulse went from a normal 79 to 96. and my hands began to shake slightly. I do have cardiac arethmeia and I wanted to know if I should stop taking or using the inhaler or is this caused from something else.

Thanks for your question on HCM. I can understand your situation and problem. The most common cause for worsening of bronchitis is infection. And treatment of bronchospasm is inhaled bronchodilators and inhaled corticosteroid. You are taking correct treatment including antibiotics and inhaler. So continue same treatment and wait for at least 6-8 days. You should also start deep breathing exercise and chest physiotherapy to improve lung function and decrease symptoms. So don't stop this treatment, wait for few more days and start chest physiotherapy and deep breathing exercises. You will definitely improve.

Have blood pressure, CT scan showed blood clot in mid brain. Now unable to walk or talk. Can the blood clot be removed?

I am sarala. My father is having blood pressure for past 9 years from 2003. He took treatment in staedford hospital he took medicine regularly. but in 2010 Blood pressure has raised. we took to hospital. but proper treatment was not given there. doctor told to take CT scan . in that CT Scan report blood clot was affected in mid brain. after that he is unable to walk, he is unable to talk. there are 3 strokes in brain My question is will that blood clot will remove or not? speach will come or not? please answer to my question

Hi Sarala, The blood clot could have been removed surgically at the time when the incidence occurred in 2010. If the surgical intervention was not done, then it should have been managed medically. Prompt and immediate medical attention is necessary in this kind of Hemorrhagic stroke. Early intervention prevents motor and sensory disability. I am sorry, you have not mentioned about his treatment that he underwent in 2010. In the later periods, regular physiotherapy can help in bringing back the motor ability of a person. In your father's case, his walking ability can be regained though not to 100%. The blood clot will dissolve in due time. Speech therapy can help him get back his normal speech but the percentage of recovery cannot be commented on and it is individualized. I hope to have answered your query. Regards,

How effective is chemotheraphy for cancer?

My mother is having cancer (Retroperitonal Liposarcoma) . Age :55 already 2 times we have done the operation . Since her health is not good so i have decided not to do any further operation . What is the success rate for kemotherapy for the above case?

Hi and welcome to HCM. Thanks for the query. Unfortunately, not very succesful. this is very serious malignant disease and only minority of cance types are sensitive to chemotherapy.Wish you good health. Regards

Could fever after embryo transfer cause any harm?

Hi. My name is Alice. I had 2 2 day embryos transfered yesterday after icsi. Last night for an hour I felt feverish (couldn't get warm, but feeling hotish to the touch and achy. This lasted an hour or so and I then took some paracetamol which stopped it. Feel fine now and all night just very worried the embryos are damaged from excessive heat.Please tell me what you think.

Hello, and i hope I can help you today.Since you did not take your temperature, there is no way to know if you actually had an elevated body temperature at the time you felt this way.In addition, low-grade fever is not harmful to a pregnancy. Women get sick during pregnancy just like anyone else, and a short-lived febrile illness is nothing to worry about.Only a fever greater than 40 Celsius or 104 Fahrenheit can do any harm to an unborn baby, and that usually takes place as a risk factor for congenital hearing loss. As you only have embryos, and not a baby inside, there is really no risk to the transfer from what you experienced.I hope I was able to adequately answer your question today and that this information was reassuring.Best wishes for the rest of the pregnancy,Dr. Brown

Could excess masturbation cause inflammation of prostrate?

I masterbated today more than 5 times and now I have to push a bit to empty my bladder. This happened before and the doctor said i had mild prostitis. It eventually went away and happened again on other occasions. They all say masterbation is healthy but it seems to cause an inflammed prostate. Is this true. When will my urination be normal again and the sore feeling go away? Thanks in advance for your help! :)

Hi, Excessive masturbation can lead to swelling of the prostate and ejaculatory ducts. It would take 5 to 7 days before the swelling would subside. Excessive masturbation is not healthy. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Manuel C See IV, Urologist

What causes swelling and itching on penis?

My 11 yr old son s penis is swollen just below the head. The swollen area is red, a little tender, itchy and a little painful. He complained about it being itchy last night before bed. When examining it, it was a littel red but not swollen. We told him to leave it alone. This morning is is very swollen and red. Any ideas how to proceed. Dad

I am not sure he is circumcised or not? uncircumcised penis inflammation may need just to retract prepuce and clean and avoid contact with irritant soaps. This is a common problem and less cause of concern.

Q. Is it possible to get circumcision done under local anesthesia?

Hello doctor,My urologists have recommended circumcision to improve my symptoms and to be able to look inside the urethra, etc., and wants to perform the procedure under general anesthesia. Can this also be done under local or epidural instead, as I am having anxiety about the general method? Am I overreacting, maybe to a common method? Currently, I am taking Flomax once a day.

Hi. Regarding the type of anesthesia for circumcision and cystoscopy, it can be done under local anesthesia or spinal or epidural anesthesia or general anesthesia. Local has the following benefits of no risk related to anesthesia. The drawback is some discomfort but usually tolerable in a cooperative patient. Spinal or epidural has the benefit of good analgesia, post-operative pain control for a few hours, reasonable safety. The drawback is may need to stay in the hospital longer to avoid a post-spinal headache. For cardiac patients not so safe. General anesthesia, the benefit is it can be tailored to a short procedure. Relatively safe in cardiac patients. The drawback is higher cost, inherent risk for short neck or asthmatic patients. So anesthesia has to be tailored or individualized after discussion with your doctor.

What does my chest CT-scan suggest?

My son 17 years age suffers Rheumatoid arthritis since six months age a recent chest CT showed bilateral old fibrotic changes, enlarged pulmonary artery trunk and cardiac size, bilateral atelectatic changes seenand thickened I L septae noted what does all this mean please> I am really worried.

Hello dear, thanks for your question on HCM. I can understand your situation and problem. Rheumatoid arthritis is collagen vascular disease which can affect lungs.Pulmonary fibrosis suggest pulmonary involvement. This is irreversible damage.His pulmonary trunk is also enlarged. This suggest possibility of pulmonary hypertension. So get done 2d echo to rule out pulmonary hypertension. Atelectesis is partial collapse of lungs and it is mostly to due to secretions. So better to consult pulmonologist and get done 2d echo for the diagnosis of pulmonary hypertension. He may need anti fibrotic , antibiotic and expectorant.

Suggest remedy for dizziness and heartburn while treating anxiety and depression

i have been feeling sleepy or dizzy or in a drunkstate with heartburn and stomach burn. i was made to realise i had pelptic ulcer by a medical practitioner. i also suffer from anxiety and depression because of stress. I was given amipriptyline with omeprazole and antibiotics for ulcer, i was also given 25mg of Amitriptyline to use at bedtime which i did for 3 nights, i realised that it made me feel worse and making me hard to sleep and crave for alcohol but didn t drink any. I had to stop the drug, today is my 4th night of withdrawal from amprityline but the anxiety and depression is reduced but i feel something like diziness, blurred vision forgetfulness . i feel my head is heavy and slight headache. meanwhile i am still using the ulcer drug. what could be the problem?

HIWell come to HCMI really appreciate your concern, your over all symptoms could be due to your functional condition and you have to come out of this to get rid of your symptoms, try to control your thoughts, be positive and practical, bring back your confidence, stop worrying, stop taking alcohol, smoking, try to take some good sleep hope this information helps.

Fever, body aches, headache, swollen tonsil, white patches, swollen and bleeding gums. prescribed amoxicillin. herpes?

Hi Doctor,For the past 4 days I have had symptoms which started as a fever, body aches, headache, chills, swollen tonsil with white patches, and now swollen and bleeding gums with sores on the inside cheeks and a white tongue.. I'm very weak and with little appetite. The fever has let up though I continue with body aches. I was prescribed an amoxiciliin today though no test was done to see if it's strep throat. Could it be herpes or gingivitis? Or a combination? Thanks for your help

Hello,Thanks for posting on HCM,If you have swollen tonsils with white patches then it may be more due to oral candidiasis. Prescription amoxicillin without confirming if it is actually strep throat is a little premature but not poorly thought of.Having bleeding and swollen gums is a sign of gingival diseases. Your symptoms are hardly related to herpes but could still be a viral condition.My suspicion is directly more towards oral candidiasis with gingivitis that might of viral or bacterial or fungal origin. You will require some mouth white antibiotics solutions and treatment for candida and stept throat combined. If it is herpes, then the infection will clear off on its own without the need for a treatment. You need to revisit your doctor for further investigation before you can continue treatment with amoxicillin. Hope this helps

Suggest treatment for red scaly spot on cheek of a child

Hello! My 17 months daughter has a round red scally spot on her cheek that doesn t heal (appeared 9 days ago). It looks like a ringworm but I m not sure...She doesn t scratch it at all so it doesn t look like it s itchy or bothers her in any way. Should I take her to the doctor or just get an antifungal cream from the pharmacy?

Hi...Thank you for consulting in Health Care magic. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Health care magic are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.Dr. Sumanth MBBS., DCH., DNB (Paed).,

Suggest cure for redness,swelling and soreness in toe

hi i have a sore toe that is red and swollen if anything touches it, it throbs and really is painful, its been bleeding and also had yellow puss coming out of it. its hurting at the skin next to the side of the nail but its traveled upwards to all around ones side. i believe i had an ingrowing toe nail which i removed and now its become infected. i just want to know if there is any way i cant treat it at home or just go to the chemist and pick something up as the weather where i live makes it near enough impossible to leave the house to go to the doctors plus i have just had a baby he is now 11weeks old and dont want to take him out. thank you steph.

Hello. Thank you for your question.I understand your concern.Let me try and help.You seem to be having an infection probably an abscess.The throbbing pain is due to the pus collection.So the best thing to do would be to visit a clinic where a general physician would let out the pus,clean and dress the wound and prescribe a course of antibiotics( according to your pus culture) along with analgesics if necessary.Even if you were to stay at home you would still need a course of antibiotics such as co-amoxiclav which is a prescription medicine.Another thing I would like to point out is if you are still breast feeding your baby ,you might want to be careful about which medications you take.You can use painkillers such as Paracetamol 500 mg three times a day for pain or fever , but you will get complete relief only if the pus is released from the site of the wound.So my advice is still to consult a GP in your area.Hope you found this information useful.Take careThanksDr . Alex

Suggest remedy for tingling and swelling in the feet

My mom is experiencing red pin dots on her feet. Occasionally they swell too. This started about 2 months after she had received anesthesia in both feet. Not sure if a factor or not. Do you know what this could be? She has seen a dermatologist, an internist and a vascular surgeon and has gotten no help. Thank you

HiWelcome to healthcaremagicI have gone through your query and understand your concern. Your mom is likely to be having heart disease or kidney disease as you are having swelling of feet. She should get her heart and kidney function test. As she has neuropathy also so she should get her investigated for thyroid function test, blood sugar for diabetes , Vitamin D and vitamin B12 test to see neuropathy. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you.Wishing you a good health.Take care.

Suggest treatment for hepatitis c

hepatitis c i have had chronic hep c since i was 11 at 12 i had interferon n riboviron combined treatment. after 6months they took me off the treatment due to my white blood cell count dropping too low. i have been out of contact with a specialist since then. im now 21 n curious about possible treatments. any suggestions?

HIThank for asking to HCMI really appreciate your concern looking to the history given here I could say that there is no specific treatment available for the Hepatitis C and what ever treatment available does not have that much promising results but need not worry if the person is having Hepatitis C then patient can complete the average life span, hope this information helps you, take care and have a nice day.

What causes tingling sensation in face?

I was at work, not doing anything strenuous. I heard a pop in my ear and was immediately dizzy and my face became tingly. That was about one hour ago and my face is still tingling. I really don't want to go to a doc unless I have to. Sound serious?

hello there, im dental specialist, thanks for the quiery. i think it was clicking of your tm joint, i suggest you take an opg radiograph to c any changes of your tm joint, otherwise only tingling sensation , so i suggest take an analgesics it should come down. Hope it helps.

Why am i not getting erection?

Hello i am 25 years old and i cannot get a hard enough erection to penentrate i am a fit athlete i play rugby i only have one testicle from age 8 and it could be that i wasnt sleeping much and a bit of psychological to the story but i dont know i have tried for over 14 times with only 1 good penentration which was around 5 in the morning. When i take viagra its all good, i dont know what to do

Hello, You may be suffering from erectile dysfunction ED and if you have a partial cure by taking Viagra (sildenafil) its more likely ED. Since you already physically fit and would maintain a proper diet. Doing a hormone investigation will help you. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist

Suggest treatment for chronic epididymal cyst which causes swelling in both testcles

i AM 36 AND i have had a tah almost a year ago, but my husband of 19 years also has, chronic epididmal cyst where now both of his testicle has a swelling to them (waiting on the ultrasound report). I have no desire to have sex. I still love my husband, more thani havem ever loved him, to tell you the truth, but i know he has a problem with the sex part of the relationship. please tell me, do i need to tell my dr or wait for his dr to tell him what to do. we have been togrther for 22 years.

Hi, There is lot of age mismatch. There are surgical option available for complete cure of your issue - we can wait for ultrasound repot. Yes you need to inform your doctor regarding your issue. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr S.R.Raveendran, Sexologist

Q. I have a spot on my tongue. Is it something serious?

Hello doctor, I have found this spot on my tongue for the past seven months and for the most part, has not really changed. No symptoms, but can sometimes feel the bumps when I run my finger over it. Does this look like it is a frictional problem or something worse? I am guessing friction based on what I have been told before but want to confirm with another opinion.

Hi. I had gone through your question and understand your concern. As per your photographs (attachment removed to protect patient identity), it does not look like any severe problem. This could be the friction or irritational in nature due to a sharp tooth edge. This lesion only looks like hyperkeratotic and nothing else. So, there is no need to worry about it. Please let me know if there is any sharp tooth edge, also if there is any swelling under your mandible (chin). You can also take high Vitamin A diet like carrot or Vitamin A supplements for at least a month, it will be helpful and the lesion will disappear soon. Sharp tooth edge or faulty brushing technique. Traumatic ulcer. Frictional hyperkeratosis. Enameloplasty, if there is a sharp tooth edge. Brushing (modified Bass technique). Use ultrasoft toothbrush.

Suggest treatment for anxiety,sleeplessness and depression

Hi I have been a psycho patinet for last 7 yrs. Main symptoms include anxiety, sleepneesnes and depression. Symptoms keep changing. Six months months main propblem was depression. Taking medicine for it since then, depression controlled with medicine but now i have extreme anxiety, I have been taking Lonazep 0.5 one in night so that I can sleep, half in the morning. I gues this is an SOS tablet, but I am taking regularly for last 2 weeks, but i still have problems of anxiety suggest

Hi dear,first of all which medication you are on for depression?because there are certain medication which helps both in depression and anxiety.you need not take two different tablet.lonazep is used for immediate controlling of anxiety and sleep.but there are certain medication which helps you to control anxiety like venlaflaxine, desvenlaflexine, sertraline, paroxetine etc....so kindly consult and discuss with your treating doctor about this medication.Thank you

Q. Ayurvedic medication for multidrug/antibiotic resistant bacterial infections.

Hello doctor, I am a 26 year old male. I was addicted to cold drinks which had been getting me sick (catching a cold) over the past nine years.

Hi. You can try the following ayurvedic medicines: Continue this for two weeks and review after two weeks with an ayurveda specialist online -->

What causes painful lumps at the back side of head?

My 15 year old daughter complained about a lump that developed in the back side of her neck two days ago. We touched it - didn t appear to be in the location of a gland. We thought maybe it seemed like a pulled muscle - she has been working on painting (remodeling) her room with her Dad for a week. Last night she complained she had two more lumps or bumps and they hurt. I felt them - they are bumps the size of quarters and sore to the touch located at the back of her head near the base of her head and neck. Any ideas?

hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. it could be a cervical lymphadenopathy (inflamed lymph node) probably secondary to a recent upper respiratory tract infection or an inflammation other considerations may be fibroma, lipoma or cyst.. clinical examination from your doctor will be of great help. further diagnostic examination such as neck ultrasound, ct-scan or x-ray and subsequent management (medical and/or surgical if indications are found) will be directed accordingly.hope this helps.good day!!~dr.kaye

Q. Is abnormal vaginal bleeding a sign of reproductive cancer?

Hi doctor, I have been bleeding heavily from my vagina for past five days. It only happens when I either open my bowel or while urinating. I put in a tampon to confirm that the bleeding is coming from my vagina and not from rectum. When I am not using the bathroom there is no bleeding and no blood on underwear. But, as soon as I urinate and have a bowel movement I start to bleed. It is not just spotting. It is a heavy bright blood to sometimes dark heavy blood. It reminds me of my heavy days on my periods. I am nowhere close to my periods now. I am taking birth control and have been getting my periods correctly each month. This bleeding is not a consistent flow. It only happens when I use the bathroom. It is like I have blood pool above my vagina and the minute I push a little to pee or have a bowel movement it spills out. I do not have period cramping. But, the pain will be like a dull, achy to sometimes sharp pain, especially when the blood comes out. It radiates all over my pelvis, ovaries, stomach and back sometimes to my kidneys. I did consult a gynaecologist earlier today. He pressed on my stomach in which I had some discomfort. He also did a vaginal exam and said there was a lot of mucus with blood. When pressed inside, I felt little discomfort. He did a swab and sent it out to be checked for infection and prescribed me some antibiotics just in case it was an infection. He also scheduled me an ultrasound for next week and wants me back in two weeks. He told me to come back sooner if it gets worse. He seemed quite concerned. This evening, I have started to become more dizzy and lightheaded. Could this be just an infection or something else? I do not have itchy or burning vaginal symptoms that you get when you have an infection. I am really worried about this. I am scared of cancer now as I knew that the abnormal bleeding and pain are signs of reproductive cancer. So, I need a second opinion from another doctor while I am waiting for the results.

Hi I believe this is the first episode of heavy intermenstrual bleeding or polymenorrhagia for you and during the mid cycle. If the bleeding is not controlled and remains heavy causing anemia and dizziness as manifestation then to stop the bleed the best way would be to undertake a dilatation and curettage procedure. Through which can remove the endometrium and subject sample for histopathological exam to rule out any endometrial hyperplasia and accompanied atypia, which may indicate towards an endometrial cancer depending on the reports. At present, wait and watch for excessive bleeding for few more days and if it does not reduce then review with ER and get the ultrasound done sooner and further evaluation. Keep yourself well hydrated to maintain the blood volume and avoid dizziness episodes. For further information consult an obstetrician and gynaecologist online -->

Q. My p-ANCA is 202. 55 U/ml and c-ANCA is 40. 74 U/ml. What does the report mean?

Hello doctor, I am a 47-year-old female. I started to have severe joint pains and inflammation around three weeks back. Then one day as I was giving a presentation, my team members noticed that I was bleeding profusely from my nose. The in-house nurse was called and I was found with high pressure of 210/120 mmHg and was subsequently hospitalized for a day. After extensive blood tests, I was found that my ANCA-MPO (p-ANCA) is 202.55 U/ml and ANCA-Pr3 (c-ANCA) is 40.74 U/ml. What does this mean? I was prescribed Imuran 50 mg once a day.

Hi. I have gone through your query. I need to clear a few doubts before giving you the final answer. I understand you had some problem which started three weeks back with joint pains followed by high blood pressure causing a nose bleed. I would like to investigate why you had sudden blood pressure rise? Is it due to inflammation in the kidneys or some other reason if previously things were normal? Do you have any history of fever, recurrent nose blocks or hearing loss? Were the other blood tests done like CRP (C-reactive protein), urine routine, chest x-ray, ESR (erythrocyte sedimentation rate)? As per the results, these are the markers for vasculitis. So we need to be sure these are the ones that are causing your joint pains or high blood pressure. Because the management will change if there is renal involvement and Imuran alone would not be enough. 1. CRP. 2. ESR. 3. Urine routine. 4. X-ray chest PA (postero-anterior) view. 5. CBC (complete blood count), LFT (liver function test) and serum creatinine.

What causes allergy while having crab innards?

Hi I was so confused please help....for a time bow I noticed that whenever I eat the Tomally (crab innards) I get very itchy all over my skin and I develop spots. So I thought I developed a seafood allergy..however I noticed that I can crab meat no problem but once I eat the innards I get itchy...what is causing this? What is in the innards to make me allergic? I have eaten scallops lobster etc an no issues. Please advise Thanks you

HI, thanks for using healthcare magicIt may be a component of the innards or related to something added as it is being prepared.Allergy testing may give you a better idea of the possible allergen.It would be best to avoid future use because your allergic response would worsen over time if you are repeatedly exposed.I hope this helps

Q. Why do periods get delayed after first time sex?

Hi doctor, I had sex for the first time. After that, I did not get my periods yet. I went to a gynecologist. She had taken my blood sample and it was negative. But, still I have not gotten my periods and it has been a week ahead. What could be the reason for my late periods?

Hello. As the serum beta hCG levels are less than 3 mIU/mL, the pregnancy is definitely ruled out. The delay in the menses is mostly due to sex induced stress after the first time when reproductive hormones readjust themselves. The menses can get delayed even up to two weeks, so just wait for another week and they should arrive. If not, then you can safely opt for a progesterone withdrawal to resume menses. For further information consult an obstetrician and gynaecologist online -->

What causes mild cough and sore spot on the collar bone?

Got a little cold this morning and placed a towel over the chest area and got warm, but realized the estimated 3 below the trach. and 2 left was a bit sore. The nickel size is right on the bone line of the collar bone. Right side is normal, flat and not puffed under skin. I do have sinus drainage and mild cough. Is this something to be concerned about?

Thanks for your question on Health Care Magic. I can understand your concern. If I understand you correctly you are talking about enlarged nodes in your neck with discharging sinus. If I am right it is a cause of concern and will require detailed evaluation and investigations for the same. Kindly consult your doctor at the earliest for the same.Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.

What could be the reason for having a lump in my throat?

hi I have a lump in my throat and I have been to the hospital had a xray and they said I don't have cancer but I have this for five years have a hard jod eating drinking and sometimes painful I sometimes have truble swolling I been under depresson for years andi don't know if that's to do with it

HI. Most of the patients of depression have this feeling - ''something in throat''. Endoscopy is direct visualization to see whether there is some mass or not. So get the endoscopy done by ENT Surgeon. He may advise you CT or MRI if he feels so. And a negative report will prove that there is no cancer.

Can medicinal marijuana be taken for liver problem?

Can I get THC free medicinal marijuana, AKA CBD Marijuana, to help my liver? I was born with a weak liver, yellow eyes, and it was called jungis or something like that. The doctor also said my P.H (i think that is what it is called) was to high. I also have weird implant type things on my testicles, and sometimes they feel tender. I was told they were sperm clogs but who knows. Is this dangerous?

Hi and welcome to Healthcaremagic. Thank you for your query. I am Dr. Rommstein, I understand your concerns and I will try to help you as much as I can.There is no some strong scientific support for marijuana as a liver treatment remedy but some studies show that it might be?beneficial in slowing the progression of liver fibrosis and the neurological decline associated with hepatic encephalopathy, in addition to the attenuation of the adverse hemodynamic consequences of cirrhosis. YOur testicle issue however should not be related to liver and this may indicate STD or epididiimitis so you should do std testing and testicle ultrasound.I hope I have answered you query. If you have any further questions you can contact us in every time.Kindly regards. Wish you a good health.

Q. Is it advisable to do yoga after sex to conceive?

Hi doctor, I am 31 years old. Last month I had periods on 10th and then we had sex on 22, 23, 25 as those were the fertile days. Also I am doing yoga from past 1 month. This my date was supposed to come before 10 as I normally get period before date. But got my periods today on 14th. Is it because I am doing yoga so I got my periods and failed to conceive? As initially in this month I was having frequent urination, sore breast symptoms but sadly I failed to conceive. Can you suggest shall I continue yoga and is it advisable to do yoga after having sex? Current medications: Folvite and Neurobion forte.

Hello. Nothing to worry. Smaller changes in cycle pattern can be hormonal. Yoga is good, it relaxes you, nothing to worry about. The cycle fecundity is 12 to 15 percent (means every trying cycle has a chance of pregnancy only 12 percent) it takes 1 year of unprotected intercourse for better pregnancy rate. No worries. Considering your age if the trying period is more than 8 to 10 months get a baseline TVS to look for ovarian reserve and also a baseline semen analysis for your partner. hormonal Semen analysis& TVS hormonal reassurance if queries

Suggest remedy for hairfall with itchy scalp

Hi ! I am 34 years old and am experiencing hair fall from the past 5 years after a surgery .... Fistula surgery .... I have lost most of my hair from the middle and front now .... And I don't have any family record of baldness ....I also smoke and had deprived sleeps when my twins were born 3 years back ..... Should I use Mintop 10 and frankistine 1 mg ..... What shampoo should I use as I have dry and itchy and burning scalp ..... And please suggest me some food supplements ......

hi there.1. your concern may be chronic telogen effluvium along with pattern baldness.2. you can start using minoxidil 10% along with finasteride 1mg daily after dinner.apply 20 drops of minoxidil daily, gently massage into the scalp.3. you can try sebamed anti dandruff shampoo weekly twice with soft drinking water.4. you can try adgaine capsules daily one after breakfast.you can use them continuously for 40 days for visible results.don't worry this will help you.

Had unprotected sex after forgetting to take the pill. Can the pill taken next day to avoid pregnancy?

Hi doc, i just wanna ask if there's a possibiltiy to get pregnant coz i forgot to take my pill on the 3rd day after my menstruation, then i take pill the following morning...then that night i got unprotected intercourse with my husband..then after a week i missed another 1 pill but i take the pill the following morning but dont have intercourse

Hello,Thanks for posting your query .You should be very regular for you pills .Now you should continue your pills & use barrier method for one week after that you can have unprotected intercourse.I hope your query has been answered.Thank you

What causes chest pain with acid reflux?

My daughter 14 and has been having really painful chest pains for a while now. she used to have acid reflux, we went to the doctor and they gave her medicine for it and it went. but a couple months on from then she's been getting a different pain on the left side of her chest, by her heart. it feels really tight and it's hard to breath. but she takes gavisgon and it goes. she gets woken up, mostly every night now, at about 2/3 in the morning. and sometimes get it in the evenings when lying down, or even just slouching in a chair. also, our family has history of twisted organs (don't know the medical term), my father had twisted lungs. is there something wrong with her, or nothing to worry about? thanks

Thanks for your question on Healthcare Magic.I can understand your concern. Possibility of GERD (gastroesophageal reflux disease) is more likely for her symptoms.GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause chest pain, chest tightness, breathing difficulty etc.So better to consult gastroenterologist and get done upper GI (gastrointestinal) scopy.Hiatus hernia should also be rule out. Treatment of GERD is lifestyle modifications as following. Avoid oily and spicy food. Avoid large meals, instead take frequent small meals. Avoid stress and tension, be relax and calm. Take pantoprazole tablet on empty stomach.Keep 2-3 pillows under head in bed to prevent reflux. Go for walking after meals. Don't, she will be alright with these lifestyle modifications.Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.

Tried laparoscopic surgery for GB. Gall bladder inflamed. What is the other way of taking it out? Concerned about rupture

Hi I was just wanting a 2nd opinion..I recently went for GB surgery, they tried laporscopic but couldn t do it that way had to open me up, only to discover they couldn t take it that way either as it was to inflamed and was wedged between my stomach and liver and could possibly be fused to either :-( so they just closed me back up.. I haven t really got any answers as to what the next step is to having it out.. he said sending me to a liver specialist and possibly waiting another 4-6 mon. Should I be worried about it rupturing, will it go down enough to take out.. just kinda left in the dark here.. any info would be greatly appreciated and if you have every heard of this before.. Thanks in advance

welcome to health care magic! Gall bladder surgeries are one of the most commonly performed surgeries these days, even on youngsters. it is usually done after ultrasound and blood tests which can tell in advance in most of the cases if there is an active infection going on. however, in my experience I have seen cases in which it is only during surgery case becomes clear enough. The condition which you have mentioned is one of acutely inflamed gall bladder, which is first tried with laparoscopy but because found difficult to access was later tried with open surgery. When the gall bladder is found acutely inflamed during surgery and especially if it is stuck to either liver or any other organ, it is usually not operated on. so, I think that your doctor has done the right thing. Such cases are preferably given time for few weeks to months for acute infection to settle down, under antibiotics and vigilance. They are later operated on after repeat investigations. Please maintain dietary restrictions and take the prescribed medicines, and it will help you. because your gall bladder is already stuck between liver and stomach, it is possibly have shrunk and has less possility of getting ruptured. regular supervision in between will keep you informed about the status of your gall bladder. keep in touch with your doctor. I can understand that it is difficult to undergo repeat surgery or wait for it, but in my experience I have seen such cases and they had successful outcome. I hope this will help you, and feel free to ask further if you have any other question in mind regarding to this. Dr. Manisha Gopal

What is the bald spot on the tip of my tongue?

I am worried since my tongue is developing kind of a bald spot on the tip of my tongue. At first I thought it was due to my retainer rubbing it raw since I have a turner dial in my retainer right where the spot started. However I have not worn my retainer for a couple of weeks and the spot is getting bigger. What is happening?

Thanks for using Health Care Magic.Read your query.The symptoms you have mentioned suggests the condition called Bald tongue which is caused by a many etiological causes including anemia ,vitamin deficiency,infections,poor hydration having low saliva and also allergic reactions to tooth paste ,retainers and many others.I would advice you consult your doctor and start with multivitamis .If you take alcohol ,spicy food avoid this .The doctor will prescribe you a topical gel containing prednisone which will help in the healing.Consult the dentist before reusing the retainer.Maintain a good oral hygiene with proper brushing and flossing .Keep your oral cavity hydrated with having lots of fluids.Hope this was useful.Thanks and regards.

What is the alternative medicine for Zolfresh in homeopathy ?

Hi My husband is taking Zolfresh 10mg for quite some time now and has all the mentioned side effects of this medicine. Please suggest an alternative in homeopathy or ayurveda to reduce this He is 44 years old.

Hi Read your prob, this is zolpidem tab which acts as anticonvelsent n muscles relaxants . it has many side effects most common are hallucination n amnesia. other side effects are nausea ,vomiting, gastroesophageal reflex,delusion, euphoria, increse libido or loss of libido. tolreance n dependence occure.so he should take this as per advise of your doc n if possible switch over to safe drug.

Suggest treatment for swelling in tongue and itchy eyes

I've been suffering from allergies for the past month: itchy eyes, ears, and a mild sore throat. Now there's a new wrinkle -- one side of my tongue is swelling up! I took a Benadryl roughly an hour ago, but it doesn't seem to be doing much good. I'm having no problems breathing. Aside from the above, I feel fine, but the tongue thing has me nervous. Any suggestions?

Hello.Thank you for asking at HCM.I went through your history and would like to make suggestions for you as follows:1. I usually suggest my such patients antihistamine like cetirizine or hydroxyzine for 3 days.2. I would also suggest you to avoid too hot/spicy food for 2-3 days.3. I would suggest you to remember the foods you had taken before development of symptoms. Common foods causing allergies are milk, peanut, eggs, tree nuts, sea foods, some fresh fruits & vegetables.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.Thank you & Regards.

Q. Does vitamin deficiency cause twitching and tingling?

Hi doctor, Before a week, I began having twitches and tingling in both legs from the knee down. For some time now, probably 6 months or more, I also began feeling that my legs were heavy and just general weakness all over, not really muscle weakness. I am also a gastric bypass patient and have a history of low B12, iron saturation and low vitamin D. To complicate matters even more, I went to an orthopedic spine specialist about a month ago, due to the stiffness in my neck. I was unable to turn side to side and this has been going on for several years, like 5 or more. Also, I have a sharp pain between my shoulder blades. My cervical MRI shows moderate facet joint arthritis, small central spur on C5-C6 and some compression of the spinal cord. Even more complicated is that the MRI showed thyroid nodules and the ultrasound reported as typical of a multinodular goiter. My TSH was 4.18. I visited my family doctor and he said that the twitches were probably from low vitamin B12. He gave me an injection yesterday and took blood to measure B12 and vitamin D. My vitamin B12 is more than 2000 and vitamin D is 9. I am going insane thinking that I have some horrible neurological disorder with the twitches and tingling in my calves, general fatigue and heavy feeling of my legs when I walk. My primary care physician did a strength test on arms and legs and said it was normal. Can low vitamin B12 and vitamin D cause these symptoms? I just feel weird and scared.

Hi. Vitamin B12 deficiency can cause subacute combined degeneration of the cord. So, the treatment is daily Vitamin B12 or Vitamin B complex supplementation for 12 weeks. Your vitamin D levels are also low. The treatment is Vitamin D capsules 60000 IU every Sunday for 12 weeks. In your present scenario, for twitching, the first line of management is vitamin B12 supplementation and vitamin D supplementation. Consult your specialist doctor, discuss with him or her and take the medicines with consent for 12 weeks and you will have a dramatic improvement in the next three months. Revert back after three months to a neurologist online -->

Itchy skin, colorless numb rashes. History of oak poison. Related? Diagnosis? Treatment?

My shin started itching randomly one morning, and has been annoyingly itchy ever since 2 weeks ago. There is a colorless rash that looks like goosebumps, and when itched the rash becomes slightly numb and raised when itched. It spread to my other leg, though not as bad, and I fear that it could be spreading up farther past the knee. Diagnosis? Treatment? Either is appreciated. (I had a nasty case of poison oak about half a year ago, where the rash was all over my body, including the legs. Could this be the cause?)

hi,It seems that you are having urticaria.There are many cause of urticaria.In your case it is acute urticaria.Cause may be irritation,allergy,heat,solar,cold,psychological,internal cause,drugs..You should undergo varieties of blood tests.If there any cause is found.,cause should be treated.If no cause is found, it is called idiopathic urticaria.You take antihistaminics like fexofenadine,deloratidine,levocetirizine....etcShort course of steroid may be taken..Avoid soap bath.Avoid certain food like brinjal,eggs,fish,chicken,banana,fermented food,curd..etcStilll,you consult dermatologist....I hope you got my answer..regards..Dr.Ilyas Patel MD

What causes round red circle on skin after meningitis vaccination?

My 12 yo son had a meningitis vaccination 2 days ago and tonight he has a perfectly round red circle which is several inches wide around the injection site. Should I take him back to the doctor? Could this possibly be cellulitis or is it a common reaction?

Hi, Infection site reactions are common and so long as the site is not severely swollen, painful, secreting pus, or otherwise looking anything worse than what you've described it is appropriate to keep a close eye on things. Also, I assume he is acting and behaving and functioning like any other 12 year old would so that's another sign that everything is likely fine. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist

Suggest treatment for a lump on the earlobe

Hi! I have a lump behind my earlobe and it is very painful and it has 4/5 pin holes when I got it squeezed it was just pure blood, it is affecting my ear it feels like a tingling and sore feeling to ear and when I swallow it s sore I have had an ear and throat infection before but I don t feel sick..

HI, Good Early morning- from INDIA.Thanks for the query to HCM. I studied it in all the details given from you and understood your health concerns.-Cause and Treatment -of lumps on the earlobe -is mostly due to unripe Boil or the infection of the ear lobe.-Eustachian tube salpingitis with throat infection-Treatment-needs to be treated with Antibiotics/ antihistaminics / Gargles with listerin antiseptic mouth wash.Wishing you fast recovery ASAP.Welcome for any further query in this regard.Have a good Day..!!With Regards,Dr.Savaskar M.N.M.S.Genl-CVTS,Super-specialist in NCCD-Non-Curable-Chronic and acute-Diseases and expert in Rejuvenation therapies for tissue and organ failures.

Q. Will Nano-Leo give permanent solution for erection problem?

Hello doctor, I am 48 years old. I am experiencing weak erection and difficulty in sustaining the same. This condition was observed 10 years back. Also, there is premature ejaculation. Other physical ailments that I have are, I am suffering from hypertension and taking Amlopres-L (Amlodipine and Lisinopril) for the last 10 years, high cholesterol and triglycerides. My cholesterol level is 225 and triglyceride is 200 for the last 12 years. I used to do frequent masturbation in early age. I do have erection during morning hours many times, particularly after sound sleep or if I had long walk previous day. I am having Sildenafil 25 mg or 5 mg Cialis, which is effective enough. But, I wish to get rid of tablet support and live natural way. I consulted urologist today and he prescribed me Nano-Leo capsules and Modula 5 mg for 10 days. I wish to have your second opinion on this. Please guide.

Hi. For further doubts consult a sexologist online -->

Does lower abdominal pain and metallic taste in mouth indicate pregnancy?

hi. yesterday i had a shooting pain in what i can guess is my womb. ever since, when i lightly push in that area, it really hurts. about a week ago, i woke up to a metalic taste in my mouth. in the past two weeks i have also had thrush. also, lately my breasts have been very tender, sore and i could swear they are getting bigger. i have a mirena fitted... is there any chance i could be pregnant?

Hello dear,I understand your concern.In my opinion that symptoms can be sideeffects of mirena or premenstrual symptoms.The hormonal contraception method is effective of all methods.So there is less chance of failure and pregnancy.But anyways if the period is missed I suggest you to do a urine pregnancy test one week after missing the period for accurate results.So avoid stress.Nothing to worry.Wait and check for the period.Best regards...

Q. My mom's health has deteriorated completely in a year. Please help.

Hi doctor, My mother is 56 years old. She has been a diabetic for the last 20 years. Her health has deteriorated completely in the last year. We found out through a biopsy that her kidney has been damaged. Her gallbladder was removed as it was infected and had a stone as big as a marble. The mouth and the upper layer of the pancreas had ulcer wounds for which she was treated with medication three months ago. She is having indigestion, acute stomach pain, swelling from feet to waist, frequent diarrhea and vomiting. She has been urinating only about 15 mL. Doctor has suggested starting dialysis as they are unable to bring her swollen feet under control. Her blood pressure is normal. I have uploaded her recent test results. She is currently taking 21 tablets a day. I basically need some suggestion.

Hi. Type 2 diabetes mellitus with chronic renal failure. Serum potassium, serum creatinine regularly, TSH (thyroid stimulating hormone), lipid profile, ultrasound abdomen to see corticomedullary differentiation status of the kidneys. 1. Nephrotic syndrome. 2. Uremia. Type 2 diabetes mellitus with diabetic nephropathy or chronic kidney failure (CKD). My suggestion is to get the following treatment under doctor's supervision. 1. Albumin 20% 2. For hyperkalemia, diuretics, Insulin infusion, Calcium gluconate and potassium bind resin. If hyperkalemia does not improve, then go for dialysis immediately. 1. Salt intake should be less than 1 g per day. 2. Avoid foods rich in potassium. 3. Protein intake should be less than 0.6 g/kg body weight. Revert back with the reports to a nephrologist online.--->

Suggest remedy for dust allergy

Hi sir, i am shankar, age 28, i am suffering from dust allery. From last 3days, i have breathing trouble at night time only. my doctor prescribed dexa injection, pantoprazole 40mg, deriphyllin 150mg, gemifloxacin mesylate IP 320mg for 5 days... how will i get permanent solution for dust allergy?

HI, thanks for using healthcare magicThe only way to completely eliminate an allergic response would be to avoid or eliminate the source, in your case dust.In terms of your home, you may need to eliminate carpets and rugs or clean them daily. Special pillow and mattress covers would help to reduce dust exposure as well.Since it is difficult to eliminate exposure to dust completely then you may need to continue on at least some of your medications.I hope this helps

Suggest treatment for chest pain , acid reflux and severe cough

Hi, I have been having alot of chest infections lately to which I have been prescribed antibiotics and steroids. They do help. But my job involves lifting 9 gallon barrels and moving 22 gallon barrels. Doing this is making my chest tight, I get chesty coughs and wheezing. At the minute i have pains in my chest and acid reflux which comes and goes. It hurts when i breath in and out. Should I get some more antibiotics and stop lifting heavy objects?

Thanks for your question on Health Care Magic. I can understand your concern. Recurrent chest infection and acid reflux cause bronchitis. And this can further worsen cough, breathlessness and wheezing. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PFT (Pulmonary Function Test). PFT will tell you about severity of the disease and treatment of bronchitis is based on severity only. Along with antibiotics, inhaled bronchodilators and inhaled corticosteroid (ICS) are beneficial in bronchitis. At present stop lifting heavy objects. Start appropriate treatment fir bronchitis. Once you are feeling well, you can resume your work. For acid reflux take proton pump inhibitors, avoid hot and spicy food. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.

When can i take the medication?

I was just wondering when is the best time to start taking Logynon Ed I am on the 2nd day of my period am I better off waiting till next month to start or can I start now. Also how long should I wait before starting to skip my period after starting to take Logynon ed

Hello!Thanks for your query.Better is to start in the first day of your menstrual cycle because seven days before you are unprotected.You need to use another form of contraception.You should wait 7 days.Take care of your self

Does rise in blood pressure during tooth extraction affect brain?

I'm going through post concussion syndrome and I'm worried about a tooth extraction I'm due for soon. I don't need to get put under anesthesia, just numbing the mouth, but I'm worried my rise in blood pressure during the extraction will cause issues with my brain.Is it safe?

Hi..Welcome to HEALTHCARE MAGIC..I have gone through your query and can understand your concerns..As per your complain in case if you are suffering from post concussion syndrome that occurs due to mild injury to the brain caused post trauma and the symptoms of post concussion lasts for about 3 months and then resolves gradually..As far as rise in blood pressure during dental extraction is concerned, the extraction will be carried out only after proper evaluation of your vital signs like monitoring of your blood pressure, heart rate and other general signs..To avoid blood pressure complications the local anaesthesia that will be given to you will be free from Adrenaline that can cause rise in blood pressure..Secondly in case if not an emergency, extraction can be delayed for time being and can be proceeded once your post concussion symptoms ceases..Consult an Oral Surgeon and get evaluated and a thorough clinical evaluation and investigations will be done to decide the further course of treatment and its effect over the brain..Hope this information helps..Thanks and regards.Dr.Honey Nandwani Arora.

What causes hurt feeling in the bladder?

I was checked recently for a uti, my urine came back clear. Now every time I move my bladder hurts. my bladder hurts sitting still. Any ideas ? I am scheduled for a ct scan and a cystoscopy. In the meantime any ideas? my e mail address is YYYY@YYYY

Hi friend, The problem may not be associated with urinary bladder itself. The other pains may be referred in this area. Large intestine, ureter and kidney problems may also give rise to pain in this area. It would be better to have CAT scan to rule out any pathology in your bladder.

What causes random rise in WBC levels?

My mom is loosing weight 8 9 lbs in 6 months, loss of appetite also. Her cbc was normal 7 days back but 4 days back wbc was 17000 and 2 days back it was 15000. No fever no signs of infection, what could it be? How can one s wbc increase within 1 week?Worried!

Hello,I understand your concern.I am Dr Arun Tank, Infectious diseases specialists, responding to you.There are many causes of rise in WBC count. Infection is one amongst them. There is possibility of leukaemia also.I suggest you to keep continuous watch over WBC count. If you feel feverish or some kind or infection related immediately contact the nearby doctor. At this phase nothing more is required.I will be glad to answer your further query. Thank you for your contact to health care magic.Wish you a best health.Thank you,Dr Arun Tank.

What is the function of Fertigyn 10000?

HI Doctor, Out doctor has given me fertigyn 10000 iu on the 14th day of my cycle and asked to have the relationship with my husdand the next day ..means on 15th day night .. If i have any back pain on the same 14th day, she has told to have the relationship. Please advice me, whether is there any symptom or indication so that i can have relationship.

Hi, fertigyn injection is given to rupture the follicles and release egg. So, you should be in contact with your husband for 2 to 3 days after injection. It increases the chance of pregnancy. Mild back pain is also an indication of rupture of follicles. So, your doctor has advised to be 8n contact on day of pain. Hope I have answered your question. Regards Dr khushboo

Q. Is it difficult to remove roots of teeth which is broken at the gum line?

Hello doctor, Is it difficult for a dentist to remove the roots of the teeth that are broken off at the gum line? And will it be painful when they do it? I think the ones are teeth 12, 13, 16, 26, and 27. If there are any chances for the bones to get broken while they do it? How will they get them out? I am very scared, and how many injections will be given? I think they are breaking it into three appointments. what complications could occur as well?

Hello, Welcome to icliniq.com. Do not be scared at all. This should be dentist's headache, not yours. All you need to know is that you should take a proper meal at least half an hour before you go for your appointment because after the extraction you will be on a soft diet for a day and should avoid eating till one and a half hour at least. Mild swelling or slight pain is expected post extraction of posteriors, otherwise, it will be a smooth recovery for the rest of broken roots. Take icecreams (if you are not diabetic) and soft diet for a day. After 24 hours of extraction start saline water mouth rinses (use lukewarm water) four times a day for a week compulsorily. It will help in quick healing of the sockets. Now, let me tell you about the procedure, it will not be complicated if the roots are not infected. Local anesthesia will be given then the whole procedure will be absolutely pain-free. You will not feel anything so be happy about it. Be relaxed, if you will be relaxed your dentist will enjoy doing work at ease and comfort level.

What does a small pea sized nodule on knees indicate?

hey i'm 21 , male from indiaI have this small pea sized nodule in the right side of my left knee ... im just worried what it would be ... i once fell on my knees and got a cut on my knees! the wound healed and was clumpy for a while ! and now its gone and i have got this nodule recently .

It could be a hematoma or a lump with collected blood from the injury, but since you say it has come up recently it could be something else. It would be difficult to say without examining. So I suggest that you see your Doctor who can examine you and advise accordingly. If not, then send us a picture of the lesion on 'Ask a Specialist' section of the website and then we can help you better.Take care,Dr Rishi, New Delhi, India.

What causes vomiting and stomach cramps after a bee sting?

I was stung by a wasp 4 days ago. After using 2 epi pens my mouth and throat swelling subsided. Since then I have been having flu type symptoms. Vomiting, stomach cramping, headache, muscle and joint aches. Just a general feeling of being ill. Is this common with bee/wasp stings in people who are allergic?

HelloThank You for contacting HCM.Is may occur in response to allergic reaction. Allergic reaction due to insect bite takes few days to settle. as you have already taken medication so i will go with symptomatic management:> Take domperidone for vomiting> Take cetirizine for itching.> Take hot water in a cup, add 1 table spoon salt in it. Perform gargles (mouth wash) with it three times a day for at least 3 days. It will give soothing effect.Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health.

Have lower abdominal pain. X ray done. Looking for advice

Hi, I have lower right abdominal pain and been told to do X-Ray . I just got my X-Ray report shown below, but I do not know what does it mean. Bowel shadows are partially obscuring both kidneys. Tehy appear normal in size. No radio-opaque urinary calculus is demostrated. There are multiple small round calcifications in the pelvis bilaterally which are suggestive of phleboliths. Can anyone help to explain please?

Hi, . Your X-ray is grossly normal. Simple explanation of the report is as follows 1. The shape and size of kidney cannot be commented as the bowels adjacent and in front of it are obscuring it. This can happen when one is constipated and the bowel is distended by stool and gas. However it is clear that there are no stones noted in the kidney. 2. There are a small calcifications noted in a few of veins in the pelvis. Such calcified vein spots are described as phlebolith. These phleboliths are harmless condition and doesn't need any treatment. The bottom line is your abdominal X-ray is normal and does not explain the right abdominal pain that you have. Hope this information is sufficient. Wish you good health. Regards

Painful stomach, nauseated. On prevacid. What could be wrong?

Hi. My 6 year old has been complaining about pain in his stomach (not nausea) for about 3 weeks now. It's not just when he eats...it seems to be all the time. His doctor has started him on 30mg of Prevacid once a day as a start to try to figure out what's wrong. We're supposed to do this for 2 weeks, then go back and see him for a follow up. Is that the first thing you would do to diagnose this pain he's having?

hi,actually not, but because of high index of suspicion the doctor would have prescribed u prevacid 30mg to make his pain relieved if it is due to gastritis.u said that the pain has not subsided ,use antiparasitic drug like albendazole to make him relieve from worm infestation.give him multivitamins orally.take him for the second visit to the doctor if he still have the pain.

What is the treatment for a hard lump in the scrotum?

hi.About a year and a half ago, at the base of my penis shaft, just in the scrotum sack on the right i found a small hard lump. it is not attached to the testicle. It feels like it is near the spermatic cord but not attached to it. (maybe it is i cant really tell) I can only feel it when i push down on the spot that it is, (cannot put fingers around it) it has never caused me any pain, and has not changed in size over the time i have had it. however, only a couple of days ago, i noticed another very small lump (smaller than previously explained one) near it. This lump appears to be softer and can only be felt when pushed which is like the other one. Can you please help maybe give an idea of what this is because i only have the worst of things in my mind! I have no family history of testicular cancer. i do not have any pains in the scrotal/abdominal area either. I am 19 years old. I am overweight (not obese) and about 6 feet four tall.

Hello, The soft swelling develops in the last few days can be an epididymal cyst or some lipoma like benign soft tissue lesion. The hard lesion has not increased in size for many months, so it might not be malignant. However, you should get your diagnosis to assure that it is not malignant. So I suggest you investigate primarily with ultrasonography of lump and revert back to me or another doctor for further discussion. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Parth Goswami, General & Family Physician

Suggest treatment for loose motion and abdominal pain

Hello Doctor , I have frequent abdominal pain on the right side of my stomach but I have done the appendicitis operation 9 years ago itself. I'm 27 now and have this stomach pain over one year. Last 4 months I feel difficulty to go motion. I smoke 3-4 per day. I'm diabetic but I don't drink carbonated water. I don't eat sweet items, I eat spicy sometimes less spicy food. If you prefer me any home remedies to have the loose motion I can try that. Doctor told me my stomach is hard and I have to goto toilet properly but I try it's too hard for me. My stomach pain remains all time.

With diabetes at so young age may lead to coronary problems and cerebro-vascular events if you smoke even 3-4 cigarettes per day. I advice you to stop smoking at the first. Second for constipation, you may take liquid paraffin for the relief. Initially start with 10-15ml three times a day for a week and then reduce it twice daily for a week and then once at night. Also, you need to follow some dietary instructions as not consuming bakery items, increaase in intake of roughage in diet like fruits and cereals and green leafy vegetables. Drink lots of water. Make a habit to go to toilet whether you have an urge or not and be seated for atleast 10-15 minutes.Diabetes cause decrese in the motor function of the intestines and that leads to decrese in the intestinal motility and causes constipation and pain in abdomen.

What causes large sore lump on right side of throat?

the right side on my throat has a large lump that is oval shaped were the thyroid gland on my trachea should be. my throat has been sore around that area for around a year but i didn t notice a lump until just recently. do you think it could be cancerous?

Hi, thanks for writing to HCM.Well, If I were your treating Doctor for this case of a neck lump on the thyroid area, I would come up with three possibilities, these include: 1.     a colloid cyst of the thyroid! however, sometimes these cysts might contain cancerous cells also!2.     The second possibility is of benign and simple inflammatory conditions like lipoma or neurofibroma or a reactive enlarged lymph node; there is nothing to worry about these! Sometimes a lymph node might suggest cancer in the larynx/throat...     3.     The last possibility is of sebaceous cyst or some other cysts like infected branchial cyst or lymphatic cysts! Nothing to worry about these also!Therefore, the treatment only depends upon the diagnosis!I suggest you to go for an FNAC /biopsy and ultrasound of the lump for confirmation and to relieve your concerns!Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.

What should be done for echogenic calculus seen in lumen of gallbladder?

hi my name is ravinder ,age 56 i have been diagnosed with cholecystitis with cholelithiaisi with ultrasound report saying- Gall bladder distended with bile, wall thickness normal, solitary app 14.6x7.7 mm echogenic calculus seen in lumen of GB. murphy sign positive, no sludge seen. what should i do?

It sounds you should have surgery sooner o later. I would suggest using a laparoscopic approach as it will speed your recovery

Operated for triple hernia, appendix was sitting in between two of them. How to reduce the pain ?

my partner had a triple hernia op yesterday morning 29/1/2013..his appendix was sitting in between two of them and there was one on the other side in the same position...they were removed and he had mesh put in..what sort of pain should he expect when he coughs on a scale of 1 to 10 ...he is 56yo and 30 a day smoker thx Wendy

Hi welcome to Health care magic forum. Thanks for choosing H.C.M.Forum. Your partner got operated for triple hernia surrounding appendix, on 29-1-13. He got operated perfectly by putting the mesh. As his age is 56 there is always a possibility of getting pain on straining and coughing etc. So he must use light food, and see that he passes stools daily, should take more of water, and fruits and juices. Hi should avoid smoking completely so that there is no cough and related pain. Wishing for a quick and complete recovery. Best regards.

Can lime juice neutralize the drugs?

I recently started drinking some water and fresh lime juice. On a certain day I had sex and had to take postinor 2 immediately. Although I don t feel sick or anything, I m now very worried because I fear that the lime in the water already in my system might have neutralized the drugs. Is this possible?

Hi, No, Lime juice doesn't interact with postinor and will not neutralize the effect of the medication. Any emergency contraception taken otherwise does have a very small risk of not preventing pregnancy, but rest assured that it is not/won't be due to interaction with lime juice. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr. Sanjana Nagraj

Q. For how long should I take Kalachikai powder to overcome PCOD problem?

Hello doctor,As I have PCOD problem and also cyst, I take tablets for period. My friend suggested Kalachikai powder. I used it for 30 days continuously, but no use. How many days should I take that powder and how to overcome this problem?

Hello. For PCOD (polycystic ovarian disease), powder Kalachikai has a good effect, but the duration of treatment is long (more than three months). For proper evaluation of disease, please go for USG whole abdomen and other investigations. If the size and number of cysts are more, then I suggest consulting a gynecologist as you may require surgery. If the number and size of cysts are less, you may continue treatment along with syrup Evecare 10 ml BD and Kanchnar Guggulu two BD. For more information consult an ayurveda specialist online -->

Suggest treatment for lump caused by a fall

My 18-month-old son started walking very early (10 months) and has always been a climber. During some of his adventures, he s has had some nasty falls. He ended up with a concussion back in December and had a clean cat scan, but was hospitalized overnight for observation. Now everyone he bumps his head, no matter how minor, he will get these noticeable knots/bumps. Should we be concerned about these bumps? He has some severe language delays (suspected apraxia).

Regarding language development there is a lot of variability, most toddlers are saying about 20 words by 18 months. If at 18 months your child is using gesture instead of vocalisations to communicate then you should consult speech and language pathologist for detailed clinical evaluation and investigations.Regarding head bumps, are these bumps appearing only on head or anywhere else after minor trauma.As you said CT scan following previous head injury was normal, possibility of most of the internal injuries is ruled out.Bruising after minor trauma may be a sign of blood disorder. Consult your doctor and ask for investigations like CBC, coagulation studies.

Cause of yellowish orange colour in the underwear after coming off from uti and back pain still present in a 37 yr old diabetic male?

Yes. I ve recently been diagnosed with a uti. It seem to be getting better other than the lower back pain. Yet today I noticed my underwear soiled again with a yellowish orange color in the front. What is causing this? Uti? Oh I m a male 37 and diabetic. Thank Chris

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. Suggestive of drug induced harmless side effect. Yellowish orange discoloration of the urine while taking treatment for UTI seems to be due to the urinary analgesic Phenazopyridine (Pyridium). Pyridium is used to treat pain, burning, increased urination, and increased urge to urinate associated with infection of the lower part of your urinary tract (bladder and urethra). The yellowish orange discoloration of the urine is a reversible harmless side effect of Pyridium which will subside after discontinuing the treatment. In addition vitamins like Riboflavin, over consumption of carrots may also lead to similar changes in the urine. Hope I have answered your query. Let me know if I can assist you further.

What causes diarrhea in a 10 month old baby?

My baby girl who is turning 10 months old, fully breastfed, has been having diarrhea for more than 2 weeks now. No vomiting no fever, just very clingy and fussy at times. She goes 4 times a day with loose, watery, sour smelling, dark algae green color (sometimes brown), stool. I ve been giving her probiotics for two days now but no difference. Should I be worried?

Hi,Thank you for asking question on health care magic.From your history it seems your daughter is suffering from Amoebic dysentery.Atrial with Metronidazole will help.Consult your pediatrician for confirmation and treatment options.There is no need to worry.Hope this answer will serve your purposePlease feel free to ask any more queries if requiredTake careDr.M.V.Subrahmanyam MD;DCHAssociate professor of pediatrics

Is Amlodipine safe to be taken for acute bronchitis?

hi my mom is 87 was just in the hospital for acute bronchitis. she already takes high blood pressure medicine and when in the hospital they put her on amlodipine besylate 10 mg. She is out of hospital cough is gone but she is so extremely tired and out of it..........i read up on the above drug and the side effects are everything my mom has should I discontinue that medication....she was doing fine without it before.

Hi,I have gone through your query and I can understand your concerns.Amlodipine is a relatively safe drug and does not cause serious side effects, especially in short term use as in your case.There is no relation between amlodipine and bronchitis.There is no contraindication for amlodipine in bronchitis.Its better to follow doctors instruction and please do not discontinue the drug your own.You can consult her treating physician regarding this.If she can maintain her previous level of blood pressure she could probably skip amlo according to physician's instruction.Hope this helps,Regards.Dr.Shinas Hussain

What causes itching on testicle and penis after anal sex?

HI Doctor From time to time i make anal sex with my girl friend and after each time i have itching inside my testcul and penis and out side too...and it can stay like this for months ..one friend talld me some black african girls cause this when making anal sex because my girl is balck african .. it sound funny but that what he said

Hi,There are lot of chances to get contact with faecal remnants during anal sex...which might irritate the skin of glans and shaft of penis leading to irritant contact dermatitis. That causes itching in genitals and scrotum after anal sex. So, my advice is to avoid the anal sex... okHope this helps.Regards.Dr.Ilyas Patel,Dermatologist

Ultrasound report of abdomen showed diffuse increase in echo texture and cysts in liver. Meaning?

ULTRASOUND WHOLE ABDOMEN Liver is normal in size (13.84cm) & outline. There is diffuse increase in echotexture suggestive of fatty change, grade I. Twothin wall cysts measuring approx (1.6x1.2 & 1.4x1.5mm) are seen in the left lobe of liver- simple cysts Portal vein & hepatic veins are normal. What does it mean. Also E.S.R = 19 HAEMOGLOBIN = 12.5 R.B.C. COUNT = 4.21 PACKED CELL VOLUME = 36.3 PLATELETS COUNTS = 141 REST PARAMETERS OF C.B.C , AMYLASE , LFT , GLUCOSE FASTING ,ARE O.K SAMPLE DATE IS 12-5-13 What problem , these blodd parametrs and ultrasound report indicates .

Hi,Welcome to HCM,Your reports are mostly within normal limits,your platelet count is less than normal and your liver scan showed fatty liver changes, there is no Lipid profile is not there you should get Lipid profile also and simple cyst they must be incidental finding and this should not be any problem.You should take healthy lifestyle with exercise regularly,and by chance if you take alcohol you must stop taking alcohol.Fatty liver is treatable by lifestyle changes.Change in diet low fats not more than 30% calories from fats and saturated fats should be less than 10% please avoid animal fats,fried items and butter.If you take exercise regularly it will help to recover please also repeat platelet count to check it has recovered to normal.Please take care.Good Luck.Dr.Akhilesh Dubey M.D.

Can i get pregnant even after taking Postinor 2?

Hi,I am 24 years old.i had my last period on the 2nd of july and it lasted about 4 days. I had unprotected intercourse on the 12th of july and I used postinor 2 1 hour after.i dont keep track of my menstrual cycle but I am scared of getting pregnant. I dont have any symptomsjust being having cramps.pls help me.

Hello, please do keep record of your menstrual cycle to predict the day of ovulation and decide the safe and unsafe period for yourself. If you had regular cycles then ovulation takes place 14days prior to the start if next menstruations. 4 days before and 4days after ovulation is the unsafe period in which couples should avoid having intercourse. If you have a regular cycle of 30days then you had sex in safe period plus you took postinor 2 within 24 hours which means very less chance of getting pregnant. Postinor has its side effects as well so these cramps might be due to the medicine.

Suggest treatment for pain in the waist and arm region

was climbing a tree when slipped and took a nasty hit against the trunk, scrapped arm on a limb but mainly experiencing pain in left side especially when turning over at night in bed or when twisting at waist. no bruising or outward marks. pain is about at waist level and a little above on both front and back side.

hi,Thank-you for providing the brief history.As you had slipped over or say it was a fall this can be just a mere muscular pain and will go off on its own. In a safer note taking up an x-ray to rule out any bony pathology should help us more understand the causative factors.In most cases it is just a muscular and with thorough clinical examination and some diagnostic test if required the drug therapy can be initiated.Regards Jay Indravadan Patel

Can foot surgery cause pus and pain?

Just recently, I had surgery on my foot back in june. the wound on my foot has healed up nicely. For a couple of weeks now my big toe has been swollen and paining. this past week it has been pussing. I cant seem to figure out the reason why this is happening and cant find a cure. Do you have any suggestions?

Hello,I read carefully your query and understand your concern. The symptoms seem to be related to a toe infection.I suggest to use Hydrogen Peroxide to clean the toe. I also suggest using an antibiotic cream for local application such as Neosporin cream.I suggest to cover it with a sterile bandage.If the symptoms does not improve you should see a surgeon.Hope my answer was helpful.If you have further queries feel free to contact me again.Kind regards! Dr.Dorina Gurabardhi General &Family Physician

What causes throbbing pain in the foot?

my 54 year hold husband has a throbbing , dull pain on top of his right foot. there is some swelling and a red bump. he has soaked his foot in Johnson s Foot Soap , and that has not really helped. His foot feels better after resting, and wearing his shoes with looser laces. we have not tried icing the foot yet.

Hi, In my opinion, redness, swelling with throbbing pain on top of the foot should be treated as infection, a boil or cellulitis. Please get your blood counts and consult your GP for starting antibiotics if required. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Gopal Goel, Orthopedic Surgeon

Is cranberry juice and pomelos good for health?

i heard about pomelos being good for high blood pressure , UTIs esp. in pregnant women. i also heard that Cranberry juice thins the blood...... this suggests to me that a life-long healthy diet will prevent health problems from starting. And drugs for each problem are derived from the foods / vitamins / minerals that the patient is actually avoiding. would you agree with my conclusion. I have no science or healthcare education or qualification.

Hello! Ofcourse Healthy and balanced diet is important for life. No doubt,it is better to prevent a disease rather than consuming energy and money on cure. Here are some facts you want to know... Pomelos It is citrus fruits containing abundant of Vitamin C that enhances your immunity, beside that it is rich in fibers, bioflavonoids (protects from cancers) and minerals (regulate blood pressure). Cranberry juice It contains substances that may affect your health, for example antioxidants help body to prevent cancer development. It also prevents bacterial growth in urinary tract and may benefit in UTIs. Beside all this excessive use may decay your teeth and oxalate in juice may lead to kidney stones. In short, proper use of healthy and balanced diet with regular exercise is best way to a happy life. Take Care!

Burning and itching at the tip of penis, slight white bubble precum

i have been having a burning itching feeling at the tip of my penis(just inside my urethra ,. I have been tested for all stds twice,, but the symptoms are still there. I have a very slight white bubble precum then it turns clear. my urologist says its in my head, but the discomfort and pain is real. it happens everytime i ejaculate and last for a day or 2.

Hello,,The history and symptoms are suggesting me that you may be having fungal infection. The fungus are the normal comensals of the genitals which is kept under control by the helpful bacteria, whenever there is a imbalance between them it will leads to multiplication of fungus and the produces the symptoms which you are having.The fungus tends to survive for longer period of time in a wet area. So you can be having fungal infection and i would suggest you to follow1.Topical Antifungal cream2.Keep the area dry and cleanThank you.

How can severe depression and OCD be treated?

I have been taking Luvox since 1987. It treated my OCD and major depression for many years. For the last seven or eight years, my depression started up again. Now is is a major depression. I have lost my husband, my father and two close friends in less than 4 years, but the depression started before they died. I almost lost my daughter, who has Type 1 diabetes. She was dead, but the third time they were able to bring her back. They put her in a coma for over a week using Propopol. I have it in the back of my mind that I could lose her again. My doctor doesn t seem to think there are other meds I can use for my depression. I am barely coping, have no family, except for my daughter. I hang on only for her and my lab. My question is: What suggestions do you have for treating my depression that will not bring bring my OCD back? I tried ketamine, but it did not help at at and was quite expensive. My doctor has left my twisting in the wind. She put me on Zoloft, but I had horrible nightmares. Maybe it was because I took the Zoloft before I went to bed. Can you suggest something for the Major Depression, without the OCD coming back, too? Thank you. Claudia EMAIL ADDRESS: YYYY@YYYY

Hi and thanks for question.u have depressive features due to u saw recently lost in your family and also your daughter is in critical condition.i will suggest to start desvenlafaxine at 50 mg dose which improve your depressive features along with ginkotal a supplement. along with that u can start psychotherapy to overcome your depressive features. thanks

Q. What is the possibility for developing a blood clot without hormonal or other risk factors?

Hello doctor, I was wondering if I need to be concerned, or what is the probability if any, would I have at developing a blood clot if I have no blood clotting genetic issues (factor v, etc), not on any hormones (was on birth control pills for 12 years but been off for almost four years), no recent surgery, do not and have never smoked. I am just going to be moving 12 hours away and someone I know developed a blood clot in their leg after a 12 hours drive and did not have any risk factors (smoking, hormones, etc) to their knowledge. I got a little nervous about this possibility because I had a friend who died of a PE. Also, should I take Aspirin before the trip and wear compression socks or would that help? I am a 31-year-old female who only takes prenatal vitamins, Vitamin B12 1000 mcg chewable, Citalopram 10 mg, and occasional Excedrin as needed. Thanks.

Hi. I can understand your concern. Before I can answer your question, you mentioned that you are taking prenatal vitamins. Just curious if you are pregnant or plan to do so? Do you have previous unplanned or accidental abortions? Please let me know.

Can lack of concentration, low attention and increased irritation caused due to excessive masturbation?

i m 23 years male. i am musturbating since 2006. every day at least 3/4 times or more. i am musturbating every day. 7 years i am musturbating. now i feel, some kind of psychiatric problem. as for example,high level of irritation, low attention in study, low concentration in everthing, iq level is very poor, always forget many thing. this psychiatric problem appears from 2012. Now my psychiatric condition is very very serious. tell me, how i can solve my psychiatric problem? i am eagerly waiting for ur reply. how i can solve my psychiatric problem? tell me. i am eagerly waiting for ur advice.

Hi,Dear. Masturbation is a natural thing.It is only harmful when you have a guilt about it or you are always preoccupied with it. Both the conditions are psychological issues rather than physical issues.At a younger age people usually have more sex drive and their frequency of masturbation is maximum. You can indulge in this activity as long as it is pleasurable and you have the drive for it. It should not cause you any pain. If you are doing excessive masturbation, then you have to decrease the frequency. You cannot stop masturbation totally because it is not a permanent solution.consider following things:1.First of all find out the cause of excessive masturbation. It could be because you are bored, lonely, hurt, stressed, or it could be because of pains from the past. 2. Identify the time when you indulge in masturbation frequently. If supposing it is at night then exercise just before going to bed. Exercise will also help you to be more tired and fall asleep faster. 3.Try to do activities that make you feel better. Motivate yourself to do things for yourself. 4.enjoy good time with your friends and family and join a gym along with your friends so that you spend maximum time outside where you cannot indulge in masturbation.5.Doing exercise regularly and proper diet are essential to good health. Exercise is very important because it releases endorphins from the body. 6.Doing yoga and meditation will keep you calm and relaxedAnd a very important thing is doing masturbation never affect your fertility so don't be worried about that. Hope this answers your query. If you have additional questions or follow up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health.

What can I do to overcome vitamin D deficiency?

Hi I was having inefficient vitamin D and I was not aware about that and taking penadol frequently as I was feeling temperature after some days I visit doctor and come to know that my vitamin D is 16 and sgpt was 77. Please help me is there any medicine required for it

Hello, The low levels of Vitamin D can be corrected with the help of proper supplements. You can start with vitamin D3 supplements. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Praveen Tayal, Orthopaedic Surgeon

Suggest ways to manage pain when diagnosed with Lupus and fibromyalgia

I have Lupus as well as fibromyalgia..I stay in lots of pain..I basically stay at home all the time. A friend of mine takes 10mg twice a day of methadon and she s pain free and can do things with her family...can I get a prescription from an online Dr

No,Idont think so that methadone you can get on online prescription because every state has a different policy for these drugs so you need to be aware of local guidelinesfor the same.

What causes pain in the knee of a 9 year old?

HI, my nine year old daughter has started complaining of pain in the inside area of her right knee. She says it aches when she runs or jogs, but is usually fine when walking. She has had growing pains in various spots in the last year or so, but not in her knee. It's only the one leg that has been troubling her for the last 2 weeks. She doesn't recall hitting knocking it around to have caused the pain.

Dear parent,Pain in the knee can be due to inflammation of various etiology. we need physical examination and radiological investigations to treat this case.

Suggest treatment for a lump under the feet

Hi Dr. Shankdhar i am 27 year old. Recently there was some problem under my right feet, a small lump which started paining. When i visited doctor he prescribed antibiotics and asked me to take blood test. In my blood test my sugar levels are very high 270. Please advice..

This lump can be a corn or abscess or anything like that needs to be examined.Do you have fever?If clinically its difficult to diagnose then FNAC (fine needle aspiration cytology) can be done.Diabetes strictly needs to be under control.Hope this information is useful to you.Thanks. Regards.

Q. How long should my husband and I wait to try for a baby if we did cocaine?

Hello doctor,I am trying to conceive but my husband and I did cocaine a week ago. How long should my husband and I wait to safely continue to try to get pregnant? How long until it is out of our system? How long does cocaine stay in sperm? Thanks in advance.

Hello, Wellcome to iclinq.com. There are few researches/studies on cocaine use by males and its effect on pregnancy. Few suggest that cocaine by itself has limited effects as most of the time it is taken along with other drugs or as a cocktail of alcohol and cigarette (tobacco). So, most of the people take not just cocaine but a combination of drugs. Cocaine narrows blood vessels (vasoconstriction). It can lead to erectile dysfunction. Few studies suggest that it has receptors on testicles and sperm. So, it can degenerate testicular tissues/or sperm quality, transfer from sperm to female egg and can lead to early miscarriage. Cocaine is a very fast acting drug which affects the nervous system and produces short-lived euphoric attitude for 15 minutes to an hour, but causes long-term damage to the body and brain like anxiety, depression, aggression, impairment of logic and critical thinking, heart problem, hypertension and decrease in bone density. Its half-life is an hour. So, it takes about an hour for half of the cocaine consumed to leave the body. But, with long-term use, the drug starts to accumulate in the blood and body tissues allowing certain tests to detect it in the system for an extended period of time. After a single use of cocaine, agents created by its metabolism can be detected in the urine for two to four days, and in chronic users, cocaine can be detected up to 12 days and highly concentrated cocaine can be detected in the urine up to three weeks. It can be detected in the saliva and blood for an average 12-48 hours. In hairs and sweat for an extended period of time, it can be detected. So, after all the above description, I do not know how your husband had cocaine, as a cocktail along with other drugs, or just cocaine? Secondly, how long he has been taking it? For you, have you been on alcohol, cocaine or smoking? If you had taken in the past, better to quit completely. My advice is, try to avoid drugs like cocaine, alcohol, ketamine, and MDMA completely for a couple of months before trying for pregnancy. Because, if the mother has an addiction, it has psychosocial effects on the fetus in addition to the drugs' side effects itself. Best of luck. For more information consult an obstetrician and gynaecologist online -->

Irregular periods. On krimson 35 for PCOd. Is protection from condoms needed during sexual intercourse while being on krimson?

Hai,I am 23 years old I am suffering from irregular periods.. Scan and Harmon test every thing is ok... But I had pcdo so doc preferred to use krimson35... My question is while using these tablets we have to use preqution during intercourse or it's not necessary...if I am not using condoms then I will get pregnancy? Plz answer my question thanku..

Hello ma'am and welcome.It is best to use contraceptive methods like the use of condoms despite of the condition and treatment you are receiving. We cannot say for sure whether or not you will conceive without the use of condoms, and it is best not to experiment either. So please go ahead and use condoms.Hope this helps.Best wishes.

How to get rid of yellow pus formation in chin?

A CHILD OF 4 YRS GOT HURT AT CHIN BY HITTING IT AT TABLE. tHE BLOOD STOPPED BY COMPRESSING AND THEN A BAND AID APPLID. NOW AFTER 24 HRS THE BAND AID CHANGED AND FOUND PUS(YELLOW) DISCHARGE. CLEANED WITH ALCOHOL FREE SWAB AND PUT A GAUGE DRESSING. ADVISE FOR FUTHER ACTION FOR THE PUS FORMATION

Hi,It seems that there is infection in the wound producing pus.Clean the wound with antiseptic lotion and dress it with antibiotic cream.Give him a course of antibiotic syrup for 3-5 days after consulting your doctor.Ok and take care.

Q. Can Yasmin birth control pill be used as an emergency contraceptive pill?

Hello doctor, My fiancee and I had unprotected sex a few days back, but I did not ejaculate inside her. Just to be on the safer side, we wanted to use the emergency contraceptive pill. But due to some restriction in the country where we live, Plan B or emergency contraceptive pills are not available. I read that Yasmin, which is used as a regular contraceptive pill can be used as an emergency contraceptive pill at a higher dosage. Can Yasmin be used as an emergency contraceptive pill? And at what dosage?

Hi. How are you doing? Yes, as you have heard, Yasmin can be used as an emergency pill. Even if you have not ejaculated into her, she stands a chance of pregnancy if the pre-seminal fluid, the clear fluid that comes out before semen, which is rich in young healthy sperms, comes in contact with her genitals. As soon as possible, earlier the better, I suggest taking four tablets of Yasmin (combination of Ethinyl Estradiol and Drospirenone) at the time, repeat four more tablets after 12 hours. This being a high dose of hormones, it will suddenly increase the inner lining of the uterus. Then as it is a single dose, the inner lining will fall off. This makes it unfavorable for the possible embryo or baby to settle into the uterus. She will get her periods within 7 to 10 days of the last pill. But do not keep repeating this frequently, it can disturb the hormonal balance and can reduce the effectiveness of the pill. Consult your specialist doctor, discuss with him or her and start taking the medicines after their consent. This is an old method, but it is an effective emergency method. Just do not delay the pills. As time passes by, the effectiveness reduces. Hope I have clarified your query, do write back. All the best. For further queries consult an obstetrician and gynaecologist online -->