Consultations — page 3

Hello Dolly. As you are suffering from PID since 6 months and haven't seen any improvement even after complete course of antibiotics then I would suggest you to get checked for antibiotics resistance as PID is very stubborn disease and post result you should start the antibiotics course again and complete it . And after even this you don't get cured I would suggest to consult obg gynec for laproscopic surgery to remove pus and scar tissue I would also suggest pain killer for your pain like zerodol sp And inclusion of anti inflammatory diet like omega 3 . Thank you hope u find this helpful

Persistent light-headedness and severe weakness over a long period, especially in someone aged 48, can be linked to several underlying causes — such as anemia, low blood pressure, blood sugar imbalances, inner ear disorders (vestibular issues), or even neurological or cardiac conditions. Since you’ve been feeling this way for 3 years, it's essential to get a comprehensive evaluation including blood work (CBC, sugar levels, thyroid, electrolytes), ECG, and possibly imaging like a brain MRI or ENT evaluation if needed. Regarding the inguinal hernia surgery — if the area became swollen again after stitch removal, it could be due to fluid collection (seroma), minor infection, or tissue reaction. It’s important to get it rechecked by the surgeon to rule out complications. For long-term relief, focus on: Eating a balanced, iron-rich diet Staying hydrated Managing stress and sleep Following up regularly with a physician for any lab abnormalities If you'd like, I can help list the exact tests to ask your doctor for or even suggest lifestyle tips to manage dizziness better.

A kidney ultrasound is a helpful diagnostic tool to evaluate the structure of your kidneys and nearby organs. It can detect things like kidney stones, cysts, or infections, but it doesn't measure kidney function directly. For kidney function, blood tests like creatinine or eGFR are more useful. In terms of how it works, a kidney ultrasound is indeed similar to a pregnancy ultrasound. A gel is applied to your skin, and the technician will move a probe over the area to get images of your kidneys. You generally don’t need to fast, but your doctor might ask you to drink water beforehand, depending on the situation. The procedure itself is usually painless and can take around 20–30 minutes. As for early-stage kidney disease, an ultrasound can’t always detect mild dysfunction. It focuses on structural issues, so if you're concerned about kidney function, additional tests like blood work would be necessary. If everything looks normal on the ultrasound, that's a good sign, but it doesn't fully rule out kidney disease. If you’re still unsure, I’d recommend discussing your concerns further with your doctor, especially if you're experiencing ongoing symptoms.

Pernicious anemia occurs when your body can't absorb enough vitamin B12, which is necessary for producing healthy red blood cells. This can lead to symptoms like fatigue, weakness, pale skin, and even cognitive issues like forgetfulness, which could be linked to your condition. Nerve damage is also a concern if pernicious anemia is left untreated, as vitamin B12 is important for nerve health. It can lead to tingling or numbness in the hands and feet, difficulty walking, and even balance issues. The good news is that with treatment, such as vitamin B12 injections, most people can manage their symptoms effectively. You may need lifelong treatment with regular B12 injections, but with proper care, you can lead a normal life. In addition to the injections, focusing on a diet rich in B12 (like meats, fish, dairy, and fortified cereals) can help, though it may not fully replace the need for injections in your case. If your forgetfulness continues or worsens, it’s definitely worth discussing with your doctor to see if it's directly related to pernicious anemia or if other factors might be at play. Keep up with your treatments, monitor your symptoms, and stay in regular contact with your healthcare team to ensure the best management of your condition.

Ascites is the buildup of fluid in the abdominal cavity, often caused by liver disease such as cirrhosis, but it can also result from heart failure, kidney disease, or certain cancers. In liver disease, the liver becomes damaged, leading to increased pressure in the veins and fluid leakage into the abdomen. Conditions like heart failure or kidney disease can disrupt fluid balance, leading to ascites as well. Symptoms typically include abdominal swelling, but it can also cause discomfort, bloating, shortness of breath, and even digestive changes. The pressure from the fluid can push up against the diaphragm, making breathing more difficult. Treatment often involves draining the fluid through a procedure called paracentesis, especially if it causes significant discomfort. Diuretics (water pills) and dietary changes, like reducing salt intake, can also help manage fluid buildup. In some cases, treating the underlying cause is essential for long-term management.

Hemopoiesis, or hematopoiesis, is the process by which the body produces blood cells. This process primarily takes place in the bone marrow, the soft tissue inside your bones, although it can also occur in other tissues like the liver or spleen in certain situations. The bone marrow produces three main types of blood cells: red blood cells (which carry oxygen), white blood cells (which fight infection), and platelets (which help with blood clotting). Hemopoiesis can slow down with age, but it can also be affected by conditions like anemia (low red blood cells) or leukemia (a type of blood cancer), where abnormal blood cell production occurs. Your diet and lifestyle play a significant role in supporting healthy blood cell production. Key nutrients like iron, vitamin B12, and folic acid are essential for producing red blood cells and maintaining a healthy blood supply. If your body doesn’t produce enough red or white blood cells, it can lead to symptoms like fatigue, weakness, or increased susceptibility to infections.

Metabolism refers to the processes your body uses to convert food into energy. It includes everything from breaking down food for fuel to how your body uses that energy. A "slow metabolism" means your body burns fewer calories at rest, which can contribute to weight gain or difficulty losing weight, but it’s not the sole factor. While some people may have a naturally slower metabolism, other factors—such as muscle mass, activity level, and even genetics—also play a role. Strength training can indeed help increase your metabolism by building muscle, which burns more calories than fat, even when you're at rest. Cardio is great for overall health but may not have the same long-term impact on metabolism. Certain medical conditions, like hypothyroidism (an underactive thyroid), can slow metabolism. If you're concerned, it may be worth checking your thyroid function with a simple blood test. I recommend discussing this with your doctor to rule out any underlying issues.

Dear Harleen, I understand your concern about your mother’s arthritis and the recent issue with her right hand’s last two fingers not working properly. While arthritis is often a chronic condition requiring lifelong management, new symptoms like finger dysfunction may indicate additional complications that need further evaluation. Possible Causes of Finger Dysfunction 1. Arthritis Progression – If your mother has rheumatoid arthritis or osteoarthritis, joint deformities or inflammation can affect finger movement. 2. Nerve Compression (Ulnar Nerve Palsy) – The last two fingers are controlled by the ulnar nerve, which can get compressed at the elbow (cubital tunnel syndrome) or wrist (Guyon’s canal syndrome), causing weakness, numbness, or difficulty moving these fingers. 3. Tendon or Ligament Issues – Chronic arthritis can lead to tendon damage, making it hard to move certain fingers. 4. Cervical Spine Issues – If there’s nerve compression in the neck (cervical spondylosis), it can lead to hand weakness or numbness. Next Steps & What You Can Do 1. Consult a Rheumatologist & Neurologist – Since this symptom is new, it’s important to get a detailed neurological and musculoskeletal examination to determine if it’s nerve-related or due to arthritis progression. 2. Nerve Conduction Study (NCS) & Electromyography (EMG) – These tests will help check if the ulnar nerve is compressed or damaged. 3. X-ray or MRI (Hand/Wrist & Cervical Spine) – To assess joint damage, nerve compression, or other structural issues. 4. Physiotherapy & Hand Exercises – A physiotherapist can guide her with nerve gliding exercises and joint mobility exercises to prevent further stiffness. 5. Bracing or Splinting – If it’s a nerve compression issue, wearing a soft elbow brace at night (for cubital tunnel syndrome) or a wrist splint might help relieve symptoms. 6. Medication Review – If she is on long-term arthritis medications (NSAIDs, DMARDs, or steroids), a review of her treatment plan may be needed to adjust for any new complications. Since nerve-related issues can worsen over time, I strongly recommend seeing a neurologist or orthopedic specialist soon for a thorough evaluation. Early intervention can prevent permanent nerve damage and help improve function in her fingers.

A physiatrist is a medical doctor who specializes in physical medicine and rehabilitation (PM&R). They focus on diagnosing, treating, and managing conditions that affect the muscles, bones, and nervous system. Unlike physical therapists, who work with you on exercises and movement, physiatrists are trained to diagnose medical conditions and design comprehensive treatment plans. Physiatrists treat a variety of conditions, including recovery from strokes, spinal cord injuries, chronic pain (like back or joint pain), sports injuries, and even conditions like arthritis or fibromyalgia. They often work with a team of specialists to help improve mobility, manage pain, and enhance overall function. If you're dealing with chronic pain or recovering from an injury or neurological condition, seeing a physiatrist can be a helpful step. They may recommend treatments like medications, physical therapy, or lifestyle adjustments to improve your quality of life.

Mannitol is an osmotic diuretic, meaning it helps remove excess fluid by drawing water into the bloodstream, which is then excreted by the kidneys. This process can indeed affect hydration levels, as it can cause dehydration if not monitored carefully. It’s important for doctors to monitor fluid balance and electrolytes when using Mannitol to prevent complications like dehydration or electrolyte imbalances, which are common side effects. For people with kidney disease, Mannitol can sometimes worsen kidney function, especially if the kidneys are already compromised. That's why doctors closely monitor kidney function in these cases. Mannitol is also used to reduce brain swelling, as in cases of traumatic brain injury, and to lower eye pressure in conditions like glaucoma. It works relatively quickly to decrease swelling and pressure, though the exact response time can vary from person to person. As for cardiovascular side effects, low blood pressure and heart palpitations can occur, especially in patients with preexisting heart conditions. These risks are generally low if monitored correctly, but they require careful attention from healthcare providers.