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I am 21 years old. My weight is 48kg. And since few months I experienced itching around the anal region. I got to know it was due to pinworms after observing them in stool. Please provide me some medicine for pinworms

R. Sir My daughter, Age 14, is having one normal foot and second one is broad by birth. We had consulted to your goodself in (Dr.Vakhariya Orthopedic Hospital), Jamnagar, Gujarat when she was of 4-5 month of age. At that time your good self asked to take advice after the age of 13/14. I request to guide further in the mette please.

Hi, from last 3-4 month i could not hold my urine pressure, when i feel urine i have to be very rush to toilet & can't control to hold it, also frequent urination problem, please suggest.

I have adhd and have concerta perscribed to me and recently got a bladder stone, they gave me 2 5mg pills of oxycodone hydrochloride to take if my pain comes back and it has come back now. so my question is can i take oxycodone hydrochloride and Methylphenidate Hydrochloride (ritalin/concerta) together?

I need transgenders cosmetic surgery through Ayushman card. Please let me know hospital list in ncr

My maternal aunt is diagonised with cancer. She is in the first stage and Dr. From TATA said for operation. But her financial condition is not good. Is there any option for subsidies treatment to save her life.

My son in law is 40 years old and for the last 5 days has high blood pressure 180/90 . His face is swelling too. And he took some pills to lower the pressure but it doesn’t get lower than 16 What he should do? Thank you

I’ve been able to feel my lymph nodes for about 4 months I don’t have any other symptoms they aren’t big either they are about the size of a bean I can feel two in my groin and one under my jaw

I took 14 paracetamol 3 day before.. what will happen to me.??. currently i am little sick

Period missing please tell me

I have an arteriovenous malformation with an arteriovenous fistula in the right foot, below the first metatarsal, which treatment is indicated?

Insomnia, depressed for 5-6 months then got cured but again recurrence and suicidal thoughts.

M 2 months se depression m hu mujhe koi medicine bataye

Am having irregular menstrual cycle it last for 8days last month and same dis month nd my abdomen still hurt too wat should I do

Asslam o ALIKUM Doctor mai pregnancy k hawaly sy puchna ha last month 8th ko mujy peridos hoye then ab kal hoye usk mid mai mai sex kar chuki hun complete ni but i am asking about k kia mai pregnant hon k bleeding pregnancy ki hai

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Asked for Female | 21

I am 21 years old. My weight is 48kg. And since few months I experienced itching around the anal region. I got to know it was due to pinworms after observing them in stool. Please provide me some medicine for pinworms

Gastroenterology

2 Answers

The most common medication used to treat pinworms is mebendazole or albendazole, are prescription medications. Consult a gastroentrologist he will recommend practicing good hygiene, to prevent the spread of infection to others. Washing your hands frequently after using the washroom to prevent reinfection or spreading the infection to others.

Answered By

Mitali Pawar

Member of team ClinicSpots.

Asked for Male | 14

R. Sir My daughter, Age 14, is having one normal foot and second one is broad by birth. We had consulted to your goodself in (Dr.Vakhariya Orthopedic Hospital), Jamnagar, Gujarat when she was of 4-5 month of age. At that time your good self asked to take advice after the age of 13/14. I request to guide further in the mette please.

Orthopedic

1 Answer

You must follow up with an orthopedist again to determine if further evaluation is necessary.They may recommend further imaging X-rays or MRI, and may suggest certain treatment or surgery depending on the severity of the condition and any associated symptoms.

Answered By

Dr. Pramod Bhor

Joint Replacement Surgeon

Answered on 23rd May '24

Asked for Male | 43

Hi, from last 3-4 month i could not hold my urine pressure, when i feel urine i have to be very rush to toilet & can't control to hold it, also frequent urination problem, please suggest.

Urology

1 Answer

You may have a urinary tract infection or another medical condition that is causing these symptoms. Consult with an urologist to determine the cause get appropriate treatment.

Answered By

Dr. Neeta Verma

Urologist

Answered on 23rd May '24

Asked for Male | 21

I have adhd and have concerta perscribed to me and recently got a bladder stone, they gave me 2 5mg pills of oxycodone hydrochloride to take if my pain comes back and it has come back now. so my question is can i take oxycodone hydrochloride and Methylphenidate Hydrochloride (ritalin/concerta) together?

Neurology

1 Answer

I won't recommend you to take oxycodone hydrochloride and Methylphenidate Hydrochloride (ritalin/concerta) together. You should consult with a neurologist first. Both medicines can have stimulant effects on the body and may interact with each other, potentially leading to serious side effects.

Answered By

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Asked for Other | 46

I need transgenders cosmetic surgery through Ayushman card. Please let me know hospital list in ncr

1 Answer

Ayushman Bharat health insurance scheme in India provides coverage for a range of medical treatments and some surgeries. Since the scheme has specific criteria for coverage of cosmetic surgeries its best to consult your local Ayushman Bharat center to see if the transgender cosmetic surgery you are interested in is covered under the scheme. You can check here - best transgender surgery hospitals in India.

Answered By

Mitali Pawar

Member of team ClinicSpots.

Asked for Female | 56

My maternal aunt is diagonised with cancer. She is in the first stage and Dr. From TATA said for operation. But her financial condition is not good. Is there any option for subsidies treatment to save her life.

Cancer

1 Answer

There are many government schemes and programs in India that provide financial assistance for cancer treatment like the Pradhan Mantri Jan Arogya Yojana (PMJAY), also known as Ayushman Bharat. You can check if your aunt is eligible for this scheme, and if so, she can avail cashless treatment for cancer in any empaneled hospital. You can check thjere are various non-governmental organizations (NGOs) and cancer foundations for financial assistance.

Answered By

Dr. Ganesh Nagarajan

Oncologist

Answered on 23rd May '24

Asked for Male | 40

My son in law is 40 years old and for the last 5 days has high blood pressure 180/90 . His face is swelling too. And he took some pills to lower the pressure but it doesn’t get lower than 16 What he should do? Thank you

Heart

1 Answer

He should immediately consult a cardiologist as he has very high blood pressure which could be a serious health concern. Swelling in the face is a sign of a more severe condition that needs urgent medical attention.

Answered By

Dr. Bhaskar Semitha

Cardiac Surgeon

Answered on 23rd May '24

Asked for Male | 17

I’ve been able to feel my lymph nodes for about 4 months I don’t have any other symptoms they aren’t big either they are about the size of a bean I can feel two in my groin and one under my jaw

1 Answer

What are lymph nodes and what is their function?

Lymph nodes are small round, bean-shaped organs that are part of the lymphatic system. In turn, the lymphatic system and, therefore, the nodes, are a crucial component in the functioning of our immune system, which protects the body from possible infections and other diseases and their spread.

This lymphatic system is made up of vessels, somewhat larger than capillaries and smaller than veins. The fluid that bathes the cells of our body – interstitial fluid – is collected in part by capillaries and in part by the lymphatic system. This fluid, already as lymph or lymphatic fluid, is slowly transported to the venous system and from there to the heart.

The lymph is made up mainly of water, proteins, minerals and other nutrients and, in turn, by damaged cells or foreign particles such as bacteria or viruses and in cases of cancer , by cancer cells . All lymph passes through the strategically located lymph nodes, where the lymph is cleared of injured cells, cancer cells, and foreign particles.

Lymph nodes contain specialized white blood cells (for example, T and B lymphocytes and macrophages ), designed to engulf and destroy damaged cells, cancer cells, infectious microorganisms, and foreign particles.

Thus, the main functions of the lymphatic system are to remove damaged cells from the body., prevent the spread of an infection (most common) or cancer, in addition to spreading the immune response throughout the rest of the body.

The most nodes are located under the skin at strategic points on the body, especially in -cervicales supraclaviculares- neck, armpits ; others are not accessible. These nodes usually measure from half a centimeter to one centimeter in diameter, although in the groin they can reach two centimeters in normal situation. Sometimes these nodes can be felt under the skin.

Read more about lymph nodes: Why are the lymph nodes swollen? Causes and treatment

Answered By

Dr. Ashwani Kumar

Family Physician

Answered on 23rd May '24

Asked for Male | 18

I took 14 paracetamol 3 day before.. what will happen to me.??. currently i am little sick

General Physicians

1 Answer

Taking 14 paracetamol tablets at once can be dangerous and can lead to liver damage or failure. Seek medical attention immediately if you are experiencing abdominal pain, nausea, vomiting, or jaundice (yellowing of the skin or eyes).

Answered By

Dr. Babita Goel

General Physician

Answered on 23rd May '24

Asked for Female | 23

Period missing please tell me

1 Answer

Missed Periods

Missed periods can happen for many reasons. Most of the time there is no worrying cause. As long as you are sure you are not pregnant and you feel well in yourself there is no need for concern if you miss one or two periods. If you don't have a period for 3-6 months, or have other symptoms then you should consult a doctor. Sometimes periods in teenage girls start later than in others. If your periods haven't started by the time you are 16 (or 14 if you have not started developing in other ways such as getting pubic hair and breasts) then contact your doctor.

Periods can also be infrequent, erratic or irregular. If you bleed between your periods or after sex, or after the menopause, you should discuss this with your doctor.

Causes of a missed period

Often there is nothing to worry about when periods stop, and no serious cause. There are certain times when it is normal not to have periods. These include:

• Before puberty. Girls start to go through puberty from around the age of 9 years and their periods start a year or two later. Up until that point girls do not have periods.

• During pregnancy. If you are pregnant, your periods will normally stop until after the baby is born.

• During breastfeeding. If you are fully breastfeeding, you will normally not have a period until you stop. You may find you have a bleed if you drop a feed, or start to breastfeed less.

• After menopause. The menopause is the time in your life when your ovaries stop producing eggs and you stop having periods. The average menopause is around the age of 51. You will be classed as having gone through the menopause a year after your last period. However, it is extremely common for your periods to become less regular in the years leading up to the menopause. See the separate leaflet called Menopause (including HRT) for more details.

• If you are using certain types of contraception. Some types of contraception may stop periods. They do not do so in all women; however, it is normal not to have periods (or to have very light periods) if you are using:

• The contraceptive progestogen-only pill (POP, or mini-pill).

• The intrauterine system (IUS) - sometimes called a coil.

• A progestogen contraceptive injection.

• A progestogen contraceptive implant.

Stress

Stress affects the chemical messengers called hormones which are released from your brain. These hormones then go on to affect other hormones released from your ovaries which normally trigger your periods. Stress or a sudden shock can stop your periods in this way. Usually if this is the case, they resume naturally over some time.

Low body weight

Losing weight may result in periods stopping. This can occur if your body mass index (BMI) goes below 19. If you have an eating disorder called anorexia nervosa, losing too much weight can result in your periods stopping. It may also happen to athletes, gymnasts, long-distance runners and people who do an excessive amount of exercise.

Polycystic ovary syndrome (PCOS)

PCOS is a common condition which can cause periods to be very infrequent or sometimes stop altogether. Women with PCOS may have other symptoms such as difficulty losing weight, spots (acne) and too much body hair.

Hormone problems

A number of conditions which affect hormone levels may cause missed periods. This includes:

• A condition where a hormone called prolactin is too high. This is called hyperprolactinaemia. The most common cause of this is a non-cancerous (benign) growth in the brain, called a prolactinoma.

• Conditions affecting a gland in your neck, called the thyroid gland. The thyroid gland produces hormones which may affect periods. If you are producing either too much hormone (hyperthyroidism) or too little (hypothyroidism), your periods may be affected.

• Congenital adrenal hyperplasia. This is a rare inherited condition where steroid hormones of the adrenal glands are not produced normally. There are different forms of this condition but some can lead to absent or infrequent periods.

• Another disorder of the steroid hormones, called Cushing's syndrome.

Genetic problems

Genes are the building blocks of our cells and give us our individual characteristics. Genetic conditions are those which are inherited from our parents or due to abnormal genes. In rare cases, abnormal genes can be a cause of not having periods. In most of these, there will be primary amenorrhoea (ie periods never start). One example of this is Turner syndrome. In this condition, girls tend to be short, have particular features and have ovaries which do not work properly. They often do not start periods when other girls of their age do.

Other genetic conditions may cause differences in genitals and female organs. For example, in a condition called androgen resistance syndrome, the child has female genitals outside but no female organs on the inside. With no ovaries or womb (uterus), these children will not have periods.

Occasionally babies do not develop normally in the womb before birth and may be born with problems which will prevent periods. For example, rarely a girl may be born without a vagina, or with a blockage in the vagina. Sometimes the first time this is apparent is when she does not start to have periods as expected.

Early menopause

The average time for women's periods to stop in the UK is at the age of 51. However, there is quite a wide range. If periods stop before the age of 40, this is very early and is said to be premature menopause. If periods stop between 40 and 45 years of age, it is called early menopause. At the menopause, periods stop and there are usually other symptoms of menopause such as hot flushes.

Medicines and medical treatment

As discussed above, a number of contraceptive treatments can stop you having periods. Other medicines can affect periods too. Examples are some medicines for schizophrenia (antipsychotic medicines), an anti-sickness medicine called metoclopramide and strong painkillers called opiates.

A number of operations may result in absent periods. For example, after a hysterectomy you will not have periods. A hysterectomy is an operation where the womb is removed. As the blood during a period comes from the womb, you will never have periods again afterwards. Another operation (called endometrial ablation), which is sometimes done for heavy periods, also causes periods to stop. In this operation the lining of the womb is removed. This is not usually permanent and periods start again in time.

Treatments for cancer, such as radiotherapy or chemotherapy, can also damage the ovaries and result in absent periods. Recreational drugs such as heroin may also cause periods to stop.

Getting back to normal after stopping contraception

When you have been on the combined oral contraceptive (COC) pill or an injection form of contraception, it can take a while for your periods to restart once you stop the contraception. It can take a few months for your body's own cycle to restart and it can take several months before you have a period.

What should I do if I have not started my period?

Girls start their periods at a very variable age. So it may be that your friends have been having periods for a while but you have not. Usually this will be normal variation and nothing to worry about. Ask your doctor's advice if:

• You are 16 years old or older and still have no periods.

• You are 14 years old or older and have not developed breasts or pubic hair and do not have periods.

• You have a pain in your tummy every month but no bleeding.

• You can feel a lump in the lower part of your tummy.

• You have had sex without using contraception (ie if there is any chance you could be pregnant).

• You have lost weight or have symptoms of anorexia nervosa.

• You feel unwell in yourself in any other way.

What should I do if I have missed my period?

Don't panic! In most cases there is nothing serious going on. The most important thing to do is to do a pregnancy test if there is any chance at all you could be pregnant. If you otherwise feel well in yourself, and you are not pregnant, then the chances are your periods will start up again in due course.

You should consult a doctor if:

• You have not had a period for three months and your periods were previously regular.

• You have not had a period for 6-9 months but your periods have always been infrequent.

• You could be pregnant.

• You wish to become pregnant.

• You have hot flushes or night sweats and are under the age of 45.

• You have lost weight or your BMI is 19 or less.

• You or someone close to you is concerned about your eating or weight.

• You have milk leaking from your breasts and are not breastfeeding.

• You feel unwell in yourself (for example, headaches, changes in your vision, have lost or gained weight).

• You have not had a period for six months after stopping the contraceptive pill (or 12 months after the last contraceptive injection).

• You are worried about your lack of periods.

Will I need any tests for a missed period?

If you go to see a doctor about your periods stopping, first of all the doctor will ask you some questions. For example, the doctor will want to know:

• If you have ever had periods and whether they were regular.

• How long you have not had periods for.

• If you have recently been using any contraception.

• If you are on any medication or have any other medical conditions.

• If you have recently lost weight.

• If you are under any stress.

• If there is any chance you could be pregnant.

• If you have any other symptoms, such as hot flushes or milk leaking from your breasts. (Hot flushes may suggest an early menopause; milk leaking from your breasts suggests high levels of the hormone prolactin, discussed above.) The doctor may also ask about signs of pregnancy such as morning sickness or tender breasts.

Your doctor may then wish to examine you. The doctor may want to check your weight and height and then work out your BMI. They may also want to feel your tummy. They may want to look for signs of possible causes. (For example, excess body hair suggesting PCOS, or a lump in the neck suggesting a problem with the thyroid gland.) In some cases an internal examination may be needed.

Whether further tests are needed will depend on what has been discovered from talking to you and examining you. You may not need any tests at all. Tests which may be needed include:

• A pregnancy test (usually checked from a sample of urine).

• Blood tests. These are done to check out a number of possible causes. They may be done to check hormone levels (such as thyroid hormones and prolactin as discussed above, or the levels of hormones coming from the ovary). Occasionally tests for gene abnormalities may be needed.

• An ultrasound scan. (This may be needed to check your internal organs are normal, especially if you and your doctor wish to avoid an internal examination. This might be the case, for example, in young girls who have not started their periods.)

How are absent periods treated?

This depends on the cause. In many cases no treatment is needed. See the specific leaflets about the various causes for information on how each is treated.

Are there any complications of missed periods?

In the short term, there are no complications of missing a few periods. However, if it goes on for a longer time, it may cause some problems.

Infertility

Women who are not having periods may not be producing eggs from their ovaries (ovulating). This would mean they would not be able to become pregnant naturally. For some women this may be an issue. However, for many causes, there is treatment to help with this, so discuss it with your doctor if you want to become pregnant.

Weak bones (osteoporosis)

When the absent periods are combined with low levels of the female hormone oestrogen, there may be a risk of bones weakening. Oestrogen helps keep bones strong, and they start to weaken after menopause. If they become excessively weak and break (fracture) easily, this is called osteoporosis. This only applies to women who have not had a period for a long time (a year or more). It is particularly a risk for women whose periods have stopped due to early menopause, weight loss, anorexia nervosa or excessive exercise.

Heart disease

It is suspected that low oestrogen levels also put a woman at risk of heart disease. Also women with PCOS are more likely to develop risk factors for heart disease, such as high blood pressure, high cholesterol levels, and diabetes. A healthy diet is particularly important for women with PCOS to reduce the risk.

Irregular periods

Other patterns of periods which are different to normal may also occur, as follows.

Infrequent periods

Having periods less often than normal is called oligomenorrhoea. The causes of this are much the same as the causes of absent periods discussed above. The most common cause is PCOS.

Erratic periods

For some women, periods don't happen regularly but seem to come at unexpected times. Some months the gap between periods may be shorter than 28 days and other months it may be longer. This is common in teenage girls starting their periods and may go on for a few years as hormones settle down. It is also common in women as they approach the menopause. Often no cause is found and doctors put it down to a condition called 'dysfunctional uterine bleeding'. This means no abnormality has been found to account for it and there is nothing to worry about. If bleeding is heavy, or the erratic cycle is a problem, there are treatments which can help, so contact your doctor.

Bleeding between periods

There are many causes for bleeding between periods. It is common in the first 2-3 months after starting the combined oral contraceptive (COC) pill.

Read more for women's health: Click Here

Answered By

Dr. Ashwani Kumar

Family Physician

Answered on 23rd May '24

Asked for Male | 15

I have an arteriovenous malformation with an arteriovenous fistula in the right foot, below the first metatarsal, which treatment is indicated?

Neurosurgery Treatment

1 Answer

Treatment for arteriovenous malformation with an arteriovenous fistula in the right foot below the first metatarsal depends on the size and location of the malformation, the severity of symptoms, and your overall health. Treatment options may include surgery, embolization, or a combination of both. Consult with a vascular surgeon to determine the best course of treatment.

Answered By

Dr. Gurneet Sawhney

Neurosurgeon

Answered on 23rd May '24

Asked for Female | 24

Insomnia, depressed for 5-6 months then got cured but again recurrence and suicidal thoughts.

Neurosurgery Treatment

1 Answer

Talk to your doctor of your symptoms and they can recommend appropriate treatment options like therapy, medication, or a combination of both. Practice good sleep, avoid caffeine and electronics before bedtime and establish a regular sleep routine, this can help improve insomnia symptoms.

Answered By