Question 1

I'm dealing with a needle-like pinch and hot sensations on the edges of my scrotum, and it's been really concerning. Plus, when I sit on a bike or even a chair, my right thigh and lower abdomen get painful. I've had a sonography done, and there's no hernia, which is a relief, but still confusing. I went to a neurologist who gave me Maxmela Forte to help, and it does reduce the pain a bit, but I still feel uneasy. This has been going on for about a month now, and I'm just not sure what's going on or what else I should be doing. Any ideas on what could be causing this or how to get more relief?

Accepted Answer

It sounds like you may be experiencing nerve-related symptoms in your scrotum edges, right thigh, and lower abdomen. The medication Maxmela Forte prescribed by the neurologist contains a combination of Pregabalin and Methylcobalamin, which helps in reducing nerve pain and discomfort. However, since you are still experiencing uneasiness, I recommend discussing with your doctor about adding a medication like Gabapentin (brand name Neurontin) at a starting dose of 300mg, gradually increasing as needed for better control of nerve-related symptoms. Additionally, you may benefit from physical therapy to address any underlying musculoskeletal issues contributing to your symptoms.

Question 2

I recently had a zsr circumcision on February 22nd and now all the staples along with the silicon ring have fallen off. There's just a tiny bit still attached to the skin and when I try to remove it, it hurts a little, which is really freaking me out. I'm worried that pulling it might cause some other issues. Could you tell me if it's safe to pull it off myself? Also, I'm curious if I can now engage in sexual activities like intercourse or masturbation.

Accepted Answer

It is not advisable to pull off the remaining portion yourself as it may lead to complications. I recommend visiting your doctor for proper evaluation and guidance on how to proceed. As for sexual activity, it is best to avoid it until you have fully healed to prevent any potential issues or infections.

Question 3

I'm really worried about my father, he's 64 and his doctor suggested dialysis. His potassium level is 4.1. I'm just not sure if he really needs it right now. What do you think I should do?

Accepted Answer

Dialysis is usually recommended for patients with severe kidney disease or kidney failure. In this case, since the potassium level is 4.1, which is within the normal range (3.5-5.0 mmolL), dialysis may not be immediately necessary based on this information alone. However, the decision to start dialysis depends on various factors such as the overall kidney function, symptoms, and other laboratory values. It is important to follow up with the doctor who recommended dialysis to discuss the specific reasons for the recommendation and to understand the overall management plan for the kidney condition.

Question 4

I'm feeling a bit worried after my ultrasound today showed a 3.8 mm stone in my kidney. Can you help me understand what this means and suggest what I should do next? I'm looking for a good urologist. Does this size stone usually pass on its own, or will I need treatment?

Accepted Answer

I recommend you start taking Tamsulosin (Flomax) to help relax the muscles in the urinary tract and facilitate the passage of the kidney stone. Additionally, you can take Ibuprofen 400 mg every 4-6 hours as needed for pain relief. Make sure to drink plenty of water to help flush out the stone.

Question 5

I've been diagnosed with IgA nephropathy and Im kind of worried about whats coming next. My creatinine levels jumped to 3.9 but are back down to 1.9 with the help of steroids. Im following a renal diet and keeping my salt intake under 5 grams. The steroids are being tapered off and should be stopped by the end of this month. I'm also on telmisartan and metoprolol for blood pressure control. My uric acid levels are at 8, which is higher than normal, but all my other minerals are looking good according to the prescription ranges. Can you give me some insight into what I might expect with this disease in the future and any advice on how I can keep things under control?

Accepted Answer

If your girlfriend is indeed pregnant, abortion is not the only option, but it's essential to consider it within the legal timeframe.

Other options, depending on your location and circumstances, may include:

Adoption: Allowing another family to adopt and raise the child.
Parenting: Raising the child together as a couple.
Emergency Contraception (EC): Not applicable in this case, as EC is effective only up to 72-120 hours after unprotected sex.

It's crucial to have an open and honest conversation with your girlfriend about your feelings, options, and decision.

Consult a healthcare provider or a trusted resource, like Planned Parenthood, for guidance and support.

Question 6

Im a 25-year-old woman with a 20 mm stone in my left kidney. I've been taking Neeri tablets for a month now, but it hasn't helped. Can you recommend any other medicines or treatments?

Accepted Answer

White discharge from the penis can be caused by various factors, including infections or inflammation.

Common causes include:

- Urethritis
- Prostatitis
- Balanitis
- Yeast infection

Consult a urologist or a dermatologist for a proper diagnosis and treatment.

They may prescribe antibiotics or antifungal medications, depending on the underlying cause.

Question 7

I've been having some kidney issues and though I'm not sure exactly what's going on, my doctor mentioned theres a problem. I'm thinking about adding flax seeds to my diet. Are they safe for anyone dealing with kidney problems? I'm really curious to know more.

Accepted Answer

Your symptoms suggest Phimosis, a condition where the foreskin is too tight to retract.

Consult a urologist or dermatologist for proper evaluation and diagnosis.

Treatment options may include topical steroid creams, manual stretching exercises, or surgical procedures.

Your doctor will recommend the best course of treatment based on the severity of your condition.

In the meantime, avoid forcing the foreskin back, as this can cause further irritation and pain.

Seek medical attention to alleviate your symptoms and prevent potential complications.

Question 8

I've been dealing with some intense pain in my lower abdomen ever since I was told I have kidney stones a few days ago. The ultrasound showed a 4mm stone, and my doctor prescribed me meftal spas for the pain, but it's not really working for me. The pain is seriously tough to handle. Is there any other way to manage or stop this pain?

Accepted Answer

If Dolo 650 isn't effective, consider the following options:

Consult your doctor before switching medications.

You can try Crocin (paracetamol) 650mg or Calpol (paracetamol) 650mg.

If your fever is severe, your doctor may prescribe a stronger medication like Combiflam (ibuprofen and paracetamol) or Brufen (ibuprofen).

However, always consult your doctor before taking any new medication.

Additionally, ensure staying hydrated and getting plenty of rest.

Question 9

Sure! Here is a user-generated query:

I've been feeling kind of off lately and noticed some unusual symptoms. I'm getting these occasional sharp headaches, and my balance feels a bit shaky. On top of that, I've been having some muscle twitching, and I can't help but worry if it's something serious. Should I be concerned about these symptoms? Is there a chance theyre related to a nerve problem or something similar?

Accepted Answer

Swollen uvula can be uncomfortable.

Possible causes:

- Allergies
- Postnasal drip
- Acid reflux
- Tonsillitis
- Dehydration

To alleviate symptoms:

1. _Stay hydrated_: Drink plenty of fluids.
2. _Gargle_: Mix salt and water to reduce swelling.
3. _Throat lozenges_: Suck on lozenges to soothe the throat.
4. _Elevate head_: Sleep with your head slightly elevated.
5. _Avoid irritants_: Reduce consumption of spicy, acidic, or hot foodsdrinks.

Consult your doctor or an ENT specialist for proper evaluation and guidance.

Question 10

I'm dealing with CKD and my creatinine levels have gone up from 2.4 to 2.8 recently. I'm really worried about what this means and what I can do to manage it. Plus, for the past few days, I've been having this really annoying itching all over my body. It's driving me nuts. Do you have any ideas on what's going on or what might help? I'm really looking for some advice.

Accepted Answer

Height is largely determined by genetics, but lifestyle factors can influence growth during adolescence and early adulthood.

To promote natural growth:

1. *Proper Nutrition*: Ensure adequate calcium, vitamin D, and protein intake.
2. *Exercise Regularly*: Engage in activities that promote growth, such as swimming, cycling, and stretching.
3. *Maintain Good Posture*: Proper posture can make you appear taller.
4. *Get Enough Sleep*: Adequate sleep (7-9 hours) helps regulate growth hormones.
5. *Manage Stress*: High stress levels can negatively impact growth.

Consider consulting a healthcare professional or a registered dietitian to create a personalized growth-promoting plan.

Keep in mind that after a certain age (usually around 18-25), growth plates close, and significant height increases are unlikely.

Question 11

I'm a 57-year-old Indian male who's been living and working in the Middle East for 31 years. I've been dealing with chronic kidney failure since 2000, with creatinine levels at 150220 umolL, which was stabilized using Diovan 80. I've also been diabetic since 2007. Recently, I had a heart attack, and they put a stent in my LAD with DES. I'm now on aspirin but I had to stop taking Diovan 80. I'm really worriedwill stopping Diovan 80 make my kidneys fail faster?

Accepted Answer

Having another abortion through pills within a month is not recommended.

Medical abortion pills are typically approved for use up to 10 weeks of pregnancy, but repeated use within a short period increases risks.

Potential side effects and risks include:

- Heavy bleeding
- Infection
- Uterine perforation
- Incomplete abortion

Question 12

I'm dealing with a 6.7 mm stone lodged in the middle of my right kidney and mid ureter. I've been taking Berberis Vulgaris and Ocimum Canum, 10 drops each in half a cup of water twice daily. I'm really curious, how long might it take for the stone to completely pass? Do you think these remedies will effectively remove the stone?

Accepted Answer

Possible Causes:*

1. Musculoskeletal strain
2. Tension or stress
3. Poor posture
4. Herniated disk
5. Cardiovascular issues (e.g., angina, heart attack)
6. Respiratory problems (e.g., pneumonia, asthma)

*Over-the-Counter (OTC) Pain Relievers:*

1. Acetaminophen (Tylenol)
2. Ibuprofen (Advil, Motrin)
3. Naproxen (Aleve)

*Muscle Relaxants:*

1. Cyclobenzaprine (Flexeril)
2. Methocarbamol (Robaxin)

*Prescription Medications (Consult Doctor):*

1. Anti-inflammatory medications
2. Muscle relaxants
3. Pain management medications

*Self-Care:*

1. Rest and avoid heavy lifting
2. Apply heat or cold packs to affected areas
3. Stretch gently
4. Maintain good posture
5. Manage stress through relaxation techniques

Question 13

I'm really worried about my 3.5-month-old baby boy. For the past couple of days, his urine has been white, and the analysis shows there's a large amount of amorphous phosphate present. Do you know what might be causing this? Will it gradually get better on its own, or is there something I should be doing about it?

Accepted Answer

Protein in urine (proteinuria) can be concerning.
 
 *Proteinuria Grade:*
 
 4+ indicates severe proteinuria (nephrotic range)
 
 *Possible Causes:*
 
 1. Kidney damage or disease (e.g., nephrotic syndrome)
 2. Diabetic nephropathy
 3. Hypertension
 4. Glomerulonephritis
 5. Kidney stones
 6. Urinary tract infection (UTI)
 7. Pregnancy-related issues
 
 *Kidney Failure Risk:*
 
 Severe proteinuria increases kidney failure risk if left untreated.
 
 *Complications:*
 
 1. Nephrotic syndrome
 2. Chronic kidney disease (CKD)
 3. End-stage renal disease (ESRD)
 4. Cardiovascular disease
 
 *Immediate Action:*
 
 1. Consult a nephrologist or urologist.
 2. Complete urine analysis and culture.
 3. Blood tests (renal function, electrolytes, glucose).
 4. Imaging studies (ultrasound, CT scan).
 
 *Treatment:*
 
 Depends on underlying cause, may include:
 
 1. Medications (ACE inhibitors, ARBs)
 2. Blood pressure control
 3. Diabetes management
 4. Lifestyle changes (diet, exercise)
 5. Dialysis (in severe cases)

Question 14

I'm a bit concerned about taking Psorid 50 mg because I recently had gallbladder stones detected and removed, and now they've found HCV, though my RNA quantification came back negative. Could this medication affect my liver in any way?

Accepted Answer

Immediately stop breastfeeding for 24-48 hours to avoid passing the medication to your baby. Pump and discard breast milk during this period. Consult your doctor or a lactation consultant for guidance. Monitor your baby for any adverse reactions. Resume breastfeeding after the recommended time

Question 15

I'm really worried because my urine culture test showed an E. coli count of 80,000, and it's been like this for a while now. My urologist prescribed antibiotics a few months back, and after taking them for two weeks, the count went up when I stopped. The medicine was switched, but now Im seeing E. coli again. I got an ultrasound KUB which turned out normal and did semen cultures as well, which showed another infection. Even after another round of antibiotics, the infection was still there. Ive been experiencing sharp abdominal pain and sometimes in the rectum, with my urine smelling bad. Why do I keep getting these recurring infections in both my urine and semen cultures? What could be causing this, and what tests should I consider doing next?

Accepted Answer

It sounds like you're dealing with a persistent E. coli infection that may not have fully cleared despite antibiotics. Chronic or recurrent infections can be due to incomplete treatment, an underlying issue like a urinary tract abnormality, or antibiotic resistance. It's important to consider a urine culture with antibiotic sensitivity testing, possibly imaging studies beyond ultrasound (like CT or MRI), and reviewing the semen culture results to address any underlying causes. A urologist or infectious disease specialist could help explore further options.

Question 16

I've got a question about my ultrasound report. There's a 6mm calculus in my right lower ureter, just 1 cm away from the UVJ. I'm kind of worried about whether I really need laparoscopic surgery for this. Any advice on what I should do?

Accepted Answer

Body imbalance can be frustrating.
 
 *Causes:*
 
 1. Muscle imbalances
 2. Poor posture
 3. Uneven workout routine
 4. Injuryoveruse
 
 *Fixing Uneven Traps:*
 
 1. Identify and adjust uneven exercises (e.g., rows, shoulder presses)
 2. Target weaker side with additional setsreps
 3. Incorporate balancing exercises:
 - Reverse fly
 - Lateral raises
 - Shrugs (focus on weaker side)
 4. Strengthen core and shoulder stabilizers
 5. Consider consulting a personal trainer or physical therapist
 
 *Specific Tips:*
 
 1. Switch grip or stance to engage both sides equally
 2. Use lighter weights and focus on controlled movements
 3. Increase volume on weaker side (more setsreps)
 4. Stretch and foam roll regularly

Question 17

I recently got an ultrasound done, and it showed that my left kidneys upper calyx is 6.5 cm and the middle calyx is 4 mm. Should I be worried about this causing future problems? Also, I've been taking K Mac B6 syrup for my kidney stones. Could there be any side effects from using this syrup regularly? Would really appreciate some advice.

Accepted Answer

-It seems like your ultrasound shows a 6.5 cm size in the upper calyx of the left kidney and a 4 mm stone in the middle calyx. While the larger size might need monitoring, the 4 mm stone is small and could pass on its own. K Mac B6 syrup is generally safe

Question 18

I'm 22 and I'm kind of worried about my kidney sizes. My right kidney is measuring 7932mm and the left one is at 8333mm. Is that normal, or should I be concerned?

Accepted Answer

-Yes, your kidney sizes are within the normal range for an adult. Kidneys typically measure 8-12 cm in length and 3-5 cm in width, so your measurements are fine for your age.

Question 19

I was diagnosed with CKD last month and my creatinine was at 4.1. My doctor did a biopsy and mentioned that 820 glomeruli showed shrinking because of IgA. There's no swelling on my face or feet but I'm passing protein in my urine, no blood though. My blood pressure has been around 12585. I'm looking for a second opinion because I've been on medication for the past week but my creatinine has gone up to 7. My doctor still advises continuing with Omnacortil 40 and Sevcar. Is this the right approach, or should I be concerned about the increase in creatinine levels? Would really appreciate some guidance.

-It sounds like you've been diagnosed with CKD, with a creatinine level of 4.1 initially, which has risen to 7 despite starting treatment. The biopsy showed IgA-related damage, and you're on Omnacortil and Sevcar. Since your doctor recommends continuing t

Last updated on 23 Jan 2025

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Accepted Answer

-It sounds like you've been diagnosed with CKD, with a creatinine level of 4.1 initially, which has risen to 7 despite starting treatment. The biopsy showed IgA-related damage, and you're on Omnacortil and Sevcar. Since your doctor recommends continuing t

Question 20

I'm having issues with both urination and ejaculation. My urine flow and the speed of ejaculation seem to be slower than usual, and I think this might be affecting our chances of conceiving. My doctor mentioned something about a urethral stricture and suggested surgery. I'm just really anxious about all this and looking for some guidance. Could you shed some light on what this means and if surgery is the only option?

Accepted Answer

-It sounds like you're experiencing a challenging situation with both urination and ejaculation. A urethral stricture can indeed affect flow and function, and surgery is often recommended to help resolve it. It might be helpful to discuss all available tr

Question 21

I'm dealing with kidney stones in both of my kidneys. There's a 4mm stone on the right and a 3mm one on the left. Can you guide me on how I should go about removing these stones?

Accepted Answer

-Small kidney stones like yours often pass naturally with adequate hydration. Drink at least 3-4 liters of water daily, include citrus juices (like lemon water) to help dissolve stones, and consult your doctor for pain management or medications if needed.

Question 22

I'm really worried about my mom's health right now. She's been dealing with a urine infection and her creatinine levels got up to 6.62. Theyve come down to 5 in the last three months after treatment, but I'm still concerned. Her blood sugar is stable, but her hemoglobin has dropped to 7.1. She's been having 200ml of double toned milk and 50gm of chicken every day, along with other foods. I'm wondering if beans and peas are safe for her to eat. Also, I've heard about chamomile teado you think it might help lower her creatinine levels?

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Last updated on 23 Jan 2025

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Question 23

I'm a bit worried about my recent kidney function blood test results. I had it done yesterday, and I saw that my serum creatinine is 0.9 mgdl, BUN is at 10.16 mgdl, uric acid level is 2.7 mgdl, and calcium is 9.34 mgdl. What's got me concerned is that the uric acid level is below the normal range. Is this something I should be worried about or get treated? By the way, I only have my right kidney because I had a nephrectomy on my left kidney at birth. Any advice would be appreciated.

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Question 24

I've got a 10mm stone in my right kidney and it's been causing me some on-and-off pain on the right side of my stomach. I'm really concerned about it and was wondering if you could share some advice or insights on what I should do or expect. It's been quite uncomfortable, and Im just trying to figure out the best way forward.

Accepted Answer

Forteo and Terifrac are essentially the same medication, teriparatide, used to treat osteoporosis. The difference lies in the manufacturer:

- Forteo: Eli Lilly and Company
- Terifrac: Sun Pharmaceutical Industries

Since your mother has used Terifrac for 6 months, it's likely okay to continue. However, consult her doctor to:

1. Assess progress
2. Determine if switching to Forteo is necessary
3. Discuss potential side effects and long-term treatment plans

Typically, teriparatide treatment is limited to 24 months.

Question 25

I'm really worried about my daughter's health. She was born with just one kidney, and even though shes been sticking to strict diet and lifestyle changes, her creatinine levels are still going up. It's now at 2.3. Plus, she's dealing with high blood pressure. Currently, she's on Olmezest 40, Moxovas 0.3, and Folvite. What can we do to help manage her increasing creatinine levels and high BP? Looking for any advice or steps we can take.

Accepted Answer

Persistent symptoms despite treatment_:

1. _Inadequate treatment duration_: 2 months might not be sufficient to fully address your condition.
2. _Insufficient medication dosage_: Rabeprazole and domperidone dosages might need adjustment.
3. _Underlying conditions_: H. pylori infection, gastroesophageal reflux disease (GERD), or other conditions might require alternative treatments.

_New symptom: Soreness on the back of the throat_:

1. _Reflux-related symptom_: Stomach acid reflux can cause throat irritation.
2. _Postnasal drip_: Mucus accumulation can cause throat soreness.

_H. pylori treatment_:

1. _Not untreatable_: H. pylori infections can be treated with antibiotics and acid reducers.
2. _Treatment challenges_: Antibiotic resistance, inadequate treatment duration, or insufficient medication dosages can make treatment difficult.

Question 26

I'm really concerned about my younger brother's health because his creatinine level is at 9. I'm trying to understand what the best treatment option might be. If dialysis is necessary, I'm curious about whether a temporary or permanent solution would be more suitable. Could you give me some guidance?

Accepted Answer

Spoiled Milk Consumption Recovery

*Immediate Action*

1. *Stay hydrated*: Drink plenty of water to help flush out toxins.
2. *Rest*: Give your body time to recover.

*Relieving Stomach Aches and Digestion Problems*

1. *Ginger*: Consume ginger tea, ginger ale, or ginger candies to soothe the stomach.
2. *Bananas*: Eat bananas to help settle your stomach and replace lost potassium.
3. *BRAT diet*: Follow the BRAT diet (Bananas, Rice, Applesauce, and Toast) for a day or two to ease digestion.
4. *Probiotics*: Take probiotic supplements or consume probiotic-rich foods like yogurt (ensure it's not spoiled) to restore gut bacteria.
5. *Over-the-counter medication*: Consider taking antacids or anti-diarrheal medications like loperamide (Imodium) if your symptoms are severe.

*When to Seek Medical Attention*

1. *Severe vomiting*: If you're unable to keep fluids down.
2. *Bloody stools*: If you experience bloody stools or severe abdominal pain.
3. *Fever*: If you have a fever above 101.5F (38.6C).
4. *Dehydration*: If you're experiencing excessive thirst, dark urine, or dizziness.

*Prevention*

1. *Check expiration dates*: Always check the expiration date before consuming dairy products.
2. *Store properly*: Store milk and dairy products in the refrigerator at a temperature below 40F (4C).

Question 27

I'm really worried right now about my health. I've been checking my blood pressure every day for the past two weeks, and it's been around 190110 consistently. I'm already taking Telmisartan 40mg, but it doesn't seem to be helping at all. On top of that, my creatinine level is 1.8, my potassium is high, urine protein is at 2484, and my albumin is 3.3. My vitamin B12 is really low at 82. Can you help me understand what all these numbers mean and what I should do next?

Accepted Answer

Typhoid and Malaria Co-Infection

_Dark Yellow Urine_

1. _Medication side effect_: Certain medications, such as rifampicin (used to treat typhoid), can cause urine to turn orange or dark yellow.
2. _Dehydration_: Inadequate fluid intake or excessive fluid loss due to fever, sweating, or diarrhea can cause concentrated, dark yellow urine.
3. _Liver function_: Typhoid and malaria can affect liver function, leading to changes in urine color.

_Concerns and Recommendations_

1. _Consult your doctor_: Inform your doctor about the dark yellow urine, as it may indicate dehydration or liver function changes.
2. _Increase fluid intake_: Drink plenty of fluids, such as water, clear broths, or electrolyte-rich beverages like coconut water or sports drinks.
3. _Monitor urine output and color_: Keep track of your urine output and color to ensure you're staying hydrated and to detect any potential issues.
4. _Complete the treatment course_: Continue taking your medications as prescribed, and complete the full treatment course to ensure effective management of typhoid and malaria.
5. _Follow-up appointments_: Schedule follow-up appointments with your doctor to monitor your progress, adjust treatment if needed, and address any concerns.

Question 28

I'm feeling a bit concerned because I've developed multiple cysts on my left epididymis again. They were removed about three years ago, but now I can feel them coming back, and one of them is quite big, around 3cm by 2cm. It's not really painful, but there's definitely some discomfort. Should I be worried about these recurring epididymal cysts, and what might be causing them to grow back?

Accepted Answer

CT Value in COVID-19 RT-PCR Test

_Interpretation_

1. _CT value_: Cycle Threshold (CT) value represents the number of cycles needed to detect the virus.
2. _Value of 21.27_: A CT value of 21.27 indicates a relatively low viral load.

_Implications_

1. _Infectivity_: A lower CT value (like 21.27) may suggest a higher infectivity.
2. _Treatment and isolation_: Follow local health guidelines for COVID-19 treatment and isolation.

_Next Steps_

1. _Consult a healthcare professional_: Discuss your test results with a doctor to determine the best course of action.
2. _Follow-up testing_: Schedule follow-up tests as recommended by your healthcare provider.

Question 29

I'm really worried because my blood creatinine level is 5.91mgdl and I've been told that both my kidneys have shrunk in size. I've got normal blood pressure and sugar levels, and I don't have any major diseases, but I've been feeling a lot of bone pain. The doctor mentioned that my kidney function is down to about 50% and gave me some medication to try for a month before deciding if I'll need dialysis. I'm really frustrated with all of this and would love some advice on what I should do next or if there's anything else I can try.

Accepted Answer

Testicular Lump and Scrotal Symptoms

_Symptoms:_

1. _Painless lump_: A mass or lump under your testicles, usually painless.
2. _Dull ache_: Pain in the testicles during physical activity or masturbation.
3. _Worm-like structure_: The lump feels like a worm or a soft, movable mass.
4. _Scrotal heaviness_: Your scrotum becomes heavy and hangs loose on one side.

_Possible causes:_

1. _Varicocele_: A swelling of the veins in the scrotum, which can cause a worm-like structure.
2. _Hydrocele_: A fluid-filled sac in the scrotum, which can cause swelling and heaviness.
3. _Spermatocele_: A cyst that forms in the epididymis, which can cause a painless lump.
4. _Epididymitis_: Inflammation of the epididymis, which can cause pain, swelling, and heaviness.

_Next steps:_

1. _Consult a urologist_: Schedule an appointment with a urologist for a thorough examination and diagnosis.
2. _Get a physical examination_: A urologist will perform a physical examination to assess the lump and scrotal symptoms.
3. _Imaging tests_: Your doctor may recommend imaging tests, such as an ultrasound, to confirm the diagnosis.

Question 30

I'm really concerned about my kidney health since my serum creatinine levels recently went up from 1.6 to 2.2. After cutting out salt from my diet, the levels came down to 1.7. I'm looking for advice on medications that could help bring my creatinine down to around 1.3. I'm also managing diabetes, with an HbA1C of 8.2, and I've been on insulin Human mixtard with 35 units in the morning and 25 at night. My blood pressure is currently under control, but I would really appreciate any advice on medicines that could help with both my kidney and diabetes issues.

Accepted Answer

. I can understand your worry.. creatinine is measure of kidney function.. since you have diabetes and hypertension, both of which affects kidney if not controlled properly.. hba1c of 8.2 is not good control.. it's has to be below 7 then only it's good control.. have small frequent meals instead of three big meals, have more fibre rich diet, have green leafy vegetables, in fruits have guava, orange, avoid sapota, papaya, apple, banana.. reduce carbohydrates and fats.. for kidney disease, reduce salt intake and have low protein intake.. consult dietician for complete diet plan..

Question 31

I'm dealing with a kidney stone issue that started about 3 months ago. Initially, the stone was 4 mm and the treatment seemed to solve the problem, but now I'm experiencing some pain on my left side again. I've been trying K Mac B6 syrup to help with the stone, but I'm worried about any side effects it might have. Is K Mac B6 actually good for kidney stones, or should I be concerned about using it?

Accepted Answer

K-Mac B6 syrup may help manage kidney stone symptoms, but its effectiveness and safety vary. Here's a balanced view:

Benefits

1. Reduces pain and discomfort
2. Helps dissolve small stones (up to 10 mm)
3. Supports urinary tract health
4. May prevent stone recurrence

Potential Side Effects

1. Gastrointestinal issues (nausea, vomiting, diarrhea)
2. Headaches
3. Dizziness
4. Allergic reactions (rare)

Precautions

1. Consult a doctor before taking K-Mac B6 syrup, especially if:
- You have underlying medical conditions (diabetes, kidney disease)
- You take medications (blood thinners, diuretics)
- You're pregnant or breastfeeding
1. Monitor urine output, color and consistency
2. Report worsening symptoms or adverse effects to your doctor

Alternative Options

1. Consult a urologist for personalized treatment

Question 32

I've got a 16 mm stone in my left kidney and a 6 mm stone in my right. I'm really hoping to avoid surgery if possible. Can these be removed without having to go under the knife?

Accepted Answer

The 6mm stone in your right kidney is likely to pass on its own with hydration and medical expulsive therapy, but the 16mm stone in your left kidney is larger and less likely to pass naturally; for the larger stone, surgeon may recommend shock wave lithotripsy (SWL), ureteroscopy, or percutaneous nephrolithotomy (PCNL) to break up or remove the stone, depending on its composition, location, and your overall health; consult a urologist or nephrologist

Question 33

I'm a bit worried about my diabetes and recent test results. My urinary microalbumin creatinine ratio test shows a microalbumin concentration of 76.43, urinary creatinine concentration of 19.31, and a microalbumin creatinine ratio of 395.80. I've been taking mucinac 600 tablets, but I haven't seen any improvement. How can I lower these levels?

Accepted Answer

Your microalbumin-to-creatinine ratio (395.80) indicates early signs of diabetic nephropathy; to reduce microalbuminuria, focus on tight blood sugar control, aiming for an HbA1c < 7%; also, consider the following: maintain optimal blood pressure control (<13080 mmHg) with medications like ACE inhibitors or ARBs; follow a healthy, low-sodium diet; increase physical activity; quit smoking; and limit protein intake;

Question 34

I'm really worried about my father-in-law because he's been taking a lot of painkillers, and now his kidneys have shrunk. Can you tell me what kind of treatment options are available for him?

Accepted Answer

_Chest Pain with Needle-Like Sensation: Possible Causes_

Feeling like needles are poking your heart can be a concerning and uncomfortable sensation. This symptom can be related to various conditions, ranging from mild to serious. Here are some possible causes:

*Cardiac-Related Causes*

1. *Angina*: Reduced blood flow to the heart muscle can cause chest pain, which may feel like needles poking.
2. *Myocardial infarction (Heart Attack)*: A blockage in the coronary arteries can cause severe chest pain, including a needle-like sensation.
3. *Pericarditis*: Inflammation of the sac surrounding the heart (pericardium) can cause sharp, stabbing chest pain.

*Non-Cardiac Causes*

1. *Costochondritis*: Inflammation of the cartilage connecting the ribs to the breastbone (sternum) can cause sharp, stabbing pain.
2. *Precordial catch syndrome*: A benign condition characterized by sudden, sharp chest pain, often feeling like a needle or pin.
3. *Gastroesophageal reflux disease (GERD)*: Stomach acid flowing back up into the esophagus can cause chest pain, including a burning or needle-like sensation.
4. *Anxiety or panic attacks*: Stress and anxiety can manifest as physical symptoms, including chest pain or a needle-like sensation.

*What to Do*

If you're experiencing a needle-like sensation in your chest, it's essential to seek medical attention to rule out any underlying cardiac conditions. Contact your healthcare provider or visit the emergency room if you experience:

- Severe chest pain or pressure
- Shortness of breath
- Dizziness or lightheadedness
- Pain radiating to your arms, neck, or jaw

A thorough medical evaluation, including a physical exam, electrocardiogram (ECG), and imaging tests (if necessary), will help determine the cause of your symptoms.

Question 35

I'm worried about my recent ultrasound results. It says I have left renal cortical cysts and grade II fatty changes in my liver, plus something called prostatomegaly. The report mentions that my left kidney is normal in size and there's no evidence of any stones or hydronephrosis. There are two cystic lesions at the lower pole, one of which is pretty big. Should I be concerned about these findings, especially the cysts and liver changes? What do these terms really mean for my health?

Accepted Answer

The pain you're experiencing after vomiting could be due to:

1. Irritation and inflammation of the esophagus (food pipe) from stomach acid.
2. Potential tears or ulcers in the esophagus or throat.
3. Spasms or constriction of the esophagus.

To alleviate the discomfort:

- Stay hydrated with water and electrolyte-rich drinks.
- Avoid solid foods for a while; opt for bland, soft foods like yogurt or soup.
- Over-the-counter antacids or acid reducers like Tums, Rolaids, or Zantac may help.
- If the pain persists or worsens, seek medical attention.

Question 36

I was diagnosed with a 5 mm stone in my urinary bladder about a week ago, and my doctor told me to take veltam 0.4. The stone passed the very next day, and now, five days later, the ultrasound showed no signs of any abnormality or stone. I can't seem to reach my doctor at the moment, so I'm wondering if it's okay for me to stop taking the medicine now. What do you think?

As the size of the stone is large thats the appropriate procedure,follow your doctors advice

Last updated on 23 Jan 2025

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As the size of the stone is large thats the appropriate procedure,follow your doctors advice

Question 37

I'm really worried about my father. He's 67 and has been dealing with diabetes for 25 years, which has now affected his kidneys. Back in October 2016, his creatinine level was at 2.92, and we were told he's got CKD. By December 2016, it climbed to 3.0, and in January 2017, it shot up to 4.77. He stopped eating and became really inactive, and we had to rush him to the hospital. Then on January 25th, his creatinine was 6.7, and just two days later, it jumped to 7.7, even with all the medications he's on.

His diabetes levels range between 130-200 for fasting and post-lunch, and they say it's under control. His blood pressure averages between 137 to 140 daily. Both ECG and 2Decho came out fine, but his hemoglobin is low at 8, and his potassium is at 4.2. Given these numbers, especially with his creatinine levels rising so quickly, I'm really anxious. What should we do next? Are there any specific treatments or precautions we need to consider to help manage his condition better?

Accepted Answer

Ideally he must be taken up for Dialysis to bring creatinine atleast less than 5 with good urine output and normal electrolytes,dont worry follow your doctors advice

Question 38

I'm a bit worried about my creatinine level, which is at 1.04. Should I be concerned about it being too high? If so, what kinds of foods should I avoid to help manage it?

Accepted Answer

Thats absolutely normal no need to worry ,maintain healthy lifestyle

Question 39

I've been struggling with trying to go to the toilet because I can't seem to pee. It's really weird and painful, and the pain is spreading to my stomach and the area around my kidneys. What could be going on with me?

Visit Urologist for evaluation and appropriate management

Last updated on 23 Jan 2025

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Visit Urologist for evaluation and appropriate management

Question 40

I've been dealing with UTI issues again. I had one back in November 2016 and took norflox then, and it cleared up. This time, the problem started on April 3rd, and I took norflox for 5 days along with citralka syrup. It got better, but then it came back after just 2 days. Now it's continuing every day. What should I do? Is there something different I should try or be concerned about?

Accepted Answer

Recurring UTI symptoms despite antibiotic treatment, including norflox, suggest a possible underlying issue, such as antibiotic resistance, incomplete treatment, or an underlying anatomical or functional abnormality; consider consulting a urologist

Question 41

So, I'm a bit worried about my 7-month-old son. He's got hydronephrosis in his left kidney and there's this PUJ obstruction. The doctor is saying he might need surgery. I'm just wondering, how can we tell if this is getting worse? Should we consider going ahead with the surgery or is there a chance it might get better on its own if we wait a bit?

Accepted Answer

To monitor the progression of your son's hydronephrosis with PUJ obstruction, your doctor may recommend regular ultrasound scans (every 3-6 months) to assess kidney function, drainage, and signs of deterioration; additionally, nuclear medicine studies like MAG3 or DMSA scans may be performed to evaluate kidney function and obstruction; surgery is often recommended for PUJ obstruction to prevent long-term kidney damage, but the timing depends on the severity of the obstruction, kidney function, and your child's overall health

Question 42

I'm dealing with an 8mm kidney stone in the upper pole and a 9mm stone at the vesicoureteric junction. Is there any way to treat this without going through surgery, or is surgery my only option?

Accepted Answer

The 8mm stone in the upper pole kidney and the 9mm stone at the vesicoureteric junction (VUJ) may be treatable without surgery, depending on symptoms and stone composition; options include Extracorporeal Shock Wave Lithotripsy (ESWL) to break down the stones, or medical expulsive therapy (MET) with medications like alpha-blockers to help pass the stones naturally; however, consult a urologist to determine the best course of treatment based on your specific situation.

Question 43

I'm noticing that when I pee, there are two streamsone's stronger and the other's weaker. This causes a lot of spraying, but there's no pain or burning. I'm trying to figure out what's going on. Could this be something I should be worried about?

Accepted Answer

The presence of two streams of urine, with one being weaker, and spraying, without pain or burning sensation, could be indicative of a urethral stricture, bladder neck contracture, or a condition called urethral duplication, but it's essential to consult a urologist

Question 44

I'm really concerned because I've noticed a swelling near my clitoris. I'm a virgin, and there's no bleeding, but one side has been swollen for about three days now. It's super itchy sometimes, and I can definitely feel the swellingit hurts a lot. I always keep my whole body clean and wash my vagina every time I pee. I can't figure out why this is happening, and it's really scary. Can you help me understand what's going on?

Accepted Answer

A swollen and painful area near the clitoris, accompanied by itching, in the absence of bleeding or sexual activity, could be caused by various factors such as a Bartholin's cyst, ingrown hair, vaginal infections like vulvovaginitis, or other conditions like herpes or eczema, so it's essential to consult a gynecologis

Question 45

I've been dealing with this gout issue for the past four days, and I'm not sure which doctor I should see about it. I've already taken 8 pills of goutnil, but I'm still having trouble. Can you recommend what type of doctor I should visit or anything else I might try?

Accepted Answer

Yes, you can still get the wound dressed. In fact, it's recommended to dress the wound to promote healing, prevent infection, and reduce scarring.

*Next Steps*

1. *Visit a doctor or a nurse*: Go back to the same healthcare provider or visit a nearby clinic to get the wound dressed.
2. *Clean and dress the wound*: The healthcare professional will clean the wound, apply an antibiotic ointment, and dress it with a bandage or dressing.
3. *Monitor for infection*: Keep an eye on the wound for signs of infection, such as redness, swelling, increased pain, or pus.
4. *Follow-up*: Schedule a follow-up appointment to ensure the wound is healing properly.

Remember to keep the wound clean and dry to promote healing. If you notice any unusual symptoms or concerns, don't hesitate to seek medical attention.

Question 46

I've been having these recurring stomach aches every time I try to go to the toilet, but nothing actually happens, just pain on that side. It's really frustrating because it doesn't seem to improve. Should I be worried about this, or is it something that might just clear up on its own? I've been trying to figure out what could be causing it. Any insights?

Accepted Answer

It sounds like you're experiencing frequent bowel movements and pain on one side, which could be due to a digestive issue, such as irritable bowel syndrome or an infection. It's important to consult with a doctor to identify the exact cause and get appropriate treatment.

Question 47

I've just had a routine ultrasound and it turns out my left kidney is now just 7.5 cm, even though my right one seems to be normal. When I had a scan about five years ago, the left kidney was 10 cm. I also did a urine test that showed 100 mgdL of protein and my serum creatinine level is at 1.24. Should I be worried about this? Could this be Chronic Kidney Disease (CKD)?

Yes you can have it no problem

Last updated on 23 Jan 2025

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Yes you can have it no problem

Question 48

I'm hoping to get some clarity about something that came up in my sister's recent ultrasound. It mentioned a mild prominence of the bilateral pelvicalyceal system. I'm a bit concerned about what this actually means for the baby and how serious it could be. She's currently 6.5 months pregnant, and I'm wondering if there are any steps we should be taking at this point. Any advice would be appreciated!

Yes you can have it no problem

Last updated on 23 Jan 2025

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Yes you can have it no problem

Question 49

I'm really worried because my mom, who was just diagnosed with kidney stones last Saturday, hasnt had a bowel movement since then and now it's Tuesday night. I understand that the medication shes on can cause constipation, and we tried giving her prunes, other high-fiber foods, and even some magnesium citrate, but nothing seems to work. Is there anything else we can do? What would you suggest to help her with this issue?

Encourage her for consuming high fibre diet and plenty of water,you can try with Laxative suspensions like LOOZ syrup 10 ml at bed time.

Last updated on 23 Jan 2025

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Accepted Answer

Encourage her for consuming high fibre diet and plenty of water,you can try with Laxative suspensions like LOOZ syrup 10 ml at bed time.

Question 50

I'm a bit worried because I've noticed my urine is really foamy. I did some tests, and my uric acid is 7.2, and creatinine is 1.1. Also, I feel like I need to pee really often after drinking water. Plus, there's this annoying pain in my foot. Can you tell me what's going on and what I should do next?

There must be protien loss in the urine,get complete urine examination to look for protien loss and visit nephrologist for appropriate management

Last updated on 23 Jan 2025

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There must be protien loss in the urine,get complete urine examination to look for protien loss and visit nephrologist for appropriate management

Question 51

I'm concerned about my creatinine levels. They were at 0.9 last month, but now they've increased to 1.4. Is that considered too high? I'm wondering what could be causing this increase, like could it be something in my diet? I'd love some advice on what I might need to avoid or any precautions I could take to bring it back down. What exactly is the normal range for creatinine levels?

Accepted Answer

A creatinine level of 1.4 is considered high, especially if it's increased from 0.9 in a month. Normal creatinine levels vary by age, sex, and muscle mass, but generally fall between 0.6 to 1.1 mgdL. To lower creatinine levels, consider these dietary changes and lifestyle adjustments:

Dietary Changes

1. Low Protein Diet: Reduce or avoid high-protein foods like red meat, eggs, and dairy products.
2. Fiber-Rich Foods: Increase consumption of legumes, fruits (like apples and papaya), and vegetables.
3. Hydration: Drink plenty of water to help flush out toxins [2).

Lifestyle Adjustments

1. Exercise Moderation: Avoid intense workouts and opt for light exercises like walking or yoga.
2. Salt Intake: Limit common salt consumption to maintain healthy blood pressure.
3. Avoid NSAIDs: Limit use of non-steroidal anti-inflammatory drugs (NSAIDs).
4. Supplement Awareness: Consult a doctor before taking creatine or protein supplements.
5. Quit Smoking: Smoking can damage kidneys and increase creatinine levels.

Question 52

I've been noticing that I'm peeing more than 10 times a day, and right after I go, I feel this urge to drink water again. Could this be a sign of something going on with my bladder?

Accepted Answer

Risk of pregnancy- Very low to negligible. Why ?-1. Precum (pre-ejaculate) contains fewer sperm than semen.
2. You wiped off the precum immediately.
3. No ejaculation occurred.
4. No penetration took place (most probably). Her menstrual cycle:*

1. Day 14-16 of her cycle (September 8-10) would be ovulation time (assuming 28-day cycle).
2. Since the incident occurred on September 11, ovulation likely passed.

Question 53

I've got some concerns about my blood work results. My hemoglobin is at 15.9, red blood cells are at 4.6 million, white blood cells are 11,100, and the platelets are listed as 2.13 million. Can you help me understand if these numbers are within normal ranges or if there's something I should be worried about? I'm a bit confused and would really appreciate your advice.

the results are normal in range

Last updated on 22 Jan 2025

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the results are normal in range

Question 54