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question:I have gone to an ob midwife and urgent care and all have treated me for yeast infection. Most recent is estrogen cream. I have white discharge and anal irritation. I do not know where to go from here...6 month old bsby and breastfeeding and have been dealing with these symptoms since may
answer:Thank you for the query.I would like to know your age and whether you suffer from Diabetes mellitus. Since, you have a 6 month old baby, i would also like to enquire whether it was a normal delivery or Caesarian section was required.Vaginal candidiasis (yeast) is a common condition. It can lead to severe irritation, itching and curdy white discharge. Local vaginal creams for candidiasis like Clotrimazole cream must be applied. It is also necessary to maintain hygiene and keep your private parts clean and dry.I would also advise you to go for Urine routine examination and culture, to rule out any other causes of Urinary Tract Infection. In that case oral course of antibiotics may be required (since you are lactating all classes of antibiotics cannot be used). If the problem is persistent, you should get a blood sugar profile checked and consult your gynaecologist regarding the same.Hope this helps you out.
question:I am a 42 year old male in good physical health. I haven't had any previous heart related issues. My BP is 110/70 and my total cholesterol is 216 with HDL, LDL, and triglycerides all within acceptable range. I was having some chest discomfort and shortness of breath so my primary physician suggested I do a cardio stress test. The treadmill test and EKG were both normal. However, the cardiologist said that my ejection fraction was at 45% and wanted to do a retest in 6 months. I am a little concerned and wondered how serious this low EF is? Everything else was completely normal. The cardiologist didn't seem too concerned, but I am very worried. Could this EF number be the cause of my symptoms? Should I do another cardio stress test and echocardiogram sooner? Thank you for your time.
answer:Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.Your heart has had a damage that has caused this decrease in ejection fraction, but the cause is unclear. Your symptoms are due to these causes and probably the disease that has caused these low EF.You should do another cardiac sonography and take medicines. Other examinations may be needed to find out the cause of this heart damage. Hope I have answered your query. Let me know if I can assist you further.Regards,Dr. Anila Skenderi
question:My wife has got white marks on the back. On seeing doctor, doctor diagonised as skin fungus. He advised to apply Ketovate Solution ( Ketoconazole solution) one hour before taking bath. In night , Kansel - ds lotion to be applied. This treatment is going on for last 2 months but there is no improvement. We have observed that it starts in summer and continues for 2 months. This gets cured within 2 months. But, this time it is not getting cured. Please suggest what to do as my wife is very much worried.
answer:From the description it more likely seems to be Pityrasis versicolor infection causing hypopigmented lesion without itching. It usally increased in the sweat causing months ( summer ). the local applicatiopns given by doctor are gud but considering the resitance this tyme you need to change the medication. And she should also have one oral antifungal shot such as Fluconazole 400 mg single dose, which is more ideal treatment of the condition.So my opinion is that give her single tablet of fluconazole 400 mg single dose and ask her to apply oxyconazole or itraconazole cream twice a day & see the results. It may take 20 -30 days to resolve thsi type of infection.Once cured precautions should be taken so that they wont recure. For that it is advisable to have proper dermatological consultation.
question:Gus mrng sir I am suffering from balltod since 2year it come again and again doctor advice me to take tablet it make me fill gud but after some time it occur again sir so please give the permanent Sol of this diseases.I shall highly thankful to u. My age is 20.
answer:The reason behind the recurring baltod ( folliculitis/furunculosis ) may be improper hygiene, excess sweating & diabetes. Considering your age diabetes is unlikely still my advice to you is that you must under go blood sugar level testing once. This is very much important ( as occasionaly diabetes may occur in young people)You should also receive proper antibiotic course such as Amoxicilline+ dicloxaciiline to cover both gram +ve & -Ve organisms. So it is advisable to have proper dermatological consultation.Improve your hygiene & get your BSL repors done which can help you relive from this problem permanently.
question:My husband is under physical therapy after a knee replacement, he is a diabetic, and the therapist said she thinks he has ringworm and it is spreading. One of the answers on your website said to apply deluted bleach - how much bleach to how much water? We are trying to get an appointment with our doctor to confirm that it is ringworm and also what they suggest to do for it. We realize it is contagious.
answer:First of all you have to confirm it is ring worm because unless we have proper diagnosis there no any use of unnecessary treatment.So my opinion is that take appointment of doctor on priority basis & confirm the thing is ringworm.If it is ringworm then it is transferred to other person only by intimate contact & for getting infected patient must be susceptible. It is not transferred by air born route & if proper hygienic precautions are taken.If the ring worm is confirmed only topical therapy ( local application ) will not be sufficient & you should have to take oral anti fungal such as Terbinafine plus local anti fungal application such as itraconazole. ( for detail therapy consult your dermatologist) My advice is that do not use bleach as it may not be helpful in ringworm infestation instead use one of the above said anti fungal cream.
question:hello doctor,I had an itching problem in and around anus . After 3 days suspecting it as a case of piles I consulted a surgeon . He after examination with proctoscope found nothing of piles. problem of pinworms and fungal infection. He prescribed Allworm one tob taken at night and Flucose150 one tablet to be taken for a day.along with Tribenplus skin cream to be aplied in the area.aafte 2 days of application since i didnt get much relief I tried Zole F , which gives some better relief but not completely cured. My question is should i continue Zole F alone or should I take Flucose 150. If so how many more doses i should take to get rid of the fungal infection completely ?Kindly advise me.
answer:Taking tablets without proper diagnosis is like throwing arrows in dark.My advice that as you have consulted the surgeon & surgical cause is ruled out, you must take a proper dermatologic consultation as many dermatological problems can not be diagnosed unless and until visual impression is made. The causes of itching in said region may be fungal infection or the any worm infestation most common of which is round worm.Considering round worm infestation as you have already taken all worm tablet my advice would be wait for days or two as the clearing of worm may require few days after having tablets. If there is relief in few days You should repeat the same tablet ( albendazole chewable Would be better choice ) after one week.If the itching is not relieved in a day or two you must consult a dermatologist he would prescribe you proper antifungal for oral as well as topical use.