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Hello Doc I am diagnosed for PCOS ,TTC with siphene 100mg. On the 13th day of my periods the follicular study shows Right 8.3X8mm ,left 9.9X7.2 mm, i was not convinced with the scan report due to some reasons which i faced during my previous scan ,so went for another ultrasound scan from another hospital on the 14th day of my periods. The folicular size on 14th day shows Right :10.6x7.6mm and Left 14.9X9.4mm My question here is how can the follicules in a day grow from 9.9x7.2mm to 14.9X9.4 mm? and are there any chances for me to concieve this time with follicules 14.9x9.4 mm on the 14th day by an HCG shot at the right time ? and taking ultrasound scans many times is of any harm ????

Hi, Ideally if some one has a regular cycle(periods) the follicle should be mature and ready to rupture on thirteenth day,size of a mature follicle is around 20-21mm when it ruptures. It depends why metformin is given to you if the only cause is pcod and is just given for this then it would be stopped after you conceive,but if you have type 2 diabetes(insulin resistance) along with pcod then it would be continued life long. Many people achieve periods after they have their first baby. ...

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Hi, I am 28years old and married 4years ago. I am trying to concieve. I am having PCOS and lil high prolactin. I have done the follicle study 3times and all the 3times egg was released but no success in getting preg. This time too my doctr gave me initial 5days siphine 100mg tablets and did scanning till 14th day however i was having multiple small follicles. Doctor told me this time chances for releasing egg is less however i will get my period on time. Now it is 40th day and i have done home preg test but negative. Usually whenever i have taken 5days siphine 100mg tablets i used to get my periods on 28 to 30days. What is the reason for delay in getting my period this time? Will there be chances for preg ?

Hi!! If your pregnancy test is negative( home kit),then you should still get a blood test to rule out pregnancy.This is called a serum beta hcg test and can be done in any routien laboratory any time of the day.This test if value less tahne 5 will confirm that there is no pregnancy. Your period can also be delayed due to PCOD, like you said that the doctor said that the eggs were not ruptured in this cycle.If the pregnancy beta hcg test is negative ,take withdrawal medication of meprate and star ...

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MR study reveals advance degenerative knee joint changes with moderate joint effusion please advise the cost of surgery approximatly please also advise surgery is must or not

a grade 3 tear of the meniscus needs to be operated otherwise the tear will extend further and cause problems. you need to get a xray done. also details about daily activity and the amount of problem your knees are giving you. ...

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sleep apenia , now my question is , is there anything except using cpap machine to fight with sleep apenia Analysis (Flow evaluation period: 7 h 55 min / SpO2 evaluation period: 8 h 1 min) Indices Normal Result AHI*: < 5 / h Average breaths per minute [bpm]: 7.24 RI*: < 5 Breaths: 3441 Apnea index: 58 < 5 / h Apneas: 463 Hypopnea index: 3 < 5 / h Hypopneas: 27 % Flow lim. Br. without Sn (FL): 21 < Approx. 60 Flow lim. Br. without Sn (FL): 706 % Flow lim. Br. with Sn (FS): 16 < Approx. 40 Flow lim. Br. with Sn (FS): 558 Snoring events: 2355. my sleep study today result ...

Hi, It has to be examined,and only then can it be told what to be prescribed,there are two types of sleep apnea dental and nasal. You seem to be the case with nasal apnea but surely can't be said without examining you,if it is simply nasal with no dental involvement then there are new devices in market known as provent sleep apnea therapy in which small disposable device are implanted in nose so that a person can breathe easy,but they can be prescribed by a specialist after examining you. If th ...

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Name – Biman Das Age – 28 years Indian origin, stays in Bangalore, India. 9th July 2012 - hemoglobin electrophoresis suggestive of Homozygous Hemoglobin E disease Complaint – Weakness since 1year. Hi…. Below are the complete tests I have done two days back….. Blood Urea Nitrogen – 11.00 mg/dl Serum Creatinine – 1 mg/dl Serum Glucose – 94 mg/dl SERUM LIVER FUNCTION TEST Billirubin Total – 1.30 mg/dl Billirubin – direct – 0.30 mg/dl SGOT/AST (P5P, IFCC) – 63.00 IU/ml SGPT/ALT (P5P, IFCC) – 142.00 IU/ml ALP – 74 IU/ml Total protein – 7.80 g/dl Serum Albumin – 4.90 g/dl Serum Globulin – 2.90 g/dl ALB/GLOB Ratio – 1.69 g/dl SERUM TSH (ECLIA) – 6.240 IU/mL COMPLETE BLOOD COUNT WBC – 9300.00 /cu.mm RBC – 6.15 million/cu.mm Hemoglobin – 11.90 g/dl Haemotocrit (PCV) – 37.00 % MCV – 61.00 fL MCH – 19.40 Pg MCHC – 31.30 g/dl Platelet count – 135000.00 /Cu.mm DIFFERENTIAL COUNT Neutrophils – 52 % Lymphocytes – 43 % Monocytes – 3.00 % Eosinophils – 2.00 % ESR – 4.00 /1st hour. PERIPHERAL SMEAR EXAMINATION RBC’s – Show moderate anisopoikilocytosis, are microcytic hypochromic with few eliptocytes, target cells. WBC’s – Leucocytes are normal in total count and distribution Plateletes – Plateletes are reduced. Macroplateletes noted. Impression – Microcytic hypochromic blood picture with thrombocytopenia. (Kindly correlate with serum iron,TIBC, ferritin and Hb variant analysis [To rule out hemoglobinopathy]) OTHER TESTS – Routine Urine analysis – All values are normal ECG – Normal study X-Ray of chest – PA View – Normal Study MY HABBITS – Non veg 3 days a week Beer – 3 days a week( 700ml per day) drinking since 10 years. Smoking – 12 cigarettes per day (Smoking since 10 years). More Anxiety and less physical activities. Last one year I am inside my house, just for half an hour I go outside in the morning. MY HISTORY AND TESTS DONE EARLIER – History of acidity, constipation and digestion. 9th July 2012 - Haemoglobin electrophoresis suggestive of Homozygous Haemoglobin E disease. 16th October 2012 - Ultrasound of liver – Fatty Liver 18th October 2012 – Liver function test – All values are normal 18th October 2012 – Pulmonary test – Normal spirometery 18th October 2012 – Complete Haemoglobin – Haemoglobin 12.5 gm/dl, WBC – normal in number and morphology, RBC – Anicocytosis with microcytic hypochromic erythrocytes, mild polychromasia, elliptocytes and taget cells, platelets- adequate Please let me know is it very serious and also let me know some medicines and diet... Regards Biman Das

Hi, I am not sure,your doctor must have examined you so he can might be telling better,but i belive you should have complet liver tests including pt aptt and coagulation profile and billirubin levels and also repeat the tests you already have. Although yellow eyes can also be due to mddy sclera,some people have muddy sclera. Your tsh is also raised so he might be telling you for some test or may be you could be directly be put on medicines for this. Time taken is different for diffirent person ...

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It is my contention that rheumatoid arthritis is either caused by a potassium deficiency or is greatly enabled by one (Potassium in the etiology of rheumatoid arthritis and heart infarction. 1974 Journal of Applied Nutrition. 26; p40. ) (Potassium deficiency as a cause of rheumatoid arthritis. 2000 Townsend Letter for Doctors and Patients. 208; 74-76. ) ( http://charles_w.tripod.com/arthritis.html ). Dr. Reza Rastmanesh has performed a clinical trial that establishes this (Rastmanesh R. 2008 A pilot study of potassium supplementation in treatment of hypokalemic patients with rheumatoid arthritis: A randomized, double-blinded placebo controlled trial. The Journal of Pain. 9, issue 8; 722-731. ). Potassium should be automatically prescribed for rheumatoid arthritis because getting potassium up to normal from the low values in all RA patients (LaCelle PL et al 1964 An investigation of total body potassium in patients with rheumatoid arthritis. Proceedings Ann. Meeting of the Rheumatism Association, Arthritis & Rheumatism 7; 321 ) (Sambrook PN, Ansell BM, Foster S, Gumpel JM, Hesp R, Reeve J, Zanelli JM 1985 Bone turnover in early rheumatoid arthritis. 1. Biochemical and kinetic indexes. Ann Rheum Dis. Sep;44(9):575-9. ) is slow, even with a high unprocessed vegetable diet. There are tasty foods that are especially rich in potassium ( http://www.rheumatoidarthritisprogram.com/potassium-and-ra/ ). However it is important that thiamin (vitamin B-1) be adequate when supplementing with potassium because heart disease can not materialize when both are deficient, but will show up if only one of those is deficient (http://charles_w.tripod.com/kandthiamin.html ). This is probably the primary reason why heart disease is a main cause of death in rheumatoid arthritis patients. In view of the fact that this is not considered by current rheumatologists, it would be very valuable for you to bring it into your future research. It is not only that potassium is not considered by physicians in regard to RA, most of them do not even believe that a potassium deficiency is likely. This even though many of them prescribe what are actually supplements, but prescribed under euphemistic terms such as salt substitutes, sodium free baking powder, ORT salts (oral rehydration therapy for diarrhea), polarizing solutions, GIK (glucose, insulin, potassium) salts, vegetables, or glucosamine. A deficiency is further defined out of existence by defining the blood serum content normal as 4.2 when the actual figure is 4.8. Sincerely, Charles Weber 828 692 5816 PS You may find interesting an article that presents the history of arthritis research in http://charles_w.tripod.com/arthritis2.html

hi there is no RCT that food can affect Rheumatoid arthritis. ...

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Hi I would really grateful if you can read this and help me.It is getting irritating day by day. On 26 May I was diagnosed with typhoid fever. My widal test result looked like : for typhi O 1:30 to 1:120 was +ve for typhi H 1:30 to 1:120 was +ve for para typhi H 1:30 to 1:60 was +ve for para typhi AH 1:30 to 1:60 was +ve I consulted a doctor and took following medicines for a week 1. OFLOMAC 2. VINZOL DSR 3. KEFPOD 4 multivitamin after i stopped medicine i was ok for about a week but the symptoms started to return a week after i stopped medicine. I again consulted the doctor and he has given me one more week's medicine.. My questions are: 1. Is it normal if typhoid return after a week of complete fine health? 2. How severe is my typhoid from the reports mentioned above? 3. I am having pain in my head temple which is unbearable. Is it normal in typhoid? 4. Fever is repeating and when fever happens i feel chills in body even if AC works at 27 degree. 5. My iron study test showed that Transferrin is low than normal and iron total is low than normal..can this iron be cause of me feeling chills ? 6. Almost everyone i talked to who has experienced typhoid said they were in hospital for min of 5 days. But my doctor did not even talk about hospital admission. Is hospital admission necessary? 7. How to be sure that now typhoid won't return or has been eliminated completely.? I would be really grateful if you can answer my queries as now I have been fed up with these problems. Thanks in advance

i thin your diagnosis is missguided. plz do proper consultation ...

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