I was suffering from blood in my stool from long time until i consulted a doc and he said that i have fissure. I got it cured through ointments and having drinking fibre. However, from last few monts I have started suffering from incomplete evacuation. All the time my stomach is bloated up and I dont feel like eating anything. I have increased my water intake and also have started eating fibre fruits to a great extent but nothing is helping me. Howsoever hard I try, I am not able to evacuate completely. I go to washroom at least 5 times a day but still i feel full all the time. Sometimes I get black stool and sometimes its normal. My stool is not hard at all. I feel uneasy all the time. I stay in tension all the time due to this. Please suggest me a cure to this.
Doctor's Answer
Hi,
Since you have had a fissure, chances of recurrence are high. Constipation is just one of the causes of fissure. There can be other causes, for example, there can be a tear in anal canal, or there may be a foreign body present in body, or it can happen during normal labor.
Usually the fissure has bright red blood and not dark coloured blood. Since you have dark, it indicates that blood is coming from above in alimentary tract, which might be due to inflammatory bowel disease, irritabl ... Read Full Answer
I am experiencing sleepiness in daytime in my office. I am not feeling drowsy while talking, walking, traveling in vehicles, riding bike or watching TV.
My sleeping time in the night is 12:30 AM to 7:30 AM. I do not have smoking or drinking habit.
Is this a serious condition? Do I need to take medication?
Doctor's Answer
Hi
Then just follow what I told you to do. You may do yoga and early morning exercise for improving from chronic nasal congestion and reducing stress. I have also seen people improve with homeopathic treatment for chronic allergies,so if you want to try it.
Try to maintain chronic allergies,that would be helpful as well. Having a healthy diet also reduces also helps you to reduce stress. Try and reduce stress in all other departments of your life.
Keep a check on your diabetic status ... Read Full Answer
No much symptoms of frequent urination or pain during passing Urine. On a routine check up, found prostate gland enlargement. On a scan found that prostate - 4.3 x 6 x 5.7 cm (63gms). PVR 48cc and Uroflowmetry (voided volume 0433ml). PCA test shown normal result (2.18 ng/mL). Doctor advised for Afdura 1 tab during night. Had it for one month and went for 2nd test and the result shown as Prostate 62gms (voided volume 0310 ml) and PVR 37 cc. Doctor advised to continue Afdura for another 2 months. Feeling normal except some trumbling feeling (mussle shrinking all over the Body - occassionally during sleep. ( No normal allergic sympts like drowziness of Afdura) Other wise comfortable with normal urination and no pain or any uneasiness during urination. I have to do Hernia surgery and waiting for this Afdura course of medicne to be over. Can I continue with Afdura... Can I go for Hernia Operation
Doctor's Answer
Hi,
Although i don't think there should be some problem in carrying with afdura,or going ahead with surgery.
The drug might be stopped just before surgery,rest it depends upon your examination.
Your size of prostate is not to big and neither is it causing extreme obstruction so you can continue with medical management.
Which place do you have a hernia. ... Read Full Answer
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
Doctor's Answer
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 ... Read Full Answer
Hello,
Thank you for your question. Melas cream is an over the counter herbal depigmenting cream. It should be used as a very thin film only over the affected areas (dark spots/patches) once at night. The cream can cause irritation when first used so start with alternate night application for 2 weeks before making it every night. Melas cream should only be used for 6 weeks or so after which the benefit can be maintained with a retinol cream such as Yugard or EGA. Also it is important to use a s ... Read Full Answer