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I would like to ask why is Signoflam tablet prescribed? Is it a very strong pain killer. Are there any side effects of taking this medicine regularly.

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Sir i am suffering from knee sweeling in my rt knee for 6 month,two times i hv removed water(aspiration) from it bt never found relief.some time it decrease and some time increase.all tests x rays,crp,esr are normal not yet i found any relief.4 years ago same problem were in my lft knee and dr. Removed 2 pieces(tissue) from lft knee which were found normal(non specific),till one month after surgery i couldn't bent knee even a little bit,i took physiotherapy by wax and till 9 months i could bent it onle 80% after 1.5 or 2 year i could bent it properly 100 bt with pain,still there is pain when i bent it proper,and also swelling in rt knee.Dr.'s Of hospital in which i get surgery 4 yrs ago said that same surgery will pass in rt knee,bt i am afraid because still there is pain in my lft knee,if i pass again surgery in rt knee i will face same problem of pain in my rt knee,please advice me sir if there another way to get treated without surgery like med. Or i should get treated by surgery,i am just 23 yr old boy,still there is whole life for me to live please help me.

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Try with some good physio therapist ,with CPM and manual therapy skills. ...
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About 5 years ago I noticed a dramatic reduction of the muscle mass (Muscle atrophy) in my right calf muscle, like 75% to 80% reduction compared to my Left calf Muscle (possible the gastrocnemius), I also noticed that my Achilles is also very loose, when in a relaxed state, compared to the left leg. What could be the possible problems? There is no pain (other than uneasiness like restless leg syndrome) associated with this problem. I do have a lower back problem (damage) that was done 30 years ago to the L4/L5 herniated disk. Now I have noticed that other muscles are starting to harden and reduce like the one did 5 years ago. I went on a 15 mile hike in the mountains this past summer and I am very active during the day. However I do not regularly exercise as I should. Thoughts?

Doctor's Answer

Hello Sir, You are suffering from myopathy for which a thorough examination needs to be done. Blood tests like Creatine kinase and Electrodiagnostic tests like Electromyography [ E.M.G.] should be done. Nerve conduction studies for the affected limb should be done. Many endocrine disorders can also cause myopathy such as thyroid , parathyroid , adrenal disorders , Diabetes , Vitamin - D deficiency etc. You need to go to your nearest doctor for clinical assessment . Moreover other blood ...
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Hi, I am really stressed and don't want to self diagnos and go crazy, but I have had this (pimple, ulcer, follicule infection or chancre on the side of the shaft of my penis. I don't know which one it is. I don't have medical but I am signing up on Tuesday for state medical..... The story is it appear maybe a week after a day and a half masterbation marathon I am embarrassed to say I had. It started as just a burning sensation on the side like I ripped the skin which I have done before. So I just didnt touch it. That was on a Sunday then Monday Xmas I tried to have sex with my lady and I couldn't cause of the pain and burning sensation on the skin. We started and stopped. 3 days after that in the same burning area 1 pimple formed with maybe 2 smaller ones. Very small ones... I I tried to masterbate again and it seemed as if it irritated the area and another one grew. They got to an ok size and where kind of painful. Then they grew and seemed to bust and started to go down. They look some like a chancre or a lesion when it was going down. They itch a little bit I guess that's from healing but I am freaked out. I had unprotected sex with another woman maybe a month before the night I began the marathon. I have pics please help.

Doctor's Answer

Hi, You might either be having STD or you might have ripped of your skin ,which might have also caused an ulcer. 1. Are you having any pain during micturition ? 2. Are you having any burning sensation during micturition ? 3. Are the ulceration rigid ? 4. Are there any glands on penile area ? 5. Any kind of secretion from ulcer or any kind of discharge ? If it is an STD then it can only be diagnosed by a scraping or specimen of discharge Please kindly describe the kind of ulcer(whether it is ...
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Doctor my mother aged 63yrs have DVT. When scanned the report says following; 1- grey scale imaging shows enlarge diameter of Common Femoral Vein (CFV) & Superficial Fomoral Vein (SFV). 2- Color Doppler reveals non-fillilng of external lilac vein on the left side. Partial filling of colour is seen in the left CFV & SFV. The Popliteal vein does not show any colour filling. The Peroneal and Posterior Tibial veins are filling with the colour. Anterior tibial vein could not be identified on colour Doppler. 3- Doppler imaging shows mid respiratory plasticity in CFV. There is very poor Response to distal augmentation in the CFV. 4- Great Saphenous vein is Patent. IMPRESSION- Deep vein thrombosis in lower limb involving External lliac vein, CFV,SFV & Popliteal vein, and possibly Anterior Tibial Veins. There is partial recanalisation of CFV & SFV. Posterior Tibial and Peroneal veins are patent. Suggested clinical correlation. Scan copy added to the medical record in the profole. that the above is the report of the radiologist now what medicine you prescribe ,how to take and when to review the report? .whether the same will be cure or the patient should be in medicine for life long,what are the immediate risk?

Doctor's Answer

Hi, The Doppler examination shows a thrombus in the deep veins with partial recanalization. This suggests that the thrombus is of a chronic nature. The Doppler can be repeated after one month of treatment to see residual thrombus. We do not provide any prescription. For this you have to visit an internal medicine specialist. Feel free to ask more questions. ...
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GERD. It has been on and off since 2008. The condition worsened last month in Jan 2013 and I could hardly swallow any solid food. It just gets stuck in the throat and feel like I am choking till I push the food down with water. Liquids and semi solid foods are ok. The doctors did Nasal Endoscopy, Normal Gastro Endoscopy, Esopheagal Manometry, Barium Swallow X-Ray and all tests came up normal. I was told the swallowing problem is primarily related to GERD and I was advised Cintapro 1 mg tablet for 1 month. So far as I take the tablet, I am able to take in selected solid foods fine, but not all foods. If I do not take this tablet for one day, the problem recurrs back. Question 1: How long will this motility disorder be related to GERD ? Question 2: Are there any side effects of taking this Cintapro 1 mg to help in motility on a long term basis (Say if I need to take this for some more time) Questionj 3: Are there any other tests that will show the proper reason for this motility disorder of the esophaegus (Apart from Esopheagal Manometry, Gastro Endoscopy, Barium Swallow X-Ray) etc.

Doctor's Answer

GERD will persist but the effect can be decreased by life style modification like good brisk walk for 40 mins, avoiding fat, consuming more curd and buttermilk rather than milk and keeping a gap of 2 hrs between food and sleep. Cintpro is by and large relatively safe drug for long term use till now. We need to see the reports of existing tests before we proceed with further tests Stress has significant role in symptoms so please be relaxed. ...
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