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providac capsule has to be taken before meals or after meals, please advise

PAST HISTORY : i have to go for stool atleast 2/ 3 times a day, I have hemmoroids / piles and about 2 years ago treated for liver abscess

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I hv been having problems of dizziness, and spinning sensations since last 4/5 days. Had the same earlier abt 2 yrs back but on a very mild scale and they went away without any medication. This time it has been rather acute. Visited the physician and hv been prescribed Vertin 8 mg 1x3 times a day before bkfst, lunch and dinner. After three days feeling better but the sensations are still there albeit milder. Feel the spinning sensation especially when I look straight up/down and then bring the head back to normal posn.Again when I am changing sides on bed while lying down from left to right rpt left to right I feel the same sensation. Tho' the dizziness and the spinning sensations are less now after taking the dosages of Vertin 8 last three days would u hv any advice as to how long it takes normally for the problems to be totally eliminated? I am particularly concerned as I am, tho' a retired person, a man of fairly active habits and for the various domestic chores often hv to drive quite a bit in heavy city traffic and as a result of this problem am completely grounded which is affecting our day-to-day life styles and needs.

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Hi, Tablet Vertin is used for relief of vertigo due to several reasons, but it is to be known why is this vertigo occurring. For that reason MRI and other tests needs to be done. The possible causes could be some problem in the brain or ear. If there is chronic disease in the ear, the internal ear is effected and there will be vertigo. The duration of vertigo will depend on the cause. To prevent worsening of symptoms during episodes of vertigo, try the following: - Keep still, sit or lie dow ...
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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 ...
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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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Hello, I have had a nail fungus for a good ten years or so. When I first noticed it, I went to my doctor and he game me lamasil which I stopped taking after a few days since it had negative affects on me. Thereafter, I stopped taking care of it and just let it go for a good 7 or 8 years. I eventually grew up and started getting very self conscious of how it looked and wanted to wear sandals and flip flops and not have people think nasty things about me. A few years ago I went to my doctor again and he gave me a topical oil which I used for over a year and did not see any results. About two years ago, I noticed that a vertical brown line was starting to grow from the bottom up. I went to a dermatologist who took a sample of my nail but did not take a sample of the nail bed or from the cuticle. Biopsy came back as of course it being a fungus. He in turn gave me pills to take which I also had to stop taking since it was having a bad affect on my liver. After that, my dermatologist said that he would give me laser treatments which I did two of. They did not clear it but it looks a little bit better then what it was before. Still thick, yellow, crumbling below the nail, nail bed where new nail is growing is darker then the others and the brown line is still there. It is a thick brown line. How did I get this brown line? Did I get it because of the prolonged damage of the nail bed due to the years of having the nail fungus?

Doctor's Answer

You're most welcome. Nail Melanoma does not affect multiple nails together while Longitudunal Melanonychia (LM) often does. The fact that an additional nail is showing changes is nearly conclusive that this is LM, which as I said is harmless. However it would be best to see your doctor to get this confirmed since I cannot see the affected area. I would recommend getting the entire nail removed if its the only one affected by fungus, but this will be solely to treat the fungus not because I thin ...
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