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Csf examination

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in jan end there was unprotected sex on 03 april i felt burning sensation on my penis ,on 04 april i was diagnosed for uti by surgeon as there was 1-2 pus cell in my urine and prescribed with antibiotic for a week. it did not give me relief i refered to a urologist and told him everything, he has diagnosed me for prostattitus after physical examination and my semen culture showed no growth,but pus cells 4-6hpf the urologist said there is no STI . he has prescribed me the foll doxy 100mg twice daily for 15 days lenoflox 500 once daily for 4 weeks t.alfoo 10mg one daily for 3 months it has been 15 days since i am having the med but the burning sensation comes often on the right bottom of the head of my penis with no other symptom .what can be the possible reason there is no discharge/rashes on my genitals only this burning sensation pl tell me if i need to show to some other urologist or is it that i have an std which the urologist could not diagnose if so then whom should i consult and what all test of std should i conduct .the urologist has said that i do not require any STD test as i have simple prostatits but the fear of std is troubling me or do i need to consult a pshycatrist pl help

Hi, The medicines you are having are fine and have to be taken for 15 more days and you may feel further better. I might have liked to give some other medicines,but then the doctor might have noticed something on your examination to give you this medicine. You can get tested for hiv for safety sake and your concern. Is there any smell in urine ? prostatitis is difficult to comment without examining you.But it may be possible that you are having acute bacterial prostatitis and treatment for acut ...

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hi. i am having mouth ulcers. i use to have such problem very often. please suggest me something. can it be a big problem medically? Should i go for any diagnostic examination?

It it is a recurrent episode, then just get a routine blood examination done, most importantly Hb% and do give your current medical status and any medication you are presently taking. ...

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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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Hi, In Jan2010 one fine morning I woke up to find permanent heaviness + tinnitus in my right ear with hearing loss. Repeated audiometry tests show 50% hearing loss. Now I have permanent Tinnitus along with hearing loss. Of late, I have noticed constant pain in my skull's right side (areas including: upper & lower molars jaw bone, joint where jaw fits into the skull, joint just above the eyebrows). This pain is cyclical, sometimes very noticeable & sometimes not. During my initial examination tests, doctors had suspected tumour for which MRI scan was negative. That time I had no pain in the skull, however now I do and hence I fear the worst. Thus wanted to know your opinion of what should I do; which kind of opinion / treatment must I seek? Thanks.

Please email me your MRI Images and Audiometry reports to *********@*****.com and I will get back to you.... ...

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ankylosing spondylitis: I am 38 yr old 1977 born. Suffering with Ankylosing spondylytes When i was 20 yrs (1997) , then first time had sever leg pain ( from hip to down) and took ibruofin to control It was there now and then and used ibruofin when pain comes Later 13 yrs in 2010 the hip pain ( from hip to down , pain sever during night and morning ) is continuous then when examinded found out that it is Ankylosing spondylytes. In examination HLAB27 is +ve and MRI scan with C-reactive protein (CRP); erythrocyte sedimentation rate (ESR); high levels Took physiotherapy session for 10 days with rest and it controlled Later now and then pain used to come then mostly I was bearing without taking any drug..... But if pain is very severe and need to travel then used Naprosyn 250 some times else try to manage with pain without medication But in 2013 ( I moved another city, and from next day itself) this time sever body pains majorly back pain and neck pain and stiffness which restricts movememnts started.... continuously..... but i was reluctantn to taken any pain killers and managed like that only ... for almost 2 yrs !!!! during this time my movements are restricted and walking style changed.... But during this time when ever i went to my home town i felt bit better.... but on return position is same.... Recently in 2015 July .... suddently on both feet got swelling and sever pain... not able to walk also .... then contacted rhumotologist then rhumotologist prescribed below medcine after blood tests: Blodd tests: C-reactive protein (CRP) - 99 ; erythrocyte sedimentation rate (ESR) -13; plasma viscosity (PV). ( Not done) Vitamin D: 18 and using below Medcine: Gave Afec injection For one motnh Saaz DS :Morning - Night Ziffinac : when pain there BGcal-ctf Night PDOM-SR :morning ZEMPRED : 16 mg used for 12 days morning - night and for 5 days: monrnng 16 mg - night 8mg and for 5 days: monrnng 16 mg - night 4mg Immustar Pls suggest based on my conditions what shoud be done? (Some one telling to take Remicade/infimab injections !!!! which i dont prefer as it needs to be continued after some yrs it seems also expensive) (is homeopathy good option) Regs, Mohan

hi there is no treatment in homeopathy, but there is no need to go for remicade/inflimab, there are many other medicines are available. methotrexate, leflunomide etc are very effective. if you want you can come to delhi, we can evaluate and modify treatment to make you better take care ...

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Hi, I used to feel pain from past one year in right leg , in between ankle n knee, when I sit on legs putting weight completely on one leg. I witness some muscle or Achilles tendon tear that can be felt through hand examination. However, I used to do regular physical workouts including running, now my same leg knee joint has pain. Can't walk properly, there s light swelling on right top corner of the knee cap of my right leg , viewing from my perspective. Do u think it's a ligament tear or anything that damages siverily? Kindly suggest , also I feel a sound in my ankle n knee joint , knuckle sound!

I strongly advise you to meet an Orthopaedician or Sports Medicine Consultant to assess your problem. There is high chance that you have ligament tear that could need really treatment. Regards, Dr Saseendar, Consultant Orthopaedics and Sports Medicine ...

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