Doctor insights on:
Yes you can.: Solpadeine is tylenol with caffeine. Targin is a trade name for oxycodone with naloxone (the former is an opiate analgesic, the latter is a receptor blocker to prevent addiction or overdose). Solpadeine will augment the 5mg targin and make it work better without any severe side effects in the short term, with the possible exception of caffeine induced insomnia. ...Read more
This: This question is hard to figure out. More info would help. ...Read more
Should I be worried about itchy underarms? No noticeable rash, they just itch, usually more so in the evening. Thank you, paul
What does "adequate hydration" have to do with preventing vomiting? [not dehydrat from, paul cohen? ]
Nothing: When vomiting you must provide adequate hydration; otherwise you will become dehydrated. If you are not able to keep fluids down and replace the losses you would need to be in the hospital getting IV fluids until the problem is passed and you can again take your fluids orally. To prevent vomiting you may need assistance with medications such as phenergan (promethazine). ...Read more
One dr one your board (Paul grin) says the mortality rate for cleft palate surgery is 1 in 300 while another says 1 in 100, 000. Huge discrepancy. Why?
Studies: I cannot speak for any doctor nor the actual figures reported. First, I do not believe there is any consensus on the figures as such studies of mortality rate for this procedure are scarce and will vary based upon who does the study, the size of the sampling, the geographic sampling, the year of the study, how the information was collected, etc. Concentrate on the need and benefit of the surgery. ...Read more
Hi doctors, my baby is 1 month old, has flu or cold, the symptoms are, green mucus, wet cough high temp, please help thanks paul?
If had swollen glands for about nine weeks. Paul bunnell test came back positive, fbc came back normal is it normal for my glands to still be swollen?
Could tomatos and related foods cause skin breakouts including large pimples, blackheads, etc. I am 53. Thank you, paul?
Rarely: Tomatoes can cause food reactions. Although I have never seen a reaction like your describing in over100, 000 patoents anything is possible. Avoid all tomato products for now and even use an elimination diet see dr doris rapps book for elimination diet. ...Read more
Hey I'm Paul and 16 yrs. I was playing soccer and while running I hurt my toe it isn't swollen or red put hurts when I try to walk on it?
Let it recover...: You need to stay off of it, apply ice to the area in question rest and elevate it. If the problem does not improve in a day, you should have it evaluated. If the toe improves, then you can hold off for another day or two. As long as the toe is improving with time, it is probably not seriously injured. To remove all doubt have your family doctor or a Healthtap specialist evaluate it. ...Read more
Iam 27 weeks pregnant. I have low placenta. I want To travel by car neary 8 hours is far Glasgow to London. Iis it safe if iam travelling.
I have a very big raised mole neary private area since birth, and sometimes little pieces of the mole crumble off. Could underwear cause that?
No: Suggest you see a dermatologist to have the lesion removed. Since you've had it many years, it's not likely to be malignant--but it would be a good idea to have it biopsied and diagnosed. ...Read more
BACKPAIN: It can be kidney stone or muscular skeletal pain ...Read more
I burned myself and the pain is nowhere near gone. It doesn't look too bad but it hurts like crazy?
Evaluation: Burns can be extremely painful. Especially 1st and 2nd degree burns. 3rd degree burns have little or no pain as all layers of the skin have been damaged with destruction of the superficial nerves. Pain post burn can be related to the heat trauma early on, but can be related to supra-infection of the burn site in later stages of the burn. If the burn is significant, physician review is a must. ...Read more
Concerned abt a sharp and heavy squeezing pain with one single beat - sometimes more. Nearly always when accompanied with a *massive* beat or beats?
Get checked: I am assuming you mean your heart. This could be signs of a serious or dangerous irregular heart beat. You can get tested pretty quickly to see if that is the case or not. I would get it checked as soon as you can. ...Read more
Medication: Depending upon the source and severity of pain narcotics are used either as a patch, orally or injection. ...Read more
Many Possibilities: Depending on how long it's been going on, I would consider an evaluation by a spine specialist. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment. ...Read more
Be seen: If it does not respond to simple things like rest it anti inflammatories, consider being seen for a more specific diagnosis about the cause of the pain and then appropriate treatment options. ...Read more
Back pain in young: Young patients rarely need further evaluation for back pain as it is usually self-limiting. For mild symptoms, muscle pains are most common. Consider also disc herniation which may cause pain without sciatica. Stress fracture occurs in 5% of the population. If symptoms persist, then see your doc for a more specific evaluation. Treat with tylenol/nsaids, salonpas hot patches, pilates/yoga. ...Read more
Many things: What you describe is pain on your right side. It may or may not be due to a problem with your kidney. I would suggest you see your local physician to begin to assess your problem. Tell him/her when the pain occurs, describe it, and make note of your temperature and blood pressure if you can. Also relate any dietary changes and what medicines you take. ...Read more
Could you tell me the name of the procedure where the nerves near the spine are burned to control pain?
RFA: Or radio frequency ablation. It is only for certain spine pains, so make sure it is correctly diagnosed with a diagnostic block at that area (medial branch block at that level). Its very safe and many people have benefits from 3-9 months with this procedure, with some only needing a single treatment. Hope that helps! ...Read more
I have gastritis. Have had a flare up neatly 47 hours now. Why can I do to relieve the pain even a small bit?
Gastritis: There are many types of gastritis, so it is difficult to generalize. I see you are already on lansoprezole. Be sure to take it on a daily basis just as prescribed, best about 20 minutes before eating some food. You can also use antacids such as Tums (calcium carbonate) or Mylanta as needed. Avoid any NSAIDs and aspirin. If you are no better in 1 to 2 weeks, see your doctor. Good luck. ...Read more