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Doctor insights on: Vakas Sial

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Hello Dr. Sial, When I wake up in the morning I sometimes have a sore back. I was wondering if there are any helpful tips for preventing this? Thanks

Hello Dr. Sial, When I wake up in the morning I sometimes have a sore back. I was wondering if there are any helpful tips for preventing this? Thanks

See below: There are many potential causes of lumbago or low back pain. The most common causes are related to strain or injury to the mucles and/or structures of the lower spine. While a "cure" often depends on the actual cause, prevention can be obtained by maintaining a healthy weight, good flexibility, and a strong core. See your physician if you have pain greater than 2 weeks. ...Read more

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Tell me what is nuclear scan the v.A has this and can be done and does exist?

Tell me what is nuclear scan the v.A has this and can be done and does exist?

Call hospital: If va means veterans administration, then most va hospitals have equipment to do basic nuclear medicine tests. Should call hospital and inquire. ...Read more

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Pains in my chest varies from L and R side, 4/10 pain, lasts for about 20 seconds then goes, it happens a few times every couple of days?

Pains in my chest varies from L and R side, 4/10 pain, lasts for about 20 seconds then goes, it happens a few times every couple of days?

Chest pains: Such fleeting chest pains are not usually due to lung or heart disease, but can be caused by pinching or irritability of intercostal nerves or muscles which run between ribs. The discomfort is usually a sharp jab which can be brought on by a deep breath or other motion. Any history of strain from exercise or work? These usually resolve in time, but see your physician if they persist or worsen. ...Read more

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Also something like vains are vibrating in my abdomen left side?

Also something like vains are vibrating in my abdomen left side?

Veins: Do you mean to say the veins are prominent in the abdominal area? If yes then it is concerning, if no then you need to clarify it to be answered better. ...Read more

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What to do if I'm affected by varicose vain, my question is shall I walk in the morning, is it effect more?

What to do if I'm affected by varicose vain, my question is shall I walk in the morning, is it effect more?

Walking is good: Generally speaking people affected by varicose veins that present symptoms feel worse on standing and sitting for prolonged periods and heaviness, tiredness and ache improve by leg elevation or walking. Other option for symptomatic relief is using elastic compression. At times patients would also benefit from removal, ablation or sclerotherapy of varicose veins to decrease symptoms. ...Read more

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Vag scan meas. Me at 5w5d. Yolk sac 5.7mm no hb. 2 days later, another vag scan new tech. And I was 6w2d, yolk sac 7mm with 100 bpm. Yolk sac big?

Vag scan meas. Me at 5w5d. Yolk sac 5.7mm no hb. 2 days later, another vag scan new tech. And I was 6w2d, yolk sac 7mm with 100 bpm. Yolk sac big?

Borderline.: The upper limit of Yolk Sac size is generally considered to be 5-6 mm. There may be increased risk of spontaneous abortions in patients with larger yolk sac. Enough patients have good outcomes with large yolk sac, so that you should disregard size. Be healthy, eat well, rest and avoid ingesting toxins. ...Read more

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The pool made my vag opening & the sides of irritated. It burns slightly after I wipe. Nothing else odd going on down there besides that. Goes away?

The pool made my vag opening & the sides of irritated. It burns slightly after I wipe. Nothing else odd going on down there besides that. Goes away?

Should go: Away. It's a local irritation from the chemicals used to treat the pool water. You should bathe after swimming to help keep this from happening. ...Read more

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Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?

Which is a safer, lower side effect profile drug, topamax (topiramate) or oxcarbazapine (in general terms, obv individuals vary)?

Don't 2nd guess: Neither is w/o risk and they are Rx'd for different (w/ overlap) conditions. You need to work w/ your Dr on selecting the best for you - say clearly that safety is impt to you. Know what they expect it to for your condition. Side EFX are pretty similar for both - your other health issues might be the swing vote. ...Read more

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I'm smoking electronic cigarette or vape and I was worried that this might have side effect in the future? Because they say its safe to use. Pls help

I'm smoking electronic cigarette or vape and I was worried that this might have side effect in the future? Because they say its safe to use. Pls help

E-cigarettes.: Technically speaking, we don't really know the safety of those electronic cigarettes in the long term; newer studies are revealing evidence of harm. But what they do help with is removing your emotional and mental attachment to actual cigarettes, which could ultimately help you quit everything. As well, there seem to be fewer ingredients in them; there are 42 carcinogens in cigarettes. ...Read more

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I get vary sick when I get the flu shot should I still get it?

I get vary sick when I get the flu shot should I still get it?

Yes: People who report illness after the flu most likely are experiencing their immune system revving up in response to the vaccine. Low grade fever aches, etc are not uncommon. It is NOT the flu, flu is an entirely different animal. High fever, severe aches and pains where it hurts to move, cough and other respiratory symptoms that can last weeks. It is a misery that is best avoided. ...Read more

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My friend inject bath salt in his vain what sign sould I look for?

My friend inject bath salt in his vain what sign sould I look for?

New friends: Hanging out with someone who will act on self destructive impulses and cannot recognize a really bad idea without trying it, will at some point make you the guinea pig for one of those stupid ideas and get a laugh when you have to be cut out of your wrecked car or you have to go to the er and get your stomach pumped ...Read more

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Not pregnant outside vaina pain and pressure mostly on left side lots I pressure and haven't been peeig alot?

Not sure: It could be a number of things such as a cyst, infection, pulled muscle, hernia etc. I'd recommend seeing a gyn for an exam. ...Read more

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I had essure done 08, have severe side effects. I'm looking for a doctor in the las vegas area to remove them.?

Don't know any: But there is a doctor, in north carolina who does removals, you should try google to find him or someone else. ...Read more

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Why are my eyes always red. Even when they are white, the sides are red and vain looking. Why I get eoungh sleep. What's wrong?

Why are my eyes always red. Even when they are white, the sides are red and vain looking. Why I get eoungh sleep. What's wrong?

So many causes: There are so many causes of red eye that they could not even be listed here. An eye exam can help to determine the cause, but some people have enlarged vessels in and under the conjunctiva (the lining on the white of the eye) normally. Dry eye, allergy, blepharitis (eyelid infection), exposure to airborne irritants (dusty environment) are common causes. Avoid otc "get the red out" drops - toxic! ...Read more

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What do you guys think of Vaping as a means to quit smoking? Do you think it has other long term side effects like smoking is it safer?

What do you guys think of Vaping as a means to quit smoking? Do you think it has other long term side effects like smoking is it safer?

Research needed but:: There is not adequate research on the use of vaping to quit smoking but many people have used this method successfully. Anything that helps you quit is reasonable to try. While vaping is still harmful to your health, evidence suggests it is far safer than smoking. See http://www. Webmd. Com/smoking-cessation/features/electronic-cigarettes
and http://ecig-reviews. Net/using-e-cigarettes-quit-smoking/ ...Read more

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My doctor said I have a cyst that leaked on right side, but I have discomfort both sides. Is that normal? Do symptoms vary from person to person?

My doctor said I have a cyst that leaked on right side, but I have discomfort both sides. Is that normal? Do symptoms vary from person to person?

Yes: I assume you're talking about ovarian cyst. Please correct me if I am wrong. When a cyst ruptures, fluid comes out and with body position changes, it shifts from side to side and irritates the peritoneum, the lining of your abdominal cavity, causing discomfort on both sides. ...Read more

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Burning headache on right side. Varies in length present. Pain Can be recreated when pressing above the right temple. Has been daily for 2 months?

Not normal: See a doctor what you describe is not normal a doctor can evaluate you either will assure you or treat you ...Read more

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I was due my depro vera jag on august 29th and after 18 days a feel sick most of the day a haven't had a cycle yet when should I try a pregnancy test?

I was due my depro vera jag on august 29th and after 18 days a feel sick most of the day a haven't had a cycle yet when should I try a pregnancy test?

Now: If I understand your question, you're due for your depot Provera (medroxyprogesterone) injection on 8/29, but you didn't get it. You've been having unprotected sex and wonder if you could be pregnant. The answer of course with unprotected sex is, yes, you could be pregnant and you can take test now. If (-) consider retake in 7 days. You will ovulate b4 you have period, so possible to get pregnant before cycle. ...Read more

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Do an aloe vera plant heals scars the inside of the plant?

Do an aloe vera plant heals scars the inside of the plant?

Healing scars?: I have looked at the evidence for aloe vera, and have not found any studies on healing scars. Using the mucilage from the interior of the leaf can definitely help skin burns though, as dr. Fowler describes. Topical use may also benefit skin infections and other kinds of wounds. There's additional evidence that it can help skin inflammation like in psoriasis & seborrheic dermatitis. ...Read more

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What are Vegas nerve stimulator implants removal side effects effects?

What are Vegas nerve stimulator implants removal side effects effects?

Disagree with Rx: First, not clear to me if you possess a VNS device, but removal can increase sz frequency. Furthermore, you are taking too many seizure meds, as after the first two, the benefit of the third is NO MORE than 3-4% improvement at best and the 4th is clearly egregious. You are best served by either surgery or the VNS unit, and you need to see an epilepsy specialist to get some direction here. ...Read more

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I am getting itching scalp due to dandruff I am using keto plus shampoo but in vain?

I am getting itching scalp due to dandruff I am using keto plus shampoo but in vain?

What is it?: Dandruff is an overproduction/accumulation of sticky scalp skin cells which may have a fungus as the root (excuse the pun!) cause. Keto plus is ketoconazole, an anti fungal shampoo. But often the "dandruff" is just dry scalp and a build up of styling products. Dandruff shampoos like Head and Shoulders moisturize and contain zinc pyrithione, a fighter of fungi and bacteria. Try it. Good luck! ...Read more

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How many ways of operation there is to correct genua valga (knock knees) in adults? How large the scar will be?

How many ways of operation there is to correct genua valga (knock knees) in adults? How large the scar will be?

Talk to orthopedics: You should really talk to your orthopedic surgeon about this. Find an Orthopod you trust, I would even get a second opinion if I was still uncomfortable. As far as the scar that is the least of the worries. ...Read more

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I haven't been feeling good for a week or so and have noticed my eyes seem to be a little yellow on the inner side along with Vainer eyes.?

I haven't been feeling good for a week or so and have noticed my eyes seem to be a little yellow on the inner side along with Vainer eyes.?

See eye doctor: Your symptoms and signs may be caused by the sinus congestion seen in a cold or allergies. It can also be jaundice from liver disease. See your ophthalmologist or family doctor.

Best wishes. ...Read more

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What could be the reason for continuous heavy menustrual bleeding for 20 days? Ttc, all tests (vag. Scan, HSG) are clear and everything is normal.

What could be the reason for continuous heavy menustrual bleeding for 20 days? Ttc, all tests (vag. Scan, HSG) are clear and everything is normal.

Hormones?: Extremes of weight (thin/heavy) can cause this, as can thyroid. You mentioned ultrasound and hsg are normal. Endometriosis and adenomyosis are also causes. If ttc, however, you can't really treat the bleeding b/c doing so would prevent possibility of pregnancy. If you've been ttc for awhile, consider seeing an infertility specialist to help you. Good luck! ...Read more

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Is aloe vera good for preventing scars?

Is aloe vera good for preventing scars?

Not really: Aloe vera is good for moisturizing and general health of the skin. It however has not been shown to prevent scars. ...Read more

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Could aloe vera be good to rub on a dry scalp?

Could aloe vera be good to rub on a dry scalp?

Aloe Vera: For dry, itchy scalp-Aloe Vera - shampoo & rinse scalp/ hair. Break off aloe vera leaves & apply about 1 TBSP o f the gel onto scalp. Rinse after 5 minutes. Sesame Oil - Apply warmed sesame oil to scalp & massage for 5 to 10 minutes. Rinse. ...Read more

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Does aloe Vera really help in healing wounds and scars?

Doesn't hurt.: There are many ways and medications used to prevent and treat scarring. None are 100 percent tried and true. Keep the wound moist initially. Don' let the scar get sun, use good sunscreen You may massage the wound gently after initial healing with a good moisturizer, this is where the aloe comes in. If there is keloiding, excessive scarring, see your physician. Good luck. ...Read more

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Does aloe vera plant really helps to fade scars on face?

No evidence: Reviews of scientific literature have not show clear evidence that aloe vera lessens scars. Keeping a scar out of direct sunlight, massage/pressure and tincture of time are proven to lessen scars. That said, one of my grandmothers swore by aloe vera and since it grew in her garden, she used it on every cut. My grandma was the best! ...Read more

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