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HiAm 34 yr old female, residing in bangalore. Ive parthenium allergy and muscular pains..recently developed right sided chest pain which is not very severe but a nagging pain. i get wheezing cos of my allergy. My absolute eosinophil count is 850. what could be te cause ?Ive been prescribed diethyl carbamazine citrate tablets tid for 3 wks..will it help? | Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions to you as follows |
I had a pilonidal cyst/sinus excised a few years ago and now I am experiencing similar pains to those which I felt previously. There is very little to see though (only 2 very small pimple like things) although the pain had been quite severe at times (similar to the level I experience when it was infected prior to my original op). Is it possible for the sinus to recur in this hidden fashion with little or no visible signs on the surface? | Hello As you mentioned that few years ago you got surgery (excision) . Colonial sinus a sheaf of hairs and usually recurrence is possible if not excised properly. As you mentioned that there are two holes (actually these small holes are opening of colonial sinus) , so in my opinion consult another surgeon and get his opinion. However, in colonial sinus surgery is only an option. Since this is a sheaf of hairs so in my opinion laser is not so effective option. Open surgery is the best treatment. Till take painkillers. |
i had my gallbladder removed Sept 2000 they did the 3 -4 small holes, since then i suffer with bouts of sever bloating , which stays mostly in my upper abdomen. i also have a lump just below my right breast that stays hard and fairly tender, but the rest of my upper abdomen and part of my lower swell up causing me to look as if i m 9 months pregnant. I ve stayed on a regular diet and do not eat foods like pork, eggs , sodas and avoid a lot of dairy products but it still happens. I also have problems with my bowl movements, sometimes i have none for 3 or 4 days then i have diarrhea for the next few days. So my questions is what could be causing this and should i be concerned? | Reclothe symptoms that you have described suggest that you have acidity and indigestion with possibility of intestinal infestation. You need to do two things first get that lump under your breast examined by a surgeon and get a stool examination. Meanwhile, you are doing good at maintaining a good diet, but you need to make sure that you indulge in good amount of physical exercise as well. You may visit a doctor who after examination may advise you a good antacid like omeprazole/pantoprazole with risperidone which will help you a lot. Please get your breast lump examined by a surgeonDont be too concerned though. Wishing you a speedy recoveryRegards |
I have a fluctuating temperature between 98 and 102. A cough that produces thick white mucus. My throat and nostrils feel sore and raw. My head had been pounding non stop. Night sweats come with the fever. I have a dr appointment but cannot go until tomorrow. | HI, thanks for using Chat Doctor Your symptoms are likely due to an acute viral upper respiratory tract infection (common cold or flu). Treatment in mainly symptomatic. This means treating the specific symptoms since the virus itself cannot be treated. Treatment |
Hi, I was diagonsed a minor slip disc one and a half months back..was advised rest and prescribed Doloneuron and Nucoxia for alomost two-three weeksThe pain is still there..what kind of further treatment is possible and how long will it take to get rid of the pain | Hi, welcome to Chat Doctor.after going through your query my opinion is that you are suffering from compression of nerve root due to slip disc. Please consult orthopedic surgeon and get an MRI of Lumbosacral spine done and scanning of whole spine done. Take analgesics, muscle relaxants, hot fomentation and flexor regime exercises. Avoid lifting weight and forward bending, sitting on ground. Hope your query get solved. Welcome further queries. |
My whole entire body has felt bruised for the past month. My muscles also ache. Even the back of my head and eyelids feel bruised. One day I couldn t even move in bed. I needed someone s help to roll over. This is extemely painful. Feels as if I ve been hit by a car everyday. My legs, arms, back, abdomen, anywhere you can think of hurts. Any ideas as to what this is? | Hi, thank you for providing brief history of you. Looks like you have too much pain which is not allowing you to move around. Why don't you just see a doctor once who can help you by some medicine for symptomatic relief. It's never bad to take an experts' advice. Also, in the meantime you can start some exercises which will help you to a certain level of your pain. Start with simple breathing exercises and steam inhalation. Why I am mentioning this is because when the body is weak it needs more energy and the biggest source of energy for a cellular mechanism is the oxygen. The more the oxygen the more the cellular mechanism to its best. Also, when you do breathing exercises, it will help nourish the cellular levels of muscle tissue which will make you feel better. Slowly try performing simple hand and leg exercises while sitting and lying down on the bed. It will make the muscle mechanism of contraction to function by which the muscular tissue physiology will be activated, and the oxygen will help the tissue nourish. Later on you can go for short walks and try doing simple jogs at a constant place. If the bruises are not coming down you need to check with the dermatologist as the skin has to be examined for any particular infection. If you have more questions you can ask me directly anytimeRegardsJay In Chat Doctor. |
my compleat all teeth is yellow from birth ..now i am 21 years if reconstruction of all teeth is better for permanent solution to get my teeth white which type of crowns are better i mean all ceremic crown,zirconia crowns or metal mic crowns........i want the solution | Hello, Thanks for consulting ChatDoctorRead your query, understand your concern don't take stress as you have yellow teeth I will advise you to maintain proper oral hygiene, you can use toothpaste like Visible white or snow dent for regular brushing. I will also suggest you to consult dentist and go for Scaling and root planing after that you can go for Bleaching process also. As you are asking for crown placement I will advise you should go for Ceramic or Zirconia crown. Hope this will help you. Wishing you good health. |
i ve been on the depo shot for 6 months and on the pills for 3 months after starting the shot in december i started seeing this dark brown color and sometimes i d cramp a lil and bleed or have spotting alot with the dark brown color. I ve been getting tested while this has been going on and don t have any signs of a trasnmitted disease. I also had to start taking vitamin pills last month because my vitamin level was off and wanted to know if these are effects from being on birth control | Hello mam, thanks for trusting Chat Doctor. In my opinion do a urine pregnancy test which is negative get a pelvic ultrasonography and b Chat Doctor testing because it can be an early pregnancy or worse ectopic tubal pregnancy and then visit a gynecologist with reports In case you have further questions you can consult me on Chat Doctor forum and I will be happy to helpmate care and wish you all the best. Chat Doctor. Take care and wish you all the best. |
Dear Doctor, i am sreejesh 27 years old .Recently i did my SGPT test it is showing my level is 99.do i need to worry about tat?..and from the last few days i got the tingling deceases also.. morning time it is comming usually on legs hands and head.. kindly advice me what did i i do next.. | Hi, dairy have gone through your question. I can understand your concern. Your Sept is high. It is a liver enzyme and its level increase in most of the liver disease. So you should go for complete liver function test. Your symptoms may be due to that or may be some other cause. So go for it according to your doctors advice and then take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health. |
Hello I want to start by saying that, about a month ago I was at work and felt like fainting and my heart was coming out of my chest. I was taken in ambulance to ER. After some tests and a 3day stay as the hospital drs said I had AFIB.About a week ago I spent 2 days with a horrible pain pai my right shoulder, it then went away. I started with a headache at about 4pm yesterday. It went say after I took 2 Exedrin, but now I can t get rid of a pain that takes the left side from my neck down to my left elbow. I checked my BP and was (about 15minutes ago) 157/104 pulse 97. Is needless to say I m very scared. Please, help me. What should Ido? Tks, Mrs. Garcia BTW, Im taking Rx for HBP and Fibromyalgia. | Hello Mrs. Gracia, I have gone through case detail. You have fibromyalgia responsible for pain in shoulder. You do have hypertension and aphid. , for which you are already taking treatment. In your case it is unbearable pain which is responsible for shooting up of blood pressure and pulse.Therefore, control of pain should be your first priority. I suggest you to take Tab. Ultracet one tab twice a day till your pain is relieved .you may also add Tab. Libotryp 25 mg at bedtime. If your BP medicine does not include Beta blocker, it should be added to stabilize your BP and pulse. My best wishes, Chat Doctor. |
Last winter I had a shoulder injury. After dislocating it, I had a minor tear in my labrum and a small fracture in the socket. All seemed to heal fine but it is difficult for me to hold my posture. If you follow my collarbone towards the shoulder, there is a pointed bone sticking out from my collarbone right before my the top of my shoulder. It also clicks with movement. | Hello, I can understand your concerns. It looks that you had multiple injury at your shoulder. If there is no pain at your shoulder then it should not be non-union of fractured collar bone. But even if you want some supplements for union of collar bone then you may have calcium supplements with vitamin D preparation. Nowadays one other compound known as CIUS qua Chat Doctor. Hope I have answered your question. Let me know if I can assist you further. |
i m married since 3 years,but i dont ve child yet,we r trying since 3 years ,i n my husband ve done all tests,my husband semen analysis report is as under,vol,2.5 ml,count million,75 million,motility,(a)rapid progression30%(b)non progressive20,(c)slow progression10%(d)immotile40%morphology55%normal,pus cells,2-3.my age is 26n my husband is 32,i ve done all my tests n done hms massone injections n also tubes tests,my tubes r open,i ve an ovulation prob thts why dr advised me glucofage,1+1 daily ,but i didn t conceive yet,pls guide me my husband semen analysis report is normal,n wht should we do further??should we ve iui? | Hi welcome to Chat Doctor. I have gone through your question. Your husbands' semen analysis has less than normal motility (50% normal), morhologybis also below normal (70% normal).Otherwise, report is normal. I would advise doing ultrasound color Doppler scan of scrotum to rule out varicocele. I would advise consulting gynecologist for your ovulation profile, and thyroid profile. Hope I answered your question. Would be happy to help you further. Take care. |
My brotherinlaw is having severe pain in the calves of both legs. He has been having this problem for years and he recently had knee replacement on both sides. That seems to be OK. Muscle pain in the calf is the problem. He said it feels like cramping. When hestretches the muscle of the calf it seems to help. | Hi, You did not mention the age of your brother-in-law and for what reason, he underwent knee replacement. Assuming that he was suffering from osteoarthritis these could be the causes of his calf pain.1. The most common one in osteoarthritis patients is virus deformity i.e. legs starts bending inwards, if that was the reason, he will be relieved with calf muscle pain now as he underwent the replacement surgery in which deformity is also corrected.2. Calcium and vitamins deficiencies are also one of the cause, so start taking supplements.3. Sodium potassium imbalance is also a cause for calf muscle pain, so take oral rely Chat Doctor. 4. Wrongly designed footwear is also a cause of calf muscle pain.5. Chronic venous malformations in calf muscles like varicose veins, or venous incompetence can be a cause so to rule out getting a color Doppler done. Hope I have answered your query. Let me know if I can assist you further. |
Hello im 18 and smoked weed for the first time. Now its been about a week and i cant seem to breathe fully or i cough. If i cough softly its a dry cough. Yet, If i cough hard its mucus. It started the day after i smoked weed and its getting worse. What should i do? | Hi thanks for contacting Chat Doctor . Here by smoking weed you can have bronchitis ... So cough is present.... Chest x-ray useful showing prominent vascular marking if it is present.... Avoid smoking.... If Chat Doctor. . If difficulty in breathing associated then to relieve inflammatory swelling short term steroid can be taken..... You will recover in few days....Don't worry. Maintain balanced diet. For few days avoid excess spicy and fried food. Take care. |
my 8 month old daughter has had a cough and runny nose since last Sunday. she now has watery eyes and there is yellow gunk coming out. she also has think green/yellow boogers. she hasn t had a fever but the Dr has her on allergy meds and i don t think its allergies. she cant sleep at night because the is not able to breathe and she is taking much longer to eat her bottles since she cant breathe out of her nose. i have used nose drops and try to not use the bulb sucker much. Should i take her into er or just wait it out? | Hi... Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal |
My four year old son woke up during the night and said he couldnt move. He was up off and on all night cplaimimg about his neck hurting. He cZnt move his head to the right without crying. He does not have any temperature. We have been swimming a lot lately. Could it be swimmers ear? | Your concern is suggestive of tortillas which in simple terms mean sprain on the neck. Treatment for tortillas is targeted to relax the contracted neck muscles involved. Treatments include medication, physical devices,, physical therapy, stretching exercises, and surgery. In most people, tortillas resolves in several days to a few weeks. A few people will develop continuing neck problems for months to years. Persistent neck muscle spasms may require referral to a neurologist or surgeon. I cannot say this is due to swimming but awkward positioning while sleeping could be a reason. I would give local heat and gentle massage and NSAID Chat Doctor. Take care and regards. |
I have had memory and recall problems. In the past three years I have had two Tia s. My doctor ordered an MRI. What was found was that I had was eschemic gliosis. Is there anything I can do to improve this condition or is condition perminent? Thank You | Hello Generally gloss is sequel of brain injury. Injury may be due to ischemia(decreased blood supply) or trauma etc. Most likely it is due to ischemic changes(decreased blood supply) in your case as you have history of TIA. Ischemia generally involves small blood vessels. It is important to investigate underlying cause like hypertension, diabetes mellitus, altered lipid profile etc. You need regular monitoring of conditions that leads to ischemic changes like hypertension, altered lipid profile, diabetes mellitus. So, you need proper clinical evaluation and treatment so that progression of lesions can be halted. Take Care Chat Doctor. |
MY SON HAD A ROOT CANALDONEBUT HAD INITIALLY STARTED THE PROCEDURE 10 WKS AGO AND WAS TOLD TO RETURN IN A FEW WKS BUT DID NOT RETURN FOR6-7 WKS LATER TO FINSH THE PROCEDURE.wHEN HE DID HE WAS IN ALOT OF PAIN AND THE DENTIST TOLD HIM THERE WAS ALOT OF PUSS AND PROCEDED TO DO THE ROOT CANAL AND SENT HIM HOME ON AMOXICILLIN WITHIN 2 DAYS HIS CHEEK BECAME RED AND VERY SWOLLEN AND VERY PAINFULL HE RETURNED TO SEE ANOTHER DENTIST AND WAS TOLD IT LOOKED VERY BAD AND PUT HIM ON DEXAMETHASONE AND CLINDAMYCIN TWO DAYS LATER HE WAS ADMITTED TO HOSP.WITH A SEVERE ABSECC AND INFECTION HAD SPREAD TO HIS MANDIBULAR ANDTEMPORAL BONE. MY QUESTION IS SHOULD THE DENTIST HAVE KNOWN HOW BAD THE INFECTION WAS AND SHOULD HE NOT BEEN REFERRED TO AN ORAL SURGEON | Hello and welcome to Chat Doctor forum, thank you writing to us, I would like to inform you that when there is a case of abscessed tooth, the first thing dentist does is Chat Doctor. A dentist cannot really tell how infected a tooth is until he takes an x-ray of the tooth. In cases where infection spreads to the surrounding tissues needs to be operated soon, and I hope your son is in good hands now. I wish your son good health, thank you, take care |
my brothers daughter aged 17 years studying in college is staying away form home for the first time. she is now suffering form fever every few days. She has under gone all type of treatment for fever but with no positive results. we feel she is having fear of some sort due to a accident she has witnessed. She is not expressing any thing. what next to be done is it proper to consult a psychiatrist. | Hello She has two main issues which need attention--She is 17 years old and is staying away from home first time-She has witnessed an accident She has complaints of fever almost daily on regular basis but all investigations and examinations came normal. Most likely she is either having problem of homesickness which is causing severe anxiety and is precipitating somatic symptoms like fever. The fever is nothing but weakness and chronic fatigue which is being perceived as fever. Other possibility is PTSD. Post-traumatic stress disorder is a disorder develop after witnessing some serious life-threatening accident or event. Post event individuals develop symptoms of anxiety and hyperarousal. I would advise you to consult a Psychiatrist for treatment and management. Behavior therapy, medicines like Fluoxetine, Sertraline which are good antianxiety and anti depressants are used in treatment. Consult a psychiatrist. Thanks, hope this helps you. |
Hi, im 22 years old.Asian. about a month ago, my Gyno tells me that i had an endo, she gave me Dusphaton, once a day for another 20 days. she took a swab test, and insert something like a rod to my vagina. took 2 photos. she measured the wound of 2 cm. can i still be pregnant with endometriosis?Regards,Ann | Hi Ann, How are you doing ? Let me start by saying that you will surely get pregnant. Endometriosis is a progressive condition. Every month when you have periods, little blood will enter the abdomen through tube. This will cause collection of blood around uterus & causing adhesions, this can lead to block in tubes & prevent egg from coming out of ovaries. So the treatment is to stop the periods, The best method to do that is had Pregnancy !!!. 10 months of no periods will resolve endometriosis. Don't worry about the lesion on cervix, picture was mostly of an erosion on cervix, which is normally seen on any sexually active ladies cervix. Do check if any of these investigations is missing, which could be a in Chat Doctor. Husband-Semen analysis at least 2- done 4 weeks apart preferably in an infertility center (examination done by an |
Hi, I have a 3 month old labrador pup who was vacinnated with anti rabies (first shot given on 15th May 2010 and second yesterday i.e. on 23rd June 2010). It playfully bit my thumb while playing with me and there was a incision and and some blood came out. I washed my wound under running water and also washed it with detergent soap and later with dettol. The bleeding stopped after some time. The pup remains within the house and has no exposure to other dogs. Do I need to take any antirabies vaccinne.Please advise | Thanks for contacting Chat Doctor with your medical question. Since this is your own animal, and you do know for sure that it was vaccinated then the chance of rabies is very low if not non-existent. For a dog to contract rabies it must be outdoors and then bite or eat an animal that has rabies. Since this is a pup I doubt it has been exposed to rabies. I would not be concerned about rabies, and you will not need vaccination. Hope I answered your questions. Please contact us again with your health related questions |
i have a lump or bump to the right of my adams apple it has been 2 weeks i was having some sneezing and a runny nose.The lump was seemingly getting better just alittle better and then i got a real sore throat and now a sinus infection, and the lump is back and is just as big as when i first noticed it. I can only see it when i flex my neck back and force my adams apple back by opening my mouth. | Hi. Thanks for your query and an elucidated history. Well, this looks to be a lymph node only and goes well with the history you have presented with. Proper antibiotic and anti-inflammatory cover can heal everything you are having. Take this under care of a Doctor - preferably an ENT Specialist. IF you still have doubts/ or if it persists I would advise you to go for Fine needle aspiration cytology under ultrasonography guidance. You get a perfect diagnosis and guideline for a perfect treatment. |
I have recently been noticing some small burning pain on my penis shaft. And there have been small white bumps that arent exactly bumps and pop really easily leaving puss. It doesnt look like any STI it has only been happening in correlation to me and my girlfirend (not having sex) but playing with each other really hard. Can it be caused by to much | Hello, Thanks for posting on Chat Doctor, Infection due to common skin bacteria is the most likely cause of your painful shaft and presence of rashes. Your interaction with your girlfriend simply predisposed to the infection as tiny pores or bridges are being created which allow bacteria to penetrate and hence lead to infection. You will be required to apply some topical antibiotics and also avoid such sexual activities for a while until you are cleared off the infection. Also try to keep a good hygienic environment before you indulge into such activities. Hope this helps |
I have lumps that come and go in the part of my back both sides they are very pain full so bad I can not walk at time this has gone on for a few years getting worse. X-Rays show nothing or mri shows nothing can not stand pain getting worse do not no where to turn | Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like neurofibroma or Schwann. Or some other painful tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the tumors. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
I have a history of an open heart surgery back in 1990 Im 42 years old now and been trying to get pregant, so we been seing fertility specialist in Stanford. We tried 4 times to do a surogacy but nothing happen now that my time is limited I want to just carry the baby by IVF is it possible for me to do this? please please please someone can give me an advice. Truly daisy rios | Hi, Pregnancy including IVF is safe during pregnancy if the heart is strong enough to bear the strain of pregnancy. If you were operated at an early age it means you have a congenital heart disease. So you need to get a 2D Echo done if not done for a long time. In that we need to see mainly the pulmonary pressure. If that is high getting pregnant is high risk. If normal than you can easily get pregnant & be in regular touch with a cardiologist. So get an echo done before IVF. Thanks Chat Doctor. |
i have half of the head of my penis read for over 3 weeks now and it has only one kind of blister about the size of smaller than a pea or size of a small pearl and red all around, i tried neosporin it got a little bit better but it is still red and it is over a week now that i am putting neosporin on it | Hi, Thank you for asking ChatDoctorI have gone through your query. Your problem is most likely genital herpes infection. If it is herpes then even if you get cured it can recur when your immunity become low.Anyhow, it's better to have a dermatology consultation and rule out that. I usually treat herpes with antiviral Chat Doctor. I also give acyclovir ointment for local application and analgesics for pain relief. Hope this may help you. Let me know if you have any further query. |
hi, i have been loosing protien in my urine since 2 years (known ) ++ levels to ++++ levels back to ++ and now ++++ levels . also in my latest report creatinine is at 1.09 (gradually increased from 0.9-1.09 over a period of 2 years , i have high blood pressure and am taking telma 20 mg 2wice a day . also i used to take olmesartan med and seleoken xl 25-(seleoken used to give me a very bad feeling in my heart) i dont have lupus or ra, i am just 25 i need to know what may be the factor casuing my high blood pressure , in my recent report for the first time i have seen calcium oxalate crystals , but i need to know what are the possible causes of high blood pressure and the kidney failure which is taking place and what can i do to stop it , like a permanant cure without medicines , is renal denervation an option which i should consider, | Hi young man/ lady. Thanks for asking the question. As a young person with hypertension, you must be investigated for secondary causes of hypertension thoroughly. I hope your doctor(s) are doing it/ done it. You seem to have a lot of protein leaks which needs to be quantified by a 24\u00a0hour urine collection. Most common secondary cause of high blood pressure is due to kidney issues and I suspect you will need a kidney biopsy unless it has been already done. You donor have kidney failure yet since creatinine is still 1.09 (?mg/DL), so please donor panic. I am glad that you are rightly concerned about your health. The oxalate crystals are probably nothing to worry about, and renal enervation is reserved for people with resistant essential hypertension (i.e. all secondary causes ruled out and BP not controlled on at least 3 antihypertensives). Although you have not given me much information of the tests carried out till date, I suspect you have not been investigated completely. You can get back to me with the results of all tests done till date either here or on my website (docrambhat.com) and I will be able to advice you further. Best wishes. RB |
I am 24 years (M) old since last week my white part of eyes are yellow in colour my LFT report shows S.T.bilirubin 5.5 mg/dl, S.D.bilirubin 3.29 mg/dl, S.IND.bilirubin 2.21 mg/dl, SGPT(ALT) 260 U/L, Alkaline phosphatase 159 u/l, GAMMA GT 274 U/I ,SGOT(AST) 79 U/L please advise these results are due to jaundice or any other disease. | Hello dear, As evident from the reports of Liver function tests, all the parameters are above normal range. This indicates an Acute hepatitis (infection/ inflammation of the liver tissue) most probably due to consumption of excess alcohol, as indicated by a raised Gamma GT level. Moreover, the serum bilirubin level is also increased, which is indicative of jaundice. Based on the above-mentioned facts, the yellowish discoloration of the eyes is due to jaundice. Kindly consult a Gastroenterologist & start treatment immediately to prevent any further complication.Also, you need to abstain from alcohol. Certain investigations like Ultrasound scan of abdomen, serum Bag will be helpful to rule out any viral infection. Wishing you a good health. Take care. |
Sudden lump on hip, closer to left groin area. Comes and goes for the last 3 months or so but always is colored like a bruise going away, greenish. Slight irritation when I press on it. In the last month I ve noticed same area numb or tingly. Don t want to get laughed at in the dr office so any suggestion you could provide would be great! | Hi, dairy have gone through your question. I can understand your concern. You may have inguinal lymph node enlargement. It may be due to reactive hyperplasia due to some infection, or it may be due to some other cause like tuberculosis. You should go for examination. If needed go for fine needle aspiration cytology of lump and search the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Sir ,i am an 14 year boy at the of 4 year imet with an accident and there was an injury on my head and my bone swallow ,i ask a doctor the doctor said that it is nothing and they said that there is swallowing on the bone and now i am of 14 year the swallowing is the same but some time the swallowing become big some time small help | Thanks for your query, I have gone through your query. As far as the swelling over the bone is concerned, it can be an inflammatory response of the bone to trauma. Since you are giving history of repeated swelling, and it can be a garret osteomyelitis. Nothing to be panic, consult a general physician and get it evaluated. You might have to take radiographs to confirm the diagnosis. I hope I have answered your query, take care. |
i have a bump the size of a nickel under my arm, its not red it dont itch, i read that people have \"popped\" them and fluid came out but mine is deep into my skin. i dont like going to doctors i just wanted to know what it could be. i am scared since i lost my father 4 months ago to a number of different cancers | Hi.based from your description, it could be an enlarged or an inflamed lymph node especially if you had a recent infection in the upper respiratory tract. It could also be hi Chat Doctor. It is best if you have it clinically examined by a doctor, preferably a general surgeon. Further diagnostics such as ultrasound and management (medical and/or surgical if indications are found) will be done accordingly. Hope this helps. Good day!!~ |
Hi...I was misdiagnosed by my MD and put on Naproxen for Rheumatoid Arthritis. The Rheumatologist says I dont have Rheumatoid Arthritis but asked if I suffered from high blood pressure or chest pains. No! My blood pressure is usually around 117-123/ 72-80. But I told him I have been having chest pains and palpatations, so he send me right away for heart ultra sound. He said to stop the Naproxen immediately. So Ive been talking the wrong med, for the wrong diagnosis! My question is | Hello to Chat Doctor, NSAIDs (Naproxen) are one of the most widely used Chat Doctor. They come with their side effects, unfortunately one of them is High blood pressure, due to the fact that these medications lead to retaining of body fluids and thus elevating the blood pressure. So after you stop Naproxen your BP will be lowered in no more than a week. On the other hand you should be very careful and try to get to the bottom of your case because RA is serious disease. |
Hey I am 37weeks pregnant and the doctor just told me yesterday that I have Canada yeast Infection and gave me some Amoxycilin trihydrate tablets, flagyl, n candizole tablet. So I would like to know hw long is this infection going to take to be healed? And if IWere to go into labour now will my baby be infected? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Pregnancy is the conditions of immunosuppression, so there is chance of infection caused by this in pregnancy increases more. Candida infections usually occur when ever there is immunosuppression like pregnancy, diabetes, HIV etc. The treatment given to you by the doctor was right, you should continue the treatment. No it will not transfer to your baby if you take the complete course of the treatment. Please maintain the good hygiene as it is equally important in treating the infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
My liver biopsies are consistent with autoimmune cholangiopathy/biliary cirrhosis. I am supposed to take actigall for its treatment. Is this the best treatment for it ? What is the prognosis and life expectancy ? Is it a form of autoimmune hepatitis or it could turn into one? Before the liver biopsy, the ultra sound, MRI, ct scan all showed no toumers or cancer. My liver enzymes, especially ggt, alp. ast. alp, have been up and down for about 4 years, but recently they have stayed higher than the maximum normal range. The GGT is up 4 times that of the max normal range. Thank you very much for your suggestions and opinion. Aman Kemaninej | The Global Hospitals Liver Institute has performed over 200 liver transplants since its inception. The Institute offers the latest treatment options for patients with chronic liver diseases like acute liver failure, liver cancer and cirrhosis of the liver. Complex hepatology cases that involve patients suffering from advanced hepatitis C and other types of liver diseases are handled with utmost care and expertise at Global Hospitals. The Institute handles liver transplants like living donor liver transplant, deceased donor liver transplant, split and auxiliary liver transplants as well as pediatric liver transplant. Liver surgeries in cases of primary liver cancer, metastatic liver cancer, pancreatic and biliary surgeries are also performed by the esteemed doctors. |
Hi i am 39 weeks pregnant and last night i had chills and shaking i wore lots of clothes but i felt cold when i get up for bathroom now i am worried because i fell my baby move less than usual from this morning could you please tell me why that happen ? | Hi there,At 39 weeks you are almost full term. You need to get checked by an obstetrician immediately for these child and the decreased fetal movement. Any fever or infection at this stage cannot be taken lightly and needs to be evaluated. You need to measure your temperature 4 hourly. Also do you have any complains loss of fluid, or breaking of membranes? It is a possibility that you have ruptured your membranes and are going into labor. But if you have chills and decreased fetal movement, any womb infection called chorioamnionitis needs to be ruled out.Also, you need to get an ultrasound and fetal heart tracing done to check for fetal well-being. Hope this helps. Regards. |
for the past 3 nights I hav been awaken from sleep with an INTENSE itching. the first night was the upper torso with no rash. 2nd night samething this tme with rash. come morning everything was gone...no sign of a rash and no itching. 3rd night rash everywhr even head. I have pictures to show my doctor because it is gone during day. please help the itching is intense along with a burning sensation. | Hi, It looks like scabies. Commonly scabies causes Itchy rash especially at night. It gets spread very fast & sores get formed by scratching. Get examined. You will have to give a small sample from the affected area of infection, it will be tested under a microscope, presence of mites confirms the diagnosis. Take a bath & apply Scabies (Benzyl benzoate) all over the body except the eyes & the face, leave it for an hour & then take a bath. Repeat this after 15 days. Wash all your clothes with Detail or Salon. It is very contagious, so it is recommended to treat any other member who stays with you with Scabies lotion to prevent spread of infection. Hope I have answered your query. Let me know if I can assist you further. |
two years back i had a sudden back problem when i was playing at that time i couldn t move i was locked at one place and in standing position then some people lifted me then i went to doctor he advised me to have digital x ray which showed mild disk problem after seeing x ray doctor prescribed me some medicines like neucobal forte ,adact gel and some pain killer.two days i had to face same problem i am not able to move what should i do | Hello Thanks for writing to ChatDoctorAt present you need proper clinical examination and further investigations. You need complete bed rest for at least four days. I suggest my patients to take analgesics like diclofenac along with muscle relaxants like tizanidine twice daily for five days. Ultrasound deep heat therapy also gives excellent relief. Alternatively hot fomentation can be done. You also need MRI of L/S spine for proper assessment of intervertebral disc. Proper treatment depend upon findings. Hope I have answered your question. Take Care Chat Doctor. |
Had single mastectomy 2 weeks ago for Pagets disease with an underlying tumor that was also removed. It was 1.3cx0.9x0.8 cm. and sentinel node biopsy showed one benign. The cancer is Stage 0a and is Triple Negative. How should this be treated// I am currently undergoing tissue expansion for reconstruction! | Thanks for your question on Chat Doctor. Stage 0a cancer of breast needs surgical resection of tumor nodule and dissection of involved lymph nodes. So you had absolutely right treatment. So no need to worry much. Pagets disease of breast has high incidence of recurrence. So in future if you find any nodule or swelling in breast (opposite or same) than you have to get done biopsy of it. No harm in reconstruction surgery. Eat healthy and stay feet for prevention of malignancy. |
I was taking Prothiaden 75mg, one tablet every night. Now Doctor has changed and giving Pexep Cr25 every morning after break fast. I have depression since 9 years and on medication. Is Pexep Cr 25 is better than Prothiaden 75? Has any side effect? Should I take life long? | HIT hanks for Chat Doctor Prothiaden is a tricyclic antidepressant and peep contains paroxetine, which is a SSRI. Paroxetine is better than prothiaden in efficacy and in tolerance. It has lesser side effects as compared to prothiaden. It has few side effects like gastritis, nausea, sexual dysfunction, but these are very minor side effects. According to your duration of illness, maybe you have to take it for life long. Thanks |
sir i had enlarged and studded with multiple pheripheral follicles and with thick echogrnic stroma.my doctor asked me to take metformin 500mg and clomiphene citrate 150g.we are planning for baby.is it possible to conceive.normal utreus endometrial cavity,bilateral polycystic ovaries. | Hi, I think you can conceive. You will need some medical support for that. In polycystic ovaries, the problem is with ovulation. So, you can take some medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. Hope I have answered your question. Regards Chat Doctor. |
hi i m 29 years old man and i have problem with sex the problem is in normal time my penis stand properly but when i want to do sex with girls it does not stand and some water comes in my penis and it is difficult to stand ...because of this my sex activity is become weak..so can u tell me a solution and treatment please. | Degree understand your concerns went through your details. Erectile dysfunction (ED) or impotence is sexual dysfunction characterized by the inability to develop or maintain an erection of the penis during sexual activity. It may be caused by diseases, complications from surgery, side effects of certain medications, lifestyle factors, and psychological factors. The water comes out of your penis during your sexual arousal is pre-ejaculation fluid, which actually helps you as a lubricator while having sexual intercourse. Do not confuse or worry about that. I suggest you to consult a urologist or sexologist for further investigation and treatment options. If you require more of my help in this aspect, please use this URL. http |
I have bad pain when I walk on my inner right leg it feels like in between my hip and leg for about 5 days and its not getting better I have to lie down on my right side or it will hurt and i can walk for no more than 30 sec. I have to walk with both knees bent if my right leg straighten out when i walk the pain will come very fast. I m taking inflammatory and T 3s and they don t work very well | Hi, thank you for providing the brief history of you.a thorough neuromuscular assessment is needed as mentioned by your symptoms, it appears to me that you need a thorough neuromuscular assessment. As post which is the symptoms are connected to nerve related issues then an MRI of the lumbar spine will be performed to see the soft tissue status. As even, you mentioned that the position you need to take for relieving the pain and your knees stays bend while walking. With medication and physical therapy combination there is a massive improvement in the health status. Also in my clinical practice dealing with such symptoms and post in detail neuromuscular assessment and MRI the precision of therapy is planned to get the optimum 99% results. RegardsJay In Chat Doctor. |
Dr. Sir, my brother, 64 years old, is suffering from endocrine carcinoid and is at the 4th stage. Since August 2010, he is receicving 30 mg LAR injection from Forties. His weight is losing day by day. He is very weak. He is insisting to get him checked from AIIMS. Please advise. Regards. | Thanks for your question on Chat Doctor. Stage for carcinoid tumor is having very poor prognosis. Life expectancy is less than 7-8 months. The hormones produced by tumor causes high metabolic rate and excessive every loss. So weight loss is more pronounced. Rapidly dividing cancer cells also release chemokines which causes decreased appetite and low oral intake. So weight loss is inevitable. In my opinion she is having terminal stage illness and life expectancy is less than 4 months. |
40-year old male, 5 feet 11 inches, 135 pounds May I submit a link with selected slices of an MRI to answer specific questions about them? Medical history | Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have as you tell multiple problems, and my approach usually with this type of patients is to take one complain at a time, the most serious first, see its relation to other complains and order investigations based on these. In your case there seems to be neural complains infection, and to some extent Hyperion Chat Doctor. See a physician first to rule out any life-threatening or disabling condition, then your neural symptoms can be taken care of. I hope that answers your query. If you want any more clarification, contact me back. |
I am 73 y.o. and have AFib, type ll diabetes and have been a non-smoker for a few yrs. Lately, I have sharp pain in my left shoulder blade to spine and neck. The neck pain has been constant for several years, and a sharp pain (like a cigarette burn) hits me at mid- spine when I bend over to pick something up. I can work through it if Im tying my shoes by bending slowly. This has been with me for several years, also. I have had dye injected into my blood stream and had cat scans. Curvature of the spine has been the only thing to show up other than some calcification at my lower spine. This pain between my shoulder blades is horrific, at times; but, thankfully, will subside to a managable level (about a 4 on a scale of 10 { 1 being no pain and 10 being excrutiating, sick to your stomach pain}) for active hours. The night time or resting pain will easily hit a 9 and hang around for a while. Any ideas? | Dear Sir, Than for Asking. Before I further Comment, Can I know a little more 1) How Long have you been having Diabetes ?2) Is your Diabetes under control ? (What are your latest Reading and HBA1C)3) Have you ever got any Nerve related test done ? Like Biothesiometry or Nerve function testing The Pain can be due to many reasons, From a Planetologists Perspective This can be Neuropathic Pain - The Usually Features of Diabetic neuropathic Pain are the Following Diabetes most of the time initially affects the nerves in your feet and fingers (Simply put)1) Burning sensation in the feet2) Pain in the Feet and legs3) tingling sensation in the Finger and toe tips But it is not uncommon to see Truncate Problems. In some patients we see something called as Truncate Mononeuropathy - Which is characterized by Complaints of burning, stabbing or deep aching pain in a particular area of the trunk. This is usually common in those whose age is > 50 years and is due to uncontrolled diabetes Solution |
hi, my name is Pam, I have had bladder cancer for 8 years and have had 16 surgeries to remove bladder tumors. I also had my right kidney removed because of the disease. My diagnosis has always been stage 1 non-invasive . Doctors are talking about removing my bladder. I also have had 12 BCG tx. Do you think there is any chance i could have chemo or radiation to kill the cancer cells??? | Thanks for your question on Chat Doctor. If you are having stage 1 non-invasive bladder cancer and not improve with BCG than surgery is the only option. This will increase your life expectancy and decrease chances of metastases. So get done unblock resection of bladder and sampling of lymph nodes. If lymph nodes are positiver than post-operative chemotherapy and radiotherapy is needed to prevent chances of metastases. |
Hi back in 2009 i was diagnosed with wolf parkinsons white syndrome and i had to ablations to correct it. i am a 38 year old male of 12 stone and 5ft 11 tall. over the past few months my heart has been skipping beats then stopping for a 2nd then starting again. while all this is going on i am very lite headed and with a slight pain in my chest. sometimes if i walk more than a 100 yards thats when it starts and can sometimes last for about 20 to 30 minutes. i recently went to my doctor who checked my blood pressure which was 185/ 112 so she gave me lisinapril 5mg which i take 2 a day but i still keep getting these skipped beats and dizziness. | Hi Mrs XXX. I have gone through your question and I understand your concern. According to your symptoms, I would say that you may have arrhythmia , probably SVT (supraventricular tachycardia) your atrium beats fast or an atrial fibrillation that are common complication of WPW (wolf Parkinson white) and it may lead to serious condition such heart failure. The intervention that you did is 90% effective and the recurrent of the arrhythmia may happen again. Your chest pain can because of hypertension also cause the arrhythmia. I would recommend you to go to the hospital as soon as possible to check how your heart is working, do an ECG, or a Holder monitor (24h) to monitor your heart beat. This is a serious condition that need further evaluation to exclude any heart problems. The doctors may start medication to control your heart beat according to ECG result.Meanwhile, check your blood pressure 3 times a day, take the medication regularly , it's your blood pressure back to normal . Minimize exercises. Wish you good health. If you have any other questions please feel free to ask me. |
I have a dry circular rash on my outer left thigh. Its 1.5 inches in diameter. Resembles a bullseye or ringworm. Does not itch. It had been there for 3-4 months. Three weeks ago patches of dry skin started appearing on the left outer thigh and now on the rt outer thigh. Now have about 10 patches each thigh. Sometimes get sharp stabbing or pin stick pain all over my legs or pain in my lower legs that feel like bad shin splints. Also notice a reddish purple rash covered by a silky smooth silvery white thin layer of skin on my left shoulder blade. Two weeks later another one appeared on my right shoulder. None of these rashes itch. Prior to these rashes I have developed a sensitivity to some bath products which caused yeast infections. I now bath in apple cider vinegar and honey. What is the cause of all the skin infections. Have noticed two spots on my face now. Hiv test taken 3 weeks ago ands 6 months ago are negative. | Hello. Thanks for writing to us at Chat Doctor These patches could either be Discoid dermatitis Or Fungal Infection/Tina. The distribution of the patches however goes more in favor of Discoid dermatitis rather than fungal infection. Outer thighs are a relatively common site for these patches because this area is Chat Doctor. A KOH examination would prove to be conclusive in that regard. Topical OTC antifungals e.g. clotrimazole 1% cream may be tried if KOH is positive for fungal elements. On the other hand if it is negative for fungal elements' treatment would EB along lines of discoid dermatitis. Since underlying |
My father is having sudden memory loss. Two days ago he had outpatient surgery to remove hemorrhoids. For pain medication he was given Percocet. He was unable to urinate since the surgery so we brought him to the emergency room where they placed a catheter. It helped evacuate his bladder. Could the memory loss be related to his current situation? | Hi, dear. I have gone through your question. I can understand your concern. Surgery for hemorrhoids generally doesn't leads to memory loss. It is not related to your current illness. He may have some other problems. You should consult psychiatrist for that. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi, is there an anti fungal powder recommended for a candida overgrowth infecting the area between the buttocks? I have had this problem many years, it comes and goes as does a redness on my chest (hairy chest!) a red dry spot between eyebrows and a rash at the base of my penis, as well as a few spots on my penis being dryI have found that a cream is not useful in this area.I am 5o year oldThank you | HiT hanks for your query seem to be having Candidiasis of the groin region. First some general precautions |
My sister was small for her age and as she grew her hands and feet were disproporiately large. She was not overweight at first but became heavier as she was near puberty and except for a about a year continued to be heavy and was very strong. At age of about 50 she was diagnosed with Parkinson s and can no longer control the shaking. She is about 68 now. Is there a link between Cushings and Parkinsons? My granddaughter is now 13 and many for the same things are starting | I read your question carefully, and I understand your concern. Regarding the concern of a connection between Cushing and Parkinson's disease the answer is no, there is no known relation between the two conditions, the presence of both in your sister is a coincidence. She has developed Parkinson sat a pretty young age (usually after 65) and in these young onset cases there is thought to be a genetic predisposition, so the predisposition may be higher than in the common population. As for the remaining issues, the larger hands and feet, anger issues, even if not related to Parkinson's she should see a doctor for the possibility of a pituitary adenoid. I hope to have been of help. |
I m 35 weeks pregnant and for a time now have had throbbing pain off and on - both in my back and strangely, around my left clavicle . I broke the clavicle in a car accident 5 years ago and had it plated until it was healed, the plate was then removed. It doesn t normally give me any trouble but when I have this throbbing in my lower back, it seems as strong in the clavicle area. It s not even necessarily very painful - although its a very thin line between being painful or not, and it is a very strong, pulse . Could this be linked to blood pressure? When I had it checked 2 weeks ago, my bp was fine, as it has been throughout my pregnancy. I could understand the back pain , but particularly confused as to why my clavicle would be throbbing. Thanks. | Hi Haida. It is natural to have some off and on BCK pain at your stage of pregnancy. So no need to be worried about that unless its severe or persistently bothering. As the pregnancy progresses, the heart and lungs in the chest cavity are pushed upwards and also there are a lot of changes that take place in the circulation and blood volume. The throbbing the you feel in your left clavicle region may be due to the heart and big blood vessels moving upwards, which is normal for you. As you have been operated twice on left clavicle, there may be some hypersensitivity due to the scarring there. But nothing seriously seems wrong. Do get your regular checkups and mention this to your obstetrician. Wish you good luck. |
Hi doctors. I m 21 years old. i was admitted last Mar 31,2012 due to abdominal cramps, they thought it was appendicitis but it is not bouncing pain and my appendix was not visualized in the ultrasound. so it was ruled out as UTI. My ultrasound conclusion was, normal sonogram of the liver, gallbladder, common bile duct , pancreas , spleen , abdominal aorta , both kidneys and urinary bladder; non visualized appendix; thin-walled non septated cyst, left ovary consider follicular cyst. Since April 2012, my menstrual cycle takes longer. Before i had only 1-7 days of menstruation but since discharge from the hospital i had almost 1 to 2 weeks of menstruation, 1-4 days of my menstruation is heavy to moderate and it s my normal menstruation while the succeeding days is like moderate bleeding to spotting and it s painless. Can you help me doctors about my condition? Thank you so much. | Hello! Thank you for the query. First an explanation for you. Appendicitis can not be ruled out by ultrasound. Especially if the doctor who has performed the ultrasound didn't find the appendix. It simply means that your appendix could not be found with ultrasound. So if it was not found, it's inflammation cannot be ruled out. Moreover, about 50% of appendicitis is treated with antibiotics with very good response. But such inflammation can recur. So it is possible that you have the appendicitis again. This should be checked as soon as possible. So you should have abdominal ultrasound and fool blood work, liver and pancreas tests, urinalysis. Such symptoms can be also caused by mentioned by you UTI or kidney stones, ovarian inflammation, ovarian cyst rupture, pregnancy or even endometriosis. It is strongly advisable for you to visit gynecologist and have transvaginal ultrasound performed. Hope this will help. Regards. |
Hello sir, my granny is diagnosed with colon cancer of stage 2, it has be said that the cancer is about to spread near rectum and liver, and also its no use of giving treatment..but my granny is active and as usual..pls let us know if any treatments are possible at this stage... | Hi there, Thanks for your query. Stage 2 colon cancer is still curable stage. The tumor might have invaded the nearby adjacent organs, but there is no distant spread to liver as it is still stage 2. Still surgery can be done with or without chemotherapy depending on the functional status. It would have been better if u had provided the reports of the tests so that I could have given you detailed response. I suggest you to take a second opinion with the available reports. |
hello DoctorMy Father Have 4th Stage Cancer in Liver Lung and Lymph nodeLocal Doctor give Chemotherapy treatment with medicine \"carboplatin\" and \"paclitaxel\"is this the right drugs and how much my father live after 3 chemotherapy cycle he is very weak. | As your father is suffering from stage 4 cancer and if it is lung cancer that has spread to liver and lymph nodes then carbonation and paclitaxel should work to keep the disease in control. If cancer is of unknown origin that has spread to liver and other sites then also paclitaxel and carbonation should work. As his 3rd cycle is over I would suggest u do CT scan of chest and upper abdomen to see the tumor response to chemotherapy. In average your father can live from 6 months to 1 year if it is already stage 4. |
diagnosed with hep c 2013 by pcp. numerous blood tests show elavated iron levels. several phlabotomies over last year. 2 blood test, last 6 monthes, and 1 phlabotomy blood stopped flowing(less than half a pint then stopped) todays blood test they barely filled one tube. ? recent endoscopy showed sliding hietal hernia, ulcer, and a couple, what looked like bustedblood vessels? thru web search found polycythemia vera which i have nearly every symptom. my pcp is on maternity leave til sept. what should i do? | Hello and welcome to Chat Doctor, A history of elevated iron levels and recurrent phlebotomizes suggest presence of polycythemia Vera. However, complete hologram, peripheral blood film examination, iron studies, bone marrow examination and genetic studies are required to confirm the diagnosis of polycythemia Vera. Polycythemia Vera has to be differentiated from secondary polycythemia since the treatment for both the conditions is entirely different. The ulcers formed in the gastric mucosa may be a complication of polycythemia. Thanks and take care Chat Doctor. |
I had a rash on the back of my leg that was extremely itchy. I went to the Doctor and was prescribed 3 different creams and nothing is working. The rash moved down behind my knee and a little lower. Those 2 rashes seem to be not as bad now but just below my bikini line on the opposite leg now has a hive looking rash. I have SLE and take plaqenil and have for about a year and a half now. The creams I was prescribed are Fucidin H, Betadern cream and I can t remember the 1st one but it was not as strong. I also was prescribed Hydroxyzine HCL for the itch to take at bed time. I also had shingles 2x last year and was vaccinated any ideas? | Hi, It may be contacted allergic dermatitis most probably. There may be some cause like soap, clothes, detergents, house dust, house dust mites, pollen, wool, grass or some dietary allergen like chicken, eggs, fish, milk, curd, soda, banana, brinjal, tomato, fermented food, banana, etc. I would suggest you take Cetirizine daily in the morning, cap Domain at night, Deflazacort tab daily in a tapering dose for a few weeks. Apply mometasone cream on the affected parts. Avoid contact with suspected allergens. Do not take suspected dietary food. Avoid soap bath. Avoid tension. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
i am having medication for depression for 18 years,i am having clonazepam and amitriptylene,recently my doctor wanted to change my medication but it didn t suit me...now i am not able to adjust in my old dose.i feel rapid palpitations and cold body,feet,i had done ECG ,Echo and TMT 2 yrs. back all were normal,only i could not walk for long in TMT,i had fatigue..pls suggest if my heart is ok | It seems that your cardiac parameters were normal 2 yrs back. You need to go for preliminary cardiac evaluation again. If they are normal then your doctor can think of venlafaxine or desvanlafaxine starting from low dose along with low dose of clonazepam during daytime & higher dose at nighttime. These molecule better control navigability component. Gradually omit daytime & later nighttime clonazepam. |
I was diagnosed with polycythemia on friday by my regular doctor. I am supposed to let them know today if i want to see a hematologist or start donating blood. My red blood cells, hemaglobin, and hematacrit. were all high and they did an iron work up and the iron was high but everthing else was okay. Do you suggest I see the heamatologist or just start donating I am 31 57 and 220 lbs. High blood pressure started couple of months ago, tired all the time. | Hi, dairy have gone through your question. I can understand your concern. You may have polycythemia Vera. But before taking treatment you should consult hematologist and confirm the diagnosis. JAK 2 mutation study and bone marrow examination should be done. Then you should start treatment. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
hello,my sister is 11 week pregnet, during 7 weeks she had an early scan, Report is like this Gestational Sac Seen , Sac Margins appeared regular, yolk sac seen and measured 3 X3mm (mean = 3),cardiac activity present.She was on anti depress drugs from last 3 years, as soon as she missed her period , immediately on same day she stopped all medicines. is any chance of any abnormality ? dr suggested NT Scans in 13 weeks + first trimester screening + blood test pl reply ? | Hi there,At 7 weeks scan every thing looks as expected. And the doctor is right in suggesting a NT scan and blood tests at 13 weeks. Since she was on anti-depressant medications for 3 years, it is not wise to discontinue them suddenly without any medical advice. She should consult her psychiatrist who will advise her if she can safely discontinue or not.Also, other forms of therapy for depression like cognitive behavioral therapy should be offered to her. Pregnancy is a stressful time and her depression could get worse if she doesn't get appropriate medical help. Chat Doctor. These are easily checked by both NT scan and 20 weeks anomaly scan. So do not worry a lot about them. I would recommend her to take Folic Acid 5 mg at least till 12 weeks. Though its more important to take it before conception it is still advisable to continue it till 12 weeks. Depression is also more common post delivery and this should be kept in mind after delivery especially if she has baby blues and mood swings then. Please inform this to the doctor managing her post delivery. Hope this helps. Regards. |
i had a boil looking thing come up on my left groin area toward the private area, when i lanced it a big black thing came out, left a big whole in me, i am a diabetic, i am keeping it clean, proxide, and antibiotic cream on it, what was this, or what could it have been, i know one thing it hurts really bad still | HI, thanks for using Chat Doctor An abscess is a collection of pus and can occur in any area of the body. It occurs when bacteria enter into the skin through even a small area e.g. a scratch mark. The fact that it is still painful may indicate that not all the pus is out. The definitive treatment is incision and Chat Doctor. This is usually an in office short procedure. Antibiotics may also be needed as well. I hope this helps |
My husband had surgery back in May - removal of a sarcoma tumor and part of his lymphatic system. His left leg pools and he has to keep it up to keep swelling down. The issue is he walked about 3/4 mile last weekend and experienced a numb, tingling sensation in his left shoulder that ran down along with weakness and fatigue. I took him to the emergency (where they diagnosed him with TIA).. They ran cat scans, electrocardiiogram and blood tests. They could find nothing except his gall bladder is slow and his liver numbers were off. He also says his guts are constantly in an uproar each time he eats or drinks, and that it seems to be connected to the tingling in the left arm. Please help us make sense of this! He has been to the hospital twice in three days. | Hi.noted history of abdominal upset/pain, usually aggravated by food intake, with radiation to the arm. It is possible that your husband has gallbladder pathology, most commonly gallstones. If it is indeed secondary to gallstones and his symptoms are occurring frequently and persistent, it is best if he consults with a doctor, preferably a general surgeon, for physical examination and clinical evaluation. What he has is chronic cholecystitis, probably secondary to cholelithiasis (gallstones). The most important thing to take note here is that an elective or scheduled cholecystectomy has better post-operative outcomes and less risk of developing complications as compared to the one done emergently. Diagnostics (such as ultrasound, liver function tests, blood count, etc.) and management (medical and surgical) will be directed accordingly. Definitive treatment for gallstones is cholecystectomy or surgical removal of the gallbladder along with the stones. It can be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~ Chat Doctor. |
I have been having a pounding heartbeat in my chest neck and head this has been going on several weeks and is intermittent on a daily basis. I went in and had a normal EKG, hemo was normal and so was throid test. The pounding borders between annoying and painful. I have also been dizzy during these episodes. I had an angiogram done 5 years ago after a problem with a stress test and was told it was clear, they did mention that I had an extra vein in my heart which they said they had never seen before. Questions | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about major heart related diseases because your ECG and blood reports are normal. So no need to worry about blockage in coronary artery. In my opinion, you are mostly having stress and anxiety related symptoms. Both them can cause tachycardia, palpitations and other similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I had my gallbladder removed Monday. I removed the anti nausea patch from behind my ear last night, per ER nurse, because of trouble urinating and swallowing. This mining I woke up nauseous and have vomited all day. I ve not been able to keep anything down, liquid or solid. No fever, but my face is bright red and sorta warm like a sunburn. I had been taking Percocet, but haven t taken any since 10 am this morning due to nausea. I called surgeon s office and they wrote a script for Phenergan gel to try to control vomiting, but I m still very sick to stomach. What gives? | Hi, The possible causes of post cholecystectomy nausea or vomiting may be due to side effects to the anesthetized Chat Doctor. Until examination is done it is difficult to say what it is. Use mouth dissolving Ondansetron. Avoid spicy food and oily food. You may take Metoclopramide or Levosulpiride injections. If symptoms not improved please consult your treating doctor he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. |
Hello,My grand daughter has been suffering with severe abdominal pain for 9 days. She is not running a fever, no vomiting, no diarrhea. She has had high blood pressure for 6 days. She eats in the morning and is feeling pretty good, then come early afternoon abdominal pain, high blood pressure. She is on an IV and has had multiple blood work done, several ultrasounds and x-rays. Doctors can not find an answer. She is four and has a blood pressure 138/111 when pain occurs. Does anyone have any suggestions? | HIT hank for asking to ChatDoctorIf the investigations have not detected any abnormality then no question arises for worry, this could be kind of colicky abdominal pain which is nonspecific in origin, for the blood pressure, that needs to be monitored continually, and should be measured with pediatrician, with specific instrument, and that is not the matter of concern, you just take it easy every thing will be okay soon, have nice day. |
Dizziness, not unbalanced,gagging (dry heaves)Dull Headache radiating from shoulders up,abdominal pain (cramping)leading to loose stools (All day )Feeling of hunger in belly even if food was eaten,feeling satiated for4 short time ,maybe an hour, then hunger is back .. About 4 days now,last 3 with abdominal problems ,,day 1 was dizziness and retching ( dry heaves ) | Hi, Thanks for posting your query. With the available described details, there could also be possibility of acute viral gastroenteritis. Headache and dizziness could be pro Chat Doctor. Dizziness could also be due to fatigue caused by potassium loss in recurrent vomiting. You should consult with internal medicine specialist/ gastroenterologist and should go for thorough check up. You should also go for complete blood count, urine routine microscopic examination, and serum electrolytes, renal function test. You should take complete antibiotic therapy, antispasmodics, anti-emetic, probiotics, antipyretic, if needed. Furthermore, you should maintain your HY |
I have no idea why my blood pressure is high. I went to the doctors yesterday at it was 158/100. They put me on water pills for 3 weeks and a low sodium diet . The thing is, I think maybe it could be an underlying issue. Six months ago when i went, it was 112/86. My diet hasnt change too much (I eat fairly healthy), but i only exercise once or twice every two weeks. I am not overweight .. 5 125lb. I have been on birth control for about 3 years. I also have experienced a kidney infection (of both kidneys) and a few uti s. I want to make my bp isn t because of some kind of kidney problem, or possibly diabetes (my grandfather has type 1). What are your opinions? | Hi, Wecome to Chat Doctor, You are recently detected Hypertension, so you will be required it to monitor carefully, as you pointed out at least regular use of birth control pill for 3 years? May contribute to high BP if not the cause of high BP, another thing is kidney problems, so you must check renal functions and a Renal ultrasonographic examination. Use of a lot of salt or analgesic may contribute to high BP. Lack of physical activity may be another. Salt restricted diet and regular walking exercise 3=4 km /day should improve it. Family history of Diabetes so do not forget to check Blood sugar level twice a year. Stop taking Oral contraceptive pills with consultation of your treating Physician. Good Luck |
Hello mam I am Reza , a 27 year old engineer working for a company called Bosch in Karachi(Pakistan). I came to know about dyspraxia recently. I know i have acute dyspraxia as i too go through all the symptoms as written about dypraxics through out my life. It did effect me in my life though not in my long time career. Can you tell if i need to get it diagnosed or it s practical just to ignore it. I can feel the difference between me and other people. I also face symptoms of Aspergers syndrome and expressive language disorder. Please answer my question and don t ignore it(just because I am not English and am Pakistani). I would be thankful to you for your advise as in my country this syndrome is practically ignored. | Degree understand your concerns went through your details. I suggest you not to worry much. Dysphagia or Developmental coordination disorder (DCD) also known as developmental dysphagia is a chronic neurological disorder beginning in childhood. That is chronic. If you are a success in your education, job and social relationship, you should not worry about this. Secondly, you could feel these symptoms and feel you have these disorders just because you are worried you having them. That is obsession or health related anxiety. Anyway to be sure, you may need to consult a clinical psychologist who could undergo some psychometric tests to determine the disorders you may have. I can help you in this aspect. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
Had a Thyrodectomy three years ago I am a Female 56 years old my vocal cords were cut during this op take Orixine daily 100 mcg shortbess of breath i expirincing more than after this op I feel my chest is very dry feeling no caugh, sore and inflamed clavicle what could this be? thank you | Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having upper respiratory tract cause for your breathlessness. Vocal cord edema is common after surgical handling during thyroidectomy. And this can cause shortness of breath. So better to first consult ENT doctor and get done vocal cord examination. If this is normal then consult pulmonologist and get done1. Chest x ray2. PUT (Pulmonary Function Test)To rule out bronchitis and aspiration pneumonia. As both these conditions are common after thyroidectomy. So better to first diagnose your situation and then start appropriate treatment. |
my husband has a huge spleen he is an active 39 year old last week he was taken to hospital feeling very weak it turned out to be sepsis he had 3 transfusions and at present his blood has gone from 5 .5 to 8.9 what can i do to aid his recovery and can he travel? thanks | Hi, dear He has sepsis with enlarged spleen. You should admit him in hospital with hemoglobin level 5.5. He needs blood transfusion. Search for the cause of that fall in hemoglobin and take treatment accordingly. It is not safe to travel in this condition, and it is not advisable. Hope I have answered your question. If you still have any doubts then feel free to ask me. Thanks for using Chat Doctor. Wish you a very good health. |
Hi , I was a depo user , i had my last shot October 4th 2013 i was suppoed to go back around January 4th but i missed it. I have been feelig sick now for two weeks , sore breasts sometimes, lower back back pain, cramping, rib pain, headaches, very light pink discharge when i wipe, etc. I don t know if these are withdrawal symptoms or what please help me . - Nicole | Hello, i have gone through your query and understand your concern. If you had any intercourse, then you might be pregnant. Because you are having all the signs of early pregnancy i.e..1. Light pink discharge- it may be due to implantation bleeding2. Breast tenderness3. Headache, cramping and back pain are usual symptoms in early pregnancy. Progesterone with Chat Doctor. Thus please check Urine pregnancy test (HPT) to rule out pregnancy. If it is negative, then it may be a with |
i have a small raised lump just under my bum hole, when i pinch the area i can feel a hard lump under this area. Is it meant to be there? It is not sore just raised and slightly red. I have recently been suffering with diaorrea so not sure if i have just irritated the area.Thank you | Hello! Thank you for the query. This lump is not a normal thing and should not be there. It might be a hemorrhoid or an abscess due to some anal fistula. Hemorrhoid is usually attached to the verge of the rectum, can give occasional bleeding. Abscess is usually painful, swollen and can cause fever and general illness. I suggest you to consult a surgeon with this issue. Hope this will help. Regards. |
My Boyfriend and I have been together 6 years now. Ever since ive known him he has had a short temper, mood swings, easily stressed out by things that do not need to be stressed over. For example if he is cooking an egg and he pops the yellow he gets soooooo mad!? I just wonder can this be related to someting else? Is it normal? | Hello and welcome to Chat Doctor. Thanks for your query. Since you say that these problems such as short-temper, mood swings and difficulty in handling stress have been long-standing, it is likely that these may be part of his personality. Some persons can have certain unhealthy personality traits which result in emotional dysregulation. Your boyfriend also seems to have poor coping skills, which may be the reason for him to get stressed out so easily. There are psychological therapies which can help him gain Bette emotional regulation and teach him better coping skills / stress-management abilities. So, you can suggest him to seek professional help. Wish you all the best. |
hi i am a young girl.. i started to masturberate on accident when i was little, i think i had to go to the bathroom and was trying to stop myself so (u see where this could go wrong) but anyways, i didnt realize what i was doing until recently, i know it is a terribley wrong habit, and i try to go more than 2 weeks without doing it. but sometimes the temptation gets ot be wayy to much, and i do it again (for a really short time) and i feel terrible afterwards. i dont want to start getting into other bad things, like porn and stuff, i feel terrible about what im doing! help! | Hi, I read your query in detail and can understand your concerns regarding masturbation. You seem to have developed guilt due to masturbation. However, masturbation is a normal physiological process. It causes no harm provided you take care of sanitation and hygiene. Even in females. It doesn't cause any kind of mental, physical or sexual weakness. I understand people don't talk about it in open and religion considers it a taboo, but reality is otherwise. This is something you should stop worrying about. As I mentioned it, it is physiological need, and you can very well continue doing it as you please without worrying about what others think about it. You just have to overcome your guilt associated with it. Hope this information was helpful. Best wishes. |
My mom is 80 years old very strong still clean front and back yard daily, it is hot here in Arizona and now she is having right lower under rib cage pain, not very painful but yet she have fever, I know she have high blood problem and some cholesterol problem.What is wrong with my mom? She is asian. | Hello and thank you for asking on Chat Doctor. I understand your concern. All right, besides the problems with high blood pressure and high cholesterol, which of course mandate treatment and control, the problem as you describe it may be related to the gallbladder and any obstruction in the normal flow of bile through bile ducts. I am assuming a gallbladder wall chronic or acute inflammation by gallstones, since the pain is mild in intensity. Combining the female gender, the age of the madame, the type and localization of the pain and the presence of the fever, the main diagnosis that should be confirmed or excluded is gallstones and gallbladder inflammation. Therefore, I recommend doing an abdominal ultrasonography, to check for gallstones in the gallbladder or any reason for obstructing the bile ducts, such as gallstones or a phenomenon in the head of the pancreas. Also, some blood tests should be run |
Hi, I had a lot of joint pain that came on suddenly and was most prominate at night. I had it the pain for 3 or 4 days so i went to my local GP. He blood tested me and I have got a call back. The receptionist said my (i think she said) strep was abnormal? What does this mean? I have an app. for tomorrow. | Hello, I read carefully your query and understand your concern. In the blood test we check for antibodies that your body makes while fighting group A Streptococcus. The antibodies work against a substance made by the bacteria called streptomycin O. Streptococcus can also cause joint pain. In case that the tests are positive the treatment is specific and should be given by your GP. Meanwhile, I suggest using anti-inflammatory medications such as Acetaminophen to relieve the joint pain. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
Hi, My doctor recently put me on Klor-Con M20 (40 MEQ) per day. After my blood tests, my doctor was alarmed with the results (very high calcium and very low Magnesium, Potassium, and other electrolytes). She asked if I had an eating disorder....I don t, but was very worried when she asked such a question. Why would she ask this, and what is the Klor-Con for? | Hi, dairy have gone through your question. I can understand your concern. Klor-Con M20 (40 ME) is the brand name of the Chat Doctor. You may have electrolytes disturbance with low potassium level, so it is helpful. It can be seen in some eating disorder also that's why he was asking about that. Don't worry much about that. Just take it according to prescription. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ |
I take a 20mg of lisinopril daily and my BP stays around 120/80. The problem is when I exert (I am a land surveyor and hike in the hills a lot surveying) it feels like I immediately get out of breath and I ve been doing this a long time. I m 58, thought I was in great shape but this past year has had me sucking more wind than ever. Is my heart o.k.? | Hello, Your symptoms could be related to low blood pressure or low physical performance. Nevertheless, I would recommend performing some tests to investigate other possible causes underlying your complaints |
I had undergone heart bypass surgery on May 1989.I am on Ecospirin 75 since then .Last October,my doctor changed the dosage to Ecospirin 150.On 16 Sept 2011,I had to admitted to hospital due to severe Gastro intestinal bleeding.The doctors opined that this bleeding,from Ulcer in Duodenum,is the result of intake of Ecospirin.I had no history of Ulcer before.Since recovery,I am off Ecospirin(as a blood thinner currently) but I guess I WILL HAVE TO TAKE a blood thinner.What alternate can you suggest?...DBAge | Hello, Thank you for your query at Alternative section. After going through you query I would like to suggest you that you defiantly should go for Ayurveda medicines, you will find good alternative for this. If patient come to me in this situation, We Examine the patient thoroughly, get detail about the Diet and daily lifestyle patron. It Will be very helped for us if you revert with these details. Because to treat any disease we have to find out the cause first, According to that we can modify his diet and lifestyle. Patients should cultivate good habits and hobbies to keep their body, mind and spirit in a healthy state. A discipline lifestyle with regular timing of meals, good food habits, planning for some regular physical exercise and recreational activities is essential. In fact these habits and hobbies are good for everyone irrespective of whether they are coronary artery disease patients or post-Surgery patients. Taking food and medications on time, exercising regularly, taking holidays and vacations and practicing relaxation techniques like yoga and meditation on a regular basis are some of the practices that all these patients must follow. Diet has to be specially planned for each individual depending on whether the person has obesity, diabetes, hypertension or high cholesterol. In general there has to be control of total calorie intake (usually less than 1,600 Kcal per day). The diet should be low in carboy Chat Doctor. Each patient should be given individual specific guidelines for his/her dietary regimens. So Get proper advise Please revert with you Diet and lifestyle Patron Along with that I prescribe the medicines to maintain the fat metabolism, to strengthen the heart. Usualy we Prescribe Hero Mineral combination Arjuna Bharat Ra's, Arjuna Sheer aka, Arjuna arista, Whitman RAS, Aroma verdict Vat, Punarnava, bhangra, Employee. Each prescription designed according to individual requirement. You are requested to meet and seek consultation of Good Ayurveda Consultant. Hope this is Information is helpful for You regards Vienna Naveen Sharma |
I was playing football and got hit on my fibula from the inside of my right leg, 3 cm above from the lower wider portion of the fibula.Now after three weeks there is a small unnoticable lump which is felt only when touched. It aches a little when I walk. What could be causing the lump? Is it anything that requires immediate medical attention? | Hi. Thanks for your query. Noted the history and understood your concerns. Since only a small lump is remaining after a hit that pains on walking, it is most probably a lump remaining on the muscles or a tendon.Thus, it pans only on waling. It is getting well resolved. I would advise you to consult an Orthopedic Surgeon to see whether this lump is on fibula or tibia or muscle or tendon so that it can be well treated if required with anti-inflammatory like Serratiopeptidase. Do not fondle this. |
SIR MY MOTHER IS HAVING A PROBLEM OF DOUBTING PEOPLE SHE FEELS THAT EVERYONE IS TELLING SOMETHING VERY BAD ABOUT HER AND THAT PEOPLE ARE ALWAY BEHIIND HER TRYING TO TEASE HER THIS HAS STARTED LONG TIME BACK BUT NOW IT HAS BECOME VERY SEVERE HERE REPORTS OF BRAIN SCAN ARE ALL SHOWING NORMAL COULD YOU SUGGEST ANY GOOD PYCHIATRIST IN THRISSUR TOWN | Degree understand your concerns went through your details. I suggest you not to worry much. From the information given by you, I suspect the case as paranoid schizophrenia. You should visit a psychiatrist for proper diagnosis and proper treatment. Early diagnosis and treatment should cure her. Jubilee Mission hospital and ANVAR Hospital, Perumpilavu are good for psychiatric treatments. Please consult them. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
I have been told I have a fatty liver, I have been having high fevers at night and woken up soked in sweat and been having pain on my RUQ. I just noticed that I have rose spots all over my legs, been tested for heepititis and came out negative, what could this be? | Hi welcome to the Chat Doctor Here you have right side abdomen pain and fever as well suggesting liver affection strongly and so that work up done with liver enzymes' estimation mainly If they are high than hepatitis is the cause. Although viral marker like bag or HCV might negative Second viral infections or vascular inflammation or low platelet might be the reason For that CBC and ESR estimation done. For rash antihistamines Chat Doctor. |
Over 40 with mult spont abortions (one healthy 5yo) with new pregnancy (~5wks now). Initial ChatDoctor 138. 48hrs 244. 8 days later 1260. Rise seems too slow unless possibly doubling every 72hrs. Not many symptoms except perhaps intermittent fatigue (though had minimal symptoms with one successful pregnancy). Your thoughts re | Hello dear, I understand your concern. In my opinion the Chat Doctor value is increasing but at a slower rate. But Chat Doctor values cannot be taken as standard, and they are highly variable in two different people and for the same women in two pregnancies. So don't worry about TGE Chat Doctor levels. And coming to symptoms of pregnancy like nausea, vomitings, sore breasts, increased urination they might be not be seen in a few people. So the status of pregnancy cannot be said just by basing on symptoms and Chat Doctor levels. But due to past history of miscarriages and slow rising Chat Doctor care should be taken. The causes of abortion during the first trimester are genetic anomalies, hormonal insufficiency like progesterone insufficiency, thyroid abnormalities, diabetes, uterine anomalies etc. should be ruled out. Yes the progesterone level might be helpful. Ultrasound confirms the well-being of pregnancy. Avoid stress and physical strain and intercourse. I would like you to get an ultrasound done to know the pregnancy status. Nothing to worry. Hope this helps. Best regards... |
My eleven year old daughter has asthma and was on 20 mg of liquid steroid each day for five days/doses from 1/26-1/29. On 1/31 I took her back to the doctor and she repeated the steroids for a week but increased the dosage to 60mg/60mg/60mg/40mg/40mg/20mg/20mg and included two weeks of antibiotics. I m now concerned about her liver/kidney function and at this point I don t plan on going back to the prescribing doctor in reference to asthma issues. I read in Prescription for Nutritional Healing that wheezing can persist up to a month and my sister read that she was treated for acute asthma. How is acute asthma determined? Do you have an excellent referral to a asthma/allergy doctor who integrates immune support through appropriate supplementation? I am residing on Eastern Long Island and I don t mind traveling into the city. A NP/nutritionist could also address immune/allergy/asthma support. | If the child is still on steroids u can taper the dose and gradually stop, as far as asthma is concerned u can give her nebulization with low dose of bronchodilators, encourage her by doing some breathing exercises, acute asthma is what we say patient is in status asthmatics, in that case to get back normal breathing patient requires oxygen, since your daughter is already on steroid, give her cyclone 10\u00a0mg tab thrice a day for a week, followed by twice a day for a week, once a day for next week and one tab alternate days for a week and stop, keep a nebulizer at home, add Stalin res pules and give nebulization twice a day for one week, if she has productive cough, give her Ambrosia syrup 10ml twice a day after food for a week and taxi tab 200\u00a0mg twice a day for one week |
hi , i am trying for a baby but i was not ovaluting so my doctor gave me siphene 500 mg for 5 days . i haven taken that madicine today is the 8th day , today my doc did my follicle study ( radiology ) and she said its good and i am ovaluting again she wants to meet me after 2 days , so my question is do i need to have sex today o when to get pregnent ? | Hello, Welcome to Chat Doctor, Sphere tablet promotes development and release of egg from ovary. Ovulation means release of egg from ovary, which can be confirmed by using Ovulation Prediction Kit. Your doctor has not advised you for sex means, egg is not released, but expected to get released in 2-3 days. As soon as egg is released, you should have sex for a couple of days, and avoid thereafter so that zygote can get properly implanted. Ask your doctor about sex on your next scheduled meet. Wish you good health & early conception, |
My 8 month old baby has been suffering from acute cough running nose and had high fever initially .Her chest is densely congested and she is unable to sleep at night. She has completed a 7 day treatment of antibiotics but no improvement except that it controlled the fever .Nebulisation with asthalin has not been effective. The doctor has suggested ventrolin , azithral and omnacortil now with duolin nebulisation. Do these seem adequate and correct for an 8 month baby ? | Dear Sir/Madam, Thank you for posting your query at Chat Doctor.Comte treatment advice by your doctor is fine. Usually Antibiotics to be given for 4-7 days, as per that rule it can be stopped now. But Dublin nebulization it should be continued with omnacortil. Since it is 7 days old, it is advisable to get X-ray of chest done to rule out pneumonia or pneumonitis. Other reason of aggravating the condition could be the environmental factors like-dust, pollen, scented perfumes, talcum powder, strong fragrant toiletries. I advise you to keep your child away from these items. Hope my answer is informative to you. Wishing speedy recovery for your child. Your thank-you note is very much appreciated!!! With best wishes, |
I have for the last month had pain from the top pf my spine running across the back of my left shoulder, and down my left arm causing severe pins and needles that seem to only affect my thumb and two of the fingers on my lef hand. The fingers in question have a rash and small blisters, that will not go away, and i am losing a lot of feeling in my left hand. This all occurs wether I am awake or asleep and is present no matter what position my head is in, it is presant at all times. Mr James green | Hi, thank you for providing the brief history of you. A thorough neuromuscular assessment is needed further. As mentioned by you the pain symptoms, it is possible that there is a cervical spine degenerative disc disease. As the symptoms are classical on for the condition. For which a thorough neuromuscular assessment is done by a physical therapist, lost which an MRI will be needed to see the extent of the soft tissue Injury. Later, with rest, medication and physical therapy like - Therapeutic ultrasound therapy, TENS therapy, myofascial release technique, exercises like - Strengthening the muscles of the neck, shoulder, upper back & upper limb will be performed - by which your pain and sensory disturbance will be lowered and eliminated. In my clinical practice post a thorough neuromuscular assessment an MRI is taken, and then the treatment is planned with a combination of Chat Doctor. We are able to manage 99% success rate in patients & the ADL are possible with ease. I will recommend you the same. RegardsJay In |
My 19 month old got what I thought were mosquito bites yesterday afternoon. After about 2-3 hours they got very enlarged, irregular shaped and swollen through the night and this afternoon they are very red, raised and blotchy and oozing a yellowish pus. Should I be concerned and take her to a doctor. No fever, no strange behavior and it doesn t seem to hurt or itch. | Welcome to the ChatDoctorI completely understand your concerns but don't worry. Many a time our body releases histamines in response to some insect bites which leads to such type of reactions. You may take the following measures to help her |
Hi! Thanks for any help you can offer. My entire life Ive gotten white blotches on my legs after standing for a period of time. Sitting down is the only thing that makes them go away. My legs dont hurt, itch, or anything else. Is this just something to do with my circulation? Im 21, 53 and 117lbs. I dont get a lot of exercise, but I eat healthfully. I drink solely water, and dont drink alcohol that often.I suppose thats all the information I have that could possibly be relevant. Thanks again for your help! | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Standing for a long time, commonly edema could be seen, which could be due to increase vascular perfusion.2. Color Doppler of lower limbs is necessary to rule out any varicose veins.3. Check if any veins are prominent around the white blotches.4. Image of the white blotch, complete hologram and color Doppler investigation details necessary for further opinion. Hope it helps. Any further queries, happy to help again. |
I am a healthy 53 year old woman who has just been diagnosed with a Klebsiella/Strep Group B oral infection. Treatment is 875 mg. Augmentin twice a day for 10 days. After only 5 doses, the white coating on my tongue has completely disappeared and I have energy back as well, but there is still some burning sensation on my tongue and roof of the mouth. I am not sure how the infection was contracted- perhaps a possible infected toothbrush that I used consistently for 5 days or so. Is this an overly serious infection, or will I do well on the Augmentin given that there has been significant improvement so far? I dont know much about these strains of bacteria, and everything I read on the internet is just rather scary. Thank you.. | Hello and welcome to Chat Doctor forum, I would be glad to answer your query, I would like to inform you that continue taking antibiotic medications and the symptoms will subside. Kindly see your dentist at regular intervals as sometimes along with antibiotics, nutritional supplements have to prescribed to hasten the healing process. Do not worry you will be fine soon.I hope I answered your query.I wish you good health. Take care. |
I have left temporal lobe epilepsy and experience electrical like shocking sensations down the right side of my neck , recurrent and bothersome right eye twitching and strong spams in my right and left leg. Is this something that should decrease overtime? I have been started on Lamictal , newly diagnosed and have to more weeks of the titration pack to go before I am on my full dose. | Hi your problem of temporal lobe epilepsy means that the focus for your seizure is in the temporal lobe of brain. The prognosis of your condition depends on the cause of your seizure. Some type of lesions are benign and some are resistant to treatment and require longer duration of treatment. The findings on MRI would be useful to comment on your condition. However, the response to treatment in initial few months also helpful to tell about your prognosis. Bye. |
Hi my partner started riding a motorbike a couple of months ago now and has noticed a lump on the back of his neck he went to the doctor and they gave him amoxacilan and it went down a little but never went away now he has noticed another one on the side of his neck about a centermeter away from his ear? | Hiwelcome to Chat Doctor.common have a very valid query regarding your partners health. Lumps on the back of the neck can be from a number of causes the most common among them is infections leading to the swelling of lymph nodes at the posterior triangle of neck. The consistency and feel of the node can help a physician immensely. My advise-Get routine investigations of blood done especially the ESR and PBF. In 9 out of 10 cases, it may be just minor infections. The Amoxicillin is an antibiotic given to kill such infections. In rare cases; T.B. lymphadenitis or other rare mo diseases may be important. The F.N.A.C is a very useful modality and can eliminate any doubt. |
It is 4th day of my embryo transfer i am having pain on the side near waist (left side) while sleeping and chanding sides. i am having rapid heart rate fatigue and little shortness of breath. i am developing gas in my stomach i feel good when the gas is released. is this normal? | Thanks for your question on Chat Doctor. I can understand your concern. You are mostly having acute gastritis due to stress, tension and Chat Doctor. All your symptoms like gaseous feeling, rapid pulse rate, mild breathlessness are commonly seen in gastritis. Your symptoms are relieved with release of gas. So all these favor gastritis more. It is common and no need to worry about this. Avoid stress and tension. Be relax and calm. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Take proton pump inhibitors and prokinetic |
Hi this Pushparghya writing in from India. According to IST, it is night, but still Good evening!!!Hope u r also doing great. Since last 3 days, my brother son was suffering from acute pain in abdomen. He is 8 yrs old.After USG, report says that the liver has enlarge tendency. But he is too young and he does not take any outside food. What should be the cause and how that can be taken care of??? | Liver enlargement can be due to many reasons, but the most likely reason is infective jaundice due to water or food contamination with hepatitis virus A. Please take him to his physician and request him to order blood tests to check bilirubin, liver enzymes etc. The ultrasound has already shown an enlarged liver, but now we need to confirm the cause of this enlargement. Treatment will depend on the cause. |
My father had gallbladder surgery four week ago. he had a mild case of pancreatitis and colitis. His blood cultures also tested positive. He was very sick. The last few days he has had some black stools and he normally he has high blood pressure. The last few days his blood pressure has been 90s over 50s. He has no energy. He has had a very difficult time getting around. This is totally unlike him. He is 80 years old and a very active person. Should we contact his doctor about the black stools? | Thank you for posting query at Chat Doctor. You need further evaluation as soon as possible. Most likely, a lesion in stomach or upper GIT tract.\" Black stool\" reflects \"bleeding\" from upper gastrointestinal tract. He needs to Undergo ENDOSCOPY to rule out any bleeding lesion in the GIT. Make an appointment with a gastroenterologist asap. Meanwhile,- avoid salt and spices-avoid alcohol and smoking-take medium 40\u00a0mg before a breakfast (once daily) hope to answer your concern. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, Chat Doctor. |
36 pregnant, 14th week, first child. 6ft 51kg As my hips seemed to have expanded an ribs seemed to have moved, my question is | Hi, I understand your concern. * In pregnancy the pregnancy hormones cause softening of ligaments . So pelvic & chest bones tend to expand due to development of fetus, overstretching of abdomen/ pelvis. This causes pain. - In case of ribs. The abdominal stretching is excessive due to gasses/ indigestion/ constipation. In 9th month. - Similarly bony weakness due to calcium & vitamin D deficiency would increase the pain. * ThougChatDoctorplete relief from pain will be after delivery of baby, Some abdominal distension can be reduced to get some relief by- - Taking small & multiple food servings, - taking sufficient fibers in diet, - Chat Doctor. Continue exercise in form of walk for 20-30 minutes in a day. This will facilitate food digestion/ excessive gas formation & bowel movements & offer some relief from pain. - Consult your doctor for need of calcium / vitamin D supplement. Thanks. |
i have shortness of breath, there is a pain on my left inner chest. i have a rash that has come up on my arms. it is circular and the skin is dry. in april i had a lung funtion test that the doctor said was inconclusive. the blood tests showed that my allergy levels were at 895. there is a tingling senation in my hand, fingers and legs. | Hi, Dear,Thanks for your query to Chat Doctor. Dear I read facts of your query and reviewed it in context to your health issues submitted in your query. I understood your health concerns and feel Concerned about them. Based on the facts of your query the reply of your query is-Your current health issues seem to be due to -High Allergy Levels with Hay fever from allergy to pollen in the air. Tingling sensation in hand/fingers, legs with pain in inner left chest with rash on arms? Urticarial, are all from allergic reaction to high allergy levels. You should consult Chest and Allergy Physician-from Chest/ Allergy department.Hence, Other causes - need to be ruled out, by verification with Physician. Dos-Consult with Chest / Allergy Physician, who would investigate history and physically examine to fix the cause of -short breath, chest pain, rash on arm, tingling in hands/legs. Get Cys-LCT4 And LTD4- levels which are high in this condition. Using Nasal Microliters with Tab Monteluecast-2 times a day with Tab Loratadine- if need be, is the treatment of choice for its Cure. This would resolve the complaints of yours. Constant follow-up with local family or specialist Chest/Allergy for long term would give you long remissions of such pains in time to come, which would depend on meticulous follow-up treatment of your health concerns. Just don't worry and be patient and co-operate with your doctors, till you verify with your attending doctors. For early recovery-please follow above dos which would resolve your complex health issues. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard to following link-http |
I was prescribed TERAZOSIN due to an enlarged prostate. I have taken TERAZOSIN for several years now and, I suppose it does help making it easier to urinate. Listed as a side effect is dizziness and light-headedness, especially when standing too long or overheated or during hot weather. I have had several episodes of lightheadedness and feeling faint. While playing golf during the summer and at the end of walking 18 holes I stopped to rest in the shade. As soon as I sat down, I fainted and fell hitting my head on a concrete slab. I got a light concussion. Since then my doctors have decided my heart beats too slow and are debating whether I should have a pacemaker to regulate my heart. I wear a wrist and chest strap heart monitor and noticed that my heart can beat anywhere from 45 BPM while at rest to 160 BPM while exercising. I can sense when my heart is beating too slow because I do feel lightheaded. Can you give me an opinion? Thank you. Luis | Hello, Norma heartbeat ranges from 60-100 bpm. Your heartbeat is low because of side effect of medication (Terazosin-it is an alpha-blocker, which lowers BP & may cause slow heartbeat), poor electrolyte balance(take ORS, soups & juice), obstructive sleep apnea, poor general health, thyroid issues(hypothyroidism). You are suggested to get physically examined, get your general health condition better. Get treated if you are diagnosed with obstructive sleep apnea or thyroid issues. Get treated at the earliest. Quit smoking & Chat Doctor. You can talk to your treating doctor & get Teratogen replaced by other medicines that will suit you better. Your treating doctor can suggest you surgery(TRIP/TUNA) depending on the moderate or severe symptoms you may have. Bradycardia should not continue after appropriate treatment but if it does your treating doctor will suggest Pacemaker for you. Hope I have answered your query. Let me know if I can assist you further. Take care |
I can see my pulse in three different areas of my right hand one spot on the left of my wrist and two on the right. And one spot on my right palm. I have also had some chest pains alternating between the left and right areas of my chest. Never both sides at the same time. Not sure if the two are related, should I seek medical attention? | Hi Thereafter reading your query first I want to assure you that having visible pulsations in some parts of the body is all normal. These are due to the superficial veins or some superficial artery branches pulsating there. So don't worry. Now regarding you chest pain it does not look like a cardiac pain. I would like to suggest you to get an ECG and a Chest X-ray done or else you can take a simple PARACETAMOL tablet twice daily for 3 days hopefully it will settle the pain. No hurry for an urgent medical attention. Good Luck |
Hi, have had a chest infection and pleurisy, am on antibiotics and infection seems to have cleared up although right side of chest still hurts when I cough. tonight my right side feels uncomfortable and seems a little puffy/swollen, could this be to do with the pleurisy? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of pleurisy is more in your case. Most common cause for pleurisy is lung infection (pneumonia). Since you are already suffering from severe chest infection, pleurisy is likely in your case. Pleurisy will gradually resolve along with chest infection. You can take painkiller and anti-inflammatory Chat Doctor. Get done repeat chest x-ray after 10 days to see whether pneumonia is improving or not. Hope I have solved your. I will be happy to help you further. Wish you good health. Thanks. |
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