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i am a 20 year old gal..i have constant mood swings. one minute ill be happy and the next minute im sad.....i get irritated very soon,and tend to yell at people for no fault of theirs.i hate to see people who are happy,and i hate people who achieve things..i constantly get the feeling that im not loved,no one cares for me.i feel like im a failure.i dont have many friends,just two of them.people dont like me..i cry very often,and for silly reasons,sometimes i dont seem to know the reason i cry...i cant think about my future..i wanna change.im really worried about how to get out of all this, what will happen to me if i dont start planning for my future | Hello You are 20 years old, and you have constant mood swings with happiness and sadness of mood. You have problem of easy irritability, anger outbursts, you have feeling of not being loved, no one care for you or helplessness, feeling of worthlessness, you have few friends and crying spells are also present in you. You seem to be hopeless about future. From your symptomatology I can easily tell you that you are having some Depressive disorder in moderate to severe category. I would advise you to visit a Psychiatrist for exert evaluation. It can be treated easily with medicines like SSRI or SARI such as Fluoxetine, Paroxetine, Sertraline or Venlafaxine, Desvenlafexine etc. Cognitive therapy is also equally effective in depression. So please consult a Psychiatrist. Thanks |
I had a fall the other night and split my eyebrow, bleeding stopped and has scabbed over now. Yesterday the swelling was above my eye but that has reduced. Today I have fluid underneath my eye. I have no difference in sight or anything and hardly any pain at all its just annoying because the fluid is making it a little hard to see out of my eye. Just wondering If the fluid will go away by itself or will I have to see a dr? Any help would be great. Thanks in advance. Tracie | Hi, Thanks for writing in. It is important to know if the injury area is developing an infection. This can only be confirmed after seeing a doctor. To avoid infection you need to take a course of antibiotics. A short course of broad spectrum antibiotics is important. Also, a tetanus toxic injection need to be taken. You can take diclofenac and serratiopeptidase tablets for faster healing and pain relief. |
about a month ago I had unprotected sex while on my period, then again 2 weeks ago. Friday I started my period and this morning(Monday) I wasnt bleeding any more, I had sex today also and about an hour later I was bleeding again but Im no-longer bleeding. My periods are normally 3-4 days long. Could this irregular period mean I could be pregnant? | Hi, Your symptoms suggest some hormonal imbalance; pregnancy seems to be a remote possibility. Please get a proper evaluation by a specialist as this sort of irregular bleeding could have several reasons and proper attention is essential. Please get a sonogram-pelvic/trans-vaginal along with a blood test for pregnancy. Local causes like cervical polyps and vaginitis also should be excluded as the cause of the bleeding and if hormonal imbalance is diagnosed, supplements for a couple of cycles along with dietary and life-style adjustments will be sufficient. Hope this helps. |
Hello my daughter is 2years old and she been having 100.0 to 101 fever goes down with antibiotics to 99. She is eating ok.but complaning something hurts at night especially if she sees ligght. I went er two times and everythings comes okay but this 3rd night shes complaining hurt and no sllep and vicks isnt helping nothing is helping sleep and or stop complaining something hurts her cough is persisntant. | Hello, Does your child have any rash or red splotches on her body? She seems to have photophobia as she has pain on seeing light. This is a significant problem suggesting a sinusitis or meningitis-like symptom. Does she have stiffness in the neck vomiting? Has she been immunized for her age? There is a significant cough with chest pain suggesting of a respiratory tract infection. You have mentioned she is on some antibiotics, but there are no details here. I want to know her activity pattern between fever or so-called interfebrile phase, the number of times she gets a fever in the day, her appetite activity, urine frequency etc. Since the fever is persistent I would like to get her blood counts like total and differential counts, x-ray chest blood culture and CSF. I would like to rule out meningitis and sinusitis by getting a C T scan of the head and a lumbar puncture after she is examined by your local pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I have a high SED rate. It has continually been between 65-69. I have been tested for Lupus & Rheumatoid Arthritis, botChatDoctore back negative. Years ago, I had a positive AIDS test and was tested further and found to be negative. I was told then that I probably have another autoimmune disease. What next? | Hi, dear. I have gone through your question. I can understand your concern. You have high ESR. There are many causes of high ESR. Tuberculosis, anemia, infection, autoimmune diseases, malignancies etc. can lead to high ESR. You may have some autoimmune disease. You should go for complete ANA profile. If needed test for tuberculosis also. 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. |
My best friend has lower right abdominal pain . She has had a total hysterectomy . You can visually see that her lower right abdomen is swollen and gets bigger and hurts more by the end of day. She went to local ER friday and they said CAT scan was normal, blood work was normal with the exception of her liver enzymes being slightly elevated. She has had continued pain all weekend and this morning she started complaining about pain in her tailbone. It hurts so bad she can barely sit and it hurts when she stands. She doesn t have a regular family physician. She always went to OB/GYN for everything lol She had a partial hysterectomy and was left with one ovary until it caused problems and was removed this past November. Should I take her back to the ER and see what other tests or should we wait and just try to get her in to see a family physician? Thank you | Hello! According to your friends' surgery history there is a probability of post-surgery adhesions. Especially she has had two of it. Adhesions may cause partial intestines' obstruction (called jubilees) which can reveal with intermittent abdominal pain. If your friend has also constipation, diarrheas or both associated with abdominal pain and flatulence, nausea and this symptoms may come and go, jubilees is very probable. Lower right abdominal pain is also characteristic for appendicitis (what has to be always ruled out!), right urinary tract infections/stones. Backbone diseases can also show up with symptoms mentioned by you but (backbone MRI may be required if all abdominal diseases are ruled out). To rule out intestines obstruction abdomen X-ray is necessary (abdomen CT might not visualize it). Blood tests need to be repeated as white blood count and CRP may elevate after few days of disease appearance. This tests may be negative on the beginning of pathologic process. Urine tests should be done as well. Take care |
Hi, i am a patients of broncheactasis 35 years old (female) but due to sweat test positive doctor guess it may be cystic fibrosis.sticky heavy greenish cough, broncospasm,short breath ,asthma.azithromycin antibiotic is resistance(pseudomonas auriginosa).now pls.give me the suggestion. | Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of cystic fibrosis is more in your case. And pseudocodes infection is more likely in cystic fibrosis patients. Best treatment is by giving appropriate effective antibiotic treatment. And for this sensitivity report is needed. Along with antibiotics, following things are also beneficial in cystic fibrosis patients. 1. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. 2. Start inhaled bronchodilators and inhaled corticosteroid (ICS). 3. Get done adult Pulmonary vaccination with pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So better to consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. |
I am a 30year old female and i have had stabbing pains in my lower left abdomen which cause me to double over on and off for a while now they then fade in to an ache. I had an ultra sound to look for ovarian cysts and no were detected. They found my iron was low but b12 and folic acid were normal which could point towards a bowel issue. The last week I have been physical exhaust and had to take time of work. Today I have found a longhard lump in the area that causes me pain which is not present on the right side of my abdomen. Im not sure that its all related but Im worried. Do you have any ideas what this could be? Id be very greatful for any advice.Victoria | Hello, Thanks for posting on Chat Doctor, There are many possible causes of lower abdominal pain and the doctor examining need to consider the most common and focus on trying to rule them out. In most women I meet in my clinical setting, they usually turn to suffer from either diseases of pelvic origin which could be PID, fibroid/cysts (which you mentioned had already been ruled out), urinary tract diseases (could be cystitis, urethritis, pyelonephritis, stones etc.) and digestive diseases (could be infection, telepathy, inflammatory or irritable bowel, dyspepsia etc.). So your doctor needs to run some tests aiming at trying to identify each of the above conditions (some will only be determined by excluding the others). As for the lump, I am suspected that you might be having hypogastric hernia (which could even explain the lower abdominal pain you could have been having). As strangulated hernia could present with stabbing pains that go on and off. In that case, your doctor will need to confirm this and perform a surgery to repair the hernia. Hope this helps |
On the top set of my teeth , near the front two, on the left side, it was swollen and sort of white. This has happened before but I ve never thought it was anything to be worried about. It was swollen for about three days. Yesterday the swelling was gone, but now there s a small hole in that area. It s a little sore. I tried to get a look at it using a mirror and it seems to be yellowish/red. I can feel either a hole or at least a small opening in that area when I run my tongue against it. I also have had a weird sore feeling under my chin/jaw area on the left side, I m not sure if that s related or not. It s sore both when I move around and push upwards on it to feel the area. Please help! | HELLO, Thanks for choosing Chat Doctor forum. YOUR two front teeth are affected with dental caries which has progressed into periapical area causing periapical abscess. Please do visit a dentist and get clinical examination. X-ray of the affected area will reveal the extent of infection. Depending on the severity of infection, tooth has to be ROOT CANAL TREATED.ALSO GET YOUR LEFT JAW AREA checked to find out any impacted infected tooth associated. If so, get it treated. Take medicines as per dentists prescription. REGARDS Chat Doctor. |
After some physical excercise I can feel my heart give a sudden thud, I think it skips a beat as I miss a beat in my pulse, it can happen a few times at once but then my pulse and heart rate go back to normal. I have had an ecg and echo cariied out and all seemed normal | Hi, Increased heart rate and palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress in form of exercise. For the diagnosis, you need to do ECG at the time of palpitation and tachycardia which you have already done and is normal. After exercise our heart tend to increase because of sympathetic stimulation and comes back to normal after some time. It is a normal phenomenon. So don't worry. I hope I have answered your query. Let me know if I can assist you further. |
regarding pain in leg i m 56 year old, i have gastric problem and earlier had back pain which has turned into pain in leg from last week,which is due to gastric as i belch after i pressing legs to get relief?So kindly provide me with some cure!!thank you | HiT hank you for asking ChatDoctorI have gone through your query. Your problem is most likely gastritis and gastroesophageal reflux. For such problem I advise my patients with proton pump inhibitors like omeprazole and antiemetic risperidone for 1 to 2 weeks. I also recommend avoiding alcohol, spicy and oily foods and smoking avoid heavy physical exertion. And advise taking light meals at short intervals. Hope this may help you. Let me know if you have any further query. |
My thumb started twitching yesterday and is still twitching today. I have had involuntary twitches before from some of my body parts - however, it has never lasted this long before. I have heart problems and I am on medication for such problems including Warfarin but I have been on these medications since January of 2007. Do I need to be worried about this thumb twitching? | Hi Their understand your concern as you are already have a heart issue. For your information I want to tell you that in some patients Warfarin do cause twitching or tingling sensation, usually it's not that troublesome to warrant the stop of warfarin. I would like to advise you to take multivitamin capsule bedtime for 2 weeks and see if it benefits you and if not and if you're twitching you is bothering you too much you can consult your cardiologist regarding switching from warfarin to Dabigatran. Wish you Good Health |
Dear doctor, I am now 6 months pregnant and suddenly feeling so full of myself. I ate well yesterday but suddenly after about 4 hrs i threw up everything. I hv noticed neusia late night when i wake up to drink water. I feel also mild headache and dizziness, baby s movements are alot is all ok? | Hello! Welcome on Chat Doctor ! I understand your concern and would explain that your symptoms are quite normal during pregnancy. They do not indicate any serious medical disorder. The nausea after eating could be related to abdominal distension or gastroesophageal reflux. The headaches and dizziness could be explained with the low blood pressure, which is a common finding in pregnant women. For this reason, I would recommend you to eat more frequently, in small portions and avoid large meals. It is also necessary to monitor your blood pressure values. Hope you will find this answer helpful! Best wishes, |
hello sir i m suffering from a problm in my brain DR said that i have brain TB.plz tell me that is it curable i dnt want to die, i m 26 yr old female & i m not leave with my parents bcoz i m doing job,& i dnt want to say anything about that to my parents,plz reply | Welcome to Chat Doctor Brain TB is treatable condition but can be associated witChatDoctorplications like HY Chat Doctor. You need to take Government Anti-TB treatment and also care from Neurosurgeon. If you can tell your health problems we will be in better position to help you. Eat high protein diet like pulses, eggs, chicken, lean meat. Eat fresh fruits and green leafy vegetables. Do proper exercise and move all limbs regularly. The disease is treatable provided not late in detecting it. Have faith in your Neurosurgeon and adhere to the treatment as advised without missing single dose. |
I have a fever of around 99.5 to 100.4 Deg F since last 15 -16 days. Blood counts are OK, chest x ray OK, urine ph ok. could you please let me know what could be the reason. Diet is oK, no throat pain, no stomach pain , no rashes....just started feeling headache and pain in eyes since last couple of day | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. You are safe, there is no need to worry to you. I suggest you to take paracetamol as and when required under your doctors' guidance.Sometimes some unknown viral infection can cause you feverish and headache. For such a symptoms only supportive care is required. If you take this you will be recovered soon. I suggest taking the healthy green leafy vegetables, fruits in the diet. It will provide you natural antioxidants that can help you come out from the infection rapidly. Please do regular half hour exercise early in the morning this can help you for healthier life ahead and can also prevent the future infections. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
One year ago I cut the webbing between my right hand thumb and index finger,1 inch in length in the direction of the webbing. Tendon exposure but no tendon damage. Treatment did not require stitching the doctor placed iodine patches on the wound and wrapped it up to heal itself. Today whenever I grip something that puts pressure on the bottom of my thumb I get a nerve pain that gets more sharp/severe depending on the pressure applied on that one spot on the inside base of my thumb. Also when I stretch out my hand fully there is a visible small bump which pains me when I put pressure on it as described above. Is it nerve damage? If so will it repair itself in time? | Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As you had an injury in the past which almost expose the tendon, the healing must have left the deep immovable scar which needs attention. Undergoing physical for the same will help to regain the tissue flexibility. In clinical practice many industrial hand injuries comes with similar complaints. Majority of them get better hand functions with physical therapy. RegardsJay In Chat Doctor. |
Dear Sir, My mother is 60 years old and she is suffering from CKD (Creatine 3.1) and she is diebatice for last 15 years now every time she has numaiour type of complain & for last 3 years she is really very apset only becuse of pain and all these problems sir I am looking for some good solution plz help me. Regards, Satya | Hi, Chronic kidney disease affects most people with diabetes in those having the condition for more than 10 - 15 years. The early stages cause an elevated glomerular filtration rate with enlarged kidneys, but the principal feature of diabetic nephropathy is proteinuria. This develops insidiously, starting as intermittent microalbuminuria before progressing to constant proteinuria and occasionally nephrotic syn Chat Doctor. Diabetes also affects the nerves and eyes. Presence of high blood pressure also worsens the disease progress. Your mother should follow strict blood sugar level control. Doing HbA1c test will give a better evaluation of the control. Dietary changes need to be made, and a renal diet needs to be followed. Consultation with a planetologist and nephrologist (kidney specialist) is important with regular monitoring of creatinine levels and urinary excretion of proteins. |
Hello I was just wondering what the flesh coloured bumo on my uvula is. It has been irritating me for about 8 months now. It looks like a pimple on my uvula that wont pop. It prevents me from singing I had a very sore throat for a month when I got it, since then I have quit smoking. Should I see an ENT and do I need a referral from a family doctor in order to see one in Ontario? | Hello read through your query accordingly I must say that nothing to be worried in this case. It can be caused due to trauma(like fish bone or shell scratching through it)or any burns (while having hot food).or some constant irritation to that area. So I suggest you to meet p an ENT and get it treated based on the present clinical condition(as diagnosis said by me is purely based on your symptoms said by you treatment plan can vary depending on the clinical presentation). In the meantime I suggest you to1)do warm salt water gargle(to increase healing)2)do tongue scraping(to avoid transfer of microbes of tongue to cause infection there)3)do chlorhexidine mouth rinse4) Chat Doctor. COOL and HAPPY MIND can be the best medicine for any disease condition of the body. Hope you are benefitted something =g from this reply. Have a Healthy Day!!!! |
I am a 34 year old lady with chicken pox (day 3) and have only just noticed spotting. My recent smear test 3 weeks ago was normal. My period is not due for another 2 weeks. Can the chicken pox make me bleed if it is in the virginal area or make my period come earlier? | Hello.welcome to Chat Doctor. I am Chat Doctor. I understand your concern. The simple answer to your query is no chickenpox have nothing to do with menstrual cycle. What treatment you took for the chickenpox? Just do not take aspirin for fever because it can cause this type of spotting. Also chicken pox at this age you should be cautious & consult physician for treatment. Any unusual symptom just reports it to the doctor. I hope this will help you. Take care. |
Hi, within the last day or so I have discovered a lump about the size of a marble underneath my chin midway towards my neck. Around the same time I have been experiencing dizzy spells that r exacerbated by sudden head movements. The chin lump doesnt really hurt and it kinda feels like a swollen lymph node. Yet I have never noticed it there before. | Hi. Thanks for your query and an elucidated history. The lump under the chin is a lymph node unless otherwise proved. You may please take a course of an antibiotic and anti-inflammatory medicine under Doctors prescription for 5 days. Consult an ENT surgeon - he will look after both the problems. The dizziness can be due to either a cervical spondylitis or problem due to internal ear. He will be in a position to decide the reason and ask you for investigations like X-ray or MRI of the cervical spine and mastoids. And start treatment for it. |
helllo doc my MRI scan of spine shows the following1. partial loss of lumber lordosis2.early degenerative changes of spinein the form of marginal breaking.3.irregerularity of adjacent endplates L4/L5 & l5/S1 vertebratewith partial dessiccation & partially reduced heights of L4-5 &L5-S1 disks4.spinal canal narrowing mid at L4-5l (10 mm) severe at L5-S1 leve level (6.5mm) | HI THANKS FOR POSTING YOUR HEALTH QUERY ON Chat Doctor .THE CHANGES ON YOUR MRI SUGGEST \"DEGENERATIVE DISC DISEASE/LUMBAR SPONDYLOSIS/SPINAL CANAL STENOSIS\".IT COMES DUE TO IRREGULAR WEAR AND TEAR OF THE SPINE, WITH Aging, TRAUMA TO SPINE ETC. Chat Doctor. AVOID LIFTING HEAVY WEIGHTS.INJECTION METHYLCOBALAMIN -B12,1000ug WEEKLY FOR A MONTH FOLLOWED BY MONTHLY ONCE FOR A YEAR WOULD PREVENT \"SPINAL CORD DEGENERATION\"DEFINITIVE TREATMENT WOULD BE TO PERFORM \"LAMINECTOMY\" WITChatDoctorPRESSION RELEASE.CONSULT EXPERT NEUROSURGEON FOR YOUR HELP.THANK YOU.TAKE CARE. |
Friend has repetitive lip puckering facial expression, looks like an expression of anger or disgust. Also holds hands up to face as if smelling them (OCD?) What are the possible causes of the lip pursing? Tics/Tourettes? What else could it possibly be. Also he obviously has not been properly diagnosed, he is so embarrassed and distressed by being asked questions about his problem that he doesn t pursue help from medical people. | Degree understand your concerns went through your description. I suggest you not to worry much. From the given details, it is not possible to diagnose your friends' problem. So many people have peculiar mannerism, mannerisms whicChatDoctores forth only when they forget themselves or concentrating on something. The odd behavior or gesture from your friend could be one such mannerism. To be sure you need to visit a clinical psychologist. If you still require my services on this aspect, you may post a direct query to me on this portal. Please include as many details as possible. I shall provide psychotherapy treatment tailor made for you which should help you good. Hope this answers your query. Available for further clarifications. Good luck. |
I have syrinx on my spinal cord t5-t 8 I have difficulty with gait and balance I saw a spinal surgeon today . He informed me if he was to do surgery I will still continue to have the symptoms . The symptoms are tingling session from my himp to my toes on both legs.also the feeling that I need to use the washroom all the time. Operation has serous complications I. E paralysis Also if I dont do surgery the symptoms will get worst | Hi, Thank you for posting your query. In spring, a cavity is formed in the spinal cord, which gets filed with CSF (cerebrospinal fluid). Over time, the cavity can get bigger, and this can damage the nerve fibers in the spinal cord, leading to numbness, tingling, weakness and bladder symptoms. Surgery is the only method to decompress the spring and prevent the worsening of symptoms. I agree there may be complications with surgery, but generally it is safe. After surgery, you can take medications such as pregabalin capsules to get relief from burning and tingling sensations. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
my right hand is swollen and there are brown lump on both sides of it is also bruised and courses me pain when ever it is knocked. I am currently 15 and when i have seen consultants and doctors before they said it is a hemangioma but i would like another opinion | HI, Dear, Thanks for the query from you for your brown lump on both sides of rt hand with some pain after knocking.1-I feel concerned that you are serious to know why this lump has come up.2-In my opinion this brown tender lumps-are the hematomas.3-I would advise a second opinion from an ER skin specialist. This would give lead on your worry for the brown hand bumps.4-. If treated on this line, the fearing patient, should not worry you much.5-Hope this would solve your worry of the brown hand lumps.6-Wellcome to Chat Doctor for any more query. |
Hello! I have been experiencing episodes of rapid sneezing, then followed by a period of time where I have an uncontrollable runny nose. I suspect they are being triggered by a rapid rise in temperature, as the symptoms occur after I exercise and after I take a hot shower. This has been happening for about 2 weeks. What could this be; a heat allergy, or something else? | Hi, Thanks for using Chat Doctor. Your symptoms look like vasomotor rhinitis that is usually triggered by change in temperature. The treatment for this ID avoiding sudden change in temperature. For the time being for symptomatic relief you can take antihistamine tablet like loratadine twice daily. This will help you. Have adequate regular sleep, plenty of fluids, nutritious diet with required calorie and regular outdoor exercises. Hope I answered your question. Consult your doctor for further management. Feel free to ask me if you have any further queries or doubts and I shall be glad to help you out. Wish you good health. Take care. Regards |
hi i have a 9 years old doughter she is very active and sometimes very quite last night she was at her class doing kung fu she and her teacher came up and she told me her heart beets very very fast and she can not do any more activeties i toldher to sit down and relax this is actualy her 2 time complaing about her pain what do u think i should do | DearWelcome to ChatDoctorWe understand your concerns went through your details. Palpitations could be due to many problems including heart related problems and anxiety. But you should not waste your time, and please consult a child specialist immediately to have an expert opinion. If you require more of my help in this aspect, please use this URL. http |
my 18 month old son has a little blister on his lip and it s white, looks like there s pus. the other day, that part of his lip was swollen when he hit a door, but it went down already until today it was a bit swollen again with a white skin on top. what should i do? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of pus filled blister on lip which are pointing towards to condition an allergic reaction or infection. The allergic reaction can occur due to various reasons like food allergy, allergy from toothpaste or other dental product or excessive exposure to sun. Infection can be bacterial or viral. Need not worry. I would suggest you to take over the counter antihistamine Chat Doctor. |
I have pulmonary fibrosis and spent 49 days in the hospital and returned home dec 23rd. After being home 3 weeks and I have started to cough and spitting up mucuss white/yellow in color. I notice it takes me longer to get my oxygen level back up to exceptable level and I have a little pressure in my chest. Is this a concern or is it normal. Dick | Thanks for your question on Chat Doctor. I can understand your concern. No, these symptoms are not normal. You should definitely concern about these symptoms. These symptoms suggest worsening of lung functions or infection. Pulmonary fibrosis patients are prone for lung infection. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray (for lung infection) and PFT (pulmonary function test) (for lung functions). You may need antibiotics, inhaled bronchodilator and inhaled corticosteroids on the basis of these reports. Long term oxygen therapy (LOT) is also advisable in pulmonary fibrosis. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi doc. I have been having discomfort in my stomach and chest area for a few days now. Cant really discribe it other than something sitting in the center of my stomach and almost a shortness of breathe feeling especially when walking or moving about. I was planning on seeing my PCP tomorrow but should I go to a specialist (cardiologist or Gastro)? YYYY@YYYY | Hi welcome to the Chat Doctor You are having gastric discomfort and center region chest pain as per history So it suggests towards gastric problem induced chest discomfort For gastritis or ulcer pantoprazole can be prescribed for two weeks But here one problem that you have mentioned is dyspnea which needs detailed evaluation Sometime excess stress can lead anxiety and panic attack induce dyspnea. If acid reflux present then Hiatus hernia should rule out as it can lead pressure induced dyspnea by dilated esophagus Chest x-ray also needs to be done Take care Hope your concern solved Consult gastroenterologist or physician for examination and further work up accordingly |
Hello, I am a 28y/o/f firefighter/EMT-IV/ paramedic student. I quit smoking around three months ago and seem to get more and more respiratory issues since quitting. What s going on right now is the most serious and scary feeling I have ever had. For the past four days+ I have had a severe cough that is not helped by any medications . Wheezing on expiration, crackles, and SOB accompany the cough. I also feel as though it is only my left lung , as I can actually feel crackling on the left side, and yet, it seems the only position I am able to experience any relief is by laying on my right side. I had a doc at an ER listen to my lungs(while I was working) and he said he was 99% sure I am experiencing cough inducing asthma . I have never had asthma and I have been to an allergy specialist in the past. I am worried it is more serious at this point(due to my delay in seeking MD consult). If you have any suggestions of a diagnosis and or things I can do to get temporary relief until I am able to get to a pulmonologist , it would be greatly appreciated. I am going to try to see adoctor tomorrow, as today is Sunday and doctors offices are closed. Thank you for your time. | THESE ARE ALLERGIES ANYWHERE MIGHT BE SOME ALLERGIES IN THE PAST WHICH WE GETTING SUBSIDED WITH NICOTINE YOU LEFT SMOKING THE FLARED THERE IS NO LINK AND EVEN IF YOU Had NOT QUIT SMOKING IT WOULD STILL HAVE BEEN THERE IT IS GOOD YOU STOPPEDALLERGIES GIVE SAME SYMPTOMS AS OF ASTHMA GET YOUR BLOOD SERUM TESTED FOR SPECIFIC ANTIBODIES FOR MILK, WHEAT,POTATO, CHANA, RICE AND EGGS AM SURE YOU WILL BE ALLERGIC TO MIL KFOR TIME YOU TAKE CONTAIN FX TWICE A DATA RHINITIDINE 150 MGM DAILY MORNINGS YP ASTORIA 1/2 SF BDS YP TOSSED 1/2 SF APPLY NEWSPRINT H EYE OINTMENT IN NOSE SEA WATER IN HE Forms OF 2 Chat Doctor. |
Hi,I have a lump on my lip. It is like a blister with yellow pus inside of it. It doesnt hurt unless touched and then it just feels sensitive but not sore. The part of lip it is on it covers from the top to the bottom of my lip, but it is only half a centimetre wide. What is it? What can I do to fix it? Thank you. | Hi, DEar, thanks for your query to Chat Doctor. I studied your query in depth.1-In My opinion the lump on your lump, is due to the boil, with abscess,2-Treatment to fix it- is by 2-a-Tb NSAIDs,2-b-Antibiotics,2-c-if no relief an grows-still, Consult a surgeon who would treat it by Chat Doctor. 3-Hope this would solve your query.4-Wellcome for any more questions on new or this subject also... Have A Good Day.!! |
hi doctor My problem is i feel depressed and my face never glows and i am underweight .and the i think this is because my father was dead when my mother was 8-months pregnant . should this going to affect my body ?and i am abnormal ,am i?? why i m too skinny and socially feared? doctor please help me. | Hello dear, don't feel depressed,you are not abnormal. Try to be happy with what u r, then only your face will glow. Father expiring during mothers pregnancy is not the reason. Every individual has a constitution, which is fixed. If you are skinny, try gym and eat well, u will definitely put on wt. It is nothing to be socially feared of., so be happy and stay healthy. If u still want to overcome your depression, visit a psychiatrist. |
I have sharp pain in my lower back right side close to my right kidney, I can t lift my right leg the pain is so sharp. What could it be, I m taking morphine and muscle relaxer what could be the problem ursine test came back ok blood work came back ok | Hello, I have studied your case. Your flank and back pain can be due to muscle strain or renal calculi. You may need x-ray and Ultrasonography. And also check your it B12 and it D3 level. If required you may need MRI spine. Medication like methylcobalamine and analgesic will reduce pain. You can do yoga exercises and focus on spine extension exercises. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery. Take care |
My husband mentioned to me that I have two black spots on my back...one about the size of a quarter just above my butt crack, and one a little higher and about the size of a dime. They do not hurt, itch , or anything like that. In fact, I was completely unaware of them before he mentioned them. Should I be alarmed? Thank you. | Hi, The site mentioned by you is preferred site for Mongolian spots, which is absolutely benign condition. Other possibility is of post inflammatory hyperpigmentation, if you could recall some trauma or infection of skin in the past. It may be melanocyte nevi. None of these conditions seems to be problematic. Whenever you feel free, take opinion of a dermatologist so that you get proper name of the lesions. Regards |
I recently had a echocardiogram - left ventricular and diastolic dimensions are near the upper limits of normal systolic function. There is a sub aortic ventricular defect with predominant left-right shunting. Blood flow in the right ventricular outflow tract is turbulent and mildly increased. The peak VSD velocity is 5.8 m/second consistent with intraventricular gradient of 134 mmHg in systole. The left atrium is mildly enlarged. Normal right ventricle and atrium. The interatrial septum is intact. There is no evidence of pulmonary hypertension. I am waiting to see the cardiologist but in the meantime my legs, ankles and feet have been sore for two weeks - I have always exercised and walked but lately feel very tired and sore - how serious is my condition and how long should I wait to be seen - thx | Hello, You have a high peri-membranous ventricular septal defect but no evidence of pulmonary hypertension. Hence, a favorable prognosis. Cardiac catheterization may be required to assess the hemodynamic significance of VSD. VSD closure of a semimembranosus or outlet VSD is done when associated with more than mild aortic regurgitation and a history of recurrent endocarditis. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
I have brothers, her coughing since 1 years and he just passed it coldly. The doctor said it was tuberculosis with a cavity .. and he recumended we go to the center for drug free. he take medication for six monthsevry second month of his treatmenttake her test .. sputom the responses were negativebut the question is ...sometime not such a breath is not normal to as with preventing his breathingand always have clogged her nose but do not turn it coldhence the reason he could not sleep and its not always good feeling.?What do we do? | Respected user, hi thanks for using Chat Doctor.come have evaluated your query thoroughly.* TB treatment completion healed that component. There seems other problem leading to difficulty in breathing which may be lower lung immunity, other infection etc.* General well-being alteration relates to many issues as low hemoglobin, deficiency of proteins, vitamins, trace elements etc.* Suggestions - Regular follow up with the physician. - High protein, iron containing diet. - Avoid smoking, alcohol, stress. - Further laboratory tests, Pulmonary function test according to the concern of the treating physician. Hope this clears your query. Always welcome for further questions. Regards dear. |
I HAVE PROBLEM GERD , constipation , ACID MY ENDOSCOPY REPORT -EROSIVE GASTRIS LFT NORMAL MY MEDICINE-PANTODAC DSR ADIZA10MG LIBOTRYP LAST 3 MONT I TAKE A MEDICINE NOW IAVE A PROBLEN BACK PAIN WERIST | Hello, I had gone through the case and found that back pain might be due to constipation if it is. Other causes are-Vitamin D deficiency, Lumbar spondylosis. So go for Blood test of vitamin D 3 level and x-ray of Lumbar vertebrae. So get the diagnosis and then consult to me for further treatment. It may be medicine required or only need of physiotherapy. Hope my answer will be effective for you. Thanks |
This morning I woke with a feel in my chest like my heart was just broken. Throughout the day it traveled down to my stomach. I didn t eat very much either today. For breakfast I had 4 bites of french toast and I felt like I was swallowing cardboard. For lunch I had an apple. Then after school I had a handful of pretzels. And for dinner I had some bread with a slice of pizza. What does this mean?? | Thanks for your question on Chat Doctor. In my opinion you should not worry much for cardiac cause. But it's always better to get done ECG first to rule out cardiac cause in such symptoms. So get done ECG. If this is normal then no need to worry much. You may have HERD (Gastroesophageal Reflux Disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up and cause the symptoms. So the hardened feeling with food can be due to this. So avoid stress and tension. Avoid hot and spicy food. Start proton pump inhibitor. |
Hello doctor, I have tested my hormone levels and thyroid and they are both normal. But I have severe hairloss resulting in a thinning on the top of my head mainly but also all over my head. Could you tell me what is wrong? I sometimes have a problem with danduff too. But its not always. | Hello and welcome to Chat Doctor, You seem to be suffering from excessive hair fall which maybe prolonged due to other factors as well, such as poor nutrition, stress, lack of rest, low iron and hemoglobin levels, other hormonal changes, also any history illnesses, typhoid etc. Dan Chat Doctor. Also, if you have a family history of hair loss and thinning, you will be more prone to similar problems. Males may develop male pattern of balding on front and sides. Similar can be seen in females also if genetic. These causes need to be considered and treated as they affect hair growth. You can consult a dermatologist regarding any other tests that may be required to diagnose the causes. They can assess your hair in person and advise accordingly. For now, you may start a Recite solution or Tress go to scalp, along with hair supplements daily like VB7 Forte or Collinear. This needs to be continued at least for 2-3 months to see results. Use mild shampoo and conditioner. Hair4U s a good option. As for Dan |
I have had teeth infections & swelling in past & have gingivitus. But recently I began experiencing something different - a dull aching, throbbing & metallic taste on left side (top and bottom teeth). The teeth and gums are not swollen or sensitive to touch. Pain is increased after eating & drinking (coffee especially, it seems) - not necessarily hot or cold food/drink. I have amalgam fillings and am wondering about mercury poisoning. | This could be due marginal breakage of your amalgam filling, which may lead to sensitivity and mild throbbing pain, you may need to take x-ray of the particular tooth and check for any pupal roof damage, which may occurs in long-standing amalgam filling. The treatment could be either new filling or needs root canal treatment. The history also shows gingivitis, so oral prophylaxis with mouth wash will help u. |
My period is 2 weeks late this month. Hpts have all been negative, but Ive had excessive saliva, nausea/mild vomiting, menstrual like cramps, and fatigue. With my 3rd pregnancy, it wasnt detected on a hpt until my second missed period. I am nursing my 1 year old, but he is in the process of weaning, so its not nearly as often. I have had a regular period since 8 months pp. | Hi, Because of breastfeeding (though in weaning phase) the menses were regular, there is possibility of an ovulatory cycles/ late ovulation in between. Or a span of no menses in between. In such a case you won't have conception. In case you had late ovulation you may have conceived at a later date & pregnancy test will turn +ve afterwords. Please replete blood Chat Doctor test after 15 days & consult a gynecologist for evaluation after detailed examination. In case there is no pregnancy, you have to adopt a contraception method to avoid such tension in the future. Thanks |
Yesterday night I was involved in a car accident. I was in the passenger seat. We hit the side of another car that was spinning out of control and both cars were totaled. The complete front of our vehicle was crushed in. At the time I had pretty bad chest pain and soon some abdominal pain but attributed that to the air bag. It has been about a day later and my lower right abdomen around the ovarian/appendix area is in a lot of pain along with other minor injuries. I dont know if I should continue to wait it out to see if it was just from the air bag or see a doctor. I dont want to waste money as they have not found the driver at fault yet.Thanks. | Hi, Thanks for using Chat Doctor. I prefer you to consult physician urgently. With the history of accident and pain in lower abdomen better to get ultrasound abdomen done. Any intro abdominal injury with blood collection can result in sever pain. As right lower abdomen is one of the dependent part, any collection will first collect there. Not to get tensed but better to rule out intro abdominal injury. Get ultrasound abdomen and erect X-ray of abdomen and examination by physician. Hope this helps you. Regards |
I am on implanon and have been for 6 months with absolutely NO period ! Last week when i had went to the bathroom i noticed some pink spotting after i wiped from peeing but thought it was nothing.. than today i come home to notice Brown discharge and alot of it as if i was on my period again. I have looked on alot of sites and some say it can be pregnancy ? but the last time i have had sexual intercorse was about 2 months ago, CAN YOU PLEASE HELP ! im only 14. | Hi, Thanks for the query. Implanon can present with side effects like menstrual irregularities. Intermenstrual spotting, amenorrhea etc. are some of them. As you didn't have periods since 6 months, it is difficult to guess the possibility of ovulation. Though the chance of pregnancy is low, you can once go for the pregnancy test to find out the possibility as implant is having some amount of failure rate. If the test comes negative no need to worry. And if the intermenstrual spotting increases or continues you may need additional dose of hormones to regularize the cycles. For more details you can ask me through |
Twice in the past week i have experienced a tingly sensation, over my whole face and down both arms.This would start slightly in the face and would progress in strength and work it s way down my arms. This affects the skin only. My skin would turn red like a sunburn and last about 20-30 min then go away. | Hi, Thanks for writing in. The nerves to the neck and face originate from the brain and spinal cord in the cervical spine. The cervical spine is made up of 7 small bones aligned on top of each other. There are spongy discs between these small bones which give it a cushioning effect and help in forward backward and turning movements. There is a possibility that your discs at particular levels have been degenerating for some time. Since it has been happening over the past week, it is important to rule out any nerve irritation or a condition that has developed recently. The tingling sensation is more frequent when there is pinching of the nerves in the region. Doing an MRI scan of the region including brain and cervical spine might be required. This will be decided after once a neurological clinical examination is complete. Treatment depends on clinical and imaging findings. |
My mother has been taking metoprolo titrate 25 mg. am and pm. She had a pacemaker put in on Wednesday. She is feeling tired and lightheaded. Her current bp is 102/68 heart rate is 62. I am thinking of not giving her this med tonight because of the the low blood pressure. Need your opinion. | Hi, thank you for approaching. Currently, your mothers blood pressure and heart rate are still withing the normal range but on the lower end of it. Typically, pacemakers are implanted because of either low or irregular heart rate, and they frequently require adjustment of their rate after the initial implantation. The purpose of the medication she receives is to slow down the natural heart rate. The best thing to do right now if your mother is presenting symptoms of tiredness and lightheartedness is to interrogate the pacemaker and see whether increasing the pacing rate has any beneficial influence of her. I would attempt not to change the medication dose right now, since I do not know why is she receiving the metoprolol. |
Hello, I banged my shin very hard on a metal bar about 5 weeks ago. There is still some swelling. About 1/8 - 1/4 of an inch larger than the other shin. A small red spot on the impact area. Been icing and taking baby Bayer. It will go down, but through out the day, it worsens. Is this normal? | Hello, As what I see with the history is there will be some hairline fracture or muscle rupture due to direct impact over the shin. Shin is a very sensitive area with very thin muscles, or I would say the fascia more which doesn't safeguard the tibia like how other muscles help for other regions. I would advise you to take up an x-ray as it will definitely help us to understand if there is any hairline fracture. Because fracture in lower limbs shouldn't be ignored by any or all means as they are weight-bearing joints Meantime till you meet up an orthopedist, you can do hot water fomentation and rest the limb over a pillow. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
I have had a fever which is over nowand swollen tonsilsand swolen lymph glands and I also have extremely swollen gums whicChatDoctore at the same timeIs there any way you can recommend to reduce the inflamation of the gums as it makes it nearly impossible to eat | Hi. Welcome to Chat Doctor. I read your query. Since you had fever, this can lead to inflamed tonsils, lymph nodes and gums. It is temporary though and comes down in a week or two. Swollen gums can also be due to medications you took. Just maintain good oral hygiene. There should not be plaque and calculus. Do warm saline rinses. Maintain good diet. Take multivitamin and minerals, specially vitamin C, A. Massage your gums with gum paint for good blood supply. If swelling persists or worsen, please visit dentist and get it checked. Get oral prophylaxis, blood test. Hope the answer helps you. Thank you. |
I am a 30 yr old female that has been experiencing an irregular heart beat brought on by possible stress of starting a new position at work. Ever since I atarted it my heart has had random episodes of quick beats to where it feels like two at a time .. Its noticeable and im wondering whats wrong. No change if anything other than my job. | Hi, two beats which you feel in succession may be because of extra beats, the change in job and early anxiety about fitting in new place may increase the stress hormones like a Chat Doctor. Both the situation is completely benign and just some relaxation techniques would help. If it's too troublesome a 24 hour holder would be the best test to evaluate the same or and EKG during the episode. Also, for your age rule out thyroid as the cause if associated symptoms are present. Regards |
I have recently been having headaches, around temples and sinus area which is very unusual for me. Also my eyes have been extremely dry and itchy. I noticed when trying to blow my nose there is a rattling . Like a piece between my nostrils is vibrating. My right nostril almost gets closed off when I blow. I couldn t breathe through my nose last night while sleeping. My right sinus area also seems heavy with congestion. My first thought was a deviated septum. Thoughts? | Hello ! I read your question and understand your concern. In my opinion your troubles are not caused by a neurological problem. The troubles you are having seem to come from your sinus. I would like to know if you are allergic. I would recommend a sinus x-ray for sinusitis and a nasal inspection with nasal spectrum from an ORL specialist to rule out a possible obstruction of the nasal nostril. The most probable diagnosis may be a nasal polio or a septal deviation. Although septal deviations give recurrent sinusitis and are from birth. So a nasal septum deviation could give problems since childhood. Hope to have been helpful! Thank you for using Chat Doctor ! Best wishes, |
I am 63 years old having hypertension since 1990 but blood pressure maintained with medicine. Recently I underwent tmt & eco tests and was declared as TMT positive. now I have the following queries.-whether tmt positive relates with coronary artery blockage? if so, then what is the percentage of blockage?-how is often is TMT positive related with heart attack?-Is angiography recommended for further investigations? | Hello 1. A positive TMT has a 78% sensitivity for coronary artery disease which increase further more with age more than 60 along with Hypertension and diabetes. Blockage percentage cannot be given by TMT. Angiogram is done for that.2. A positive TMT means that an individual might be having a coronary heart disease it's not related to heart attack. However, a patient can have a heart attack while doing TMT 3. Yes Angiography is the Gold standard test for further evaluation. I wish you good health |
Hi I had been diagnosed with liver cirrhosis last 2010 and underwent blood transfussion and band ligation at that time. 2 years after I got diagnosed I lived a normal life being able to do my job. But starting April of 2013 I had been going in and out of the hospital for bleeding episodes causing a very low results on my cbc especially my hemoglobin at only 71. Wbc is at 1.56, hematocrit .20, platelet at 102. This results were from my last confinement- Oct 3, 2014. But last may I had a profuse bleeding and after 1 unit blood transfussion went out of the hospital at 79 hemoglobin, i was then again confined last Aug 16 but inspite of the bleeding my hb increased to 86, and last Sept 22 during my routine check up it has already increased to 112 and platelet to almost 200. What do these results indicate? And what may have caused the bleeding which I had recently when my blood work is improving. By the way I am taking moringa juice and 1,050 mg of milk thistle capsule daily. Does this have something to do with the increased hemoglobin | Hello,1) You have liver cirrhosis for 6 years. Cirrhosis since long duration may develop portal hypertension due to which rate of blood cells breakdown into spleen would increase (so size of spleen would increase).2) Portal hypertension cause dilatation of vessels at lower part of esophagus as a natural process in effort to normalize portal pressure. Sometimes these esophageal vessels dilate such extent that it rupture during swallowing of hard food and cause blood containing vomiting.3) Increased Hemoglobin level, platelet count suggest maintained turn-over rate (production vs breakdown) of blood cells.4) Maring\u00e1 has anti-oxidant and anti-inflammatory property mainly, but it does not have any role in increasing value of hemoglobin. |
I have a lump at the top of my calf muscle in one leg. It is sore like a bruise. Ive been working out but do not recall any pain at any point indicating I pulled or strained it. Its not floating like a nodule and is about the size of a large shooter marble or small golf ball. | Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma, neurofibroma or dermatofibroma. You should go for biopsy. It will give you exact diagnosis. 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. |
I have few days before stopped 10 days course of ciprofloxacin 625 mg twice a day for typhoid fever. But I still feel mild headache and fever. I live in Afghanistan where the modern banking system like online credit card are not available. Please send me your suggestion on YYYY@YYYY I will mostly regard it. Thank you Sir, Asadullah | Hi Dear Welcome to the Chat Doctor, Get your temperature monitored at least 6 hourly by thermometer. Take tablets paracetamol 500 mg every 6 to 8 hourly. If fever is visible in the temperature chart get your self examined by the nearby physician. You should also be investigated for CBC, ESR, MALARIA ANTIGEN, TY PHI DOT TEST, URINE EXAMINATION etc. to reach some conclusive diagnosis. Hope the query is answered. Thanks |
i am concerned about my tooth which is causing great pain and headaches. It hurts most at the bottom of my tooth way down at the base of my gums. Also i see white colored lines on the front of my gums going from left to right. What could that be? Best way to relieve pain? | Thanks for using Chat Doctor. Read your query, and you have not mentioned many details in it. Clarifying on what you have said, it can be your tooth is infected and this is the reason for the pain and headache. Advised to take a painkiller like ibuprofen (if you're not allergic to any), do saline gargles. Don't apply anything hot from outside to relieve the pain. Visit your local dentist and get the tooth evaluation, and start with prescribed antibiotic, get the appropriate treatment done. Hope this was beneficial for you. Thanks and warm regards. |
I was at the lake and I was tubing, I took A pretty nasty fall while tubing. Ever since it hurts to pull anything/ lift anything and even bend down to pick something up. My rib hurts on the right side to breathe, laugh, cough, and even sneeze, any idea if it is broken or bruise? Also what will help it? | Hello Thanks for writing to us; I have studied your case with diligence. As per your history of trauma there is possibility of rib contusion. Rib contusion is not always visible on x-ray or MRI. You may need to do HRCT to see details of injury. Endoscopic study will rule out reflux disease. Medication like muscle relaxant and analgesic will reduce pain along with it use rib support belt. You may consult physiotherapist for pain management. He may start TENS, or ultrasound which is helpful in your case. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not forget to give rating at end of discussion. Wishing you good health. Take disregards Chat Doctor. |
HELLO DR. I AM CONCERNED ABOUT MY MOTHERS HEALTH AS SHE HAS BEEN DIAGNOSED WITH CHRONIC KIDNEY DISEASE WITH GLOMERULAR FILTERATION RATE AS 21 AND SERUM CRETININE IS 3.2 .ONE MONTH BACK THE SERUM CRETININE WAS 2.4 AND A WEEK BEFORE IT WAS 2.9 AND NOW IT IS 3.2.SHE HAS HIGH B.P 130/90 AND SHE WAS ADMITTED IN HOSPITAL BECAUSE SHE FAINTED.SHE USED TO HAVE MUSCLE CRAMPS AS WELL.WHAT WOULD YOU SUGGEST TO LOWER DOWN HER SERUM CRETININE AND WHETHER THIS IS THE STAGE FOR DIALYSIS | DEAR OVERTHINKS FOR WRITING AT HIM UNDERSTAND YOUR CONCERNS HAVE SEEN MANY PATIENTS OF CKD. THOUGH THE TREATMENT OF CKD BY MEDICATIONS ALONE IS DIFFICULT BUT MEDICATIONS HELP TO MAINTAIN A CONSTANT LEVEL OF SERUM CREATININE.BUT NOT IN ALL PATIENTSKIDNEY TRANSPLANT IS THE ULTIMATE TREATMENT BUT IF NOT POSSIBLE DIALYSIS HEREABOUT YOUR QUESTION REGARDING WHEN TO DO DIALYSIS IT IS ASSESSED BY YOUR NEPHROLOGIST DEPENDING ON CLINICAL SITUATION AND NOT ON GREAT LEVELSUSUALLY It's DONE WHEN YOUR NEPHROLOGIST SUSPECT METABOLIC ACIDOSIS, IF EDEMA IS NOT GETTING TREATED WITH MEDICATION, IF THERE IS INCREASE IN GREAT NOT CONTROLLED BY MEDICATION SUGGEST THAT YOUR MOTHER AVOIDS EATING FRUITS AND ALSO TALK TO YOUR NEPHROLOGIST HE CAN HELP EUROPE I ANSWERED SOME OF YOUR QUERIES. YOU CAN MESSAGE ME FOR ANY OTHER CONCERN |
hi,Actually my father is getting recurrent fluid in lungs. X-ray report says its \"Plerual effusion\" and we have gone thru the test like CT scan, PET/CT scan and Bronoscopy. Everything was normal. But in the beginning ADA cells range was 196. Now it has come down to 55. May i know what can be the reason | Thanks for your question on Chat Doctor. I can understand your concern. There are two thin pleural layers surrounding lungs. When fluid accumulates between these layers, it is known as pleural effusion. ADA (adenosine Deaminate) is an enzyme found in lymphocytes. So ADA measurement in pleural fluid indirectly suggests lymphocytes activity in fluid. So ADA value of 196 is suggestive of lymphocyte rich pleural effusion. And most common cause for this is tuberculosis. And in TB there is recurrent pleural effusion. So better to consult TB specialist and get done pleural fluid AFB culture and sensitivity report for tuberculosis. Don't worry, he will be alright with anti TB Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks. |
I have shortness of breath upon simple exertion, off balance and weakness in both legs, I have a history of vit. D deficiency, iron deficiency and I had an acoustic nueroma treated w radiation about 10 years ago, I feel so uncomfortable, could u tell me what might be going on, thank u | Thanks for asking your question I completely understand your question breathlessness have variety of causes if you were a smoker then it can be COPD, it can be metastasis from the primary malignancy, can be heart failure if associated pedal edema is there, and many more causes, u need to consult a pulmonologist who can request for a chest X-ray and spirometry and diagnose your conditioning panic this situation can easily be handeledthanks / regards feel free to ask more questions may god bless you with good health |
I had thyroid cancer feb 2013 had my thyroid out. every 6 weeks I get my blood work done for levels tsh .02 synthroid 137 I have chest pain. IF I M. tsh .o6.. synthroid 125 I have the shakes numbness of the face and bone pain and stomach pain. I haven t felt good since my thyroid was taken out!! I am going to change endocrinologist I know he doesn t want me HIGH TSH because the cancer he says may come back. TO COMBAT the symptoms which our unbearable!!! I have now become a secret drinker one or two wines or more if I in agony I feel so much better, but have anger issues now. also I stop the synthroid for two days IF I HAVE CHEST PAIN,then feel normal again I ve done this a lot to stay away from the ER, in the ER so many times nothing but high synthroid low tsh. I M PISSED. I wish I could feel normal. | Hi, Thanks for writing in. It is suggested that you get a complete review of your symptoms done at the hospital. After cancer, most people become slightly weak and this happens due to reduced immunity. You might be having a lowered immune status which can cause increased susceptibility to infections. Please consult your doctor and get a complete blood count and basic investigations like a chest X-ray and ultrasound scan done. These investigations might reveal a possible cause for your chest pain and pain in abdomen which requires treatment. Taking healthy nutritious food and adequate amounts of fluids and fresh juices is good. Please do not worry. |
I am pregnant in the 30th week. One week back, my urine test showed that I have pus cells, the doctor put me on suprax 400 and urispas for 6 days. Suprax didn t work well, and the doctor said that I need to be admitted to the hospital as my urine test showed 40 pus cells, I was admitted and took 6 doses of rocyfeen again with urispas. Now, i m released from the hospital and i m put on Zinnat waiting the result of the culture. Is this harmful for my baby and what are the chances that I go into preterm labor | Hi, Chat Doctor. I Think I have understood your concern. Urine infection during pregnancy is a bit concern for doctors. If untreated it can cause chronic infection in urinary bladder or urine carrying tubes - ureters. Sometimes there us risk of developing serious kidney problem called as pyelonephritis. As you are aware that if untreated it can also lead to preterm labor. Please do not panic Please take a full proper course of antibiotics as will be suggested after urine culture and sensitivity test. |
Hey, I just wanted to ask whatbare the side effects of Coper t 380a ? I just had a dnc done and an Coper t fit in at the same moment, now I do have abdominal pain , pain in kegs, back . Feel really week,,, is it normal? Will I gain weight from this 5 year Coper t? | Hi, The intrauterine contraceptive device Copper T380A is generally safe and well tolerated by most of the women. However, it may cause some of the following side effects like symptoms of pregnancy, period like cramps, abnormal vaginal bleeding, foul smell vaginal discharge, dizziness, cramps, unable to fee the strings of the device, and rarely perforation. It is unlikely to cause weight gain. Based on the history given in your query you seem to have mild side effects which may subside over a period of few hours or so. Take bed rest and plenty of oral fluids. You may please consult your doctor if the symptoms do not subside or get worse. Hope I have answered your query. Let me know if I can assist you further. |
Hello doctor iam 30 year old married women as a homemaker taking care of 2 childern whose age is boy with mild autism and 11 month old girl baby husdand working for a private concern... I use feel so frustrated and feel so stress and get hurt for silly issues and getting angry lot of time burstout... don t know y what should I do? | Hi, In your case first there is need to investigate cause of your stress and frustration. Care of Following are possible causes of stress and frustration in your case |
I take lo lestrin Fe regularly and have for over a year now. This past month I forgot one pill in the first week but now I am 2 and a half weeks into the pill pack. I had sex without a condom. Should I take plan b? Should I be covered? I take my pill regularly at 8 or a few hours before or after every day. | Hello misunderstand your concerned you missed the one pill during the course of the birth control pill then you have to take missed pill as early as possible or on the next day with regular pill. But you did not describe anything about your missed pill (whether took or not). If you took missed pill as early as possible or on next day with next day pill |
Hi, I am a newlywed, and we are planning to have a family in about two years, so Mirena sounded like a good idea. Its been in since October that the Mirena was placed, I went in for a check up, and he couldnt feel the strings. I am showing several signs of pregnancy, but I havent had a period since implantation and my HPTs have been coming up negative for a couple months... could all this just be a side effect of the Mirena? Thank you! | Hi, thanks for asking in Chat Doctor. Main contains Levi norgestrel. It is a progesterone. Probably you are feeling the side effects of progesterone after IRENA implant. It takes few months for the body to get adjusted for the hormonal effects of IRENA. 20 to 25% of women suffer from amenorrhea (absence of period) although this side effect may not be desirable and creates confusion for young women like you. If the strings are not felt by your treating Chat Doctor. It will relieve you of your anxiety and will further help you decide about the next method of contraception that you want to follow. The reasons for absence of thread could be 1. Bigger size of uterus due to pregnancy.2. Expulsion of IRENA.3. Either it is buried inside the myometrium (muscle layer of uterus) or the stings are with |
Hi, i am diagnoised with fatty liver and i noticed that i have blood clotting/saturation problems after giving a blood sample. i am a non alcholic. so, i am afraid this condition of liver problems is enchanced due to systematic food poisioning(SFP) or poor air quality(burining of toxic wastes including plastic and rubber) for some period of time. Can you just throw more light on this SFP and liver problems? | Hi welcome to Chat Doctor ... You have diagnosed with fatty liver condition in which fat get accumulated in hepatocytes.... Carbon chloride like chemical injury, high cholesterol level, low oxygen, protein energy malnutrition like condition can lead hepatocyte injury .... If food poisoning occurs treatment done according to culture report... For fatty liver Ad\u00edlio tablet can be taken... Fruits taken more Excess fried foods, non veg food, cheese, burger, butter taken less... Green leafy vegetables taken more and use sunflower oil. Take care Advise |
I am a 53 yr old lady,since the past 15 days i have been suffering from severe pain in both my calf muscles and they are also hard. I get severe pain when i get up and start walking and there are some hard knots in and around the calf muscles and ankles. Please advice. Warm regards, Nandita | Hello, I would suggest you visit a doctor to get examined for the symptoms of pain and hard knots is suggestive of varicose veins. It is not uncommon in women, and particularly who are in professions like teaching which requires standing for a long period of time. The condition can be easily diagnosed using color Doppler scan which an is an ultrasound scan. This investigation gives a clear picture of blood flow in the lower limb and is non-invasive. After a documented diagnosis is made treatment can be planned depending on severity. The treatment options include the use of compression stockings, chemotherapy or various surgical procedures. Hope I have answered your query. Let me know if I can assist you further. |
I woke up this morning with a coating on my tongue that was a blue-green color. I thought over what I had eaten yesterday, but nothing out of the ordinary and nothing in those color families. I am a 66 year old female who is currently undergoing radiation to the retinas. I completed six rounds of high-dose methotrexate this summer for Primary Intraocular Lymphoma (so rare almost no one in the world has had it). I have had no side-effects (except being quite tired) from any of my treatments, which has amazed everyone, including my doctors. I also did not lose my hair from the chemo. I hope this blue-green tongue doesnt indicate anything serious. | Thanks for your query, I have gone through your query. The bluish green discoloration could be because of the chromogenic bacterial infection. It can be secondary to radiation therapy where the salivary secretion will be reduced. Consult an oral physician and get yourself examined completely and take a course of antibiotics and follow thorough tongue brushing. I hope my answer will help you. Take care. |
i,m a pcod patient. for last 20 years im having medicines such as ---duoluton(L) & gluformin 500mg daily at night after dinner. now a benigntumour has grown as big as 57mmx57mm in liver section v & it is half on the liver and half hanging outside the liver towards the gallbladder. what should i eat and what am i to do? should it be operated or regular usg to be done, in the hope that tumour may regress in time? | Hi, How are you? I am so sorry to hear about your diagnosis. Benign tumors of the liver are uncommon in general population but are fairly common in patients who take any form of pills with a high estrogen content (oral contraceptive pills, hormonal therapy, anabolic steroids, etc.). Hepatic Adenoid is one such tumor which occurs very often in these set of patients. Going by your history, I would strongly suspect that you have developed an Adenoid in your liver. Although these things remain asymptomatic for a long time, they can cause pain due to increase in size. A more Chat Doctor. In addition to this, there is also a risk of the tumor becoming cancerous. Follicular nodular hyperplasia of the liver is another possibility, but the current imaging techniques should be able to differentiate the two. The first thing to do after a Hepatic adenoid is diagnosed, is to stop all forms of hormonal therapy. This usually causes a |
Sometimes, when I sit, I feel like there s sudden beating between and below my lungs, somewhere in diaphragm I guess, it s not hurt or anything, it s only beating like a heart, but only once or twice per day. It has never happened before. And it starts last week. Is it normal, and what is that beating feeling exactly, and where it takes place actually, because I m not sure either, whether it s spleen or diaphragm | Thanks for your question on Chat Doctor. I can understand your concern. No, I don't think it is due to spleen or diaphragm. In my opinion, we should rule out arrhythmia (rhythm disturbances in heart) first because this can also cause unusual beating sensations below lungs. So consult doctor and get ECG, 2d echo and Holder monitoring (24 hours continuous recording of ECG). If all these are normal then no need to worry about arrhythmia or other heart diseases. Sometimes stress and anxiety can similar feeling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. But first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
I took next choice emergency contraceptive 13 days ago, about two days after unprotected sex. About five days after taking it, I started spotting, which the following day became a heavy period with the most unbearable cramps Ive ever experienced, and I have had heavy cramps and bleeding since I first had my period. Thankfully that only persisted for that day. But that was about 8 days ago. About 3 days ago, I had no spotting or bleeding whatsoever but started getting pretty bad cramps, as if it were the first day of my period or something, but there was no spotting or anything. Now today, which would be day nine of this period, I have spotting again, cramps, lower back ache, like my periods just starting. Usually symptoms of my period dont continue past day 3 or 4 of my period. This is technically day 9 and Im having spotting and symptoms still. I guess it could be helpful to also mention that when I started this new altered period about 9 days ago, that day would have been day 19 of my normal cycle, had I not taken the pill and it alter my cycle. And I usually have longer cycles, 32 days or so, so if I had not taken next choice then I would be getting my normal period in about 4 days or so.Ive taken next choice or plan b before, and nothing like this has ever happened. So Im wondering, is this normal or cause for concern? Also just wondering what on earth could be going on with my body right now; Im mainly confused. | Hello, I have gone through your query and understood your concerns. If you were my patient I will advise you for an ultrasound as it is very important step to take now. We need to rule out pregnancy first which is got aborted, and it will be very important to consult a gynecologist for dilatation and curettage in that case. If not we must also rule out ovarian cysts which will cause severe cramps. I hope you will go for ultrasound soon. For symptomatic relief you can take tab. Pause and tab.mesenteric acid Thank you |
I am 52 - exercising 5 days a week - wanting to get a protein to drink after exercise to build muscle strength and I have heard that neither soy or whey in these drinks are good for me. Can you recommend a product? Also, I have oral lichen planus - this is an autoimmune disease I understand - is there anything that I can do other than topical products? | Thanks for your query, I have gone through your query. You can use egg proteins particularly white portion, rice protein, casein proteins if you are not comfortable with soy or whey. For lichen plans, topical medication is the best choice since it doesn't cause many adverse effects. Other treatment modalities includes intraluminal injection of steroids, mouth rinses containing steroids or systemic steroids. I advise taking topical only because it won't disturb the systemic status of your body. I hope my answer will help you. Take care. |
I have been waking in the morning with swelling noted to my hands and feet. I drink water all day and into the evening thinking that i need more. Then I questioned that it might be PMS . I exercise everyday, either walking, weight training, or yoga . I am on Vytorin and have been for 6 years. I do take Spirolactolone 100mg daily. I am noticing some heavy feelings in my chest areas at times and an occasional cough, but no other symptoms. I have seen the scale increase almost 5 lbs. and I have not increased my diet or snacking , because I dont. I need some help. | 1. as you haven't mentioned your age, it is not possible to answer about PMS, is it PRE or POST menopausal syn Chat Doctor. You are just catching the fluid level which is wrong, instead check with your Doctor about your Renal function (Blood urea, Serum Creatinine, BUN,GFR) to make sure that kidneys are working properly.3. Motrin (Ezetimibe and Simvastatin) is used to lower high blood cholesterol level (please mention your current Lipid profile)?4. For how long you have been taking Spironolactone and for what symptom did your Doctor prescribed the same, any h/o hypertension?5. Because you are taking spironolactone daily, please check your potassium level as it causes dangerous Hyperkalemia, along with any noted acne, hirsutism,alopecia in you??6. Side and severe effects of spironolactone are persistent cough, muscle weakness, and |
A parent just shared that her almost-adult son has displayed voluntary encopresis. There are sometimes remains left in the bathtub. This young man has also begun stealing from people and he describes that it is like an addiction, where he wakes up thinking about stealing. His parents are divorced, he lives with Dad and Step-mother who constantly criticizes him. He was an outstanding baseball player, but began stealing from teammates. He is defiant at home, his grades are falling, hes lost interest in the things he used to do, such as baseball. The adults dont forgive him and theyve stripped him of a phone, a bedroom door, etc. and have given him no way to earn things back. This young man says hes not suicidal; hes using pot. This is such a mental disorder and I dont want to do more harm to him as a school counselor. What type of therapy do you suggest? How do I get the parents to understand this behavior is very much about them? | HiT hanks for using Chat Doctor I think, he has conduct disorder or cannabis induced psychosis and in that case, he needs proper mental evaluation by psychiatrist. If he has conduct disorder, then he needs behavioral therapy. Being a counselor, you can try positive and negative reinforcement in his case. That would help to modify his behavior. In case of psychosis, he would improve with antipsychotic Chat Doctor. Better to tell them to consult a psychiatrist. In case, you need further help, you can ask. Thanks |
My mother had been admitted 5 days in hospital with lot of antibiotics, all symptoms like vomit sensation, nausea, abdominal pain--mild & strong time & again were happening for a few days before admission. My mother has been advised to take Ranbaxy Niftran 100mg capsules for 10 days, on discharge from hospital, but since start from yesterday, she has got vomit sensation, nausea, abdominal pain--mild & strong time & again. Just taken 2 tabs of Niftran in 10 days course. Should she continue with the same & if yes, should she take some other medicine alongwith it to reduce the side effects? | Hi ! Good afternoon. I am Chat Doctor answering your query. From the history, it seems to me that your mother was treated for a UTI (urinary tract infection) with Nightcap. Some patients are intolerant to nirtofurantoin, and if the vomiting is severe, then you should contact the treating doctor for a review who might change the antibiotic depending on the culture/sensitivity reports. Otherwise, she could continue with the same medications along with a proton pump inhibitor and an anti-emetic Chat Doctor. |
hi sir, my name is vinod dubey, age 48 years, 5.5 ft, 82 kg and had first typhoid and then chikunkuniya and now finally suffering from joint problem at knee and unable to stand up on it, once i stand up i am unable to sit, infact i am unable to transfer my bodyweight onto my knees. please suggest me ........... | Hello, In case of post chikungunya in a good number of cases there are chances of having joint pain. This is due to an immune reaction with joints. As you have already consulted your physician and there is a confirmation diagnosis then I will suggest you following for relief |
hi i have a continues sneezing and my nose come out with sticky cough. and with this sneez i can not breath properly. i can not breath full. sometimes i have to inhale air from mouth.this problem is last more than 9 months. i have visited doctors they all say it is allergy and it can not get rid off and give some medicines temperorely. | Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions to you |
My son has had a bad back for several years. He had surgery on his neck & that is better but it is his lower back causing him pain. He has been used to taking many kinds of opiates in the past Thank you Darlene | Hello, I have studied your case. Previous surgery can lead to increased back painted such patient comes to my hospital we usually take MRI to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care. |
I have had pain on the left side of my lower back for 5 days now, it seems ok durning the day and worsens at night. Last night it kept me up all night. and it is hurting today. It s lasted all night long trying to determine if it may be a kidney stone | HelloThanks for query. The pain in lower back is mostly due to presence of stone either in kidney or ureter. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis In the meanwhile take spectrum antibiotic like Definite along with anti-inflammatory Chat Doctor. Get the prescription of medicines from your family Physician. Ensure to |
i am having some kine of mantle disorder .i am working in my work place for 9 months but still couldnt understand my duties well .actually even though i learn things dally from my job . i cannot apply them to my work,all the time i make mistakes and i have lost my common sense also .my supervisor used to blame me all the time now .some days i could work like a genus but some days i start my work as a beginner. i was having this thing since 12 years those days i could not even deal with my friends and public and also my body was very lazy and sleepy.and i have to mention that i had very bad habits since i was 12 years .it is masturbating.Now i m 30 years old but still doing it all the time more than my fiends do.i had another bad hobby.it was thinking of things never happen .i always liked to live in movies and imagine about miracles. A lot of things like this all the time .2 years ago i took some medicine from a psychiatrist doctor (Alprazolam USP 0.25mg and Escitalopram Oxalate Tablets 5mg ) after taking this medicine i was recovered well and could deal with friend and people.but there is still some thin wrong in my mined which effect to my job function as i mentioned at the start of this massage .please doctor i wont to be a normal person.how can i be a normal person.help me i am helpless now. | Hello I have read your question and can understand your problem. You have symptoms like poor work performance, poor learning, poor concentration sometimes. You have also complaints like imagining things or living in miracles. Furthermore, you are also concerned about masturbation habit since last 12 years. See first I would like to tell you that masturbation is completely a healthy practice, and it is not associated with any mental abnormality. There is nothing wrong with masturbation. The symptoms you have mentioned are most likely due to some depressive illness with some co-morbid obsessive ideation. I would advise you to consult a Psychiatrist for expert evaluation. Medicines like SSRI (Escitalopram you have taken already) are very useful in such condition. Thanks |
hi,I just want only to ask regarding my worries now,coz yesterday ive pain to my nipples not the whole area but the place where it was red and, shiny and there is white inside,but in the morning it just like vulgaris pimples, with infection already,..it is only one pimple,..and im worried if it is really a pmiples or what?what to do? thanks! | Hello, Welcome to Chat Doctor, The history and symptoms suggest me that you may be having some infection in the nipple of your breasts. But to confirm what exactly it is you need to subject yourself for physical examination. I would suggest you to undergo CBC to know whether there is any infection. For your symptoms I would suggest you to follow1. Apply hot fermentation to the affected nipple.2. Oral Ibuprofen, to reduce the pain.3. Oral antibiotic like Tab Autoclave, 625\u00a0mg, twice daily for five days. Thank you. |
Hi iam rb we are married for 3 years bt no pregnant , my microscopical examination sperm count is 92 millions total sperm count is 46 millions/ejaculation.motolity 56%, rapid progressive 04, slow progressive 44, non progressive 08, immotile 44, vitality 60. Sprem morphology | Sellotaped on the semen report that you have posted I would state that you have what is called as Asthanoterratospermia meaning there by percentage of active grade one sperm and morphology of the sperms are abnormal . It is unlikely that with these parameters you will ever impregnate your wife by natural means. Consult qualified Infertility specialist for help to have pregnancy with newly assisted reproductive techniques like IVF or CSI. Chat Doctor. |
Hello, I have an upper back issue near the rohmboid and scapula (right side). When it flares up I darn near have to take the afternoon off of activities with my kids. I m a single dad so I pretty much refuse to do that. I trudge through my day at work, my right hand goes numb. It is beyond frustrating, I first felt it roughly 1 1/2 years ago, while working extending with the arm repetitive motion doing janitorial.It has progressed worse and worse. I work fast repetitive motion all day long. I recently had an MRI of upper extremity focus on rohmboid right shoulder I got the Mri and supposedly it came back normal. They can feel inflamation, that s why 1 doctor wrote an mri for likely tear . Now the mri says normal my PA says I m fine. ? | Hello, If you are performing repetitive activities with your arm/shoulder, and you feel the pain or sensation of discomfort/swelling in the mid to upper back region where the scapula and rhomboid muscle are located then, you could have a nerve entrapment syn Chat Doctor. I recommend seeing a neurologist and describing your symptoms. This should prompt an examination of the back and the affected area to see if you have anything that we refer to as myofascial pain. In your area of complaints, swelling, WINGING SCAPULA, or any other physical evidence of trauma or positional entrapment of even blood vessels in the area that can occur from sitting too long in one position, sleeping on the affected side without moving enough, etc. An EMG/NCV study could demonstrate abnormalities of nerves and muscles in this region as well. Also, I would recommend either a CT or PLAIN X-RAYS of the thoracic spine and right shoulder girdle in both flexion and extension positions (something not able to be done on an MR scanner) which can demonstrate other causes of this sort of pain such as arthritic degeneration, scoliosis, other skeletal abnormalities irritating structures in that region. Hope I have answered your query. Let me know if I can assist you further. Take care |
Hi, I waxed my upper lip a day ago and experienced a burning sensation that lasted a lot longer than usual. The burning sensation and reddness continued throughout all of yesterday and today as well. I know have a red mark that is smooth but feels numb on my upper lip. Are there any remedies I could use to heal my upper lip and bring it back to normal? | Hi Kim, Welcome and thanks for posting your query to Chat Doctor. Getting redness after waxing process is common problem, but generally it remains for few hours only and for beyond two days. During waxing due to slight heat of the patch as well as due forceful plucking it causes redness or itching and a bit pain for few hours but if the wax patch is slightly hotter or and the force applied is too harsh than can cause injury to superficial skin and deeper hair roots leading to inflammation of the area remaining for longer period of time. The very first thing you do is to give cold compressions for multiple time a day, application of calamine lotion to soothe the skin, can take antihistamines Chat Doctor. If the redness is very high or there are any sign of mild gesticulation or blistering then should apply mild topical steroid cream under medical guidance. Kindly avoid direct sunlight for at least 5-7 days after proper healing to prevent any pigmentation of the area. Be careful nest time when you are doing waxing of any area.With the best health wishes, |
.I have been taking prolomet xl 25 since last 3 years, I always check B.P. and it is always between 120 to 140 and 80 to 90, Can I continue the same medicine or stop to take the same . There is any side effect of taking this medicine for long time email address - YYYY@YYYY | Hi, Age, gender and other associated medical illness not mentioned. Proposed Xl-25 (metoprolol) is a heart selective beta blocker commonly prescribed to treat hypertension. As long as your blood pressure is controlled you may continue to use it as prescribed by your doctor. Its common side effects on prolonged use include decreased heart rate, fatigue, difficulty in breathing (more common in patients with bronchial asthma), mood changes, and erectile dysfunction (impotency). Hope I have answered your query. Let me know if I can assist you further. |
I have a pain in my abdominal area. Its in the center (not left or right side at all). It hurts to take a deep breath/cough/yawn and is quite tender to the touch. It problem starts at about the end of the sternum (is that the bone in the rib cage?) and is about the length of 3 fingers starting from the top to the bottle. It feels like a sore muscle (as if I had been doing a lot of crunches but hadnt). I dont have any symptoms related to digestive issues (urine is normal, stools are normal, no gas, etc). I just lost my job so Im in the process of getting my own insurance. i am trying to see if this is something to be concerned with. It started yesterday. The pain has been consistent since I started yesterday. | Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that pain is just below the sternum i.e. pain in the epigastric region. The reason of this pain may be due to stress (tension) of job. Hyper acidity develops more acid secretion and this causes pain and there develops gastritis. So don't worry and don't take tension. Take antacid syrup (tetracaine with it), you will get quick relief. Still, no relief then take proton pump inhibitor after consultation of your doctor. Good luck. |
I had unprotected sex, I was sure that I did not finish inside her but the next day (around 36 hrs later) she took the first dose of postinor, after that she took the second one 24 hrs after exactly. 5 days later we had protected sex then I notice all over the condom blood coffe colored like stuff and 2 days later she had heavy cramps, did the pill do its work even though the pill was taken 24 hrs apart from the first one but both before 72 hrs before? | Hello and welcome to Chat Doctor. Thank you for your query. Although posting instructions include taking one tablet immediately after sexual intercourse, it can be taken within 72 hours of sexual intercourse, and will still take effect. If both tablets were taken before 72-120 hours, they should do what they are supposed to do. The effect will be as expected. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. |
HI doc. i experience dragging sensation of my balls, reddened, burning sensation and swelling of balls especially on the right testicles and it seems that there is a bulge on the upper testicles. I have consulted my doctor and done a testicular examination and found out that i have swollen lympnodes in my inguinal area as well as the pubic bone, He request a ultrasound because it might be a scrotal hernia just to be sure and then he prescribe me a deoxycycline to take 2x a day for 10 days. I m sexually not active but i love to eat salty foods and drink soda. A day after i undergone scrotal ultrasound and found out that all of my parts on my balls are normal no cyst or enlargement except for my mild varicocele measuring 2.5mm and the reference normal size is 2.0mm. My doc says it might be a viral infection or systemic infection but i don t feel any difficulty in urinating, burning sensation or any discharges except for mild hot feeling in my body especially in lower part of my body. I m so under stress. what should i do? | Thanks for asking in Chat Doctor forum In short |
hi my sister had a lump on her left butt cheeks couple years ago and took it for nothing,now it feel like its growing and its painful.doctor doesnt know what it is untill the cut it. have you any experience with that.what can it be? am scare for my sister | Hello! Thank you for the query.First do not be scared. From your description the lump is benign soft tissues lesion. The pain indicates some inflammation. If the lump is close to the butt crack, most probable reason if this lump is colonial cyst. This condition is caused by ingrown hair which irritates the tissues and leads to inflammation. If it's located in other part of butt, hair follicle inflammation or sebaceous cyst can be the case. The best she can do is to consult general surgeon. In case of any doubts, soft tissues' ultrasound can be done. Hope this will help. Regards. |
Please help I have a bump under my bottom lip that has been worrying me noticed it yesterday. I have been to the doctors and he has informed me that I have eczema im 27 I have bumps on my cheeks and nose that dont hurt itch sometimes though I just need to know or be put to ease that I dont have hsv1 or hsv2 I have had two bumpsin different locations around my penis area but they have been gone for months now. | Thank you for asking Chat Doctor. My name is Chat Doctor. And your main concern here is to know whether you have HSV 1 & 2 or not. Regarding HSV 1, it's transmitted through oral secretions, skin sores, and through kissing or sharing stuff like toothbrush.HSV 2 spread via sexual contact with someone who has genital HSV-2 infection. Such lesions like eczema or HSV1 /2 are diagnosed on the basis of a detailed history and clinical examination. You have been to your physician he has informed that you have eczema so just be at ease and complete your prescribed treatment without making yourself worry. Hope this may help you. Let me know if anything is not clear. Thanks. |
My wife said she felt something bite the back of her hand while lying in bed. It immediately went numb and tingly. Within minutes she felt nauseated. Hours or so later her arm is better, but she still feels sick. Spyder? Should she see a doctor? We live in central Minnesota. | Hello, Welcome to Chat Doctor, I can understand your concern for insect bite. After reading your query it appears that you have developed insect bite hypersensitivity. This basically caused by hypersensitivity to the insect bite which can cause acute aggravation of the problem and flare up of the lesions. As you are not getting relief from the steroids an antihistamine, so I suggest you to meet a dermatologist and get your skin examined to get proper best treatment. You can apply steroid creams of higher potency for the early resolution of the lesions. You can take oral anti histamine like loratadine or levocetrizine under medial advice. If you have pain and irritation then you can take a tablet paracetamol or diclofenac. Do not scratch or rub the skin as it can lead to further aggravation. Despite above measures if the problem is not getting better than it is better to consult a dermatologist. Thank you. |
I have a problem with my birth control. I took it for a month, and stopped because the days were off because i started it on the wrong day. I never started the next pack because i haven t gotten my period yet. I only had spotting during the month i took the pill never a full period. Should i be worried that im pregnant and take a test? I have been told that it takes a while for your period to come after birth control. | Hi, How are you doing ? Usually the hormonal control of the ovulation will appear by the second cycle only, so you will need to have additional contraception for the first month. After 7-10 days of the last pill, your periods should start. Hope you have been taking the pills punctually, as the irregular pills can cause the ovulation in between. Usually the regimen to be followed is 21 pills ---7 days no pills---start next packet of 21 pills from the 8th day, even if there are no periods. You don't need to wait for the next periods. Next periods will occur in between. Now if you have not had periods yet even after 7-10 days, have a urine pregnancy test & rule out pregnancy. When confirmed as negative - have the same contraceptive pill (21 pills packet) twice a day for 10 days (throw away the 21st pill) you will have the periods within 7-10 days. From the first day of that bleeding have the same 21 pills packet once a night for 21 days----7 days no pills---- start next packet from 8th day. Have an additional contraceptive in next month, no need of contraception in 2nd month onward. Hope I have clarified your queries, do write back if any queries all the best Chat Doctor. |
Hello I was bite by a dog in cambodia and was being treated with the vaccine verorab, I have completed 3 shots of verorab, I now am in thailand and have to get my fourth shot, the only vaccine they have is rabipur, is this okay to take, is verorab and rabipur basically the same vaccine | Hello, Welcome to Chat Doctor, Verorab is a purified very cell vaccine (PVCV), which is used in animal bite cases, it is a lyophilized vaccine and come in a dose of 0.5 ml. Rabipur is a purified chick cell vaccine (PCEC), which is used in animal bite cases, it is a lyophilized vaccine and come in a dose of 1 ml. Both the vaccines is given by intramuscular route to the shoulder region. As for as possible you should not interchange vaccine. If there is no option you can interchange the vaccines and the studies have shown that both the vaccines are effective in inducing the protective antibody titles. So I would advise taking Raipur in place of Verona, which will helps you to induce the antibody titles. Thank you. |
I have a 3 year old daughter that is complaining of stomach pain every time she eats or drinks ANYTHING, even water. We went to the pediatrician and they found blood in her urine and are treating her with antibiotics, but we still do not have an answer for the pain. | Hi... I do not feel that this is an infection to treat with antibiotics. It could be GER - Castro Esophageal Reflux. Suggestins - 1. Antireflux therapy - Proton pump inhibitors + antiemetics2. Always make her lie down in a propped up position - as in the care seat. She should not be sleeping completely flatly.3. Avoid heavy feeding and feeding more times and in small liquors. She needs expert gastroenterology consultation. Regards - |
Findings | Hiwelcomeno need to worry about this, no slip disc, no degeneration to bones except a little to the disc between 4th and 5th vertebrae you might have suffering from pain and radiating to back of thigh i think you no need to worry about this you go for ayurvedic treatment like abhyangam, pps, kateevasthy, yogavasthy Kerala style if it available you do at your area or I am specialized in this field contact in detailchristyjoseph1@gmail.com09895313720 |
Hi, I had root canal therapy 2 days ago. I have slight swelling above the canine tooth that was treated, that extends up to an inch below my eye. I am on amox antobiotics. No pain....Is this normal? I spoke to my dentist yesterday morning and he said he wasnt surprised, and to keep taking antibiotics... | Helloo...read through your query....slight swelling after root canal treatment is usual...its just sign of inflammation due to instrumenting etc...nothing to worry.continue antibiotics prescribed by your dentist(its perfect).after a week it will be reduced...do salt water gargle.and don't bite in that area for few days till a crown is placed...and be happy and cool...hope your benefitted something by my reply .have a healthy day!!! |
I think my granddaughter had a seizure and when we took her to the er we were released and told to observe her because she didn t have any sign currently. She is 1-1/2 and was in daycare. It scared the heck out of her teacher and they described my granddaughter has walking sortta in a drunken state, her left arm drawn up to her chest and shaking, she said she was non responsive but had a look of horror and then she fell and hit her head on the table. We rushed her to the er and after waiting 3-1/2 hours, went into the room and they briefly examined her (no blood work, x-rays or nothing) just listened to her lungs, looked in her ears and checked to see if she was running a fever. They said she appeared to be fine and to take her home but observe her ever 2 hours. | I understand your concerns. The history depicted by you is consistent with a seizure. However, for epilepsy we need at least 2 seizures 24 hours apart. It would be of great help if you record such a scenario with a smartphone. It would help to understand the attending physician about the condition of child. Otherwise, Electroencephalogram (EEG) of the child can be done. Anti consultants given for seizures are only advisable after the above test and opinion from your attending Pediatrician. Regards |
I have been treating a fungal infection under arm pits and when trying to use deodorant it became worse and actually blistered. Much more painful too. I did purchase baking soda and corn starch to keep it dry and plan on starting that tonight and also peroxide to clean, is there anything else I should do? | Hi, thanks for using Chat Doctor Fungal infections tend to occur in moist areas such as under the arms, under the breasts or in the groin area. You need to use antifungal medication. An antifungal powder may be best because it would help to keep the area Chat Doctor. Examples of antifungal powders are fluconazole, zeasorbYou can use anti-inflammatory painkillers such as ibuprofen, Catalan, naproxen to help reduce your discomfort. If the topical anti antifungal is not enough, you may need an oral antifungal. I hope this helps |
I have taken follicular study on 12 day doctor told me to have intercourse on 12th day night.I have intercourse on 12day and 13th day morning and I have taken follicular study on 14th ,doctor told me egg was ruptured and ask to have intercourse today and tomorrow.I had intercourse on 14th day thrice time and 15th day morning .Doctor tole me to take Barkert tablet morning and night from 13th day to 17th day and Miprogen from 13th day to 23th .Today this is 22nd day I have abnomial pain , lower back pain ,leg pain and bit vaigna pain .please let me know I will be conceive this month | Welcome to Chat Doctor You have had sex on the right days. Have you been getting any bleeding? Did ultrasound show any problem after conceiving. Any previous history of miscarriage. Not to worry. Be calm. If there is much pain and any bleeding you can consult your Doctor. Get regular ultrasound done to know condition of fetus. Take Folic acid tablet to prevent defects in the baby. Eat plenty of fresh fruits and vegetables. |
i started spotting a week before my period was due but it is only visible when i wipe today my period is due and im still spotting! could this be implantation bleeding? i have heard some women say that it only lasts 1-2 days, others say 1-2 weeks , and others say you can have spotting all the way through! i have taken 3 home pregnancy tests and 1 blood test and they all came back negative. like i said i am suppose to get my period today could i have tested too early could this be implantation bleeding? has anyone experienced implantation bleeding for more than a week? how long should i wait to get a positive test if i am pregnant? can anyone help me? | Hi, I think you have tested too early. Wait for your periods due date and do hheald@baus.org.uk test after 2 to 4 days. Implantation bleeding can continue for 3 months also. But if test is negative, it is not implantation bleeding. It can be due to infections or due to hormonal imbalances. So get yourself evaluated by a doctor. Get your thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries done. If positive, start taking progesterone after consulting your doctor. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. |
I have idiopathic neutropenia. The oncologist thinks it may be auto immune because it responded well to steroids. My BP is 88/40 and my body temp stays around 65. I am 42 and started having physical decline after birth of my first baby when I was 35. Ive been to a specialist, 2 bone marrow biopsies and am part of a wait and see study for pre luekemia and pre lymphoma. I had my gallbladder out in 2011, and have had chronic diarrhea that is yellow ever since. When I eat, I feel like a rock is in my abdomen and it wont go down. When I take digestive enzymes, it seems to lesson the pain. Without the enzymes, I get attacks that feel like what they told me were gallbladder attacks. Ive had endoscopy by GI doctor who said he didnt see anything. Have many physical ailments-dishydrosis in the hands, afternoon fatigue and headaches, tinnitus in right ear, mouth sores, and menstrual issues. Last year, from Feb 14 to Mar 15 I bled heavily, slowed and stopped when OBGYN prescribed progesterone. Had menstrual only 4 times last year. OBGYN did uterine biopsy and pap, everything ok on tests. My family doctor and other doctors tell me something is wrong, they dont have any answers. After running weekly blood tests to monitor for several months and 2 bone marrow biopsys and all the other tests, Im just tired. I stopped the blood tests. I have an appt in Feb with an Endocrinologist, my FP requested testing me for Addisons to rule it out. Have 4 and 6 year who deserve a mother who isnt resting or feeling bad so often. Any ideas or suggestions? | Thank you for the question. For your multitude problems you have already undergone several investigations and no positive finding apart from neutropenia which responds to steroids. So take prednisone 5\u00a0mg TDS for 2 weeks and gradually taper to 5 mg once a day for another week. Get complete blood count before and after a course. Take email(amitriptyline) 25 mg BD for 3 weeks and take nutritious diet, more of fruits and vegetables and high fiber diets. Take Isabel (natural) powder 2 SF with mid after dinner every day rest assured there is nothing seriously wrong, and you will be alright if you follow the advice |
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