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Hi, my son is just 6months old. Since, three months of his birth, there is huge variation in his body temp (primarily head & foot) and very frequently it reaches > 101deg.... we have diagnosed thru his blood, urine, x-ray...everything is norma. However, I dont understand the reason for the higher temp? | Thanks for the consultation. Small baby temperature thermostat is very sensitive. They also have high metabolic rate. Baby head and feet are very warm during feeding specially during breastfeed time, This is normal phenomenon, no need to worry at all. If the baby is active, taking feed and pink and passing urine and stool then you should not worry. Although you have performed all the basic test which are normal, there was no need of it. If the babies are sick or something wrong, then are not taking feed, and they are not active. This first thing happen to them which should be alarming to the parents. |
Hi, I am a 38 yr old woman with 2 kids, suffering from PMDD. I approached several gynecologists and no one could really understand my problem nor help. When I say PMS (since many dont understand PMDD term), all I get is \"oh its normal\" , take B6, take it easy, keep your mind occupied, take up a job etc kind of responses. My family might pretty soon break if I dont get help. I get uncontrollable anger, crying for hours for no reason, yell, edgy. My whole personality changes. Once the period starts I am back to normal. I become like this every month about one week to 10 days before my period starts. After period starts, I am so exhausted by all this, start feeling miserably guilty. On the whole, half of my life is spent feeling miserable. I quit jobs, I am loosing on my relationships with husband, kids, I have terrible guilt. I am desperate for help now. Pl advice. I live in India, Hyderabad. Any doctors in Hyderabad who can treat this condition? Any other suggestions? Pl help. | Hello, You will feel better with desvenalafaxine 25-100\u00a0mg, daily. The response usually starts coming in pms with in few days...one need to complete one menstrual cycle to know its effect or if there is a need to increase Chat Doctor. I have seen many such patients in our poly clinic where the gynecologists refer them to me when there is no response to multivitamins and symptoms are troublesome. Also getting TSH level and Sr. It. B12 will help to make situation more clear. I also advice the females to see if they can stop OC pills (if they are on them) & use other modes of contraception. Good luck |
hiii Mam I had Oral Sex with My GF Yesterday I Was Rubbnig My Penis On vagina and After Some time I Get Away And Ejaculuate on the floor But Im Sure Nothing Was done on Her Vagina. After Some Time we Again Started And Again i started Rubbing My Penis on Her Vagina By Cleaning It by cloth By Some Type Of Liquid came from Her ANd Me but i didnt put penis inside her Vagina And She is still Virgin and she Said Her Periods Are on Peak tell me there are any chances of pregnancy.. i have bought a pregnancy Kit Also To test it tommorow Morning Plllzzzzz Help Me.. | Hello dairy understand your concerned have done sex around the period date. It is completely safe period of the cycle as no ovum is release at this time, so no fertilization will take place. To become pregnant penetrative intercourse or intercourse up to vaginal introits in fertile phase of the cycle is required. So do not worry, there is no chance of the pregnancy. Avoid stress, take healthy diet, Chat Doctor. Use condom in future to prevent unwanted pregnancy. Hope this may help noncontact Chat Doctor for further health query Best regards |
My roommate has been coughing violently for the past two weeks... it seemed to be getting better but returned with significant chest pain the past few days. Tonight she coughed and heard a pop on her left side and has been barely mobile since. Any ideas?? | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult pulmonologist for your roommate and get done1. Chest x ray2. PUT (pulmonary function test)There are mainly 2 possibilities in her case.1. Lung infection2. Bronchitis, chest x-ray is needed to rule out lung infection.PFT is needed to rule out bronchitis. S, Consult pulmonologist for her, first diagnose her and then start appropriate treatment.Don't worry, she will be alright. |
I am ratul sarkar(23). I was diagnosed jaundice in Aug 12. My billirubine count was 7.2 and sgpt 1700. Now I am fit as per my doc.. but still I am taking the same diet as Aug. I am not taking any medicine now and my last report was billirubine | Hello, ra21dip,I hope your doctor checked you for the three major Hepatitis viruses, Type-A , B , & C. If your liver tests came back to normal within 4-6 weeks and you are feeling perfectly fine, most likely you had Type-A hepatitis. This doe snot lead to a chronic liver disease. If you had acute Type-B or Type-CHepatitis, some of those cases go into a chronic phase. In such cases the liver enzymes stay abnormal or elevated for more than 6 months. You were probably told to stay away from fatty or fried foods during your jaundice. Now that all your tests are normal, you can eat more normal foods. If you Chat Doctor. You should take a good Super B-Complex Vitamin daily along withVit-C 1000 mg. a day. High protein diet is good. Keep your weight under control and do regular exercises three times a week. You should stay healthy for a ripe old age ! I wish you well. |
I have a block that keeps getting darker on my lower back the skin douse not hurt but my back douse right where it is right down to my hip bone on only my left side and a pulling stranging pain when I lean to my right and my back gives way on me some times | Hello, I have studied your case. At old age there will be age related spondylitis but if there is any nerve compression then that may need specific treatment. I will advise you to do MRI instill time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. 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. Wishing you good health. Take care. |
I ve been having pain on left,middle and right side of stomach..plus a strange feeling in upper center of chest..I had a ultrasound done and it showed gallbladder packed with stones and liver has cyst. can the gall bladder with stones a cause discomfort and pain on my left side and a strange feeling in my upper chest? my doctor prescribed Zantac thinking it was heartburn, gerd or gastritis. But when I tried taking it I had bad side effects heart became irregular/fast and blood pressure shot up,also felt dizzy and shaky so I stopped taking it. I take the medication amiodorone for atrial fib. I m female 60 years old and wondering about some alternative natural remedies such as aloe Vera juice, triphala and DGL instead of Zantac. Thanks in advance Joyce | Hi.noted history of gallbladder stones, cyst in the liver and associated abdominal pain. Yes, it is possible that the symptoms you're experiencing are secondary to your gallstone and liver problem. Pain caused by gallstones is usually epigastric (middle upper part of the abdomen or substernum; most common site of gallstone pain) or right upper qua Chat Doctor. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Other diagnostics (such as ERCP, liver function tests, alkaline phosphatase) and management (medical and/or surgical if indications are found) will be directed accordingly. Definitive management of gallstone disease is cholecystectomy or surgical removal of the gallbladder, which can be done laparoscopically (gold standard) or through open technique. Liver cyst can be observed initially and if not causing any obstructive sign or symptom. Low fat low salt diet is also recommended. Hope this helps. Good day!!~ |
Hi I had recently lithotripsy with laser for blastic 9 mm stone in urator tube and eswl for 5 mm stone blasting and both these are for left kidney. Currently I am with stent which was placed on 14th of this month. Since last two days I am getting chilling feeling and shivering for about 15 mnts and then it disappears. initially it is started with total body pain and then since yesterday fever is about 101 | HelloThanks for query. You had undergone endoscopic surgery of URS for fragmentation of stone in your left ureter and ESL for 5 mm stone in left kidney. The pain, fever and chills that you have is due to following factors .1) There are bacteria in the center of the stone (Sides) which get liberated after fragmenting stone. These bacteria enter in to general blood circulation and cause fever and chills 2) There is an allergic reaction of the mucus membrane of Ureter(Urethritis) to the foreign body (Stent) that gives rise to pain and fever. These are known and common events after URS and DJ stenting. Following measures will help to resolve the issue 1) Chat Doctor. This will get resolved after removing the stent. |
Hi I was diagnosed with pcos in August 2013 after a miscarriage in November 2012 and long spells such as 6 amd 3 months between periods. I really want to get pregnant ASAP and am currently taking folic acid and evening primrose oil and waiting to start metformin. Is there anything else I can do to help get pregnant quicker? | Hi, Thanks for the query. Poly cystic ovary disease presents with irregular periods, an ovulation, insulin resistance etc. Metformin helps in treating the insulin resistance. The possibility of pregnancy depends on whether ovulation is occurring or not. As you are having irregular periods, it is difficult to guess the period of ovulation. So, after getting your periods, track the ovulation either by kit or by physiological methods. For more details |
Hi Doctor, I have had a total hysterectomy 7 weeks ago, my omentum and appendix were also removed as were several lymph nodes - para aortic etc, I had 2 masses on both ovaries and pathology came back as diagnoses borderline ovarian cancer stage IIIc, however all results from surgery came back as non invasive implants but my surgeon and oncologist (both had a conference) are recommending chemo t taxol and carbo 6 cycles, my understanding is that you do not need chemo for borderline and this is extremely confusing. Mu oncologist says they may be over treating me and want me to have this chemo as there was extensive desease outside the ovary - however nothing invasive showed up from the labs ??????? help | Dear madam. I understand you and your concern, but it is not possible to evaluate aggressively of tumor by lab parameters. It can be evaluated only by surgeon during the procedure and PhD analysis. Stage AIIC means serious involvement of ovary and structures around it or lymph nodes. It needs to be treated more aggressively than stage II and I recommend you to do chemotherapy despite its complications. Ovarian cancers unfortunately are almost the worst ones and you shouldn't do any compromise. Even if it seems to be borderline without detected invasive implants there can be some micro-metastasis which won't be seen during the surgical procedure. Che moth can be very preventive and therapeutic, and you will feel safer. Wish you good health |
Hello, my 5 week old baby has been vomiting some gross slimy milk for the past couple of days. He doesn t seem too phased by it, but as a new mommy, I am very concerned. He is being fed enfamil gentlease 3 oz. The vomit is very slimy and smells sort of rotten. Also, when this vomiting occurs, it s almost as if he is throwing up the entire contents of what he was just fed. | Small. Bouts of throwing up is common in That age group, it is common in Both breastfed and formula milk more so in formula milk, the foul smell is more common in formula milk because if I is not natural and varies in proportion while mixing with water. Please mix the milk powder proppationely and give the baby freshly prepared milk every time. Please discard the remain milk, utmost hygiene should be enforced while cleaning the bottle and spoon |
Hi, I m 20 and last couple of days I have this sinking feeling in my chest as if my heart was sinking down towards my stomach. I didn t eat much last week but since monday I started to eat more and regularly. I got a bit bette but those feelings still occur. I m really worried about it but i guess that my stress about it maybe makes it worse. Can you tell me what should I do about it? | Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Gastroesophageal reflux disease. I advise you to get an Upper GI Endoscopy and Crease test, complete blood picture, stool culture, per digital rectal examination to confirm the diagnosis. Also get an ECG,2 Dimensional echocardiography of your heart as a part of routine check up. Chat Doctor. Pantop once daily before breakfast, Syp. Gelusil and Di gene chewable tablets. Avoid strain and coughing as it may lead to Diaphragmatic hernia. I also advise you to get investigated for H.pylori. You may also need to take Qua |
hello sir, 1 month ago i bleached my face and facial also. at that time my skin was glowing but after one week my skin get darker and certainly a line appeared on my nose also. 10 days ago i started using melacare cream but there is mild skin rashes on my face and also my face is not much lighten . plz help me what should i do?? | Hi I had gone through your query and understand your concerns. I would come up with the possibility of ALLERGIC DERMATITIS may be the cause for your sufferings.-bleaching to the face may be the predisposing factor. Treatment option; I advise you taking HomeopatChatDoctoredicines gives safe and permanent cure for your complaints' homeopathy treat the cause (allergy) of your complaints and gives permanent cure without recurrence. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit your complaints I hope this is helpful for you, thank you |
I am 32 years old and just found out yesterday that I am 4 weeks pregnant. I am leaving for vacation in Costa Rica in four days. Typically my husband and I take a small prescription of Cipro with us (to Mexico) as it has come in handy for the stomach bugs caused by the water, etc. Is there anything I can take that will be safe for my baby? I am healthy, and am not considered \"high risk\" in any way. | . It is always better to avoid antibiotic use wherever possible during pregnancy. Ciprofloxacin is given to pregnant women with caution of keeping in mind that benefits should be far more than risks. It is avoided in lactating mothers for sure. But as you are in the start of pregnancy, try to avoid infection especially you talked about intestinal infection. Keeping a good hygiene and balanced diet will help. HY Chat Doctor. I hope this is all you needed an answer for. I am at your disposal if you need further assistance. Healthiest Regards! |
Im 23 and for the past couple of days Ive had on and off fluttering sensation in my chest. Im a paramedic so i gave my self a 12 lead. it showed a sinus brady rhythm ( which is normal for me) but there were some PACs and PVC. what could this be an indication of? | Welcome to Chat Doctor ...PAC and PVC below 40 are usually benign AMD the causes may be excessive tea or coffee or alcohol etc .rest are fever .high thyroid level or anemia, but there may be a cardiac cause which will be manifested on taking BP and sugar level and ECG and chest X-ray please go for this checklist and if all these are ok and you donor have any other symptom besides this fluttering in chest then please take low dose beta blocker as tab metoprolol 25 mg once a day after all these things you still need any help I will be happy to help you with regards Chat Doctor. |
I am getting a metal retainer later on this year and have been told it has a wire along the front and will affect my speech , I am not confortable wearing it to school and will not compromise on that point however I would be able to wear it from when I got home to when I leave in the morning . All together morning-evening its around 16-17 hours a and i was just wondering if that was a long enough period of time to wear it without my teeth moving back ? | Hello, Thanks for consulting ChatDoctorRead your query as you have metal retainer yes speech is slightly altered in wearing retainer, but I will suggest you to wear your retainer 24 hours that will affect you more in your treatment and moving your teeth back. I will also suggest you to consult your dentist for follow-up visits and maintain proper oral hygiene use chlorhexidine mouthwash regularly. Hope this will help you. |
Hello Doc, My baby(girl) is about 8 weeks old, she keeps on sleeping all day and in the night she just takes a nap for about 10 mins and cries loudly as in frustration or somewhat like stomach problem. She drinks milk very good, burps, pass on the gas loudly. I am giving her Janma Ghutti its ingredients are Anjeer | Dear parent, You have not mentioned if the child is breastfed or top fed. If the child is breastfed, which she should be, then you need not give her anything. NO JANA GHETTO NOTHING. You eat good nutritious and balanced diet regularly that will make good quality milk for her. Even if top fed, make formula as prescribed, if packet milk then check with her pediatrician how to make it properly. In this case also she does not need any fatty. As far as sleep is concerned this pattern is normal for child Chat Doctor. They don't sleep according to you, but you need to adjust according to them. If she is happy, passing urine motion and gases, increasing weight you need not worry. Adjust yourself with her. |
Hello Sir, Amit here. Last year on june 2009 my mother went for a slip disc surgery(L5 & L6). but still she was not feeling well, she get pain oftenly (infact daily) that starts from her lower thies till lower portion of her knees (according to her it seems like paining a veins) and moreover the portion where the surgery held (Slip disk surgery stitches) that is also getting lot of pain.I really appreciate if you could give me any advice on this.Thank you very much.Regards,Amit | Dear patient What surgery was done, and spinal fixation was done or not? Were your symptoms improved after surgery or there was no improvement? If your mothers symptoms remained same after surgery with no improvement it suggests surgery was not done properly. If symptoms improved after surgery for few years and now there is recurrence it can be 1. Disc prolapse at adjacent level 2. Spinal instability. This needs to be investigated with MRI of lumbosacral spine with screening of whole spine to confirm diagnosis. You need to consult expert spine surgeon with report. All the best. |
Hi, My lips seem to be constantly irritated for the past 3 months. I believe it started as an allergic reaction (I had weeping, crusting, swelling) but now its cheilitis. My lips are often dry and peel frequently. They have red blotches on vermillion boarder.. At times the outline of my lips go red then subside. I tried every cream possible... they all have short-lived effectsHELP PLEASE | Hi, You seem to have chronic charities. There may be erythema, Chat Doctor. You might have mild pain, burning and itching. There may be some cause. Lip licking might exacerbate the disease. Sundays exposure, cosmetics, lipstiks toothpaste, dusts...etc. might be responsible. Vitamin B complex deficiencies, anaemia or nutritional inadequacy might cause the disease... You consult dermatologist for firm diagnosis and perfect treatment of its cause. Have blood tests to rule out any internal disease or vitamin deficiencies. You may take folic acid 5 mg thrice a day with iron tab. Antibiotics may be needed if there is secondary bacterial infection. Apply antibiotic cream with mild steroid like mometasone. You avoid soap, cosmetics and lipstick for good and fast result. Avoid bad habit of lip licking, if it is there. Do not prick the lip skin with your nails. You might get good result after few weeks. I hope this would help you in your treatment. Thanks. |
I am taking narcaria retard 20 Mg and Envas 5 Mg for hypertension twice a day for the last 15 years. My BP is normal but now my legs swell. Now my Vitamin D levels are said to be very low. Can i take shell cal os with the above medicines and what remedial measures for swelling of legs? | Hello, As you are on a cardiac Medicine for long years, it is suspected that there will be a weakness of the venous return through the lower limbs. You can take vitamin D3, Shell and regular medications together once you figure the exact dosage after having a discussion with a cardiologist. Also, you need to exercise regularly as something called a chair aerobics which will help improve the cardiac functions and improve the venous return too. In my clinical practice of over 12 years, most long-standing hypertensive cases are under modified aerobic which has helped improve the lifestyle and reduced the symptoms of swelling, pain, tiredness, etc. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
5yr old son, neurocysticercosis, single cyst, less than a centimetre is on steroid ( omnacortil) albandazole & eptoin syrup. Omnacortil & albandazole given for28 days. Eptoin still giving. My query is - 1. When he will b back to his normal shape, has put on 3-4 kgs. 2. Side effects of all the above mentioned medicines. 3. Cyst will be dead by now after 28 days of medication? Will it dissolve or leave scar? 4. Future prevention for the child. 5. When MRI to be done after 6 weeks or later? 6. Upto how long medicines should b given for further prevention? Chances of coming seizure after medication? | Hiweight is due to omnicortil and option but will go away after three months of leaving the 2 medscalcified cyst will remain but will shrine typically administer antiepileptic therapy for six to twelve months after radiographic resolution of active parasitic infection, followed by a trial off of antiepileptic therapy. Recurrent seizures should prompt reinitiation of chronic antiepileptic therapy. Patients with parenchymal or subarachnoid neurocysticercosis should undergo intermittent radiographic surveillance to evaluate for resolution of the cysticerci and development of calcifications. Imaging may be performed one to two months and six months following treatment. The frequency of subsequent imaging should be individualized; once lesions have resolved followup imaging is less useful. Imaging should be repeated prior to discontinuing anti-epileptic Chat Doctor. New, worsening, or persistent symptoms should prompt evaluation. Antiparasitic therapy should be considered for patients with growing cysts off therapy. An alternative approach may include serial antigen-detection assays |
I have a 10 month old male who is projectile vomiting after milk feeds... he is quite chesty, teething and coughing a lot. The vomiting started yesterday at childminders, no diahorria and nothing different to normal apart from a bump on the cheek that is now a bruise. | Thank you for consulting in Chat Doctor. I need more details |
My back, hips, knees, and ankles are in alot of pain. Ice feels amazing on these areas and i dont know what is causing all this pain all of the suden. I do suffer from a back injury but now my body is killing me. I am an active softball player. What is wrong with me? | Hello, If the pain is radiating in nature it will be related to nerve root entrapment in the lumbar spine and an MRI is suggested. If the pain is in the joint then this will be over a period of time repetitive stress injury which happens due to over straining of the ligament at the joints. Stabilize the knee and ankle with braces and start doing hot water fermentation along with joint stability exercises. With the exercises, there will be a change in the overall joint stability and muscle strength, which will help avoid the inflammation of the joints. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
My doctor recently told me stop taking blood pressure medication that I had been on during a pregnancy. Today I have had several blood pressure readings in the range of 187/107 and I do not feel very well. I have called my doctor but will probably have to wait until the end of the day to get a return call. What shold I do? | Your doctors' advice is most important because he or she knows you. The blood pressure elevation from pregnancy usually goes away quickly but in some people may last for a month. I have suggested to patients in the past to resume medication for a week at a time followed by one to two day holidays with frequent measurement. This usually allows the medication to be safely discontinued without frequent visits to the office. |
a week ago i felt stabbing pain in the chest area left side , i went to my doctor he said i am suffering from a somatiform disorder physicaly i am fine , he asked for a chest x ray i got it today and the reoprt stated that 1- clear lung field and both costophernic angels with no evidence of active focal plumonary lesions. 2- no hailr or mediastinal adenopathy detected 2-the heart shadow appeards not enlarged 4- the osseous structure is intact. i did suffer from anexity and depression fro a long period in my life but the pain is reall and i have shortness of breath as well and loss of appettite and weight loss can you please help me understand the x-ray reoprt | Dear Concerned., Thanks for writing to us. Your CXR is normal or NRA-No radiological abnormality seen in roentgenogram. The shortness of breath is due to Hyperventilation Syn Chat Doctor. Loss of Appetite with loss of weight are also a sequela of Anxiety Neurosis. Do you have any anterior neck bulge/protruding eyeballs? Do you have constant sweating? In your history you have not actually mentioned your most important Vital Parameters-Pulse Rate//Resting Pulse Rate., Blood Pressure and Respiratory Rate. These are very important to differentiate between Anxiety and Hyperthyroidism. In addition to CXR, you should have undergone Thyroid Function Tests /baseline blood and Urine Tests and a resting ECG in 12 leads. If all the above are Normal, your Anxiety Neurosis will be confirmed., Pls take a consultation with Psychiatrist for \"Talk Therapy\" or Psychotherapy to analyze the root cause of anxiety and then \"Medicine Therapy\" or Pharmacotherapy as decided by your Psychiatrist. Avoid hot //spicy//oily// food. Take over the counter antacids. Walk for 15 mins after food. These will help to regulate Hyperacidity which may cause above type of pain in Acid Peptic Disorder(APD). Wishing you a speedy recovery., Best Regards., |
I am suffering from very large area of skin ulcers covering the entire stomach region. The skin Biopsy has identified as severe infection which is possibly fungal infection. Intially suspected Leushmaniasis. I have bn a patient of Micosis Fungoides, detected since 2007, and treated continuously with Azathioprine and Methotrexate, with Tenovate M, Momate F etc for local application. Pls guide me to the most experienced Infection expert and Dermatologist in Mumbai who can be of immediate help. | Hello. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern and will try to help you out for this. It seems that you have been suffering from severe infection, possibly fungal. In my view you should immediately consult the nearest infectious disease specialist. If I was your doctor then I would have immediately gone for culture and sensitivity both of fungal and bacterial. This will help in deciding the mode of treatment especially in your case where you have other co morbid conditions. So it is equally important to avoid |
I ve been feeling nauseous lately, my blood pressure has been going up and down a lot recently. I have hypertension, but my blood pressure was too low the other day when I felt sick and took it. I just took it, and it said 144/101 and my heart rate was in the 90 s. I just recently had a baby, I had to be induced around 33 weeks due to preeclampsia. Even when I am calm, my blood pressure runs high. I am 21 years old. Should I be too concerned, or no since this is normal for me? Could my blood pressure be the cause of me feeling sick to my stomach? | Hi welcome to Chat Doctor. I understand your query and concern. High blood pressure uncontrolled leads to Left ventricular hypertrophy in ECG and should be evaluated for Dilated cardiomyopathy or ischemic stroke of brain or heart. Best treatment for elevated blood pressure is through Chat Doctor. Before that adequate management and work up is needed. So I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. |
I am 41 years old & have been having asthma since my childhood! I have been using asthalin (Salbatamol) inhaler since my childhood too! However I am an athlete an work out extensively as in body building! Inspite of me being so I am still heavy & over weight & find I cannot lose weight & bloating is always there! Do you think it is so because of the inhaler that am am not being able to lose weight or cut the bloating?? | YES INHALERS CAN CAUSE THIS IF YOU HAVE ASTHMA FOR LONG TIME IT MUST BE FROM MILK OR WHEAT YOU GET MILK AND WHEAT SPECIFIC ANTIBODIES IN YOUR SERUM AND YOU CAN GO FOR SLIT AS PERMANENT CURATOR TIME BEING STOP ALL MILK AND DIARY PRODUCTS TAKE TAB SINGULAR BDT AB ALLEGRA BDS YP TOSSED 1/2 SF NIGHTAVOID ALL OILS MUSTARD COCONUT WALNUT GROUNDNUT AND ALMONDS SOUSE OLIVE FOR COOKING AND APPLYINGAVOID ALL MILK AND NUT CONTAINS SHAMPOO CREAM SOAP AND OINTMENTS |
I was diagnosed with vertigo in early june..although I am much better than I was I still have a spinning room when I lay down and sit up in the am.if I look up too or reach up too long I can feel the dizziness coming on. Same with leaning over.i seem to loose my balance easily. Can this be something else and should I see someone? | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your queryThis sounds very much like Benign Positional Vertigo. In this, if you change the head position suddenly and quickly, you will develop the vertigo. You need to be careful to change the position of the head slowly so that you do not have the sudden vertigo. The medicines are always there and are quite effective especially betahistidine. However, taking medicines for a long time is not always a good way. I suggest you attempt to learn the Brant Zaroff exercises, which are very effective in healing and improving the vertigo. An MRI brain would be good to make sure there is no intracranial or brain problem. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. You can upload them on the site. You can upload them with the query, or if you have a problem, send them to attachments@ChatDoctor .com with Sub |
Doctor i am trying to get conceive today is my 3rd day i came to doctor and doctor advised me take duphaston 10mg for 10 days twice in a day and told to come on 2nd day of my next cycle may i know what treatment she will give please send reply to my personal ID YYYY@YYYY | Hello and welcome to Chat Doctor, I have read your query. Phaeton is an orally active progesterone, and it is prescribed for infertility and menstrual disorders. It acts on the endometrium, protecting and preparing it for pregnancy. There are no an Chat Doctor. So it is relatively well tolerated by the body. You may continue the treatment as per the doctors advise and keep on trying during the fertile period. You must be sure of your fertile period. It is when the ovulation occurs and comes 12-14 days after the beginning of last menstrual flow. I hope your query was answered. Happy to help and wish you good luck. |
I am on metformin 1000mg bid for pcos & was prescribed Percocet 10/650 for a severely displaced fracture needing surgery. I drink a glass of red wine nightly for heart heglth Bhc cardiac disease runs in my family... Should I be concerned a our elastase liver function test? I am also on Zoloft 150 daily, adderall 30mg bid & clonazepam as needed who I take a few night a a week | Hi, dairy have gone through your question. I can understand your concern. You taken percent, clonazepam, Zoloft, Adderall so in my opinion you should avoid alcohol. It will damage the liver and will put you in trouble. You should check your liver enzymes levels once and also go for ultrasound abdomen once to rule out any alcoholic liver disease. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
I am a 47 year old female - I had dental work done on Monday - my tolerance for novocain is high and the dentist gave me 2 shots which was not enough - he gave me a third - but I was still not completely numb. I have had a bad head ache and mouth pain since the work was done. My jaws seem to be clenching - my tongue feels as if it were placed in a vice grip and I am very sensitive around the site of the injections. Could I have a blood clot at the site of injection - or possibly damage to a nerve - or something else? | Hello, I am happy to give you some suggestions. You may experience a few days of discomfort after an injection. Anesthetic liquid can get into a blood vessel and cause swelling or a hematoma that will take time to dissipate. It is common for the side of your tongue to get numb when given lower anesthesia. You may have bitten your tongue and this may cause some discomfort on the side of the tongue. Headaches raise the concern of your bite. Do you feel like you bite the same as before you had your dental work completed? Sometimes you need to revisit the dentist for a bite adjustment and smooth a new filling. You may also experience some soreness from holding your mouth open for a long period of time. Please take some pain medication and anti-inflammatory medication. This would be Acetaminophen and ibuprofen. I Would need more information on the dental procedures that you completed to give you a more detailed opinion. If your gums are sore, consider rinsing with warm salt water and continue good oral hygiene. I hope this advice begins to help you feel better soon. I am sorry to hear that you are having discomfort. Furthermore, I hope my advice is helpful. |
Doctor im good at studies... but some times unnecessary thoughts are going through my mind... im unable to concentrate on anything .. if i hear any bad news my mind gets down many negative thoughts are going through my mind.. i cant figure out why this is happening... i cant concentrate on anything as my studeis goes down please give me some suggestions to get rid of this problem | Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are going through a difficult time due to your difficulty in concentration. This can be due to a variety of causes like stress, anxiety, depression, etc. Since you say that this is affecting your studies, I would suggest that you seek professional help. I would advise you to see a psychiatrist for a detailed evaluation and further help. Wish you all the best. |
hello i had the implanon put in my arm about 8months ago as decided this would be good to try. it was amazing for all 8months even my periods stopped, however two weeks ago i started having periods again and they are showing no sign of stopping. is this normal? its starting to get on my nerves. also i had the implanon removed yesterday as we want to have another baby! please help | Hi, Menstrual irregularity is a prominent side effect of the implant. The occurrence of prolonged bleeding after a phase of amenorrhea denotes the hormone imbalance created by the implant. Ovulation can be expected to return in six weeks since you have had the implant removed. Please see a specialist for further evaluation and treatment if the bleeding does not subside. You may need styptics and hormones in addition to blood profile and hepatic function tests. Please maintain a healthy diet, genital hygiene and a healthy weight. Take care. |
Thank you. My PCP diagnosed me with a medical term I am unable to discern from her handwriting. My chief complaint is excessive sensitivity to heat, rapid overheating with symptoms of excessive sweat from head (dripping) and my upper torso gets so hot and sweaty too. I am prone to break a sweat even doing light house cleaning or sitting at my work desk if I feel, the room is too warm. What I can make out of the Dx looks like hyperlyd?? . Can you possibly assist me with the Dx name she wrote down? Any assistance would be helpful. I have also attempted to locate the condition in my EHR but cannot locate it. I am writing a letter and need to be able to correctly spell and identify my given Dx. Thank you SO much! | Hi welcome to Chat Doctor. I understand your query and concern. Your symptoms are suggestive of arrhythmias of heart secondary to anxiety. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. One pomegranate and apple a day will help to keep your heart at good pace without clot formation. Continue your present medication without stopping. Consult a Cardiologist for further expert management. Post your further queries if any. Thank you. |
Im experiencing pain in my right side under my rib cage it is swollen and i havent done anything active to have a broken rib and if i put any type of pressure on it or when cough i have a sharp shooting pain. Im also experienceing nausea and vomiting and a slight fever. Could it be my bladder? | HelloThanks for the query It can be either your gall bladder or liver which could be causing the pain. However, local tenderness strongly goes against these, to know for sure you will have to get an X-ray chest Anterior-posterior view and a USG abdomen and pelvis. Please visit your GP for local examination and further management. Tab Diclofenac is a good painkiller in these types of pain hope I was of helpRegards |
My sister had a jaw surgery the both .after 11 months she is going to remove the plates. Is it dangerous for her life because I have a lot of fear. The first surgery lasted 9 hours and I got terrified from it. may be is the fear I have had from the first surgery but ...how much is the max time that can last the removing the plates.she has 4 uper and 2 down Thank you! | Thanks for your query, I have gone through your query. The plates can be removed easily, We cannot tell the exact time of surgery, approximately it might take 40\u00a0min to 1 hour after administering anesthesia. It depends upon the area where it is placed. If the plates are in the inaccessible area, it might take more time. Nothing to get scared or terrified. It is simple procedure. Be bold and get it done. I hope my answer will help you, take care. |
every time I bend I have pain on the right side of my abdomen (right under my ribs) and upon standing develop a painful Charlie horse type feeling which worsens as the day progresses (or with how active I get). it doesnt go to my back or anywhere else. just that one spot. I lost 41 pounds from dec to April but hadnt been working out much since. do some heavy lifting at work occasionally and it seemed to start around then | Hi, thanks for using Chat Doctor The pain is likely related to soft tissue injury to that area. It may have occurred due to the heavy lifting that you were doing. If you have no history of allergies or problems with anti-inflammatory painkillers then you can consider using them for pain relief. These would include medications such as ibuprofen, aspirin, Catalan, Voltaren, Celebrex. These should be used on a full stomach to reduce any irritation to the stomach. If the pain continues despite using the medication appropriately then you should consider a visit to your doctor. I hope this helps |
Hello doctors, I have been suffering for about six months now with moderate to sever pain in my abdominal cavity, Serveral specialist are working on diagnosis, however, it can be hard to make sure all the doctors see all the notes. In addition to pain I am swollen enough that people think im about six months pregnant. some of the diagnosis include pain primarily on the left side of my abdominal and in the left side in the back. I have three cyst on left ovary and one cyst on the right ovary. I also have a cyst on the left kidney. I often have difficulty urinating in that is necasarry to strain to void. Recently a umbilcal hernia was repaired successfully. All cyst appear not maliginant.. I do have ibs and diverticulitis and am positive for h pilori. I have pain when eating that is basically like pressure and achey. Most of my pain is on the left abdomen about natural waist down to the pelvic area in that pelvic area is the greatest pain | HI. Thanks for an elucidated history. You have IBS and diverticulitis. And this may be the reason for pain and bloating you have. On a safer side go for CT scan of the abdomen and colonoscopy and biopsy to prove or rule out any other pathology. CT will help to know the status of the ovary and the cancer potential and if required a diagnostic laparoscopy can be undertaken to have a proper diagnosis and may be for the treatment as per the findings. |
I have not felt well for almost 3 weeks now. I have been to my doctor, who put me on prednisone . I have asthma . It didn t work. I ended up at the ER because I was having very hard labored breathing . Xray was done, doctor says my lungs are clear. I was given an IV antibiotic and IV steroid . I was also given an EPE shot, and a breathing treatment, and sent home. Follow up with my doctor 2 days later because breathing has not improved. I had a CT scan done for blot clots in lungs. CT did not show any blood clots. I have been put on an antibiotic as well as advised to finish the prednisone. I have a horrible cough associated as well. I blow my nose constantly. Now, when I blow my nose, it s blood. My doctor has set me up to see a pulmonary specialist. What are we missing? | Hello, A plain CT scan of the chest will miss lung clots unless very obvious. A /Q scan is a better test to pick up lung clots and suggest you immediately get a consult if you continue to feel unwell. If you had recently been on a long haul flight or travel, recent surgery or immobilization, your risks are higher. An ECG is also helpful at times. Please check in at your nearest ER or A&E (Emergency) today. Thanks. |
Two months before unfortunately my baby was miscarriaged.I had an d and c.after that two periods came for me.in second period blood clots are came I taken ultra sound scan. Scan is normal. Doctor suggest novex tablet and folinz tablet. This one is correct or I have to take any other treatment. Please give me a suggestion Q | Hello and welcome to Chat Doctor. I am very sorry to hear about your baby. Sometimes after a pregnancy is over, the bodies reproductive hormones can get into an imbalance and that can cause the Dysfunctional uterine bleeding (DUB) or clots passed from the uterus. The medicines that you are taking are basically given to regularize your menstrual cycle(Novel tablet) and the other Folio tablet ISA vitamin supplement given to improve general health and fertility. Generally it is the practice to give Novel for 3 to 6 myths continuously and then stop and wait for normal menses to resume. Novex is also a birth control pill so if you are planning to conceive shortly, you will need to stop it at least 2 months before planning for your baby. Chat Doctor. Chat Doctor .com/doctors/ |
I had bladder cancer and they did surgery to remove cancer. I am now at 4 months post surgery. I went to the urologist today for my 3 month check up (cisto). There is either a hole or a pocket as the Dr. said at the surgery site. She would not give me any more info than that she wants me to have an xray with a balloon catheder. Should would not speculate or even answer any of our questions like where is the urine going if it is a hole, or what would the procedure be if it is a hole. I m not feeling to confident with this Dr. that did the original surgery. I am worried. I have returned to work 2 weeks ago. I get tired and have some pain but I manage. After my surgery I was constipated and developed a fissure in my rectum and my sciatic nerve flared up to the point I couldn t walk. I am still taking stuff ( mag citrate) to keep my bowels loose and a probiotic. | Hi, Thanks for writing in. Cancer is a challenging condition and requires long time treatment and support. Since you are post bladder surgery, there is a chance that scar tissue is present after surgery and this is causing the discomfort in passing normal bowel movements. The fissure might have formed due to complex nature of cancer areas involving the space around the rectum. Please discuss the surgery details with your operating surgeon to know why it might have occurred. It is suggested that you take foods rich in dietary fibers and this will cause better stool formation and reduce chances of constipation. Early in the morning you can have a glass of warm water as you wake up and this can stimulate early morning bowel movements once you stop taking mag citrate. The X-ray with balloon catheter might be to assess any leakage and communication between the bladder and rectum as a consequence of surgery. Without proper investigation, it is difficult to make a comment and I guess that is the reason your doctor chose to talk at a later date. You can eat small meals at shorter intervals in place of less frequent large meals. Reduce the amount of oils in your food. Please do not worry. |
hi my age is 51 y and i have been using cialis & Lavetra for about 5 years during all intercourse but now my penis does not become hard enough (after taken lavetra or cialis) if it got hard but not keep sustain the hardness for getting success in intercourse | Hello, As you are 51, at this age, erectile dysfunction needs to be taken seriously. It may because of some hormonal problems, problems inside the penis or diseases in blood. Smoking and alcohol aggravates the problem. In some cases, it may be the early sign of heart disease. As Calls and Lavern do not help, you need physical examination by doctor, some blood tests to look for hormonal problems and preferably Penile Doppler to look for blood flow in the penis. Meanwhile, have healthy diet, avoid fast food and smoking. Get rid of anxiety as it can cause performance failure. Try keel exercise. Hope I have answered your query. Let me know if I can assist you further. Take care |
I have had intermitant nose bleeds from the left nostril for up to 18months in the last 5weeks I have had no blood nose symptoms BUT HAVE INSTEAD HAD A DIZZY LIGHT HEADNESS AND VOMITED TWICE IN THE LAST TWO WEEKS. I have had breast cancer (two different types of cancer) 5 years ago. I have a stiff neck which is constantly sore, night sweats, insomnia and knumbness in my fingers early morning. Could this be a brain tumor as my Uncle had it and cancer /TB is in my family.? | Hello, The dizziness is not indicative of a brain tumor. When coupled with the stiff neck, I would conclude about chronic degeneration of the cervical vertebral column (spondylarthrosis). Regarding the numbness in your findings during the night, they are more indicative of a pinched nerve (Carpal Tunnel syn Chat Doctor. Anyway, consulting with a neurologist for a physical exam would help reassure that nothing wrong is going on. Hope I have answered your question. Let me know if I can assist you further. |
Hi, my boyfriend is experiencing a very low pulse rate (44) although he normally has a low pulse, about 50. He has been feeling faint and light headed for two days with a stomach ache, and has been sleeping and drinking fluids to combat this. Do you have any suggestions? | Hello, It's a matter of concern. First we need to find out a cause. Possible reason includes, thyroid problem, potassium abnormalities or sometimes problems in heart pacemaker called sinus node. He should get one ECG and holder monitoring done. Also, thyroid and kidney function test are needed. If we are able to find some treatable cause then it's fine, otherwise he may need pacemaker depending upon a cause. |
Hi, i have been taking iron tablets and i have found that it has made it harder to poo, causing me to strain. When i finished on the toilet, i noticed that my vagina was swollen (lips etc). I am also pregnant. Do you know why this happened? Please help! | Hello dear, I understand your concern. In my opinion iron supplements are known to cause constipation or hard stools. Constipation is routinely seen complaint in pregnancy. To prevent the constipation |
hello, my clitoris has developed scabs over the past few weeks i believe due to scratching. i was told i have a bacterial infection and I m taking a cream for it at the moment. the surface of my clitoris isn t smooth anymore. will this problem go away? | Hello, Welcome to Chat Doctor, The lining epithelium of female genitals if squamous epithelium and any injury to the mucosa either by infective agents or trauma can breach the mucosa, and it may lead to the symptoms which you are having.This epithelium is known for good regeneration, the scab which you have developed over the clitoris is may be due to bacterial vaginosis, if there is a change environment in the genitals it may lead to the present symptoms. As you are applying the cream over the affected part of the clitoris the symptoms will come down, and you will get back your normal lining epithelium. Thank you. |
i went to the hospital for my normal check up today and they found glucose and protein in my urine and told me they cant wait a couple of weeks for another urine sample and have to go back thursday im just a bit worried now can you please tell me what they may be concenerd about | Hello, in a normal person urine ideally tier should be no glucose or proteins. But as there is glucose and proteins in your urine it can show that you what we call as glycosidic and proteinuria. Glycosidic is seen in patients with diabetes mellitus. Proteinuria is seen in patients with nephrotic syn Chat Doctor. They might have called you back to get repeat check of urine along with tests like diabetes check in form of fasting blood glucose and other renal parameters. So just follow up with the doctor and get it checked. Don't worry even if anything is there diabetes and nephrotic syn |
hi i m 21 years old, m an engineering student....i have bilateral polycystic ovaries with normal uterus and cervix...i want to know wether i can get pregnent or not..what should i do to cure it...treatment is goin on,i am taking eltroxin 100 mcg every morning n my doc suggested me to take tablet yasmin. | Hallow Dear, Polycystic ovaries are formed because the eggs in the ovaries are not getting released from the follicles and are getting stuck up. Unless an egg is released from the follicle, it cannot be made available to the sperms for fertilization, which is the basic requirement and the step for pregnancy. For effecting ovulation from the follicles, first line therapy is by Camphene citrate. It is advised that this therapy should not be given for more than 6 months. If this medicine fails to cause successful pregnancy, then gonadotropin may be used for induction of ovulation. Sometimes, these medicines cause ovulation, however are not successful in causing pregnancy. Particularly it is noted so with Camphene citrate due to its anti-oestrogenic effect. In addition, in PCs, there is high insulin and high an Chat Doctor. Myo-inocitol has proved to be very effective in such situations. Yasmin is a birth control pill which may be successful in regularizing your irregular menses due to PCs; however, it may not be successful in giving you a pregnancy. Moreover, you seem to have Thyroid problem which also affects the fertility. However, you are on Elton and should correct the Thyroid imbalance. I hope this will help you in planning your Management of PCs. |
i have had psoriasis since birth i am 40years old and it is affecting my life everyday ihave 2 small children .t is very painful to walk and all other things i have to do everyday even bending down to pick something up i have big patches which are allways oozing and bleedind even after putting creams on everyday which just calms it down for afew hours but the patches are allways there and they will never go there is no treatment for this my doctor is not supportive at all she says you have to live with it and there is no point going to see her agaian and only get repeat prescriptions i have no choice but to suffer in silence because this is affecteing all my movements cooking looking after my kids icant even take them out because i am suffering so much afriend advised me to claim dla which i had never heard of before i made a claim and they have refuse what should i do please advise me i am in a lot of pain every day and my 2 kids are affectet by this | Hi, As you said you suffer from psoriasis vulgarism. It is an autoimmune skin disease. Your kids are also suffering from same disease. There is genetic tendency. Certain factors might exacerbate the disease. Stress, anxiety, Chat Doctor. .etc. might increase the severity. You consult dermatologist for firm diagnosis and treatment. Methotrexate 15 mg in a week in decided doses for long time may improve the disease. Antihistamines might reduce the itching. Moisturizing cream like liq.paraffin or urea application in the morning and steroid with salicylic acid point at night would be helpful. For kids, hydrocortisone cream may be applied. I hope you got my answer. Thanks. |
my mother age 76 is suffering from parkisons disease since 5 years, and high blood pressure since 10 years, had an stroke 5 years back after angiography, which was negative. She has an infarct in cerebellar region, she has hallucinations and delusions disturbing her life, she is taking reguib 1mg tds diovan 80mg and sinenet 1/2 bd. Can she take cipralex for her mental health? | Hi, thanks for the question. Circle (Escitalopram) is an antidepressant used to specifically treat symptoms of depression like low mood, lack of pleasure in pleasurable activities, irritability, crying spells, helplessness, hopelessness, fatigue, low self-esteem, suicidal ideation, death wishes etc. As your has had stroke; she definitely is having a risk of suffering from depressive illness. Is she having any or some of these symptoms? Parkinson's disease & use of antiparkinsonian Chat Doctor. But you have described that your mother is having delusions & hallucinations which are suggestive of Psychosis. Psychosis can be secondary to stroke she recently suffered, or due to side effects of antiparkinsonian medications, or it may be even a hidden manifestation of delirium which tends to occur in post stroke patient or even dementia which is common in this age group. Hence, I need further information in form of detailed description of your mothers symptoms, medications, problems faced by you (caregiver) before arriving at a diagnosis & starting medications. Depending upon her problem, T. Quetiapine to control delusions, hallucinations or T. Circle to take care of depressive symptoms can be used. Do get back to me with further information. Hope this helps, good Luck |
Hi, I have used the drug amlodipine beslate 10 mg since 2014. I have developed problems with my gums causing overgrowth on them and bleeding. My dentist claims this drug can cause this problem.I need removal of these teeth which are not cavities. My teeth have shifted due to this problem. Any suggestions? | Hello, Gum hyperplasia or gum overgrowth can occur due to the side effects of medication and Amlodipine is seen to cause this side effect. So my suggestion is to consult a dentist, and first, get a full mouth x-ray or an OPG done. If there is excessive bone loss, then only you should proceed for teeth removal. First, an attempt should be made to save the teeth and reduce the gum hyperplasia with scaling, root planing and changing the Chat Doctor. Also, use a soft toothbrush to brush your teeth. Do cool compresses to reduce swelling and bleeding. Massage with gum paint. Hope I have answered your query. Let me know if I can assist you further. |
While having a physical examination, a young male informed his doctor that at age 8 he had lobar pneumonia and pleurisy in his left lung. The physician decided to measure his VC. Describe the apparatus and method used for taking this measurement. Define the following terms used in the description of lung volumes | Thanks for your question on Chat Doctor. I can understand concern. TV is tidal volume. IRA is inspiratory reserve volume. ERV is expiratory reserve volume. RV is residual volume and VC is vital capacity. All these are lung volumes and capacities at different phases of respiration (inspiration & expiration). Since patient is having past history of pneumonia, it is better to check lung condition at present before recruitment. Past history of pneumonia can cause permanent lung damage and decrease in lung functions. So better to check before recruitment. Volume of air during normal breathing is TV. Volume of air present in the lungs after deep forceful inspiration is IRA. Volume of air expired after deep inspiration is ERV. Volume of air moving in and out after forceful breathing is VC. Volume of air present in the lungs after forceful expiration is RV. All these calculations are made by spirometer. Hope I have solved your query. Wishing good health to your patient. Thanks. |
I ve experienced trigeminal neuralgia for some 12 yrs or so. Taking carbamazepine for pain and recently have been trying low dose naltrexone (LDN), hoping to get off the carbama because of unwanted effects. What do you know about LDL as a pain/depression/ anxiety remedy? Thanks! | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Some reports have stated so, but it is not a popular option. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link |
Hi Doctor, I am about one month pregnant now due to the intercourse with my husbandon 4th or 5th Sept 2010. I had taken the MMR shot on 6th sept 2010. I read a couple of articles that MMR shots are not advisable for pregnant women. Please help me out with the dilema whether to go ahead with the pregnancy or would this be a risky option considering the live virus for rubella was inserted a day after our intercourse. Anxiously seeking an expert opinion. Thank you | Hi, MMR is not advised to pregnant women, but if a pregnant lady has inadvertently taken MMR, she should continue the pregnancy, as no actual abnormality in the fetus is detected, if taken. Moreover, you have taken in the preconception phase where if at all any harm to the fetus had to occur it would have led to an abortion, due to the \"All or none\" phenomenon, where if any defect is there it leads to miscarriage and if pregnancy continues it implies everything is normal. Hope this helps. Regards. |
I m 55 yr. old male who s 50lbs. over weight. I m currently in a pre diabetes range. My doctor just started me on topiramate and metformin to so that I can avoid type 2 diabetes. I m very concerned about the risks in taking metformin. He didn t tell me about a B12 deficit issue or the heart risks. I started taking B12 today. I m scheduled to see him in another 3 months. Another note, due to back issues I m not able to to do much in the way of exercising right now. In time, I will be. With exercise, healthy diet and having lost weight, might it be possible to avoid diabetes without the use of these drugs? | Hiyou get Diabetes once it can be kept under control, but it cannot be cured so keeping your diabetes under control is the best option. Since you are taking metformin it doesn't cause any Heart Attack or vitamin B12 deficiency it may slightly cause some gastritis. it's better to check HE a1c levels in airplane at least 3 months wants to keep your sugar levels under control. Healthy foods and healthy diets can keep your blood sugar under control, but it cannot cure your diabetes. Brisk walking would be the best physical activity for controlling diabetes at least for 30 minutes a day, thank you. |
Morning, and Happyn New Year. I have PTSD due to my tour in Iraq. Im a retail store manager for a large box stores. My office has black mold on the walls...Ive been under a lot of stress the last two months. What role does black mold plays into my PTSD. My office has black mold on the walls in ventilation systems that have reported numerous times via e-mail, phone and verbal to my superiors. | Degree understand your concerns went through your details. I suggest you not to worry much. I presume that you are diagnosed with PTSD by a qualified clinical psychologist. If not, please get it done and confirm. In my experience, black mold does not play any role in the people affected by PTSD. All these are superstition. Perception differs from person to person and your perception is supposed to be different from others. If you believe in superstition, you could see this black mold as a disturbing factor. Therefore, leave superstition in their own way and learn to ignore. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
Hi my wife 32 years has thyroid problem since 6 years yesterday we checked her again and found- t3 78ng/ml ref range 60 - 200ng t4 6.3 ug 4.4 - 11.6 ug tsh 3.4 0.39 - 5.5 All in normal range but we also did her liver function test and results are Total Bilirubin 0.9 mg ref range 0.2 - 1.2 direct bilirubin 0.3mg 0.2 - 0.3 inderect bilirubin 0.6mg 0.0 - 0.7 SGOT 52 IU/L 0 - 46 IU/L SGPT 72 0 - 49 Alk PHOS 86 IU 0 - 258 TOTAL PROTEINS 7.6 GM 6.5 - 8.5 GM ALBUMIN 4.5 GM 3.5 - 5.5 GLOBULIN 3.1 GM 2.3 - 3.5 A/G RATIO 1 | HelloAlthough there are various causes for high liver enzymes, but the most common causes are Diabetes, obesity,high triglycerides, alcoholism,use of plenty of sweets and junk food, use of herbal medications, antibiotics,anti seizure medicines etc., various types of hepatitis etc. Get tested for diabetes, lipid profile,ultrasound abdomen. If any abnormality found in above tests, rectify it. If no abnormality found in these investigations then try to change your lifestyle by reducing weight, avoiding sweets and junk food and doing regular exercises and taking fresh fruits and green vegetables. Do this for 8 weeks and check your liver enzymes. If they are still high, then go for CT abdomen, liver biopsy and testing of hepatitis markers and consult Gastroenterologist. Thanks |
I hired into a job as being available at any time for any shift. After more than half a year of this, I couldnt continue working the shift they stuck me on (overnight, of course) due to my 2-3 roommates keeping me up for the majority of the time available for me to sleep on a 40+hr work schedule. After being persistent for a few months or so, they relented and let me onto an evening shift/overnight shift work schedule, and eventually just evening shift. New management came in, forced me to start working night shifts again, only now on top of my previous problem Im depressed (no, I dont know why, my life has been horrible but I usually just dont think about it, I get depressed from time to time and dont know why). I cant handle a rotating night/evening shift on top of these things, is there a medical reason I can cite? I currently take quick release Adderall and zyrtec, I dont really want to take antidepressants again--at least not while I still feel like I have the option of getting better without them. Age early 20s, male. | Degree understand your concerns went through your details. You are just 20 and even at this age, if you cannot handle the pressure of job and shifts, I am sorry, you will never be able to. This has become your basic behavior and trying to change it can lead to clinical depression. If you are unable to cop up with the job atmosphere even after one year, it is always better to find a new job which offers morning shifts. In that aspect you should never see the money involved, but see the peace of mind and stress-free future. Please consult a psychologist / psychiatrist before taking medicines. If you still need my assistance in this regard, please use this link. http |
I have just been told my brain CT shows some swelling, and they suspect a menengioma. I am scheduled for a Ct scan with contrast but will have some waiting period. Possibly 90 days or more. I am currently experiencing ongoing dizziness and nausea. Should I be waiting for 90 days or are their other alternatives | Hello! Brain tumors, meningioma is one of them, can often cause headache, dizziness accompanied by nausea and vomiting because of the increased intracranial pressure and the painful structure traction (like vessels and meninges). When these symptoms are caused by the tumor they tend to be more present in the morning, during body position changes. These symptoms can be connected even with the location and size of the tumor. If it is developed in posterior fossa, near the cerebellum, or the pontocerebellar angle dizziness and vertigo can be more evident. If the tumor is located where it blocks the spinocerebral liquid circulation headache and cause and vomiting are the most common signs. Regarding the other alternatives, meningioma in general is a benign tumor with a low rate of growth. If the tumor is of big size and has a lot of edema may be you should find away to anticipate your examination. I hope everything goes fine. Kind regards |
My 7 year old son has just got in from school and said his willy hurts. I asked him to show me and he can t pull the foreskin back very far and it looks red. There is no pus or anything but he said it is sore when he goes for a wee. He did go swimming today but he said it was ok then. Have you any ideas or advice please? | Hi, Does he complain of any pain on penile tip even when not passing urine? Is the glans swollen or red? Presence of these features indicates Atlantis / balanoposthitis (infection of glans and foreskin). If you are able to retract foreskin without force, there is no fibrosis. If no such symptoms, and pain is only during urination, this may suggest a urine infection. This is usually associated with increased frequency of urination also. Kindly take him to doctor, as both these conditions needs antibiotic treatment. Meanwhile, keep the area clean and Chat Doctor. |
I was on Clomiphene combined with FSH injection along with metformin 1000 sr tablets for this cycle My follicle size was 23mm on the rt and 11 mm on the left on 13th day. On 16th day, it showed that 23mm had ruptured and the 11m had become 18mm and another one has emerged at 15mm on the right side. What is this case.. i am tottaly confused.. | Hi welcome to Chat Doctor. I have gone through your question. You are on camphene with metformin and FSH in, camphene induce ovarian stimulation and enlarge the follicle size. Clomiphene may cause over stimulation and due to this many follicles attain the maturation size, as it happens in your case, although one follicle ruptured and second one is emerging in size. Ruptured follicle can become helpful in fertilization. So no need to worry regarding 15 mm size follicle. Hope I answered your question. Would be happy to help you further. Take care. |
I am a 64 year old African American female. I have Type II diabetes, AIC 5.4. Why do I have so much pain and neuropathy in my feet. I take 450 mg. of Lyrica each day, which helps minimal. What s your advice? I thought that your answers were free. Sorry, I don t have the money to pay for your answers. Really? | Avoidance of neurotoxins (alcohol) and smoking, supplementation with vitamins for possible deficiencies (B12, folate), and symptomatic treatment are the mainstays of therapy of diabetic neuropathy. Chronic, painful diabetic neuropathy is difficult to treat but may respond to Lyrics (gabapentin). If there is no response, it is reasonable to switch TP other agents like duloxetine approved by the U.S. Food and Chat Doctor. However, remain assured the pain of acute diabetic neuropathy may resolve over time. Regards |
It started a few months ago....i noticed when I awake in the morning or it may wake me up, my toes are burning...the sheet lying lightly on top of my toes increases the pain..also, my knees started throbbing severely at the same time....I almost feel its virus related....the pain in my toes often radiates upward, but its a different foot or toe, its random...the burning is the problem...there is some burning in my hands, but slightly less intense as the toes...toes are bad....they are NOT HOT OR SWOLLEN | Hello dear, The symptoms as mentioned in your post can be attributed to |
I am an RN and was at work and developed a sudden run of svt. I work in the or and had a quick ekg which diagnosed it as svt 179bpp. I had chest pain and was taken to the er. I was in svt for about 30 min, then converted back to nsr.I was given nitro, asa, and lovanox. the second ekg was regular. Im a healthy 42 yo female with all tests (labs normal) I stayed in the hospital overnight for monitor and nothing else happened. The echo also turned out ok. No cold medications, no caffene, just dont under stand it. I was sent home with nothing else done. Should I have a stress test? or anything else at this point. The anesthesiologist that helped me seems to think it needs to be worked up more. | Hi, Thanks for writing in. Following a sudden onset of SVT and no other serious abnormality after an overnight hospital stay may require further investigation to confirm it as a trivial occurrence. You might have heard of Holder monitoring where a device records the EKG findings of a patient througChatDoctorplete 24 hours and then any slight transient variations are highlighted. This investigation may be of help to you and rule out any possibility of subsequent events in the future. Hope this helps. |
Hello! Im 18 years old and recently I just had a Chest PA. The findings were | Thanks for your question on Chat Doctor. I can understand your concern. Your x-ray findings are more in favor of tuberculosis. Tb infection is most commonly seen in upper lobes. Actually tb bacilli grow more in upper lobes due to high oxygen in upper lobes. So any infiltration in the upper lobes must be first investigated for tuberculosis. So possibility of tb is high in your case. So consult pulmonologist and get done clinical examination of respiratory system, sputum examination for AFB (acid fast bacilli-bacteria causing tuberculosis), CT thorax and bronchoscopy if needed. You may need anti-tubercular Chat Doctor. Minimum duration of 6 months is required. So better to first confirm tuberculosis by above-mentioned investigations and then start appropriate anti-tubercular |
I had pain in back yesterday today seemed to be more on left side about at rib cage. I also had episode earlier in week with frequent urination with small amounts. Thought UTI so went to minute clinic no blood in urine but white blood cell count indicated infection. Given antibiotics to treat UTI then culture. Pain making it difficult to sleep. Other info I have ITP | I understood your concerns, first we need to confirm that you have muscular or kidney colic pain? Pain may be nerve related also...... In most types of neuropathic pain, all signs of the original injury are usually gone and the pain that one feels is unrelated to an observable injury or condition. With this type of pain, certain nerves continue to send pain messages to the brain even though there is no ongoing tissue damage. Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category, but it has a different feel then chronic pain of a musculoskeletal nature. If you have stone related colic pain you can take dicyclomine paracetamol combination. |
Me Andy wife finally got some alone time Sunday nite and had a very hard sexual nite , while we were having sex i felt discomfort on the sides of my pens like my hair was being pulled Tuesday i had some white simple like bumps on my shaft but really looked like grown hair pumps cause there was a hair coming out of them i popped them put a little alcohol on them still a little sore | HelloThanks for your query, based on the facts that you have posted it appears that you have what is called as sebaceous cyst. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please consult qualified General Surgeon for clinical evaluation to confirm the diagnosis and for further treatment. You need to take broad spectrum antibiotic like \u010ceferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. |
Hi.....i got my periods on the 19th of November. I had unprotected sex on the 23rd of November and took postinor 2. A few days later i got my periods again.i had unprotected sex immediately after the bleeding. What are my chances of conceiving?. Thanks | Hello, I have gone through your query and understood your concern. In the current scenario, your chances of conception are almost nil. This is because, firstly, you had the intercourse during your non-ovulatory or safe period. Secondly, you took the emergency contraceptive pill within the stipulated period after the intercourse. This gives you high protection from conception. The bleeding you had after the pill intake is the with Chat Doctor. The pill cannot protect you from a sexual act five days after intake since this is the time interval of the pill half-life in the blood stream. So, the second act is unprotected. Please see an expert if you become overdue for your next natural period by ten days. Hope this helps. |
Hi, I am a 37 year old woman. I am 65 kgs, 170 cm. I had my appendix removed 4 days ago, stayed in hospital for 2 days. The doctor said he removed also an ovarian cyst during the operation. Yesterday and today I had vaginal spotting, though my perioed is due in two weeks. The pain also radiates on the right side down to the uterus. Is this normal, should I go to the ER.Thanks | Hi. Thanks for your query. Vaginal spotting may not have any direct relation to the surgeries you have undergone. The pain can in fact be related as both are in and near the pelvis, so it is normal for some time to get the pains as you described. You may please attend the ER if there are associated symptoms like fever, vomiting, distension of abdomen, pain increasing with walking or changing the position in bed. |
Hi Doctor,I have noticed several red dots or bumps on my genitals (glans and the sensitive skin just below) since couple of weeks. They are very small in size - about 1 to 2 mm. I tried applying \"Itch Guard\". After using Itch Guard the red dots go away or reduce in size and number but reappear after a couple of days. This has happened 3-4 times in the past 3 weeks. Is this Genital Psoriasis? What is the medicine for this?In addition to this, since 6-7 weeks I have been suffering from increased itching problem all over my body - especially arms, thighs, back, stomach and legs. I keep scratching by body several times a day. Is this also a sympton of Psoriasis?Some itching problem started | Hi, Thanks for posting in Chat Doctor. It appears that you are unnecessarily worried about the lesions as genital psoriasis. It appears to be a simple bacterial infection of the skin. Kindly do the following to overcome them. 1. Clean the area every day with warm water and mild antiseptic solution like Salon twice daily. 2. Take tablet Levocetrizine once a day for itching. 3. Apply Aureomycin cream twice daily after washing and Chat Doctor. Wear loose fitting cotton undergarments, especially at nighttime. Abstain from sexual activities till the lesions heal completely. Hope the information provided would be helpful. All the best. |
i have a five and a half year old child i had an eptopic pregnancy about two years ago the baby dissolved into my tubes. i have been trying to get pregnant for the past seven months and it not happening. i did an untrasould and it came back with a normal study reading. What could possible be the problem. | Hi, What is your age and BMI? Of the young couple trying for pregnancy about 80% of them conceive in a years time. So don't get stressed. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. Since you had an ectopic earlier there is a small possibility that the fallopian tubes may not be doing their job as they should be. If I were your doctor, I would wait for 4-5 months. If you don't conceive by then I would suggest a diagnostic laparoscopy. This helps to assess tubal patency and at the same time we can know whether the tubes are healthy. If there are any adhesions around the tube they can be released too. If you have any further concerns do contact me through Chat Doctor. |
I had an ultrasound in Nov that showed that I had several stomes/polyps lagest one 5mm. Repeated ultrasound in March & showed several polyps largest one 8mm. Makes me wonder if that 5mm grew that quick or measurements not correct. Considering removing gallblader but unsure. | Hi, dairy have gone through your question. I can understand your concern. You have multiple polyps in gall bladder. Largest was 5 mm in November and now its 8 mm. It may be slightly increased and 1 to 2 mm variation is common so it's not a big difference. Whether it is 5 mm or 8 mm it doesn't make any difference in treatment. You should go for cholecystectomy. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
Hi Doctor My kid has fever from 1f3 days and is on Medomol tablet and test confirmed that He is Negative with Dengue Antigen (NS-1) but positive with Dengue IgG and IgM elisa.Is there anything to worry.He doesnot have anyother symptoms other that fever which 101 degree now and intially it was 104 degree. | Thanks for asking question I've gone through your question and understand your concern. Your kid is having fever and you investigated him. NS1 was negative but I gm and IG G for dengue was positive and you saying that he's feeling better, so I don't think there is nothing to worry. Dengue is self limiting disease. It takes about one week to recover. Just make sure that he take good amount of fluids. There is no specific treatment for dengue just give Paracetamol for fever. Keep watch for warning sign, severe abdomen pain, persistent vomiting, cold limbs. There is nothing to worry thanks hope I answer your question |
Hey there i have been diagnosed with epididymitis.. Ive been on quite a few cycles of medacine.. probably on my fourth cycle now.. I have 8 days left. . Im 22. My abdominal wall on my left side hurts and so does my left kidney i think. Or it could just be my lower back. Not quite sure. Anyhow. I dont wana lose my testicles.. what do i do next | Hai, As you are complaining of left side abdominal pain may not be related with your testicles. Kidney problem may not hurt or pain unless there is stone. Depends on the type, time, duration,frequency, location of pain will rule out the problem and with the help of Ultrasound can diagnose the exact cause. Kindly consult a physician/gastroenterologist to rule out the cause for further treatment and management. Thank you hope I answered your query. |
blood presure and trouble breathingIt started last Sunday when I woke up with a headache on the left side of my head and my blood presure was 169/113 now I have problems breathing when I walk. short distance of. est 500ft or less the more I walk the harder it is for me to breath what could cause this | Hello! Welcome and thank you for asking on Chat Doctor! Regarding your concern, I would explain that based on this clinical symptomatology, it is important to exclude a coronary artery disease or a lung disease. I recommend consulting with your GP for a careful physical examination, a resting ECG and a cardiac ultrasound, a chest x-ray and some blood lab tests |
Hi, I have been taking atenolol tablets for about ten years. For about the last year,my thoart keeps feeling wheezy, which ends up with me coughing.could it be the tablets having this effect? I have been feeling breathless when I wake up in the last three days. | Hi, Yes, these can be due to side effects of atenolol. Atenolol is a beta blocker commonly prescribed in the treatment of high blood pressure and other heart disease. Its common side effects include fatigue, cold and clammy hands and feet, erectile dysfunction in males, difficulty in breathing and cough in patients with air way diseases. You are advised to consult your treating doctor for an alternate effective medication and also to rule out other causes of wheezing and coughing. Hope I have answered your question. Let me know if I can assist you further. |
My 8 year old son has been complaining of abdominal pain on and off for nearly 5 weeks and has vomited along with it. He will curl up on the floor once to twice a week for a few hours, get sleepy, then vomit. I originally thought it was a stomach bug but it has been reoccurring and no one else in the household has caught it. Please help! Thanks! | Hi, From what you have described it is not a simple viral infection that your son has. As it has been for a long time and his curling up shows that there is cramping in his abdomen. You need to take him to a pediatrician or a gastroenterologist who could tell you after a physical exam what exactly is wrong with him. Is he passing a normal stool? Is he eating well? Many things need to be assessed along with some tests that can tell us exactly the problem and treatment accordingly. So do not wait longer and take him to the physician. Take care. |
Yes, I have been shaking from my head a lot and my hands. Also inside shaking, when I get it I get shortness of breath. I have had some chest pain at times. Ive had 3 heart attacks over the past 15 years. I went to the cardiologist twice and my ekg was fine both times. I take my blood pressure dailey for the past few days. Its been ok but my standing pulse rate is not what my normal is. Resting rate is usually in the 60s. Its been between 75 and 95. I also went to my GP doctor and all the blood work came out negative. What do I do next. | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Question 1 |
I had what I thought was a rib that perhaps had a hairline fracture. It hurt when I turned or breathed deep. Then, I developed a hoarse voice, what felt like bronchitis, and then, yesterday, a fever. Today, I had straight blood coming out of my anus after a bowel movement. Just a minute ago it happened again, and I had only urinated. My fever is gone, but I still feel weak and have a pretty unproductive cough and tightness in the chest. | Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of bronchitis is more in your case. Most common cause for this is viral infection. Bronchitis causes bronchospasm and this causes chest tightness, cough, breathing difficulty etc. You will improve with inhaled bronchodilators and antibiotics. Steam inhalation 4-5 times a day is also beneficial. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi. My daughter has a perfect swollen circle on her thigh. It is about 2 inches in diameter. I don t see anything resembling a bite in the middle? She was scratching it earlier today and then when I was helping her put her pj s on I saw it was a big perfectly round raised circle, slightly red in color. What could this be? | Hello. I just read through your question. This is either a reaction to something she came in contact with, or a skin infection. Infections are usually slightly painful when touched or pressed and require antibiotic treatment. Reactions usually resolve on their own. In either case, if the diameter of the circle increases, I recommend consulting with your doctor, so the correct diagnosis can be made and the appropriate treatment plan implemented. |
ok im asthmatic and trying to quit smoking down to 2 to 4 a day sometimes not even that i use to smoke a pack a day 20 to 30 cigs a day . now i feel i weez on and off hitting on the inhaler every 4 to 6 hours and i get like this weird short of breath spells on and off why | Dear,First, I appreciate your effort to cut down on smoking. You will improve if you completely stop it. Well, you have not mentioned which inhaler you're using. For patients like you, I recommend, Changing to long acting preparation(albuterol) and steroid inhaler(beclomethasone and decor) as asthma has bad and good days with change of season/other factors sometimes. If you feel no relief even after that, you may get chest X-ray done and oral steroids may be considered, if x-ray comes normal for infection. Take Care |
Hello I ve gone to two doctors for probaly the past month. This all started when I had pain on the right side of my chest they said it was a lung infection and gave me penicilin it helped and it went away but 3ish weeks later all of a sudden I felt very tired and dizzy and got a bad headache all of a sudden and the chest pain was back. They put me on penicilin again which is not helping anymore and then I go to another doctor and he says it s aniexty disorder which I strongly disagree with and I also have an itching burning feeling under my rib cage/ breasts on and headaches very tired and chest pain any idea what it could be? | Thanks for your question on Chat Doctor. I can understand your situation and problem. No, this is not anxiety related. By your history and description, possibility of recurrent lung infection or bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. And if it is present than you need higher antibiotics because you are not improving with penicillin. PFT is needed to rule out bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
In March April I am affected by plooen grain allergy. Earlier I was cured of pollen grain allergy by taking hetrazan for 3 weeks. Kindly advise the appropriate blood test to decide the administration of hetrazan. I have already taken homeopatChatDoctoredicine and sinarest when the affliction was milder. | Hi, welcome to our site. I am Chat Doctor, MD. Read your query. That is a very significant question and I appreciate your problem. I will try my best to answer your Germany tests are possible. I will suggest you start with serum IGE. This tells us whether you have an allergy even now, or is it some other issue. If this comes out to be positive/high, I will suggest a Nadia Top test. This will tell us exactly whicChatDoctorponents trigger allergies in your case. This is important cause very often, a person who is allergic to one thing, is almost always allergic to another. I hope this helps you. Inform the reports mentioned above/if any other, so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this)Best of luck. |
Ive been experiencing more then usual discharge, some like water.. and also getting hungry more often but not being able to eat much without feeling full and like i over ate. My breasts are tender but its mostly just my nipples. Ive also been have a lot of headaches. I usually dont get many head aches. and when i have to pass gas i feel like my uterus is cramping. am i pregnant? | Hello and I hope I can help you today. Pregnancy associated symptoms vary considerably between women, and many of them feel like other types of hormonal abnormalities- but the most common sign is a missed menstrual period. If your period is late, you can perform an over the counter pregnancy test to find out which is 99 percent accurate. So I hope I was able to adequately answer today and that my advice was helpful. Best wishes, |
i have pcos and with left tube blocked so do i have chance to get pregnant naturally hi i am 24 yrs old female i have been trying to concieve for two yrs with no scuess. i have pcos and one tube blocked, so do i have chance to get pregnant naturally plzz advice | Hello, The pathology of the 2 problems you are having are different. They have to be handled in different ways. If a tube is blocked then It's very difficult to remove that. But as only one need be functional your still have an option there.In regard to the PCs, it causes an ovulation, so pregnancy becomes a problem so will need ovulation induction Chat Doctor. Ultimately you may have to have GUI. I still think you have a shot at pregnancy, but you need to see an infertility specialist soon as this will take time. |
hello..can i ask a question..about my physical health when i diagnose my liver..it is fatty liver .what is the medicine fr that | Hi, Unfortunately there is not one specific medication for this condition. Nevertheless, there are several things you can do to slow the disease and even reverse it. 1. Alcohol abstinence. It is proven in studies that liver biopsies show reversibility when abstinence from alcohol occur.2. Weight loss. Weight loss as little as 7% of total body weight have shown to improve fatty liver.3. Diet. Low rapidly absorbed carboy Chat Doctor. ) and high protein diets help slow the disease. 4. Exercise. Exercising 20-30 minutes a day 5 times a week is recommended. You can do cardiovascular workup such as walking, running, swimming and cycling.5. Treating underlying conditions. If you suffer from diabetes or high-cholesterol there are some medication that can control your sugar or cholesterol spikes, reducing the pace of the disease. I know that hearing that there is no specific medication can be discouraging, but this lifestyle modification will improve your health in all aspects. If you have any other query don't hesitate to ask me. |
my name is tanvir...i am from bengaluru(india)..my 15 month old kid is not eating properly from 3-4 days...he was passing some loose stools(whitish yellow with very bad smell)... d first day....next day he got fever...after that he was fine ...but not eating anything(very less) ...today also he vomited twice... | Diarrhea and vomiting suggest your son is probably suffering from gastroenteritis. Other causes of sucChatDoctorplaints are appendicitis, food poisoning, food allergies gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common. Treatment for this condition antiemetic like ondansetron for vomiting, ORS solution to prevent deny Chat Doctor. For further queries regarding this disease or its medications you may take my appointment at Chat Doctor. |
Hi, I have been diagnosed with a fatty liver. Almost daily, however, I also see white residue appear on my anus, and underwear which at first I thought were leftovers of toilet paper as they look similar, however, they appear in between bowel movements as well which rules out that possibility. They almost look like parasites, but they dont move so its more like residue. Occasionally I get light bleeding during bowel movements. Are these conditions related? | Hi and welcome to Chat Doctor. Thank you for your query. These 2 shouldn't be related, and you need to do stool microbiological analysis as this really sounds like parasite infection. Bleeding can be caused by parasite as well but also some other disease such as hemorrhoids or figures and polyps can cause it too. But I suggest doing tests first, and then it can bet rated on right way. Hope I have answered your query. If you have any further questions I will be happy to help. Regards |
skin near thigh gets red and rashes and i get itching with burning sensation i have almost used all type of cream i.e.Imidil,sufaz sn.qurdiderm,flucort, candid etc but no result also I have used fluconzole tablet 150gm per week for many days please suggest medicine........ my email is YYYY@YYYY | Hello, Thank you for posting on Chat Doctor. It seems you are suffering from Tina courts and corporal, a kind of fungal infection. I would suggest you to consult your dermatologist for proper management of the condition. I usually recommend proper course of oral antifungal Chat Doctor. You can additionally use antifungal dusting powder containing ketoconazole during daytime and a soap containing ketoconazole for rinsing of affected areas. Take oral antihistamines for itching as required. Maintain hygiene over those areas and avoid wearing tight undergarments. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and |
Hiya, my son is 4years + 8 months his tongue has an orange coating on. Its been like this for a week. He s eating + drinking the same (healthy with few treats). His toilet habits are the same. He has got asthma which has played up alittle due to the change in weather. He s sleeping well. Do I need to anything ie take him to the Doctors? | If constant coating your son is surely allergic to milk you will have to get treated as it will increase after the first time it appear sin the mean time stop giving all milk and diary products completely give tab montelukast 5 MGM twice ADY for 3 weeks get the allergy test term IGE for milk only I am 100% sure it will come positive, and then you can start sublingual immunotherapy for milk allergies |
Hello, I am a 31 year woman living in Kolkata, India for the past 2 years. I have been running for 40 minutes on a treadmill for 3 to 4 days a week. However, increasingly, I have developed a pain at my lower back. I want to continue running and exercising, but would like to know whats the best way to proceed now. How do I take care of my lower back pain, without having to give up running? | Welcome to Chat Doctor I have gone through your query and understand your concern. Your backache can be due to your weakness of muscles and vitamin and trace elements deficiency. You can additionally do back exercises and take multivitamins and trace elements supplements. You can also get your vitamin D level as vitamin D deficiency is important cause of backache, if found low then supplements of vitamin D3 can be taken. Furthermore, you can further investigation for your backache by MRI of lumbar spine. You can continue running on treadmill wearing lumbosacral belt so that there is no backache. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
My 7 yr old daughter has been getting what appears to be hives over the last 6 weeks. They pop out randomly on any and every part of her body. They are itchy and she scratches them and they get bigger. Every once in a while she complains of a headache as well.q | Hello, Thank you for asking at Chat Doctor. I went through your daughters history and would like to know more about her as follows |
Good afternoon Dr.. I am suffering from skin allergy called Phemphigus vulgaris for last 6-8 months and still I am under medication only, I am taking Betnozol forte tablet for last 3 months. After taking this I am becoming very fatty, especially may face & stomach. Earlier my weight and height was 49-153 cm. Is there any side effects to take this medicine and kindly let me know how to reduce my weight. | I read your question carefully. I do understand your concern. Betamesathon is a corticosteroid. Like all corticosteroids, dexamethasone affects your metabolism and how your body deposits fats. As a consequence, your appetite might increase leading to weight gain, especially to extra deposits of fat in your abdomen. Ito minimize this effect, watch your calories and exercise regularly. In general, your stomach will return to its normal size, 8-12 months after you discontinue steroids. Besides this, you should maintain adequate vitamin D and Calcium intake through diet and supplement. You also should have a check-up regarding osteoporosis risk assessment. The answer above was for the side effects of steroids in general and I'm not saying to stop the steroids (actually, stopping abruptly or tapering off to quickly you might experience with Chat Doctor. Regarding Memphis vulgarism infection, the first line treatment are corticosteroids. You should consult with your doctor about second-line therapies (azathioprine, rituximab, Dawson etc.). You should also be careful regarding contact sports or any other activity that traumatize the skin. I hope you do well and wish you a good health. |
hai respected doctor.. i am 23+ now.. figure just oky.. not slim, height lkay az normal people.. weight about 63.. when i sleep sperm comes out.. .. it happens to me 3, times a week, or some times.. through which physically i feel that i am not too healthy.. and some times i feel healthdowm .. | His had gone through your query. You need to gain sex education and need to learn normal function of our reproductive system. Sperm production occur in scrotum 24 hourly and storage occur in scrotum. But it has limited capacity to store it so if you are not sexually active means if you are not doing regular sex or masturbation then it will automatically come out in Chat Doctor. It is normal and do not lead to any problem. Just relax and read from various sites. No need to worry. Feel free to ask. Happy to help you further. Thank you. Take care. |
my mom had 2 stints put in main artery in her heart in nov,2010, she just had her stress test and it stated she has coranary artery disease that i am figuring is the 2 stints that put in... dysenea, shortess of breath definition , and hyperlipidemia .. she is also a diabetic that is a bit high around 180 - 200 which she takes meds for..... she is 78 years old, bright , alert, but nervous.... | Thanks for your question on Chat Doctor. I can understand your concern. Her symptoms and stress test are suggestive of coronary artery disease (CAD). She is also diabetic. So get done coronary angiography. There is always possibility of restenosis. If Angiography is showing blockage then bypass surgery is the treatment of choice for her. Strict control of diabetes is needed. So consult cardiologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. |
Hi! Please I need to know what s the illness if I feel like a cut of a knife next to my liver? After an MRI, they found that in have a liver steatosis.. I tried to lose weight, but I couldn t until now (I Menander from 3 years) my weight is still the same and the pain comes and goes when I eat too much. Thanks in advance | Hi, No need to panic, as Liver stenosis is not a serious condition. It is called Fatty liver and is seen in radiological investigations in most of the normal patients. The problem happens only if the liver is inflamed as it can progress to a condition called cirrhosis. But, this usually happens in alcoholics. In your case as you say it is mostly due to the over weight. I suggest you to undergo Bariatric surgery, after consulting a Bariatric surgeon. It gives promising long term results in weight reduction when compared to liposuction. Your weight will be Chat Doctor. Hope this might help! |
hi, my mum whent to have her goldblader out on wedsday this week by key hole , when she came back from surgery they said they dident remove it as it was srunk and would be to dangers for her , i need to no if it is more dangers to leave it in and what could hapen to her | Hi, How are you? My name is Chat Doctor. I am a liver and pancreas specialist and I hope to answer your question today. I am sorry to hear about your mothers condition. Gall bladders tend to become thick walled and shrunken in patients who have repeated bouts of inflammation (cholecystitis). This will make it very difficult for the surgeon to remove, especially by laparoscopic (keyhole) technique. The normal procedure in such cases would be to do an open cholecystectomy, which involves making a 7-10 cm incision on the abdomen and then removing the gall bladder under vision. The dangers of leaving behind the gall bladder depends on what the original reason for the surgery was. Leaving behind the gall bladder due to stone disease will put the patient at risk for further attacks of cholecystitis, but a still worrisome reason would be if any cancer occurs in the GB which would mandate that an open cholecystectomy be done. In summary, I would advise you to consider an open cholecystectomy to avoid future complications. Hope this helps and hope your mother starts to feel better. Please do not hesitate to contact me for further details rxsuresh@gmail.com. Have a great day |
hellomy father is 67 years ild..he long ago suffered from spondilytist..hes in india and its quiet chilly there..2 days ago all of a sudden he started vomiting n vomited around 6 times in a day including head swirls..his doctor friend gave him a meficine to eat n a collar to put..my ques.is..is it jus the cervical problem or more than that n ehat should he do now | Hi I am Chat Doctor. . In my opinion i don't think the cervical problem of your father spine is the main reason of that kind of persistent vomiting but sometimes the painkillers or medications used to treat the spondylitis pain could cause such side effects on chronic use. I suggest he maintains a high fluid intake to flush his system, stop any kind of treatment and take the antivomiting and avoid high cholesterol and salty meals and make some lab investigations to rule the underlying cause of vomiting for proper evaluation and management. Please click and consider a 5-star rating with some positive feedback if the information was helpful. Wish you good health, Any further clarifications feel free to ask. |
what can best explain the condition of skeletal muscle fatigue a) the all or none law b) the inability to generate sufficient quantities of ATP due to feed back regulation of synthesis c) total lack of ATP d) Insufficient intracellular quantities of ATP due to excessive consumption. | Howell come to ChatDoctorthe queries you have asked here are academic level related, and it is not possible to explain it here in detail what you have stated are the consequences of some pathophysiological changes due to some systemic disease that causes the inflammatory changes and injury to muscular fibers and changes the normal functions, it is not the total lack of ATP molecules it is wrong thinking, underlying causes are the matter of concern and according to that muscular symptoms occurs, it may not be pure form of fatigue, hope this information helps. |
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