input
stringlengths 0
6.47k
| output
stringlengths 2
3.3k
|
|---|---|
I think I have Polyneuropathy. ON Insulin pump and am insulin dependent... I take Gabapentin once a day at 6 | Hi, Trigger finger and numbness in the ring and little fingers are both different issues. Trigger finger is common in diabetic patients and ring finger is most commonly involved. Numbness in both ring and little fingers is due to ulnar nerve pathology. It may be peripheral neuropathy affecting ulnar nerve and is also common in long-term diabetes. Trigger finger is a clinical diagnosis and treatment is physiotherapy and local injection of Depose Chat Doctor. Nerve conduction velocity studies should be done to diagnose peripheral neuropathy. Visit a physician and a detailed clinical examination is recommended for diagnosis and treatment. Hope I have answered your query. Let me know if I can assist you further. |
I have a 28 momth old with dravets, she has had swollen glands and fever x 4 days. stated on zithromax yesterday at 125 mg. and wakes up to eat a small amount and falls right back to sleep. Also is having episodes of small amounts of emesis occasionally. At this age could it be mono? | Hello, The most likely place for a toddler to have swollen glands(enlarged lymph nodes) is in the neck. How high is her temperature? At her age mono causes an illness like a cold-cough, runny nose, fever. Not with vomiting and not with swollen glands in the neck. She probably has a viral infection due to a virus different from the one causing mono. With her fever, sleeping, and vomiting make sure that your daughter gets enough fluids, so she does not become deny Chat Doctor. When crying, she should make tears, have moist mouth and tongue, and wet about the same number of diapers that she does when well. Hope I have answered your query. Let me know if I can assist you further. Take care |
When my husband gets an erection sometimes just above the shaft he starts to bleed, as if has burst a blood vessel or something. When his penis shrinks it is difficult to see where the blood comes from. He was circumsized when he was young and he is now 56. Any suggestions what this could be? | Hello, Its very difficult to establish an opinion without looking and examining the affected part. I need to know if he is urinating properly, or having a bloody discharge from the urethra as well, if he is having any sort of pain along with it. I suggest you to visit your doctor for his detailed checkup and treatment of needed. Hope I have answered your query. Let me know if I can assist you further. |
i have anxiety attacts, and hate hate hate being around crouds of people. I don t even remember the last time I was at Walmart. I have an appointment to see a counsiler at a mental health clinic Thurs. I never get much sleep, so that its self causes me to be very nervous. What, in your opinion , would be the best medication for me. | Brief answer |
Hello, my mother has congestive heart failure and during her sleep last night her body felt like it was vibrating or shaking. She has shortness of breath and it felt as if I was feeling her heart beating because of the way her body was shaking. I am trying to explain this as best as I can but it was a frightful experience. This is not the first time it happened. I had to listen closely to see if she was breathing. | Hi, There is likely possibility of convulsion (seizures) in your mothers case. I want to know -During period of shaking is she able to communicate / consciousness during episode. Is there involuntary passage of urine or stool. Is there tongue bite or frothing from mouth. Duration and frequency of episodes. After episode is she become unconscious, unresponsive. Cause of her congestive heart failure. Medications she is on. Other illness like diabetes, blood pressure problem medicine for it. Possible causes for convulsion in her-1) Cardiac arrhythmia abnormal electrical activity of heart which leads to impaired blood supply to brain which leads to convulsion.2) Cardo-embolic event.3) Hypoglycemia (low blood sugar) this is more likely in diabetes on treatment.4) Impaired blood supply to brain due to blockage in brain arteries. I would like to advise you-1) Consult your cardiologist, there may be need for neurological evaluation by neurologist.2) EKG, 2DEcho of heart.3) Metabolic profile blood sugar level, kidney function test, liver function test, electrolytes.4) Brain imaging like MRI with angiogram. |
i had an ultrasound at 27 weeks of pregnancy. My AFP came bck normal and echogenic foci & chorionic cysts had resolved. A good ultrasound altogether. now i am 31 weeks pregnant and my friend (who is an ultrasound technician) noticed a possible duodemum atresia. Is it possible to have this after a good ultrasound at 27 weeks. She does not specialize in OB but does occasional ulrtasounds on pregnant women with issues earlier in pregnancy. should i be concerned? | Hi, If the technician suspects duodenal amnesia, better to get a second scan done by a fetal medicine specialist. She will not only confirm/rule out the amnesia, but also advise you the next steps if problems are identified. And a normal scan will definitely decrease your anxiety. Since you have also has echogenic loci and chorionic cysts which eventually resolved, but they are considered to be soft markers for Downs, these with a present finding, if at all of Duodenal amnesia usually warrants for an amniocentesis, to check for fetal chromosomes, and to rule out Downs. Hope this helps. Regards. |
My boyfriend has bleeding gum problem....I was just coming off my period and he suckered my breast for like 10 seconds and asap he came off I saw something that looked like blood and I told him to say ahhh and he opened his mouth and I say a bit of blood so I dont know if it is his bleeding gums or something else because it has never happened or shall I say I never realised when it happened .......at first I thought maybe the blood came out of my boobs and I tried to squeeze them out but nothing came out so I told him to Brush his teeth so that I can see whether he is bleeding or not and some few blood came out.... I dont know if sucking breast can result into blood coming out of you have a bleeding gum problem .....PLEASE HELP | Hi Dear, understanding your concern. As per your query your boyfriend has problem of bleeding of gums while breast sucking is because of inflammation and ulceration of gingival mucosa. While breast sucking there is increase in flow of blood and more proliferation of blood vessels. Maintain proper oral hygiene. Visit dentist once and get it examined. Go for qua Chat Doctor. Use Listerine and Betadine mouth wash. Do gargles after every meal to prevent bacterial accumulation. Go for curettage. Rinse mouth after every meal to prevent bacterial accumulation. Hope your concern has been resolved. Get well Soon. Best Wishes, |
Sir, i got some white patches of around 1.5 sq inches on left armpit for around eight months. Now these are increasing in size gradually. i have been taking homeopatChatDoctoredicines. Recently i visited one dermatologist who prescribed for tacrolimus 0.1%, melgain lotion etc. i want to know how much time it may take to re-pigment the area if the medicines really work. Thanking you | Your condition most probably has been diagnosed by your treating doctor as Vitiligo hence prescribed Tacrolimus and Belgian local applications. It takes about three months of regular applications before you start to see any improvement in the color of white patch. Tacrolimus is a Chat Doctor. It is better than steroids applications as IOT does not thin out the affected skin and fewer chances of harmful systemic effects of long term use of steroids.However, prolonged use of tacrolimus is not recommended as rare cases of skin cancer and lymphoma have been reported. Regards |
I have some pain in my right shoulder which radiates up toward the neck area. I can handle the pain without meds but wonder if it might be a tumor. I notice it more at night in bed and seldom during the day. If it is just a strained muscle, I can handle it. I do workout every morning with Classical Stretch Program on TV. Have had this mild pain for a month now. My only fear is if it might be a tumor. I do have some arthritis and am a fit 79 year old. !20m lbs and cook healthful foods. Just moved here to CA so haven t found a primary care doc yet. Thanks! | Hi there, I had gone through your question and understand your concerns. I see similar cases amongst old age people who visit my clinic. As you have written Male aged 79 years old and having arthritic changes, so it is very common having pain and stiffness in joints in the morning as these are sign and symptoms of osteoarthritis. You are expecting a tumor to which I strictly deny as you are not experiencing any kind of continuous pain, and you have not mentioned any kind of swelling to the surrounding joint areas. I would suggest you to get X-ray done and of your cervical region because you might be suffering from Cervical degenerative changes which would result in pinching of the cervical nerves and giving you pain in the shoulder region. And X-ray will also rule out the tumor possibility.In the meantime you can start --heat fomentation at the neck and shoulder region use of proper cushion during nighttime to rest your head, neck isometric to strengthen your neck muscles. Try this for 5-7 days and revert whether your condition is better, worsen or nothing has changedThanks and regards |
Hi, my name is Danielle, and Im 15... My teacher and my friends have been worried about me lately, and today my teacher came up straight forward to me and told me what theyve noticed... she said that lately ive been talking fast, and i know i havent been able to concentrate, and my mind just races sometimes and i cant think straight; and she said that sometimes i get very angry without reason; and she said ive been sometimes really hyper; ive been irritable; my moods have been changing every few hours, one hour im too happy and the next im upset; ive had difficulty paying attention and concentrating; sometimes i dont even want to do anything but just sit in school; i havent been very social at times(more than usual); sometimes im just completely drained of energy and i dont even want to move; ive been having trouble at school, and ive been getting angry alot lately for no good reason at all... im not sure if this is a problem that could be fixed, or whats wrong, or what.... what should i do?? | Hello, Thanks for the consult... Brief answer, Attention deficit hyperkinetic disorderExplanation,1. The symptoms which are similar to this disorder called-Attention Deficit Hyperkinetic Disorder2. Some of the symptoms which you have include the mood fluctuation like some time very happy and sometimes depression. 3. Few hours maintaining attention in the class and few hours losing concentration 4. This type of disorder can be mainly controlled by physco-social therapy like behavioral therapy. If not controlled by behavioral therapy then the medication used commonly is tradename-Ritalin 10Generic name- methylphenidate 10\u00a0mg Hope this information helps |
my daughter has been complaining of a dull pain in her leg since yesterday. I figured that it would be done after a night of sleep, however she had been complaining of it today as well. the left side of her right knee cap is where the pain is. it is a bit swollen in that area. she did not hit her knee on anything, or do anything that could have caused her to have pain. do you believe this should be checked out, or should I wait a little bit to see if the pain goes away? | Hello If the pain is getting better with rest and pain tablets then no more treatment is required, but increasing swelling and pain will be a concern, Undue traction on the epiphyses (growing end) of the bone can cause these symptoms and needs rest, ice and pain tabs. Rarely a cystic swelling from the meniscus (cartilage) inside the knee and appear like this and needs a checkup. If more severe with swelling increasing with warmth needs early checkup as it may mean infection or bleeding disorder. Wish you a quick recovery |
Hello, My husband and I have decided to conceive. Out of anything i love children and ive always wanted to be a house wife..haha. I was on my period in 2 weeks before the 16th of January. And on the 16th which was now almost 2 weeks ago, i ended up getting on my period again. I dont know why, but anyway...2 days after my period my husband and i have been having intercourse everyother day to try and to conceive. do you think that im in the area of most likely conceiving a baby?! weve been praying and hoping and really would like to start a small family !! | Hi, I think it can sometimes happen to get your periods early. But if it happens frequently, get yourself evaluated. Do a thyroid profile and prolactin levels and an ultrasound for your uterus and ovaries. If everything is fine, you can try naturally for 6 months to 1 year. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chances of your pregnancy. Hope I have answered your question. Regards Chat Doctor. |
My mom is 80 years of age and is 42kg now. she was diagnosed with voice box cancer 6 months ago. she did 20 times of radiation and completed end of march 2011. She has been recovering. 3 weeks ago she started to have breathing difficulties, earache and cannot swallow. dr did a scope and found her throat is inflamed and have white patches at the cartilage. he gave antibiotics and painkillers for ten days. she is breathing thru stoma since february 2011. Is the cancer still present in her throat? | Thanks for your question on Chat Doctor. I can understand your mothers situation and problem. Vocal cord cancer is curable only in early stage where unblock resection is done. Chemotherapy and radiotherapy suppress the growth of tumor cells, but they can not cure the cancer. So she is still having the cancer. And possibility of worsening of growth is more in her case. Growth causes obstruction in the lumen, so patient feels difficulty in swallowing, breathing difficulty etc. White thing might be due to fungal infection. So she may need antifungal Chat Doctor. Hope I have solved your query. Wishing good health to your mother. Thanks. |
Im a 44 year old female. Fell skiing 2 years ago. MCL gr 2+-3 tear, ACL complete tear, LCL sprain, Tibial Plateau Fracture. Did extensive physio and had ACL reconstruction 1.5 years ago. Meniscus tear last year, arthroscopy to trim meniscus. Still suffer with loud, crunchy knee daily, trouble walking without a limp, and being on my feet for a long time, or up/down stairs. Asked for another MRI, results show cyst at tibial tunnel, bone marrow edema at tibial tunnel, tiny radial tear at lateral meniscus, severe patellofemoral chrondopathy, trace of joint effusion. Saw surgeon again, he recommended Celebrex which I had been taking for 10 months already, so have now tried Suplasyn injections, 5 weeks ago. Not much change in pain relief. Need advice where to go from here please? | Hi, thank you for providing the brief history of you. As you had fall and ACL reconstruction and MCL debridement is done, the knee joint needs more and accurate sports rehabilitation. First and foremost is to reduce the inflammation and pain. Achieve full ROM of the knee joint. Strengthen the hip muscles and the qua Chat Doctor. Go for adductors and abductors Strengthening. Later stages go for balance board training and that will induce joint proprioception activation. Also perform reverse walkingRegarding Chen |
Hello,, I been noticing bruises on my legs for a few times now and i know its nothing that i have bumped in to,but it hurts. Im low in iron and vitamin C. second thing is i have a bump on my head thats been sitting there for years but it dosent hurt do you know whats problem? and can hep? | Hello and welcome to Chat Doctor, Random bruising on body can occur due to many reasons. Vitamin C can cause easy bruising because of lack of collagen network to form a strong framework. Thus, a weak framework can lead to easy bruising and thus easy bleeding. Since, you are having easy bruising, vitamin C deficiency is probably the cause for it. Vitamin C supplements will help to restore vitamin C levels. Thanks and take care Chat Doctor. |
Hello Doctor i came to usa in end of april from india. i got my ultrasound done in India which says i have a bulky uterus.I got it done as i was having my periods very irregular 20,22,25 mostly near 20 and my normal cycle was of 27 days exact. now last period of May was at 22 days on 20 May. but then i goe period for 1 day on12 june and since then no period. i tested for pregnancy today and it was negative. Then in the evening my having cramps. it stated then it stopped and am having pain in lower abdomen.am not sure what is his. can u guide me please | Hi! Good afternoon. I am Chat Doctor answering your query. All the precautions including birth control pills are not 100% foolproof in protection against a pregnancy if you are sexually active. If I were your doctor, I would go for a serum Chat Doctor determination to rule this out as urine PT test might not be always positive. An ultrasound of the pelvic organs might aid in the diagnosis. This would also rule out any other intra-abdominal pathology. In addition, I would also advise you for a urine routine/microscopic/culture sensitivity test to rule out a silent UTI, and a gynecology assessment to rule out a PID (pelvic inflammatory disease). Till then, I would advise you for an anti-spasmodic Chat Doctor. |
My friend has had Lyme Disease at Stage 3 for around 4 years now. I just heard about this and am seriously worried. At first, they tried antibiotics and they didn t work so they stopped the medication. She has been untreated for all these years and nothing seems to be getting worse. However, I m afraid that something fatal will suddenly happen--is this something I should be worried about, or will she be alright without treatment like she has been? Thank you. | Hello, Welcome to Chat Doctor, Lyme disease is a bacterial infection transmitted by a tick, and it is caused by a bacteria Cordelia burgdorferi. I suggest you should first diagnose yourself for the Lyme Disease before you got treatment. You can get tested yourself with ELISA, IFS or Western Blotting to confirm the diagnosis. If you are having Lyme disease you can follow this treatment. Lyme disease can be effectively treated with antibiotics. Antibiotics, such as doxycycline or amoxicillin should be taken orally for 14 to 21 day. Intravenous (IV) antibiotics may be used for more serious cases and for someone whose nervous system has been affected. The IV antibiotics should be taken for 2- 3 weeks. Thank you. |
i was hospitalised 16 days ago with cellulitis. I was treated with IV antibiotics, for 7 days, then released from hospital with a further 8 day supply of oral antibiotics. I completed the course today. However when I do not have my leg elevated, the redness returns with some swelling. Is this normal or should I see my GP? Thanks | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that after having this much long antibiotic course red less probably should have been gone. But there must be recurrence of the infections. So in my advice you should consult the doctor. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
Hi there, I was wondering if someone could give me advice on gall stones.......My step mum has then and is having her gall bladder removed in 3 weeks. However its her birthday in a few days and I want to bake her a cake, I know she cant eat dairy or fat etc so is there anything I can cook that will not make her condition worse? | Dear madam, greetings from Chat Doctor, as you rightly understood we should try and avoid food stuffs rich in cholesterol . In patient s with gal stones ... Diary products, processed food items . Meat all have high cholesterol content ... Pls do avoid . Give more about of green leafy vegetables and fruits . Plant s and TER derivatives will not have cholesterol . In fact phytosterols in plants will have ability to decrease the absorption of cholesterol . Do take care ... All the best. |
My Dad had a CT scan of his abdomen yesterday and they called to tell us that it showed cancer in the bones, around the veins and in the liver. He just had his blood work up a few days ago and the tests for the liver came back normal. Would the blood/enzymes come back normal if his liver had cancer? Also would a CT scan of the abdomen show bone cancer? We are very uncertain of this diagnosis .... | Thanks for your question on Chat Doctor. I can understand your concern. Yes, liver function tests can be normal with liver cancer. Liver is one of the largest organ of the body. So to alter its function, there must be large damage to liver. Liver cancer in initial stage, commonly present as small heterogeneous mass. This small mass can not alter enzyme levels in blood. Slowly this cancerous mass will increase in size and start altering liver functions and at that time he will have higher enzymes in blood. And yes, CT scan of abdomen can show bone metastases. Vertebrae are the most common site for bone metastases. And CT abdomen can show Vertebrae and if metastasis are present than can be seen easily. So consult oncologist and start appropriate treatment for your father. Hope I have solved your query. Wishing good health to your father. Thanks. |
My 5 and half years old daughter have been diagnosed with Autoimmune Encephalitis. She has been provided with inter Venus immunoglobulin last 6 months ago. She has improved to some extend leaving restlessness and mild cognitive impairment. To proceed further along with olangipine and tegretal she has been given nexito 2.5 mg. But the restlessness is still continuing. Any specific suggestion in this regard ? | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras, and I am here to help you. I have read your question with care and understand your concerns. Question |
Hi I was told my son who has special needs has a very lumpy liver and that he has cirrohosis of the liver. Can you tell me what tests are needed to see what stage he is at? I have been given a hospital apt but its not until November 2014 I hope to bring him private, Kind regards Irene | Welcome at Chat Doctor I have gone through your query and being your doctor I completely understand your health concerns.... There are different grading system to assess the severity of cirrhosis... The most commonly used and widely accepted us CHILD PUGH scoring... It requires serum bilirubin levels, PT INR along with serum albumin levels measurement.it also requires assessment of ascites and encephalopathy.... slightly deranged values counts one for individual parameter and score increases from 2 to 3 as severity and derangement in these parameters progresses.... These are total five parameters and overall child score of less than 4 shows class A cirrhosis and score of 5 to 9 is children B and greater than 10 is children c... Five year survival rate decreases as score increases. It is 70% for child A and 50% for child B.... Consult your hepatologist for proper interpretation and any comorbidity associated with it... Hope your query is adequately answered. Regards Chat Doctor. |
when i am in heavy sleep i feel loss of sensation in my lower part of legs nd some fingers of my arm as my head is pulling all the blood to it.i get up ffrom my sleep suddenly nd slowly the limbs become normal.is taking pregabanyl nd methylcobalamin capsules ok for it? | Hello, Pregabalin and Methylcobalamin are okay to be used for sensation problems with limbs as symptomatic treatment. However, the cause should be found and treated. Nerve conduction study and Doppler ultrasound of the limbs are necessary to understand if the problem arises from nerves or from the blood supply. Discuss with your Doctor for these issues. Hope I have answered your query. Let me know if I can assist you further. |
For the last week I ve had quick sharp pains in my left calf then moved to my left hip then to my left breast and now to my left top row of teeth... With a headache. Its so weird to me that its all on my left side. I am female 47 years of age and I was diagnosed with fibromyalgia 2 years ago. Could tha be the cause of all these weird pains within a week? | Hi, thank-you for providing the brief history of you. As you been diagnosed with fibromyalgia, this condition called fibromyalgia is an inflammation of the fibers of the muscles. The muscle is composed of numerous muscle fibers and inflammation there leads to pain. Due to inflammation of the muscle fibers there is slowing of the metabolism and also excess production of lactic acid.Also, the sharp pain in hip and calf can be related to the pinched nerve in the lumbar spine as the para spinal muscles must have got weaker. Also, taking physical therapy - Therapeutic ultrasound therapy and TENS therapy should help reduce pain. But the important role will be played by the exercise as to strengthen the muscle and improve the output of the muscles. In my clinical practice such cases respond well to physical therapy. RegardsJay In Chat Doctor. |
i hav gum problem .fed of bad smell every time getting my confidence low bleeding of gum . ma gum hav become very sentivite small touch they star bleeding .about 1 month before i hav showed to dentist n he jss cleaned ma teeth and polished them but i still suffering from this problem since 20 days | Hello, thank you for consulting with Chat Doctor. As you are mentioning that you have bleeding from gums with bad breath, it looks that you have infection of gums which is treated by scaling of all teeth and some medications but after treatment also if you are having the same problem then it looks like that scaling was not done properly. You should visit a good periodontist for scaling and after that you should start with mouth wash and vitamin C supplement, and even you also have to maintain your oral hygiene properly with 2 times brushing and flossing. Hope it will help you. Thank you |
I have pain on the left side of my neck. It starts just behind my left ear and then stops about at the top of my shoulder. At times I can hardly turn my head to the left. If I put an electric massager on it for 15 minutes it feels better for awhile. Do you think it would be muscle related or something else? | Hello! You might be having a sternomastoid muscle spasm myalgic. Since you say that light massage relieves the pain it usually will be a muscle spasm. If it is the case the pain should gradually decrease over a period of 1\u00a0week to maximum 10 days. If it is not seeming to reduce I'd advice you to get an X-ray of the neck to see if your cervical spine has any problem. Visit a doctor immediately if the pain is unbearable or is causing symptoms other than pain like tingling sensation, inability to flex the neck, pain elsewhere below the neck. |
Hi I m 20 about to be 21, and my guy and I have been trying to start a little family of our own..We ve been trying for almost a year and nothing..this morning I woke up kinda wet..honestly I thought it was period because it comes on the 21st of every month..but it wasn t my period instead it was this very clear water and there was a lot of it..we recently had sex before like a week ago..what could this mean?? ..that I m pregnant? ? | Hello, If you have missed your period, I would advise you to go for a home pregnancy test, as you could be pregnant. Sometimes there is increased watery discharge if you are pregnant. If the test is negative, you need to go for a gone check up to rule out local infection and a few tests after consulting your doctor as if you both are trying since a year then you need to go for a few tests to rule out and cause for infertility either in you or your guy. Don't worry, take care, All the Best. |
Hi, My son is 4yrs and his stools have always been a light tan-mustard yellow colour. He quite often has loose/mushy bowel movements. He is in good health otherwise, with plenty of energy and generally eats a good diet. Should i take him to see his doctor?Thanks in advance for your advice. | Thank you for your query. A reduction or absence of bile salts can cause the stool to become yellow or pale. Bile salt production can be reduced due to liver dysfunction. The passage of bile salts into the intestines can be prevented by blockages of the bile ducts due to inflammation, gallstones, or biliary dyskinetic. Pain, especially in the right upper abdomen, fever, nausea, itching, and yellowing of the skin and whites of the eyes can also occur with these conditions. The pancreas also produces substances important for digestion, including the enzyme lipase, which breaks down fats. Excess fat in the stool can cause yellowish, bulky stool that floats, has an oily or greasy appearance, and smells foul. I advice-give stool analysis and ultrasound of liver, pancreas for rule out following up symptoms. |
I get infections on my face now and again but i have one now and it hurts i have tried paracetomol and ibrofen but it is not working do you have any ideas on how to reduce the swelling and stop the pain and it is on the left side of my face and has swelled up the left side of my face and my eye is swelling up. I also have a temperture where one mintue i will be warm but the next mintue i will be cold also high temperture. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have infection on face along with facial swelling and pain. Well there can be many reasons for symptoms you mention in query like chicken pox, acne, psoriasis, seborrhea dermatitis, allergic reaction and trigeminal neuralgia. I would suggest you to consult dermatologist for proper examination. Doctor may order complete blood profile or skin test. Doctor may prescribe antibiotics like clindamycin or minocycline at least for 10 days along with anti-inflammatory and steroid ointment. For now wash your face with cold water and mild soap, apply moisturizer and do not apply any cosmetic product. Chat Doctor. You should take diet rich in multivitamins. You should take vitamin B12 supplements as well. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
Hi, I have almost permanent spasm in my right upper quadrant`. Food seems to be a factor. I have also had what seems like infection in that area. On anti and 5mg steroids long term. Also buscopan and pain relief as required. [most of time] Have had 4 scopes both directions. Only inflammation found. Fibro diagnosis .No relief really except not vomiting or fainting now.Terrible stuff coming off colon. I now have prob like spasm in ball of both my feet which i think is related. Appreciate your opinion. k walsh | Hi. Thanks for your query and an elucidated history. Foods |
Since July 2011 I have been experiencing severe cramping symptoms in the lower right abdomen. These attacks come at least once a month, most recently 10 days apart and can last three hours in duration. Sometimes I can see a bulge in my lower right groin. Taking a 5 mg valium and 5mg oxycodone can help stop the attack. I am 60 years old and have had a gynocological ultrasound but nothing was found. What;s going on?Sharon | HI Sharon ! From the history of a bulge in your lower right groin, the first diagnosis one can think of is a possibility of Right Inguinal Hernia in its initial stages which gives rise to pain. This will occur whenever you go for a heavy activity which increases the intro abdominal pressure. Apart from this there could be a separate intro abdominal pathology altogether. If it is a grumbling appendix, then the ultrasound may not show anything positive. A urinary tract infection or an infection of the pelvic organs can also give rise to such symptoms and your doctor may advise you for a routine urine test and a clinical pelvic examination to exclude the same. Do you frequently eat outside specially junk foods ? In that case one has to exclude intestinal infection specially amoebas. I am not sure to which region you belong to. One has to exclude chronic granulators infection of the intestines in people who live in endemic areas where such infections are common. Your family physician can investigate you to exclude this kind of infection. Wish you an early recovery. |
Im prone to bladder infections. If i dont pee right after sex Im almost promised one. My Dr. has given me antibiotics to take in case i cant pee (one right after, one 12 hours later) to help prevent them. Lately my pee has gone from being cloudy (and painful which are my usual symptoms) to very VERY dark brown in colour and almost metalic in smell - its a really STRONG odour. Also, sometimes when im done air actually comes out of my urethra (its NOT my vagina - I KNOW that sensation and that only happens to me during sex) and Ive never had this happen before. I have some lower back pain which worries me about my kidneys. Is this a major cause for concern? | Hi and thanks for sharing your question with us on Chat Doctor. Yes, bladder infection can cause referred pain to the lower back. The color and smell of your urine is very worrisome - I am worried about bleeding in the bladder as a result of infection or worse, a fistula (connection between the bladder and the colon) or even a tumor. The air coming out of the urethra (pneumatic) suggests gas-producing bacteria or gas from the colon. You need to urgently see your regular doctor and have them work you up - urinalysis, culture and sensitivity to identify and treat the offending organism renal profile to review kidney function ultrasound and more in depth imaging studies to determine if there are diverticula (outpourings in the bladder) or a fistula as a result of all the recurrent infectionsReduced or impaired kidney function does not cause lower back pain - the kidneys are located just below the ribs. However, you are at real risk for acute kidney infection, and I am concerned that the recurring infections have damaged the kidneys. I am afraid that you have a major problem on your hands. I know that this is easier said than done, but I urge you to remain calm, educate yourself and consult your regular doctor so that he can help investigate you and refer you on for comprehensive care. Do act quickly - please take care. Chat Doctor. |
hi my nephew in Egypt has a virus in blood make a high fever and the doctor said no medication except tylonol for fever and he said he can take vitamin omega-3&6 300 ml for brain to no be damage because of this virus what is the best formula of original brain formula I can got him he said over the counter thank u | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that brain damage only occurs in virus infections when the fever is high. So taking paracetamol will reduce the fever and brain damage. Vitamins will help in reducing damage by antioxidant activity. So prescribed treatment is correct and take treatment accordingly. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
thank you i was smoking around 20 cigarates per day for last 15 yearsnow i want to stop.i dicreas it to 5 a day...now iam feeling little chest pain and some bad smell is coming from my heavy breath(like bad and old cough)and i have freequent light headache. what is this symptoms.. | Thanks for your question on Chat Doctor. I can understand your concern. Chest pain, coughing, bad smell breath and breathing difficulty in a smoker is mostly due to lung disease like lung infection and bronchitis. 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. PFT is must for the diagnosis of bronchitis. You will mostly improve with antibiotics and inhaled treatment. In any case smoking cessation is must. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hello, I have recently gave blood as a donor. I have just received donor card saying that my blood group is A+. This is a surprise to me as I have always been told by doctors that I was A-. Is it possible for your blood group to change without you having any operations or transplants...or this is just an error..?Many thanks! | Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. It is likely to be some mistakes. Blood group is decided at the time before birth. If your blood group is A -ve than it remains as it is for lifetime. Blood grouping is the inherent property of one's life. If it is negative than it remains negative. You should check your blood group again at the more reliable site and keep it as record. This record keeping can help you in future for blood donation or in receiving blood from donor. This is serious matter if you or someone else receives wrong blood than it will be life-threatening condition. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist. |
My husband found out a node inside his scrotum, it brings little pain and is separated from the scrotum wall. He is convinced that it is only a little infection caused by the hairs on the scrotum area. I am afraid is something else. Could you please clarify my ideaBest regards Anna | HelloThanks for query. A lump (Node) with little pin in scrotal sac could be either a staphylococcal infection of a hair follicle (Boil) or a Sebaceous cyst.However, the precise diagnosis can be made only on clinical examination by a qualified General surgeon. The scrotal skin is rich in sebaceous glands and hence prone to get sebaceous cyst due to accumulation of sebum beneath the skin. Normally it fades away without treatment however need to be treated if increase in size or get infected. Take antibiotic like Doxycycline and Diclofenac twice daily for a week. If persist even after taking antibiotics consult General Surgeon for evaluation. It may need to get excised under local anesthesia. Chat Doctor. |
My left knee has been having some problems and i dont know if it is serious or not. on the inside of my left knee next to my knee cap when i bend and straighten it you feel a strange movement like something sliding back and fourth. sometimes this causes me pain and i also think that soemtimes my knee gives out. i have fallen quite a few times recently. about 4 years ago i had a fall which was quite hard and landed on that knee and evey since around that time my knee has been acting up. when i bend and straighten it yo also hear a weird grinding noise and i can feel the movement all the way around the knee to the back and sometimes when i bend and straighten it i get a weird uncomfortable feeling all the way to my foot. it is not always painful so im not sure if i should be concerned | Hello, Cannot say in your particular case, but generally, it is the function that is the indicator of how serious the knee problem is. So, difficulty in straightening out, fluid distending it, it's moving in the wrong direction are some of the indications that something is broken. The instability can predispose to even more damage because the knee moves in an uncontrolled way. Small problems still might be fixable with surgery like a loose tendon or a chip falling off of cartilage. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
my mother has ILD idiopathic lung fibrosis aged 60yrs,she underwent stem cell (where fat cell was removed and transfused thru IVF though her oxygen in body has slightly bettered it is now 95% she has frequent infections and coughing she is not 100% oxygen dependent and can walk few minutes without panting | Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, IPF (idiopathic pulmonary fibrosis) is considered as orphan disease. No curative treatment is available. Despite treatment, IPF is progressive in nature. Oxygen treatment is best for IPF. Along with oxygen, following things should be done for better outcomes. 1. Start perfinodone. This is newer anti-fibrotic agent specifically used for early IPF. No sure about effectiveness in late IPF. 2. N Acetyl Cysteine (NAC) has a role as pulmonary antioxidant. This will tell reduce inflammation in lungs. 3. Adult pulmonary vaccines like pneumococcal and influenza to prevent recurrent infection. 4. Enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercises are done. This will improve lung functions. So consult pulmonologist and discuss these treatment options. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks. |
my 4yr old grand daughter poops in her pants almost every half hour,,,when she was baby her mother had to use stoll softeners and laxitives etc to make her bowls move could this have cause a problem now,,she never pees her pants just poo but i never seen a child poop pants so much im worried,,it seems like her bowls are constanly moving,,,not normal? | Hi...please do not be worried. What you are describing is fitting into text book description of a condition called Encopresis - wherein the child will be initially constipated and due to this the kid holds back the stools which become hard, and the freshly formed stools will seep around the old hard stools and come out when it is uncontrollable. Once constipation is treated well, this condition will get better by itself. Do not worry. Regards- |
my tailbone had been hurting me for about a week until i later realized it was a risen coming on my tailbone and this is the third week i have been treating it with everything possible and still going to work in pain and my job is a job that requires a lot of heavy lifting. It is still under the skin and will not come to a head after three weeks. please help me | Hi, I believe your complaint deserves a keener evaluation and specific diagnosis before any appropriate treatment could be made. The causes could range from possibly infectious, inflammatory or traumatic causes. Knowing whether there is a recent history of trauma or not is important. Associated symptoms like fever, weight loss, associated joint pain, weight loss, fatigue could be important. Spinal TB is an option to be eliminated in this case. Any spinal or paraspinous abscess could present as such. Doing a spinal X-ray (lumobospinal), a CT Scan and probably an MRI, depending on the case could be quite helpful. Complete blood count, markers of inflammation (ESR, CrP, RF, HLA27) could be of utmost importance, associated with a careful clinical evaluation in making a correct diagnosis. A visit to an Internist or surgeon could be of utmost importance in putting things together for a more comprehensive, specific and exact diagnostic and management plan. Thanks as I hope this helps, Best regards, Luchuo, MD. |
My son has been drinking penicillin for a tooth infection and hes been wakin up with bloody nose he woke up with this little black spot what looked like dry blood on the tip of his tongue like a deep bruise around a tastebud like when you smash a finger n a bloodglot forms then a huge blood clot wormlooking came out his nose should i take him to the hospital | HELLO AND WELCOME TO Chat Doctor FORUM, As you described, the bleeding started once your son woke up from sleep. This may be due to many factors- epistaxis tongue thrusting habit bleeding disorders associated tooth infection which has spread into periapical area gingivitis I would suggest you to visit a physician as well as dentist for direct clinical examination. Please do not take antibiotics without medical supervision. Treatment can be planned based on the diagnosis. Regards Chat Doctor. |
Our 7yearold daughter has feverish symptoms but with a large red bruise ( raised) in her neck which is itchy. The first day it was all red, today the center is skincolored and the ring around it is red. Another similar smaller bruise is forming on her back. She itches we thought it was dry skin but when she scratches somewhere, it bleeds easily. She has a headache and sore muscles and eyes and a temperature. | Welcome to the Chat Doctor I have gone through your question. It seems that your daughter had some insect bite or infection leading to the symptoms you mentioned. Insect bites such as spiders, ticks, ants etc. can cause release of inflammatory mediators especially histamines which may lead to such skin lesion and systemic symptoms. It requires treatment with antihistamines such as Chlorpheniramine or Ben Chat Doctor. Also, application of calamine lotion helps in prevention of local itching and early healing. For fever and body aches, acetaminophen or ibuprofen helps. In case the child doesn't respond to treatment, I would recommend a complete systemic examination to rule out any infection. Hopefully this will be helpful. I would be glad to help you in any further questions. Take care |
Yesterday and today I have been vomiting and feeling nauseous. I havent been able get proper sleep because I feel like I am going to throw up. This morning I still have stomach pains associated with nausea and it sort of hurts to breath on my left side. I dont want to eat anything as I usually do. My appetite is gone. Im very tired but Im usually quite fatigued anyways. Im thirteen if that makes any difference to you. Any idea whats wrong? | Hello. Welcome to Chat Doctor. Your symptoms of nausea, vomiting, loss of appetite and left sided discomfort in chest region suggest that you have gastritis or a stomach infection. Please take a course of antacids like pantoprazole 40 mg twice daily before food and tablet risperidone once twice daily before food. Both medications are available in combination form also. Since you have not mentioned any fever, there is no need for antibiotics at present. The above medications will help relieve your symptoms, but the gastritis may take about 5 days to settle. Also try to Chat Doctor. Wishing you good health. Regards |
Suffering from prostatitus,my urologist has suggested Loxof by Ranbaxy,Niftran and Urimex by Cipla n Urikind n suggested urine culture for sensitivity.Please suggest duration for treatment.Whether the abve disease is completely curable. Please advise. | helloThanks for query. You have been diagnosed to have Prostatitis and is prescribed LOOF, Urimaxand and Nightcap by your Urologist. Prostatitis is a notorious disease and embarrassing both for patients and treating physician. It takes long time to get cured hence one has to take appropriate antibiotic for 6-8 weeks. I would suggest getting swab test and culture of urethral discharge obtained after doing prostate massage so that you can take appropriate antibiotic as per culture report. This will help to resolve the issue faster. Chat Doctor. |
I am suffering from stomach problem and for that could not sleep . somtime full night also could not sleep. Local doctor advised me in the month of may 2011 a) rablet 40 b) Nomaxinc) Zicam and d) LibotripHow long I can continue these medicine ? For complete investigation I want help . Please advise. | Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you against eating food from outside, if you do especially fast and fried food. Next I would go for a routine test of stool for ova and cyst and treat it if positive specially for meiosis which is the unsuspected culprit many a time. Along with this I would also prescribe you with a probiotic, a proton pump inhibitor and a prokinetic. If all these measures fail, I would then refer you to a gastroenterologist for a possible endoscopic evaluation of your intestines. Further management would depend on the results of the physical examination and investigations by the gastroenterologist. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
Hi, I have just had bloods done to ascertain liver function as previously I had elevated bilirubin at 38. Checked again 2 wk later but Gp had no cause for concern. This was 6 months ago......Now.... The whites of my eyes have yellowed a little and bilirubin is 81. No other jaundice/liver symptoms. What would you advise next and what is considered normal bilirubin level? All other LFTs were normal... Thanks | Hi and welcome to Chat Doctor. Thank you for your query. You should find the exact cause of your jaundice and elevated bilirubin levels. It can be caused by hemolytic anemia or more common by some liver disorders such as hepatitis, biliary obstruction or liver cirrhosis. So you need to do liver ultrasounds first and CT scan if necessary. Follow some hepatoprotective diet and avoid alcohol and smoking. Test your viral markers too to rule out infection. Also, some genetic disorders should be considered if you don't find anything by these tests. Wish you good health. |
Hello Dr! My baby is 2 yrs old she have continue fever we showed her to a general practitioner he advised us to give her to give Meftal P 4ml, Zifi CV syrup 4 ml but she is not improving. moreover she have coughing & she is not eating anything whenever I have given medication she vomits it out. can u help me with this. Thanks | Hi... Thank you for consulting in Chat Doctor. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
Sir, i am a medical student from Pune. I am going through a big problem. Since i am 12, ive always had a feeling of sexual attraction towards the same sex. i used to think that as the age progresses ill be normal. I am 21 now, but still there are no changes. Infact my body has shaped out in quiet a feminine pattern, onto it ive got a crush over one of my best friend of same sex. Now all these things make me feel so conjusted. I couldnt expect my parents to understand this. Many times i feel like getting my sex changed. But what about my parents then, they wont be able to cope up with it. Also the boy whom I am in crush with is straight and he doesnt feel anything like this. All these worries and excessive sexual desperation for that person, not only deprive me off the concentration in my studies but also I am unable to live happily!! Please help ill really be thankful to you!!Warm reguards.. | Degree understand your concerns went through your details. I suggest you not to worry much. Sexual fantasies are common, but they are against social values. You must understand that there is nothing wrong in feeling attracted sexually with the same sex. Everybody has to go through such a state in their life. But why you are worrying about it? Worrying and escapism makes that thought to be present always and makes you anxious and stressed, as you are now. Learn to ignore such thoughts. Accept what you are now and believe everything will change in the future. You are just 21 and there could be another 5 years before your marriage. Things settle within 5 years. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http |
I was kicked in the leg playing football, it wasnt that bad and i continued to play the next day it swole up and got really big and painful, i went to the hospital where they just gave me cruthes however two weeks on and im still.having trouble walking, i still have a bruise and massive swelling on the shin and a huge dent just below it. Any idea of what this might be? | Hi. Your pain is due to tibial bone condition...wherein after the hit your bone covering called periosteum would have got inflamed ad you continued playing gone a bit worse... The dent what you are referring could be due to swelling in the adjacent areas...or the area of injured tibial bone.Don't worry... If I were you... I would have done icing very frequently on the injured area.once in every 2 hours for 15 mins. Keep that area gently compressed with a compression bandage... Had taken some Anti-inflammatory tabs given to be previously. Kept my leg slightly elevated... Once swelling and pain comes down I would have gently knead on my calf muscles to receive spasm. Hope this is helpful for you. Kindly revert in case you need any further clarification... |
Hi, I m 27 . I recently started experiencing breathlessness and sometime pain in the chest after coming back from vacation from Ladakh. I don t smoke. I m allergic to bodyspray, my nose start to bleed and undergo irritation in the throat. Please advice | Hi Welcome to Chat Doctor After going through your query I concluded that you are having breathlessness. To investigate for the cause of breathlessness you should get your heart function test and lung function test including chest x-ray AP view. Analgesic such as ibuprofen can be of use to relieve pain. Cetirizine will be useful in allergy. Vitamin B and C help in recovery. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then please don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
So I read somewhere that spotting / cramping is a early sign of pregnancy that happens when a fertilized egg attaches itself to the uterus. Is this true? I m wondering cause a few days ago I lost my virginity to my fience and we didn t use protection and he cam inside. We want to have a kid badly and this morning I woke up spotting and cramping and its no where near time for my period. | Hi dear, I have gone through your question and understand your concerns. Unprotected intercourse can lead to pregnancy. Cramping and spotting are early signs of implantation and pregnancy. I will suggest you to wait for the periods, if delayed then do get a urine pregnancy test done to confirm the diagnosis and get appropriate treatment. Hope you found the answer helpful. Wishing you good health. Chat Doctor. |
Hi, I had a fall Friday night/Saturday morning, I fell quite harshly onto my knee and since then swelling seems to be getting worse and bruising is appearing, today I have been barely able to weight bare and my lower leg/ foot has gone really cold and tingly. Just wondering if I need to visit accident and emergency. I have already been resting as much as possible and using ice. Thanks, Chloe | Hi, Thanks for your query. From description, it seems to be soft tissue injury. Swelling might be due to hematoma formation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
It is painful in my back and hip area when straightening up after bending down. This has been getting progressively worse for at least a month. I have no difficulty walking, running or doing moderate exercises and in fact these activities seem to alleviate any pain temporarily (an hour or so). I also feel better for a few hours after rising from a nights sleep. What could be the cause and what can I do to ease or eliminate it? | Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from osteoarthritis of both hip joints as pain is relieved by rest. You need further investigation by x-ray of both hip joints with pelvis. You need to exclude lumbar spondylosis by x-ray of lumbar spine. Analgesics (DICLOFENAC 100 MG SLOW RELEASE TABLETS) whenever pain is helpful in pain relief. Diapering and glucosamine sulfate protect cartilage from breakdown and help in cartilage regeneration. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised (if it is lower than vitamin D supplementation will be required). You can discuss with your treating doctor. I think your query answered. Welcome to any follow-up query. |
Decreased hydration and diffuse bulge of L4-5 intervertebral discs with mild indentation of central canal, lateral recesses and intervertebral neural foramina with no neural impingement.Define T2 hyper intense lesion at L3 in the body - hemangioma. | These are incidental findings of no likely clinical significance and would not be expected to explain symptoms of significant pain, numbness, tingling, or anything except the normal aging process which everyone experiences. Disc bulges are not believed to be important unless clinical symptoms correlate to location of the bulge(s) AND there is some nerve root that is being compressed. A hematoma is common radiographic finding and is a small collection of capillaries within an organ or tissue. On the skin they look like tiny cherry spots but cause no harm and they don't convert into anything else. Usually believed to be there long before they are discovered. Please rate this a 5-STAR ENCOUNTER and write me at |
I have 3 bulging discs, a torn disc & an extruded disc in my back. The extruded disc is at L5-S1 and is the root of my sciatic pain - Last night, my husband noticed that my upper leg around my hips & thighs was marbled like red & white circle blotches. Is this something typical with my back condition or something different? | Hi, Thank you for posting your query. Skin changes are not usual with disc bulging at L5-S1 and compression of the nerve. Pain is a common feature, which can radiate up to the foot and toes, along with tingling and numbness. So, if you can upload a picture of the affected area, it would help in making a diagnosis. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
I have recently lost nearly four stone in weight and have just noticed a small lump about the size of a large grape in the centre of my chest where the lower part of my rib cage meets. I didnt notice it before and I have no pain from it but it does worry me. Is this normal ? | Hi. The best advice I can give you is to have a consultation w a physician for a complete examination, and evaluation of that mass through imaging like x-ray or a ct-scan and the possibility of a tissue diagnosis through biopsy. It could be normal if it's just a bone protrusion, it could also be a benign cyst, but my concern is that you have accompanying weight loss, and it might be something else. So the safest and definitive way to know is to have a consult. Hope this helps. Good day!~ Chat Doctor. |
Hi. A lump suddenly appeared under my left breast. It was the size of a pea but it grew overnight and is quite sore and itchy. I also have felt very sleepy recently and have had a hard time getting over an illness. I have an appointment tomorrow but do malignant tumor typically hurt and itch? | Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in all the details you gave. Treatment-Malignant Tumor don't pain and itch and hence don't worry. Cause of the lump under the left breast seems to be boiled/bug bite.Don't be anxious. I would advise you to consult with ER primary doctor who would give anti-inflammatory and antibiotics Chat Doctor. If not relieved, consult an ER Surgeon, who would investigate and treat it according to its cause. Welcome for any more query to Chat Doctor in this regard. Write Excellent review and hit thanks if this reply Helps you out. Have a Good Day. |
I have been feeling sore on the inner side of my left thigh, I thought I had pulled a muscle but the pain slowly is increasing and not getting any better! My doctor is away on holidays, but it feels sore all the time. sometimes it shoots down to my leg, please if you could perhaps guide me, I will be seeing my doctor at the end of next week. | Hi, thank-you for providing the brief history. As you have a severe pain and shooting down the leg I feel you should undergo a thorough clinical examination and an MRI of lumbar spine. As the pain which is shooting in nature and runs down the leg it could be due to the nerve entrapment. And with the help of the MRI scan the pathology of the disc in the lumbar spine can be understood much better. Once this pathology is understood you may be referred to a physical therapist for further management. With the help of the therapeutic ultrasound therapy and TENS therapy the pain and shooting radiating can be stopped. Later stages exercises I strengthen the muscles of the back, core, pelvic floor and lower limb as a whole will be taught. You should improve in about 3-4 weeks of time. In my clinical practice most cases with such symptoms respond well to a combination of Chat Doctor. Regards. Jay In |
I suffer from lower back pain but a couple weeks ago woke up with severe back pain and have been experiencing numing in my left leg if I stand to long I teach but try to sit as much as I can the thing is my. Back is no better over these weeks though I have tried many things for the pain should I be worried I feel like my doctor wont take me serious | Hello, I have studied your case. Due to compression of this nerve root there is pain in your back and leg. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till 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. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
I have a growth on my left lower rib cadge, when I lay down on that side it hurts and I can actually feel my rib hitting something underneath too, I am bloated bad!, tired, feel like I don t feel good, weight gain, but feel sick to my tummy too. I have had a CT scan and they have found nothing yet? | Thanks for your question on Chat Doctor. Since your CT thorax is normal, rib cage and pulmonary causes are less likely cause of your symptoms. You may have palpitations and due to rapid heart beat you may get feeling of something hitting ribs. So get done ECG and 2D Echo to rule out cardiac cause for palpitations. If all these are normal than most probably it is due to anxiety. So better to avoid stress and anxiety. Keep calm and relax. Lose some weight. Start exercise. |
This is regarding my mother condition.29/09/2013 | Hi, Thank you for posting your query. It is unfortunate that your mother suffered a major brain stroke (hemorrhage), resulting in damage to several parts of brain. Some degree of brain injury is permanent, however, some improvement would occur. Detailed neurological examination, along with tests like EEG and PET scan can help us diagnose her current status, whether she is conscious or in vegetative state. In any case, one has to continue supportive care and wait and watch for any recovery. I hope it helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
I had a CT scan of the abdomen after receiving an abnormal ultrasound with the following impression | Dear madam, I think that everything is said. It can be only calcification which means nothing. But it can also be a stone. You didn't mentioned the exact symptoms which led you to these diagnostic tests, but if it is a stone lodged in sphincter of Odd you would have typical biliary comics or even jaundice from time to time. So I recommend you if u have these symptoms u should do cholecystectomy, if not u can do i too, or you can wait for symptoms to appear. Dilatation of duct goes with biliary obstruction due to stones or tumors. Wish you good health. |
I m taking Cymbalta for lower back pain. But lately I m having side effects - dizzynes, itching, sweating & lack of appetite. I took my blood pressure at home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK?home and it read 110 over 87. I do take medication for blood pressure and thyroid. Is my blood pressure OK? | Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is normal. No need to worry about that. Continue with your antihypertensive and thyroid medicine. Go for regular checking of blood pressure and T3, T4, TSH. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
What can I take in place of Naproxen or Ibuprofen for my knee pain? I had arthroscopic surgery in August and was taking Naproxen. Caused issues with my hearing. Now I can hear but sitting or walking for long periods of time make it painful to move afterward. | Hi welcome to ChatDoctorDear, I can understand your concern For your info, all medications have side effects , good or adverse. You can contact your doctor for right advice. Meanwhile, I suggest Homeopathic ARN ICA 30 /2 Chat Doctor. A level spoon of Turmeric powder in a cup of hot cows milk at bedtime serves as natural antibiotic and anti-inflammatory agent, helps get rid of pains & accelerate healing process . Hope this helps solve your query. Take care don't hesitate to get back if you have any further query. |
My daughter who is 39 is going through severe anxiety, anger, rages and has been in a mental inpatient clinic but was only kept for two weeks and seemed only completely drugged. Seem to only make her more angry? She is very abusive to husband, has no friends and is mad at everyone. What should we do for her? | Hello sir, before answering your query I would like to know some more details like 1. For how long she has been doing like this. 2. Is this her first episode of these complaints, or she suffered with these complaints in past before marriage. She needs to be admitted in hospital for few days to conform diagnosis. I prescribe to my patients' mood stabilizer and antianxiety Chat Doctor. Get with these details then I will be in better position to help you. |
hi i tested positive on a hpt on 7/17/10 and on 7/29/10 i went to see my doctor and told her that i have been spotting off and on but very light brownish discharge....so my doctor said she wanted to check my pregnanciy in numbers and if my test result is high enough they will order a ultrasound, but if it is low then that would mean that im in the process of a miscarriage well my results came back high enough for a ultrasound and i have a appt. 8/9/10 for an ultrasound....my question is how come i still have brownish color discharge....its not enough to fill the pad and im very worried is this ok? | Hello dear, I understand your concern. In my opinion the brownish spotting can be due to various reasons like hormonal abnormalities like thyroid abnormalities, progesterone insufficiency, abnormal pregnancy like miscarriage, bleeding from cervix,low-lying placenta etc. If the ultrasound is normal nothing to worry. It is good that your Chat Doctor numbers are high. The bleeding can be attributed to cervix. Avoid physical stress, intercourse. Take good rest. Also rule out thyroid abnormalities by doing thyroid profile. It will subside with apt treatment. So avoid stress and relax. Best regards... |
hello doctor,i have mucus in my lungs and cough once in a while.at night i can hear wheesing sound and at times i have difficulty in breathing.This problem has bee there for the last three months.this problem comes once i catch cold.is there any medicine for this | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are mostly having bronchitis. It is inflammation of airways. And the most common cause is infection. You're all symptoms like cough, expectoration, wheezing etc. are suggestive of bronchitis only. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). For the diagnosis of bronchitis, PFT is needed. It will also tell you about severity of the disease. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Oral expectorant and bucolic Chat Doctor. So consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks. |
I have been experiencing right side lower back pain. This has been going for a while. Lately it has been severe. I am unable to walk,sit or lay down other than briefly. Pain pills of script strength have no effect muscle relaxers also have no effect. The pain will move from the right side to the middle lower back. Wearing pants with belt or elastic waist makes it worst. Ibuprophen is the only thing that relieves the pain temporarily. | Hello! I read your concerns. Low back pain is commonly caused by muscle spasms which could be due to posture, heavy activity, or trauma. However, since muscle relaxants don't work on you, it could be something else-- slipped disc, osteoarthritis, scoliosis, kidney stones, and other causes. If I was your treating physician, I suggest you do a simplex ray of your lower back to rule out spinal causes. I hope you get well soon. Have a nice day! |
Hi i have a lump on the right side of my neck just under my jaw that moves around and is soft to touch, i have suffered from toothache for a few weeks and also had blood tests done as i wasnt feeling to good which showed i am low in vitamins and was given folic acid tablets do u know what could be causing this lump | Welcome to Chat Doctor .1. Most likely its sailoadenitis (salivary duct) when there is any obstruction to the duct due to calculus may cause the lumpy feeling.2. Other possible causes are submandibular lesion, lymph nodal enlargement and lastly the mandibular cystic lesion (but It's hard in touch).3. If you are my patient I would examine and ask for an ultrasound scan to evaluate the nature of lump, source of existence and extensions.4. Lymph nodal enlargement is seen in case of any underlying medical conditions.5. Recommend you to get an appointment with your doctor and get the needful investigations and treatment done. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you. |
Hi there, I was walking today and then suddenly my left leg started feeling weird. It feels like there s a bubble in the knee area of the leg. For instance, when I bend and straighten my leg it feels like I can feel the muscle.....I m not really sure how else to describe it? | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion you will be having either meniscal tear, or some joint swelling. If it is painful and bothering you, it needs to be seen by or tho doctor, and investigated accordingly. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. |
sir,i have a dog 2 years old and immunized for anti rabies for the past two years last dose was given to it last month. 2 days back some stray dogs attacked my dog and has bitten him. yesterday my dog bitten me too on my hand. i have cleaned the wound with soap and dettol. there is no deep cut only the skin has cut. and minor bleeding. do i have to take anti rabies injection. | Hi, Thanks for posting in Chat Doctor. I understand your concern. The current exposure falls in category 2 and carries certain amount of risk. Hence, a complete course of anti-rabies vaccine needs to be taken along with the local wound care. As per WHO post-exposure prophylaxis recommendations, one dose of the vaccine should be administered on days 0, 3, 7, 14 and 30. Hence, kindly complete the course of the vaccine as per the prescribed schedule. Hope the information provided would be helpful. All the best. |
I HAVE A DENT IN MY TIBIA ABOUT 1/3 OF THE WAY UP. I JUST NOTICED IT. I HAD A STRESS FRACTURE 3 MONTHS AGO IN THE SAME AREA AND A BONE CYST WAS SEEN ON THE MRI. PAIN HAS GONE EXCEPT FOR MOMENTARY GLITCHES OF PAIN IN THE BONE BUT THIS DENT JUST CAME UP THIS MORNING. SHOULD I CALL MY ORTHOPEDIC SURGEON? | Hello, If there was a bone cyst with presence of recent dent then I shall advise you to consult to your orthopedic doctor. In an old case of bone cyst with recent change in architecture with or without associated pain may signify change in behavior of disease. This should be clinically assessed & an x-ray or CT should be done. Hope I have answered your query. Let me know if I can assist you further. Take care |
I have a tooth out it did not come out is the mouth is very soar and I have sore thoat. I feel i am bruises in side. There was only a little piece of tooth left from back 30 years. I have clonamox 500 mg from anothervisit i am in so much paid if am taking them. will they hell | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of toothache after incomplete tooth extraction seems to be due to bacteremia and septicemia as chances of residual infection are there. Need not worry. I would suggest you to consult an oral and maxillofacial surgeon once and get evaluated and get X-ray of concerned tooth done and start treatment accordingly as there are chances of infection below remnants of tooth roots. You can take Ibuprofen for pain symptoms and along with antibiotics such as Cinnamon. Do gargle with antiseptic mouthwash. Maintain oral hygiene by brushing and flossing. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
My 5 year old son was running and hit the top right of his head on the door there is a bump on his head the size of a half dollar put ice for the last 2 hours swelling has gone down but now he says he sees spots all different colors should I be concerned and take him into the ER to be seen he is fine otherwise not dizziness vomiting | Immediately rush him to hospital, there might be an internal bleed whicChatDoctorpressing the artery supplying nerves /area of vision. Hence the visual changes. If there is associated vomiting and headache and any signs of weakness of any body parts or seizures, then bleed in head is confirmed. Rush him to nearby neurosurgeon, he will take a ct scan/MRI and admit him. All cases of head trauma are to be kept in observation for 48 hours even if patient is healthy as bleed can start in any of these hours.Don't panic most bleeds are treated by medicines alone without need of surgery. We have got excellent treatment if treated within time without having any complications and prevent damage. |
I m having lower right back pain, I m on my period, ever since I started my period and inserted a tampon and took it out cuz it hurt and put another one in I ve been having what feels like a cramp but its been going on for three hours now. I m wondering if I should be concerned and go get checked out? | Hi, In my opinion I don't think you have to worry. It is common with pregnancy. I suggest some hot fomentation and topical gels and muscle relaxants will be helpful for now if not you may ask your gynecologist about it. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. |
Hi, I was taking an antibiotic, and the week prior i had a hep a, typhoid, and yellow fever shot. Also, i was taking Oxyelite pro. I took a blood test and my AST and ALT levels are 73 and 96 respectively... Other than that, everything else on my blood test is normal, i work out every week, and Im in perfect shape. What could cause the high liver enzymes? | Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values higher than \"two times the upper normal limit\", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Viral hepatitis (HAD, HBV, HCV) are common cause of elevated liver enzymes. Typhoid fever may also affect liver and cause high liver enzymes. Advice |
I hemorraged after the delivery of my last child in December of 2007. Doctors advised me that it would not be in my best interest to have anymore children anytime soon, being the fact that with my last child made three I had within 40 months. I was wondering since I am now due in Feb. of this year what are the health risk that I face? | Hello, and I hope I can help you today. Postpartum hemorrhage has a risk of recurrence, and one of the main risk factors is having had more than three child Chat Doctor. So the main risk that you have for this pregnancy is blood loss at delivery, and sometimes, difficulty delivering the placenta. Paragraph things you can do to help minimize the chance of complications at your delivery is to take an iron supplement in addition to your prenatal vitamin, to ensure that you are not anemic at delivery. It would also be a good idea to deliver in a hospital who has access to blood transfusion and emergency procedures for postpartum hemorrhage, rather than in a birthing center or somewhere without immediate access to emergency medical care. It would be in your doctors best interest as well to have medication readily available that can be used to treat postpartum hemorrhage; Misoprostil is the one most commonly used in summary, you have a high likelihood of another postpartum hemorrhage because of your obstetric history. If you deliver in proper healthcare facility, and do your best to not be anemic at delivery, the greatest chance is that you still will have a healthy pregnancy and delivery. I hope I was adequately able to answer your questions today, and that my advice was reassuring. Best wishes, and good luck with the rest of the pregnancy, |
hello doctor,my sister,27 years old,she has low IQ prob from childhood..she failed in every class n anyhow she passed 8th standard...as in my family no one was enough educated so they didnt consider this as a problem..my sister was more interested in playing with kids,watching television n sleeping in place of meeting with guests or to do some complicated work at home like cooking n all...as she was younger of all no body forced her to dk..but not she is married..n she is doin all this in her sasural..her motherinlaw is also not happy with her...my sister is not taking care of her child...she even dont make food for tht littile kid..she is goin to become agressive when someone tell her to to some work..she just want sleeping n watching televison..i m realy worried for her..I know this was our fault tht v didnt provide her treatment when she was child..but now i want to do all wha tis required to get her normal as others..please help.. | Degree understand your concerns went through your details. I suggest you not to worry much. Low in IQ is a developmental disorder. There are no effective treatment / therapy method to increase IQ. But as age progresses, IQ should come to normal. In your sisters case, from the description, I do not see that her IQ is below 70 to treat her as mentally retarded. In any case, get her IQ checked. Motivation is the key in success for every person. You should adopt motivation as a method. She may be poor in studies, but she should also have her own diverse abilities. Find those abilities and motivate her in that aspect. 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 the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
Broke a tooth lat week. Swollen and sore tonque. Tooth seas fixed. Still having severe nausea and diarrhea. What now, it has been a week since I broke the tooth. What now waHave identified ale , chicken soup any Imodium. Dr. Gave me antibiotics for infectiont nausea and diarrhea to go away. Cant eat anything without diabetes and losing what I ate. | Hello and welcome. Thanks for sharing your concern. I would like to suggest you to see your dentist soon. An x-ray is required to see the extent of damage caused. Please mention your age.?so that better diagnosis can be made in terms of eruption of teeth. Secondly please do not correlate other illness like nausea and diarrheas with broken teeth. Your physician can help you in this. Please see your dentist soon so that clinical evaluation can be done and then if required a root canal treatment. Hope it helps. Thanks. Take care. |
good morning doctor, my husband went to bed last night complaing of nausea and woke up 3 to 4 hours later with a fever and with a severe of the chills. he is 36 and is on an antacid for his acid reflux. Also we are on vacation with his family, but nobody else is showing any of the same syptoms. Please help | Many conditions can cause these symptoms. If he is not having any other specific symptoms such as sore throat, cough, pain, etc., there is no way to even guess what it could be. Specific symptoms might reduce the possible diagnostic possibilities, but the specific diagnosis may require testing. This could be one of Hun Chat Doctor. If he is very sick and having a very high fever, then take him to emergency or urgent care where they can examine him and make a specific diagnosis. Then the correct treatment can be started. Hope this helps. |
I am a 70 yr. old female just recovering from a respiratory type flu . However, I have also had pain in my stomach area. I have confirmed diverticulosis , but am wondering if I may have diverticulitis now. The pain is in the area of the transverse colon, not the descending, has spread a bit to my back, and is kind of low-grade pain. I really don t know if it might actually be in the stomach, but I don t think so. It gets worse if I try to eat, so I have not been eating much for the last six days. The flu is much better, but the stomach pain is not going away. No cramping, no diarrhea, no fever, no nausea or vomiting. Is there a simple, but definitive test for diverticulitis infection? I live in a remote area and called a clinic 40 miles away and the nurse said the only way to confirm is a barium enema . This does not sound logical to me. | Hi, Welcome to Chat Doctor Forum. Diverticulitis occurs when the diverticula in your digestive tract become infected. Diverticula are bulging pouches that can form in your digestive system, including your esophagus, stomach, small intestine or large intestine. Are your Bowels habits regular? Get yourself evaluated further by a Gastroenterologist to rule out appendicitis, IBS, PID. A CT scan would be a better option for your Doctor to come to a final Diagnosis. IF Diverticulitis is confirmed you may need a Surgery. If your symptoms are mild, a liquid or low-fiber diet and antibiotics may be all you need. Chat Doctor. All The Best, Take Care. |
Dear Doctor, My brother (Age-40) is diagnosed with mild liver Cirrhosis . 1) A week before, he puked blood and had black stool. He was admitted to hospital. 2) The next day morning he again puked blood and had black stools. 3) The gastroenterologist ordered an Endoscopy and the report reads | HelloThanks for your query. Based on the facts that you have posted it appears that your father has Hematemesis due to esophageal varices secondary to liver cirrhosis. Which in turns was due to Hepatitis C infection. Hepatitis C infection is a viral infection that over a period of years leads to scarring of the liver tissue (Cirrhosis) and finally to liver failure. Hepatitis C can be controlled with medications if detected earlier before liver damage. Since it is a progressive disease it can not be controlled in advanced stage. Please keep him under observation of Castro- Entomologist. Chat Doctor. |
With regard to the food habits and physical activity, Are there the list of Do s and Dont s that you could suggest for kidney patients who are on dialysis? what would be the most sensible thing to do, second transplant or the home dailysis? (this is for a 39yrs old patient (male) who underwent his first transplant in 2006, experienced it s rejection in 2013 and been on dialysis since then) | Hi, Thanks for writing in. A repeat transplant of kidney might be thought in person with rejection and this time it requires detailed testing and matching with the donor. Home dialysis is a self-help method and if the kidney function is well maintained then there is no concern. The problem comes with deteriorating kidney function. This raises an alarm and might cause sudden decrease in kidney function. Patients on dialysis should take adequate amount of proteins and this needs to be balanced as per the individual requirement. Eating lean meat is advised. The potassium, phosphorus and sodium levels are to be continuously monitored and foods taken such that it is balanced. Fluids have to be taken in regulated quantities. Please do not worry. |
hi im kiran, 31yrs old from india. im suffering from cold, cough, running nose (yellow mucus with small particles of blood), headache, sometime mild pain in abdomen(while eating), problem of red eyes, fever(not showing in thermometer). during day i do not feel severe problem but after sunset all problems being start. my blood report shows eosinophilia. eocino- 7% and the report of AEC shows- 504. doctor prescribed me tab.mucolite, cefexime, pcm, b-complex, nimuslide and other medicine. pls tell me the reason of this problem, treatment. | HIT hank for asking to ChatDoctorI can understand your problem this could be an allergic condition and for that I would advise you to start the long acting antihistamine \"Livocetirizine\" three times in day, \"Diethylcarbamazine\" 100 mg three times in day for seven days if this fails to respond then steroid would be taken and for that you need to see the doctor, but this will come around with this have nice day. |
Hi I have small white patches on my inner thigh and it itches when I walk..my legs are necessarily rubbing together though.....when I scratch it becomes flakey when im sitting iot sort of itches but not as much when I walk im a small girl about 128lbs | Hello and welcome to Chat Doctor I would keep a possibility of fungal infection. This is because closely opposing body folds e.g. thighs and groin, maxilla, submammary folds etc. can trap sweat, heat and moisture, therefore making the area favorable for fungal proliferation. If I was the treating doctor I would have asked you to use a topical antifungal like clotrimazole/ketoconazole/fluconazole cream, twice daily, regularly for 4 weeks. State AF cream contains topical terminating+mometasone. I would rather prefer a plain antifungal like clotrimazole/ketoconazole/fluconazole because mometasone if used for too long can cause side effects like skin atrophy and striaeSince you are already using an Oral antifungal e.g. oral terminating once daily. I would suggest you to continue with it for 4-6 weeks for a more complete urban OTC antihistamine e.g. cetirizine 10\u00a0mg once daily would help you in symptomatic itch relief. Keeping the folds Chat Doctor. Regards |
I have a hard lump on the bottom of my scrotum. It feels itchy, but scratching does not seem to relieve the itching at all. Is there a way to tell if this is cancerous without a doctor? How would that be determined with a doctor? (I don t have a doctor currently, and am hesitant to spend the money for a checkup.) | Thanks for asking in Chat Doctor forum In short |
Dear Doctor, I am resident of Delhi NCR. During the changes in seasons | Hi Mr Chan Chat Doctor. Feeling of pain, heaviness/fatigue in legs is caused by stenosis or narrowing of the central canal in the spine where the nerves are pinched. L5, S1 and L4 are the common ones to get compressed. The cause of this is degeneration of the spine which means age related arthritic changes in the spine. The intervertebral disc bulges, bone spurs from the vertebrae (osteophytes) and a thickened ligament between vertebral bones contribute to this stenosis. Initial line of treatment for this is pain relieving medications, brace and physiotherapy. Epidural injections are done in spine around the affected nerves and reliably offer pain relief. All these treatment options relieve pain but unfortunately none of these can sure the basic pathology causing this pain for which surgery is necessary. Hope this is helpful. I would be happy to answer any questions you may have. |
I woke up this morning to my tongue being white and was a little black in the back and along the side of my tongue was like outlined in black my tongue has stayed white all day along with that my lips were white when I got up through the day color started coming back now noticed my lips are white again and tongue is still white but the blackness is not there | Hi, I'd suggest doing the mouth swab culture test for candida to identify if candida is the cause of your white mouth to get proper treatment. Meanwhile, until the test results are in, I'd advise to- keep good hygiene of your mouth-wash your mouth with water and salt and a bit of soda bicarbonate- wash your mouth before going to bed and after eating-avoid laying down immediately after eating.- Chat Doctor. |
So lately Ive been having some chest pains and Ive fainted a couple times. I black out and get dizzy usually when I stand up. I cant see and I get all numb and dizzy. Ive fallen over a couple times. Ive also been having back and joint pains, and my ribs are very weird. One of them juts straight out, but the other ones kind of sideways. I dont know if that has anything to do with anything though. Im a 14 year old girl. Please help. Ive already been to a dr., but they hadnt really said anything was wrong. I still think somethings wrong though. | Thanks for your question on Chat Doctor. I can understand your concern. At your age of 14 years, heart diseases are very unlikely. But you're all symptoms like chest pain, blackouts, dizziness etc. are commonly seen with heart diseases like valvular heart diseases. So first get done ECG and 2d echo. If both these are normal then no need to worry about heart diseases. Sometimes, stress and depression can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
my 2 year old daughter has a fever of 2 days now, and when giving her a bath today, and brushing her teeth I looked into her mouth and saw a thrash, swollen gums and her last molars coming in. I also noticed that around nearly all her teeth were a thin blood line as if it was gingivitis. I just brush her teeth once a day, but I always clean it very well and never noticed anything like this before. she has had thrash on other occasions but never what I have seen today. Also loss of appetite and that includes drinking. From what I observed, all of her gums are swollen and I noticed a small red spot on the upper left cheek inside her mouth. Thank you for any advice. | Hi, Thanks for asking the query, According to your clinical symptoms I suppose that your child has developed inflammation of gums known as Gingivitis. I would suggest you to take your child to the Dentist and get the checkup done, go for symptomatic treatment of complete mouth scaling and polishing. Give him lukewarm saline and antiseptic mouthwash gargles. Maintain a good oral hygiene of your child. Take care. |
my heart stops for a second or two then beats fast to catch up. it happens more at night and when im laying on my side. is this anything to be concern about. I have a second question I recently had all of my colon remove except for the stump I pass mucus out of my retum some times it is mix with blood should I go see my doctor | Hi welcome to ChatDoctorI understand your query and concern. Irregular heart beat in your case are suggestive of any arrhythmias of heart which means abnormal conduction abnormality of heart. I advise you to get an ECG,2 D Echo of your heart immediately to confirm the diagnosis. I also advise you to get lipid profile, complete blood picture, chest x-ray immediately as a part of routine check up. Chat Doctor. Avoid stress and anxiety. Avoid smoking, alcohol, fatty foods. Abnormal lipid profile if present in your case should be treated with atorvastatin. Monitor blood pressure and heart rate immediately. EP study and radiofrequency ablation will be the procedure of choice. Consult your cardiologist for expert management. Post your further queries if any, Thank you. |
Hi, I am 30 years old female with primary infertility. married for 9 yrs, but no children. Height is 5 feet. weight is 54 kg. Tried various treatments, but failed. Diagnosed with prolactin level, but treated with cabergolin. High FSH level of 15 ng/mL and endo layer of 6 (increased to 9 during IVF cycles). During 1st IVF with very high doses of injections got 8 occytes, 6 fertilized, had 2 blastocyte implantation but failed. 2 embryos were frozen and 1 was left for FET and that was also failed. Second IVF also failed. What is the best treatment option available to me for having a baby. Please suggest. | Hi, I have gone through your question. Failure of IVF two times is a worrisome situation. IVF failure can occur because of the improper laboratory conditions, inappropriate uterine environment, or abnormalities in the Ovum. I would suggest you to go for intracytoplasmic sperm injection(CSI) which is a different type of artificial reproductive technique, and take treatment inn a different IVF center with better lab conditions. If there is failure of CSI in one cycle, then I would suggest you to go for a donor Ovum. Hope you found the answer helpful. Wishing you good health. |
Hi, Back in December 2010 i had severe pain in the top of my head basically left side of the skull and my left nose was blocked and when i went to the doctor told that might be sinus.It went away but that pain comes when i am exposed to extreme cold or heat.2 weeks before i found a pea size lump behind my right ear, but it does not hurt just that it worries me that it should not be anything serious as at times I get boils in my scalp that look like swelling and at times get pain behind ear and neck.Please suggest, | Hi, dear thanks for the query to my Chat Doctor virtual online clinic.It's my pleasure to help you. My diagnosis-You should not worry of the lump behind the rt ear as its due to the-Lymphadenitis due to the Scalp infection. This lump is not related to the left-Sinus infection with Lt nasal blockage. Treatmenit-a-Consultation with Surgeon for the rt ear lump and sinus infection. Ent Surgeons opinion is also needed.b-For the lump behind rt ear-Antibiotics with NSAIDs tb would resolve scalp and lymadentis lump. Sinus infection would also get relieved with this. If it doesn't in 1 was time ENT Surgeons opinion is needed.Don't worry and act fast. This would solve your worrisome query. Hope this would solve your query. Wellcome to my Chat Doctor clinic once again. Have a Good Day. |
My husband has central and obstructive sleep apnea and uses a V-Pap machine. He still thrashes around at night (kicks and punches) and gets headaches and has episodes of confusion. He has had his heart checked...no congestive heart failure and his brain CAT scanned....no reason can be found for the apnea (idiopathic). Is there anything else that can help him? | His settings may not yet be optimized. You should communicate with the doctor responsible for ordering the settings, so they can be readjusted. He may need another sleep study if it's been a while. Central sleep apnea results from some form of damage to the central control mechanism for sleep following stroke, traumatic brain injury, intracranial brain bleeds, infections, HY Chat Doctor. Obstructive sleep apnea refers to anything within the physical airway that blocks the natural and unimpeded flow of air into or out of the system. Usually these can be easily found and corrected either by surgery, weight loss or other simple maneuvers. Fixing central controls, however, remains extremely challenging. |
My 14 monthed baby have some alergies in her neck. Shegot irritated all the day. All the tymseems that she had a cough. But like dry cough she sounds hmm hmmmmhmmm like. Dont understand what is that. Is that any medicns side effect?. Before smtym doctr suggested to give her azithromycin. Wht is the cure. Please help me Pooja saini | Hi... Thank you for consulting in Chat Doctor. Cough and cold are viral 95% of the times in child Chat Doctor. For cold, you can use anti-allergics like cetirizine and for nose block, saline nasal decongestants will do. Paracetamol can be given in the dose of 15\u00a0mg/kg/dose (max ceiling dose 500\u00a0mg) every 4-6th hourly, that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. For cold, you can use Cetirizine at 0.25\u00a0mg/kg/dose every 12 hourly for 3 days. For nasal block, plain saline nasal |
I just started buspar 15 mg twicedaily, morning and night for anxiety.I started it only two days ago. My heart feels like its beating differently a little faster and I feel slightly dizzy......i havehistoryofhigh blood pressure controlled by meds that work good and keep me and my physician happy. Are these symptoms because i new to this med.? I don t take any other meds...except hydrochloride and a water pill to control high blood pressure....enalpril..should I continue or stop? | HI Thanks for posting your query. Yes the symptoms (Faster heart beat, dizziness) are the side effects of the tablet Bu spar. But these side effects wear off on continued usage of the medicine. My advice for you is to take half the dose of Bu spar for a week and then increase it to full dose. Your symptoms will reduce and disappear once you follow this regime. Also continue Enalapril and the water pill. Hope this information was useful to you. Any clarification feel free to ask. |
I am currentlly battling stage 4 carcinoid cancer with mets to my liver. In the past few months I have experineced charlie horse pain in my abdomen (upper left side and some on the right). It balls up in ball and leaves me screaming trying to straighten out and rub out the not. It just happened 3 times 20 minutes ago while I was using the bathroom. The pain is a 10. I did go to my Gastro and the NP patted me on the head and said it was my stomach and sent me on my way. This is NOT something that I can live with. | Hi, dairy have gone through your question. I can understand your concern. Your pain is mostly due to carcinoid tumor. So you should take treatment of carcinoid cancer. Treatment depends on the location and stage of cancer. In terminal stage chemotherapy is the treatment of choice. For terminal pain you can take morphine for pain relief. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
i am 35 weight 114 height 54 having feels like chest pain not a sharp pain like heartburn. ,, feels like something stuck in my throat, when i push on my chest it is tender , having back pain, but i sit all day at work and i know im not sitting correctly. went away for a while but came back after i messing around and got hit in the chest again, been to the doctors blood pressure good and pulse, she seen that when she pushed on my chest it is tender? | Thanks for your question on Chat Doctor. I can understand your concern. Chest pain and tenderness on pressing are suggestive of musculoskeletal pain more. So avoid movements causing pain. Avoid heavyweight lifting and strenuous exercise. Avoid sudden jerky movements. Sit with proper back support. Apply warm water pad on affected areas. Take simple painkiller like paracetamol or ibuprofen.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
Hi, I have been diagnosed with aplastic anemia and my doctor want to start treatment with immunosuppressives. Can any one please advice how long will i need to stay at hospital to see if this treatment is effective? and considering that I have no medical insurance to cover this treatment, what is the approximate cost of the treatment? | Hello and welcome to Chat Doctor, Since, you are prescribed immune-suppressants for plastic anemia, it is evident that plastic anemia is caused by autoimmune factors. The treatment will have to be continued till bone marrow recovers from plastic crisis or till when the bone marrow starts producing normal hematopoietic or blood cells. The response to treatment will be monitored by regular blood examination and bone marrow examination. Thanks and take care Chat Doctor. |
my doctor proscribe 2mg glimepiride. my A1C was 7.5 in two days I got LO reading on counter glucometer. I started 1mg. does. Because side effects, acidity and dizziness and every 23 hr need to eat I want to STOP and go to natural medicine Karela or Jambuwati. Can i do that as there no side effect ! | First step in the treatment of diabetes is diet control and exercise. First you should do proper diet control. No sugar v fewer carbs. Take opinion from dietician. You have to do exercise daily for at least 30 minutes. If despite doing this. Your blood sugar is still high then you will need some medication. Most of the time gluconate is started. It don't causes low blood sugar levels or hypoglycemia. I would suggest that you should do proper diet and exercise now. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.