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hi im 28 weeks pregnant and ive been having pains in my tummy,seen my doctors and they say im ok but last night i woke up in real pain that kept coming and going,i felt sick and the pains were all over my tummy and pressure down below. my baby is kicking and moving well today,still uncomfortable though,not sure what to do
If you are a doctor, please answer the medical questions based on the patient's description.
Hi. I would not worry too much about it, a few aches and pains are common, and as you are already way passed your first trimester there should be nothing to worry about really. If your doctor has examined you and found nothing wrong, then this should just be normal aches and pains associated with your changing uterus and abdominal size. Best wishes.
Am worried about my upper stomach,iv just done IVF with 3 embryos transfered back in me, my upper stomach feel bloated than my lower stomach making me feel too full. Id like to know if this is normal. Am just 2 weeks pregnant and it feels like 2 months. What is wrong or is it normal with IVF?
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, Thanks for writing to Chat Doctor.Don't worry. Bloating is normal during infertility treatment. The reason is due to progesterone level in blood. This can be from progesterone supplement which is routinely prescribed after IVF. After you conceive your body also start secreting progesterone. Progesterone reduces motility of intestines and cause constipation and bloating. Bloating is common side effect of all Chat Doctor. No need to take any treatment for this. I would suggest you to have frequent meals 5 times a day as small divided amount and
I am 36 years old female and I have been experiencing a squeezing sensation in my chest off and on (I can t tell if it s from the heart or a lung). Recently I have noticed that sometimes I wheeze while talking and I have to stop in the middle of a sentence to catch my breath. I have noticed that my resting heart rate has increased and my blood pressure has dropped. My abdomen has become distended and my hands and feet look swollen or fatter. Is all this related? I have been diagnosed with Hypercholesterolemia and I do have blockage in the Carotid artery but I do not know the percent. Please help!
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, I am afraid to tell you that this is really related, but to be sure you have to do some investigations, as an ultrasound on the heart (ECHO), CHEST X-ray, and E.C.G. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
Hi, I am 30 year old male and non-alcoholic. I am on medication for Jaundice for the past 2 months. First blood test on 11th Feb 2013 showed my Total Bilirubin: 4.9mg, SGOT:499U, SGPT:430U and hepatitis B as negative. I was advised to take Liv52 DS and Limarin 140mg twice a day for 1 week. The next blood test on 16th Feb showed my Total Bilirubin: 8.6mg, SGOT:71U, SGPT:51U. With the same medication the next blood test on 22nd Feb showed my Total Bilirubin: 10.6mg, SGOT:30U, SGPT:92U.So I was advised to take further blood tests and USG (Abdomen) on 22nd Feb. The results were Alkaline Phospatase 52IU/L and HCV negative. In Scan my liver size was CBD: 3mm and PV: 11mm and Gall Bladder contracted. Then I was prescribed URSOCOL 150 mg along with Liv52 DS twice a day and was asked to do blood test every 2 weeks. The results with the date is given below9th Mar showed my Total Bilirubin: 3.4mg, Direct Bilirubin: 1.9mg, SGOT:59U, SGPT:92U23th Mar showed my Total Bilirubin: 2.0mg, Direct Bilirubin: 0.9mg, SGOT:75U, SGPT:128U6th Apr showed my Total Bilirubin: 1.6mg, Direct Bilirubin: 0.5mg, SGOT:99U, SGPT:137UNow I am advised to take only Liv52 DS twice a day but I am having a small pain on the left side near my lower rib. Please advise whether any diet should be taken or any medication is required.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, sujith.Ramakrishna, I am glad that your Hepatitis B and C tested negative. I am also glad that you are not an alcoholic. Sonogram shows a contracted gallbladder which could be from chronic inflammation. No mention of stones. I am not sure if the doctors have ruled out autoimmune hepatitis by doing special blood tests such as ANA, Anti-DNA, Smooth muscle antibodies, Complement levels, Anti Kitchen Chat Doctor. These are important because the treatment is different. As for your current enzyme levels and bilirubin levels, they are improving. SGPT is somewhat slow to come down and so is Alkalinephosphatase. Your current medications USO and Liv52 seem to reworking. As for diet, I suggest you avoid fatty, greasy and fried foods. A healthy high protein diet with enough carboy
I had a corn removed from my toe last week. It must have been pretty deep bc now I have a large hole in my toe. I am using antibiotic cream and taking cephalexin for a week. How long should it take for the hole to close up, and will it really close up to normal skin?
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that as your corn is very deep it requires a long time to heal may be 2 to 3 months. It will come back to normal skin having a mark of incision on it. But till that time continue with your medication. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.
I have an appointment next week to see an endodontist. I have an abscess where I had a root canal six years ago. I am experiencing stiffness throughout my body, especially when getting out of bed or getting up from a sitting position. Is this the poison from the abscess going through my body?Thanks,Carol
If you are a doctor, please answer the medical questions based on the patient's description.
Hello.no abscess can't cause stiffness. But yes its infection can cause fever and symptoms like that. You should go to physician for the diagnosis. For abscess, you should get prescription of antibiotics from your dentist. Hope this will help.
ive been diagnosed with a bilateral direct inguinal hernia, and i;ve been told its only in the initial stages. i dont have any pain but there is a bulge in the groin area, which sometimes disappears when i wake up. i am not sure as to whether i should get it operated or not. can i do any exercises right now before the operation? what about jogging?. can u inform me about the cost? also, after the operation, can i exercise/jog/hit the gym ever?
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, Maybe after 2 months you can exercise after surgery including gym. It may not be advisable to lift weights and doing strenuous exercises. Better to get the surgery as it will increase over time. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. Radhakrishnan. Nair, ORGAN
My 3 yr old sons urine looks cloudy. The first couple of drops come out milky while the rest not so much. This has been going on for a while but he is the epitome of a healthy child never complains of pain, eats great and very active.. what could this be?
If you are a doctor, please answer the medical questions based on the patient's description.
If the first urine in the morning has some cloudy material, its either proteins or sediments, if it's not recurrent through the day then there is nothing to worry about, since orthostatic proteinuria is common in child Chat Doctor.
Hi, I would like to remain anonymous, but I have a concern. I ve recently had what looks like a big white lump just above the right testicle. It hasn t gotten worse, but it s been going on for a few months. It looks like a vane is going right to it so I don t know if it s a vane of what but the other side is fine.
If you are a doctor, please answer the medical questions based on the patient's description.
It needs proper examination and ultrasound scan to confirm what exactly it is. Make an appointment with urologist and see what they say
my 3 year old daughter get dark scars from frequent scratch due to insect bites. am afraid these dark scars will not dissappear.I used hydrocortisone and bactifree for these scars.please advise me for dark scar remover for toddlers and effective itchiness prevention..thank you
If you are a doctor, please answer the medical questions based on the patient's description.
Dear parent, it is not safe to use HY Chat Doctor. There are many ointments that tend to lighten the color of the skin. But it is not safe to use them for child
hi. i have tiny blisters on roof of mouth which have now burst and are really painful.it looks like a large coldsore.i also get tiny blisters on feet and hands which dont respond to anti fungal treatment and was wondering if this is linked to my sore mouth.
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for your query, I have gone through your query. The painful blisters could be because of the herpes virus infection(zoster). The blisters in the other areas could also be because of viral infection. Consult an oral physician and get it ruled out. If it is a viral infection then take a course of antiviral Chat Doctor. For the pain You can also take topical anesthetic and analgesics like Anabel gel. I hope my answer will help you, take care.
hi i have had bad lower abdominal pain on n off 4 about a yr n half.. i urinate every 10 mins i also have lower back pain about 6 months ago i got diagnosed with clymidia i had a follow up check n was clear but i am in more pain than ever now and my periods r cripling me n loosing clots .i am waiting 4 a scan but am so worried i feel as though somthing is pressing down on my bladder n am soo bloated . do i have a ulcer,tumor cysts or cancer
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, There is very low chance of cancer. Your symptoms are suggestive of pelvic infection. Please undergo ultrasound scan abdomen and pelvis, to rule out uterine fibroid or mass in pelvic cavity. Also ask for urinalysis and microscopy to rule out urinary tract infection. Pelvic infection and fibroid are associated with low backache. Once you are diagnosed, you can plan talk to your doctor about further course of action. Maintain healthy lifestyle, be careful while using washroom outside of home as it is most common to get infected at public places. Hope I have answered your query. If you have any further questions I will be happy to hellish you good health.
I have had no cartilage between the vertebrae in my lower back for years. I fell on Sunday and have had excruciation pain since. The doctor prescribed a painkiller, which seems to ease the pain at times, but it takes a long time for it to kick in. any suggestions.
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, As first line management, you can take analgesics like Paracetamol or Diclofenac for pain relief. If symptoms persist better to consult an orthopaedician and plan for an MRI scan. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
Hello, I just finished my 5th round of clomid for infertility . My period started, or I thougth it did- in one day it has stopped completely. I still have low back pain that is usually associated with my period. I took a pregnancy test this morning and it was negative. My bleedign started on day 28- normla. What is going on?
If you are a doctor, please answer the medical questions based on the patient's description.
HelloPeriods can be irregular sometimes. Periods are affected by hormones, which can fluctuate, especially with stress. Just wait for a while. I would think your periods should start properly soon. If you do not have any proper flow for a week or so, have a blood test to see if you are pregnant. This is more accurate. Best wishes.
Dear Sir, Four years have passed since we got married. I am 30, 5 feet 10 inch, 55 Kg. My wife is 23, 5 feet 8 inch, 65 Kg. Even after continuous attempt we have not been able to have children. We didn t use any contraceptives also. According to Diagnostic report, the quality of semen is poor, and my wife s Hemoglobin percentage is less and Thyroid percentage is more than necessary. Mine and my wifes Blood Group and RH Factor is AB +ve. What should we do to have children ? Please advice.
If you are a doctor, please answer the medical questions based on the patient's description.
Hereford conception perfect health of both partners is a must. In addition to the reports mentioned kindly let me know if there is some menstrual abnormality also. Regarding poor quality of semen the things can not be perceived whether quantity is low or percentage of motile sperms is low. Have you taken any tests or medicine till now? In general I can advise that herbal medicines have very good results in all such cases. Your wife should start with cap. Ovarin forte 2 band you should start cap. Addyzoa 1 TDS. Send complete history with reports I will advise accordingly Chat Doctor. Co.in
My very healthy seven year old son went to school this morning, started complaining of a sudden severe headache and then began to vomit. I brought him home where he hasnt vomited since, no fever but still has a mild headache and slight dizziness. He ate a great breakfast this morning and didnt have any complaints. He seems to be doing better now and is even saying he is hungry. I was concerned about the stomach bug but since he is feeling better so quickly, Im worried there might be something else going on. He never has headaches.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi... Thank you for consulting in Chat Doctor. Headache in kids need to be considered serious only when the below symptoms are there - 1. Vomiting continuously2. Seizures/ Fits3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. Without the above red flag symptoms, just feeling low energy levels points out towards Migraine and other sorts of tension headaches which are on the rise in current scenario due to excessive academic and peer stress the kids are experiencing. I have a few questions for you -1. How long has the headache been there, I mean previously?2. Does it always occur on forehead or keeps changing?3. Is it associated with blurring of eyes or double vision or giddiness?4. Is there any family history of migraine or single side headache?5. Is he very angry when he gets headache and does the ache get better after a good sleep?6. Does he vomit when there is headache? Kindly get back to me with the answers to above questions and also mention his weight so that I can suggest you the formulations which are good. But as of now - you can give oral Paracetamol in the dose of 15 mg/kg/dose(max ceiling dose 500 mg) every 4-6th hourly. You can approach me at the following link - www.ChatDoctor .com/doctors/ Chat Doctor. 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.
I AM 39 YEARS OLD WOMAN & I AM SUFFERING FROM MARELGIA PARESTHETIC ON MY LEFT SIDE OF THIGH SINCE LAST THREE YEAR I HAVE CONSULTED WITH SO MANY DOCTORS BUT COULD NOT OVER COME FROM THE DESEASEKINDLY ADVISE ME WHAT TO DOI COULD NOT EVEN SLEAP BY THE LEFT SIDE OF MY THIGH
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for the query. Meralgia parenthetical is a painful mononeuropathy of lateral femoral cutaneous nerve. It is due to the entrapment of nerve as it passes through inguinal ligament. It could be because of injury or tight clothing or obesity or weight gain or pregnancy. If any of the above-mentioned cause is involved. 1. Reduce weight2. Wear lose clothing3. Methylcobalamin 1500 mcg injections on alternate days for 1 month followed by capsules of 1500 mcg in multivitamin combination should provide good long-lasting relief. This treatment is for long term benefit4. In unresponsive nerve block surgical decompression required In your case if all the options of painkillers, local lidocaine or corticosteroid injections are given already for temporary relief and methylcobalamin also given then kindly go for surgical correction.
hello...i want to achieve a pregnancy...i m 21 years old.my husband lives out of country...he is comeing back in next month....now.can i start to take a tablets of follic acid 5mg. i spent just 1 week with my husband and then he go back....and now after 6 month he is coming back....i m getting married in 24,09,2010
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, Thanks for the query. I understand your concern Actually folic acid taken 3 months before conception helps in building good health of the couple as well as prevents fetal anomalies. So you both should have it according to your plans for conception. Another thing I would like to suggest is. He should visit around the date of ovulation .(. Which can be determined after observation for few months.) Mostly it is about 14 days prior to expected date of menstruation. Thanks.
Im 19. I have been struggling with (what I just discovered to be) HOCD for a while, and Ive been with my girlfriend even longer. The thing about it is, is that throughout this struggle, its been so hot and cold. It seems like it reverses every other week - one week its really bothering me, the next its like nothing ever changed and Im happy as can be with my girlfriend. Would seeing a therapist get me over the hump and back to normal for good?
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Hi, thanks for the query. What do you mean by HOLD? Do you mean to suggest you have obsessive compulsive disorder with predominantly sexual or blasphemous obsessions? Some Psychologists tend to call this type of OCD as HOLD; though as per available literature; this is also OCD. Can I know the exact nature of your symptoms? OCD is a waxing & waning illness with origins usually in adolescence or early adulthood. Usual symptoms are obsessions which are recurrent intrusive anxiety provoking thoughts, impulses or images which are recognized as originating from ones own mind by the subject. Obsessions frequently lead to compulsions which are repetitive acts or rituals done to avert anxiety arising due to obsessions. Obsessions can be of dust, dirt, contamination, sexual, blasphemous etc. OCD is treated by Chat Doctor.
i take thyronorm 125 every day ( hypothyroid ) i have 1 girl (first pregnency) 11 year old. she is hyper active and after 2 times miscarriage .when i am again pregnent during 1 and half month doctor recognize thyroid after born 1 boy he had cerebral pulsy he died in 1 and half year i need a child is it possible i am very tensed my husband need a child
If you are a doctor, please answer the medical questions based on the patient's description.
Cellophane you for your query. Firstly, if your hypothyroidism is controlled on 125 thermoform, then do not worry. You need to rule out causes of previous 2 miscarriages as well as cerebral palsy in your child. Genetic causes, uterine malformations, infections in uteri, hormonal imbalances, autoimmune causes, traumatic delivery, intrauterine asphyxia - there are various causes for your earlier obstetric mishaps. Firstly go for a detailed evaluation of yourself and your husband, so that the cause is identified and prevented next time. Also, if it has been more than a year since you are trying to get pregnant, see a Fertility Specialist, who will assess various aspects for conception like ovulation, semen analysis, tubal patency, hormonal status etc. Take care.
Hi My dad had prostate cancer a few years ago and had treatment. He saw the cancer specialist in Dec who told him he was in remission 4 years now. Last few months he has felt tired and looking pale. The dr has now said he is anemic and now last week she said to my mom she is worried about him and now today he had a call from the hospital to go for a anal camera monday. Do you think the cancer is back? He is 78 is in bad health with heart problems etc
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, dairy have gone through your question. I can understand your concern. He has history of prostate cancer, and he is in remission. He has anemia. Furthermore, he should search for cause of anemia. It may be due to iron deficiency, vitamin B12 deficiency or chronic blood loss. He should go for complete blood count with peripheral smear examination and anemia profile. He should also go for ultrasound abdomen to rule out any cause of bleeding. Search the cause 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 went to the ER with a feeling of chest heaviness and could not get a deep breath. Nuclear stress test was fine, cardiac echo was fine, VQ scan showed a low probility of PE, D-dimer was elevated at 250 and segs were elevated at 60.8. what do the elevated labs represent if anything
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Hi thanks for contacting Chat Doctor ... Noted your D dimer level elevated.... It signifies coagulation abnormality like disseminated intravascular coagulation like condition or pulmonary embolism in which fibrin degraded product present in blood . Your symptoms highly suggestive pulmonary embolism.... Examination of your calf muscle done to look for deep vein thrombosis ... Here for confirmation of pulmonary embolism CT angiogram can be done.... If embolic seen heparin given..... So search for cause need to be done as otherwise d dimer not elevated Also investigate with PT, apt like test .... Consult good physician for detail examination and investigation ... Take care. Chat Doctor.
i have my father here in kuwait, and he is suffering for kidney problem for how many years and today we got the updated result that 20 percent of his both kidney are only functioning. what can u suggest the best solution? do we require a kidney transplant or another alternative? Please all in family now is in shock and chaos.Please advice
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Hithanks for posting in ChatDoctorI have understood your concern your father is in the situation of need for renal replacement therapy1.hemodialysis - done in the hospital2.peritoneal dialysis-can be done at home3. Renal transplant if his age is less than 65yrs and cardiac condition is good he can go for transplant whether cadaver or live .if he is not for transplant, be needs lifelong dialysis weekly twice or thrice depending on his symptoms. Hope this helps you any further questions please let me know thanks
I have stone in gall bladder . Iam 73 can I undergo laproscopiic surgery and if so what would be the appox.cost
If you are a doctor, please answer the medical questions based on the patient's description.
Hello. Welcome to Chat Doctor forum. You must get your surgery done. Treatment consists of removal of gall bladder and best way is laparoscopic removal. Treatment cost varies from 35 to 50 thousand rupees in different centers. Thanks and good luck.
My endocrine specialist gave me a diagnosis of Type I Diabetes this past Monday. I have been a Type 2 since 2001. She did a GAD test and said it was high and that my pancres (sp) was not producing insulin. I am on a pump and have been since September of 2015. What can I expect with this diagnosis?
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If your blood glucose level is maintained by insulin only, then diagnosis is corrected right. You must target HAC less Dan than 7.prevent hypoglycemia days it.
I have high liver enzymes which showed up over the last yesr since my annual bld test, double normaln Also my thyroid tsh was high, so my doctor increase my levothyroxin to 75mcq Is the elevated liver enzymes caused by my hypothyroidism I am a moderate drinker 2 low cal beers a day and I slso am an oil painter
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for posting your question on Chat Doctor! Liver enzymes are usually elevated in liver disease like hepatitis, cirrhosis, fatty liver and gall bladder disease. Other causes include Hypothyroidism, heart failure, obesity and muscular dystrophies. In your case the elevated liver enzymes could be due to alcohol alone or along with hypothyroidism. In presence of hypothyroidism the metabolism of alcohol gets slower and hence its toxicity increases more than compared to patients without hypothyroidism. Kindly refrain from taking alcohol. I hope your doubts have been clarified.
Hi, My son is 20 month old.Heis suffering from loose motions since 2 days(especially day time like 7 stools p.d ).I gave him pedialyte so that he doesn t dehydrate. But its not controlled. It seems like my child is getting some more teeth.can u pls help Thanks shwetha
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Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
Doctor,My marriage was in Aug 2009. I am 30 years old and my wife is 28 years old. Both of us are bank officers. We stay separate due to our job locations. We used to meet once in a week or sometimes twice in a month. For a year, we take precautions. During last month, my wife took leave for 2 weeks (12 days after her periods) but failed to concieve. Her periods is not regular. she has undergone preliminary tests and the doctor has advised her she is perfectly ok. Whether I should have sperm analysis. please guide.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, Thanks for using Chat Doctor. I understand your concern. Since how long have you been trying to conceive? It is called infertility if couples did not conceive after 1 yr of unprotected intercourse. You can get a semen analysis done. Since her ovulation is irregular the exact date of ovulation cannot be predicted. So like in normal cycle 14th day ovulation cannot be expected. In your case, once her census starts, she should visit a doctor from day11 for follicular study. May be study has to be repeated on day13 and15 to see the exact time of ovulation to have a timed intercourse. In case there is no ovulation then ovulation induction Chat Doctor. Chat Doctor in for follicle rupture and GUI is the next stage treatment. Hope I have answered your queries. Good day.
on Friday, I had a severe asthma attack and saw my lips turn blue, called 911 but by the time they got to me I was unconscious; they said my oxygen level was under 50, but didn t tell me I threw up till later on. I was too out of it still to ask then, but I am curious as to why I threw up at that point, and if I should do anything. I am on medication now, and still kinda dizzy. but it s better then I was. but why do your bodily fluids release at that point ? i also bit my tongue at some point when I was unconscious, is that a sign of anything?? my family said it could have been a seizure
If you are a doctor, please answer the medical questions based on the patient's description.
Thank you for asking Chat Doctor. My name is Chat Doctor. Your 1st concern is known about the lowering of oxygen level during the severe asthma attack Anand concern is regarding tongue bit. Regarding your 1 concern, the bodies oxygen level falls
My sister was diagnosed 3 years ago with early onset Alzheimers disease.She is now 53 years old.Our family is concerned she might have been misdiagnosed.We have heard from other people it might be possible she has Lyme s disease, because it s symptoms are similar. She was tested for Lyme s disease and the results were negative..but there can be false negatives.Trying to sort this out and find a new doctor who would dig deeper, but I am having trouble doing so.Any advice would be appreciated.Thank you.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, thanks for the query. I would like to know what are the symptoms in your sister & how the symptoms/deficits have progressed (gradual/rapid) to ascertain whether she has a dementia process. Later on we can dig deeper by means of various investigations like MRI Brain, Neuropsychological assessment, test for Vitamin B12, folate levels, thiamine deficiency; test for neurosyphilis etc. to name a few causes of dementia 9Since you have already tested & ruled out Lyme disease). If treatable; for example Vitamin B12 deficiency, neurosyphilis etc. we can use appropriate Chat Doctor. But the damage already occurred can not be reversed. Irrespective of all these causes; basic treatment modality of dementia is by
I am 22 year old female, I have been using Nur isterate since from June 2011 till April 2014. I am healthy and have never had complications with my health, however I have experienced my first normal periods early this month, before they were a bit irregular. I want to find out how soon can I fall pregnant
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, How are you doing ? Nur State is Depot Progesterone. This is a medication which stays for long even if you stop the injection. I mean you may have periods, but ovulation may not occur don't worry, as you already had periods, it means your hormone level is wearing off. Just wait for few months & regularly try for pregnancy if you want to. But if the cycles are irregular of no periods at all, have a course of Combined Oral contraceptive pill (21 pills packet) from the first day of periods & get your periods. This will regularize your hormone levels. Hope I have clarified your query, do write back if anymore queries the best Chat Doctor.
why do the medicare people want to take me off soma, a drug that has helped my various back problems for years with no side effects at all. They say I am too old 65, this is crazy because thet list such drugs as oxycodone in their list. Soma isn,t harmful or addictive, but I know the other stuff is. It sounds to me that hey are trying to destroy my quality of life. I only take my 2 pills a day. this makes no sense to me. with my herianated and degenerative disc what am I suppose to take when a spasm prevents me from laying straight on the bed. It s painful to straighten out, and now they want to hurt me worst. I am not a drinker or a doper..just a wanna be artist & animal rights activist.. I guess that is kinda boring but...it s who I am.
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Hello! Welcome on Chat Doctor! I understand your concern and would explain that this Chat Doctor. All these
I have big pimples and acnes on my shoulders since one month
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Acne can be treated with local applications of crèmes, some antibiotics, retinoids and Lasers. LASER though expensive (costs up to 5,000/-), can clear the skin off active acne and acne scars. The results are quite Chat Doctor.
My father went to see his doctor yesterday & after x-rays was done he told him that he has a very bad pneumothorax in his right lower lung. My father had TB in 2010 which he contracted from someone working with him. He completed the TB course & was given a clean bill of health. The doctor however suspects that this pneomothorax was caused by the TB.What do we do know?? He says it wont help to use a tube to drain the air thats leaking. We dont know what to do from here. Their medical aid expired because the medical aid company was declared bankrupt. How serious is this & what is the next step in diagnoses & treatment?
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for your question on Chat Doctor. I can understand your fathers situation and problem. He needs urgent treatment because pneumothorax is life-threatening emergency and with our treatment patient can die within a day. Treatment options are intercostal Chat Doctor. VATS is costly procedure while ICD insertion I cheap and cost-effective procedure. Possibility of recurrence of tuberculosis and complicated with pneumothorax is high in his case. So better to get done ICD insertion, don't think of cost at present, life is more precious than money. Without treatment, he may die within 1 day. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
Hello! I have a cut on my foot and from that cut I have a hard and painful red line going up my foot. My doctor precribed antibiotics but the pain is getting worse and the red line is getting bigger. I m not sure what this is and what I can do. Please can you help me! Regards Michelle YYYY@YYYY
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Hello, A cut that is hard and painful can be an infected wound that may need a proper cleansing and debridement along with broad-spectrum antibiotics. You need to consult a surgeon for proper management. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
My daughter has developed bright red lips. She was fine this morning, but when I picked her up after work, her lips were the brightest shade of red. Later, whe she was getting ready to eat dinner, she complained that it was burning and she couldnt eat. She is 3 doses into a 10 day course of Augmentin. I was wondering if this was an allergic reation to the antibiotic. Thanks.
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Hi, I have gone through your query, if there is etching problem in that part then it is allergic if symptoms not seen then it is not, it may be due to efficiency of Vitamins so take Multivitamin Tablet per day for 10 days. Thank you - Chat Doctor.
i have this rash on my shoulder and back (left side) right around my armpit ive had it for 4-6 weeks and in the past 2 weeks my piss has started to burn at first it was just when i woke up but then it started to become everyday and everytime i pissed
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Hello friend, Welcome to Chat Doctor. I have read your query and understood your concern. Rash on shoulders, back, around armpit can be due to number of reasons. I need to know the color of the lesions? Are they itchy or asymptomatic? Are the lesions permanent or temporary? What is the size of lesions? Burning sensation urine may be associated or may not be associated with the rash. I will advise you to get your urine test done including routine and microscopy of urine. Preferably take early morning midstream sample.In the meantime, take plenty of water. Kindly reply to my questions and attach the report of the test so that I can advise you further. Thanx.
I had two disks removed from my lower back due t a car accident in 2009. Its been ten months since the surgery and I have been having progressively more pain. Now I m beig told I have a bone spur and another herniated disk below the two removed prior. Doctor said it looks like thespine is trying to fuse itself. There has been talk of degenerative disk disease ect... I had a perfectly healthy back before y accident.... wat does all this mean and why is it hapening?
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Hello, Our body has 33 vertebrae each joined with others through the disc and all vertebrae taking equal load. When some discs are removed, the vertebrae above and below the removed vertebrae takes the load of those fused, and they get wear and tear early. The new bone formation is the result of excessive motion hence wear and tear and may result in pain. Your problem can be relieved in two ways1. Do as your doctor is advising.2. Read and discuss with your doctor about surgically fusing the degenerated vertebrae, removing bony spurs so that there will be no excessive motion, no wear and tear and hence no pain. Take care.
I accidentally took my birth control pill 14 hours early. I was taking a sinus pill and without thinking grabbed by birth control pills and took one. I take the Pill at 10:00PM but just took it at 8:00AM. Should I wait and take my next pill on time at 10PM tomorrow? Do I need to use back up birth control methods?
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You can take the next pill according to your usual schedule. No need to take extra tablets. If you are very anxious, barrier methods can be used for the day. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor.
i have a cyst on right epididimus it started when i slept with a girl who claimed wasnt sick or infected she even refused medication but on the second day after sex a lump appeared on my right testicle its three years now i experience burning sensetion everyday my sperm is no longer whitish but brownish now need help
If you are a doctor, please answer the medical questions based on the patient's description.
Hi Dear!! Thanks for your query to Chat Doctor. Read your query and understood your health concern. Based on facts of you query, you seem to suffer from-Right Spermatocyte with Epididymitis/ and prostatitis / with Urethritis from STD with Chlamydia/Gonorrhea definitive diagnosis-do following tester- Ligase Chain Reaction-on urine cells / or on prostatic massage fluid.-Consult expert Urologist to come out with this problem. Remedy-CT prostate to detect CBP-Chronic Bacterial ProstatitisAntibiotics with Pygidium -x 4-6 weeks.orally. If no relief-special Intra-Prostatic Injection(perineal)with Azithromycin/ or Ciprofloxacin x in high doses 500 mg x 4-6 weeks. Could help you out of this chronic prostatitis. Tamsulosin / an alpha blocker would reduce pains and reflux of semen. Hope this reply would help you to plan further treatment with your doctors there. Welcome for further query in this regard if any. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
my sister s daughter born premature she is suffering from cerebrum atropy according to doctor. she is just 9 months old.she is also suffering fm spasticity.she cant even raise her head. may be she is sufferinf from oxygen poisoning while keeping in ventilator. i m fm nepal . is treatment possible .
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Actually we don't know the cause of cerebral atrophy in your child but oxygen to be a cause is not possible. Developmental stimulation at neurodevelopmental centers can be helpful and TMS for determine cause of cerebral atrophy needs to be done.
This past March I got very dizzy. I thought it was my ears. After ruling that out. I saw a neurologist who did an MRI and an MRA . THey found it to be mini stokes and a brain hemmorage. Since then, I have been dizzy and going for vestibular thearpy. I cant function at all since March. I am not getting better at all. ANy suggestions. I am very compliant and nothing is working.
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for the query, Vestibular therapy is the right choice. When the balance improves you try with gait training. If you are not satisfied with current treatment go a physiotherapy center and continue as an out patient.
35 years old born with a 3rd degree complete heart block. Have a pacer with lead replacment at which time the tip severed and continues to anchor alone in the heart along with the replacment lead. Very nervous about the tip and nothing attached. How can it be removed and if left what could happen.Also had an eko and found I have a 35% EF - nervous about that as well with my heart block. Please advise
If you are a doctor, please answer the medical questions based on the patient's description.
The pacing leads become surrounded by scar tissue near the tip. There is likely no concern there. The abnormal EF is a concern warranting review with the pacing doctor. If confirmed, a modification in the pacemaker may be warranted.
Hello. I m having joint soreness in fingers and wrists, which limits movement, as well as ankles and sometimes toes. I m concerned because I have polyglandular autoimmune syndrome type II and am really hoping that this is something other than Rheumatoid Arthritis...
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In my opinion this is NOT Rheumatoid arthritis, this is probably gout check your Uric acid levels Good Luck
My daughter is 14 and she has Developed acute gingivitis. Her gums in upper teeth are swollen, and with few dark spots . She was born with VSD. I am afraid that this could afect her heart ( bact. Endocarditis). I am giving her penicillin v ( I am a doctor ), but should i give her metronidazole too. Thanks in advance . Woried mother
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With your query, metronidazole is effective against anaerobes, and you have mentioned acute gingivitis do you mean is it necrotizing? If it is, that means you will see sloughing of the gingival surface almost look like ulcers. If it is because of purely local factors I would suggest you to go for thorough scaling and use gum astringents like HI-ORA by Himalaya herbal products and a mouth wash will do a great job within 3 days on your gingival. If it is necrotizing definitely you should be on antibiotics like metronidazole along with amoxicillin only then it is of use. Kindly avoid smoking and any tobacco chewing or pan chewing which aggregates the condition. Hope this helps you. Further kindly visit your Periodontist.
my uncle is having a calculus of 4mm in left lower ureter near uv junction and GR1 hydronephrosis and also a 5 mm calculus at mid pole.... he is having continuous pain from last 3 days the pain gets relieved on taking injections and medicines but as soon as the effect is over it again occurs what should be done in this case?
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HI, I AM Chat Doctor. FROM YOUR HISTORY IT APPEARS THAT YOUR UNCLE IS SUFFERING FROM NEPHROLITHIASIS THOUGH THESE TINY CALCULI WILL BE PASSED NATURALLY.IT MAY REQUIRE FLUID THERAPY TO EXPEL THEM OUT. GET HIM INVESTIGATED FOR METABOLIC DISORDERS CAUSING KIDNEY STONES.
im 19, and Ive been having sporadic chest pains, randomly, that arent too painful, but can be a sort of annoying tingle or sharpness. Im wondering what it could be, and worried that it could be a number of worrying things. Like pulmonary embolism?
If you are a doctor, please answer the medical questions based on the patient's description.
Pulmonary embolism is unlikely at this age. To answer your you could get a consult with a pulmonologist and clear your worries.
I have been facing itching & reddishness in my body from last 15 days, so i got tlcdlc test in which dlc count is 75% which doctors say is hogh & hence i am facing this problem. Now i am curious to know what is dlc polymorph & what do i need to do get cure?
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Its differential leukocytes count. We have mainly 5 types of WBC. They are poly morphs, lymphocytes, eosinophils, monocytes and basophils. Total of that are 100%. Each have some normal value. For poly morphs normal value is 40 to 60%. More than that is abnormal. Polymorphs increase in many conditions, but most common is acute infection. it's the most common cause of high poly morphs count.it's not a big deal. Consult doctors take treatment. After infection subsided it will come back to normal level.
My 12 years daughter faces different types of problem recently. she has fisher(constipation also),fatigue, low appetite, mouth ulcer frequently. she has no periods yet. Her hemoglobin level is low(9.5-10.5). Is it a case of iron deficiency?what I have to do?
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, The hemoglobin level of your daughter is lower than normal. This is the cause of fatigue. This is most probably an iron deficiency anemia. She needs iron supplement for a month and after one month she should repeat the hemoglobin level test. As for the constipation and fissure, she should increase the fiber content of her diet (oranges, bran for example). Or she could take bran tablets if she doesn't like to eat foods with high fiber content. Lactulose syrup may also help relieve constipation, when the constipation is relieved it will allow the fissure to heal. She should apply an antibiotic cream on the fissure 3 times daily after washing her anus and Chat Doctor. Mouth ulcers are due to vitamin deficiency. She should take a multivitamin supplement. Hope I have answered your query. Let me know if I can assist you further.
My dad fell at work about 7 months ago and shortly after that he starting complaint about severe stomach pain, so he went to the doctor (kaiser) and so far they have found nothing to be the cause of the pain, he has had an ultrasound , mri , bloodwork, and a colonoscopy . Also after walking a short distance he gets shortness of breath and when he urinates he thinks he s done and a minute later he still needs to go again.
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Hello, Thanks for writing in. I suppose your dad is an elderly gentleman who had a fall 7 months back. In elderly men, the prostate gland often enlarges and creates a sensation of incomplete emptying of the bladder. It is located at the base of urinary bladder and when enlarged in size, causes obstruction to the outflow of urine. In such patients, MRI, colonoscopy and rest of ultrasound findings can be normal. I suggest you get your dad to take another ultrasound keeping in mind the evaluation of prostate gland. Also, pre void and post void urine volume is to be assessed. You can consult a urologist for further diagnosis and medication. Hope this helps.
I have been diagnosed with esophagitis and have been taking Dexilant. That condition is much better. However, during my regular physical, my C Reactive Protein was 8.5. this alarmed me since I have been having migraines way too often. My blood pressure and cholesterol are OK, so I wondered if the inflammation of the esophagus could have affected the CRP #? Thanks!
If you are a doctor, please answer the medical questions based on the patient's description.
Dear Friend, greetings from Chat Doctor. I understand your concern . Yes C reactive protein is a non-specific protein which will be elevated in any non-specific inflammatory conditions . Please don't worry about that at this stage continue your treatment for esophagitis . It will be normal after inflammation subsides . Thank you and do contact us for more queries .
Hi.. I fell off of the bike and I got just surface injury.. Nothing to worry about. But after 2nd day my leg swells and I feel pain when I walk. My hole leg from the knee down is swelled.. And I was working every day.. So it s something serious? Thank you...
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, Thanks for your query. An initial X-ray of the injured part is mandatory to rule out any bony injury (fracture). If the X-ray is negative for a fracture, then the other possibility is soft tissue injury either to the ligaments, tendons etc. The initial management for your condition is as follows -- Give adequate rest to the injured part and avoid any movements that produce pain-Apply ice wrapped in a damp towel to the injured area for 15 to 20 minutes every two to three hours during the day-Compress or bandage the injured area to limit any swelling and movement that could damage it further. You can use a crêpe bandage or a simple elastic bandage - Keep the injured area raised and supported on a pillow to help reduce swelling. If your leg is injured, avoid having long periods of time when your leg is not raised.- Gentle massage with a painkiller cream over the injured area might be helpful If your symptoms are still persisting after the above measures, consult an orthopedic surgeon for further evaluation and management. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
My daughter is 26 and has been to the emergency room twice with severe pain in her stomach , after running test they said her stomach was expanding instead of releasing it. They stated she had 4 days worth of food in her stomach. They gave her pain meds and a pill to make her throw up but it hasnt worked
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YOUR DAUGHTER SEEMS TO HAVE DEVELOPED NARROWING OF THE OUTLET OF HER STOMACH CALLED PYLORIC STENOSIS HENCE PREVIOUSLY EATEN FOOD STAYS IN STOMACH AS YOU SAY 4 DAYS OLD FOOD. THIS HAPPENS AS A RESULT OF COMPLICATION OF ULCER WHICH WOULD MANIFEST AS ACIDIC ERUCTATION AND PAIN AFTER EATING FOOD. A SPLASHING SOUND CAN BE HEARD / FELT IN UPPER ABDOMEN IF THERE IS PYLORI STENOSIS. A THIN BARIUM MEAL X-ray OR MORE PREFERABLY ENDOSCOPIC EXAMINATION OF STOMACH IS NOT ONLY DIAGNOSTIC BUT ENDOSCOPIC DILATATION OF NARROWED PART OF STOMACH OUTLET WILL BE THERAPEUTIC / CURATIVE ALSO. MEET YOUR GASTROENTEROLOGIST.
I have stomach ulcers and occasional stomach bleeding. This am I woke with a thick layer of dark(almost black) blood inside my mouth. I checked both my nose and my mouth for any signs of bleeding, there were none. My stomach has been very temperamental these last few weeks. Should I be concerned?
If you are a doctor, please answer the medical questions based on the patient's description.
Hello thanks for consulting at Chat Doctor.it could be due to infected teeth causing bleeding.either ways had a consultation with your dentist and then with your general physician.for the stomach ulcers.hope it helps.TC
hi I am Jalisa And I have sensitive skin as it is nd Ive been noticing every few months I have lil patches behind my ear And a few months After that I see it again well today I noticed that it was on my chest when I got out the shower it doesnt itch or anything what could it be?
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Hi Dear, Understanding your concern. As per your query you have symptoms of recurring itchy patches behind ears and on chest which seems to be due to allergic reaction, and it could be due to contact dermatitis. I would suggest you to :-- Keep yourself HY Chat Doctor.
i keep coughing a deep cough and its usually followed by a mouth full of white/clear mucus with inch or so long, firm yellowy brown mucus strings, i have asthma and i believe the cough to be triggering it, so the worse the cough gets the worse my asthma gets, i went to the doctor 3 weeks ago and i was prescribed prednizone and it barely helped and the cougChatDoctore right back, i had it for 2 weeks prior to the doctors visit,, i have been trying to wait it out but i cant sleep anymore, i dont know what else to do... please help
If you are a doctor, please answer the medical questions based on the patient's description.
These do not seem to be a case of asthmatic cough. Further investigations are required in consultation with a doctor.
Hi, After sex I have been getting a small, painless, clear blister looking swell on the underside head of my penis, either side of the end of my frenulum. It always disappears without a trace pretty quickly, usually within an hour, and causes no real discomfort other than a temporarily poory fitting foreskin! My questions are simple ones: is this normal and why does it happen? Thanks in advance for any advice, JB.
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for asking in Chat Doctor forum In short: May be small cutsExplanation: No infection disappears this fast. So, may be a small cut. Visit a doctor next time when you have the lesion. Good luck.
Hi my 13 old daughter is an AIP patient. recently she had an attack of AIP and is just released from hospital. She has started complaining of severe pain in her left side of chest due to which she gets stiffened for some time like 5-10 minutes and after that she is relaxed we told the doctors they checked her all vitals and found them normal ECG BP Heart rate etc. all were checked during such thing and before after such things but nothing was wrong. they have told us that it is due to psychiatric menifestations recently she is getting some foul smell from somewhere in home how to get her out of such things and how to know whether it is psychiatric or something else.
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Hi, 13-year-old known case of AIP with recent onset of foul smell (olfactory hallucinations) and stiffening (?catatonia).AIP is a genetic disorder that can present with varied psychiatric symptoms. In these patients, the psychiatric symptoms (like hallucinations and catatonia) are usually seen along with the acute attacks, while in between attacks patients are normal and free of any psychiatric manifestations. Since you have seen her previous attacks, try to establish a relationship between the psychiatric symptoms and acute attacks. There can also be a chronic form of disorder where there is a background of few symptoms on top of which acute attacks occur intermittently. So in these cases it can be difficult to differentiate. Either ways, the treatment for this symptom would be the same (apart from treatment and prevention of attacks). Many Chat Doctor.
My daughter is 2.8 years and we noticed the Keloid on her ear lobe back side. I think it was developed after ear piercing, It is not much big it is something like a pimple and on one ear it is big and on the othe rit is very very small. What is the best way to get rid of this.
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Keloid are known to reoccurring. Injection of steroid and hyuronidase will help in reducing .all other measures are useless
Hi, I have been feeling unusually very tired for the past two days starting at 2pm for no reason what so ever..... I know that I am anemic but I have never been this tired before...... My usual symptoms are: random dizziness, bruising on my legs, always cold, poor circulation in both my arms and sometimes legs (rare), headaches, shortness of breath (even while I m sitting), my skin turns a bit purple when I feel cold...... So because of this new symptom (extream fatigue) I am confused as to which form of anemia I have because I do eat healthy, I have no other illness but anemia as far as I know...
If you are a doctor, please answer the medical questions based on the patient's description.
The symptoms described by you can be explained with anemia BUT anemia should be significant enough. Morover the bruising over leg is definitely not result of anemia. it's strongly recommended to do a complete blood count with peripheral smear and consult physician with reports.
my daughter is almost 4 and woke up tonight with pain in her private she said she had to pee but couldnt after an hour of crying and pain i took her to the er. There they got her to pee and it was all blood. they said it could be a bladder infection but sent it for a culture so they arent sure. should i be more concerned, she has had many bladder infections before but this is the worse one yet.
If you are a doctor, please answer the medical questions based on the patient's description.
Hi, dairy have gone through your question. I can understand your concern. She has blood in urine. It can be due to bladder or kidney infection, kidney stones or mass lesion in kidney or bladder like cancer or benign adenoid. She should go for urine routine microscopic examination as well as ultrasound kidney, ureter and bladder. It will give you exact diagnosis. Then she should take treatment accordingly.
I recently had a cbc test and everything came back normal except for my platelets which is 138. Normal is 140. Ive taken previous cbc test and they all came back normal before, but now...this time, everything is normal except for the slightly low platelet count which I mentioned above. Im scheduled to have surgery within a matter of weeks and Im afraid that everything will be cancelled because of it. Am I just being paranoid or are my fears justified?
If you are a doctor, please answer the medical questions based on the patient's description.
Sometimes there are minor variation can come in platelet counts, which may be because of machine variation, physiological variation in body, inter person variation in lab. So do not worry take other CBC after a week or so. Even with this low count 138 there is no need to cancel surgery this much low is acceptable for surgery. But even final decision is with surgeon because, there are other parameters also which have to calculate like bleeding time, clotting time, etc. THX
About a month or so ago I started to notice that when I stretched or turned my upper body a weird sound would come out of my mouth or chest area. A sort of losing my breath sound. It has since gotten much worse. Now whenever I move my upper body or even walk at a fast pace and turn it makes the sound. My chest has also kind of started to hurt along with a feeling of a lump in my throat. I have no cough or mucus either. To best describe the sound it makes imagine this. Make a haaaaa sound but without using your vocal chords. When I move it s almost like something is forcing air out of my lungs. It s really starting to scare me and making me have really bad panic attacks
If you are a doctor, please answer the medical questions based on the patient's description.
Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of musculoskeletal problem is more. Sudden movement can cause muscle spasm. And if you still continue that movement than bone will move against that spastic muscle. This process can produce certain sound. So possibility of this sound is more in your case. You also feel tightness, this also favors musculoskeletal cause. So better to avoid movements causing pain. Avoid sudden movements. Start painkiller and muscle relaxant Chat Doctor. . Apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Get done calcium and vitamin d3 level as deficiency of these can cause similar symptoms. If deficiency then you need supplements. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
Hi, may I answer your health queries right now ? Please type your query here... Hi, my 14 month old son has had a small raised blister like dot the size of a pin head on his forehead for the last 2 months. He bumped it the other day and it bled everywhere and now its even more pronounced like a bigger blister. Is it a broken capillary and will it go away as it looks awful on his pale skin?
If you are a doctor, please answer the medical questions based on the patient's description.
What you has described is seems to be a hematoma, a vascular growth, red color, smaller didn't require treatment, larger needs, not much to very.
I noticed a sore area on my head left side back upper region. It it very sore and there is a large bump, no injury. There are also a couple of other areas that are sore and there is a bump. I have a swollen lymph node in my neck right under my skull. Any idea what might be going on?
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Hi, Good Evening. This is Chat Doctor. -I studied your query in-depth and Understood your concerns.-You suffer from mostly-from multiple infected boils in the Scalp with aggressive infective bacteria. Treatment-a-Tb NSAIDsb-Antibioticsc-Vitamin supplements to boost general healthd-Bland and high protein dietf-Care of the Scalp from Dan
in my childhood i was allergic.. took homeopatChatDoctoredicines, it got cured after long interval. Now i am 22 and same problem has started again. suddenly it starts itching on my body, feel really heat and any area got swollen with red spots... when i take setride tablet, it become fine for 24 hours, then again the same problem continues. Plz advice
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Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. Were I treating you, I would prescribe you regular antihistamine like levocetirizine for at least 2-4 weeks.2. I would also suggest you to apply a lotion like calamine over the itchy areas and red areas.3. I would suggest you to avoid exercises causing excessive sweating, too hot/spicy foods and tight-fitting clothes. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.
My daughter has a rare metabolic syndrome in which she can not absorb animal proteins, and fats. She is also very sensitive to phyto estrogens. She takes Creon 5 (pancreatic enzyme). Her skin is dry and has tiny bumps. She also has a chronic infection type rash on her nose that constantly peels, heals and reacts. She is afraid of using cortizones, and your average otc creams etc are not sufficient; any suggestions? We are from northern NJ NY metro area.
If you are a doctor, please answer the medical questions based on the patient's description.
The condition sounds like seborrhea dermatitis, which is treated by proper skin hygiene (washing face twice daily) and with shampoo/soap containing one or more of these ingredients: Salicylic acid, Selenium sulfide, Coal tar, Ketoconazole, and Zinc parishioner. Other treatments include: Antifungal products, Corticosteroid lotions, Prescription-strength medicated shampoos, and Sulfur products. Make sure your daughter is not allergic to any of these ingredients by testing a small patch of skin on her arms (not face). She should be evaluated by a dermatologist, who can prescribe a stronger cream with an antibiotic to treat in case of infection and for proper diagnosis. In the meantime, there are also natural essential oils and emollients you can use like Need oil, which is naturally anti-microbial and soothing.
I have bad allergy problems so I am going to be tested in a couple of days to find out what my allergies are. I am not supposed to take any antihistamines for the next few days. Today I can not get any air through either side of my nose AT ALL! I have tried steam, nasal spray, vicks, spicy food and still nothing. My ears are also bothering me, and I have a pounding headache along with dizziness. What can I do or take for some relief that doesnt contain antihistamines? I feel like Im on the verge of a panic attack since I cant breathe well! Stuffy nose is the worst feeling in the world to me.
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You get food panel must check if you are going for allergy testsApply newsprint H eye ointment in the nose But seawater Chat Doctor.
hi there, All of a sudden, w/out doin anything strenuous or sports of any kind i ve all of a sudden hurt my ankle. It is not swollen, however a shooting pain is in my ankle bone. It feels like if i were to crack it it wud feel better but it will all of a sudden crack itself and give me unbearable pain. I cannot put pressure on it. Then will sumwhat go away so i can lightly walk on it or short distances but then the crack will happen again...i just tried rotating it and it does hurt, kinda almost feels like it wanna pops too at times...i m so confused as to why this is happening all of a sudden :( Help? thanking you in advance for your time, Nancy
If you are a doctor, please answer the medical questions based on the patient's description.
Hello, Your symptoms seem to be related to the injury of the ankle. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local applications. Furthermore, I recommend maintaining a splint to prevent further damage. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
My Name is Ravindran from Bangalore. I have been suffering from Psoriasis for the past 10 years.Been taking Ayurveda treatment for more than 7 years which would not work. I am at present taking alopathy (Past 3 Yerars)but it starts again when I discontinue the medicines.And I am worried of the side effects. Im 48 Years old. Please advice.
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Thanks for asking via Chat Doctor, Psoriasis is a chronic relapsing and autoimmune disease. You may be having scaly plaques on various parts of the body, scaly lesions on the scalp. Exact cause is not known. Genetic tendency, autoimmunity, stress, Chat Doctor. .etc. may be responsible for precipitation and exacerbation of psoriasis. You consult dermatologist for firm diagnosis and treatment. I usually recommend cap accretion 10 mg twice a day along with methotrexate 15 mg weekly in three decided doses 12 hourly...for psoriasis. This may be taken for long time till good response. Blood tests may be done to monitor the treatment. For itching, you may take antihistamines like levocetirizin... Avoid steroid, as there may be severe flare up after stopping it. You may apply mild steroid cream or calcitriol point on the lesions on the psoriasis lesions. She may apply moisturizer to improve the skin texture. You.should avoid soap bath for few weeks.hope this will clear your facts. Regards
Hi!I have bad plaque on my bottom front tooth but i have little plaque on my upper front tooth. Still the gaps between my upper front tooth is widening day by day. Is there any home remedy by which i can stop it. Please also tell me foods for healthy gum & strong teeth.
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Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have deposition of plaque in between upper and lower gums and widening of tooth is also there don't worry about this you should consult dentist and go for Scaling and root planning. For widening of tooth you should go for orthodontic treatment go for braces. For healthy gums take proper healthy diet, green leafy vegetables, fruit juice. Avoid oily food, junk food. Do proper brushing, use chlorhexidine mouthwash 2 times a day. Do warm saline gargle two - three times a day. Hope this will help you.
An 89 year old lady was taking 20mg of diutric, one-half 5 mg of potassium a couple of months ago. She stayed in a nursing home in Kansas for 6 weeks and had to switch to a Kansas doctor. She is now home but is still taking the same diuetric but a whole potassium. She is experiencing leg cramps and the back of her legs feel very lumpy. What can I do at home to help her?
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HiT hanks for your queryBased on your query, my opinion is as follows.1. Leg cramps are mostly related to electrolyte imbalance mainly low potassium.2. Since she is already on potassium supplements, you can get serum potassium levels checked to see if she is getting right dose.3. Lumps and cramps in elderly may also be because of varicose veins, which is quite common with sedentary lifestyle.4. If there are too many prominent veins, then she needs to get a Doppler study for varicose veins.5. You can try using elastic stockings to reduce the swelling and improve venous Chat Doctor. Foot raise will also allow decreasing the swelling. Hope this helpsRegards
I had a ultra sounds for possible gallbladder problems and my diagnosis was as follows:liver is enlarged, measuring 16.5 cm long and diffusely echogenic finings are non-specific but may be due to fatty infilitration as well as other diffuse hepatocellular disease. a 1.8 cm simple cyst is present in the left hepatic lobe No intra- or extrahepatic biliary ductal dilatation. common duct meanures 2mm main portl vein demonstartates normal hepatopedal flow. right kidney measures 9.4 cm long no hydronephrosisn
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Thank you for the query. I would like to know your age, gender and whether you suffer from any associated conditions like Diabetes mellitus, Obesity or Dyslipidemia. I would also like to know whether you consume alcohol frequently. Fatty liver is evident on an Ultrasonography, as an echogenic liver (i.e. white in appearance) which may be enlarged. Blood investigations reveal altered/deranged liver function tests (raised liver enzymes). There are a number of causes of Fatty infiltration of the liver which may be broadly classified into Alcoholic (due to alcohol consumption) and Non-Alcoholic Fatty Liver disease (NAFLD) which may be due to Diabetes, Obesity, Hypertriglyceridemia, consumption of excess fat in diet. Fatty liver is a reversible condition, wherein with Chat Doctor. For e.g. avoidance of alcohol or control of diabetes mellitus. If not controlled in the initial stages it may progress to chronic liver disease. I would advise you to cut down the fat content of your diet. If you are obese/ overweight gradual weight reduction is advised. A diet high in fiber content is preferable. You will need to avoid carbonated beverages. Refined carboy
My progesterone level on day 21 is 134 nmol/L.Is it high or normal?Is any chances to get conceive this time?
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Hellowelcome to ChatDoctorthis level is high ,but yes there are chances to conceive definitely,it depends upon timing ,consult your gynecologist for proper guidance with day and timings for love making, .take carpal
hii doc.. i just went through IVF treatment. my embryo transfer was on 27th march. for progestrone i am taking 2 cyclogest vaginal tabs 400 mg each and a susten 100mg shot every 4th day. yesterday i got my progestrone levels checked and it came out to be 10.2 my doctor says its less and i should increase the susten shot frequency to alternate day what is ur recomendation.. i am very much worried to let the pregnancy sustain
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Hi. I do not think there is any harm in increasing the frequency of the Austen shot as long as your doctor will continue to supervise you. If the hormones are insufficient, then sustaining the pregnancy becomes very difficult, so correction of hormone levels is very important. Best wishes.
i have been masturbating since my 10 grade and now its been 11 years since then.many time i have mastubated 4-5 times a day.i want to know that whether excessive masturbating does any harm to male productivity in future?
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Hi well come to Chat Doctor. No it will not have any bad effect on male productivity, but if you are involved too much you will disturb your routine activity and your education too will be affected. Thanks
hello sir, i am 25 years old, got married 2 years back, hv no baby n hv pcos with irregular periods. my hormonal study showsLSH- 7.47, LH-8.61, PROLACTIN-21.50, LSH-3.88. my doctor suggested me cabgolin 0.25mg weekly for 4 weeks, folvite 5mg andletoval for 5 days from the 3rd day of menstruation. plz tell me after taking that can i be get pregnent?
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Hi, you can get pregnant after taking these medicines. Let oval helps in growth of your follicles, and you can track your follicles' growth by repeated ultrasound. When follicles reach a size more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor.
I started with pain in my back on right side before Christmas. My doc said I needed a massage. I went for a massage and had no relief. Over Christmas, my arm and hand started to tingle and go numb. I went to doc after Christmas and he gave me painkillers. I started physio therapy treatments, and they started dry needling treatments. I am presently going for massage and dry needling, still no relieve. I have since developed a large red patch under my arm. I saw another doc on Saturday who said I am suffering from neuropathic pain and prescribed lyrica. I am starting to suspect that I have shingles. What do you think? Please cancel this query I didnt realize there was a charge for it.
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I understood your concerns no need to worry, just be calm and relax.... Neuropathic pain (also called nerve pain or neuropathy) is very different from pain caused by an underlying injury. While it is not completely understood, it is thought that injury to the sensory or motor nerves in the peripheral nervous system can potentially cause neuropathy. Neuropathic pain could be placed in the chronic pain category, but it has a different feel then chronic pain of a musculoskeletal nature. Back pain especially neuropatChatDoctoray be due to compression over sensory nerves, avoid massage and Chat Doctor. ...
I am slightly confused. My regular doctor had done an EKG in her office and detected an irregularity (I needed an EKG prior to having a breast lumpectomy) several years ago. So after that I had the stress test, echocardiogram and then eventually the EPS study and ablation because they decided that I had IVT. My doctor said that my echocardiogram showed signs that I had a heart attack at some time. I had pain for a week several months before this time and never went to the hospital for it. They said it might never happen again. Is this serious enough to disclose when I am going to have an endoscopy done.
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Welcome and thank you for asking on Chat Doctor! I have gone through your question. Yes, you need to disclose your heart problems before undergoing any procedure. It ensures preparedness of medical care/staff and an optimal outcome would be ensured. Moreimportantly your safety will be ensured. Hope to have been helpful! Wishing good health, Chat Doctor.
Hi. I am a type 2 diabetic and have been prescribed Janumet. At first I experienced, nausea and diahrea for the first few days. I just took my blood sugar before eating dinner and it was 364. It has never been that high before! I am very sleepy, I have dry mouth and excessive thirst. What can I do to lower my blood sugars?
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You need to get medical evaluation right now since you may be going into diabetic ketoacidosis this point you may need insulin injections to lower your blood sugar
good morning doctormy wife is having sleeping disorder problem , she did not slept for the whole day +night yesterday , she has greater fear, doubt and anxiety. we have 2 kids , one is 5 year old and on eis 2 months , both are boy. she says she has all the negative thoughts coming , and she had fit of anger yesterday for about 1 hours, than she became normal in behaviour but she shared she di not had control on her behaviour when under the influence of anger. we stays in Gurgaon , we are staying in sector 4 Gurgaon. I have taken appointment at Columbia asia for 13 Mar 14, as todays appointment was not available . my wife is house wife. pls. suggest emergency medicines for her, sleeping problem, anger and anxity. negativity , endless negative thoughts of past and future .
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Hello, It seems your wife is suffering from depression. Feeling sad, irritable, having sleep disturbances are all symptoms of depression. Most probably, she will need anti-depressants which will take care of her problems. Since most of the anti-depressants take a bit of time to show effect, she can be given some benzodiazepine in the initial phase of the treatment. As a psychiatrist, I would however strongly advise against any self-medication and would suggest meeting a local psychiatrist as soon as possible. Best Wishes
i have a frenulum piercing right where normaly there is some skin between frenulum and penis . so right in the middle of the frenulum. now i want to get rid of that frenulum. i was thinking to just cut it off but am affraied about bleeding, i was also thinking to tie it off at the 2 endings and wait till is dead and fall off. what way do you advize me to use? i have emla cream , plaster, razor blade and thread. how painfull would that procedures be and how much bleeding involved?thank you
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Hello, There are experts available for this procedure, who regularly do this procedure, called SURGEONS. I would advise not to do the procedure on your own, there are chances of Bleeding - you can't control by normal thread or pressure. Infection - you won't be having a sterile material with you. Don't experiment on yourself. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen
Dear DoctorPlease advice treatment whether alternative medicine will work for the below mention -CYTOLOGY.FNAC ORAL CAVITY SWELLING. SMEARS SHOW CLUSTERS OF BASALOID CELLS, PLASMACYTOID CELLS AND SPINDLE CELLS SINGLY SCATTERED AND IN DUCTULAR ARRANGEMENT. MYXOID STROMAL FRAGMENTS ARE SEEN.MACROPHAGES ARE SEEN IN BACKGROUND.DIAGNOSIS FEATURES SUGGEST - PLEOMORPHIC ADENOMA.COMMENTS ADVISED- EXCISION BIOPSY.
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Hi...i don't think any alternative medicine will work...its better you get the tumor removed before its growth large to cause more problems.
I have a few questiins. 1 my rbc is high 6.17 what dies this mean? 2 my mcv is low 62.1 what does thus mean? 3. My mch is low 19.9 what does this mean? My palatelet is 300 is this normal? My dr said i have hemoltic anemia ,could you explain that as well? Mind you i am a 28 year old female and only 4 7 at 70 lbs and also have heart issues such as a thickend. Leaflet. A target on the ventriculer of arotic valve, pulmiary hypertebtiin shown in echo,
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1/-Your high RBC count means your bone marrow is actively trying to produce more & more red cells. This might mean your red cells have short life span & the marrow is trying to compensate.2/-Your low MCV mean that red cells are smaller than usual. This commonly happens in iron deficiency and thalassemia (a hereditary type of anemia associated with short red cell life span due to increase tendency to die in spleen & bone marrow.3 /-Lows MCH means each red cell contain hemoglobin that is less than normal.4/-Your platelet count is definitely normal.5/-Hemolytic anemia is a disorder in which the red blood cells are destroyed faster than the bone marrow can produce them. The term for destruction of red blood cells is hemolysis. There are several causes of hemolytic anemia which can be clarified by further relevant tests. Your heart condition is probably unrelated to hemolytic anemia. Hope you found the information useful.
stomach pain I have been having severe abdominal pain mainly after I eat. I mean it can be anything and Im in horrible pain it feels like someone stabbed me. right side under my rib cage. and goes to my back. but I also have it in my diafram area and goes up into my chest on the left side. that one doesnt happen as often. please help. IV been to a doc about it and all he said was cut fat and spicy foods out of my diet. I can exactly cut out fat because Im breast feeding.
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Hi. It is utmost importance to get a proper diagnosis. I would advise such a patient to undergo Upper GI Endoscopy and minimum ultrasonography of abdomen to come to a conclusion. This is most probably due to an ulcer in the stomach or duodenum. The other possibilities will be diagnosed or ruled out with the investigations. You have to have: Soft bland distant on Sanitizing or Antacid gels till you see a Doctor.
i have a 1 year old daughter she had started with viral and heavy cold.I had given her Timinic - 8 ml as required.Now in 2 days she had devloped with heavy cough and cold.please advice me the doses in the 1 year age for Wikoryl. if any other adviceable syurp pls suggest.
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While Dietary liquid may be helpful it sounds like you should have a doctor look at her since she may need antibiotics for this
HI doctor, i am 30 yr old male, weighing 83 kg and height of 5.10 feet and non-alcoholic. and have undergone blood test recently in that my SGPT level is High and cholesterol is of 259 in that LDL indicates 173, kindly suggest me to reduce the SGPT as well as cholesterol to normal,
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Hi, Thanks for asking. Based on your query, my opinion is as follows.1. You are possibly suffering from Non-alcoholic fatty liver disease.2. In this condition due to being overweight/obese, fatty accumulation will occur in liver. This fat accumulation occurs due to increased cholesterol and LDL.3. Due to fat accumulation, SGPT levels will raise. A liver biopsy will confirm the diagnosis and ultrasound will show liver enlargement. You need to reduce weight, along with moderate exercises and importantly a nutritional diet, low on fat. Hope it helps. Any further queries, happy to help again.
sir i m 26years old.i get married before 6 months but my wife did not conceive yet. my semen analysis report is this, duration of abstinence is 4 days, volume 3.0ml, ph: 8.0rapid progression 40%slow progression 10%non progressive motility 10% immotile 40%count/ml 80 millionMORPHOLOGY:normal 70% abnormal 30% (head defects10%, neck n mid piece defect 10%, tail defect10%)Cytoplamic droplets: nillheadless pinhead: nillpus cells: 1-2red blood cells: nillepithelial cells: 0-1miscellaneous: nilltell me about my report.
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Hi welcome to Chat Doctor. I have gone through your question. Your semen analysis shows 40% rapid progression 40% and sperm count is absolutely normal. Other parameters also normal. Your side is OK. I would assist to consult gynecologist for your wife s report, ovulation profile, thyroid profile, histosalpingography HSG to rule out any pathology. Hope I answered your question. Would be happy to help you further. Take care.
my father is70 5years old. he is a diabetic patient. since one month he has typhoid fever .he has become very thin. i myself am a medical student. getting doubt we did all the blood tests. from endoscopy and ct scan it was confirmed that my father has meatstasis of liver, grade 2. please give treatment. if there is no treatment in modern medicine, atleast im sure we can cure it by ayurveda or homeopathy. please suggest.
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HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that if you are a medical student then you should know that treating metastasis is not that much easy it is not like that to treat the fever with antipyretic, if this is metastasis then the primary lesion of malignancy need to found out, it is a totally team work it is not possible to suggest anything through this forum, hope this information helps you, have a nice day.
my son just turned 5, is a little under 4 and a little under 60 lbs. in the past year, once in a while his lips would look a little puffy, red, and shiny, then once the puffiness went down and red went away, they would get dry and start to peel. in the past couple months it seems like its happening more often. currently they are a little red and peeling. for a few weeks he has been rubbing under his bottom lip with his top teeth, and its dry, peeling, and currently red. i keep telling him to stop licking his lips but don t think he can help it. i ask him if they are itchy and he says no. if he eats something salty, sometimes he ll say they hurt. haven t added any new foods to our diet, could it be allergy s?
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its probably not allergy , what happens is that his lips sometimes gets ChatDoctor.
my wife is pregnant 8 month is almost completed, today she has scan, scan report said thatshe has fetal hydronephrosis. and doctor advised her to go for tiffa scan, after tiffa scan doctor wil start treament. i would like to know about this condition and what is treament, how long will be the treament. and will my child have born with any health problem.
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Hello, The outcome for the baby born with mild fetal HY Chat Doctor. For those with severe condition, excellent perinatal and postnatal care is needed. Also, severe conditions are usually associated with a chromosomal anomaly. Other associated renal anatomical defects also must be looked for. Soon after delivery, sonogram should be done for all infants. Immediate imaging is needed in the severe cases. Management is accordingly planned. Pediatric urologist should take care of complications in severe fetal HY
I have a cough and runny eyes that maybe allergy related that wont go away. I have taken Allegra. Allegra is not working. The phlem that comes in my thoat has a salty taste which trigger the cough. What is your solution to this sort of problem? Please help!
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HelloThanks for Contacting Chat Doctor. In most of the cases of viral rhinitis(Allergic cold) the symptoms subsided by itself after a few days which ranges from 5-7 days. Most of the time only symptomatic treatment along with rest is advised. In your case I would recommend you to try following things:1. Take Tab. Heinlein 10 mg (Cetirizine) {you might find it with different name in your area, but you can ask for this specific salt} x 1 at night before sleep for 5 days2. Spy. HY Chat Doctor.
Deriphilin tablet is used for what disease?
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It is used for symptomatic treatment of wheezing.
Dr. J. Krueger my mom is 62year old with very poor health and she has a tounge cancer in 3rd stage. doctor is refusing to give her chemo and radio therapy, kindly advise ehat other treatment she can get and why doctor is not giving her cheme therapy, Thanks Jignesh
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Treatment of tongue cancer stage 3 presurgery should be considered for locally advanced disease; however, definitive radiation therapy, concurrent chemoradiation, and induction therapy are alternative options for patients who are not candidates for surgery The decision to treat the patient with concurrent chemoradiation therapy rather than surgery, radiation, or chemotherapy individually should be made by a multidisciplinary tumor board. Regards Chat Doctor.
hi..i complain from abdominal pain and i took alot of drugs for neurities and arthirities is these drugs cause pain??? female 56 years old complain from abdominal pain i goto doctor and tell me that s due to medicatin you take it which cause poor digestion and give me perloc 40 mg tablets and these drug for ulcer and because i trust in all doctors of these site and i didn t take these drug is these good for me or i worry that i have already ulcer and doctor didn t tell me..please help me?????
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Hi. First relax mam, your abdominal pain may be simple gastritis, may be caused by the medications u have taken, to diagnose ulcer u have to get endoscopy done, for now u can take the tablet doctor has prescribed it will help u. If pain persists consult gastroenterologist.
My upper lip became oddly splotchy and seems to be really dry and darker than usual. It feels numb and when I run my tongue or finger over it, it feels spotty. It s been like this for a week now, and I ve tried a few lip balms but it doesn t seem to do anything. Peeling at the dry bits causes some tingling/slight burning sensation. Read some other answers below and I did suspect some mild allergy although I m not sure what it could be and whether an allergy could last more than a week as this has
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Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You have got a rough upper lip, splotchy, dark, spotty, With tingling and burning sensation. It appears to be a fungal infection, Or as you suspect it may be an allergy to some cosmetics, or Chat Doctor. If the allergy causing things are not stopped the allergy can continue, and may lead to infection. I advise you to consult a dermatologist for diagnosis and treatment. Wishing for a quick and complete recovery. Best regards.
At the top right side of my gums I feel my skin dangling and it hurts. Feels like I just got shots in my mouth after a dentist appointment. Also on the right side of my cheek I feel a line and its a white line. No pain. And in little spots I feel little bumps. No pain. Just tiny ones. What is this?
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HelloWelcome to ChatDoctorwhite line is nothing but a linear Alba which is a normal feature, little white spots you are talking seems to be Force granules which is a development anomaly but will not cause any harm so, for both of these features you don't have to be worried. Pain and tingling sensation on gums can be due to inflammation so better to visit dentist for scaling and can apply gum paint 3 to 4 times a day. Thank you
I have a bad back and lately my upper back has been hurting if I take a deep breath or turn a certain way , it also will almost burn in that spot if sitting in same position to long I also am having pain in my neck , the same kind of pain that s in my back, I had a Lowe lumbar strain years ago but never truley took care of it so now it s tender to the touch in that area , almost like I have bruises there, what does this sound like to u
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Hello. Thanks for writing to us. The pain in the back that you are having is likely to be due to a mechanical back pain due to bad posture or an extra strain to the back muscles. Most of the time improvisation of the posture and mild painkillers and hot fomentation will help in relieving the symptoms. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
i have carried out semen analysis and realised tha am suffering from normospermia, so what should i do so that my sperm should be normal?
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It will be better if complete report is attached or mailed. For improving sperm status you can have cap. Addyzoa 1 BD.
In the last two days, my body temp increases, my face flushes, I feel lightheaded and my heart rate speeds up. I return to normal in about 5 minutes. I am 38, 55, 145 lbs and exercise 4-5 times per week. I am in good health. In August, I had ear surgury, but am recovering nicely and am on no perscription meds. A few times a week I will take otc antihistamine for allergies.
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Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to a metabolic disorder (thyroid gland dysfunction, a Chat Doctor. A carcinoid syn