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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. about 3 weeks ago I had pain under my left rib cage. Then I went to ER for chest pain and heartburn with no DX found. I still have this issue however now it is on both sides of rib cage, abdominal bloating, back pain, belching and most of all very very fatigue. I also always feel full. | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more likely. GERD is due to laxity of gastroesophageal sphincter. Because of this, the acid of the stomach tends to come up in the esophagus and cause symptoms of belching, burning chest pain, fullness in abdomen, bloating etc. So follow these steps for better symptomatic relief in HERD.1. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals.2. Avoid stress and tension, be relaxed and calm.3. Take pantoprazole and levosulperide combination on empty stomach twice daily.4. Go for walking after meals. Lose weight if you are obese.5. Avoid stress and tension, be relaxed and calm. Quit smoking and alcohol if you have these habits.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...I have been having gloating in my upper stomach in the evening with hardness. I can feel my stomach bloating. Is there any reason for concern. I am 51 yrs of age. I also have had more bowel movements. Is it just gas? | Hi. Thanks for your query. Just a gas ! This can not be a lone problem, we have to find and treat the reasons:::The commonest causes of bloating at the age of 51 are as follows:Aerophobia- the commonest reason is anxiety and stress > you have a classical history of bloating developing in the evening with hardness. The pressure in the intestines and a wish to pass it out may be due to the presence of gas itself. Other reasons can be some specific foods and beverages that are gas producing and now-not-so suitable for you. Please find a correlation and stop such foods. Another is - Intestinal infection with gas producing bacteria. I would advise you to have the following:Take a course of an antibiotic, metronidazole, probiotic, activated charcoal tablets and multivitamins;Reduce anxiety or take medicines for it if needed;stop foods causing such problems there is full response, nothing to worry. If no relief:Investigations:*Routine blood investigations like Complete blood picture, blood sugar, urea, creatinine, liver function tests, thyroid function tests.*Urine -routine and microscopy*Stool: routine, microscopy, occult blood, culture and sensitivity.*Ultrasonography of abdomen, *Colonoscopy All these investigations should be within normal limits for one to say you have IBS. |
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ηζθΏ°εηι«εΈει‘γ | Dear sir, My LFT shown that ALT is 75 mg/dl rest of all readings are with normal including CBC tests, but in the CECT scan shows early stages of cirrhosis, but when consulted with Gastro surgeon, it is not cirrhosis, and he prescribed me the following tablets for three weeks i.e Morease SR. please answer me is it ok? | Hello It is important to know details of CENT (abdomen)findings like liver size, presence of nodules, surface irregularity, its appearance, enhancement pattern etc.CENT may detect early stages of cirrhosis. As there is diagnostic dilemma, I suggest for FNAC/Biopsy of liver. It can only assess exact stage of liver pathology. Elevated ALT may indicate liver injury, but it is important to assess underlying cause. Elastographgy is also helpful in such cases. Treatment depend upon clinical findings and investigation reports. You can these medicines empirically. Get well soon. Take Care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, doc I m having this problem for last 6 years,I m very prone to cold and cough.every year during winter or if I get exposed to cold atmosphere ,I catch cold and cough,it makes me sneez alot and my nose starts running very badly.it also happens when I get exposed to dust.I have tried normal cold medicines but they didnt help me much and colds keeps coming back. | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of allergic rhinitis is more likely. Seasonal variation, dust allergy, recurrent cough, cold are characteristic features of allergic rhinitis. You will mostly improve witChatDoctorbination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night. Fluticasone nasal spray twice daily should also be started. Do steam inhalation and warm water gargles 5-6 times a day.Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor.First of all, I will go tomorrow to the doctor. Im 23.Ive seen today i have a black spot inside my mouth, after some days having a sort of infection, yesterday i had nothing there, its placed in my cheeck. The infection could be caused for my alergy and it looks like amisgalitis, and around i can see blue and red vains.what could it be? I smoked only for 1-3 months in my whole life, recently.Thanks. | Howell come to ChatDoctorI really appreciate your concern, black spot inside the mouth (Oral cavity) is very uncommon or not likely if this is so then this could be due to some injury may be collection of blood "submucosal hematoma" this may not be infection, if this is not painful or burning then this may not be due to any pathological changes , still clinical examination is the best way to confirm the diagnosis, hope this information helps, take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi I am just wondering that I am trying to conceive in the past months but been unsuccessful at the moment due to having pirituary gland tumour and have started taking evening primrose oil tablets and angus castus tablets is this right or is there anything else you can recommend in getting pregnant ? | Hi, I guess your concern is about does primrose oil and Angus casts medicine help to get pregnant while having pituitary tumor. Firstly I want to tell you that there are many types of tumor occurs in pituitary, among this prolactin is more common (tumor which secreting prolactin hormone) poses difficulty in getting pregnant because it causes irregular menses. But it's treatable with medication if it is small. Secondly I would like to discuss your medication. Primrose oil usually given for the mastitis (heaviness or pain in breast). Its having no role in pituitary tumor. I don't have any idea about the another medicine u have (Angus casts). No need to take tension. It is treatable but require surgery. In both of the cases chances of getting pregnant is high. If you are still worried then, revisit to your treating doctor, discuss it. If you are not satisfied with them then visit to nearby infertility specialist. He/she can help you. I pray to the god that you will be getting pregnant as early as possible and blessed with the cute baby. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have had posterior knee pain since April, it s pretty uncomfortable. I can squat or bring in my leg with it all the way flexed if that makes sense. I was working out when it started to hurt. So far MRI has come up clear for my knee and x-Rays are fine. Two orthopedist and still have no idea??? | Welcome to Chat Doctor I have gone through your query and understand your concern. You are likely to be having osteoarthritis of knee joint. You are likely to get benefitted by Diapering and glucosamine. Qua Chat Doctor. You can take analgesic such as ibuprofen for pain relief. You can discuss with your doctor about it. Hope your query get answered. If you have any clarification then don't hesitate to write to us. I will be happy to help you. Wishing you a good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I am 65 years old. I was in a head on car acident and hit my head on the broken windsheild when I was 33 years old. The front right side of my head swollen as big as a softball. I passed out for a second, but no severe side affects. I had to take cemo therapy just for prevention because the cancer was so bad in my breast. It was not concealed to a tumor . The doctor was scared that it might have taken another root since it was not in my lymph nodes. I was 44 years old when this all took place. The chemo stop my period and never had one ever since. I went into a great depression . I can t remember how long after the chemo when I went into the depression maybe two or three years later. I m on prystiqu now. It helped for a while, but I am highly depressed. I m just wondering if my pituitary gland maybe was injured. I ve had a MRI done on my brain in I believe in 1998 because I asked a doctor about electricity going through my brain. The MRI showed that I had an empty cellulor configuration. Through research I know that a flatten Pituitary gland or fluid leaking from the pituitary gland can show as though it was an empty cellulor configuration. I hope you can understand what I am asking. Can my pituitary gland be injured from that car accident instead of the chemo therpy that I had. I blamed my chemo therpy for my depression. Nobody has really helped me. I found myself going to the health food store. Any advice. Thank you a lot! I just want to know if my pituitary gland could have been injuried from that head on collision, which is causing my depression from the lack of hormones. Could a hormone problem be the reason for my depression. Thank you! I hate typing my brain is faster then my fingers. 1 | Possible reason for your absent pituitary gland may be accident or any bleed in seller region which holds the gland. It may be because of other reasons too. But definitely not because of chemotherapy. I would advise you to go for a complete Heath check up to rule out thyroid, diabetes and other hormone related problems which may be the cause for depression. I hope this clarifies your queries and would be glad to answer more if any. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi, muay I answer your health queries right now ? Please type your query here... both lungs are hyperaeted with low-set diaphragm, Hazed and fibrotic densities are seen in the right upper lobe with intervening lucencies. The right interlobar fissure is tickened.Heart is not enlarged. Costopheric sulci are normal. thank you | Thanks for your question on Chat Doctor. I can understand your concern. I have gone through the x-ray report you have mentioned. This report is suggestive of old healed fibrotic lesions with emphysematous changes (hypermarket lung field with low set diaphragm). So get done PFT (Pulmonary Function Test) to identify the functional loss of lungs. If PFT is suggestive of obstructive Airway defect then patient will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). Deep breathing exercises, incentive spirometer, yoga and Panama are also good at restoring lung functions. Hope I have solved your query. I will be happy to help you further. Wishing good health to your patient. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, when i get anxious and stressed i pick at my head quite badly.. I have noticed a couple of lumps at the back of my head and neck--would they most likely be swollen lymph nodes? Also, lately I feel very tired and unwell..is that just because i am stressed and have a lot on--or could all the pickin gof my head be making me feel unwell? | Hello! Thank you for the query. Picking at your head can cause some inflammation and in that way stimulate lymph nodes enlargement. However, as you have tiredness, other possible reasons of enlarged lymph nodes should be also considered. Especially if you also have weight loss and night sweating. I suggest you to consult your doctor, have physical examination and ultrasound of these lumps. In case of enlarged lymph nodes biopsy might be necessary. Hope this will help. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I am suffering from side effects of over masturbation from past 3 to 4 years but I did not pay attention to all this and continued masturbation and now I have stop all thing but i am facing problem like erectile dysfunction, premature ejaculation , Seminal leakage , low sex drive etc .. and I am very much worried about my sexual life , please sir give solution to solve my problem permanently and to leave a happy life .Regards ............ | Hello, Masturbation is usually considered a safe practice. But as per few studies or can lead anxiety and so premature ejaculation like problems. Try to do yoga, meditation for peace. Avoid watching excess porn videos and magazine for recovery from masturbation. Make short-term and long-term goals. If your erectile dysfunction problem continues then I will guide further investigation like serum cholesterol, blood pressure measurement, serum random blood sugar, etc. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hello, my other half is getting concerned about growth of our baby during pregnancy. we have recently had our 20wk scan (19+6) and the measurements are showing things that are making her concerned. the scanner at the time did not seem concerned, and the computer system also showed no concerns, but having checked online she has found that people with very similar and in some cases not as severe readings, have been refered for further growth scans. our measurments were; femur length 29mm abdominal circ 148mm head circ 163mm tcd 19mm. anything to ease her mind would be appreciated. j | Hello, and I hope I can help you today. The absolute measurements of the femur length, abdominal circumference are used to calculate the approximate weight of the baby. That weight is then compared to the average weight of all fetuses at the same gestational age and expressed as a percentile. If your babies measurement is not less than the 10th percentile, further surveillance is not necessary.However, after 20 weeks your prenatal care provider will measure the size of her belly from visit to visit and if it does not increase over time they are likely to repeat the ultrasound. So I hope I was able to answer your question today and that this information is reassuring. Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...I have just found a worm in the toilet after my 3 year old had passed urine only. it was about 3 to 4 inches in length and very thin not even a milimetre. it was black in colour. She hasn t shown any signs of troubles going to the toilet and with her tummy. Thanks | Hi, It is quite unlikely for worms come out of urine. I guess your kid is a girl-in girls, worms coming out of anus can crawl in and around to reach vulval area, which is then flushed out while passing urine. This can happen in boys also, though more uncommon. It would be more helpful if you can send a picture of the worm. I suggest you to give albendazole tab 400Β mg at night once(or 10ml of suspension) if not given in past 6 months. There is a type of worm infesting bladder, but usually we can't see them with naked eyes. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I had unproteted sex on 20th, 21st and 22nd April. I took emergency pill on the afternoon of the 22nd. I am sure /i ovulated on the 20th because I can feel when and which side i ovulated on each month. I suffer from rosacea and have taken one tetralysal tablet each evening for the last 2 days (8 days post ovulation). I am worried that the pill may not have been effective, i have a lot of pregnanacy symptoms (rosacea, right side lower abdominal ache, general cramping and since the 23rd have had increasingly tender breasts with sensitive nipples). Im now worried that if the pill hasnt worked, that my baby will have deformities because of the tetralysal. What is the liklihood of a) me being pregnant and b) my bay having deformities? Thank you | Welcome to Chat Doctor, Betrayal belongs to tetracycline group of antibiotics which can effect the action of emergency pill. There is a chance that the emergency pill may fail. Betrayal is not supposed to be taken by women who are pregnant as it may result in malformation of the fetus. I recommend you to wait for your next period. If you miss your next menstrual period do a urine pregnancy test. If it turns out to be positive visit your gynecologist who will take a detailed history and decide on the pregnancy. Hope that answers your question. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Dear Sir My teeth are becoming yellowish and also I have several stain mark on them. I used to brush my teeth twice a day, regularly. I used to do profession teeth cleaning once in a year. My friends have white clean teeth. They are as careful as I am. But, My teeth are becoming white some days after profession teeth cleaning. My font teeth are also becoming thinner by days. That I am not sure but I feel. Is it fluorosis? Please suggest how to get rid of the stain problem ? | Thanks for your query, I have gone through your query. The staining over the teeth can be because of the coffee, tea or smoking(if you are a smoker). But the yellowish color can be because of the deposit(calculus) or it might be because of normal physiological wearing away of teeth structure. Since you are telling teeth will become white after getting your teeth cleaned, it indicates it is because of deposits and stains. Concentrate on the cause what i have mentioned previously, rinse your mouth soon after eating or Chat Doctor. If the color is bothering you too much then consult an oral physician and plan for veneers. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | i feel my tongue gets heavy and lots of water in mouth in every time,feeling bad pain in both side under jaw and have a bad headache in the right side .the pain under jawline increase due to the headache. and the area under jaw line becomes fatty.. there is another problem, my palm of hand and feet remains hot all the day. i have tiny brown and red spots on my breast,belly and hand,neck. | Hello dear Here I think you have mixed two conditions. Your jaw pain , watering in mouth and heavy tongue and even your headache are most probably is due to bad oral hygiene, and you might need regular professional cleaning because if there is excess of plaque in mouth then it can lead to such kind of symptoms. And second your increased body temperature and brown red tiny spots can be because of disturbed hormonal level (THYROID). So better consult with your dental hygienist and GP Lateran. Best |
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ηζθΏ°εηι«εΈει‘γ | I m a 21 year old male, I believe i devoloped Gynecomastia during puberty and also have premature ejaculation. I have tried to put up with both these problems since i was 13 years old but its finally broke me. I m to embarrassed to go and see a doctor about these problems, and have checked online for treatments to these problems, Gynecomastia seems to be treated with surgery and PE is treated with anaesthetic creams or Anti depressant medication which needs to be taken 1 - 3 hours before sex.. what if you are unaware if your going to be having sex.. ? I don t feel its worth it to see a doctor about this if I m unsatisfied with what I have read already about treatments for these problems but i cant live with them any longer. Is this possibly a hormone imbalance that can be sorted out with a different course of treatment? Please advise thank you. | Dear, as I can understand here is that you are having two problems1) gynecomastia and 2) premature ejaculation with a possible underlying depression. Now if you are being treated or advice a treatment for gynecomastia, I would need to know the cause and treatment you are taking. As you have rightly guessed, there could be common central pathology that can lead to both the conditions, here a hormonal assessment is essential to check or rule out any endocrinology pathologies. If you have already undergone such investigations I need to know the results or kindly get one done. Secondly, for the treatment part of premature ejaculation there is mainly a symptomatic treatment for it. Anti-depressant will help you, which you will have to take for minimum period of Theo years. Tab fluoxetine is a good Chat Doctor. I would advise you take up an issue of hormonal assessment with your treating doctor and think of adding tab fluoxetine. I'll be glad to know the results of your test as I am in not a position to advice you any definitive treatment plan. Extremely sorry if I fail to satisfy your query. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | L 2, L3 have severe spinal stenosus showed from recent mylogram no contrast could flow threw that part of spinal cord which is above the area I had lumbar fusion done in 09,s1,L3, L4, l5 WERE FUSED. nO BETTER SINCE OPERATION It affects burning feet excruciating daily pain, numbness on legs of all out side skin, severe leg spasms that blow ya thru the roof! ankle, feet, toes, and leg do move ments daily that I cant control. What are my next options? fused mom. | Hello, I have studied your case. You may need to do MRI spine with contrast again to see for nerve compression If your new MRI shows discuss then surgery may help. Due to spinal canal stenosis there is burning sensation in your leg and pain associated with it. For these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and TENS therapy will help. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I am having a sharp pain in my upper right rib just under my breast. It came on out of the blue and has lasted 3 days now. I was sick for 4 weeks with a mild cough. Nothing too severe and I did not receive a blow to my chest. It hurts to take deep breaths, sneeze, cough and roll over in bed. What could this be? | Thanks for your question on Chat Doctor. I can understand your concern. Your pain is most likely due to pleurisy (inflammation of pleura). Since you had cough which was lasted for 4 weeks, we should definitely rule lower respiratory tract infection (LETI) because this is common after common cold and can cause pleurisy. So get done chest x-ray. You will need antibiotic, anti-inflammatory and anti histamine Chat Doctor. If chest x-ray is normal then no need to worry about lung infection. Musculoskeletal pain can also cause similar symptoms. So take painkiller and muscle relaxant |
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ηζθΏ°εηι«εΈει‘γ | Hi this was weeks ago & I just found out my pharmasict gave me the wrong dosage for pedicare for my 5 month old. He is 13 pounds & she told me to give him a teaspoon/5ml. He is only suppose to get 2.5ml. Should I still b worried since this was a couple weeks ago | Hi... Paracetamol over dosage is a quite common and nowadays becoming overwhelming important as more cases are being reported. But as it is 2 weeks down the line, your kid would have definitely excreted the Chat Doctor. So do not worry. From next time be careful. The danger sign of acute toxicity due to paracetamol are - jaundice/ sleeplessness/ altered behavior/ excessive sleepiness/ seizures. Regards - |
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ηζθΏ°εηι«εΈει‘γ | hi my name is jacob and i have this nasty foot infection i am hoping you can lead me to what it is and how to cure it. i have rash on the bottom and side of my foot pus bubbles form between and on my toes it itches and when i scratch or pop a bubble i feel relief sad to say. please help me | Hi, Welcome to Chat Doctor! I am sorry to learn about your condition.First, it is necessary to investigate and find out the type of organism causing the infection. It might be fungal or bacterial. Once we find out the organism, we can give treatment accordingly. In case of a fungal infection, an oral antifungal is given and local antifungal cream should suffice. In case of bacterial infection, a potent antibiotic course will be helpful. Also, those pus bubbles if large may require incision and Chat Doctor. Supportive therapy of analgesics and antipyretic will be helpful. Hope this information in helpful. Feel free to ask if you have any doubt. Wishing you a speedy recovery. With regards, |
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ηζθΏ°εηι«εΈει‘γ | sir am 22, i have the hemi facial spasm for more than 8 yrs. i want it to be cured without botox injections, without surgery. i want it to be cured by accupunture, accupressure or by homeo. where in chennai or cities close to chennai shall i find the remedy | Hello, As what I understand is you have a bifacial muscle spasm. So it would have been good if you had provided some more information in the past medical history. As any spasm over the facial region will have an HMF involved and needs a briefing for anyone to undergo in the depth if the case. For now, I will recommend for facial massage, facial massage, MFR of the facial muscles and some basic exercise like holding water in the mouth and making the water blown in each direction. Regarding homeopathy and acupressure I am quite unsure it may be helpful to you because any chronic cases need a proper allopathic attention initially and later change over to homeopathic or ayurvedic medicine. Also, trying out Botox is actually good, since its having no side effects at all, so you can go for Botox for a quick solution. This is totally my personal opinion about Botox rather going to homeopathic and acupressure and making wastage of money. In fact people with facial palsy, bells palsy and HMF involved have responded well to Botox for facial muscles. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My 3 year old daughter over the last 5 days; has a bad cold (on her third day of antibiotics), fever for 4 days (fever broke yesterday), pink eye (cleared up now with drops), threw up once, swollen gums, sores all over her inner lips, bloody gums and lips, white coated tongue, will not eat because her mouth hurts. How should I treat her mouth??? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern... As per your complaint all the symptoms that you have indicated of having a pink eye along with fever, cold, sores in mouth and swollen gums are all due to Viral infection leading to Viral Conjunctivitis and Viral Gingivostomatitis. Due to infection, the immunity of the body goes low and also in such an early age the immune system is not completely developed, therefore, it is leading to fungal infection on the tongue causing Oral Thrush, and it is the cause for white coating over tongue. You should consult a Pediatrician and get him evaluated. In case if the Viral Infection is diagnosed you should give him Tylenol or Motrin for pain relief. Do cool compresses over gums for relief from Inflammation and reduction in swelling. In case of pain in the sores on tongue a numbing gel like Ora gel can be applied. In severe cases antiviral Oral and topical Medication like Acyclovir therapy is given to the patient to reduce the duration of illness... Give him cool and bland diet. Give him sufficient rest. Maintain a good Oral hygiene and brush his teeth twice a day using an ultra soft toothbrush. For thrush Candid mouth paint will help in resolving the infection. Hope this information helps. Thanks and regards. Chat Doctor. . |
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ηζθΏ°εηι«εΈει‘γ | I am scheduled to have a breast core biopsy done this Friday for a 6mm nodule found on ultrasound, I have had bloody discharge twice in a period of 1 year. The Ultrasound is characterizing it at BIRAD 4 twice in a 6 month period , I have breast pain as if the breast had broken glass in it. Only breast cancer in family was in my aunt. What are the concerns I should have,,,the obvious is of coarse cancer | Bloody discharge from the nipple along with a lump on ultrasound and a family history of breast cancer are all ominous signs for you having cancer in the breast. BIRDS 4 means that the chances of the lump having cancer are in the vicinity of 60-70% and the least you need to do is get a biopsy. Problem is that to do a core needle biopsy from a 6Β mm lump is technically difficult. If the biopsy is done successfully and returns a diagnosis, then it is alright, but if it misses the lump (in which case the biopsy report will show only normal breast tissue), I would suggest you get operated to remove the lump and send the entire lump for diagnosis. That has a dual benefit. Once it will give a conclusive diagnosis and two, it will remove the chances of this lump developing cancer later on. Even if it turns out to be cancer in the biopsy, it is at a very early stage and you shouldn't worry as you will completely get cured with proper treatment. |
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ηζθΏ°εηι«εΈει‘γ | hi..my son skin test or ppt is negative..y his pediatrician requested us to undergo him again for xray? then she reads the plate and said its still there..to think that we already finished the six months treatment of his primary compex. Is primary complex be repeated? | Yes sir primary complex relapse can occur, in few conditions after the course duration finished also infection can persist, in that cases we will continue the treatment for some more time, meanwhile they can do culture also to know the sensitivity of the microorganisms, any resistance is observed they will change the medicines or dosages. Skin test is negative doesn't indicate that it is cured, we will use other investigations also to confirm the result |
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ηζθΏ°εηι«εΈει‘γ | i have had my gallbladder out 4 years ago and can eat fine but sometimes i get pain under the rib cage under the right breast and ripples to the side i have been doing stepping exesises have i hurt muscles and what can be the pain i have had ultra sounds and blood tests and all come back normal | Hi, Presentation of post cholecystectomy pain. Differential: surgical incision pain, fat intolerance or stone remnants in common bile duct. Ultrasound abdomen maybe done to rule out stones in common bile duct and to see the tissue underlying incision. Advice:- take pantoprazole before breakfast (for the rest of your life)- also get a complete blood cell count(CBC) test-avoid OILY food and FAT diet altogether-avoid eating stomach full and mouth full-avoid spicy food Hope I have answered your query. Further queries are welcomed. Wish you good health. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | i am currently taking depakote,prozac,xanax,adderall,levoxyl. i still fill alot of mania and at times just down and out for no reason. i have hard time sticking to one task. I would also like to know if taking all of these together is more harmful than helpful. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Prozac should never ever be given in a case of mania. The first thing that should be done in a mania is with Chat Doctor. You may discuss this issue with your psychiatrist. Further you have not mentioned the doses of the medicines. The medicines that you are on except the Prozac are good but it's likely that the doses are not sufficient. Get the doses confirmed by your treating psychiatrist. Other options are lithium or oxcarbazapine or quetiapine or olanzapine. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ |
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ηζθΏ°εηι«εΈει‘γ | I have just been to BP clinic and the nurse said she could hardly hear my blood pressure with the stethoscope? But she took it with an electronic one and by that time my BP was 152/80? She said I may have become tense which would account for it. But what is the reason for quiet BP? | HIT hanks for posting your query. Quiet sounds or difficult to auscultate (hear) blood pressure sounds could be either due to low blood flow through the arm or due to stiffness of the blood vessels through which blood flows. Low blood flow can be due to low blood volume due to deny Chat Doctor. Stiffness is due to normal aging process. I would say that there is no need to give any importance for quite BP. Just get your cholesterol checked (if not checked recently) Hope this information was useful to you. Any clarification feel free to ask . |
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ηζθΏ°εηι«εΈει‘γ | Hi,I was diagnosed with diverticulitis attck about a month ago. Abdominal pains on left side, low grade fever. put on cipro and flagyl, and pains went away after a day or two. Stomach has not been the same since...Lotys of bloating and distention, fullness, but other than that felt OK. This past weekend, i started having on and off low grade fever high 99s to 100, and chills,and overall feeling unwell. Took ibruprofin. After 3 days, i do feel better today. Yesterday, when i went to the bathroom, there was a bit of blood, havent gone since. I do also have hemmoroids, and not sure if if was a flare up due to stomach issues last few weeks. I have not had any abdominal pain, so i am wondering if this can be a flare-up of the divert, and does the pain usually follow the fever, chills, etc...Should i go back on antibiotic to fend off any looking infection?Thanks | Hi ! I would like to know the investigation done to diagnose your case as diverticulitis (if colonoscopy / CT scan was done). In that case the treatment of diverticulitis of course is a proper course of antibiotics, anti-inflammatory, which you already had and got relief. Surgery is not always required for diverticulitis unless it gets complicated. You should go for a high roughage diet with plenty of liquids. Avoid alcohol and smoking if you do. These may prevent further attacks of diverticulitis. However, your treating doctor may advise you to go an annual check up with colonoscopy depending on the severity of your diverticulosis. The bleeding per rectum which got recently seems to be because of your hemorrhoids. However, if it recurs then you should see your doctor for a review. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi, a while ago I got the birth control shot, I only got it a total of 4 times, I ve gotten my period since but they are never regular and when I get my period I reallly got it. Its been 4 month since I got my period and sometimes I have rectal bleeding , no pain and it only bleeds when I sit on the toliet, usually. I don t know what s wrong, can anyone help? There is also no chance of me being pregnet, I am gay and have not cheated. | The rectal bleeding in the irregular periods are not related. They are two separate problems. The most likely cause of rectal bleeding is hemorrhoids however it is important to rule out cancer. Some hemorrhoids cannot be seen externally because they are inside, which is why you may not be aware of them except by bleeding. You need to get this evaluated by a doctor. Onto the irregular periods. If your cycle was irregular before you started Devi then there is no reason that they would be regular now. However, if your cycle was always regular without birth control pills or other medicine prior to starting Demo it can take a full year for regular cycles to reestablish. If it has been more than a year since you had a get demo shot then the most common reason for regular menses to become irregular is significant weight gain. Other common reasons are thyroid abnormalities or an elevated prolactin level. Those two can be evaluated by laboratory tests. Regular menses will resume when the underlying problem is treated. Untreated irregular periods can eventually lead to endometrial cancer especially in overweight individuals but even in regular weight ones. I suggest that you follow this up. Thank you for your confidence and I hope these answers are helpful. |
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ηζθΏ°εηι«εΈει‘γ | I am 22 years old. As of last monday I weighed 256lbs and I am 5foot 6inches. I am 1month post pardum from my unplanned C-section for my 7lb little girl. I have been having extreme knee pain. Is this normal? When should I be concerned? It hurts even to sit. I do exercise and I push the baby in her stroller for walks when the weather is nice. It has been raining so hard here the last few days I haven t been able to walk. Please help I am some pretty severe pain and I don t know what to do. | Hi, Noted the history about a patient who had C-Section one month ago and now have severe pain in knee joint. The knee joint pain could have been due to local causes in knee joint and structures around it.Hence, I would advise you the following :Take an anti-inflammatory like Ibuprofen if it suits you. Consult an Orthopedic Surgeon for clinical examination and evaluation. Relevant tests of blood. MRI of the affected knee joint will give an appropriate diagnosis. This will allow the proper management as per the cause found. Till then take rest. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | well my 10 month old daughter is not eating cryin alot and when she cries she sounds like she is loosing her voice and coughing too her fever is 102.6 i have tried baby tynole and baby advil and fever is still not gone she is not even drinking and when she does she chocks on it | Thanking for consulting in Chat Doctor. Your daughter has viral infection and probably teething too because she doesn't want to eat. Viral infection usually occur with symptoms of intoxication: lost appetite, nausea, vomiting,headache, weakness. She is crying because she feels pain-headache or toothache, but she can not tell you, or she feels sore throat. You give good antipyretic therapy, but when temperature is very high you should use physical methods also like: cover baby in wet sheet of usual room temperature, put her in hot tub with body temperature, rubber her with alcohol .2 thing-hot Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | The right side of my chest bone (below the neck and over the breast) sticks out more than the left side. It s not a bump really but more like a hard bony swelling, not very prominent unless you run your hand over it. I got an ultrasound done and there were no lumps or mass detected. | Hi Thanks for your query have gone through your query and understand your concern. This is not a disease. One side of ribs are prominent more than other side. There is nothing abnormal, it is seen in many normal people. No treatment is needed however to allay your anxiety you can consult an Orthopedic. You can discuss with your doctor about it. Hope your query get answered. Wishing you a good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | MY AGE IS 40Y AND MY WIFE AGE IS 35Y.DR SAY ME FOR TEST TUBE DUE TO SHORTAGE OF SPERM.DR INJECTION TO MY WIFE BUT AT THE TIME DR SAY THAT EGGS ARE NOT ACTIVE. SO MY WIFE TOOK MEDICINE (GLASTERONE25MG,ERESOSE AND FOLIC ACID )FOR 3MONTHS.BUT NOW MY WIFE FSH BECOME 15.9 AND AHM BECOME1.22 ULTRASOUND REPORT TELLING RIGHT SIDE NO ACTIVITY AND LEFT SIDE ONLY ONE FOCIL.NOW DRS ARS SAYING SHE CAN NOT BECOME MOTHER OF HER OWN CHILD .I WANT TO KNOW IS TRUE? IF NOT THEN PLS GUID ME THIS TIME SHE IS USING DHEA MEDICINE THAT IS NOT SUIT TO HER THANK YUU | Hello. Thanks for writing to us. The FSH levels in your wife are too high even after the hormonal treatment. Such high levels of FSH are associated with an ovarian failure. No activity in one ovary and a weak single follicle in the second ovary is also not suggestive of an ovulation. The pregnancy seems to be difficult with her own eggs. I hope this information has been both informative and helpful for you. |
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ηζθΏ°εηι«εΈει‘γ | i have been suffering from light pain in my lower abdomen for 3 years.The pain had started after i had a 1.5 month miscarriage due to some mistake. But no doctor could understand the reason of pain for 3 years as my ultrasound report & check up is absolutely ok. | Hi. History of a miscarriage followed by pain in the lower abdomen can be due to intestinal obstruction. You say your ultrasonography report is normal. This means it excludes the Ovarian cyst, Salpingitis, lymph node enlargement, cystitis, enteritis and so on. IT is better to go for Contrast enhanced CT scan of the abdomen, enterocolitis, Diagnostic Laparoscopy for diagnosis and may be for a treatment. |
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ηζθΏ°εηι«εΈει‘γ | hi im experiencing serious stomach pains and my breasts are leakng a large amount of milk and my twin boys are now four years old and quite sure im not pregnant as i have had a period recently and have just done a negative pregnancy test. im really starting to worry. i have a cyst on my ovaries which i was diagnosed with in september last year, please help. | HIT hanks for posting your query to Chat Doctor. Two issues :1. Stomach Pain : It could be due to many causes like Gastritis, Stones in gallbladder or kidney, Inflammation of Pancreas, Infection of the gut, Appendicitis, Urine or kidney infection. I need to know the exact site of pain and the nature of pain, that is, whether the pain is burning or pricking or squeezing. Also let me know if there are any problems passing motions or urine. 2. Secretion of breast Milk : is due to hormonal problems. I advise you to get Serum Prolactin and Serum TSH test done and revert with reports. Hope this information was useful to you. Any clarifications feel free to ask. |
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ηζθΏ°εηι«εΈει‘γ | While cleaning my bathroom I sprayed tile cleaner and unknowingly got some on my toothbrush. When I went to brush my teeth I started to brush then tasted a bit of cleaner so I spit it out and rinsed out my mouth. I do not think I actually swallowed any but on the bottle it said if swallowed you are to contact a physician. I feel fine but I would just like to make sure that it will not make me sick or anything. | Thanks for your query, I have gone through your query. Nothing to be panic or worried since you have spit the cleaner. If you get any stomach pain or vomiting then you consult an oral physician or general physician. Nothing will happen to teeth, but the mucosa might get affected, it may result in chemical burn or contact dermatitis. These conditions may cause burning sensation or ulcerations. If you have any of these symptoms then consult an oral physician. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My sgpt result taken last monday was 79. the normal range is 30-65. my sgot is normal. i drank a lot of alcohol on saturday night until sunday early morning. could that have been the cause? should I be alarmed? could this be positive for hepatitis? thanks. | Hello thank you for posting your query in Chat Doctor.SGPT and GOT are liver enzymes, indicators of liver cell injury and helps in recognizing liver problems. SGPT is mainly found in liver. GOT is found in liver, kidneys, pancreas,muscle, lungs. My opinion is that you should not worry much as your SGPT is slightly elevated. Further increase in the levels will definitely lead to liver cell damage, hepatitis.I would suggest you to avoid alcohol, quit from smoking, have a balanced and healthy diet, reduce fat intake foods, increase physical activity. Get a regular check up from your doctor. This will help you to lower SGPT levels and prevent your liver from diseases. |
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ηζθΏ°εηι«εΈει‘γ | I have been told that I have multiple indentations on my Thecal sac also ModicType 2 end plate changes around L5/S1 disc also Multi-Level Disc hydration and height loss L5/L1 multi-level OA changes in the cervical spine and in the lower lumbar spine. There are multiple small indentations on the Thecal Sac by disc osteophyte complexes. what does it all mean | Hello, These changes are usually seen as part of aging. The indentation on thecal sac can later progress and cause compression over the nerves in the back which will cause pain and other problems. Many joints in the body which are mobile are prone to wear and tear. This process is only partially reversible as one ages and so the changes accumulate. These changes present with joint pain and restriction of mobility referred to as osteoarthritis. Physical therapy and lifestyle changes will be most beneficial for you at this stage. |
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ηζθΏ°εηι«εΈει‘γ | In an neck xray for an accident, the Dr. informed me that I have thickened bones and referred to me a few other Drs. to check out the possibility of prostate cancer. What is the relation and is this a huge concern? I am uninsured and cant afford the costly tests involved. Do you have any suggestions for me? Thank you | Hi, Thanks for writing in. Prostate cancer is a condition that spreads to bones. Cancers can affect bones in two ways, either there is breakdown or there is excessive calcium deposition. In breakdown the process is called lysis and in deposition of calcium it is called sclerosis. In prostate cancer, there can be sclerosis seen in the bones of the spine usually in the lower back region. However, bones of upper spine can also have sclerosis. I would suggest you to first get a low-cost insurance and then take tests for prostate cancer like ultrasound scan, serum PSA and free PSA values. If there is probability of cancer then further detailed tests are required. Please talk to your doctor to arrange for the tests keeping in mind your ability to pay upfront for the various tests. The tests must be completed within a month, and you can also try and find out healthcare support groups or from your employer if your tests and any treatment can be funded by external resources. Please do not worry. |
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ηζθΏ°εηι«εΈει‘γ | Do I need to worry if my 3 yr old soon to b 4 in aug, 38lbs.....could have possibly taken 9 pills of synthroid 88. Called poison control and they said not to worry that he will b very hyperactive and moody for nxt 4 days. But my wife is still concerned even though we were told it will b ok after it works out of his system. What symptoms should we look for for the worst case scenario? Not sure if he took that many or not....that s the impression we are getting sence he threw away one of the packages and we can t find it now. That was earlier this morning not sure exactly what time.....but Definately over 9 hrs ago. | Hi, thank you for choosing Chat Doctor. Regarding your son don't worry that much and just wait and watch as he must not have taken that many tablets as he is fine, you should expect hyperactivity, increased heart rate, not able to sleep, irritability and tremors of his hands etc., as he doesn't have these after 9 hrs, I don't think you should worry that much. Just monitor him for another few days, and he should be fine. Hope this has been helpful to you, kindly feel free to contact again for any queries. Kindly rate the answer if so. Take care. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello, my husband just had an episode that concerns me. He is resting now but I would like to know what happened. He was talking to me then became unresponsive. His eyes rolled back in his head, the left side of his mouth dropped, lips were white, face was pale, left arm and hand were shaking, he then collapsed to the floor. I held him and he was sweating but his left side was ice cold as was both hands. He eventually came to and didn t remember what happened. He felt weak and tired. I put him to bed and he is now sleeping. What do you think caused this to happen? | Hello! Welcome on Chat Doctor ! Your husband symptoms are compatible with a partial seizure with secondary generalization. For this reason, I recommend consulting with a neurologist as soon as possible and performing some tests: - a resting ECG- an EEG- a chest X-ray study- a brain CT scan-some blood lab tests (complete blood count, fasting glucose, blood electrolytes). Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | Hi Sir, I am facing hair fall problem. I have lots of hair fall whenever i do a hairwash. i have loss of hair with touch by hand and when i sleep lots of hair fall on pillow. please give me solution of hair fall. i want to start follihair. is it write tell me? | Hi there.1. Your concern is halogen effluvium.2. don't worry it's a recoverable hair loss.3. You can try dense serum, apply enough quantity twice daily, gently massage into the roots.4. You can try reviles hair supplements daily one after breakfast.5. You can try outriders anti hair loss shampoo weekly twice head bath with Chat Doctor. Have reviews about platelet rich plasma for hair growth and plan few sessions accordingly. This will help you swiftly. |
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ηζθΏ°εηι«εΈει‘γ | I took the plan b pill within 14 hours after having sex, I then took the next dose today with my regular birth control. Last night the condom broke and have only been taking my tablet form of birth control for seven days now. Should I take another plan b? Or will their be severe long term affects? | Hello misunderstand your concerned you are on regular birth control pill already (without any missed pill) then no need of plan B pill as it cause high progesterone in the body and hormonal imbalance. Take the remaining birth control pill regular on same time without missing pill. So no need to take another plan B tablet as birth control pill is very effective in preventing the pregnancy(failure rate only 0.5-1 percent)Hope this may help you Best regards |
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ηζθΏ°εηι«εΈει‘γ | I have an 82 year old Aunt that is on a vent for 6 days now. She had a sigmoid colon surgery done the 3rd day in the hospital. She is not awake and Drs. are talking about doing a tracheotomy next week. Is this really need ? She has diabetic, her heart works @ 50%. She is very weak, BP goes up & down regulated by meds oxygen level 90 | Hi and thanks for the query, I do think her health condition is a very delicate one form your description above. It might necessary to accept the tracheostomy especially to improve her oxygen saturation in blood. Oxygen is the main gas required for metabolism by the brain, in case it remains under certain thresholds, brain functions remains compromised. Detailed evaluation, especially to consider her clotting profile must be considered before engaging in surgery. I think with this scenario, tracheostomy could help. Thanks and best regards. Bain LE, MD |
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ηζθΏ°εηι«εΈει‘γ | ChestIve been feeling a lot of pressure and heaviness on my lower chest for two weeks now . Along with random sharp pains that get worse when I breathe in . Its difficult to breath and its really uncomfortable . My heart is also pounding and I keep feeling like there is air stuck in my chest and I try burping . My chest also burns at random . I cant do any acivities anymore because I run out of breath fast and its difficult to sleep also . I want to know what I may have Age : 16 Height : 53Weight 96 | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of gastroesophageal reflux (HERD) is more due to your weight. Obesity is known risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of burping, gaseous feeling in stomach, chest tightness, heaviness, burning central chest pain etc. So better to follow these lifestyle modifications for symptomatic relief in HERD. 1. Avoid stress and tension. 2. Avoid hot and spicy food. 3. Avoid large meals, instead take frequent small meals. 4. Start proton pump inhibitors and prokinetic Chat Doctor. 5. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. 6. Do regular aerobic exercise and lose your weight. 7. Avoid smoking and alcohol if you have these habits. Don't worry, you will be alright with above-mentioned modifications. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | hi i always have paing in the left side of my throat and chest, my bloods were clear, i am on the waiting list for ent, is there a chance it could be cancer or am i ok in that area as my bloods are 100% normal, i am very worried about this. i have a little lump on the left side of the back of my neck too, could this be related. when i swallow something hot, it hurts going down as well and bits of food come back up in my mouth when i swallow, please advise me. thank you | Hello, You had pain in left side of throat while swallowing and no swelling in mouth or throat u feels. Thus, it might be just tonsillitis and no need to worry about cancer and all. The swelling over the back of neck might be now were related to the this. You have not mentioned your age and your habits, if your tobacco chewer, alcoholic and age > 40 yrs, just consult your doctor as soon as possible because it might turn out to something hard because pain while swallowing and swelling in back of neck might turn into cancer. Consult your doctor soon |
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ηζθΏ°εηι«εΈει‘γ | For the past week or so, I have felt tired all day and usually end up just wanting to lie on the sofa and sleep. I also have a weird feeling occasionally in my chest and get shortness of breath doing trivial things. I am overweight and I do suffer from depression. What is your opinion? | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion, we should first rule out cardiac cause for your symptoms. Because you are having the following risk factors for cardiac disease.1. Obesity2. Depression. So get done1. ECG2. 2d echo to rule out cardiac cause. If both are normal than no need to worry much for cardiac disease. Your symptoms are mostly due to depression. Overweight is also due to depression. So consult psychiatrist and get done counseling sessions. Discuss your problems and worry with psychiatrist and try to find out solution for it. You may need antidepressants too. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My husband has hip pain and his doctor has suggested anti inflammatory drugs. He has just started taking them and received immediate relief. My concern is that he suffers from stomach ulcers which he didn t mention to his doctor. He is 55 years old, very active and has a history in his family (i.e. his mother) who suffers significantly from arthritis. | Dear patient Your husbands hip pain needs to be investigated. Since he has family history of arthritis, he is prone to get arthritis at early age. Anti-inflammatory medication will only give symptoms relief and will not affect disease progress. Since he is prone to stomach ulcers painkillers is known to cause severe gastritis and ulcers, and he might get severe aggregation of symptoms. I would advise X-ray of involved hip anteroposterior and lateral views and blood test for Ra factor to confirm diagnosis. Please visit radiology center nearby you and get it done. You need to consult expert orthopedic surgeon with report. All the best. |
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ηζθΏ°εηι«εΈει‘γ | I fell and hit my head on a stone flower pot when I slipped on the icy sidewalk outside my house this morning. I didnt passout but i hit it pretty hard. Do I need to go to the dr.?Im 29 and it happened so quickly that I didnt catch myself as I fell backwards so the only thing that broke my fall was my head hitting the cement. I feel tired but its just a little sore on that spot. No headache or double vision or abnormal feelings/behavior. | Hello there, To answer your question, if you hit your head very hard on the pot and if you have any bleeding from nose or ears, blackening around eyes, nausea or vomiting, double vision or episode of unconsciousness you need to visit your doctor immediately. If everything seems alright and only there is a painful spot then don't worry. That soreness will remain for a day or two. Hope this helps. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have along history of asthma. Initially I used to take bronchodilator like asthalin. Gradually the frequency of inhaler kept increasing and in a span of 10 years I have come to a point where even asthalin is no longer effective. I consulted a doctor some 2 years back about this development and prescribed combitide inhaler, this inhaler gave me a lot of relief and after about 6 months he reduced the dose. Now recently he has prescribed Formonide 400 and has told me that he is reducing the dose. I am still skeptical whether this is reducing the dosage or increasing it, also suggest whether the inhaler can be completely stopped in a future date? I am a little concerned about the long term use of steroids. Kindly advise. | Hello. Thank you for asking at Chat Doctor. I went through your history. Hormone 400 contains the corticosteroid Budesonide (400 mcg) and Combative contains the corticosteroid Fluticasone. Both are different corticosteroid molecules and hence their dosages cannot be compared exactly. However, in general, Budesonide is said have lesser side effects as compared to Fluticasone as Fluticasone is considered more potent than Budesonide. If you are taking Hormone 400 once a day, it means you are taking Budesonide 400 mcg per day, which is not a high dose. I want to emphasize on the fact that your technique of using inhaler is crucial to determine the quantity of Chat Doctor. So please be very careful about it and make sure you are following all the necessary steps daily, i.e., shaking the inhaler, expiration, good coordination between pressing and inhalation, holding breath for sometime after inhalation and rinsing mouth afterwards. Following these steps correctly will ensure maximum |
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ηζθΏ°εηι«εΈει‘γ | On Sunday October 26 I was in an ATV accident and received a rather deep puncture wound on the front of my left shin. I was taken to the emergency room and received a good cleaning along with 2 stitches, X-rays revealed there were no objects or debris left inside the wound and my leg was not broken but had hyperextended during the crash. I visited an Orthopedic surgeon Wednesday the 29th of October where I was prescribed antibiotics but wasnt given a promise that it would prevent infection. I am in so much agony and pain as of right now, not only has the pain gotten worse but it is traveling up from my shin to my knee cap as well. I am almost 100% certain my puncture has gotten infected, I keep it clean and wrapped with gauze but it stays swollen and hot to the touch. I have become nauseous and lost my appetite these past 2 days and have noticed a bruise on the heel of my left foot which seems to grow increasingly. I did not notice the bruise until yesterday and it was dime size, now it is the size of a half dollar coin and is very purple. I am concerned I may have an infection in my bone as well because of the excruciating pain inside of my shin and knee cap now. I will call my Orthopedic Surgeon on Monday morning to schedule an appointment. What are the chances it may be developing into gangrene? Should I go ahead to the emergency room or can I wait? All other areas of my body that were injured have healed beautifully except for my left shin. Thank you so much for your time! | Hello, It seems that you are uncertain about following.1)Whether there is any infection at puncture site?2)Bruise gone unnoticed3)Whether there is any chance to develop gangrene?4)Have to wait and watch? Answers are here.first u have not mentioned that whether u have been prescribed any painkillers or not. Neither you have mentioned the name of antibiotic. Now,1) If u have developed any infection at your wound site, u probably have developed fever, which u have not mentioned .2)Bruise is called "delayed bruise" as it develops after about certain time of actual impact. If it is of purple color, it's in the phase of healing. No treatment required for that except painkillers.3)There is a chance to develop gangrene, when you leave your wound in unhygienic condition, do not take proper antibiotics, already have undiagnosed diabetes. Otherwise, there is negligible chance.4)If pain is unbearable there is no choice for wait and watch. Anyway if you have consulted an or tho. Surgeon, He must have given you painkillers, if surely not you should consult him. I am not suggesting you any painkiller online, because I do not know your gastric history. Get well soon. |
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ηζθΏ°εηι«εΈει‘γ | My husband survived the widow maker three years ago (age 49). He is very high strung, has anxiety and chest pain and is beginning to eat poorly. His pressure is up and cholesterol up by about 30 pts. He cannot seem to control his temper. I am afraid he is setting himself up for another heart attack. I guess my question is do you think there is any correlation to the heart attack and the personality change? | Hi, Nowadays it is a big problem for cardiologist as many patients develop depression and anxiety after the heart attack or heart failure. He needs a big support from the family. A good heart therapy is quite helpful, as when the patient feels well his behavior is also gets better. If he has good family support, and he feels well at medical therapy but still has anxiety or depression, I would advise you to see a specialist. Take fearsome back if you have any further questions |
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ηζθΏ°εηι«εΈει‘γ | hey me nd my husband we r trying for 6 months to hav a baby. but unsuccessful .can u tellme wat is the best position to conceive nd also sm tips for getting pregnant faster. one more thing i dnt feel orgasm easily i dnt find much pleasure in doing intercourse is it necessary to feel orgasm by female to get pregnant | Thanks for contacting Chat Doctor. To get pregnant faster buy a thermometer and start taking your oral temperature at bedtime daily from first day of periods. When egg is released in females(usually from 14th to 17th day of beginning of menstruation), body temperature is raised by half degrees and that is the ideal time to conceive. This is allowed you to identify your fertile period. From next month you will have an approximate date of egg release and your husband can abstain from sex for 4-5 days prior to egg release. As soon as the temperature is raised, you can have intercourse for next 2-3 days. Best position for conceiving is straight with husband on top. Please lie down for 20-30 mins after intercourse and do not wash after intercourse. Yes, you do not need to have an orgasm to conceive. Regards |
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ηζθΏ°εηι«εΈει‘γ | hi..i had just an ecg recently and i git a remark of sinus rhythmn and left atrial abnormality..i am a reglar 10 km runner..and a long 21km run on week ends..does this mean any abnormalities of my heart..my RHR is 55BPM...pls any comments on my concern...thanks | Thanks for your question on Chat Doctor. I can understand your concern. Since you are running and doing regular exercise, no need to worry much for this ECG report. But better to rule any structural pathology of heart because ECG is stating left atrial abnormality. So get done 2d echo. 2d echo is sonography of heart. It will tell you more about heart chambers, pumping, valvular functions etc. It well also tell if any structural abnormality in left atria is present or not. So get done 2 d echo. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hello,I had 4 wisdom teeth removed yesterday at 8am. Its now 4pm and my bottom lip, from the corners of both sides of my mouth, my gums/teeth and my chin are still numb. I feel a tingly sensation when I touch my chin and can feel heat and cold on my chin. How long would you expect the numbness to last? Is there anything I can do to speed up the process of getting the numbness to go away. I have read other posts that say that only time will tell, but this is seriously driving me crazy. Any suggestions and or information would be much appreciated. | Thanks for your query, I have gone through your query. The numbness(anesthesia or paresthesia) can be because of the pressure over the nerve by a wisdom tooth during extraction. The other possible cause can be any injury to the nerve by trauma or any injection at the site of nerve. Nothing to be panic, consult an oral physician and get yourself examined and take a screening radiograph like OPG to rule out the above said causes.Meanwhile you can take a nerve regenerating Chat Doctor. Take care of the part which is numb from hot, cold and sharp objects, because you will not be able to make out the sensation. This might take weeks to months for complete recovery. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | I took one and a half Vyanse yesterday around 4, and then the half around 4:45, I had the usual symptoms, but last night around midnight, I started to get really bad chest pain and feeling as if something is stuck in my throat. I swallow and it feels like Im passing up something. And I have shortness of breath. | Hi. I can understand your concern. Chronic breathlessness is commonly seen in bronchitis and lung infection. Get a chest x-ray done if it is normal, no need to worry about lung infection. Possibility of bronchitis is more in your case. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS)Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I have moderate aortic stenos and I had chest pain a few hours ago. I took the medication my cardiologist gave me to take in those situations. I put the small pills under my tongue and let it dissolve. I took 3 during a fifteen minute period and the pain resided. I was extreme tightness or only moderate pain. About 15 minutes ago my feet began to get very cold and a little tingly. I wonder if it is tied to my heart problem and is there any problem waiting to call my doctor in the morning. Otherwise I have no other pain or symptons. | Cellophane you for trusting ChatDoctorDear chest tightness and which may relieved by keeping tablet under tongue means it is an angina. You have to consult your cardiologist immediately. Cold feet and sweating may be due to hypotension.Don't do any exertion, use mild head end elevation, check for blood pressure and blood sugar. If you have ECG facility nearby use it. If symptoms not improved please consult your doctor immediately he will examine and treat you accordingly. Take care |
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ηζθΏ°εηι«εΈει‘γ | After 8 days ovulation my temperature is same from last 4 day it is 98.1...what does it means??is it infertility sign | Hi. Ovulation most commonly occurs on the midcycle and the basal temperature rises on that particular day of the ovulation. Following the ovulation the temperature gets back to a normal. Infertility occurs due to multiple reasons. Normal ovulation, normal uterus functioning, and other male factor contribute to infertility. So right now, if your periods are normal and if the ovulation is happening normally, then you may not be infertile... |
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ηζθΏ°εηι«εΈει‘γ | i had a liver transplant when i was 2. i am now 19. i take meds but i am getting wiened off of them and i havent had any problems for about 7 years... i just started college and some of my friends smoke weed and they want me to try it ... would this hurt me? if i smoked? | Hello,1) You can not discontinue immunosuppressive medications after liver transplantation without consultation to doctor.2) If your blood reports would be steady without much variation then your medications will be stopped gradually one by one3) Smoking is not advisable even for healthy person.4) In particular for live transplantation, smoking has hazardous effect in terms of possible route of infection.5) You should consider any substance, any environment, any situation where fall down is major concern (This causes blunt trauma to abdomen) |
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ηζθΏ°εηι«εΈει‘γ | hi, my ob gyne prescribed me 10 tablets of provera for 10days and hopefully expecting to have my menstruation so that i can take ovamit for my 2nd day of cycle.. i m just worried and wondering if i get pregnant is their a possibility to have an abnormal pregnancy because of the medicine i take?.. | Hi, They are considered to be if you become pregnant. Proverb is a synthetic form of female hormone progestin that helps regulate ovulation (the release of an egg from an ovary) and for absent or irregular menstrual periods. Continue to take it as prescribed for 10 days. It will help to induce period or with Chat Doctor. Omit is a fertility medication which induces ovulation (the release of an egg from the ovary) and thus helps in conceiving. Continue taking it as prescribed. These medications are considered to be safe if you get pregnant. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | himy name is sayan biswasi am 25 years oldfrom 2-3 days i am having severe pain in my mouth and when i checked in mirror i saw upper right hand side wisdom tooth is coming out from gumssir it is paining so much em unable to eat.few ppl suggested me combiflam,paracetomal 650 as pain killers ,sud i use those?and how long the wisdom tooth takes to come out fully? i am visiting my dentist next week | Thanks for your query, I have gone through your query. The pain could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. Meanwhile you can take a course of antibiotics like amoxicillin 500Β mg and metronidazole 400Β mg TID for 5 days (if you are not allergic) along witChatDoctorbiflam. Usually the wisdom tooth erupts at an age of 18-21years. Do saline gargling. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | I have had 5 lumps in my neck under my jaw line. They go away without medication. I am seeing 2 specialists in the near future and have Been seeing an ent but no definitive answer. The last two lumps have been painful. Cat scans havent answered the question? Of Course I am nervous it could be lymphoma. Does it sound like that to you? | Hi. Welcome to Chat Doctor . I have gone through your query and can very well understand your health concerns. As per your complaint lumps under the jaw can be swollen lymph nodes also known as LYMPHADENOPATHY, and it is commonly due to infections in the nearby and distant regions of the body. As the swellings are not persistent and keeps on reducing and recurring you need no to worry about Lymphoma as the cancerous lumps do not regress in size themselves. You should consult an Oral Pathologist and get evaluated for:1. Any prevailing or recurring infections on facial structures like ear, throat, nose, teeth, salivary glands, teeth and gums etc. or at times infections of distant body parts may cause secondary infection and swelling in distant lymph nodes.2. Any long-standing debilitating diseases.3. Wisdom tooth eruption or infection of the gum flap over wisdom tooth. After thorough examination and investigations the correct diagnosis and treatment can be done . In case of infections and inflammation antibiotics like Augmenting or amoxicillin and anti-inflammatory medicines like steroids can be taken. In case if there is some doubt still left Biopsy of lymph nodes can be done. Hope this information helps. In If you find the answer helpful please give me a Five-Star Review and click on found the answer helpful as a token of appreciation. Thanks and regards. Chat Doctor. . |
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ηζθΏ°εηι«εΈει‘γ | I was standing up and suddenly felt sharp pains in my stomach , I then stretched it out and it went away for a few seconds, suddenly it came right back and I started getting extremely dizzy, and my muscles felt weak, I felt as if I was going to faint. I quickly sat on the floor in preparation of falling, then the dizziness went away and muscles became normal. The cramps in my stomach are still there - it is located near my hips, on my lower abdomen/ pelvis and are extremely painful and sharp. I am a 17y.o male. | Hi, the sudden pain in stomach caused a vasovagal attack associated with fainting. You did the right thing by sitting, better would have been to lie down .the cramps and pain as described may be due to some urinary stone, may be due to infection.please consult surgeon and get a clinical examination. Investigations to be done as advised .a urine examination, u s g of abdomen.plain x-ray abdomen will be helpful for the pain at present you can take some anti spasmodic like dicyclomine tablets like demonic tab. But proper treatment to take after a diagnosis is made Hope you be all right soon. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor, I was doubtful about the my unprotected sex last night want to take postinor 2,i already took the postinor 2 two times ,one is 4 months back and the other one is a month ago.And I recently(2 months ago) undergone surgical termination of pregnancy.Now,again can I take the tablet.My question is that taking postinor 2 multiple times in a year will effect my further pregnancy? | Hello dairy understand your concernPostinor 2 contain high progesterone. You have used Posting so frequently in one year and also undergone medical abortion. It causes hormonal imbalance, ovarian hyper-stimulation, menstrual irregularity infertility issue in the future. So I would suggest avoiding excessive use of the posting 2. Use it only for the emergency purpose. Use barrier contraception like condom and diaphragm regularly to prevent the pregnancy. If you did sex in fertile phase of the cycle then only take posting 2 last time. But in future avoid posting avoid stress, take healthy diet, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My wife aged 32 got the chest Xray and is diagonised as having TB. Firstly Xray showed kochis lesson and after a week the xray showed pnneumonic consolidation; later one week the chest xray revealed kochis lesson means she is TB possitive. Now we are asked for a medication level 3 to be continued for 12 months by the physician. Will TB be complely be eradicated and can we have the se during this medication. And what all precatuitons be taken now. | Hi. I can understand your concern. Any organ can involve with TB. Pulmonary TB usually presents with chronic cough more than 2 weeks duration, loss of appetite, loss of weight, evening fever. If you are having pulmonary TB and have not taken treatment for TB before, then you will require 6 months of anti-TB medicines. Along with that you will require nutritional supplements. If taken regularly your TB will be cured.Don't worry, she will be alright. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I would like to know if my hypothyroidism can be cured without taking the synthetic hormones, through Ayurveda only. In the allopathic approach, the hormone needs to be taken for the rest of one\s life and I am a bit scared of it. It is possible I may also be diabetic and will need to treat this as well. Can these conditions be successfully dealt with through ayurvedic treatments alone? | Hello, Welcome to Chat Doctor forum. I just read your query and saw all your reports (attachment removed to protect patient identity). I hope you are satisfied with my answer. For more queries, you can consult me at ChatDoctor. For more information consult an ayurveda specialist online |
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ηζθΏ°εηι«εΈει‘γ | Was put on prednisone , proair , albuteral , zpak , cough medicine w/ codeine , but I still have so much mucus , my breathing sounds are rattle rales , wheezing , and my O 2 is at 93 , I am a medical tech , I know as soon as I get winded I won t be able to breath , how can I get rid of mucus , tried mucenex ,no good still have 2 days of pred to go any suggestions ? Been to pcp 3 tx ! | Thanks for your question on Chat Doctor. I can understand your problem. In my opinion you should consult pulmonologist and get done chest x-ray first, to rule out lower respiratory tract infection (LETI). Because you are still having symptoms even after 3 days of symptoms. This suggests possibility of pneumonia (LETI) more. And mucus production with wheezing can be seen in pneumonia. So chest x-ray is needed to rule out pneumonia. If consolidation is present than get done sputum culture and sensitivity to identify the causative organism and guide the antibiotic therapy. Haphazard use of antibiotics can lead to Chat Doctor. So better to consult pulmonologist and first diagnose yourself and start appropriate treatment. |
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ηζθΏ°εηι«εΈει‘γ | Hi i am a teenager. about 2 days a go i found about 5 slim lumps across my forehead. do you no what this could be my mum says that it is just boils but im worried could help me. also i have been have a lot of headaches/migraines as well. it also herts when i touch them. | Hi, Dear I studied your query in all it details and I understood your concerns. Cause - On whatever limited facts given you seem to have Acne, or pimples, and they are painful to touch. The migraine or headaches is a separate ailment and don't correlate with painful acne on forehead. So don't worry.Hence, To reduce your worry Please consult for opinion from ER doctor. Plz hit thanks and write excellent Reviews if this would resolve your query. Plz don't worry and do Welcome for any further query in this regard to me. Have a Good Day. Chat Doctor. N. |
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ηζθΏ°εηι«εΈει‘γ | i have an asthma problem right from my class 12th,earlier i was goin through allopathic treatment,but now started homeopathic,so the doctor told me that if by taking homeopatChatDoctoredicin for emergency period also not got relief then take the asthalin inhaler,my query is if taken four times in a day,is it bad or not | Hi. When you have an asthma exacerbation (acute attack), taking Stalin inhaler 4 times a day usually does not cause side effect (except hand tremors in some cases). But It's for a few days only. Once your attack is over and even then you need to take Stalin inhaler for 4 times a day, it's bad. It suggests that your asthma is out of control, and you need to add other medicines for your daily treatment. Hope this solves your query. Wish you the best health. Regards. |
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ηζθΏ°εηι«εΈει‘γ | momexperiencingmilddementiafor2 yrs brokehip totally gpne for 3 weeks after surgery then came back infollowing 2 months gradual progression of denentiasymptoms to severelevels..then started aracept immed improvement within hours...back85 percent ofcognitivefunct andspeechfor2weeks...then 3days sharp decline now upswingfor 3 days back to about 75percentfunctioning...is thistypical...stillneeds 24 hr care tho... | Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many cases with similar complaints. Please find my advice below-:1)Do an MRI scan to ruled out any euro deficit2)Correct B-12 and anemia by injectable medicines 3 times weekly then every month once I hope I was able to ad Chat Doctor. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks, |
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ηζθΏ°εηι«εΈει‘γ | hi, im 15 I have a couple of things that I need to ask you1. I hate going to school I think it because im not social? can you suggest some things that I can do to change it? and if it isnt that what would it be?2. I have bad anxiety and it is really putting me down can I do something to help cure it and may it be related to the school thing?3. I have bad anger problems and have got adhd what can I do to cure these 2 problems? | Degree understand your concerns went through your details. I suggest you not to worry much. You are 15. You are naturally having adolescent growth and adjustment conflict as well as role conflict. I think you are confusing these things with ADHD and anxiety disorder. For an adolescent, getting angry with normal circumstances is normal. If you are that sure about your symptoms, do consult a clinical psychologist who assess you with some anxiety and ADHD scales. Only after confirming to these, you can be sure. For the time being, you might need counseling. I am happy to provide you telephonic counseling. Contact me through customer care at www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi! My grandmother was not getting blood circulating to her foot and she had constant rest pain in her toes. She just had an angioplasty and the doctor placed a stent in her leg. She has been home over two weeks now but the pain in her toes is still present. She also has an open sore that won t heal on the inside of her foot. She is 75 years old, not diabetic, not a smoker. The doctor she goes to said the pain is normal because the foot was not getting blood for so long and now it is, but should subside. Is this correct? How long will it be until she is pain-free? Is it possible she waiting too long to have the angioplasty and that it didn t help with circulation in her foot? | Hi, looking into your issue, you can do a post surgical Doppler or angiogram to study the success of the surgery. Some patients do have pain when the circulation is restored called as reperfusion pain. As there is a wound in her toe it may be the cause for the pain. Hence the infection should be controlled with antibiotics. The status of the underlying bone should be assessed with an x-ray. Regular wound Chat Doctor. If pain persists and the is wound in the toe an amputation could be done. So these are the various options and need to decide according to the situation. Safe health. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my friend is diagnosed with melanoma cancer metastasized to the liver. He has had 2 cycles of the 6 prescribed biochemotherapy. The area where the liver tumor still feels hard and large. Is the bio chemotherapy working if it still feels hard and large. Please let me know as we are all worried. Thank you | Thanks for your question on Chat Doctor. I can understand your situation and problem. Melanoma is very notorious in cancer spread. And liver spread indicates end stage (stage 4) malignancy. Only palliative chemotherapy is indicated in this stage. Since you are telling that liver mass is same, this suggests failure of treatment and worsening malignancy. So your friend is not responding to the chemotherapy. Better to consult oncologist and discuss all these. |
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ηζθΏ°εηι«εΈει‘γ | Hi i am sana from pakistan...my three years old daughter has refused to drink more milk since one year...how to pull her back to milk?...what about nido and other whole milks....or supplements like pediasure...medicine like Ossobon D....do these complete my dds calcium defficiencies... | Hello ma. Since your daughter is above one year you need not worry too much about her milk intake. On an average 300 to 400 ml of milk is sufficient for one day at this age. You can give it in 2 to 3 liquors. Nutritional supplementary products are better started after 2 yrs of age. You can anyhow continue medicines prescribed by your Pediatrician for nutritional supplements. Any further doubts I would be glad to clarify. Chat Doctor. S. Sri Vichy Chennai |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor, I have been suffering from kidney stones for a while. my uric acid is always high even though I am vegetarian. Currently I have 4 uric acid stones in my right kidney (2mm, 4mm, 6mm, 1 cm). Would medication be enough to dissolve the stones. For example taking Urolyt and zyloric. I do not want to do laser or shockwave as I heard it could have really painful consequences. Best regards, | Thank you for using Chat Doctor nonsurgical methods for treatment of uric acid stones should be supplemented with adequate fluid intake. If you are able to increase your urine out put to the range of 2-4 L of urine per day, you should be able to avoid further stones. The medications may help in dissolving some of your existing stones and coupled with adequate urine flow and oral fluid intake, you may be able to ad Chat Doctor. Please bear in mind that a stone which is symptomatic or obstructing will require treatment by a urologist. If the stones were just identified without causing symptoms or obstruction, then no acute intervention is required. |
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ηζθΏ°εηι«εΈει‘γ | Im 25 years old, and I have been having pain all over my body. They started out in my groin on my right side, then went to my genitals and 2 inches above my penis. Now I hurt all over my body (including the previous pains mentioned), muscle pains and stiffness, even in my neck, and it wont ease up any.what should I do? | Hello, I think a complete urine and blood test is advised so that we can find if there is any pathology incurred and a medical prescription should follow post this. Also, doing regular exercise can help improve the fatigue to come down and improve the strength as well. As your age is 25 it is good to do regular exercise and have a good diet plan. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello, My 12 year old son came home complaining about his testicals being sore. I have my own theories but want to make sure its natural. He plays Baseball and is a high driver so, I m a little concerned. Weeks ago he had what we refer to as poop cramps so we took him to the DR. we all thought it was cause by eating dairy. | Hello, The causes of testicular pain are:1) Injury2) Testicle torsion3) Epidydamitis4) Orchitis5) Inflammation due to sexually transmitted disease. Give proper support to testicle. Take tablet Broken, if pain occurs and also go for ultrasound of scrotum. The treatment mainly depends upon underlying conditions. Kindly follow with detailed history or consult with surgeon. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hello doc.I have fibroids ,i found out when i was pregnant 2010.since then i had a scan and the doctor told me not to worry about it becouse they were not big.Now am scared becouse it has been a year and some moths since i did another scan,I usually bleed allot during my periods and feel pain around my abdomen area.Am i in risk of getting cancer since am not in any medication? | Welcome to ChatDoctorThanks for the query. Well there is only slight relation between fibroid and endometrial cancers and usually there is no danger of malignant alteration- It may just cause difficulties such as pain and heavy bleeding. Surgery is one of the options and hormonal therapy other one. If this is small and there is no rapid growth then usually no treatment is required and you don't have to be afraid about cancer. Wish you good health. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I am 40 years old. My urea level is 145. My creatinine is 6.3. But Iam working actively and there is no swelling in face or legs and I am not feeling any tiredness. I used to check for my urea creatinine blood test and urine routine every month. My albumin is 2. Whether i will be having any problem in my kidney? My urine output is also normal. Expecting your advise.Hari | Hi, dairy have gone through your question. I can understand your concern. Your urea and creatinine level is very high. It suggests kidney damage. You should have some symptoms with this high level of urea and creatinine. You don't have any symptoms, so there may be some doubts. Furthermore, you should go for repeat creatinine and urea level as well as complete renal function test and ultrasound kidney, ureter and bladder. This will help you find the exact cause. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | Yes. I woke up tuesday morning with a mild pain at the right kidney. I did increase my protein due to my athletic training before hand. I have since decreased the protein and kidney is better but urinating a bit more freequently. Salty flavor in mouth and lips and wanted to get an opinion | Hello and welcome to Chat Doctor. As a Urologist, i can understand your concern. Protein needs to be restricted only in kidney failure patients. Whether your pain is kidney related, can be confirmed by doing a scan. An ultrasound scandium, will show clearly, if there's any kidney injury. To clear doubts, get examined by a Urologist, with following reports. Urine and blood routine, and creatinine. These reports will clear all doubts. If you've any doubts, send the reports to me, as a direct question. Chat Doctor. Manga. |
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ηζθΏ°εηι«εΈει‘γ | Hi! I have been diagonised with AVN of the hip joint stage 2. I have been advised by my doctor to have calcium and physiotherapy. Its been 10 days since I have been on physio and the pain has reduced quite a bit. I want to know what is the actual solution to this problem apart from hip replacement as the docs are advising. Will the AVn spread to other joints, will it go to stage 3. Will my joint/ bone break if I fall as I feel very weak in my legs and feel that I have no strength in my hip joint. Will physiotherapy help me in the long run. What chance do I have. | Hi, AVN stage 2 is middle of stages and is likely to progress further. It does not spread to other joints as such. Hip replacement is the only answer but wait for it, until you are not able to do your activities of daily living. Physiotherapy will strengthen your muscle and keep them in good shape for future. There are no statistics to suggest how and when will AVN progress further. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I was diagnosed with mono 3 months ago. I drank out of a cup and emptied all the contents, orange juice, and my younger sister a few minutes after I set down the cup. She picked it up, filled it with orange juice thinking it was hers and drank from it. My question is will she now contract mono or is there a chance she wont??? | Hi thanks for asking question. Infectious mononucleosis transmitted through saliva of infected person. Using the beverage or food through same utensil or container can transmit the infection as saliva can come contact. So here cup can transmit infection to your sister because of contamination of cup. Coughing, sneezing can also transmit virus into surrounding air. So can be transmitted. So observe whether your sister develops any sign and symptoms of it. Make her immunity well with nutritional diet and fruits. From the next time take that utensil, cup should not be shared with you for few days. I hope I have solved your query well. |
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ηζθΏ°εηι«εΈει‘γ | Hi....I had surgery on 14 feb 2013..I had full hysterectomy ,my appendix removed, a very large tumer that was discovered on my ovarys was also removed,and also had 30% of my bowel removed.....I am now receiving chemo and am doing really well.but I have this pain in my right side....by my hip bone ..am not taking pain killers it s not that bad and my bowel is really noisy ..is this normal? | Hi ! As you have said in your history, 30 % of your bowel was removed. It may be normal because of reduced transit time for the food you eat unless you have also got some loose motions. Also, the chemotherapy acts on the intestinal cells as well causing some irritation to the bowel wall. If the pain in your hip bone is getting prolonged, then you should consult your doctor, who may advise you for a plain X-ray of the hip bone or a pet scan if need be. He may also prescribe you some calcium and vitamin containing products to adjust for the malabsorption of food due to shortened bowel. I wish you an early recovery. |
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ηζθΏ°εηι«εΈει‘γ | My mother is suffering from spinal tb.her age is 55.she has pre and para vertebral abscess extending from D10 to D12.she is suffering from severe back pain and stomach pain.now she is bed ridden.she can t even sit because of pain.plantar reflex is normal.now she is taking anti tuberculosis drug.when will she become normal?is surgery is required?when she will walk and do her normal day to day works? | Hi, Welcome to Chat Doctor forum. As you describe, it appears that she should start recovering from the infection, once half of the infection, is under control, the recovery of the tissue damage around will start. The disease will take prolonged time for complete cure. Once it becomes half cured she may need to have a plaster cast at the waist to immobilize the spine. Now she may require injection streptomycin along with the oral medicines. Wishing for a quick and complete recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I just found out I have an infection in a tooth that needs a retreat root canal . They popped the gum boil yesterday in the Endodontist s office. I am scheduled for meniscus knee surgery next Thurs. Should I be worried about the tooth infection - will it harm anything for the knee surgery? I plan on getting the root canal in a couple weeks after the knee surgery. | Hello and welcome to Chat Doctor forum, I would like to inform you that root canal treatment has nothing to do with the knee surgery. You can continue with your appointment for knee surgery. In fact your dentist might have prescribed antibiotics to you, so kindly follow that prescription. I will advise you to visit your dentist soon, as the infected tooth needs to be treated.I hope this answer was useful, i wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor, pain in the middle to lower back and inguinal pain when folding or bringing legs to close and should joint pains while wearing clothes or any activity of similar kind. DOCTOR said ESR count is high. Can you suggest some medication to reduce and bring to normal completely with further course of medication for rest of life. Also can you please suggest is there any co-relation with ESR count and above pains. | Hi, If I were your treating Doctor for this case of inguinal and back pain, I would come up with three possibilities, these include: 1. A renal or urethral because that needs to be checked with abdominal ultrasound and urine laboratory test.2. A joint because that needs plain radiographs of coco- femoral joint.3. A peripheral nerve problem (Neuralgia parenthetical).ESR elevation mostly correlates with inflammatory processes (coxcoarthrosis), but may be elevated secondary to infection (in your case probably urinary infection). I suggest you to consult a physician and get an ultrasound and plain radiographs. Treatment modalities should be clear after examination results. Neuralgia parenthetical is treated with Pregabalin, loose pants, loosing height etc. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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ηζθΏ°εηι«εΈει‘γ | I had unprotected sex with my partner on 3rd day of my periods and had unwanted-72 within an hour. I continued mensurating evn after that. Nowvits been a month nd i havnt got periods yet. I m hvg a vomitng tendency. I m confirmed tht whether it is due to pregnency or because m scared. Are der chances of getng pregnant?? | Hello, Very frankly speaking, you can not be pregnant because 1st you had unprotected sex during your periods, which is the safest period and 2nd you took unwanted 72 within an hour. Relax as pregnancy can not take place. As far as delay in your periods is concerned, it can be possible because of various reasons and the most important is STRESS.take good sleep, Chat Doctor. If you don't get it, you can consult a doctor who can prescribe you progesterone, which can induce periods in you. Thanks |
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ηζθΏ°εηι«εΈει‘γ | My 7 year old son clashed heads with his friend at a school disco this evening. He has a golf ball size lump between his eyes and I am worried that he may have concussion or worse! I have put a cold pack on it and have given him paracetamol but should I be taking him to A&E to check it out? | Hi I am Chat Doctor and I will help you with your problem I have gone through your question. It appears to be hematoma; collection of blood beneath the skin, as a result of the trauma. In this case it is necessary to elevate her for intracranial bleed. Clinical evaluation includes, 1) History of loss of consciousness after injury, 2) Vomiting, 3) Ear, Nose or Throat bleed, 4) History of Fits, 5) Swelling or bruising around the eyes (called as raccoon eyes) or behind the ears. If any of these symptoms is present, she needs CT Scan brain to rule out any pathology. If not, she can be managed conservatively with spy paracetamol 1TSF 8 hourly and icing the swelling. The swelling will disappears in a week or so. I hope my answer will help you. Do rate it, If you like it. Regards |
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ηζθΏ°εηι«εΈει‘γ | Dear Doctor, My daughter 5 years old, started with fever and sore throat. rapid strep came back -ve and chest x ray normal. started to have rashes and extreme itchiness and peeling of skin continues along with joint swelling and pain. initially crp and esr elevated and now normal but now ASO is high at 200 and Eosinophils high at 1547 and elevated IGE at 529. coxsackie igg came back positive at 1:1600. Coxsackie B -ve. please help us. | It must be due to Cossack than streptococcus BCO rash is itchy, and it seems on hands and peripheral region than central and as title will not be high when skin infections is present. No other feature of tonsillitis or red mark on cheeks, so it might be virus, as detected. It is a self limiting disease, so do not panic.However, complications can occur so please complete the course of treatment by pediatrician. Joint pain however go in favor of streptococcus, hence penicillin must be given. Kindly follow your pediatrician. |
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ηζθΏ°εηι«εΈει‘γ | My dentist said I had some gum disease so I started to use a lot of mouthwash with chlorhexidine gluconate. I started sneezing a lot with lots of thin watery running nose with very sore inside nostrils. Could this be allergic reaction to mouthwash? I am 50 years, female, good health, 65 kilo, 171cm. | HI, thanks for using Chat Doctor It is possible to have an allergic reaction to any chemical agent. It is possible that your response is related to the use of the chlorohexidine if there have been no other changes. You can try to eliminate it for a few days to see if the reaction ceases. If it continues then it isl likely that the reaction in not related and there is another source. Allergy testing can help to identify the cause. This can be done by skin prick testing or blood tests. The use of oral anti histamines would help to reduce the reaction. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Hello I am a 17 year old African American girl with dry, sensitive skin. I have been using African black soap for my face and it works wonders to help keep my skin nice. I was also using the cream tenovate plus to treat occurrences of acne on my face. I thought the cream worked so well that I began to mix it with my daily moisturizer and apply it to my face every morning. I have been doing this for at least 1-2 years now. Well, the store that I bought tenovate from stopped selling it so I no longer use tenovate. Not too long after I stopped using the cream my face broke out severely and my skin darkened and it is really itchy. It has been 2 weeks and my skin has not improved. I just recently read online that tenovate is bad for your skin and now I am scared I have damaged my face. What should I use to help restore my beautiful face? | Hello and welcome to Chat Doctor Yes, indeed renovate should not be used on face, in fact using it on face and that too for acne is an absolute NO for me! It contains a potent steroid, clobetasol propionate which can cause steroid related side effects like Acne, photosensitivity, hirsutism, skin thinning, telangiectasis etc. I would suggest that you use a topical broad spectrum sunscreen throughout the day, that which offers both UV B and UV A protection, till your skin returns to normal, which might take a few days. An OTC antihistamine e.g. cetirizine 10Β mg once daily would help you symptomatically with the itch. If I was the treating doctor I would have started you on oral antibiotics for acne e.g. either doxycycline or azithromycin, would be good for acne flare. Topically you could use clindamycin phosphate 1% gel twice daily over active acne. Use a gentle cleanser for face wash e.g. detail cleansing lotion, twice daily. Regards |
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ηζθΏ°εηι«εΈει‘γ | I have a low grade fever, constant nasal discharge (sometimes clear, sometimes green), I have been tested for allergies and they say I have none. I have muscle aches and pains, headache, low IgG treated with exogenous IgG (have been on for 5 months. I have had a recent CBC and everything is normal. I am constantly tired/exhausted. I play tennis 3-5 times per week and have 3 boys so I stay very active. However, I feel like I am dragging myself around. I have had nerve pain which has recently gotten worse. It s down the back of my legs. I have had a herniated disc/L4/L5 for 20 years and have received steroid/epidural injections. In the past year, they only last about 8 weeks or less. Before that, I would only get 2-3 per year, max! The nerve pain is unbearable. I have been to my primary care doctor who found nothing (she did a basic lyme test which was negative), an immunologist who said I have low IgG and prescribed the exogenous IgG, a chiropractor, a vision specials to see if my eyes were bad (relating to headaches). I don t know where else to turn or whom else to see. I am getting to my wits end!!! Please let me know what you think. I have an appointment with an Infectious disease specialist in a month as I thought that might be a good next step??? YOUR AD SAID YOUR DIAGNOSIS AND HELP WAS FREE!!! NOW I SEE ALL OF THESE OPTIONS FOR CHARGES!!! ARE YOU A SCAM??? | Hi, If I were your treating Doctor for this case of kind of immunodeficiency, I would say that as per your description, fever, constant nasal discharge, muscular cramps and headaches are all possible in such cases and related to recurrent infections only! In fact, this is one of the characteristics / presentations of immunodeficiency diseases... Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor i am having Disc bulge L5 position . My age is 23 . Doctors have given me Pysiotherapy exercises and tablets . Will this work out. some people say i can take d3 rise sachet 16000 units which will be much more effective. what should i do? how long will it take to get rid of from the disc bulge? | Hello Thanks for writing to according to report, you are suffering from degenerative disc disease of lumbar spine. Degenerative changes occur in spine due to aging and development of weakness in annulus fibrosis. Findings are early in your case.1. At L5 level, there is disc bulge. Satus on nerve compression is not mentioned in your query. Majority of the cases of degenerative spine disease are benefited by physiotherapy, so physiotherapy should be tried first. Surgery should be the last option. There are also medicines like capsule pregabalin available for pain relief. D3 rise tablets are vitamin D tablets. It can be taken empirically. However, ideally serum vitamin D3 level should be evaluated priorly. Treatment can be planned after consultation with neurologist. Get well soon. Take Care |
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ηζθΏ°εηι«εΈει‘γ | Hi, are u online?My mother-in-law underwent mastectomy for right breast CA and completed 4 cycles of chemotherapy as instructed by the Oncologist initially, now after completing 4 cycles, the Dr. is again asking her to take 4 more cycles of chemotherapy which is said to be an even more stronger dose. Should she take these 4 cycles of chemotherapy again, coz she is not in a condition to cope with any more cycles now? | Hi, Thanks for writing in. Cancer is a challenging condition and difficult to treat. In early stages, surgery is recommended with additional chemotherapy and radiation therapy after staging of disease. It is possible that the doctor initially wanted to give 4 cycles and observe. Continuation of treatment depends on response to initial treatment and then dose is also modified as per requirement. Saying whether she is medically fit or not is evaluated by the treatment team. It is possible that she might be feeling weak due to chemotherapy and this is observed in many patients. Her blood counts and liver function tests are important. It is possible that complete control over the cancer might be achieved through aggressive chemotherapy and that is what is planned for her. Please do not worry. |
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ηζθΏ°εηι«εΈει‘γ | himy mom is suffering from Cough since 8-9 months and now its getting bad evryday.. we had all d tests done as consulted by doctors like fr TB and all. But still no answer found .. now d doctor asked for Monto test. Can you pls tell me wht this is for | Hello, Thank you for asking at Chat Doctor. Mantoux test is used for diagnosis for tuberculosis. It is a very simple test. Please do not afraid of it. It is usually suggested when the doctor thinks possibility of tuberculosis. As your mother has cough for 8-9 months, your doctor wants to see whether she is having tuberculosis. Hope this will help you. Wish your mother a very good health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | greetings sir, I am Chris. 19yrs old, healthy. while i was walking a dog bit me on my heel. there s no bleeding... but it s reddish, i dont know if it s swelling or not. it s been around two hours. i already wash with body soap, put bleach and run it with water (because i m nervous) , and apply alcohol... the dog looks unhealthy... what should i do? thank you | Hi, Thanks for posting in Chat Doctor. It is unfortunate to note that you have been bitten by dog. What you have taken care of the bite site is alright. See that the wound remains clean and free from getting infected. Irrespective of the immune status of the dog, you need to take anti-rabies vaccine. You need to take rabies immunoglobulin and vaccine immediately. 5-doses schedule includes 1 injection of vaccine taken intramuscularly on days: 0, 3, 7, 14, 28. You may stop treatment if animal remains healthy throughout the observation period of 10 days. It would be always better to complete the schedule. Hope the information provided would be helpful. All the best. |
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ηζθΏ°εηι«εΈει‘γ | Hi my son 2.5 years, is not having food regularly. When ever he feels hungry, he will have something but not full. We feel that, because he is not having food he is reducing gradually. Please suggest a syrup / medicine which makes him little hunger.... | Thanks for asking. I have gone through question. Your 2.5-year-old son not feed properly I was your treating pediatrician. Then I would like to ask about his daily intake, from wake to sleep in actual quantity. And his weight and height. Plot in growth chart. (you also can do it, charts are available on CDC site)it the weight and height are in normal range, then nothing active intervention required, There no such medicine is advised that improve appetite. The rate of weight gain in reduced after one year of age. In first year of life weight gain is approx 7 kg (birth weight approx 3Β kg and weight of one year of infant is 10Β kg), and in second year weight gain is just 2 kg. Chil Chat Doctor. We should offer them frequently. And child |
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ηζθΏ°εηι«εΈει‘γ | I have groin pain and have been detected with a heart murmur. My echocardiogram shows that my blood is only pumping at 25%. I have an appointment with a cardiologist on April 7th, but am curious as to what may have to be done. Will this involve open heart surgery? | Hi Their understand your concern for your health and I would like to tell you that a heart function of 25% is quite low which need to be evaluated thoroughly to find out the cause of such a low LV function. For that your cardiologist may advise you to go for a coronary angiogram to check the status of your heart vessels which could be the most important cause of your low heart function.No not going to involve heart surgery at this point of time. And one more important thing is to STOP SMOKING (IF YOU DO).I wish you good health |
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ηζθΏ°εηι«εΈει‘γ | My name is rohan I m 21 .single. weight is 55 kg and height is 510...never had a sexual vaginal or oral inter course....masturbating from 1year and 9 months.earlier I first saw porn when Internet broadband connection was taken at my home on jan 2012 aftr few mnths I first masturbated.i was so amused by the feeling of orgasm that I started doing it daily.sometimes more than 1 time.while watching porn.i got porn addicted. and during watching porn I use to masturbate.times went on.after 3 months the frequency decreased.2 times a week.in may.but during October starting.i got a huge depression in my personal life.so when ever I feel depress I masturbate to feel relief this continued till october this year when I realised its no longer that mental pleasure I used to have its just all physically rubbing of penis to ejaculate.no orgasm.as I got used to it I keep doing it. not enjoying the act anymore.earlier I used to HAVE ORGASM EVERY TIME I EJACULATE ......not having pleasure of orgasm anymore.very worried. plz help.will I be able to enjoy a normal sex life with partner.i read its called. Sexual anhedonia. but plz note I just use to ejaculate only once.even if its still erect.because earlier I used to have orgasm every single time I ejaculate.i also having wet dreams from past fee months.in the begining of my porn masturbation stage in 2012 jan I sometimes used to rub nd stroke my penis hard and give vigorous strokes...plzzz I m very depressed by the thought that I destroyed my sex life because of bad habbit of over and vigorous masturbation.THINGS CAUSE ME DEPRESSION AND MASTURBATION BECAME A WAY TO ESCAPE.I WAS NOT HAVING ANY PRIOR INFORMATION ABOUT IT.ITS TECHNIQUE AND SIDE EFFECT.MY QUESTIONS ARE IS MASTURBATION PRACTISED BY HARD STROKING OF PENIS HARMFUL.MY PENIS FORESKIN BECAME DULL IS IT CURABLE.?HOW I CAN END MY SEXANHEDONIA?WILL I EVER HAVE A NORMAL SEX ?LIFE WITH PARTNER.?had I made a permanent damage.?how can i make bring my penis sensation back?yesterday i watched porn but my penis not having proper erecting and porn was like another video of songs or movie.just a very little arousal.PLZ I M VERY WORRIED SIR..HELP ME PLZ.plz give ur persnal email id I feel suicidal coz of earlier drpression and now this sex thing.also tell me cn masturbation cause me weak body.?can I recover my sex power lost in masturbation and damage caused to penis. | Hi Rohan, I read you problem in detail and can understand what you are going through. Let's start with some basic facts. Masturbation is a normal physiological process and masturbating on a daily basis doesn't lead to any physical, mental or sexual weakness. However, from what you have mentioned, it seems that you are suffering from depression and that is leading to you having a lot of negative thoughts. You're feeling of sexual Macedonia can very well be part of depression. Your situation is highly amenable to treatment. What I would recommend is that you should immediately consult a local psychiatrist. You need to be started on some anti-depressants together with regular supportive therapy sessions. Wishing you speedy recovery. Best wishes. |
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