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ηζθΏ°εηι«εΈει‘γ | I am on an antidepressant and it worked for awhile. Lately I have been crying every day and want to sleep all the time. I am 60 yrs old, married...somewhat unhappily married, and have money issues. I m happier when my husband is on the road and I am alone. Do I need to see my doctor about my meds or maybe change what I eat? I hate being so tired all the time. I do work full-time too. | Hello, Welcome to Chat Doctor You are taking treatment of depression and still have symptoms like crying spells, tiredness. You feel better when you are alone. In a number of patients of depression even on treatment some residual symptoms remain. I would advise you to take help from a psychologist. Cognitive therapy can help you in overcoming crying spells. Some medicines when used a augmentation agent along with conventional antidepressants help to remove residual symptoms. Medicines like bupropion, Aborigine, Buspirone etc. can be used. Consult your psychiatrist for details of treatment and prescription. Apart from this exercise daily, practice yoga to keep yourself relaxed, this will help in increasing confidence. Start taking vitamin B12 supplements. Deficiency of vitamin B 12 is common finding in depression. Supplements containing omega 3 fatty acids also potentiate the action of antidepressants. Diets rich in protein and carboy Chat Doctor. Hope this helps outranks |
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ηζθΏ°εηι«εΈει‘γ | Im 21 years old and have had chicken pox. I feel like I have them again, I first thought that I was allergic to something but the bumps arent going away. They are on my stomach, legs and feet now and have been spreading/Ive been getting more over the past 2 days. I also have a fever... I do not have insurance and was wondering if there was anything I could do at home to get healthy as fast as possible. | HiT hanks for your query at Chat Doctor. I understand your concern and situation. It seems like you have acquired viral infection. But usually the infection are self limiting and resolve within a week. You must visit the physician and get mammogram and serological and molecular tests to rule out certain common viral infection. Take plenty of rest, Chat Doctor. Eat protein rich balanced diet with multivitamins and calcium supplements. Hope I answered your query |
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ηζθΏ°εηι«εΈει‘γ | I MS suffer told me that there is a disease that mimics MS. I a still in the stage that they seem to think that they believe a am 97% that I have MS. My neurologist after recently having a MIR sent me now to have blood tests.Could this mean they are considering something else. | Dear there area by disease which has similar symptoms that's why doctors make a lot of examinations before determinate the diagnosis. Blood tests don't really helps in degerminating MS but exclude other pathologies. MS diagnose is made by clinical findings, MRI,PEV and CSL examination. Anyway you should be patient and wait the result of the examination.Don't hesitate to contact me for further questions, wish you all the best |
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ηζθΏ°εηι«εΈει‘γ | MY TMT TEST REPORTS WAS POSITIVE BUT THELIUM STRESS TEST REPORT NORMAL IN 2009 . AGAIN IN FEB 2011 I HAVE BEEN REPORTED FOR TNMT AS POSITIVE .DURING WHOLE TMT TEST NO SIGN OF ANY CHEST PAIN WAS FETLT BY ME BUT AT TIMES I FEEL HARD BREATHS BUT AFTER PASS OF GAS THINGS BECOME EASY .KINDLY ADVISE ME FURTHER COURSE OF ACTION. | HelloWelcome to Chat Doctor. A treadmill test is used to predict whether there are blockages in the heart arteries. Many patients have a positive TMT with no symptoms. Hence, they require further evaluation. Many of these patients who have no symptoms with a positive TMT do have underlying blockages in the heart. Some percentage of these are false positive. A thallium stress test is a more sensitive and reliable test than a TMT. So this implies that in your case TMT is false positive. So in future the TMT will always be positive and hence it is of no insignificance in false positive cases like u. For routine check up for heart blockages in your case a stress echo or dobutamine stress echo, or a thallium stress test should be done rather than a plain TMT. At this point of time you need not worry about positive MTS since they are going to persist. You have to do one of the above tests mentioned. Wishing you good healthRegards. |
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ηζθΏ°εηι«εΈει‘γ | We took our 22 month daughter to the fruit farm and she ate her bodyweight in raspberries and strawberries. When she woke she had an angry raised red rash up her legs and arms which disappeared when pressed. By the time we spoke to a doctor it had completely disappeared. she was fine in herself, quite happy with no temperature. When she awoke she had the rash back again, what could it be | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your daughter have symptoms of skin rashes which seems to be due to allergic reaction leading to dermatitis. It could be due to increased skin sensitivity of getting infected. Need not worry. I would suggest you to start taking anti allergic medications such as Allegra. You should apply a steroid ointment like cortisone over the rash area for relieving inflammation and itching. Application of calamine lotion will be effective to soothe the skin. Apply cold compresses over itchy rashes. If symptoms still keeps on persisting you should visit dermatologist once and get it examined. You should go for patch test and blood tests and start treatment after proper prescription. You should maintain proper cleanliness and avoid scratching the bumps to prevent infection. Hope your concern has been resolved. Get Well soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi, I have been suffering from Psoriasis for the past 15 years- most acute on my legs- though seasonal. Recently, about a week ago, my middle finger has swollen acutely and I have also been getting acute pain in my feet- specifically the bottom of my feet.What is the best solution for me? | Thanks for asking, after a long time you have started involvement of joints called psoriasis arthritis, leading to painful swollen small joints. Treatment for psoriasis arthritis can relieve pain, reduce swelling, help keep joints working properly and possibly prevent further joint damage. I will recommend treatments based on the type of psoriasis arthritis. The treatment of arthritis in psoriasis arthritis involves a combination of anti-inflammatory medications (NSAIDs) and exercise. If progressive inflammation and joint destruction occur despite NSAIDs treatment, more potent medications such as methotrexate (Rheumatoid, Recall), corticosteroids, and antimalarial medications (such as HY Chat Doctor. Regards |
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ηζθΏ°εηι«εΈει‘γ | Four days ago, i was swimming at the beach and a wave pushed me and I twisted my knee. I have put ice packs, knee brace and tried to stay off my foot as much as possible. My knee never swelled. It is only painful when I sit too long or have to move to get up. Please advise. | Hello, As you were pushed by the wave and twisted the knee joint, with the history it sounds to be a ligament sprain. Due to which you are facing difficulty in getting pain while performing knee movement. Kindly do hot water fermentation and allow the limb to rest. Use knee brace for 3 weeks or so. Then do simple knee exercises like static Qua Chat Doctor. You should be fine. As you applied to ice there won't be swelling. So in any injury icing is advised to avoid swelling as it will lead to vasoconstriction of blood capillaries. So you don't have swelling. Usually, icing is advised if we are planning for some x-ray or MRI. Do the conservative therapy mentioned above, and you should be fine. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In |
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ηζθΏ°εηι«εΈει‘γ | My mom has underwent surgery in her intestine. Now she is having urinary infection. Report says that few pus cells were seen. Moderate Gram Positive Cocci were seen in pairs and chains. Enterococcus faecalis 10000 cfg/ml. Is this a serious condition? | HI, thanks for using Chat Doctor Enterococcus females is a type of bacteria that can cause a variety of infections though urinary tract infections are most common. It is treated with antibiotic therapy. The infection can sometimes be difficult to treat because the bacteria can be resistant to antibiotics. This does not occur in all cases, and it is quite possible that your mother would respond to her treatment. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor, Today i have done my semen Analysis test and i got my report as below. Semen Analysis Volume-3.0 ml Ph - 8 Viscosity-Normal Liquification Time-30 mins Microscopic Examination Total Sperm count - 28 million/cu Activity Motile - 15% Sluggishly Motile - 30% Non Motile - 55% Normal Spermatozoa - 60% Abnormal Spermatozoa - 40% PUS Cells - 18-20 / hpf RBC - Nil / Hpf Epitheial Cells - Nil / Hpf Clumps - ++ What is Clumps? whether this sperm count is very less? I got married before 20 months.we have planned for a child.but its not getting positive result. then we consult our near by doctor.she told to do semen analysis test.after that report she has given me some tablets.the report only i have typed in this please tell me clearly there is any major problem waiting for your reply sir | Hi, Thanks for your query. I read your query and I understand your concerns. Your sperm count is 28 million which is absolutely normal. But motility is slightly low. It is not a great matter of concern. It will improve. Maintain healthy lifestyle and exercise. Your doctor might have given you antioxidant tablets. Please continue them. If you are in hurry, try to get GUI treatment from your infertility specialist. I hope I answered your query. I will be available for any followup queries you have. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My mother had a CT scan of the abdomen showing a retroperitoneal mass which was displacing the pancreas. It also showed a mass on the left lobe of the liver. She had needle biopsy done on friday on the retroperitoneal mass. I have not gotten the full report as of yet but was told it looks suspicious and their were rare epithelial cells seen. Can you tell me a little more? | Hi, dairy have gone through your question. I can understand your concern. You may have some malignant mass in the retro peritoneum. Your FNAC report of rare epithelial cell does not indicate anything. You should go for Ultrasound guided biopsy of that lesion. It will give you some idea about diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | HelloMy sister(13yrs old) is suffering from severe abdomianl pain since last 4-5 days. She is not vomiting, but yes feels nauseated sometimes..we consulted our family doctor and said this is happening due to a swelling on her intestine she is on medications right now. But the pain is persistent.She doesnt feel the urge to eat anything, we are scared she might become weak if this continues..kindly provide me some suggestions, specially related to her diet.Thank you | Hi. Thanks for your query and an elucidated history.You're mentioning the names of the medicines prescribed to your sister would have helped me to help you more. Well, the causes of abdominal pain without vomiting can be due to intestinal infection / swelling and even the best medicines can take few days to show the results. This is the reason for nausea and loss of appetite. I would advise the following for you sister:Soft and bland diet, more and small frequent feeds. Continue the medicines as advised by your Doctor. You can add Risperidone and antacid, probiotic, Get the blood tests for typhoid, the commonest cause of swelling of the intestine. If required or if you feel that she has become weak, get her admitted to the hospital |
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ηζθΏ°εηι«εΈει‘γ | For a very long time, I have had sharp pains on the sides of my lungs and now the pain doesn t go away. I used to be a heavy marijuana smoker and when I did smoke, my testicles/ penis would be in a lot of pain. I have confirmed this by not smoking for awhile then I smoked once more when the pain came back. I am honestly not a healthy person. I am 23 years old and I weigh around 240lbs. Are these symptoms a sign of any type of cancer? | Hi and welcome to Chat Doctor, thank you for your query. Cancer is not the first thing to think of and cancers, especially lung cancers are very rare in your age. Testicle cancer i more common but also I don't think this is likely to be malignant disease. However you should do some basic tests such as lung X-ray and testicular ultrasound just to rule out some other diseases. Wish you good health. Regards. |
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ηζθΏ°εηι«εΈει‘γ | My best friend has lower right abdominal pain . She has had a total hysterectomy . You can visually see that her lower right abdomen is swollen and gets bigger and hurts more by the end of day. She went to local ER friday and they said CAT scan was normal, blood work was normal with the exception of her liver enzymes being slightly elevated. She has had continued pain all weekend and this morning she started complaining about pain in her tailbone. It hurts so bad she can barely sit and it hurts when she stands. She doesn t have a regular family physician. She always went to OB/GYN for everything lol She had a partial hysterectomy and was left with one ovary until it caused problems and was removed this past November. Should I take her back to the ER and see what other tests or should we wait and just try to get her in to see a family physician? Thank you | Hello! According to your friends' surgery history there is a probability of post-surgery adhesions. Especially she has had two of it. Adhesions may cause partial intestines' obstruction (called jubilees) which can reveal with intermittent abdominal pain. If your friend has also constipation, diarrheas or both associated with abdominal pain and flatulence, nausea and this symptoms may come and go, jubilees is very probable. Lower right abdominal pain is also characteristic for appendicitis (what has to be always ruled out!), right urinary tract infections/stones. Backbone diseases can also show up with symptoms mentioned by you but (backbone MRI may be required if all abdominal diseases are ruled out). To rule out intestines obstruction abdomen X-ray is necessary (abdomen CT might not visualize it). Blood tests need to be repeated as white blood count and CRP may elevate after few days of disease appearance. This tests may be negative on the beginning of pathologic process. Urine tests should be done as well. Take care |
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ηζθΏ°εηι«εΈει‘γ | I have cystic acne n undergoin treatment for more than 2 months but conditions jst getting worse i hav acne all ovr my face in form of pus ..dctr has prescribed me iret capsules n tronin cream .015,saslic ds facewash, faceclin gel,zincolak capsules,minoz od..are they right medicines Bcoz i dnt see any positive result..pls hlp..feelin low all d AAAAA... | Hello Celaya welcome to Chat Doctor forum, thank you for posting your query, whatever information you have provided here is not complete, as you have not mentioned the doses nor the duration of your treatment.I would like to inform you that ire capsules are the best for treating acne, your doctor has prescribed you all the medicines which are required for treating acne, I hope you had your hormonal tests done before starting with the treatment.I would recommend you to apply acid BP gel, in morning all over your face, andfaceclin A gel at night only. Avoid sun exposure, or use sunscreen before moving out in sun. Do not worry, continue taking the medicines as prescribed by your concerned doctor, but do not overdose as all these medicines have serious side effects, i hope I answered you question, i wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | My mother 68 years of age has had both corotid arteries cleaned out the right side closed up with scar tissue and they wont go back in due to the fact that they say it could be fatal. The left side they put a stent in. Her MRI shows that she has had a very mild stroke we see no lingering effects. Now, she is having high blood pressure problems for the past week. She has always had very low blood pressure. She went yesterday for a test to see if the left side where the stent is is still working. I guess my question is that if the stent is no longer working what is the next step? | Hello, If stent is not patent then new stent can be put in, and she can undergo surgery as well called as carotid endarterectomy, after seeing the feasibility on reports. Also, blood pressure should be controlled. She should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If BP is persistently more than 140/90 MMH, then she should be on medicines for it. Regular exercises like brisk walking, jogging according her capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. |
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ηζθΏ°εηι«εΈει‘γ | im 19 year old boy .iam thin guy with 5.11 inches and 57 weight..my problem is like i masturbate everyday when im alone and my cheeks have been reduced badly.is this for masturbation or for anyelse? please help me and give me an advice to stop masturbation.please | Hi, Welcome to Chat Doctor .com. I had gone through your question I can understand your concern about habit. See this is not the case of your low weight body of reduced cheeks. A person is married at an age of twenty and has sex daily for years if he doesn't feel any health issue why will you, there is only one difference that is of intercourse, it is normal. At your age it will not affect you health wise. In case you want to check your habit, you need to have a room partner who will be with you most of the time and will check your loneliness. Keep in mind partner must be the one in front of him you may need to think. Hope my answer will help you and provide your feedback and visit us again in case any further help is needed. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,In the attached image, there can be seen as a reflection of light or white forelock. He looks to me to be between 18 and 21. His eyes are bright blue, and it cannot be seen in the picture. I am wondering if he can be diagnosed with Waardenburg syndrome 2. | Hello. It is difficult to differentiate between syn ChatDoctor. But with the forelock of hair, he may have Waardenburg. But we must see if there is any hearing loss or defect in arms and other limbs. Can you provide more details? Any history of hearing loss? Congenital hearing loss is present in most cases. The syn |
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ηζθΏ°εηι«εΈει‘γ | for the past few months my 2 year old has complained of itching on her arms and legs and around her back. there is no rash just lots of scratch marks where she has drawn blood. when she starts scratching an area hives might appear for a short time but then they go away. is this an allergy? she has had eczema in the past but this looks nothing like excema. there is no redness, blistering, raised area - nothing to associate with eczema. | Brief answer:Acute urticaria. Detailed answer:Hi, welcome to Chat Doctor. Your child has itching and he scratches it so hard that marks are left behind, and it appears all over the body. This appears to be acute urticaria. Acute urticaria is an allergic condition where redness and itching occurs over whole body, and it subsides on taking antiallergic medicines. Also, you need to identify the allergens which might be causing this problem. Most common allergens are dust and some foods like egg. I hope this has helped you. Wishing your child good health. Take care. Regards: Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hiiiii am saranya frm chennai ........actly i used melacre fr past 2month i quit recntly my face becme dark........my marrige is on nov 2nd week .........just suggst any cream which ill nt damge my skin n keep my skin fair...................................thank u | Hello and welcome to Chat Doctor You did the right thing by discontinuing Delaware forte. This cream is a prescription product and should never be used without a dermatologists' advice. Dermatologists commonly prescribe it for facial hyperpigmentation/plasma. However, it should never be used as a regular fairness cream and in any case not for more than 2-3 months since the steroid content of this cream can cause various side effects like acne, photosensitivity, skin thinning and telangiectasia and facial hair growth (hirsutism) which is specially troublesome in females. I would suggest that you use a broad spectrum sunscreen, throughout the day. At night, you could use a glycolic acid cream (Glycol -A) Or Comic acid cream (Comic cream) to obtain the desired results of brighter complexion and even tone. You could also opt for a few peeling sessions from a dermatologist e.g. Yellow peel (Retinol CT peel) Or Glycol peel Or lactic peel. Regards |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have a recurring ailment that I usually get once or twice per winter. It starts with extreme shivering and overheating, but no fever. Day two usually involves a very dry nose, very low energy, and heightened sensitivity to touch or light. Days 3 to 5 usually involve more traditional sinusitis symptoms of a headache and sore throat, in addition to the dry nose. Days 3 to 5 also cause an orange or white cobblestoning pattern in my throat due to my lymph nodes. I would like to know whether you think this is bacterial or viral, whether or not it is contagious, and whether or not it can be prevented. | Hi. Most of these attacks start as a viral infection and then become complicated by bacterial infection. These attacks are hard to be prevented completely but the use of seasonal influenza vaccines are helpful and can decrease the number of the attacks. Flu vaccines are taken before the winter season by 2 to 3 months. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have a lump in my breast. it has been there about 2 yrs and has grown in size. recently I discovered a smaller lump beneath it which is very painful. I have also had green discharge. could it be a clogged milk duct? or cancer? I have had 2 mammograms in the past 2 yrs. but wasn t told anything abnormal was found. | Hello and welcome to Chat Doctor, A lump in breast along with green colored discharge suggests a duct Eurasia. Green colored discharge is very characteristic of duct Eurasia. Dict Eurasia IA dilation of mammary duct and collection of discharge in the duct. Surgical excision of the duct is the definitive treatment of duct Eurasia. I suggest you to consult your primary healthcare provider for clinical assessment, duct radiography and thus treatment. Thanks and take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I was just electrocuted. I touched a light switch, it took a couple seconds to respond to the tingling and pain. I fell away from it, so it couldn t have lasted too long. My heart beat is normal and I am able to think clearly. My arm and hand are still weak, tingly, and kind of sore. I didn t know if I need medical attention or not? | Hi, Thanks for writing in. It is important to get an ECG if you are of middle age and might have cardiac problems. If you are asymptomatic and have a normal ECG, then there is no concern. Delayed arrhythmias are exceptionally rare and are usually preceded by a pre-existing ECG abnormality. There is no risk involved, and you have survived the shock. Please make arrangements to change the switch and see that no child Chat Doctor. Your hand and arm weakness is temporary. It is possible that the current took the least resistance path through your arms to reach the ground. Please take note of your urine and consult your doctors if the urine color is dark yellow. This is because rarely an electric shock can affect the kidneys and cause temporary abnormal renal functions and this must be treated. |
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ηζθΏ°εηι«εΈει‘γ | My child has had a fever since Sat that spikes to sound 103 but had got as high as 104.5 ....have taken him into the doctor 3 times since than and he has been on antibiotics since Sat . The thing that worries me is that his feet are ice cold even with socks and shoes on and his hands are cold.. so he has been on antibiotics for 4 days and they just keepsaying if the fever doesn t come down bring him in again... but iI feel like they are over looking something | There is a condition which we call as shock which is characterized by reduced circulation and often occurs in cases of infective fever. It is manifested by cold extremities. Visit a doctor, get him examined and get the blood tests done. Antibiotics are probably essential in such a case. If fever is not controlled by paracetamol, you can try Metal P which contains metonymic acid which is more effective in reducing the temperature. |
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ηζθΏ°εηι«εΈει‘γ | Im a lady patient of High BP and Thyroid.. In the month of April I had my Liver test,In which I got SGPT-62 & SGOT-60.. This week I reconducted my liver test which showed SGPT-130 & SGOT-91. Im taking Thyrox-25 & Amlopres-AT25 regulary.. Kindly advice me,how can I control my SGOT & SGPT levels.. Im 52 yrs old & weight 56.. No alcohol,No smoking.. | Hello, Regarding your concern, I would explain that your increased levels of SGPT and GOT are not related to your current therapy. Coming to this point, I recommend performing an abdominal ultrasound in order to examine your liver and biliary tract. It is also necessary for performing further blood lab tests (Bag, antiphon, anti HCV, immunoelectrophoresis). Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I fell on my lower back folded from doing straight leg crunches with my iron gym used for pull-ups . I hit my right lower back bone I m assuming it might be a sprain or a bruise of some kind . What should I go about doing to quickly alleviate the pain | First you have not mentioned your age which is very important in case of back pain. For treatment of severe lower back pain you can take some painkiller like biozobid-plus or osteopath only when the pain is worse or disturbing your daily work along with some calcium supplements like shackled or toscal-gem once daily. Do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface. |
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ηζθΏ°εηι«εΈει‘γ | I extracted a wisdom tooth last Saturday, and though I was in pain while having the procedure done, there wasn t any discomfort until yesterday. My throat and tongue feels prickly and it s become almost impossible for me to swallow anything now. Is this connected to my extraction, which still does not hurt, or is this something new altogether? | Hi, Thanks for asking the query, The above symptoms which you have mentioned are due to wisdom tooth removal, these are common symptoms which will subside after sometimes. You follow the post extraction instructions given by the Dentist properly. Take complete course of antibiotics and analgesics prescribed to you. At home take lukewarm saline and antiseptic mouthwash rinses. Avoid anxiety, stress take complete rest. Hope you find this as helpful, Regards. |
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ηζθΏ°εηι«εΈει‘γ | Good evening sir, thie Ganesan from T.N, in 2010 i was diagnosed with fatty liver along with first degree esophogaus varices, then i stopped drinking alchohol, after 3 years in 2013 i lost wife, sicnce then i have been drinking, last few days i have abdominal pain just below right rib, what it may be? | Welcome at Chat Doctor I have gone through your and being your physician I completely understand your health concerns. For how long you're suffering from it? Any other associated problem? Like diabetes or hypertension? Are u having fever? Any other lymph node swelling in your body? As far as pain in the abdomen is concerned there area lot of differentials like epic ulcer disease, gall bladder problem, duodenal problem, Costco Chat Doctor. You need to be examined by the doctor so that exact cause can be sort out. If I am your attending doctor I would get your abdominal ultrasound along with LFTS and BBC. And ECG. IS there any association of food intake with the pain? Does it come on full stomach or empty stomach? You need to assessed fully before a reasoned conclusion can be |
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ηζθΏ°εηι«εΈει‘γ | About two weeks ago in baseball practice, I overran a really fast grounder so the ball bounced and smack my lower shin(slightly above my ankle). It swelled alright but died down though there is still a small bump. It feels hard like its part of my bone. Ive been able to walk just fine but when I run I feel slight discomfort from where the bump is(no pain at all). I dont know if I fractured it, I just dont feel pain unless I poke the hard lump. Should I consider an x-ray? What to do about it? | Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-1-I would advise orthopedic surgeon consultation before starting any treatment.2-As you are anxious and as you had the tender hard bump on the shin.3-But by the facts told by you, I don't think that you would have fracture of the shin -Tibial bone.4-Still as you are worried get the X-ray of the shin done and show it to ortho-surgeon.5-This bump is mostly due to the Money Contusion with cellulitis with resolved fibrosis hematoma and traumatic periosteal cellulitis and induration.6-I would treat it as follows-a-Cold compresses and b-Rest and Elevation, c-Tb-NSAIDs for 5 days to expedite the recovery.7-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!! Chat Doctor. N.M.S.GENL-CVTS, Super specialist and Senior Consultant-and Expert in Non-Curable-Disease therapy for Cancer, Asthma,etc., Rejuvenation therapy and Tissue failure -reversal therapies.a |
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ηζθΏ°εηι«εΈει‘γ | I have an old lower back disc injury...bulging and/ or slightly herniated disk at L3 and L4... But i have never had numbness and tingling in lower left quadrant above the knee of Right leg quad?? Back has calmed down, no pain but quad is still numb/ tingling.....is this a major issue or will numbness calm down too with PT exercises, stretching etc...?.? | Hi, Thank you for posting your query. I have noted your symptoms as well as the MRI spine findings.First, I would like to reassure you that there is no need to worry about your numbness. Numbness would gradually improve over time, especially if the nerve compression due to the disc bulge is not severe. If you can upload the MRI report, it would be more helpful. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,My ESR is too high that is 25 mm/hr. Granulocytes % is high and lymphocytes % is low. The main thing is the RDW is low. I am having too much body pain and leg pain in my body. Even pain-killers not working at all. Too much pain. I am having trouble to move my arms and legs when I wake up in the morning. Also having difficulty sleeping. No fever. The pain inside of the body. Cough sometime. And pain under the left ribs. Pain around neck, back and shoulder also. Do you think I have multiple myeloma? Because all my symptoms are in favour of multiple myeloma. My question is as ESR is too high is there any kind of cancer in my bodies such as leukemia or lymphoma or bone marrow cancer? Why my pain is not going away after using too many Ibuprofen? Do you want me to go to hematologist or oncologists? Please, how can I overcome from this problem? | Hello, Welcome to Chat Doctor forum. The chronic whole body pain does not necessarily mean leukemia. Your CBC report is within limits as attached herewith (attachment removed to protect patient identity). For your condition, your physical examination first should be done in the form of liver, spleen and lymph nodes palpation. Check your calcium level as well. Your vitamin D level is slightly low below reference range and for that Cholecalciferol sachet with milk 50000 IU per ml can be prescribed once a week for six weeks. Check your liver and kidney profiles report as well. High ESR could be from inflammation or infection as well. Check your thyroid status as well by serum TSH (thyroid stimulating hormone) estimation. CT scan like higher investigation can be planned if needed. Serum protein immunofixation electrophoresis will be beneficial to rule out multiple myeloma if needed. Take care. For more information consult a hematologist online |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor Ive had these pimples on my penus for like 4 months now i went to see my doctor and he gave me something called neosprin he said if it didnt work to come back in a week. It never went away but i never went back. what can i do to make them go away please help | HelloThanks for query. You have lumps on the shaft of the penis since 4 months which you think it to be pimples. Pimples are due to bacterial infection of hair follicle which either subsides or gets into pus formation within a week and never last for such a long period of 4 months. The lumps that you have are mostly Sebaceous Cysts and needs to be confirmed by clinical examination by a qualified General surgeon. The penile skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Take antibiotics like Augmenting for a week.If it does not subside consult qualified general surgeon for evaluation and get it excised under local anesthesia. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Im experiencing a kind a sharp pain in my upper left chest that seems to happen every 10-15 seconds and lasts about 1-2 seconds. It just started about 15 minutes ago and Ive never felt it before now. Ive just recently had an ECG and an echo stress test and everything was normal. I really dont want to go to the ER again. What could it be? | Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive cardiac work up is normal, no need to worry about heart diseases. Sometimes muscle spasm can cause similar symptoms. So avoid stress and tension. Avoid movements causing pain. Avoid bad postures in sleep. Avoid heavyweight lifting and strenuous exercise. Apply warm water pad on affected areas. Start painkiller and muscle relaxant Chat Doctor. 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 m 32 years old man i had a 2 year old son he came directly after my marriage then we are trying to conceive another one for a year now but nothing happens me and my wife are testing now my semen analysis is 43 milllion count abnormals are 20 % , motility of rapid progressive are 25% sluggish are 25 % if i have a problem what s the treatment to my case? and is there any hope esepicially that w have a baby on our own | Hai, your semen analysis is total sperm is normal (as per your quote). Your motile forward progressive (Grade a and grade b)sperms should be more than 50 to 60 %.other parameter like fructose level, ph, wbc count, also to considered. As you already got a kid.no need to worry. I don't suggest any treatment at this moment. Take healthy and nutrient nourished food like dates, jaggery, pomogranate, black gram, diary products, fig etc. Try it for 6 months and still if are not able to make out kindly visit an infertility specialist for further advise. |
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ηζθΏ°εηι«εΈει‘γ | I am have sneezing and Whistling problem(Specially in Cold season, and no problems in Summer). Initially My Doctor Prescribed Combinase AQ SPray and Montec plus tablets. ANd after that, I have gone through DNS surgery and the problem still persists. Please advise the next steps. | Hello. Thank you for asking at HC. I went through your history. I would like to make following suggestions to you:1. Furthermore, I agree with the treatment prescribed by your doctor. Furthermore, I would suggest you to continue the same treatment as long as you have symptoms.2. In addition to above, I would suggest you to use albuterol/levosalbutalom inhaler whenever you get wheezing.3. I would suggest you to get allergy testing done for air-borne allergens that are prevalent in your area. This will help you to know the substances causing allergies to you and also how to avoid them.4. Personally I would suggest you regular breathing exercises and a nutritive diet rich in vitamins & minerals (that is, adequate amounts of green leafy vegetables, fruits, sprouts, etc.) which will improve your immunity and lung capacity.5. Please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any other query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | After a blood test at my last Dr. s visit it was discovered that my hemoglobin was 6.3 so I was sent to the hospital for 2 units of whole blood! The next blood test showed hemoglobin at 7.6 and I am so lethargic I can t function. What next? P.S.: I am 70 years old, male, and have had Crohn s Disease for 50 years | Hello. Thanks for asking on Chat Doctor. A hemoglobin level of 7.6 is quite low for a male. You need to further investigate the cause and take appropriate supplements and treatment. The lethargy is due to anemia. Anemia can be due to reduced intake of iron b12 or folate. In old age it could be due to impaired absorption despite adequate oral intake. Sometimes injectable haematinics are required to overcome impaired absorption. Moreover, anemia could be due to occult blood loss from any hidden site. So a thorough investigation is a must. Also, you can get your thyroid hormones checked to rule out hypothyroidism. Hope I was helpful. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I have a rash that looks like hives that I have had for over a week. Several spots on my neck, some on my arm and some on my leg, a few on my torso. Today I have two white spots on my forehead where I had a shingles outbreak a few months ago. Do I have shingles again? The rash is not painful, but very itchy | Hi, Thanks for posting your query to Chat Doctor. I can understand your concern for the Hives like rash on neck, arm, legs and torso. Shingles outbreak occurs only once in lifetime and never recurs again. As you had got it once so the possibility of same is unlikely. The present rash can be a part of simple urticaria only. I suggest you to apply medium potency steroid cream application because are the best effective in this condition. I would have opted for either mometasone or Fluticasone or cortisone cream. Do not pinch, pop or scratch or been touch the area unnecessarily as it can cause aggravation of the rash. Wear cotton clothes and cotton inner garments which will give a soothing feeling to the skin. Stay away from extreme of environment such heat and humidity. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am suffering from back acne. It is all over my back. It is like red pimple marks and black spots. Kindly suggest me ointment and soap or any medication which will help me get rid of acne completely. | Hello. I have read your query. I understand your concern. Acne on the back have mainly two differentials: Treatment depends upon the diagnosis. Kindly upload images so that the lesions can be visualized. And do reply whether the rash is itchy or not. Upload the images and revert back to a dermatologist online |
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ηζθΏ°εηι«εΈει‘γ | Hey,I have had a sore foot for a couple of years now and I notice a swollen spot on the top of my left foot I would not say a bump or a knot it s sore to the touch and it will not allow me to bend my foot all the way down like I usually can,and it hurts pretty bad to walk on it ,it will come and go,what in the world is this?it is right below the bend of my foot,on the top. | Hi, thanks for briefing your history. If you have persistent swelling of the feet than you need to check with vascular surgeon and get your vasculature checked. This can be done by Doppler scan. It will help to look into the veins and arteries to see any possible blockage for swelling. Along with this you can try doing HY water fermentation and do ankle toe movements as well which will help reduce swelling. After hot water fermentation I recommend keeping the leg above the level of heart over the pillow to Chat Doctor. Also, an x-ray if guided to be taken for any possible old fracture if any Present. With the grace of God I wish you a speedy recovery. |
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ηζθΏ°εηι«εΈει‘γ | 10 days ago my husband was kayaking and the kayak hit his head, there was a slight cut to it also. 4 days later he had a 21kilo suitcase fall on his head from an over head locker. he went to the hospital because he was not feeling quite right, they ruled everything out and gave him a clean bill of health. 3 days later he nearly collapsed at the airport, was seen by a first aider, but still got on plane.!! 6hrs later he breaks into a fever starts shaking, pains all over his body and with shortness of breath, and very disorientated. It all cleared within maybe 12hrs. Doc was called and they said bad flu.!!! ( in Italy) He is due to fly again in a couple of days. !! Any ideas. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever with chills and body ache which seems to be viral fever or flu. Need not worry. I would suggest you to do warm saline gargles. Chat Doctor. Your symptoms will resolve in 3-4 days. Take analgesic such as Flexion and take light diet. You should take anti-inflammatory medications such as Ibuprofen to prevent fever and body-ache. If symptoms keeps on persisting visit general physician once and get it examined and start treatment after proper examination and prescription. Go for blood tests such as W.B.C count as well as increased count will indicate infection in body. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | My son who is a computer programmer and Masters of IT student travelled to the UK from Australia & his antipsychotic drug Solian stopped working on the flight over. He experienced psychosis and spent some weeks being treated with other drugs. He has now been admitted to a high care facility and being treated with Soloquin. My question: Soloquin is an older drug and seems heavily sedative with sometimes severe side affects. Will the sedative affect wear off so he can resume his life? Is there a more modern drug that would help him?Thanks AAAA | Hello,First you should maintain him on regular medicines and follow-ups with psychiatrist. The longer is duration of untreated psychosis, harder it gets to treat. Then coming to Chat Doctor. Sedation would wear off gradually over a period of time and side effects should not be a problem if you keep monitoring for them regularly and have a good diet and exercise plan for him. He should be able to work and encouraged to once his symptoms are under control. There is another |
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ηζθΏ°εηι«εΈει‘γ | I have pronation in both of my feet. I was just recently diagnosed with tendentious in both my knees and I am now in physical therapy for them. They say the problems in my knees are caused by my feet. I was wondering if there was another option to fix my feet that anyone knows of. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have pronation in feet. Well pronation is a normal part of walking or running. When the outside edge of your heel hits the ground, it ruminates or locks to deal with the shockwave. Your foot then rolls in a bit and your heel moves outward. It can affect leg knee or even hip joint. I would suggest you to use Stability shoes, best for mild to moderate overpronators. In case the pronation is severe you can use motion control shoes, best for moderate to severe overpronators. Consult podiatrist for proper examination and treatment. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi there, Im a 17/yr old female and yesterday I had a pretty serious choking accident. I was drinking iced tea and my friend made me laugh, I couldnt breath for probably 30 seconds and she was 2 seconds away from doing the heimlich. Afterwards, and still today, my chest hurts if I take deep breaths or sneeze. Breathing normally seems to be alright though. I wanted to know if this is something serious and if I should get checked out by a doctor? | Thanks for your question on Chat Doctor. I can understand your concern. No need to worry about this kind of chest pain. This is not serious symptom. It will mostly resolve in 1-2 days. So no need to consult doctor. Apply warm water pad on affected areas. Take simple painkiller like paracetamol. Don't worry, you will be alright. If not improving in 1-2 days then consult doctor. 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 | My 15 month old baby is has vomited once every day for the last three days. There is no fever cold or cough, she seems happy otherwise, but has hardly eaten anything or had much to drink. The times she has actually had a little to eat the last couple of days, she has thrown up within 45 min. | Hi, Vomiting once a day without fever, cough or diarrhea has very little significance. I think there is nothing serious. Please make sure hygienic conditions are clean and after every feed or meal, your baby doesn't lay down on the bed. Let him burp properly. If at any time you feel he is running fever or having diarrhea, then you see a doctor for consultation. Wishing your kid a healthy life. Hope I have answered your query. Let me know if I can assist you further. Best regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | How effective is nordette as an emergency pill? Got cntact during my 4th day of period n take 4 pcs of nordette after 12 hrs dn take another 4 pcs nordette after 12 hrs as the 2nd dose.. Will pregnancy be possible? After 10 days mentration occurs... What does this mean? | Hello dairy understand your concernNoredette is highly effective in preventing the pregnancy as you took in correct dose.Also, you had sex on the 4th day of the period, chance of the pregnancy is nil. At this time ovulation has not been occurred as no fertilization occurBleeding at the 10th day could be due to ovulation or side effect of the pill. Nothing to worry about that, and it will disappear in next 2-3 days.Meanwhile, avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact Chat Doctor for further heath query Best regards |
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ηζθΏ°εηι«εΈει‘γ | i am 25, 177cm and 113kg and i have had a cold now for around three years. I have been to doctors and taken antibiotics but nothing works. My lungs make a LOUD fizzing sound when i exhale. It prevents myself and my partner from sleeping it is so loud. It feels like my lungs are full of half hard fiberglass and someone has tipped in some bi carb and vinegar. Its truly horrible. Can you tell me what this is and how to fix it? | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, this fishing sound is mostly wheezing. Wheezing is whistling sound caused by bronchospasm, and it is more commonly seen in exhalation. So you are mostly having bronchospasm. You are also having cold since 2-3 years. So possibility of allergy related disease is more. Allergy can cause asthma and similar symptoms. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You will mostly improve with inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) Chat Doctor. 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 | Hello, my wife who is pregnant 12 weeks tomorrow (First pregnancy and no health concerns) has developed a rash over the last 3 weeks. We initially suspected that she had an allergy to a body cream but it has persisted. It initially began as an oval shapped (almost scratch like) mark on the side of her upper body near the above the love handles and now has burst into a rash all over her abdomen, breasts and a few on the back. We have gone to a dertmatoligist and she has diagnosed Pityriasis Rosea. 2 Questions, I have done research online and only found 1 study showing that it increases the risk of miscarriage and may cause mobility issues or strength issues in the muscles as an infant that can be overcome. Are there any other more concrete studies showing the effects of this and what is your experience with this virus amongst pregnant women? The second question is what are the differences in symptoms of Pityriasis Rosea and PUPPP? | Hello there, thanks for your query. Your efforts in researching for scientific literature is commendable. As you have rightly found out there are not many studies regarding satyriasis rose in pregnancy. Those reports suggest possible miscarriage, premature delivery, movement issues in the baby. It is very difficult to Chat Doctor. What one can do in such a circumstance is adopted a wait and watch policy and take adequate precautions to prevent miscarriage and preterm delivery. And undergo a detailed genetic sonogram (anomaly scan) to rule out structural defects in the baby. It usually starts as a single oval patch with well demarcated red boundary and central pink region which over 2 weeks spreads to trunk, back, neck and extremities, and they are oval raised lesions which would look like Christmas tree. It spares face, feet and palms. Whereas puppy is seen in the last trimester of pregnancy and seen as pa pules along lines of striae over abdomen and thighs, and it gets intensely itchy. It is most likely related to stretching of the skin. I would like to add that I have given gross features of PR, and it should not be used to diagnose the lesion by oneself. Satyriasis rose should be diagnosed by a trained dermatologist who does job at their best and the management in pregnancy should be a team work comprising your obstetrician and dermatologist and a good radiologist. Hope this information is helpful to you. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello My daughter is having viral and mild throat infection since yesterday. Last night she had taken Azitral 500, Meftal 500 and a cough syrup Today morning she has taken meftal500 with breakfast (6am) Right now (2pm) her temp is around 103 We have given one dose Calpol 650 She is 60 kilo age 13 years Kindly advise No body pain | Hi...by what you quote I feel that your kid might be having a viral sore throat or a streptococcal infection. I suggest you see your pediatrician and get a rapid streptococcal antigen test done. If it is positive then she will require antibiotics. If it is negative then it might be viral illness and doesn't require antibiotics at all. Do not use antibiotics like Azithromycin without proper evaluation. Meftal contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Regards - |
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ηζθΏ°εηι«εΈει‘γ | Hi there. I have high blood pressure and had swelling of my feet and legs after a night out in high heels. It has been two days and the swelling is just decreasing now after a day of rest and leg elevation. I took my bp about 20 min ago and it was 137/92. I am on meds to control my bp but have had more salt intake the last few days than normal. Will i be ok? | Hello, Thanks for posting your query on Chat Doctor ...* Brief Answer: you need to lessen your salt intake and follow-up blood pressure accurately.*Explanation: My opinion is that high blood pressure on many occasions is an indication for control. That happens on many levels. First, be sure that high blood pressure is not secondary to any other diseases as Cushing or renal failure. Then, Diet with low salt and less fat content is crucial. Exercise and other healthy activities are also a mean to control blood pressure. If all that does not help, medications are a must. That is usually decided by your doctor according to your condition and comorbidities. Some Chat Doctor. Regular blood pressure monitoring is as important as starting treatment so that we could assess efficacy of the medication we started. I suggest my patients the following : low salt in diet and exercise. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about *Conclusion: I suggest you avoid high heels and check out salt content of every item you eat or |
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ηζθΏ°εηι«εΈει‘γ | I am a 40 yr old female and have had discomfort in the right lower quadrant of my abd, and would describe it as gas-like pain. this has been for 2 days. I am not constipated , bowels are normal. This morning the pain has seemed to change and move around, it feels like its in my coccyx and burns. I did have lapband surgery for weight loss 10/27/11. y only health issue at this time is pseudotumor cerebri which is getting better due to weight loss. Could this pain be kidney stone? I did go to the doctor about 3 weeks ago and they dipped my urine because i felt as if I was getting an infection, same type of pain as described above. There was wbc s no blood, no protein . I took cipro bid for a week, the culture came back normal | Hello the pain you mentioned arises in the flank and moves forward resembles to renal pain and as u stated that you had urinalysis which contained ABCs which are actually dead white cells referred as pus cells signify renal infection. However you did not mentioned the actual no. of the ABCs as they may be insignificant to yard a positive culture or if u had performed the culture and sensitivity test after using Cipro and then u can get the false negative result. However for the current pain you are having which is more likely to renal pain I would recommend you to increase your fluid intake. Repeat urinalysis and perform an ultrasound pelvis and ultrasound PUB, thanks with regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | well im obese and schizoaffective (mental health is my major concern here) but social acceptance of both the obese and the mentally insecure are not there. its as if we are allowed to be hated and discriminated upon plyed to our own will be it as it may. anyway i do not like to take the medications as prescribed matter of fact i fed up with the results...i only get fatter but still hallucinate and am still delusional and am rather depressed and iritaed and irritable irate even that i am now being diagnosed with insulin intolerance. anyway the big deal here is that a sage that i know in jerusalem is telling me to go holistic, is that possible? | Hi. I have gone through your post. Let me tell you that having a physical or mental illness does not make you socially inapt. Both obesity and schizoaffective disorder are reasonably treatable. So do not pay much heed to what others say. Now weight gain is a common side effect of a number of medications used in schizoaffective disorder, and they might lead to the development of insulin resistance and metabolic syn Chat Doctor. So this must be taken care of and considered. There are a number of proven and scientifically established methods for dealing with obesity, as well as |
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ηζθΏ°εηι«εΈει‘γ | hallo doctor, my name is Deepak Singh, currently i live in Ghana(west africa) & married here, we are trying to get baby since last 2 years and my wife did all kind of test and she got to know that her right philopian tube blokege and now she did ovulation test too, she is now going to see doctor on monday, but if it possible i can send u result, so u can guide us in proper way, and my sperm count is 87.5 m last time i checked.pls help us | Hi, Thanks for the query. Sometimes one of the fallopian tubes can be found blocked due to many reasons. Though one tube is blocked there is still possibility for pregnancy as the other tube is patent, and she is ovulating. You plan intercourse around the time of ovulation which will increase the possibility of pregnancy. Your sperm count is normal. For more details you can ask me and can send reports through this link: http://www.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I recently went from Peritonel dialysis to hemo. Since being on hemo my stomach has has grown to that of a woman in her ninth month and breathing especially at night has become differcult. What can be done to bring my stomach back to its original size | Hello, now that you have moved to hemodialysis from peritoneal dialysis, and you are having complains of abdominal distension which can be caused due to excessive accumulation of fluid in your peritoneum which is called as ASCIIs. Due to distension of abdomen which causes pressure on diaphragm and finally on the lungs causing decrease space for lungs to expand for breathing and thus the breathing difficult in night. I would suggest you to get a USG scan of abdomen and see whether ascites is present or not. If at all present it can be Chat Doctor. Otherwise, it could be just bloating of abdomen. Kindly consult your doctor with the reports. Thank you |
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ηζθΏ°εηι«εΈει‘γ | My daughter is 9 years old and a fairly healthy child. But for the last month or so she has had fever thrice coupled with loose stomach and once a throat infection. She recovers quickly. I have attributed this to changed weather , heat, swimming, school food. However today when I showed her to a doctor , he diagnosed her with swollen cervical glands and said it wud need treatment for 6 months or so and can lead to retardation in growth and tuberculosis . Pls advise. | Hi welcome to Chat Doctor First part of history given by you is suggestive of recurrent infections, twice of gastrointestinal tract and once upper respiratory infections, most likely viral. Now the issue is of cervical lymph nodes and 6 months treatment. If I were your treating pediatrician I would like to examine and evaluate for the cause of enlarged cervical lymph nodes. Have you noticed earlier these enlarged lymph nodes or it is a new finding ? Size of lymph nodes?. Are they painful ? Is there fever this time ? Is there any family history suggestive of tuberculosis ? Depending upon history and examination and investigations we shall be able to lead to a conclusion what is the cause of enlarged lymph nodes. If there is short history it can be simply viral or bacterial infection, in later case will resolve with a course of antibiotics. Question of tuberculosis and 6 months treatment only arises if they are found to be tubercular. Has she been evaluated for that ? If found positive she can be cured with a 6-month course of antitubercular Chat Doctor. In my opinion she needs proper evaluation for cause of enlarged lymph nodes and to decide accordingly. You have not mentioned any investigation done. Previous episodes of fever do not seem to be related to lymph nodes enlargement. Do revert with these inputs to reach upon any conclusion. Hope I answered your query thanks |
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ηζθΏ°εηι«εΈει‘γ | I have been feeling as my entire chest is being squeezed in and having pains in my left chest also have been feeling light headed. this has been happening for the past 6 months. I have been under moderate to heavy stress is this a heart issue or something else? | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, your symptoms can be due to heart related diseases. Coronary artery disease, heart failure etc. cause chest tightness, pressure and squeezing type of chest pain. So better to get done ECG and 2d echo. If both are normal than no need to worry about cardiac diseases. You are also having stressful life. So possibility of stress and anxiety can also there. So avoid stress and tension. Be relax and calm. Consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright, but first rule out cardiac diseases. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | my uncle is in the hospital and he asked that is caused by drugs it is also a man that was well known for years to have an addictive personality and the hospital now that he s also a veteran on and they still gave him a oxy cotton as a bit of pain medicine then everything just kind of progress from there right now here in the hospital and he s got so much fluid in his lungs I know that he can barely talk when he breathes you hear the fluid and they regiving him the lot in could that be a problem | Thanks for your question on Chat Doctor. If fluid is present around lungs than it must be aspirated and send for examination. There are many causes for pleural effusion. Common ones are1. Infections like TB and bacterial pneumonia. 2. Malignancy.3. Cardiac causes4. Cirrhosis of liver etc better to get done pleural fluid aspiration and done its investigation like1. Pleural fluid routine micro2. Pleural fluid cytology3. Culture and sensitivity4. Pleural fluid ADA (Adenosine Deaminate Activity)So discuss these with doctor and proceed accordingly. |
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ηζθΏ°εηι«εΈει‘γ | I had a customer that starting white as a ghost and started passing out and next thing he was urinating on himself. It was very dramatic because the paramedics couldn t save him. He was only 27 yrs old, 6 5 and like 300 lbs. What do u think happened to him? He was pefectly normal when he walked in ..... Please help I would like to know because I keep wondering if we had only called 911 sooner would he still be alive? | It sounds like he might have had a blood clot to the lung/heart or a serious heart arrhythmia that caused his heart to stop beating. He also might have had a sudden brain hemorrhage from an aneurysm or something similar. Such events are quite Chat Doctor. It would not have made a difference if the paramedics had been called any sooner. You did the best you could and this is just a very sad situation. Hope this helps. |
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ηζθΏ°εηι«εΈει‘γ | about 5 days ago i had serious back pain on my right side. and i have had a kidney infection before so i thought that was it. but then a few days later the pain was gone. but now i have major headaches have nausea and fever and it feels like im peeing more than usual. it also feels like its drippping out of me all throughout the day, my pee kinda smells different too. do you have any ideas what this could be? | Hi There After going through your query I understand your concern. I would like to tell you that your symptoms are suggestive of kidney infection again. Fever, nausea and frequent urination is indicative of acute Pyelonephritis. Timely diagnosis and management of pyelonephritis have significant impact on outcome.It's recommended for you to consult with a Nephrologist for proper evaluation and treatment. Hope this will helping Regards |
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ηζθΏ°εηι«εΈει‘γ | i have taken unwanted72 pills 4 times earlier in 2013 but due to some uncertanities of unprotected sex have led me to take another one in may 2014 i just want to know that whether it side effects my reproductive system or it harm s me in future when i really expect the baby to come plz doctor help me... | Hello dear. Understand your concerns. Yes dear It will be harmful in the future. It is not like that, you will be infertile 100%,but it is increasing chance of ABORTION, hormonal imbalance and infertility. Do not use emergency contraception as a regular contraception. So I advised you to use some other contraceptives method or avoid unprotected sex. Use condom, diaphragm, injections, patches...which will not affect your reproductive system. I hope this will help you. Thanks Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | What might be the cause/causes of a blackout? I am 68 yrs old, reasonably healthy, with no diagnosis of any heart or brain problem, but recently woke up from a blackout with no clue as to the cause. I have been to a brain clinic and other doctors so far, but they are not telling me anything about what happened to me, and are saying there is nothing wrong with me. I don t believe them I m sorry to have bothered you. I did not realize there was a fee to ask a question, but I do understand. right now, I don t even have sufficient funds to pay for a phone, so I need to be vrey cautious of how I spend the $$ I do have. thank you anyway, | Hello, Welcome to Chat Doctor. I understand your concern. If the doctor did a good clinical examination, conducted tests like EKG, Holder monitoring and a CT scan with contrast and then told you that there is nothing to worry, then you have nothing to worry. You probably had a vasovagal syncope which is nothing to be concerned about. But avoid being in places of danger where you may be harmed, should you have another episode. Take care |
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ηζθΏ°εηι«εΈει‘γ | I dove head first into a pool and hit my face at the bottom and chipped my tooth. About a month later I began feeling pressure when I bite down on my molars, like the upper front teeth are being pushed together. Are the teeth going to have to be removed. Email me at YYYY@YYYY | Hello and welcome. Thanks for sharing your concern. It appears to be abscessed developed post trauma. It is best to get it examined clinically by taking suitable x-rays. This will show the periapical infection. Based upon the x-ray finding root canal treatment can be done. This does not require extraction of tooth mere devitalizing the pulp tissue helps. Therfore please see your dentist soon in this regard.Meanwhile, if required you can take painkillers until you see your dentist. Hope it helps. Thanks. Take care. |
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ηζθΏ°εηι«εΈει‘γ | i had 4 days niece but i don t know how he died . I will tell you what happened ,actually his weight was 1.5 kg at the time of birth but doctors said that he is perfectly fine ... and his mother was not having her milk so his family members feed him with cow s milk and polio drop also and after half an hour he sneezed and white colored foam start coming out of his mouth as well as nose | There are several possibilities, first is that the baby developed an allergic reaction to cows milk. Newborns are not supposed to be fed with cows milk. He should be fed with formula milk if breast milk is not available. If both formula milk and breast milk are not available, cows milk can be used with extreme caution and after adding sterilized water (one liter of water is added to each one liter of cows milks)the second possibility is that the baby aspirated amniotic fluid during the delivery leading to aspiration pneumonia and pulmonary edema |
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ηζθΏ°εηι«εΈει‘γ | due to vitilgo problem doctor priscribed me tricort 40 mg my weight is 62 kg. hight 5.10 kindly suggest what is the function of tricort 40 mg injection . after taking inj my feet nurve stiff under the cold atmosfare. from dermatologiest i need answer | Hi, Vitiligo is an autoimmune disease that occurs due to antibodies produced by the own body against the melanin pigment. Destruction of color giving melanin causes white patches all over the body. Main treatment is immunosuppression. Steroids are useful in vitiligo. In your case, instead of steroid injection, topical application can be done to reduce side effects. Phototherapy can also be added. Hope that was helpful. Let me know if I can assist you further. Regards |
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ηζθΏ°εηι«εΈει‘γ | I am 42, 5 ft 6 , 123 lbs and in very good health. Recently I noticed a bump/lump on the inside of my left leg about 2 inches above the ankle. At first it felt like a bruise, then it did bruise. The coloring is gone but the lump is still there. Should I be concerned? | Hi, dairy have gone through your question. I can understand your concern. If you have any history of trauma then it can be hematoma. It will absorb by itself no need to worry about that. If you don't have trauma then you need to investigate. Go for biopsy of that lump. It will give exact idea regarding lump. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | If a patient undergoing gall bladder surgery, has the procedure stopped because a diseased liver becomes evident and a biopsy cannot be performed because that very same liver bleeds too much...what are some of the causes if no alcohol is involved; however, long term use of Amitriptyline is evident. And if not drug related, what else should a specialist be looking for? | HI, How are you? My Name is Chat Doctor. I am a Liver and pancreas specialist and I hope to answer your question today. I am sure your patient has cirrhosis of the liver (going by your description). But in patients who do not have any symptoms related to it, and in whom the clotting profile (PT/INR) is normal, a gall bladder surgery can be safely completed, and a biopsy can also be taken. But there is always a risk of decompensation and hence these procedures need to be done in specialized centers. Coming to the causes of cirrhosis, it is too numerous to list, but most commonly are due to alcohol, fatty liver disease, viral infections (Hepatitis B, C), |
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ηζθΏ°εηι«εΈει‘γ | Hello, I have previously had brain surgery twice once to put a vp shunt in after a bleed and then another to remove a cyst in one of my ventricals. I have been left with a large dent after the cyst was removed in the top of my head, could it be pulled out or similar- it aches even after 10 years after the operation, im also losing my hair and my head will look like frankinsyein when I go bald. thanks martin fox | Hi, Thank you for posting your query. You seem to have more of a cosmetic problem due to dent in the skull, after brain surgery. I do not think that your headaches are related to the dent. The headache may be due to muscle tension headache or migraine. It is possible to do another surgery to make your skull look better. However, the simpler option would be to go for hair transplant or even simpler is to wear a cap in public places. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | How can I find the right foods to eat to stablize my low blood sugar . I have started sleep walking 2 to 3 hours after I eat my evening meal. I have been crashing for the last 9 Years. The doctors I see only want to put me on seizure medicine and I won t take it. I know if I eat all day I am fine. Some days I can t eat all day, because I can t drive and don t have a way to the store. I will eat 3 main meals and 3 snacks however, it depends on what I eat if I crash or not. I am waiting for my medicare to start next year and I will be looking for a Endo & Nutristionist, Doctors. The doctors I see at the clinic only want to treat me for Seizures. Talking to other people who knows of my condition says I have Reactive Hypoglycemia , from my symptoms. I excersice and only drink water all day and wine with my dinner. I hope you can help me with the foods to eat day and night. Thank you in advance, Maxine | Hi, Thank you for posting your query. I have noted your symptoms and agree with you that you require detailed evaluation. Hypoglycemia needs to be ruled in view of your symptoms. This can be done by checking your blood sugar (with a glucometer) whenever you have these symptoms. In addition, it may be useful to do a sleep study (polysomnography) to exclude a sleep disorder. Seizure is less likely the problem in your case, as the duration of symptoms in seizures is usually a few minutes and not three hours. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | I have been unable to have a bowel movement for two weeks. I have drank two bottles of Mineral Oil, taken Laxitives . I have only passed lots of colored water, I can feel that I am tight in there but it moves around. I cannot get an enema to go in my rectum, wondering if it is so swollen that nothing can come through?? | Hi. Thanks for your query. Severe constipation for 2 weeks and abdominal swelling is an emergency, and you should rush to the ER or nearby hospital for investigations and proper treatment. You have already taken 2 bottles of mineral water and laxatives, but only colored water has passed. You can feel tightness but can feel the movement means there may be obstruction. Yes, you need an enema, preferably Saline-soap enema. You also need then the following:X-ray of the abdomen in standing position. Intravenous fluids if deny Chat Doctor. Ultrasonography of the abdomen to start with and CT scan of the abdomen to see if there is any cancer or so. Colonoscopy as needed. This will help to get a proper diagnosis and have further treatment as per the case may be. |
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ηζθΏ°εηι«εΈει‘γ | i m sfeering from fever from last 24 days. firt it start with dengue.ns1 test posetive 3 to 4 time at deferent laboretory.platelate monitoring daily it low as 45ooo on 5th day then it start incresing in same patern as it decresing.but there is fever with rigger daily.following investigation i have cbc-6700 hb-13.5 platelate-16500 sgpt-1050 u/i sgot-650 sbilirubin-3.5 widal-negetive p/s for mp-negetive xray chest-normal u.s.g. ab-dilated gall blader with hepatomegaly and minimal astis fluid. after 5 day i repete all investigation as follow hb-13.5 tc-8000 platelate count-350000 sgpt-85 sgot-57 bilirubin-1.0 s creatinine-0.9 widal-negetive ps for maleria-negetive esr-23 crp-53 ana-negetive xray-chest-normal usg ab-distended gall blader still fever is there now it came three spike and each time with rigger and now during fever periferal cynosis develop.spo2-98 please advice me what to do .and what is diagnosis and tratment | Hi, I had gone through your question and understand your concerns.It's typically of Dengue fever of what you have described above. Now you are in recovery phase you can take Tab Paracetamol for fever. As your Liver function tests and platelet count is coming to normal you should not worry more. Important thing in your above given description is that you have minimal ascites it can be seen in patients with dengue leak syn Chat Doctor. Other way to monitor is Hematocrit count as when patient is recovering ascites will get reabsorb and hematocrit fall. I suggest you to have close contact with your treating physician for close monitoring. 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 | Hi doctor,I have a small round yellow bump or circle on the back of the arch, right above my tonsil. It is there for a month. It does not show any changes. I do not have any symptoms or soreness. | Hi, Welcome to Chat Doctor forum. I have gone through the attachment (attachment removed to protect patient identity). It appears like a small cyst. There can be a fluid collection inside the minor salivary gland. You need not worry about it as it goes down on its own. However, if you have any symptoms, you may need to ad ChatDoctor. Since you do not have any signs, we need not worry about it. Occasionally, it could be a tonsillolith which is stone formation inside the naturally occurring crypts of the tonsil. You need not worry unless it is symptomatic. Follow up after six months regarding this yellow spot. For more information consult an ENT otolaryngologist online |
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ηζθΏ°εηι«εΈει‘γ | hi doctor,i made blood test yeterday and lipidprofile are as follows total serum cholostrol is 200,tryglycerides is 84,HDL is 55and LDL is 128.2 and VLDL is 16.8 And SGPT is 21.so what should i have to do?my age is 27,height 6 feet,& weight 73 kgs.i am a reguler smoker also. | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. These are not very concerning findings and usually this can be regulated by appropriate low fat diet and exercise and body weight regulation. Medications are not requires at this stage. You need to reduce fats, Fred food and sugar in your diet, avoid alcohol and smoking and eat more blood food, fruit and vegetables. Check your lipid profile in 2 months hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello Doctor. My husband was diagnosed with hepatocellular carcinoma one year ago. He has had hep c for poss three decades. It was inoperable. He has had two chemoembolizations and is now on nexavar. The chemo resulted in two tumours dying and another grew resulting in 5 now. Is this palliative care and what lifespan can be expected approximately? | Thanks for your question on Chat Doctor. Hepato Cellular Carcinoma(HCC) is very notorious and aggressive cancer. It carries the worst prognosis and even worse when hepatitis c is positive. Life expectancy in stage 4 HCC is less than 1Β year and with Hepatitis C positive it is less than 6-7 months. So for him palliative care is the only option. Give him nutritional support like multivitamin, anti oxidants and high protein diet. Give centrally acting painkillers for pain relief. Discuss end of life issues. |
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ηζθΏ°εηι«εΈει‘γ | Dear Doctor, Im 12 year girl, I have symptoms vision loss and feel vomitish ... MRi normal, nuro doctor says migraine .. I am given spects..If i dont wear it I see objects double in each eye... unable to see even meals feel like vomiting....some times heart beats un usual...feel like jumping and running...difficult to breath..wot to do? | Hello kid, sorry to hear about your problem.let's try to solve it.don't worry. Regarding migraine, if your doc started on medics, continue them with proper regularity. Wear your specs regularly. You did not mention your vision power. If it is of higher range they can cause symptoms you are experiencing. So wear your specs regularly. If you are having above symptoms inspire of doing above things, consult an adolescent guidance clinic. Good day |
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ηζθΏ°εηι«εΈει‘γ | I ve been sick 5 times since the first of April. It always starts off by my feeling like I weigh twice what I do. Then the chills set in. Nothing will make me warm. I actually ran the header in my car - on a 90 degree day. That s the first day. The second day I m not running as high a fever and have little to no chills but I feel completely drained. The third day I m pretty much back to normal except being more tired than usual. Twice during the 5 times I experienced digestive issues, throwing up, diarhea (sp?) but not the other 3 tiimes. Any guesses? | HI, thanks for using Chat Doctor More than likely you were experiencing a viral illness. There are different types of viral infections that can occur affecting the respiratory tract, gastrointestinal tract fever and chills can occur with any viral infection. Diarrhea and other symptoms related to the GI tract would indicate an infection involving this system. Fatigue can last up to 2 to 3 weeks after the acute illness hope this helps |
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ηζθΏ°εηι«εΈει‘γ | I was suffering from cold, I took Chestoncold tablet...post that the cold got cured but I am having breathing problem now...I am not able to breathe properly..there is a screeching sound whenever I breath in or breath out and I am not able to breatChatDoctorpletely | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of post infectious bronchitis is more. It is common after viral upper respiratory tract infection (URI) like common cold. Bronchitis can cause breathing difficulty and wheezing (sound from chest). So consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will also tell you about severity of the disease. You may need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (fluticasone or budesonide). 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 | Hello doctor,I have had miscellaneous tingling sensations in my face and left arm and leg. A couple times right leg but that is very infrequent. I have gone to the doctor and they did brain MRI which was negative. Neuro exam was fine. Carotids were fine too. I am worried about MS. They are not doing anymore. I am scared. I am currently taking medicines for reflux and blood pressure. | Hello, Welcome to Chat Doctor forum. I read carefully your question and would explain that your symptoms do not seem to be related to MS (multiple sclerosis). TIA (transient ischemic attack) or epilepsy seizures may cause such clinical scenario. Other possible causes could be vitamin B12 deficiency and thyroid gland dysfunction. For this reason, it is important performing further tests to investigate the possible causes: You should discuss with your doctor on the above tests. For more information consult a neurologist online |
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ηζθΏ°εηι«εΈει‘γ | I have known for perhaps 5 years that I have gallstone(s). I think I have had some discomfort after a meal, right lower rib area. Not too bad. What foods are better than others? I think I know (stay away from fatty foods, butter,cream, etc. Is avocado another bad fatty food for this condition? Perhaps some shell fish, prawns??This discomfort is very new, would like to have more info. Thank you | HiT hank you for asking ChatDoctorFor Gall stone disease if you are asymptomatic you can take all kind of fishes. If you are symptomatic then you should take the less fatty fishes like Pollock, haddock, orange roughly. Shellfish is naturally low in fat, making it a good choice in your diet for gallstones. A 3-ounce portion of cooked lobster or shrimp contains less than 2 grams of total fat. It is better to avoid them fried or seasoned with butter or margarine. It is better to take steamed food. Yellow of egg and the cakes containing those should be avoided as they are good stimulants for gall bladder. Hope this may help you. Let me know if you have any further query. |
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ηζθΏ°εηι«εΈει‘γ | Hi, i am 26 years old female.i got married one year before.now we are trying to get pregnant.After marriage, i weigh 70 kg before that i was 60 kg. and my height is 5.3.Now i am thinking of doing some exercise at home using exercise cycle.I would like to know whether cycling (exercise cycle) for one hour everyday will have any problem in getting pregnant.In anyway will this affect me in getting pregnant?I am worried, please let me know your guidance and advices.Thanks a lot | Hello dairy understand your concerned you have normal menstruation, normal maturation and rupture of follicle, patent fallopian tube and normal semen parameter of partner then definitely you will become pregnant. Cycling for one hour does not cause any problem in getting pregnant. You can also do running, swimming, skipping, walking, yoga. But avoid excessive exercise that cause any type of injured daily exercise for 45-60 minutes in Morningstar small frequent meal rather than large metalloid: excessive sweet, fatty/oily/spicy food, alcohol, smoking healthy diet and Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | i am 39 years old man. i had a bad habit that is sperm out with hand from 16 yrs age. now i stopped it last 3 yrs. after marriage. my timing of sperm out is very short during intercourse. i have not taken any medicine or treatment. now how my timing of sperm out can be increased. | HelloThanks for your query, based on the facts that you have posted it appears that you have problem of Premature Ejaculation. You have been indulged in masturbation since many years and atributethis problem to be due to masturbation, First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. You can consult qualified sexologist along with your wife to learn new sex techniques like stop and start technique or squeeze technique to delay ejaculation. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am on Novelon for the last four months. I started my new pack on the 29th, had intercourse on the 30th. Generally, I take my pill while going to bed. I forgot to take the pill on 31st night and took it on 1st morning. Basically, I took my pill late by 10 to 11 hours. And then, I continued taking rest of the pills on time. Is there any possibility of getting pregnant here? Please advice. | Hello, Welcome to Chat Doctor forum. I have gone through your history and understand your concern. As you are taking the medicine regularly and if you took the missed pill within 24 hours, you should continue your pill and you will not get pregnant. For more information consult an obstetrician and gynaecologist online |
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ηζθΏ°εηι«εΈει‘γ | My son was at a wrestling match yesterday and got hit in the penis. We saw him holding it during the rest of his matches but said he was fine. Today he is complaining of pain and keeps trying to pee but barely any urine comes out. He also said he has pain in his shaft but no bruising or swelling. Shaft is a little red but he is also grabbing if a lot. Any idea what could be wrong?Thank you,Courtney | Hi and thank you so much for this query. I am so sorry to hear about this problem your son has. Most likely, there has been inflammation of the penis that has obstructed the opening of the urethra. This has certainly caused obstruction that prevents him for being able to urinate freely. The urethra is a very sensitive organ that needs t be ad Chat Doctor. I will like that you seek for medical consultation. Also, if he had just any blood |
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ηζθΏ°εηι«εΈει‘γ | hi my boyfriend was getting sick twice last night and his stomach went rock hard and had pains in it now it has moved to his right side and really sharp pain he said the pain is worse when he is moving around and eases a little when lays down what would this be | Hello, Thanks for your query. You may have irritable bowel syn Chat Doctor. In either case, you can get better by increasing your dietary fiber. An easy way to do that is to eat at least one cup of high fiber (meaning at least 5 grams of fiber per cup) cereal each day. Example: 1 cup of Raisin Bran every day. Other good ones are Kasai Cereals, All bran, any of the Fiber One product. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi Sir, This is janrdhan,iam 38 yrs old my hight 5f 2 in i am suffering dust allergy, it would come when i roaming in dust and i sleep under hi speed fans, it affects me, now iam using by doctors suggestion medicine like allegra,nurokind,, but still idid nt relif so plz kindly suggest the best way..by days itself i got dry coughplz suggest medicine thanking you, YYYY@YYYY | Hello Canadian, Thank you for asking at Chat Doctor. I went through your history and would like to make following suggestions for you:1. I usually suggest my such patients' combination of montelukast and levocetirizine of fexofenadine for minimum 4 weeks regularly. It will control your symptoms but will not "cure" allergy.2. For allergy, I would suggest you allergy testing for common allergy causing substances like - house dust mites, insect proteins, indoor molds, common pollen in your area, pet dander (if you have pets), etc. This will help you identify the substances causing allergy symptoms to you and also to know the measures to avoid them. (As you say you are allergic to dust, the dust usually contain above-mentioned particles within them).3. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.4. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution.5. A healthy diet and regular breathing exercise will help you in a long run by improving your immunity and lung capacity. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | I was prescribe a symbicort inhaler and zpack to treat a productive cough that is 10 days old which started with sore throat and sinus congestion. I was give cortisone shot and antibiotic injection. The coughing has stopped this evening. Should use I use inhaler and take zpack. I also take Toviaz 8 mg and macrobid for chronic bladder infection | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about you like your age, previous complaints, whether you have breathing difficulty/asthma in the past, whether you have repeated cough-colds, etc. etc. However, at present, from your provided details, I would suggest you as follows:1. Pack is Azithromycin (antibiotic). Antibiotics should be taken for the duration suggested by your doctor, they should not be discontinued by yourself. So I would suggest completing the course of Pack as prescribed by your doctor.2. Symbicort is usually prescribed for asthma or asthma-like conditions. To decide about further continuation of Symbicort inhaler, I would need to know your past history of respiratory symptoms. If you have asthma or repeated wheezing/breathing difficulty symptoms, it will help you to prevent repeated episodes. However, it is not indicated for sinusitis and sore throat only. It is useful for bronchial (respiratory tubes) symptoms. So if you don't have such symptoms repeatedly, I would suggest you to discontinue it after the duration suggested by your doctor is completed.3. Regular steam inhalation and warm saline gargles will help you to help recovery. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,There is dull knee pain while standing and walking for one month. What can be the cause of this? | Hello, Welcome to Chat Doctor forum. Knee pain is a common complaint that affects people of all ages. Knee pain may be the result of an injury or some other medical conditions including arthritis, patellar tendinitis, ACL (anterior cruciate ligament) injury, knee bursitis, torn meniscus, gout, and infection.Some easy remedies for your pain If the knee is swollen or sore, the following positions and activities should be avoided until knee pain and swelling resolve: For more information consult an orthopaedician and traumatologist online |
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ηζθΏ°εηι«εΈει‘γ | Hello, I was in a bad work accident in 2005. Since then I have had two C-5 C6 Fusions and a L-5 S-1 post, and anterior fusion. I was diagnosed with AVN of the femoral head in 2006. I am now almost unable to walk. And can not sleep. I had a CT scan done because I am unable to have MRI due to the fact I also have a spinal cord stimulator implant so unable to do MRI. The CT was read and it stated that there is no evidence of AVN but there is mild osteoarthritis in the left hip. I understand that if AVN is in fact not treated it can and will turn into Osteoarthritis. If in fact it is Mild why does it hurt so badly? What are my options? | Hello, Yes because bone cells need a steady blood supply, osteoporosis can ultimately lead to destruction of the hip joint and arthritis. So physiotherapy and lite exercises may useful. Use tablet cartilage twice a day for five days. If no improvement please consult with your orthopaedician he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi i am 20 years old and I have had stomach aches that feel like cramps in my lower abdomin for about 3 months now and recently its been gas and I have been peeing a lot. Im not sure whats wrong I took a pregnancy test and It said negative.. so whats wrong with me? | Hi, Thanks for your history - cramps in lower abdomen for 3 months, gases and frequency of urination. I would advise you:: Blood-complete blood picture, kidney functions tests, blood sugar fasting and post-lunch, Urine-routine, microscopy, culture and sensitivity (before start of antibiotic)Ultrasonography of abdomen. This will help to get a diagnosis whether this is intestinal infection of chronic sort like IBS, tuberculosis or Diverticulitis; and urinary tract infection or bladder stone or PID-pelvis inflammatory disease. Proper diagnosis will lead us to a proper treatment. IF required you may need a Contrast enhanced CT scan of the abdomen. |
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ηζθΏ°εηι«εΈει‘γ | Dr,im 22yr boy.170cm height and 62 kg weight.Before 6 moths i check my blood,and my liver enzymes secretion are 8 time more.After that they told me i in blood test hepatitis -c is reactive.i didt took any treatments.what i want to do?can it possible to cure completely?how long i want to take treatment?shall i can do marrage May be ill going to die or not?plz tell me frankly...replay me fast | Thank you for posting your query. HepC diagnosis. You need NOT worry. HepC can be cured completely now. There are Chat Doctor. You may advice a special diet (fat free), abstinence from alcohol and smoking. You may visit hepatologist and take your blood reports as soon as possible. If any further questions, feel free to ask. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good health. Regards, |
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ηζθΏ°εηι«εΈει‘γ | Hi, thanks for taking the time to read and reply. I have a rash on my glans , small red dots to be precise. My Frenulum goes through varying degrees of sensitivity depending on the interval between retractions of the foreskin , the longer the interval the greater the sensitivity. Also, there is a usually quite a build up of what I assume is smegma (a white substance that covers the glans, but it is easily removed. There is also some degree of itching, but it is managable. I had unprotected sex once about sex months ago, but this condition only started occuring about two, maybe three weeks ago. And I am gay. I am really quite concerned, are there over the counter treatments for whatever ails me? Or should I see my GP at the first opportunity? Thanks UberConcerned | I feel your red dots are not any infection as there has been a long time between the incident and the problem. The sensitivity and Sega are normal. You should keep the glans clean with daily washes it will help to decrease the sensitivity as well. However, I would suggest you get tested for HIV, Bag, anti HCV and V Chat Doctor. These tests will rule out most sexually transmitted diseases and all are simple blood tests. But, always and always indulge in protected sex - Double protection would be safer. Its not worth contracting a disease that will mar your life. Feel free to contact again. Take care. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor i m 35 years old and single.i have got a extreme acidity from many years.if i take famotodine or omeraprazol i feel relief or short time.i m losing hair as well losing size of my penis and its fatness.i m 83 by weight and 5.6 1/2 in height.i hope to be guided by u to have cure of my health | Dear serve understand your concerns went through your details. Acidity problems are usually due to sedentary lifestyle. Keep an eye on the food you take and avid stress and anxiety. Penile size never decreases unless you get too old or aged. This is just psychological feeling. Hair loss could be attributed to many other external things. Stop worrying, and your problems will be solved. I suggest you to go for anxiety treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I have a low fever, body aches and Pain in both sides of my lower ribs, and a cough. Just recently I had a urine test and there was bacteria found with some blood and my potassium was high. I took a round of cipro and i dont think it did anything. Should I go to the emergency room. My doctor is not in at the moment due to weather conditions. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have fever and body aches along with high potassium level in body which seems to be due to impaired kidney function, due to electrolyte imbalance, and it could be when you take potassium rich diet. Need not worry. Weakness in body along with cold clammy limb and slowing of heart beat is due to increased potassium level in body. You should visit general physician once and take resin therapy to lower down your potassium levels. You should take low potassium vegetables and fruits. Get your lab values monitored after every 15 days. Take proper rest and take Ibuprofen in case of fever. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | edema in hands and feet morning...shortness of breath not all the time..lots of cramping in calves. my left foot also has flat small red dots just at the end before my toes. Went to er lungs sound clear ekg normal but he had mentioned blood clot but he only said leg pain and I didnt even think about swelling as I was there because I felt like I wasnt breathing. Also lots of anxiety my sister killed herself dec19 so they chalked it up to anxiety. | 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. It could be possibly a panic attack. This is a disorder of anxiety and occurs cause of imbalance of certain neurotransmitters in the brain. Especially serotonin, nor a Chat Doctor. Medicines are the best options to take care of these symptoms. Paroxetine is the most popular medicine and my |
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ηζθΏ°εηι«εΈει‘γ | Hi, my sisters husband has been diagnosed with cancer just over a year ago and he has now refused chemo and radiation . His cancer is in his lungs in 7 spots and he has a 9cm on wrapped around his aeorta, he moans in pain every day and his doctor wont tell him how long he has or if hes going to die. He cant eat or sleep he also has a tumor by his shoulder blade. Could you please tell me if he has a chance of beating this. | Every human being has the right to live in peace and without suffering. Basic principle in palliative care is to make the patient feel comfortable and free of suffering and help him live comfortably as long as he survives. He can be made comfortable with good pain relief. Sometimes palliative radiotherapy or palliative chemotherapy would do great help. If he is totally against the idea of chemotherapy, good pain relieving measures alone would help him |
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ηζθΏ°εηι«εΈει‘γ | HelloI have a questionI took a physical for the job I going forThe ekg was bad sinus trycarcaI was drinking 4 cups of coofee about 2 days before the examThe doctor there took my heart rate pulse again it ddidint go downShe stated to go to my doctor qith a note stating that I have a high heart rate. So far I havent had any coffee since then | Your heart rate is usually a sign of something else. It goes up if you are worried, excited or scared. It may also change when you are sick. Rarely, the normal leader of the heart has lost control and the rate signals that. Coffee changes heart rate very little and for a very short time. If the doctor observed something abnormal, it's best to have your doctor follow up to see if looking further is worthwhile. |
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ηζθΏ°εηι«εΈει‘γ | I am a 30 yr old female and when I first wake up in the morning my heart rate is 84, but during the day it stays around 96bpm. I suffer from bad panic attacks and lately have been obsessing over my pulse. Today I got anxious after I ate and my pulse went to 120. Should I be worried or is it just anxiety causing the increase in my heart rate? After I calmed down it has went back down to 96bpm. I do not suffer from dizziness or shortness of breath. But, I do suffer from many panic attack symptoms while suffering an attack. Is there any advice on how to quit obsessing over my pulse? Should the 120bpm while having an attack alarm me and should I see a doctor over it? Thanks | Degree understand your concerns went through your details. I suggest you not to worry much. There are certain things you should know. Fear is fearing something which is present. Apprehension is imagination. Anxiety is creating the symptoms of fear with the help of apprehension, means anxiety is fear without the presence of the reason. Obsession is repeated unnecessary behavior. Now, in your case, pulse and heart rate is a bit high because of your apprehension and anxiety. Checking pulse is not a bad option, because you have the problem here. What you have to change is, the anxiety and apprehension. You should tell me what are the causes of your anxiety? For how many days it is present etc. For now start with Chat Doctor. Keeping yourself busy helps in overcoming thoughts. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means be busy and divert thoughts. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | My 16 month, 26 lbs toddler boy has been hitting/touching the back right side of his head. I found a pea sized lump in that area. Lately he is irritable, has loss of appetite, and will occasionally falls over as though losing his balance. What is happening? | Hi! Your son got two different problems that are confusing you, but both related to the accidental hitting! You mentioned, Lately he is irritable, has loss of appetite, and will occasionally fall over as though losing his balance.... This indicated injury to brain or the middle ear/temporal lobe possibly an urgent CT scan f the brain is required! And, the pea sized lump at the back of his head is just a small hematoma might be tipped of the iceberg phenomenon. Therefore, please see a surgeon immediately for management!regards, |
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ηζθΏ°εηι«εΈει‘γ | Years after having a really bad tear while giving birth, Ive notice a foul and embassing odor coming from a small hole near my anus. It smells when i bare down to urinate. It will start to smell right after I bathe. I have been on all kinds of antibiotics, Cipro. They work while on them but a few days later the smell returns. Went to the Dr. and he says the hole doesnt led to anything. So. why does it smell so bad? Help Please. | Hi, Thanks for posting in Chat Doctor. I understand your concern. What problems you could be facing is infection of fistula-in-ano, on and off and that is why you are experiencing this bad odor, which would subside with intake of antibiotics. You need to consult Surgeon in this regard and undergo fistulectomy operation for its permanent cure. Kindly do to overcome the same at the earliest. Hope the information provided would be helpful. All the best. |
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ηζθΏ°εηι«εΈει‘γ | my name is Norman i was employed as a car driver in Dubai until recently i was detected with cancer in the thoracic and lungs (adenocarcinoma) 4th stage, i have gone through 3 chemo therapies with medications on account of my insurance and now that my insurance has expired i need to pay - which will be difficult for me to do.. i will be residing at Bangalore from next month onwards and would like to carry on my treatment should be good and not expensive as i will not be in a position to afford the cost...kindly hilite me on the condition and cost....rgds Norman | Hi, dairy have gone through your question. I can understand your concern. You have adenocarcinoma of lung stage 4. It is very late stage. Surgery is not helpful. Treatment options are chemotherapy, radiotherapy and receptor specific treatment. Despite treatment prognosis remains poor. Life expectancy is not good. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | i am suffering from gastritis from the last 23 years i am now 42 yrs old my wt is only 48kgs whenever i take some spicy food my stomach burns, i cudnt take tea, oily food, red meat etc. whenever i took food i feel toilets... i always keep biscuits in my pockets, i visited 40-50 doctors of gastro entrologist/General physician but it didnt work properly i took homeopathy & Ayurvedic/Unani also but for the time being it is ok after that the problem again the same. i think am suffering from ulcer but sorry to say doctors never take seriosly i have done Endosecopy, Ultrasonography & Barium Meal xray 20 years back it shows Erosion in Lower Esophegus in Barium Meal Xray, but Doctor says nothing serious happen. 15 years back blood clots(Malina) came from my stool. i have done Endosecopy again in july 2011..Result shows.STOMACH : There are mild patchy hyperemia, edema & few small erosions in the proximal antrum and pyloric region. No gastric, polyp, ulcer, angiodysplasia or Dieulafoy,s lesion is seen. IMPRESSION ; MILD EROSIVE ANTRAL GASTRITIS ... rest is normal...Now from 1 week, i am having Sucral suspension & Rabonic Plus now i am feeling very comfort i think this is very very suitable medicine for me i m having less spicy food, tea and a little bit butter n milk.. there is no such problem increase... Sir i just wanted to ask whether this medicine is good for me or not. please let me know ? i would be very grateful to u, Sir... | 1. possible gastritis with HERD?2. Any intake of painkillers, alcohol,3. Rule out H. Pylori infection with your physician.4. Have your serum gastrin level / hemoglobin checked.5. The suspension which you are taking is Antacid with Anesthetic property: and because you are taking along with the Chat Doctor. 6. eat slowly, chew properly and avoid over eating7. Avoid foods which are rich in fats and oils.8. Do not consume sour foods because of the acidic contents. |
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ηζθΏ°εηι«εΈει‘γ | 49 yr old female, 135lbs, history of high bp was stable at 135/84... recent sudden severe headache w/ nausea found bp to be 200/110-- been on toprol 50 mg 3 days increased to 100mg 3days bp still averaging 185/110- shouldnt i see improvement in bp on these meds by now? | According to JACK blood pressure is categorized as-Normal b.p less than 120/80Prehypertensive state - 120-139/80-89Grade 1 (mild hypertension)-140-159/90-99Grade 2 (moderate hypertension)-160-179/100-109Grade 3(severe) - above 180/110You fall in category of severe hypertension medically its called hypertensive emergency, medicine will be administered to you intravenously, once BP is settled you will be shifted to oral medicine, to prevent end organ damage immediate intravenous (IV) parenteral therapy is required, consult ER. |
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ηζθΏ°εηι«εΈει‘γ | For the past 7 days I have been getting a low grade temp (99-100) every day. It starts around 5 PM and lasts until 11:00 pm. My face and eye lids get real hot, my body gets achy and I begin to run fever. The next day, all of these symptoms are gone. | Hi There After going through your query I understand your concern. I would like to tell you that low grade fever in the evening can be because of multiple reasons like, viral / bacterial infection, inflammatory conditions, malignant tumor or some medication side effect. Persistent fever more than 3 days needs a medical evaluation because it is cancer related too. Kindly consult with a Physician for diagnostic and physical evaluation. Hope to have been helpful. Kind Regards |
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