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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have an indent across my right upper thigh. My right leg has a dull ache pain now all the way up and down my leg that seems to be getting worse now I feel like I need to elevate it all the time and I find it difficult to put weight on it. I saw my doctor who said it was muscle wastage but to come back if it gets worse. Any ideas as to what it may be? Im a 23yr old otherwise healthy female | Thank you for the question. First off your doctor should have told why he said it was muscle wastage and what could have caused it. Since I do not exactly know where the indent is I have a few suggestions1) Hernia: This is a rare possibility but easy to rule out. Just strip below your waist and lie back with your head under a pillow so that u can see the dent. Put your hand on and around the dent and cough. If u feel a bulge it is probably a Hernia2) Neuromuscular disease: Conditions like multiple sclerosis and ALS present as patch muscular atrophy which can result in such an indent. It is why perhaps your doctor told you to come back if it worsens. A head MRI for MS is recommended3) Normal: If you regularly exercise or walk or even use your right leg more this could result in an indent due to loss of fat in that area. In this case you have nothing to worry about. However since you do have dull pain I suspect sciatica with lumbar spondylosis in which case an MRI is required |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I have been itching on my tip of the penis, which also becomes red due to itch. Is it safe to apply any antifungal cream on the tip of the penis? Please suggest some good antifungal cream. | Hi. I have read your query in detail and do understand your concern. This could be due to fungal infection or due to dermatitis. You may safely apply antifungal cream over this lesion. I suggest Sertaconazole cream, an antifungal cream, which can be applied over this infection. Consult your doctor, discuss with him or her and apply with consent. Revert back after one week to a dermatologist online - |
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ηζθΏ°εηι«εΈει‘γ | Hi I was run into by a riding scooter in the back of my calf a week ago. There is a hard lump near my calf as large or larger than a quarter. It is also warm to the touch. No cuts in the leg at all. Should I be concerned that I have a blood clot. I m in my 60 s. Thank you. | Hi ! Good afternoon. I am Chat Doctor answering your query. This has to be a hematoma (collection of blood) in the calf due to the injury. The warmth in the lesion after one week could be a sign of infection, although you did not mention of any pain. I would suggest you to get it clinically assessed by a general surgeon to get proper treatment to avoid any complication of a neglected abscess. Also, I would suggest you to get your blood sugar estimated along with clotting profile, specially if you are on any kind of anti clotting Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My mom had Low Iron, anemic, at an 8 I think. Doctor put her on iron pill, it worked. Iron is good now. She is off the iron pill. She has a high calcium level but its only at 11.5, it use to be a 10. She is now having problems with sciatica or degenetive discs in her back. The cat and MRI showed only that. my question could she have multiple myeloma? Seems to have all the symptoms. She has suffered from all these symptoms for a few years. It comes and goes? her legs and she keeps saying her feet give way...she has fallen alot. | Hi, High calcium in an elderly anemic lady with long-standing backache, definitely one has to rule out multiple myeloma. So she has to undergo several investigations like serum and urine electrophoresis, skeletal survey etc.you have to contact your doctor for the same. The sciatica may also be due to bone disease causing nerve compression. So treatment of bone disease may also improve her condition. Hope I have answered your quire! |
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ηζθΏ°εηι«εΈει‘γ | I have the condition hirsute penis while erect because Im circumcised. I shave it off regularily (about every 2 days), but its getting annoying and shaving causes some itching and sometimes red bumps. Is there any other safe way of removing the hair from the shaft? | Hi, If you have a hirsute penis and if you want to remove hair from shaft then rather than shaving I would recommend you to use wax this will not itch your skin either red bumps after. It is my advice that you need not shave every 2 days, you can shave it twice in a month. Repetitive and frequent shaving also causes itching and other problems. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | my wife is 7 months and she is suffering with stomach pain. Our doctor (DGO)suspected that pain may be due to stone in Kidney and confirmed the same after scan report. Right kidney has two meduim size stone with distended bladder. Doctor (DGO) suggested not to take treatment for Kidney stone. Please suggest | Hi, Thanks for the query. I understand your concern. - In pregnancy the kidney stones are preferred to be managed to be controlled/ prevented from forming new stones. By increasing excessive water intake. Some ayurvedic pills like cyst one help in preventing/ expelling stones automatically. Most of them pass out automatically. - It's important to keep trace of the stone with regular physical check up & X-ray as per need. _ continue with extra water intake. - Emergency due to impacted stone can be managed by ureteral stent/ ureteroscopy with laser lithography, Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I am 30 weeks pregnant, I was treated for asthma when I was a kid, but think I was really just experiences panic attacks. On the weekend I was driving and just all of a sudden I couldnt get any air, I was trying to breath in and out but it was like I was in an empty room with no oxygen. I have been having trouble breathing the whole pregnancy but the last few weeks I cant even say a sentence without having trouble breathing. What should I do? | Hi dear. I had gone through your query. I understand your concern. As you said that you have been treated, so it could be asthmatic attack. Panic attack and asthmatic attack both have similar kind of presentation. Need to do 1st pulmonary function test and x-ray of chest if needed. Anxiolytic medicine will help to control panic attacks. But 1st work up is necessary for asthma then we will think about panic attacks. Consult both pulmonary specialist and psychiatrist for better evaluation. Wish you a very good health. Happy to help you further. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I have been ill for 6 weeks and my GP suspected pneumonia and I was put on antibiotics. The third one has almost cleared the infection. However, I had an X-ray and it apparently showed nothing at all, although all my symptoms were in line with pneumonia and my GP had definitely heard a lot of crackles in the left lung. Is it possible that I had pneumonia if the Xray was clear? | Thanks for your question on Chat Doctor. I can understand your concern. For diagnosis of pneumonia, chest x-ray need to have infiltration. With normal chest x-ray, pneumonia is not possible. Cough, congestion, crackles on auscultation are also seen with bronchitis. And bronchitis shows normal chest x-ray too. So it is quite possible that you improve within antibiotic because antibiotics also work in bronchitis. So I don't think you are having pneumonia because your chest x-ray is normal. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I just switched from ativan to klonopin 3 weeks ago and am even more depressed than before. I tried effexor and liked it but, I have low bp and high heart rate when I stand POTS syndrome. The effexor makes my hr go up a lot more, 3rd day standing hr was 170. The Dr. Started me out at 150mgs. The only drug I have had luck with has been paxil at 30mgs. Are paxil and Klonopin a good mix? I also read that K decreases seratonin, is this true? If so, should paxil be able to pull me out of the terrible mood Im in, crying, fearful ect? Im hoping that the Paxil will kick in and I can start weaning the 1mg I am taking of K. My psych said the Ativan was giving me paridoxical effect after 8 months. I feel the K is doing that too so I want to get off at some point. Thank you!! Brooke | Hello and The combination of pail and Klonopin is fine but --it should give good results to you too!. It is not that every patient will have good results with a particular combination. In cases like yours - you have some results with pail 30 mg, so I think it will be good that you increase the dosage further to 45-50Β mg daily. If you adequate response then it's ok, but if there is no adequate response- then I have had very good results in such cases by adding quetiapine . Quetiapine not only controls anxiety/sadness but also give well deserved station. It reduces the need to take Klonopin to a large extent. So, please meet your psychiatrist and discuss these points. I hope the reply helps feel free to ask more queries |
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ηζθΏ°εηι«εΈει‘γ | Had severe abscess when out of townFound dentist who accepted emergenciesGave ne prescriptions for clinamycin and hydrocodone/acetaminophenTold not wise to start rc when traveling on SundayExcruciating pain from Thurs. a.m. through MondayWent to CWRU Dental Clinic Mon. a.m.Incised and drained by endo. to makean appt. with the dentist who would in turn get an appt. for rcI protested...still on agony...finally agrref to do rcNow Wed. and face and lips still numb, painful jaw bone, and hard lump o chinThey are putting me off...mesnwhile I feel worse and have only one more day of antibioticsNot thinking straight.. What to do? | Hi. Thanks for the query. If you have been to Endodontist then it is a bit surprising that he incised and Chat Doctor. Although Endodontist is a specialist in Root canal treatment. So my suggestion to you is to better refer another Endodontist only and get the Root canal treatment done. For now if pain is severe then you can take antibiotics like Amoxiclav along with stronger painkillers like Tramadol or Motorola. Do cool compresses over the hard lump under Chen that is a swollen lymph node secondary to tooth infection. Hope you get well soon. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Afternoon. I have just had my 3rd pass over the course of 1.5 years, going back in time, the first episode was on a early morning flight, I may have logged 5 hours max. sleep prior to the 5 hour flight. The 2nd episode came upon me on a late Sunday afternoon prior to my weekly hockey. The third and most significate was this past Friday around 930 am. to which I lost complete consciousness, fell and crack the back of my head requiring several stiches. In all cases, it is initiated with a loss of hearing, sweat like systems and a loss of balance. I am and work in a family owned and operated business to which we have 137 staff, I don t know if its stress related, hearing related, food allergies... please advise your thought by return emal | Hello, Further evaluation is necessary to find the cause of your symptoms. Conditions to consider include sudden changes in blood pressure, cardiac arrhythmia, seizures, etc. Getting evaluated by your primary care Doctor, wearing a Holder monitor for 24-48 hours, and an EEG are necessary to get a correct understanding. If these conditions will be excluded after such examinations, then we can say it is stress related. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have had two open heart surgeries, since the first one, when I lay down I hear my heart beat so loud in my ear that I can go to sleep without taking something. will this eventually quit and why is it doing it? this has been going on for 18 months. | Hello, In most probability you had any of your heart valve replaced with a metallic one. What you are hearing is the click of that valve. Generally a patient gets used to such sound. You just need to know that's it's a normal phenomenon and there is nothing wrong with your heart or you. If its very disturbing you may try a small dose of tranquilizer only after consulting your doctor. Hoping I could help. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi. I had an injury to my right shin over 15 years ago. I hit a fire hydrant as I was riding my bike which caused my chin to get caught in between the two. My chin was facing outwards and the fire hydrant smashed my shin which caused in to push my skin in, as a result I had a slight indentation and severe swollen. Over the years I was told I had nerve damage due to the accident, and I always had a very slight indentation. A few days ago I noticed my shin was very sore. It has been sore for a while but it went away and never thought twice about it. Just recently I go to rub it because it was sore, and I realized I have a massive indentation in my leg. It is very noticeable especially when you feel it. I am confused because it was many years ago and now it is taking affect. Thank you | Hi you had a minor accident injuring your right shin about 15 yrs ago, and you feel indentation on your shin which is increasing now. At that time you were told that you have nerve damage. In my clinic practice, for this kind of unilateral swelling with previous history of injury, I will investigate on the lines of Deep Vein Thrombosis, by getting a color Doppler as a first step. Also, I would give you compression stockings, anti-inflammatory painkillers and limb elevation for a few days. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am a 21 year old female. I have donated blood twice (in December and March respectively) and my hemoglobin level was 12.1 g/dL. Yesterday, I had gone to donate blood. But, I was not able to do so because of my low hemoglobin level (9.5 g/dL). I am just wondering if the drop in my hemoglobin level is because of my periods? | Hi, Welcome to Chat Doctor forum. Hemoglobin (Hb) level does not ChatDoctor. It could be a result of frequent blood donation. Maybe your body did not get enough time to regenerate the lost blood. So, give some time for your body to regenerate the lost blood. Take Iron supplements and VItamin B complex for six months. Repeat Hb check after six months. Once your Hb level is back to normal, you can donate blood again. Before you donate blood the next time, check your Hb level and consult a gynaecologist online |
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ηζθΏ°εηι«εΈει‘γ | my partner has a crtd fitted due to dilate cardiomyopathy causing left ventricular non compaction. hes had the device for almost 4 months but over the last week or so hes been getting a dull ache in his chest which at times has caused considerable discomfort. any ideas what might be causing this? | Dear MadamThanks for your query. The dull ache, if transient, like a shock, can occur in such patients as a result of shock given by CRT-D device. These shocks may be appropriate or in appropriate which will be decided by pacemaker evaluation. If the dull ache is persistent but is precipitated by exertion, this could be anginal pain which may occur in late stages of DCMP. Persistent dull ache unrelated to exertion can occur due to very severe heart disease or can be non-cardiac. An evaluation by your cardiologist is required and will be helpful. SincerelySukhvinder |
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ηζθΏ°εηι«εΈει‘γ | I feel misrable, tired, and sad all the time. I feel that my life s not worth living most of the time. I feel like I have to put off seeing my friends as I don t want to leave the house. I have often thought it be best if I was not in the world anymore. I feel like I have let my family down as well. I have been told I am depressed but will just counselling help me? | Hello and welcome to Chat Doctor. Thanks for your query. You seem to be going through a depression and all your symptoms and such feelings are indicative of this. There are indeed effective treatment options available - both in the form of medication and counselling / psychotherapy, which will help you overcome your problem. If your depression is severe, then, in addition to counselling, you may need anti-depressant medication to hasten your recovery. Please consult a psychiatrist urgently for further evaluation and treatment. Also, please keep talking to someone close about your feelings, as it will help you to offload some burden and make you feel more supported. Wish you all the best. - |
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ηζθΏ°εηι«εΈει‘γ | hi, one year back i got anti HCV aliza test with cut off value 1.00 and patient value 104,now recently i tested my self from another laboratory with result cut off value 0.2 and patient value 0.6 .Question, 1. what is cutt off value & why cutt off value is different ,( i mean from one laboratory 1.00 and from another 0.2) Question .2. anti HCV aliza is treatable or not, i mean will anti HCV become negative if any one wants to apply abroad, | Hi, thanks for using Chat Doctor The presence of anti HCV means that a person was previously infected with the CHV virus. It is the bodies response to the virus, when a person becomes infected with a virus the body makes antibodies to help fight the infection. Some of these antibodies remain and indicate a previous infection, they do not mean that you are still infected with the virus (have an acute infection). There are slight differences between any labs because of varying machines, techniques and control methods. In addition, they may also be using different units of measurement. For example in some places blood glucose is measured in mg/DL and in others it is measured in MML/l. This means that a normal reading can be less than 110 mg/DL in one set of units and less than 6.1 MML/l in the other set of units. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Hi! I am Rakib, 41 years old, 05 feet 05 inches height and 69 kg weight have been suffering from recurrent episode of both oral and genital herpes simplex for the last two years. My pathological report is HSV IgG (Type 1 & 2 ) positive. I am taking Acyclovir-400mg twice a day. My query : is it perfect medication for me. How long I need to continue for getting permanent remedy. Is there any permanent remedy in alopathy. | HI, thanks for using Chat Doctor Unfortunately the herpes infection cannot be cured at this time. Once a person has been infected with herpes 1 and/or 2, then recurrent infections can occur because these viruses live in the system. If your immune system is suppressed (not working well) for some reasons then the infections would occur more commonly e.g. if you have diabetes, on steroids or other meds that affect the immune system, You can check to see if there are any reasons that may be affecting your immunity and causing the frequent infections. Using the antiviral medication e.g. acyclovir would help to reduce the attacks. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Daughter is age 13 having gas bubble type pain under both sides just under her ribs. She said when she bends over the left side pain moves down in bottom of her tummy. Gave her gas relief pills. Shes sleeping now. Should I worry or is this probably gas? | Hello! Thank you for asking on Chat Doctor! I understand your concern and would explain that her symptoms seem to be related to dyspepsia (troubles with indigestion) and the accumulation of gas in her intestine, leading to a distension of the diaphragm and pain in this region. A gastric disorder (gastritis or gastroesophageal reflux) can't be excluded. The fact that her symptoms are modulated by the body movement is another argument in favor of these disorders, including possible musculoskeletal pain. If her symptoms persist, I recommend consulting with the GP for a careful physical examination, a chest x-ray, an abdominal ultrasound and some lab tests (complete blood count, kidney and liver function tests, fasting glucose, blood electrolytes) to rule out any other disorders related to this symptomatology. A fibrogastroscopy may be necessary to exclude possible gastroesophageal reflux. Hope to have been of help! Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi.. I am writting from bangladesh. I require medical assistance for breast cancer of one of my relative. Can u please tell me the procedure how to treat in your hospital as the patient will be coming from bangladesh..thanks...regards..billah | Thanks for your question on Chat Doctor. I can understand your concern. Breast cancer if detected early, can have excellent prognosis with near normal life. So first thing to be done is staging of breast cancer in your patient. If patient is having stage 1-2 disease than surgical resection of tumor with unblock resection of axillary lymph nodes are needed. If patient is having stage 3-4 disease than chemotherapy, radiotherapy, hormonal therapy and debunking surgery are the option. So in India, I advise you to consult Tata memorial cancer hospital, Bombay for management of breast cancer. Hope I have solved your query. I will be happy to help you further. Wishing good health to your relative. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | My medical history over the past few months has been kind of rocky, but the main thing I am concerned about is a finding on an MRI done on my brain. The results say a pineal cyst measuring 4.4x10.5 mm was found with no other abnormalities. My appointment with the neurologist is not until the third. I believe it to be symptomatic. Can you share any knowledge with me about what symptoms these can cause and if it could relate to my dizziness and heavy feeling throughout my legs? Thanks. | Hi, Thanks for writing in. The MRI brain scan shows a pineal cyst of size 4.4 x 10.5 mm and is small to cause any symptoms. I assure you that a pineal cyst of that size is unlikely to be causing your symptoms. You can have a detailed discussion on that with your neurologist during appointment. In medical literature, there have been less than 50 patients with symptomatic pineal cysts till date. Most of these patients had history of headaches and symptoms concerning vision. Symptoms usually occur when the cyst causes obstruction to the flow of brain fluid causing HY Chat Doctor. Unless your MRI scan shows features of HY |
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ηζθΏ°εηι«εΈει‘γ | my 80 yr old mother caught a crick in her neck this morning. she is diabetic, has high bp, and was given a 600 mg ibuprofen for the pain/discomfort in her neck. an hr in she started feeling loopy. 2 hrs later upon arriving home from an out of town trip, safer to be in ur own state if we had to take to the hospital, we checked her bP and bs. bp was over 200/109. we started out for the urgent care unit and she seemed to begin feeling some better. we decided to bring her back home and monitor her, hydrate her and have her rest. recent checks of bp still shows elevation. the latest, 191/90 pulse 93. should we take her to the urgent care unit... | Here I suggest for blood pressure you talk to your doctor and take some extra medication for lowering it. Ideal is 120-130/70-80. As per her age and recent fall. If she is able to maintain it after taking some rest and next dose of medication for BP then its key. No need to take her to urgent care. Now for her neck pain I suggest giving her hot pack frequently for 15 minute each time with light heat. And post use of hot pack apply some pain relieving ointment. If this together give her relief then it's fine. If not then you need to visit an orthopedic or physiotherapist take x-ray and see there is nothing wrong. Here the doctor will guide you further for medication for pain and inflammation and will also suggest for physiotherapy treatment. Physiotherapy treatment will help to give relaxing and healing effect in soft tissue and will help further for pain relief. At any time if she complains of headache and not having control on hand or leg with high blood pressure then I suggest shifting her for emergency care unit at hospital. Till then nothing to worry take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi I was having mild intermittent stomach pain and consulted a local doctor.He suspected gastroenteritis and recommended medicines like Spasmonrindon and Baycip TZ.During follow up, I told him about problems I am experiencing due to gas. And he gave me Pentom 40 (Pantaprazole) and Baycip tabs. After taking first dose of these meds, I am experiencing stomach pain.Could you please tell me what could be the reason and should i stop using these medicines? | Hi. Thanks for your query. Intermittent mild stomach pains was suspected by your Doctor as Gastroenteritis and you took Spasmonrindon and BSCIP TZ, Pen tom 40 started later, Shifted to Plain BSCIP. Since you need antibiotics, you need to be changed to another antibiotic like Definite which is stomach-friendly, as you have got pain in abdomen which can be due to not responding to BSCIP or due to gastritis. Continue rest of the medicines. It may take a few more days to get settled. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my daughter is 4 years of age and has been treated for scalp ringworm5-6 times. No one else in the family has gotten a ringworm and I dont think she has gotten it from anyone at school because she has since changed schools and yet they persist. I am a nurse, so I make sure she takes her full regimen of griseofulvin as prescribed, but yet the ringworm returns. This last time she went approximately 1.5 years without the ringworm because the doctor suggested taking the med twice a day to keep the levels in her system steady and give with whole milk, since we drink soy in the family. And this worked, and i thought it was gone forever, until this week when I noticed a new lesion in her scalp. Can she possibly have a genetic predisposition. Why does she keep getting this scalp ringworm? Im starting to wonder if she has a problem with her immune system. | Hi repeated scalp ringworm infection could be due to any of the underlying disease mentioned here.a. Type 1 diabetes decreased immunity doe to continuous intake of steroids/ any other immunocompromised state-HIV, cancers etc or it could be due to some pet animal in the house which is infecting her repeatedly. Try keeping her scalp Chat Doctor. Try leaving her hair and not tying a pony/ plat, to avoid any sweat accumulation in scalp. Use anti Dan |
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ηζθΏ°εηι«εΈει‘γ | My daughter was told by a psychiatrist at her college she probably had aspergers (she was a senior in college. This was over a year ago. As a teacher, I never saw indications of this growing up. Can this appear later in a child s life ie. in early twenties? She is convinced she has this, and explains her behaviors as a result... I am trying to be sensitive, but I don t agree. She is currently seeing a psychologist and they have talked about this. She also contacted a psychologist with this specialty and he doesn t take our insurance but is creating a group for her to attend. What can you recommend? | Hi, Welcome to Chat Doctor forum. The first thing is she should not be informed about directly to her. There is a possibility of creating by her own, the symptoms. If her self or the parents face any problem then only it is to be considered for treatment. If you want to be clarified consult a physician to exclude the Asperger syn Chat Doctor. Try to divert her by yoga, meditation. Encourage her to live as she was living, and tell her that there is no variation in her behavior. Give her more of green leafy vegetables, pulses, sprouts, and protein rich foods. Wishing for a quick and complete recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I am 53 old. I am taking Eptoin medicine from the age of 12 . Presetly taking 3 tables a day in night. In between 15 to 27 there was no attack and was also not using medicine. whevn I was 28 i again suffered with attack and was advised to take medicine. after taking medicine for fivee years I stopped medicine as per advice of doctor but sonn there afterr I got attack. This inhappe-three times. Therafter I was advised to take 3 tables per day throghout life. rry now since last 2 years I am feeling memory loss . my querry is Is there any medical test to know the present situation of mind. As advised by doctors am I suppose to take medicine throughout life Is there any substitute of Eptoin Do any medicine may help in memory gain. I A | Hello, The tests to know the current level of your mind (memory etc.) are available with the doctors (neurologists & psychiatrists). You can visit one of them, and they can assess you for those functions of brain. It is difficult to say whether the memory problems are due to Option or due to routine aging in your case. Memory problems are generally not seen with Option. There are many medications available as substitute for it and your neurologist can advise if there is a need to change it. There are also medications available for memory problems. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hello doc. I drank Nordette as ECP only 1 tab after 3 hours of unprotected sex and drank 1 tab each day. I forgot to drank 4 tabs after 12 hours of the first dose. Will it still be effective? I finished my nordette now but still I haven t got a withdrawal bleeding . I stopped drniking Nordette. Will my menstrual period come? Thanks. This is my first time using ECP. | Hello, If you happened to be taking the pill on a daily basis without any failure, there was actually no need of additional protection since you had a protected cycle. This additional dosage may lead to hormone disturbance and hence can delay your next period. Yet, since you had only one additional pill there may not be much delay in the onset of menstruation and hence, you should take the help of a specialist if you become overdue by a week. Further management can be planned after a pregnancy test and a sonogram. Hope this helps. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I dont exactly know how to explain what has been happening to me but I will try my best. For the past week I have been having what I call flashbacks of things that have never happened. When this happens I feel very dizzy, very emotional, sudenly feel sick and get very hot. I also feel very out of sorts for a while after. I am n ot depressed, stressed or take drugs or alcohol. What could this be? My boyfriend things I could be pregnant. | Hello, This looks more like neurological than psychiatric complaint to me. More so when you have no persisting symptom of depression or anxiety or any substance abuse. The symptoms are fluctuating without precipitating events. This is like a different epileptic presentation. I would suggest that you see a neurologist or get an EEG and MRI brain to rule out organicism. Also get a through neurological examination. If all this comes within normal limit and symptoms still persist then we may look into other factors. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I m 17 years old and was born with a serve heart defect. Called right atrial isomerism. I also have heterotaxy syndrome , all organ are midline. I m wondering if it s possible for me to have a baby. In the future of course. But I want to know, it s something I really want. Thank you, Colleen | Thanks for your question on Chat Doctor. I can understand your concern. You are having structural abnormality of heart. It is not necessary to have functional defect of heart along with structural defect. If your heart functions are normal despite having right atrial isomerism, no need to worry about future pregnancy. So better to get done 2d echo and measure if ejection fraction (EF). If EF is more than 55%,no harm for you in getting pregnant in the future. So don't worry, get done 2d echo. Remove fear from your mind about pregnancy. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I recently probed behind my left last molar with my tongue and discovered it was an unusual feeling but I disregarded it as bits of food. This was until I brushed my teeth and it was not coming out so I attempted to pinch it out with ny hands which caused bleeding but then I eventually got out a part of it but there is still a bit left between the molar and the gum nd it keeps bleeding now. If this isn t a bit of food what could it be? | Hello, first it's very difficult to assess from your description as your last molar can be second molar or third/wisdom too. And the bleeding from gums is due to food lodgment and subsequent infection of region. It is a typical peritonitis case if your third molar is in eruption stage. Ur age is b/w18-25. Then food lodgment is commonest in region. Use a good interdental aid to clean the area along with frequent gargle with mouthwashes and gum massage. Get radiograph done of the region to assess bone pattern in the region or any erupting tooth.if all is fine in radiograph, get professional cleaning and try to maintain proper oral hygiene with regular follow-up visits. |
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ηζθΏ°εηι«εΈει‘γ | i am taking prednisone 20 mg three times a day on decreasing scale.cefdinir 300 mg two times a day, atenonl 25 mg and proair hfa 90 mcg inhaler when needed. I just started all this yesterday for severe bronchitis, a sinus infection and severe ear infections. today, I took the inhaler and ten minutes later I became flush, my pulse went from a normal 79 to 96. and my hands began to shake slightly. I do have cardiac arethmeia and I wanted to know if I should stop taking or using the inhaler or is this caused from something else. | Thanks for your question on Chat Doctor. I can understand your situation and problem. The most common cause for worsening of bronchitis is infection. And treatment of bronchospasm is inhaled bronchodilators and inhaled corticosteroid. You are taking correct treatment including antibiotics and inhaler. So continue same treatment and wait for at least 6-8 days. You should also start deep breathing exercise and chest physiotherapy to improve lung function and decrease symptoms. So don't stop this treatment, wait for few more days and start chest physiotherapy and deep breathing exercises. You will definitely improve. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor... my ? is My bfriend is bipolar he accepted treatment a couple of months ago after the 3rd time at the hospital 20 years relationship together... I dont understand 8 years ago he left me and the kids kept in touch with me everyday 1 st thing we were back together.. build a new house everything was great BANG he decided it was over so I moved to the other house he told me terrible things and he was sorry after.. we got back together again so I moved back home. 3 months after the atmosphere was killing me, so i decided to moved again after a couples of months with no contact first thing he was at my door again. we talked he loves me etc... Its been 3 years that i moved back here... two weeks ago he told me he has no feeling for me.. Is it a mind game or the illness.. Please be honest with me I really need help Thank you so much... | Degree understand your concerns went through your description. I suggest you not to worry too much. Your boyfriends case could be of genuine bipolar disorder. Bipolar disorder gets its name because the victim shows two opposite behaviors or behaviors which sets itself poles apart. The way of thinking mentioned here is typical of bipolar disorder. Only fact confusing here are the intervals. The timing is not apt. The behavioral conflict should have been happening almost every one or two months. That could mean that he is normal in between. Means some expert treatment could cure him off this. I suggest you take your boyfriend to an expert psychiatrist. Hope this clears your doubts. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | My 9 month old has skin lesions around his mouth, on his hands, and in his diaper area. A culture of the fluid from a lesion showed it is Serratia liquefaciens. 4 other young children at his daycare have the same symptoms. How is it treated and how can another outbreak be prevented? | Hi... I sympathize with the kid and understand your concern. As a matter of fact even my kid had this when young. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6-12 months. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
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ηζθΏ°εηι«εΈει‘γ | My 14 year old daughter has pelvic/abdominal pain for over a week . She weighs 115 lbs. She was in the ER last Wed and ruled out appendicitis. Liver enzymes were normal. I think she needs an US done. No vomiting or fever. pain on both sides, stabbing pain. intermittently.thanks | Hello! Thank you for the query. Abdominal pain is very nonspecific symptom. It may be present with all possible abdominal issues. Fever usually indicates an inflammation, however lack of it does not rule an inflammation. Lower abdominal pain on both sides can be caused by urinary tract infection as in such location bladder is present. If so, your daughter may have frequent urinating, burning while urinating, back pain. Other possible reasons of her pain are ovarian issues (like a cyst or inflammation), uterine issues. I suggest you to have some more tests. Urinalysis, abdominal ultrasound and gynecologist consult should be done. Hope this will help. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi Im a 56 year old female who was injured in a serious automobile accident on 4/2/2004. When my truck rolled thr airbag deployed in my chest, and seatbelt cut me across my chest. 7 years later i have a damaged Lymph node system. I have 2 lumps with abnormal cells present after a needle biopsy. I have had lymph node infections since this accident. Are abnormal cells cancer cells, do they have the potential to become cancer. Thank you. | It is not necessary that after a trauma the lymph node cells convert into cancer cells.However repeated infections are common after any trauma or surgery a final diagnosis on to what kind of cells are there in your lamp. Node I would advise you to take an appointment and get a fine needle biopsy of the affected lymph node. That will clear everything and your future treatment can be planned accordingly |
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ηζθΏ°εηι«εΈει‘γ | I have recently had a chest xray following being rather breathless over the last few months. I have now been asked to go for a ct scan as the xray showed a shadow that the gp wants to look at further. I am going out of mind with worry - assuming the worst! Does this necessarily indicate anything serious, or could there be a harmless reason for this shadow? Many thanks. | Thanks for your question on Chat Doctor. I can understand your concern. Honestly speaking, possibility of some serious lung disease is more in your case. Your symptoms (breathlessness) has worsened. So shadow on chest x-ray can be due to pneumonia or lung cancer. So CT scan is needed to confirm the diagnosis. If you are smoker, possibility of lung cancer is more likely. Better to consult pulmonologist for this. 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 | Hiya.. I am a 19 years old female, i weigh about 11stone.. I have a history of TB (4yrs ago) and anxiety (current). I am currently sitting my A-level exams biology, chemistry, maths, psychology and need As as I am applying for medicine, plus the fact that I live alone so i am under a lot of stress. Also my diet has never been great, yesterday I ate a can of marrowfat peas and sweetcorn and today my stools have been mushy and dark green. Since then I have started getting a stomachache, headache and feeling very tired (although this could just be me getting paranoid because of the green stools). Thank you :) | Stress during exams is normal. But people who have difficulty handling stress should not be staying alone. They should have people around them. Do you believe in group studies? Group studies help those who cannot handle stress during exams. If you don't like group studies, you should have someone around you with positivity for e.g. your mother could stay with you during exams. One very important thing is to take care of your diet during exams. |
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ηζθΏ°εηι«εΈει‘γ | Im on my way to dinner with the family but..... I am quite sure I have a bladder infection. I was given a prescription for Nitrofurantoin Macrocrys in March which worked great but now I am having problems again. Are you able to give me a prescription or do I need to go to urgent care? | Hi, I understand your concern. There are some symptoms of bladder infection like pain or burning sensation during urination. If you have any of them, then get a home testing for UTI. If infection is confirmed, should consult with your caring doctor for appropriate treatment. If the symptoms are unbearable, then should go to ER for immediate evaluation and treatment. Treatment consists of antibiotics for which you need prescription. Unfortunately we cannot provide to you as per terms and conditions of our portal. Meanwhile, you should increase water intake and cranberry supplement. Wish fast recovery. |
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ηζθΏ°εηι«εΈει‘γ | My 75 year old friend with a history of a non malignant brain tumor that was removed 10 or 12 years ago, now is experiencing severe depression. In last few weeks, he can no longer walk without a walker and a nurse holding him. His medical staff say it is due to depression. Is that a symptom of depression? Or should a recurrence of his brain tumor be pursued? Bette Forberg. YYYY@YYYY | Degree understand your concerns went through your details. Your friend is already 75. There is a sort of depression whicChatDoctores when people get old. The depression which affects physical mobility and mood. Such symptoms can be called psycho-somatic symptoms. This depression could be psycho-somatic. I do suggest you to consult your neurologist for evaluation. 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 detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have something called neroensomiliacia- I don t know if the spelling is correct, but I have a piece of my brain gone. I don t know how else to say it. My questions are 1) the space that is where my brain is suppose to be, what is there now, it is an empty space or fluid there. 2) Besides a weakened side what other things could be affected by this. | Hello, Welcome to Chat Doctor. I understand your concern. The condition you are describing, is called euro encephalomalacia, which is a condition characterized by localized softening of brain tissues due to inflammation or hemorrhage. The softening may occur in a specific part of the brain or may be more widespread. The treatment for this disease mainly consists of detecting the underlying cause behind the change in brain consistency and dealing with it properly. In extremely severe cases, damaged brain substance may be removed by surgery. However, the brain consistency undergoes a considerable change due to the removal of the softened brain material.-Regarding your questions, the space that was previously occupied by brain mass, now it is filled with cerebrospinal fluid. Cerebrospinal fluid(CSF) is normally produced by your brain, and has three main functions: protects brain and spinal cord from trauma. CSF supplies nutrients to nervous system tissue and removes waste products from cerebral metabolism-As with any surgical procedure, complications may occur. Brain surgery risk is tied to the specific location in the brain that the operation will affect. For example, if the area of the brain that controls speech is operated on, then speech may be affected. I mean the side effects depend on the part of the brain which is resected. Hope I answered to your question. Take care, |
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ηζθΏ°εηι«εΈει‘γ | Hi my name is Brenda nice talking with you, My question is, my son-in-law was injured 2 years ago when a tree fell on him he suffered a broken neck as well as other trama injuries. I want to know what is happening to him, he sweats so bad his clothing, bedding has to be changed all thru the night and day, he starts shaking all over, his arms and hands get very cold and turns to a dark purple color. he is now starting to have bad headaches, nasuea and throwing up, we have tried all the excerise that we can do but his health is getting worse, don t know what to do | Hi, I am Chat Doctor. I have read your question with care and understand your concerns. Let me try to help you Question : What causes body tremors, profuse sweating and cold extremities? Answer : From what you have described, I would suspect Post Traumatic Autonomic Dysfunction. I would request you to consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. |
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ηζθΏ°εηι«εΈει‘γ | A friend was out dining and apparently choke on food. He was oxygen deprived for over 10 mins. In the hospital now kidneys and liver shut down and he has not regained consciousness since yesterday. He is regaining some kidney and liver function but still essentially in a coma.With the amount of time he was deprived of oxygen, over 10 minutes, are the chances high that he will have some degree of brain damage. | I read your question and I understand your concern. While it's not possible to give exact percentages, the possibility of sustaining permanent brain damage after 10 mins without oxygen is pretty high. However, every case is individual and conclusions shouldn't be Chat Doctor. Exams like MRI can help, but there are cases when there is damage even without focal lesions on MRI due to necrosis of only some neuronal layers which is not visible on normal MRI. EEG also would give some data on electrical brain activity. I hope things work out for the best. |
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ηζθΏ°εηι«εΈει‘γ | After about four months of the birth of my daugher ( ceasirian section) , I now develop allergies in the shape of rashes called (chappaki) in local language. It is sometimes accompanied byface swelling. Vanishes in few hours.. Reasons not known. No previous history.Pathological tests are normal. | Hello, It is my pleasure to help you, Rash can occur in any individual, similarly it can in a woman following C Section. Allergy to any of the dust, food or mite can lead to rashes. If there is any itching and rashes i and around the incision site, it may be due to the process of healing. If rashes are occurring all over the body it may be due to other factors. It may be a generalized eczema. Further evaluation to be done to know the exact cause of the allergy and rashes. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | doctor i;m marride woman after marrige 2 years ago i was pregnant but i took madicine after i want to pregnant im trying but still im not pregnant i did my all test my test was good but my doctor said yr egg is not good working and before 3 month she gave me madicine now i finish my madicine and again my period start than my doctor said yr egg is not fertilized she gave me injection but again my period start today now i dont know what i do i;m vry worry can u help me pzzzz | Hi and welcome to Chat Doctor! Thanks for posting your query here. So many conditions affect the fertilization of egg. How about the egg or ovum release? In general, it is released from the ovary and is transferred to the uterus. If the egg is not fertilized it results in menstruation. To fertilize the egg a motile and viable sperm is necessary. Female factors like cervical mucus condition, any vaginal infections, vaginal pH will affect the sperm viability within the uterus. Male factors like hypomanias, ejaculated semen volume, sperm count, motile or immobile sperms, the pH of the seminal fluid will determine the fertilizing capacity of the sperm. Timing of intercourse-maximum chances of fertilization in the fertile period and the entry of sperms into the uterine cavity will also determine the fertilization of egg. Please check the conditions what I mentioned above, and definitely you will get a clue for the diagnosis. Hope this is helpful to you. Regards |
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ηζθΏ°εηι«εΈει‘γ | I have been suffering from nerve pains mainly in my feet and pelvic area. I have been to neurologist . He prescribed me Duzela (Cymbalta) 20 mg daily which gave me relief . I was on this medication for 6 months and felt better. Now since I was feeling better doctor advised me to reduce the dose to 20 mg on alternate days. But doing this my pains have come back again. I want to know if I should start taking the medication again. and if so then How long should I take it? and will Long term uses of this medication give any damaging impacts on my internal organs like Kidney, Liver , Heart? | Hi, Welcome to Chat Doctor forum. Cymbal ta is not a treatment, and is not good for long term use. You can use it till the diagnosis is established. It may be the fibromyalgia, deficiency of vitamin, calcium,or electrolytes. I advise you to consult an orthopedic surgeon for diagnosis and treatment. I usually prescribe to my patient with such symptoms neurotrophic injections for 10 consecutive days, and then periodically, calcium supplements, and painkillers. Avoid taking potato, other tubers, tomato,egg, chicken, and and seafoods. Wishing for a quick and complete recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | my husbands lft test is done yesterday for the third time. first lft was done on march 26th,, that time bilirubin was 1.3 and sgpt 74, sgot 39 . after that doc gave him some meds and asked him to lft again after 1 week . after 1 week billirubin was 0.6 and sgpt 77 sgot 45. then doc suggested to do the tests after 40 days.. now ahain day b4 yesterday v had the lft test and now sgot 80 sgpt 142 alkaline phosphtase 362 and ggt 67. is it alarmimg ?? what to do?? m really scared... | Hi thanks for contacting Chat Doctor .... Here liver enzymes value are high. These enzymes present in hepatocytes and in bile calculi.... So affection of them can lead release of enzymes in blood and so value high.... So cause has to be searched for....USG abdomen can be done.... It will help in find out fatty liver, gall stone or cholestatsis like condition. If history of eaten outside food then hepatitis A rule out by viral marker study for that by ELISA .... If history of unsafe sex or blood transfusion or operation hepatitis b and c ruled out by ELISA..... If positive cardiac history or muscular problem then also enzymes can elevate. If cause undiagnosed then liver biopsy can be done to rule out cause. With keeping this in mind consult gastroenterologist. Take care.... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello Doctor , I am having severe pain in my lower stomatch. Intially the doctors suggested that it could be due to acidity. However when the pain got severe, i was asked to take a scan. The scan report suggest that, i have Left Mild Hydroureteronephrosis. I am not sure of the technical word. Is this something to worry. Is it related to kidney stone. If yes, can the same be cured by tablets itself. How long woutd it take for me get back to normal. Guess i am asking too many questions, reason being i am worried. | Hi I read your prob such type of disease occur due to obstruction in urinary flow due to stone or some other pathology. First you rule out what is the cause that is after stone or some other pathology. Treatment of it is removal of that obstruction, this is demand on where obstruction present. If this is present lower urinary tract type of operation is introducing start, or chatter. In case of upper part nephropathy. Ok this is treatable condition in acute stage, nothing to worry meet your neurosurgeon Chat Doctor. Com |
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ηζθΏ°εηι«εΈει‘γ | Hi, I came off Yasmin a few months ago, it was great for my skin but seemed to be giving me a dark patch around my mouth (cholasma), which I have since been to a dermatologist to get lasered off. My GP has now put me on Cerazette , but I m really worried about what it will do to my skin- in the time I have been off the Yasmin I do seem to be getting the odd breakout of cystic acne on my chin , usually hard lumps under the skin which really hurt, the rest of my skin is fine though. What would you advise? I know everyone reacts differently, but if its a toss up between a dark mark on my upper lip or big lumps under my skin im not sure which is worse! Would really appreciate your help. | Hi, Melasma and acne both are distressing because of their occurrence over face. Had I been suffering from these diseases, I would have gone for the treatment of acne first, because Alaska is a notorious disease which frequently relapses and takes long time for treatment. Acne, most of the time show early improvement and is more predictable. Another option is to use the medication which helps in both acne and plasma like retinoids, peeling agents, Aramaic acid etc. Visit a dermatologist, so that he/she can decide which Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My Mother and I have the same problem, we have sencetive gums when eatting certain foods, my Mom is now starting to lose teeth and nobody seems to no why we have this problem, could it be something else going on? Stomach problems?? When asking our family Dr for Blood work to be done he said No....no need for that....we need answers please | Thanks for using Chat Doctor. Read your query.Losing the teeth can be due to many factors of which the most prominent one is improper maintaining of the oral cavity, leading to the periodontal support destruction. Falling of the teeth will follow with it soon. I would advise you to visit a good periodontist and have the periodontal and gingival status of the teeth evaluated. Have the teeth cleaned and maintain it well. Systemic conditions like diabetes also has to be checked along with the blood work. Hope this was useful. Thanks and regards. |
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ηζθΏ°εηι«εΈει‘γ | I went to the ER on 8-10-17 with what I thought was a cold. Had a CT SCAN AND X-RAY. ER Dr told me that I have meningioma. I went the next day and picked up the CT scan and X-RAY. Found out thru the images that I have 2.. The ER Dr didn t give me much information. I m trying to find out more information. I have the images | Hello, The meningioma is entirely unrelated to your cold/flu symptoms. It's an incidental finding unless you also have complaints of headaches or other neurological symptoms that could be related to the meningioma. Typically, these benign tumors are not resected from the brain since they tend to recur and mainly don't cause problems. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have been told I have COPD. I have been having problems for 2 months. I am now having trouble coughing until I throw up, I am on Advair , Albuterol, Sinus medicine, and Muscus relief. Is there anything that will stop this coughing. My broncial tubes are very sore. | Thanks for your question on Chat Doctor. I can understand your situation and problem. But COPD (Chronic Obstructive Pulmonary Disease) is a disease in which due to airway inflammation, sputum production is continuous. If infection is there then sputum production is more. So antibiotic may be needed in your case. I also advise you to enroll in pulmonary rehabilitation center where Chest physiotherapy and deep breathing exercise Are done. This will help you in clearing your secretions easily. You can also try bucolic and expectorant like N acetyl cysteine (NAC), Aerosol and guifenacine. Zince all these are prescribed Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I had protected sex with my partner a month ago and two days later I had a pregnancy test which showed negative results. I am having a white mucus discharge instead of periods. Am I pregnant? I have also suffered cold due to change of place and a little stress. I was supposed to have my periods yesterday but all I have got is white discharge. Please help. | Hello. If you had protected sex then the chance of pregnancy is almost nil. Four days after sex, the pregnancy test will always be negative. Your periods are late by 10 days so you can now do urine pregnancy test. Your periods may be late due to many reasons including anxiety and stress so do the test and relax. For more information consult a sexologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi, about 10 hours ago I noticed my tongue hurts and its white and has some tiny red spots (I have had this thing before many times so im not worried about it) but my the right side hurts and I noticed it has a small black spot. I touched it and i think it could be an eschar but i was wondering if thats even possible since i think i have not bit my tongue. | Thanks for your query. I have gone through your query. The white and red spot could be because of the trauma resulting in an ulcer and a white hyperkeratotic area due to chronic irritation. It can be candida infection also consult you oral physician and get yourself examined to rule out these conditions and meanwhile you can take topical anesthetic and analgesics to reduce the pain. Later if it is confirmed that it is fungal infection then you can start with topical antifungals like candid mouth paint. I hope my answer will help you. Take care |
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ηζθΏ°εηι«εΈει‘γ | My 15 year old boy who is very active and plays hockey about 5 x s a week is always very tired. Wants to sleep constantly but forces himself to get to hockey or training. Eats very well but has great difficulty concentrating. Drinks plenty of water. Has recently gone through a major growth spurt. He is 15, 5 10 and weighs 155 pounds. Has black circle under his eyes and when not doing something physical he sleeps, hard staying awake at school. | Hello! Thank you for writing us here. He might be having stress from school or maybe from his sports. He's growing and energetic at this age of life. But you have to make him relax and tell the importance of proper sleep. I won't suggest any medicine for him but just talking to him would help. He wants to do a lot and that's perfect. Also, it's common at this age group that boys are highly energetic. As time passes he would be alright but still I would suggest you to council him about his health. Best regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hellow,could you please tell the conventional practitioners for septicaemia? what is the scope of practice of the conventional practitioner for septicaemia? what is the source of training or education that the practitioner for septicaemia has to go through? | Septicemia, or sepsis, is a condition that is treated by internal medicine physicians or internal medicine physicians with further specialization in infectious disease medicine. In the United States, both internal medicine & infectious disease physicians complete a three-year residency in internal medicine after having obtained their medical degree. Infectious disease medicine physicians then do further specialty training for three years. Internal medicine physicians deal mostly with adult patients and their scope of practice includes all systems of the body. Infectious disease medicine physicians focus primarily on treating infectious disease complications in adults. Pediatricians also have a subspecialty in infectious disease, and they deal with me on a 10 child Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi i havent got menses for 2 months . doctor advised me to take primolute tablets 3 tab s daily for 3 days and he said in 3 day i will get the periods it is already 5 th day and i havent got any signs .. is there any problem with me pls tell ... im pcod and ttc for last 5 years and im 38 years | Hello, Welcome to Chat Doctor. Thanks for writing. I am Chat Doctor. I have read you question completely, I understand your concern and will try to help you in the best way possible.don't work this can happen PCs are tricky and their management is little tricky as we .....treat you PCs empty and THS amenorrhea will also go as far as promote is concerned you should have bled by now but nonetheless hormones go up and down i will advise you to wait for 2 days and then go to your doc and tel THM about the scenario hope this answered your question. If you have more queries I am happy to answer.Otherwise, rate and close the discussionRegards. |
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ηζθΏ°εηι«εΈει‘γ | My 82 year old mother has a pacemaker and is residing in an assisted living facility that monitors her blood pressure 3 times per day. Moms blood pressure is fluctuating a lot during the day. Her primary doctor and heart doctor do not see a problem with this since she has no other symptoms. Mom is concerned about their response. She is active during the day. Is this something that should concern us? Do we need to consider other options for medical care? | Hi welcome to Chat Doctor. I understand your query and concern. Atrial fibrillation is known to cause fluctuations in blood pressure. You are currently placed on right kind of Chat Doctor. I advise you to have a 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac activity of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is very much useful. |
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ηζθΏ°εηι«εΈει‘γ | I m a 4 year breast cancer survivor --- invasive ductal carcinoma stage 1 lymph node clear --- treated with cytoxin and taxotere, radiation and 3 years of tamoxifen--- I have recently started having random pain below my knee ... varies from a burning sensation to a sharp pain ... always in the same spot but not all the time ... some days I have no complaints but others it s almost constant ....should I mention to my oncologist at my next visit or is this something that is normal | Hi, Yes, you need to mention it on your next visit as it may be related as a medicine side effects. He will examination your knee for any secondary spread of cancer (the chances are very low) and change the medication (if the findings are negative) that you are currently taking. Meanwhile, you can take ice packs, mild form of exercise like knee press, active knee movements and slow walking will provide some relief till your next visit. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My husband had back surgery 7months ago, were he was fused from T11 to L5. Tonight he started complaining of severe pain in low back and hips. I looked at his back , it has large bruising in the center of his lower back. Do I need to take him it the emergency room? | Hello, I have studied your case and I think that he needs an x-ray of the back to see if there is any loose implant or any infection which is causing this. There is no need to rush to emergency, but you should visit doctor in next available OLD. I hope he is not taking any heart medicines or any other tablets. These may also cause such bruising. Let me know if there is any other followup questions. Thanks |
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ηζθΏ°εηι«εΈει‘γ | I had high fever,eye bleeding at night,slimy cought,one stage I couldnt even talk,and the sniffles,and my fever wont disappear even I took two weeks Burana 400mg. But the temperature started go down,the point is,I still have fever,and it wont go away. | Hi, as per your symptoms, tab. Ibuprofen won't be able to help alone, bleeding from eye may be due to various reasons like severe cough, hypertension, roughly rubbing of eyes, blood thinners Chat Doctor. As you're having high grade of fever u should first get investigated simply CBC mainly for total count if there is any bacterial infection and chest x-ray. The most probable cause can be upper respiratory tract infection clinically but u can start with Tab. Levofloxacin 500 mg once a day, Tab.paracetamol 650 twice a day, Tab.levocetrizine 5 mg twice a day after your total leukocyte count. Nothing to do with bleeding from eye, as fever will reduce it will subside automatically. |
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ηζθΏ°εηι«εΈει‘γ | Hi Sir i have been suffering pain and swallow on right leg s feet, thumb and other fingers since from last 1 and half month. Consulted 2 doctors but still they are giving the bullshit tablets thats all either than letting me know. Whats the wrong with the leg. I am suffering heavy pain and swallow only at legs feet and fingers : ( | Hello, I have studied your and I think that it can be due to high blood pressure, or poor kidney function. Some time in patient with long bed rest or obesity there are chances of deep venous thrombosis. I would suggest you following.1. Get your blood pressure check up and also BUN, creatinine.2. Also get an ultrasound examination to see there is no blood clot in legs. That can prevent blood flow and cause swelling.3. Rarely if you are in such job where you have to stand for long time then it can also cause swelling. I hope these causes will help you to understand your causes. Let me know if there is any other followup questions. Thanks |
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ηζθΏ°εηι«εΈει‘γ | My son is 21 and healthy. He came to me last night feeling dizzy and nearly passed out. When he felt a bit better, I took his BP. It was 116/53. THat seems low.Could that have triggered the dizziness? He seemed to be fine after he ate CHerrios with bananas and sugar. | Howell come to ChatDoctorI really appreciate your concern, the dizziness may not be significant because no associated history is there even the blood pressure may not be the cause, the most common cause at this age is hypoglycemia, if this is being happened first time still condition needs to be kept under observation for further episode because it could be let onset of epileptic seizure. Advise:- Ct brain is must, with routine blood work, EKG. Hope this information helps. |
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ηζθΏ°εηι«εΈει‘γ | Hi Dr I had an accident the other week where my thumb got caught in an Ah industrial fan I went to the hospital and had x-rayed and they said I had I Had a open fracture but that was a few weeks ago now and my thumb is still very swollen and I can t bend it and it feels very tight in the middle joint and can only bend it a very slight bit | Hi welcome to ChatDoctorI have gone through your query. I can understand your concern regarding swelling and tightness while bending of fractured thumb. Dear, swelling and pain are very natural symptoms to face after being hurt severely and fracture. In fact, inflammation is your bodies of bringing blood and nutrients to the area that needs healing. But that happened, as you said, a few weeks ago. The swelling and tightness is still there it shows that something is amiss in your treatment and needs medical attention . Its important not to disturb the splint if applied, as this is holding your fractured finger in position Physical or occupational therapy treatments are helpful for easing the stiffness and helping you regain thumb movement. I suggest you to see a specialist for proper guidance. Meanwhile, take care of your diet. Include anti-inflammatory fruits and plants as pineapples, capers, apples, and red onions, ginger garlic and Turmeric, Aloe Vera , olive oil, Lemon and Banana also Healthy immune systems also that are considered to help early recovery. Hope this helps solves your query. Take care, All the best. Wish Get well soon.Don't hesitate to get back TF have any further query. |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...My husband is suffering from ILD for the past one year. He is taking prednisolone 12 mg daily. Still his cough has not lessened. He is having fever in the evenings alternate days for the past 3 months | Thanks for your question on Chat Doctor. I can understand your concern. OLD (interstitial lung disease) patients are more prone for lung infections like tuberculosis, fungal infections and atypical bacterial infection. This is because of chronic steroid intake. So chronic fever, coughing are more suggestive of lung infection. So better to get done fresh chest x-ray and HRCT thorax (if needed). He may need antibiotics, N acetyl cysteine (NAC) and other supportive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hey , ive been having like little blisters around like penis head, not pimples , not sure what it is , im worried and scared because it been their for about 4 years now. Please help me, i was a virgin and didnt sleep with no one when they first appeard in my penis head , what can it be? | Hello and. Its good you asked this now; you're being advised by a Urologist. Blisters on the penis head needs a doctors' examination. Till you show a doctor, you can try Newsprint ointment over the area twice a day. Maintain good penile hygiene. Avoid leaving moisture over that part, as well as itching there. If it resolves completely, no need to see a doctor. If you're satisfied with the answer, hit the thanks button. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Since past 4 days my throat is so tight its like blocked iam suffering from shortness of breath i feel lots of pressure in my both ears and nose and cheeks when i liying down either side i cant breath....i get pain in my tummy or abdomein because i cant get enough breath i have to take it deep and when i take it i feel pressure in my ears i went er they said i got acute sinutisis and gave me azithromysin for 6 days she also found so much wax in my ears and tried to clean it butit was so dry they couldnt get much out should i see ent for this or whatelse should i do???can you tell me what is going on with me??? | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion you are mostly having viral upper respiratory tract infection (URI) and complicated by bronchitis. You're all ear and throat symptoms are due to viral URI and your shortness of breath is mostly due to bronchitis. So better to 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 and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi ! I just turned to my right side in bed and felt so very sick ! Felt the world was spinning horribly around me ! It happened for the first time and twice when I turned onto the same position. I am female, 59 yrs and overweight, and my height is 5 6 | You may be suffering from a condition known as Benign Paroxysmal Positional Vertigo (BPPV). Your symptoms are typical for this condition and so is your age. In order to solve this problem you should see a neurologist for advice on maneuvers designed to get rid of the symptoms. Medication is not a great option in my opinion since it really fails to ad Chat Doctor. Many ER physicians and internists will reach for a |
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ηζθΏ°εηι«εΈει‘γ | I had a roux en y done 2003. Lost from 400 down to 194. Lost ins but maintained weight until about 2007 wwhen I was slowing down due to balance issues & numbness in left foot . Diagnosed in early 2009 with progressive ms. Doing okay so far with ms but weight up yo 270. Experiencing some abdominal-left side pain, nausea & vomiting off & on. Would I be candidate for revision? I did have gallbladder removed & have 2 ulcers . Thank you | HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that you have a multiple disease and in such situation developing some functional elements is very likely, and I guess this is what happening to you, in my opinion you need to keep the stress level very low, and stop worrying about this every thing would be alright, take care and have a nice day. |
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ηζθΏ°εηι«εΈει‘γ | Hello. I m David. A 22 year old male. Lately I ve been feel extremely unwell. I suffer from high anxiety already. I ve been getting these minor shooting pains around my chest area, nothing too bothersome but I ve been getting worried lately as I ve begun to feel a popping sensation below my left rib when I press in on it. Like a rib popping back and forward into place is the best way to describe it. My stomach has been in a lot of discomfort and constantly growls, almost all day. My apitite has been fine but my stools have been a bit lumpy and inconsistent. I don t understand what s going on. I would love some help. Thank you. | Degree understand your concerns went through your details. You are aware of your anxiety disorder. Anxiety disorder is known to produce weird symptoms which do not have any pathological backing. The chest pain is stress and anxiety related. Rib problem you are mentioning here could be due to obsession, you just feel it, it is not actually happening. Anxiety and stress always trigger acidity and that could be reason for your stomach problems. I sincerely suggest for rigorous exercise for 15 days, keep yourself busy and engage in activities and games. In any case you should consult a psychologist. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | i am a 30 yr old woman with an initial HB Viral load of 1300 as at last year but it suddenly rose to 7653,im yet to commence the use of livolin forte and was ask to go for a liver biopsy,im asymptomatic and scared of the biopsy,please what is the way out? | Hi thanks for asking question in Chat Doctor .... Noted you have positive Hepatitis b virus... Viral load here suddenly increasing, so your doctor might suspect liver failure and advised biopsy..... Here you need to do is estimation of HBV DNA viral load, Head and liver enzymes. If chronic active Hepatitis then antiviral Chat Doctor. ....Meanwhile, take low fat diet. Fruits taken more.... Avoid alcohol.... Still your doctor has examined you. So decision about biopsy individualized according to physical examination.... Take care.... Happy to help you further..... |
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ηζθΏ°εηι«εΈει‘γ | I am a 32year old female, I weigh 120lbs. I was seen 4yrs ago because of a discoloration(appeared to be broken blood vessels) they did a biopsy and found it to be nothing. The broken blood vessels went away and I had no problems until a few weeks ago my left arm went numb and when I rubbed it I noticed a hard lump the size of a gumball. It does not really bother me, I gave it a few weeks to see if it would go away...still no change | Hi! Thanks for your health query on Chat Doctor! Well, you have a significant medical history behind the hard lump on the lump. You had broken vessels that healed itself; you have numb left arm; and the lump appeared after you rubbed the numb area; it does not seem to reduce... I must consider following possibilities in this case:1. post-traumatic neuroma-like benign nerve tumor2. Inflammatory stromal nodule3. Neurofibroma or schwannoma4. Parasitic cyst5. Aneurysm or vascular malformation need a Doppler/ultrasound study for confirmation, in addition to a clinical examination; therefore please see your doctor but nothing to worry really!regards, |
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ηζθΏ°εηι«εΈει‘γ | I have never taked norco before I hve a bad tooth and the dentist is going to give me Norco while I wait for my appt. to chisel the tooth out ( its really bad and I have to have surgey to remove it my oral Surgeon is out of town and I have to wait untill next week) Is this a strong medication that I should drive while taking? | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, your problem is toothache, Marco is prescribed, and you are asking is it strong medicine, yes it is strong don't take Marco if you don't want to take such hard medicine, you can take One Tablet Combiflame twice daily also, you will get relief. Do warm saline gargle two - three times a day, Hope this will help you. Wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My friend, age 28 was diagnosed with seizure disorder in 2002, CT brain shows L frontal granuloma with surrounding edema , Had eptoin for 3 yrs thereafter. Gradually tapered as the per advice of neurologist . Recently he is experiencing some vague Headaches, with some giddiness occas. Having doubt whether he needs to get suggested by neurologist. He underwent blood work, dx with Impaired fasting glucose under control by diet & exercise. | Hello, It's important to ascertain the giddiness you describe is actually not minor episodes of seizures. The headaches may be associated with it. Please get the opinion of the Neurologist who will be able to rule out Seizures and decide whether you need to start on medications again. A repeat Brain Imaging might be necessary to determine about Granuloma or other causes which can lead to seizures. Also keep a close watch on the Blood sugar levels as increased blood sugar levels alone can precipitate Seizures. Hope this helps! |
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ηζθΏ°εηι«εΈει‘γ | Hello I am 6 weeks pregnant , my first prenatal visit in July 2nd. I have a concern . Should I go to the pharmacy and buy my own prenatal pills or do I have to wait for my first prenatal visit . I am really concern since this is my first pregnancy | Hello and welcome to ask a doctor service. I reviewed four query and here is my answer. As this is your first pregnancy and you haven't had any antenatal visit, so I would suggest you not to buy any medication from yourself. Do your first antenatal visit to have proper check up and then use only this medicine prescribed by the doctor. As not all medicine are safe in first trimester of pregnancy. Hope I answered your question. Feel free to ask if you need further assistance. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I have a large hard lump above my right clavicle. Hard, painless and attached. I found it 1 year ago but it has not changed that I can tell, it s about 1 inch around, I have hashimotos and graves disease as well. Should it be biopsied? I also get headaches and sharp chest pains that feel like a stabbing in my left lung underneath my 3 or 4 rib... | Hi, dear. I have gone through your question. I can understand your concern. You may have some enlarged supraclavicular lymph node or some soft tissue mass or any other lesion. You should go for biopsy of that lump. Furthermore, you also need chest x-ray. Consult your doctor, investigate properly 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 | One month ago, I had a severe panic attack (or at least thats what I thought it was) that include facial muscle paralysis, and pain and tingling in my arms and hands. Since then, I have been having (daily) dizziness with dull annoying headaches. If I am awake and moving, Im dizzy. The dizziness is accompanied by confusion, forgetfulness and extreme irritability. I am a generally otherwise healthy 34 year old female. | Hello! Welcome on Chat Doctor! Your symptoms seem to be related to a panic disorder or anxiety. The lack of concentration and inability to memorize new events can be completely explained by anxiety. Nevertheless, I would recommend consulting with your doctor for a physical exam and some blood lab tests (complete blood count for anemia, fasting glucose and thyroid hormone levels for thyroid dysfunction) in order to exclude any other possible causes that could trigger your situation. If all these tests result normal, I would recommend consulting with a psychiatrist or psychotherapist, who can help improve your situation. It is important avoiding coffee during these days (although it seems to help, it is just an illusion, because it can trigger anxiety) and perform a lot of physical activity (Yoga and sports). Hope to have been helpful! Kind regards! |
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ηζθΏ°εηι«εΈει‘γ | Hi the last three days I have been experiencing severe neck pain anytime I turn my head I feel pain in my neck and also have been getting radiating pain in my back the pain went away last night and didn t come back until now just started to creep back in now to the point if I try to turn my head it hurt bad and hurt in my mid back in my rib area at first I thought I could have slept wrong until it just came back and I haven t been to bed or taken a nap | Thank you for your question on Chat Doctor. From the history you have provided, it looks like you have had a muscle spasm. I would suggest that you take Tab Nova MR twice a day for a week. This will bring down your pain and also relieve the spasm, .you can also apply Broken Gel locally to provide some relief.IIM sure this will bring you some relief .do get back to me if you have any further queries. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | dont know what to do, so looking for advice. i have not had any energy in wks, so much so that mentally i am drained. i have this odd feeling in chest like i can feel my heart. cant walk up the stairs w/o wanting to just lay down somewhere.about to get fired it is so bad. been to doctor; blood ok (do have hep c), blood pressure ok, listened to my heart and said ok. yet it is getting worse...ahhh | Thanks for your question on Chat Doctor. I can understand your concern.First no need to worry about heart diseases as your blood pressure and blood reports are normal. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | My husbands 42 years old and just started having Grand-Mall seizures and a most of them were while he was asleep... just wondering what may be causing them. Especially while hes asleep. We have no health insurance as he & I both have been healthy so no real reason to get it & now hes unable to work so were just not financially able. Thanks. Just wondering what could be making this happen since hes asleep when it happens? | Hi, Thank you for posting your query. Grand mal seizures indicate a brain dysfunction, and needs evaluation to find out the cause. Important investigations that would help us find out the cause of his seizures would include MRI brain epilepsy protocol and electroencephalography (EEG). In addition, he would need treatment with MTV epileptic medications to prevent seizure recurrence. I hope it helps. Best wishes, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | For the last few hours I have been having a sharp burning pain in my abdomen. It is now constant and on the mid and lower right side and includes my lower back on the right as well. About an hour ago I was standing up and started to feel nauseous, cold and sweaty. That lasted a few minutes and passed. | Hello! Welcome to Chat Doctor. This pain as per the history seems to be due to a stone in ureter, most probably. Upper abdominal pain is usually due to increased secretion of acid in stomach. A stone in ureter causes obstruction to urine outflow & smooth muscles in ureter contract excessively to overcome this obstruction & so is the pain, typically radiating to back as you have mentioned. Many such patients come to my clinic to whom I advise ultrasound abdomen & pelvis, X-ray PUB, renal function tests, urine routine. Treatment is done accordingly. Consult your doctor for antacids, smooth muscle relaxants like Chat Doctor. Hope this helps. Wish you speedy recovery. Thanks. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Sir iam suffering with typhoid from last 5 months .....still now iam in same state when i found that i am suffering with typhoid ...i consulted many doctors and taken many antibiotics nearly (50-60) tab ....when will my disease cure is there any other disease under this | Reclothe entire of treatment of typhoid is 2 to 4 weeks depending upon the nature of Chat Doctor. Previously salmonella type were sensitive to chloramphenicol 500 mg four times in day for 15 days. Nowadays when such type of patient visit in my clinic I usually prescribe ciprofloxacin 500 mg twice in day for 14 days. If the patient had already taken Cipro I prescribe levofloxacin 750 mg once in day for 28 days. Still no relief I advise my patient for |
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ηζθΏ°εηι«εΈει‘γ | I had a bee sting yesterday i did a homeremedy it did swell,red & itches a homeremedy was tooth paste did work however it continue to get red, itchy with the hot weather so i had some triamcinolone acetoniide creme which did relieve itching, redness decreased but wonder if this will take the actual sting of the bee out- toothpaste was to take out the verma- please confirm its on my left arm strated infront of my elbow moved up near under my arm pit- | Hello, Welcome to Chat Doctor, The bee sting is an acute emergency condition which should be treated vigorously and adequately, because it will release the poison which will cause all these symptoms. It will release mediators like histamine which will leads to all these problems. The leftover sting should be removed carefully with the help of forceps. The symptoms are reduced by1. Parental Avil2. In HY Chat Doctor. Oral Antihistamines4. If there is excess of itching Cold pack over the itchy area. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | while playing softball i tripped while running backwards and fell hard on my lower right side of my back. the next day i could barely walk or bend over. it felt like the lower right quarter of my back was badly bruised. i notice a bump on my lower side that covers about 3-4 vertebrae. | Dear patient you gave history of high velocity trauma to your lower back with possibility of vertebral spasm and an occult fracture. There is need of further investigation in form of digital radiograph of lumbosacral spine anteroposterior and lateral views. Swelling on your lower back must be hematoma due to bruising. Start taking diclofenac plus serratiopeptodase combination twice a day and do take bed rest for 3 days. Avoid lifting heavy weight and forward bending. Provide cold compress over the swelling. All this will surely relieve you of pain. |
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ηζθΏ°εηι«εΈει‘γ | I am an African American female, 48 years old, maybe about 12 lbs overweight, but excercise regularly. I have been having chest pain since the death of my mother-1991. They are not as servere as they were ten years ago. The pain I am experiencing feels like a sharp needle is sticking me. This does not happen that often, but if I am worried about something, I experience it until problem is solved, but sometimes it goes away. I have had an EKG and an EEG done which was normal, except, the doctor said that I have a leakage. Is that normal? | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related chest pain is more likely. No need to worry about heart diseases as your ECG was normal. Better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright 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 | i have respiratory issues but doctors.i have been check by others doctors they all tell me its an allegy ,i still insist isnot hat i got xray saying that they donot see anything i had being trying nasal spray all types they donot help but somtimes it works foe 4hrs then im back to squareone can you tell me | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should consult pulmonologist and rule out asthma in your case. You are having allergy, normal chest x-ray, nasal symptoms, respiratory symptoms etc. And all these are commonly seen in asthma. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of asthma. It will also tell you about severity of the disease. And treatment of asthma is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I have undergone cystectomy in my left ovary to remove a chocolate cyst of 9 cm. It was done before two years. After that, I got conceived, and my baby boy is five months old now. I got my first period after three months of delivery, and I experienced mild pain in my left lower abdomen.I am experiencing mild constant lower abdomen pain. I have done an ultrasound and found the existence of the cyst with a size of 3 cm. As I was feeding my baby, I was told to wait for the baby to reach six months. I am worried about the cyst growth. I am looking for solutions to stop them growing. Please help. | Hi. Ovarian cysts are commonly known as PCOD. A cyst is a form of an immature ovum. It occurs due to hormonal imbalance, and it causes irregular menstruation. In this concern, some ayurvedic medicines taken along with yoga practices are beneficial. You need to have a regular check-up of your thyroid profile and USG abdomen. You can take the following medicines to prevent the further growth of cyst and to regulate the periods. Take Hyponid charak two tablets twice a day with warm water after meals. Take Kanchanara Guggulu (Kanchanara with Varuna) two tablets twice a day with warm water after meals. You can consume M2 tone syrup (Ashoka with Ashwagandha) 10 ml twice a day after meals. You can take Arogyavardhini Vati (Shuddha Guggulu with Shilajit) one tablet twice a day with warm water after meals. Do regular yoga like kapalbhati, Mandukasana and Ardhamatsyen ChatDoctor. These are very effective. Avoid eating spicy and fried junk foods. |
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ηζθΏ°εηι«εΈει‘γ | I have been prescribed Lyrica 75mg caps for Spondlytis at the age of 83 years 1 twice a day. I have had Heart By-passes, but am experiencing considerable stomach, bladder and bowel problems which have existed for some time. It has been recommended I have an operation to correct the daily nerve pain. My husband has Dementia and I feel an operation of this kind would only cause considerable problems for both of us at home. I need to be on my feet to handle daily needs for him, without occasionally bringing in a carer? Any great side affects with Lyrica? | Lyrics is rightly suggested by your doctor as it helps in neuropathic pains and also helps in dementia, anxiety states. It can be taken long term and relieve the symptoms. Usually physicians will start the patient on a low dose of pregabalin(lyrics) and increase it gradually, depending on the patients' evaluation. Its therapeutic effect appears after 1 week of use It is rapidly absorbed when administered on an empty stomachLyrica 75 mg daily is low dosage to begin with and may be gradually increased side effects, if there is some fresh symptom developing after taking it for 7 days, report to your doctor |
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ηζθΏ°εηι«εΈει‘γ | Im 23, and suffer with what I think is toilet phobia, I get worried about not being able to use the toilet when Im out, this is ruining my quality of life because Im stuck in the house trying to stay out of the situation of goin out and being in this situation | HIT hanks for using Chat Doctor In case, you specific phobia, you need both antidepressant and psychotherapy. You should consult your psychiatrist for management. With antidepressant like paroxetine, gradually, these symptoms would decrease and with psychotherapy like exposure therapy, you would be able to control anxiety as well thoughts that lead to phobia. In case, you need more help, you can ask. Thanks |
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ηζθΏ°εηι«εΈει‘γ | I have acute pancreatitis and have not drank in over 6 months because of that reason. For the last week I have had the same pain in my left upper abdomen an in my back as well, its goes away sometimes and then comes back. the pain under my sternum is shape and radiant at times. I am eating but it hurts when I do and within minutes I feel the need to use the restroom. Also I am having Diarrhea. Is this a flare up? | Hi ! It could be a food poisoning if you have eaten from outside. Otherwise, it may be an attack of chronic pancreatitis, where there are periods of remission followed by periods of exaggeration of the symptoms. You are suggested to get yourself reviewed by your family physician, who may advise you some routine blood check-ups like CBC, and stool test, apart from some specialized tests like an ultrasound or a CT scan to know the status of the pancreas and manage accordingly. Wishing you an early recovery and I also wish that you do not revert to alcohol, as at the present stage and future, it is a poison for you. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor, in my street there are 5 puppy newly born less than one month.her mother and puppies both have some problem of khujali ke .i was feeding food to him then one of them puppy may bit me.there is very very minner cut just like pen niddle.help me | Hi, I appreciate your concern as Dog bites could lead to severe disease. Most probably there would have been no transmission or the dog may have not been infected, but to be 100% sure as there is no care for Rabies, I suggest that you take a full course of Anti-rabies Vaccine (ARV) and Tetanus shots which is free in any government facility if you are from India following the bite 72 hours or otherwise also. Also, I suggest you to keep an eye on the dogs if they show any warning signs. Besides, take care while feeding street dogs because you can't be sure about their histories, and you can't track them down to keep an eye on them. So better be careful i future. I hope I helped you with your question, Feel free to ask any further questions. Reagrds, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor, there s are some of the symptoms my friend suffers from and he went 2 Kaiser Permanents but he told me that not eventhe doctor was sure of what he might have. Okay so these are some of the symptoms. he has trouble breathing he has to us an inhaler everytime he has to do something atheletic he gets chest pain, he doesn t get hungry as much he tends 2 eat a few meals a day, he has high blood pressure, he has a history of alcohol since he was 15 he has been drinking, now when he want to do intercourse he can t his penis doesn t fuly stand, he doesn t get morning hard ons. His doctor told him he might be close to diabetes, but I would like 2 know why his penis doesn t go up and what are the causes of him getting fever he hasn t been sexuality active and he came out negative for all sxually transmuted diseases. He ended up in the hospital a few weeks ago because he keeps getting cuts on the nostrials of his nose without him self makin them by the sounds of it, it sounds he may have a weak Immune system, he ended up in the hospital because of a cold and he vomited a lot. I thought maybe it could mean somethings wrong with the hypothalamus, but it s just a guess. Hope someone could hep me. | Hello, I passed carefully through your question and would explain that your symptoms could be related to autonomic dysfunction or peripheral neuropathy. Coming to this point, fever could be related to recurrent infection. While the erectile dysfunction could be related to peripheral neuropathy and autonomic dysfunction, probably caused by Chat Doctor. For this reason, I would recommend performing further tests: - complete blood count for anemia- PCR, ESR - a chest X-ray study and pulmonary function tests (considering his shortness of breath)- vitamin B1, vitamin B12 plasma levels for possible deficiency-blood electrolytes- HbA1C for diabetes- a cardiac ultrasound and a resting ECG to examine his heart. - nerve conduction studies to examine for possible peripheral neuropathy. Starting vitamin B1 supplements may be needed. Regarding the erectile dysfunction, I would recommend trying Calls. You should discuss with his doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My mother was told that she has uterine cancer on sept. 13. We are trying to get a second opinion but the new doctor need that Pathology report but the old doctor is not responding when the new doctor call his office resquesting information. What can we do? Should I have my mom do the painful biopsy again. She is middle aged with extremely high blood pressure. | You should know first that getting a written report of any test that has been done on you is nothing less than your right. I can't think of a reason why any doctor would refuse to give you a report unless maybe he has lost it. The only option available to you in order to avoid a repeat biopsy is to get the slides and blocks from the lab where the first biopsy was sent and get them to your new doctor. That way he can get those slides reviewed at his own lab and come to the diagnosis. If for any reason this is also not possible then you should go ahead for the repeat biopsy without delay. High blood pressure can be taken care of for such a short procedure and should not pose such a risk that you refrain from it. Your mother is more at risk from the cancer |
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ηζθΏ°εηι«εΈει‘γ | I recently fainted while public speaking while experiencing a very rapid heartbeat for about an hour and was later diagnosed with atrial flutter as my heart rate had climbed to 140-160. I automatically converted back to about 80 bpm about an hour later at the hospital. I had a similar episode a year earlier. I am taking toprol, baby aspirin and losartan. I am also having a atrial ablation in 9 days. How do I overcome my fear of fainting again and should I refrain from any public speaking or anxiety producing situations until after my procedure? | Hi and thanks for question. Many person have stage fear or social anxiety in which whenever he tries to talk in public he has severe anxiety episode. First thing I will suggest u that u shall talk in front of mirror to reduce your anxiety and gain your self-confidence. Second start talk with a people u feel comfortable than involved in conversation. Start Panama which help in overcome your anxiety. Take propranolol in low dose for sometimes when ever u have conversation which reduce your anxiety level. Thanks |
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ηζθΏ°εηι«εΈει‘γ | I have a dermatofibroma that was shaved for biopsy 1 and 1/2 weeks ago. the biopsy cam back no cancer. However, the biopsy started to bleed for several days (starting several days after it) and now it looks like the lump in as big if not bigger/wider and higher than before the biopsy. It seems to have grown back. It doesnt seem infected. Could this be nodular melanoma that had a false negative because of the shave biopsy? Is this something to worry about? Could cancer be down lower in the skin than just the very top of a lump on the skin? | HIT hank for asking to ChatDoctorI really appreciate your concern, the histopathology report can not be false negative because this is not the chemical reaction, if the test report turned negative then you have to be happy, still if you have got some doubts then you can go for second opinion, bleeding from the biopsy side would come around this is nothing to worry about this, and not even worry about the lesion, hope this information helps you have nice day. |
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ηζθΏ°εηι«εΈει‘γ | I have 4 years ago after endoscopy been diagnosed with inflammation of stomach and have since been taking omeprasol daily over last few weeks been experiencing pain under lrib cage left side whicChatDoctores and goes worse when lying down gets worse when I get anxious or upset I eat a high protein low carb diet | . Stomach pain usually occurs due to oily, spicy food, disturbed diet pattern, stress,over eating... You have to take more simple, liquid,high fiber diet. Chat Doctor. You can take pantoprazole mebendazole with risperidone. Enzyme preparations will be helpful. Avoid oily, spicy food. Avoid stress, anxiety.go for exercise regularly. Consult your treating doctor for further diagnosis and medical management. |
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ηζθΏ°εηι«εΈει‘γ | my 3 year old. help please.... my baby girl was not feeling to good a day or so ago she had a fever and was sent home from daycare cause she was not feeling good now she has these really big painful looking red pimples ....I think its hand foot and mouth but my mother mother in law is a lvn and she swears its just heat blisters....??? | Most often, fever associated with crashed could be caused by certain viral infections. Depending upon the type of rashes (what you have mentioned as pimples), and the cause could be anything like chicken pox, mumps, measles, hand foot and mouth disease or several other viral infections. It could be contagious for others and the child might require isolation. I would strongly suggest visiting a pediatrician without delay. |
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ηζθΏ°εηι«εΈει‘γ | My son called. Had gone to dr this a.m. Cause he has pain fro his ribs to collar bone since Wed. They thought a strained muscle. Told him heat and ibuprofen to treat. Now he is in terrible pain and couldn t stand it. He is 21 and two hours away. I told him to go to emergency room. | Hello, I have studied your case. Due to compression of nerve root there can be pain in your filthier is another possibility of Costco Chat Doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care |
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ηζθΏ°εηι«εΈει‘γ | My daughter is 6 years old and studying in UKG ,she has pretty face and too much adorable ,nowadays she dont show any interest in studies apart of that she is stubborn we are working hard so she shows interest in studies.please advise how we handle her | THANKS FOR YOUR QUERY. To encourage in studies you may follow the mentioned steps:Ask your kids how they feel about various issues (current events, relationships, values). Allow them to have opinions without passing judgment. Ask your child Chat Doctor. Encourage your kids to have interests of their own. If they show curiosity about a hobby, area of study, sport, or instrument, encourage and support them in any way your finances allow. Play game books. Read audiobooks on CD or MP3. Expose your child to a wide variety of experiences including music, plays, sports, museums, travel, reading, dance, games, food, puzzles, ethnic activities, etc. Play "thinking games" with your kids. Scrabble and chess are examples. Leave interesting books and materials lying around for your child to explore. Role play. Be the student and let your child teach a lesson. Motivate them! Keep it fun....not stressful. If you demonstrate excitement about learning and are open to your child |
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ηζθΏ°εηι«εΈει‘γ | HI ,MYSELF SIDDIK GAZI I HAVE A PROBLEM UNDER MY STOMACH THAT S CALLED I THINK SO TANCIL OR SOMETHING I DONT NO THE WORD FOR THAT ,SOMETIME I FEEL A PAIN.HOW TO CURE FROM THIS ? IS THERE ANY LASER OPERATIONS FOR THAT ?HOW MUCH IT WOULD BE COSTING ? CAN U TELL M,E ABOUT THAT PLEASE! | HiT hanks for posting your query. First we need to find out what is causing your pain. There are many conditions which can causes your problems. Some of these are Acute gastritis Acute pancreatitis Acute cholecystitis Intestinal infection Kidney stones Gall bladder stones. First you need Toto get Ultrasound abdomen pelvis and revert with reports. Also tell me the exact location of pain. Whether its continuous or intermittent. Whether pain increase on taking food? Kindly revert. |
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ηζθΏ°εηι«εΈει‘γ | for 15 DAYS my mother feels internal fever, i mean the kind of fever she do feels but the thermometer does not show any temperature increase. It weakens her body and she cannot walk herself without others support. Along with these she suffers from stomach pain,Unable to eat food due bitter taste, gone partial paralysis in mouth, right leg is getting weak, Reports shows: Mri of brain shows normal, bilurubbin=2.1, Urine test reports: Ecoli=0000,pus cells:8-10,RBC:2-3. what is the name of this fever and what are the causes? | HelloThanks for the everywhere is nothing called as internal fever, most probably either the temperature is not being recorded properly or the thermometer is spoiled. It looks like your mother has multiple medical problems which needs to be taken care of in a multi specialty hospital. Here are my suggestions to you1. Approach a hospital with gastroenterology and neurology as a speciality2. If MRI is normal then the next step would be to get a nerve conduction test to check for weakeness3. Urine report is indicative of a urinary tract infection which could be causing the stomach pain and vomiting, please send a urine culture and take a physician opinion to start antibiotics hope I was of helpRegards |
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