instruction
stringclasses 1
value | input
stringlengths 0
11.2k
| output
stringlengths 58
3.44k
|
|---|---|---|
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am a 45 year old male. My height is 184 cm and weight is 97 kg. I had a cervical spine x-ray and was diagnosed with cervical spondylosis. I also have mild CAD and severe sleep apnea.Due to intermittent chest pain and breathlessness on exertion, CAD was suspected. After positive TMT, I had an angiogram. The angiogram found many minor blocks and no major blocks. The diagnosis was minor coronary atherosclerotic disease and systemic hypertension. The treatment is by medical management.I have been feeling a constriction in my neck (tightness) exactly in the throat region while walking. This happens only while walking and goes away as soon as I stop. I have been advised to consult an orthopaedician to see if the neck constriction while walking can be due to spondylosis. I occasionally have lower back pain and numbness in hand (palm) and also weak hand grip.Some months back I felt significantly light-headed and had difficulty in balancing. After some tests, I was diagnosed with uncompensated vestibular lesion. After some medication, it improved a bit. Now again I find the lightheadedness and balancing issues i.e, I feel as though I may faint but actually not.My queries are:Can the tightness in neck while walking be due to cervical spondylosis?Can the lightheadedness and balancing issues be due to the same?I would like to know the severity of the spondylosis from the attached reports and scanned copy of my x-ray.I was suggested to have an MRI of cervical spine. Based on the reports and symptoms do you feel the MRI is necessary?I would like to know the advantage of MRI compared to x-ray findings.What would be the likely course of treatment for my condition?Thank you. | Hi. Tightness and neck pain can be due to cervical spondylosis. The lightheadedness and balancing issues can also occur due to spondylosis. Spondylosis is not so severe on x-ray (attachment removed to protect patient identity), it is of mild grade. If your hand grip is weak, it is better to get an MRI to see for any nerve compression. For treatment initially take some analgesics and anti-inflammatory with nerve stimulating ChatDoctor. MRI cervical spine Revert back with the MRI report to an orthopaedician and traumatologist online.- |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I ve been on the nueva ring for about 4 years now and I took it out a week later than usual because I couldn t get in to set an appointment up to get more. The doctor said that it would e fine. I got my period yesterday and usually on te secon day it s heavier. But today I woke up and it s still really light. Is that normal if you take the nueva ring out a week late? | Hello have gone through your query and understood your concerns. Taking the ring one week late will not cause any adverse affects until and unless you catch up infection with that. As there is normal period now no need to worry much. There will be heavier periods after removal and that is absolutely normal but if it persists then consultation is needed and your doctor may prescribe tablets to control bleeding like tab.pause. But at present there is nothing wrong with you to get worried. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I am looking for a doctor in plymouth nh & need spine help should I try & find one that is orthopedic or neurologist. Long time with back injury & no clue how to relieve pain without problems. I am on Medicare so...they often dont look at my history for some reason. What primary care should I b looking for? | Hello, Thanks for your query. Rest your back for 24-48 hours, but do not stay completely immobile; limited, mild movement is better than bed rest. Apply ice packs for 15-20 minutes, 3-4 times a day for the first 48-72 hours. Apply moist heat after the first 48-72 hours if it makes you more comfortable. Aspirin, ibuprofen and naproxen may relieve pain and reduce inflammation. If you sleep on your side, place a pillow between your knees. If you sleep on your back, place a pillow under your knees. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | What to use on anal tissue that has chronic stool seepage and has been severely damaged by steroid ointments like hc2.5 and other steroids and 4 months of other creams and ointments like fucidine loprox .i also have a 16 mm fissur in the mid to anterior of the anal canal.ive tried oils,like cocoanut oil and olive oil all oils burn I can t use zinc oxide ,vasoline burns.i can t live like this,I can t get a colostomy because I only have one kidney,what can I use to protect and sooth the anal tissue. | Hi, welcome to Chat Doctor forum. You have got anal fissure, with stool sewage. You have to get the photocopy. So I advise you to consult a gastroenterologist for diagnosis and treatment, to know the extent of the fissure. I prescribe to my patient with such symptoms laxative like bisacodyl at night, Ofloxacin, ornidazole, and ask to stop all the local treatment. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods, to hasten the recovery. Wishing for a quick and complete recovery. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am 66yrs old female, I had taken antibotics for sinus infection for a week, but I am still feeling crappy. My stomach is quezzy , I have no appetite, in the evening, I usually get a low grade fever and am freezing. I take a Prilosec already, and no matter what I drink, or eat, my stomach gets upset. This has been going on for over a week now. Sorry, I did not know I would have to pay for some advice. Sorry to of bothered you. | Hi welcome to ChatDoctorI understand your query and concern. Your symptoms are suggestive of Acute Sinusitis. I advise you to get an X-ray PNS and CT PNS to confirm the diagnosis.Meanwhile, I advise you to take Tab. Amoxiclav 625 mg twice daily for 1 week, Tab.Exocet twice. Avoid allergic foods like tomato, brinjal etc. Chat Doctor. Avoid cold baths. Consult your physician for expert management and follow up. Hope I have answered your query at the moment. Post your further queries if any, Thank you |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a female, 18 years old, suffering from weakness, headache, body pains, back pain, stomach pain, and leg pains. Sometimes, not able to bear pain. I am suffering since last two months. | Hi, Welcome to Chat Doctor forum. You have severe anemia (attachment removed to protect patient identity) which needs to be corrected urgently. Some of your symptoms can be attributed to the anemia itself. However, it is very important to identify the cause of such severe anemia. Please give me more details about your symptoms and get the following investigations done. 1. Peripheral blood film.2. Hb electrophoresis.3. USG of the whole abdomen.4. Serum electrolytes. 5. Liver enzymes. As soon as possible get the tests done so that we can correct the anemia and identify the cause. You may need blood transfusion if symptoms are severe or if there is breathing difficulty. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello I would like to know is it ok to take bioten and metformin together? I do hav pcos is that going to cause problems or contradict each other, am I going to get more facial hair? is it going to help lose a bit of weight? what are my pros and cons if I take both? | Hi, There is no documented harmful interactions between biotin and metformin when taken together. Biotin is a form of vitamin B commonly prescribed to treat thinning or grain of the hairs. It does not cause increased hair growth on the face. Metformin is actually an anti-diabetic medication which is commonly prescribed in the treatment of polycystic ovarian syn Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi Yes, I have had a very bad case of canker sores on my tongue, and on the inside of my lips and cheeks since December. My cheeks are swollen and raw I cant even drink water. I have been to all different kinds of Dr.s This is what I have been on so far, Acyclovir, Fluconazole, Nystatin, Cevimeline, Omeprazole, Predisone and Rothwells Solutions. Meds that I take are Atorvastatin. hydrochlorothiazide, citalopram, propafenone, atenolol. I had had all kinds of blood work done as well. I am so desperate I really cant take this anymore. | Hello there, Thanks for writing your query, Appearance of recurrent ulcers or canker sores on the oral mucosa like tongue mucosa indicates inflammation. Recurrent trauma to the mucous membrane may lead to formation of ulcers, or It may be caused due to several reasons like deficiency or certain vitamins especially vitamin B12 and vitamin C. start with multivitamin supplements for 7 to 10 days and vitamin C lozenges will help in resolving the problem. Avoid alcohol, carbonated Chat Doctor. Apply oral antiseptic, analgesic ointments like denote or mucosal topically over the affected area I hope this helps, take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my husbands semen analysis report is color- opaque white total volume- 2ml viscosity- viscous a.motile- 10% s.motile- 10% nonmotile- 80% total count- 02ml pus.cell- 2-3/hpf R.B.C.- 1-2/hpf . I want to know, can he be a father of a child. write the remedies for my problem? | Hello appreciate your concernAccording to these reports he has more of non-motile sperms with less in number will definitely help you in the best possible way if you can answer my these questions age and presence of any medical or metabolic disease Does he smoke or consume liquors, He can be a father of child first it needs to rule out any organic cause for low sperm count and non-motile sperms, by treating the underlying cause, healthy sperms can be improved it fails to increase, than artificial insemination and other artificial reproductive techniques can be used. Ask him to have good balanced food multivitamin and minerals supplementsoHope this answers your question Best wishes |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am aged 45, male. My creatinine is 9.1mg/dl, Urea-101.1 mg/dl, haemoglobin : 9.2 mg/dl, BP is 150/100, doing dialysis twice in a week. What if the medicine for reducing, BP, Creatinine & Urea I dont have edema, I have normal urine flow ,and I have disturbed sleep In one of your post you have advised to take -- Elserum 3x 4 pills twice in a day -- Vesicaria Q 4drops in half cup of water twice in a day You also said All the medicine should be made in Germany Where to get these medicine in Chennai | Hello and welcome to Chat Doctor. As a Urologist, I must advise you to be safe for your health. Kindly follow one system of treatment. It isn't safe to mix allopatry and homeopathy. Homeopathy doctors with kidney failure come for dialysis. Your dialysis treatment will continue till, you can have a kidney transplant. You must mention the kidney biopsy report, so I can guide you better. Kindly mention to your nephrologist, that you're also on home treatment. If you've any doubts, you may send it as a direct question, to me. Chat Doctor. Manga. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i had surgery 3 weeks ago, had to have my glad-bladder remove and repaired my hernia in my navel. my stomach starting hurting 4 days ago i was up all night going to the washroom and just watering coming out of my anus, i have no appetite and my stomach always makes weird noises. why is this happening | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. It may cause such symptoms since bile production is decreased after surgery. But it should not last for more than 2 months, and it should improve day by day. Try to eat more liquid fluids, probiotics, and less fried food, alcohol and carbonated Chat Doctor. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Good day, I have 2 bulging discs (which I have known of for many years) and a posterior annular tear in the disc upwards. This concerns the L5/S1 and the two next discs. What implications does the tear have for my lifestyle? I run frequently and used to be a competetive fencer. | Hello, As due to muscle weakness and degenerative changes in the muscles of the spinal column there will be an injury to the ligaments and the intervertebral discs. Due to which there will be a pain, inflammation, tingling, etc. Recent research studies suggest that exercises have a positive role in the recovery post disc injury. Exercises like - core stability, spinal muscle strengthening exercises, hip muscle strengthening exercises, static hamstring, static qua Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. Jay In |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My wisdom tooth has barley broken threw the skin but yesterday it started to hurt really bad and a blister feeling like thing has swelled up over where the tooth should come out at. Today it was worse so I decided to try to pop this bubble and a lot of puss came out it felt better for about 20 mins but it has gone back to the sowlen and bubble it was before. What could this be and how can I ease the pain? | Hi, Thanks for asking the query, Accrding to your clinical symptoms I suppose that you are suffering with PERITONITIS due to the wisdom tooth, this area is difficult to clean and often invites bacterial infection leading to pain, swelling and pus formation. I would suggest yo to consult to a Dentist get a checkup done, take an x-ray, plan for the removal of the tooth. Take a course of antibiotics and analgesics. At home take lukewarm saline and antiseptic mouthwash rinses. Take care! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi there, We have been trying for a baby for the last year and last month I used ovulation urine test sticks and we had sex both days before ovulation was said to be about to take place. I have come on this morning. I am trying to think of all the things that may hinder our success. My husband has a bad back and takes co-codomol and diclifenac for his pains every day, could this effect his sperm count? He also smoked cigars. | Hi greetings I presume his semen analysis was done and its normal. The idea of timed intercourse may not be successfully all the time. I suggest you to have regular sex from 10t TH day of your menses for another 10 days. Ovulation tests need not coincide always. If that is not successful you will need day 2 hormone analysis and an ultrasound scan to study your follicles in ovary. Kindly do a check-up with an infertility specialist. Regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello doctor, i have been chewing rajniganda from past three years say about 3 medium packets a day,but since a year i have been addicted to it with the addition hera-panna (sweet pan powder) and i eat a packet less a day but i still have it everyday and cant live without it, how do i stop it and what are the effects of this habit on my health physically and mentally ?please advice to the best.thank you. | Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Stoping it will require some cognitive changes and behavioral modifications. Consider visiting a psychologist for the same. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I woke up with a headache, stomachache and slight sore throat. Went to the doctor for a routine blood test today and she said my body temperature was very low. She had no real explanation for it. Thought I might have some bug. Could I have a virus causing these symptoms? | Yes, the most common cause for your set of symptoms is viral. You just give adequate rest to your body, take light diet and plenty of oral fluids. Also, do warm saline gargles for your throat. If your symptoms not comes down in 2 days, bacterial sore throat or other causes to be considered, and you should see your doctor.I hope you will find this information useful. Wishing you a faster recovery. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello Doctor,I got married 2 years before, i have sperm count 40 million and motility 45 %. Kindly advice to increase the sperm count and also advice what are the food item will help us to increase the sperm count. Please help me to resolving those issues. Thank you,Raj M | Dear RAJ, Thanks for writing to Chat Doctor. You have not written the complete report but from the minimum information you have given, You do not have significant problem as 40 million count is normal so is motility. Following foods help in improvement of count and conception. Green leafy vegetables. Sprouts. Foods rich in lycopene like tomatoes. Avoid Smoking as it kills the sperms' potency. Alcohol. Tight pants/ trousersThanks Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I woke up this am about 6am with a pain just under the left side of my rib cage as the day went on hr by hr I couldnt take deep breaths the pain hurt if I sneezed, coughed ect. I just had a pain that almost knocked me off my chair, the pain is GONE just a dull ache Do you think this could have been a kidney stone? I was ready to go to the er just before this happened | HelloThanks for query. Constant dull pain below the rib cage can be mostly due to presence of stone either in kidney or ureter ND needs evaluation. Please consult qualified Urologist for clinical examination and get following basic tests done to confirm the diagnosis.1) Urine routine and culture.2) Ultrasound scanning of abdomen and pelvis. Further treatment will depend upon result of these tests and final diagnosis. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello, On February 23, 2013 I was assaulted during a party. A guy punch me in the face around the lower jaw area and blood instantly came from under the lower left canine tooth. I didnt think much of it because the area was not swollen nor painful until three days after the incident. I went to a dentist and they took x rays of the area. They said that the root of my 22nd tooth was fractured from the injury and referred me to a oral surgeon. When I went to the oral surgeon they took a panoramic x ray of my mouth/ jaw and they said from the looks of the x ray that the tooth wasnt fractured but the bone surrounding the tooth was fractured (alveolar bone). They consider the injury to be a green-stick fracture, minor and curable by a soft diet and pain medication. For two weeks straight I experienced unbearable pain. I had a clear, sometimes yellow, discharge coming from under the gums of the 22nd tooth. Furthermore, the lower left side of my jaw was swollen badly! During those two weeks I took my medication and had follow up visits to the oral surgeon because I was afraid that the yellowish/ clear discharge was a sign of an oncoming abscess. They told me that since I had a cut around the inner and outer gums of the canine tooth, that food and debris could be getting trapped with the cut and causing the discharge. From their the oral surgeon put me on an oral rinse called Peridex and took me to complete the course of my medication. Three weeks after the initial fracture date, the swelling begin to decrease and a soft lump begin to form around the lower part of my jaw/ chin area Also, a bump begin to form behind the 22nd tooth. Both formation are painless unless I irritate it. It hurts to chew on both the 22nd and 21st tooth. When you tap both of those teeth, it is sensitive. I have tried to burst the pimple like bump behind the tooth but nothing came out but blood. I applied antiseptic rinse to the area after I popped the bump. Also, I applied hot and cold compresses to the lump on my lower jaw/ chin but nothing seems to relieve the swelling. I research possible answer to my symptoms and some of the results I were given were question. Being that my jaw is fractured, the lump on my lower jaw/ chin area could be a soft callus which is a part of the bone healing process. My biggest fear is that the lower is enclosed pus that is leading to an abscess. I REALLY need someones opinion on this because all of the doctors I have went to have given me different diagnosis. If it is an abscess, Which I HOPE IT IS NOT, I need to get it taken care of as soon as possible so my adjacent teeth and jaw bone wont become infected. Please Help | Hi, Thanks for asking query, According to your explanation it seems that you have develop abscess in relation to tooth injured during the trauma. It can be the possibility that it has spread to adjacent teeth also. I suggest you to visit dentist get the fresh Iowa and OPG done. Get the root canal treatment done of the affected tooth followed by crown to the particular tooth, abscess should be properly Chat Doctor. Take proper broad spectrum antibiotic and non-steroidal analgesic as prescribed by dentist, gargle with warm saline water 3 to 4 times a day, use antiseptic mouth wash. Hope this will help you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, In February I was hospitalised abroad after having contracted syphilis and chlamydia at the same time Before admission they tested me for HIV whicChatDoctore back negative (blood test), a week before my admission I did 3 swab tests, all negative. Three days later while in hospital, the doctor came to tell me I was positive, her attending colleague came to see me shortly after and told me not to get upset to worried, the test wasn t positive, it was inconclusive. Her colleague was assuming I was positive because my tcells were so low but after looking at my tests she assumed it was because my immunity had been shot down with the syphilis and chlamydia double whammy. I was released a week later and continued to go for my weekly shots. Within three months my syphilis went from 1:32 to 1:2, the doctors themselves couldn t believe how rapidly my system had fought the syphilis (it apparently takes up to two years), while at home I did another two swab tests which returned negative results. I did another follow up blood test, four months after my stay in hospital and the result is still inconclusive, the doctors just say there is a problem with my blood and the amount of antibodies but cannot seem to see what it is. Could I be positive after so many 5 swab and 1 blood negative? Could it be the syphilis? It has now been 6 months and the latest is still inconclusive. I am not in my own country and the language barrier here doesn t help either | Hi, Welcome to Chat Doctor, Syphilis could be false positively came out with using Non-treponemal tests which include venereal disease research laboratory (V Chat Doctor. False positive results could come on the non-treponemal tests following some viral infections such as varicella or measles, as well as with lymphoma, tuberculosis or malaria. There will be a requirement of confirmation tests like treponemal test, such as treponemal pallidum particle agglutination (TPA) or fluorescent treponemal antibody absorption test (FTA-Abs) which are specific tests and could come positive after 5 or 6 weeks following unprotected sexual exposure. So, here I would suggest you to see immediate an infectious disease (ID) specialist for checking and thoroughly clinical examination without bothering about earlier test results. You should be given single dose of Benzedrine penicillin as it is to be given in the uncomplicated cases of syphilis. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My head is always overheating. I sweat fast and have a high metabolism but im not active in any type of sports. I get headaches when i get too hot. Usually i put cold things like frozen peas on my head or sit infront of the Air Conditioner/Fan. It always calms me down. Is there anyway i can fix this? Im now pregnant and i tend to overheat faster now. | Hello, I have gone through the query and understood your concern. Your symptoms are suggestive of excess function of certain body hormones that lead to excess sweating and this sort of presentation needs further evaluation to manage properly. This can also be hereditary. Now that you are pregnant, evaluation should wait ideally until you deliver as biological changes inherent to pregnancy can cause confusion in the diagnosis. Moreover, several investigations should be avoided in pregnancy and so are treatments. So, please try to take a healthy diet. Avoid fried food, fast foods, oily food and take plenty of fresh fruits and vegetables along with adequate water. This should help tide over the situation. Wish you safe motherhood. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I would like to know what dose of Clomifene citrate (Clomid) would you recommend for a 42-year-old with an AMH of 0.35? | Hello, Welcome to Chat Doctor forum. I suggest apart from FSH (follicle stimulating hormone) and AMH (anti-Mullerian hormone) you do blood tests TSH (thyroid stimulating hormone) and prolactin. Clomifene is started at 50 mg daily for five days. If ovulation does not occur then the dose can be increased to 100 mg daily for five days. It is always advisable to start at the minimum dose. For more information consult an infertility specialist online |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello,I am Shikha. I am facing twitches from 2 months which started from my lower lip. And now i fell intermittent twitches in my calf, foot, hip , hands. I am feeling uneasy and worried. I consulted a neurologist and got myself tested for thyroid, calcium and phosphorus and diabetes. My calcium was a bit lower to the normal range (only 2 points low). On his advise iam taking Calcium supplements and anxiety tables( Zapiz and ciplar).Please advice. Iam worried .Thanks in advance | Hello, I read carefully your query and understand your concern. Face twitches can be related to anxiety. Low calcium levels can also trigger these symptoms. So, I suggest taking the medications as prescribed by your doctor. I also suggest a healthy lifestyle, eating a healthy diet and sleeping well. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. Im 21 years. I am hypertension patient for three years and Ive CKD. My doctor has suggested to reduce the intake of potassium in my diet. I want to know, is it possible for everything to get reversed and Im very afraid that I might need dialysis.For how long can I avoid dialysis? What should be my diet? And what else I need to do to lower the risk of CKD? | Hello and welcome to Chat Doctor. As a Urologist, I can fully understand your concern. I must be able to see your last reports of blood creatinine, sugar, uric acid, sodium, potassium, ultrasound scan, urine micro-albumin, 24 hours urine protein, GFR, or creatinine clearance, and kidney biopsy, if done. You can send these reports to me as a direct question, and I shall be able to give you an expert opinion. Avoiding potassium rich foods is a must. Your B.P. must always be in control. Never miss the medication. Chat Doctor. Manga. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My husband and I have been trying to get pregnant for 1year and half. I quit smoking 3 weeks ago, I have smoked for about 10 years. I was wondering how long it takes for your fertility to go back to normal or if it ever does? This is my last month I can take Clomid before we have to go to a Fertiliy Dr. | Hai, i appreciate for quitting smoking. Normally after quitting smoking 3 to 4 months will need to get regularize and healthy ovum from ovulation. In addition to that you should follow a healthy food habit, lifestyle etc. along with the medication. Follow the below advise:Add fig, dates,pomegranate, green leafy vegetables, ragi, folic acid containing fruits and vegetables. Take foods like Almond, cashew, in your daily food intake. Take wheat, urad DAL, and DAL prepared with ghee. Take diary product like milk, yogurt,cheese, butter etc. Avoid alcohol, fried,junk foods and caffeinated Chat Doctor. Take 4 to 5litre of water. Do walk for 3 to 4 kilometer. Sound sleep advised. Follow it for 2 to 3 months and get opinion from an infertility specialist. Thank you hope I answered your query. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Himy name is bhupender , i am 34, height is 176 cm and weight is around 78 kg. for last 2 months i am suffering from acute anxiety dissorder. the cardiologist has termed it as cardiac neurosis and the physician call it "Panic attack dissorder". i was a normall human being befor 6th of march,2010 and on 7th that strange wave of fear came all of sudden and and started feeling that m y BP is going high and i may have a heart attack. since then there has been 5 occasions when i was rushed to ER. my TMT test is ok where in i worked out for 9.5 minutes with 3 step increase in speed and reached a maximum heart rate of 190 with bp of 160/80. my LFT, KFT, blood sugar are normal, Thyroide , Vit-B12 and serum foliate is also normal but still i have a fear that my BP will go high anytime and that i will have a heart attack and i am not able to over come it. I am taking Concid twice a day before meal and Nexito 10 mg before i go to bed everyday for last 1 week. how can i reset my mind again. please help | Hi dear. I had gone through your query. I understand your concern. Panic attack define as sudden rise in anxiety. Symptoms like palpitation / tachycardia / sweating etc...it may mimic like heart attack. But all investigations came normal. In panic attacks there is no life-threatening but it has severe anxiety. No need to worry. Just relax and accept your psychological problems. Proper psychological evaluation and counselling will help. Supportive psychotherapy will increase your tolerance to bear that anxiety. It can be treated with medicine like combination of SSRI and benzodiazepine. In SSRI sertraline / Escitalopram / paroxetine will help. Sudden attack can be relieved by Mizoram and clonazepam. But consult psychiatrist for better evaluation and assistance. Still if you have a query then feel free to ask. Happy to help you further. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I was bit by my iguana on my thumb a few days ago. I cleaned it really good and have taken care of it with peroxide and neosporin etc. It seemed to be healing but it is now turning whitish with a bit of purple and is swollen but the skin where the cut is has turned not only very hard and sore. | HIT hanks for posting your query to Chat Doctor. I think it is getting infected. You should not self-medicate yourself. I advise you to consult your doctor as early as possible. You may require Oral Or Injection Antibiotics and may also require debridement of the wound with proper antiseptic Chat Doctor. Kindly get it done. If you have not taken a shot of Tetanus kindly get that also. Hope you find this information useful. Any clarifications or Queries feel free to ask. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My sister recently had 2 operations within 8 weeks on her spine. She is making a slow recovery at home but unfortunately the operation has left her with bowel incontinancy. When I spoke to her to ask if she had seen a specialist for her problem she told me that she hadnt and that when she was discharged from the spinal trauma unit in the hospital she wa told that her bowel problem was something that she would just have to live with. Unfortunately my sister lives 350 from me so it is not possible for me to talk to her doctor. My question is...is this anormal side effect of that operation and is it something "She will just have to live with!!" Look forward to hearing from you. regards Margaret Hillier | Dear caring brotherFirst I would like to know what surgery has been performed and at which level of spine. Was surgery done to treat spinal trauma and whether MRI spine was done prior to surgery and if done what was its findings? If level of trauma was at dorsal or higher level then spinal cord injury itself leads to bowel and bladder incontinence. If bowel disturbance has occurred after surgery and not after trauma Then possibility of iatrogenic spinal cord trauma should be considered. If spinal cord has been damaged in any way either due to trauma or during surgery then bowel disturbance might be permanent. Kindly get a MRI done if not done previously. . |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Continous cough. Chest is clear but i still feel heavy. Cough is bad during evening. Thread like flem does come but not to the mouth, i can just feel it in my throat. This has been going on for a month. Anti alergy tablets, cough syrup, salt water goggling all has just shown very little improvement | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis or lung infection is more in your case. It is due to inflammation and edema of airways. Your symptoms like cough (not improving with routine Chat Doctor. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. You may need antibiotics, anti-inflammatory, inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My mother in law just had stent surgery today and after been admitted back to the ward had severe breathing difficulties and had to be put on an oxygen machine. Last week she had a silent heart attack and she also has type 2 diabetes. Is this normal and how serious is her situation. She is 76 | HelloThanks for posting at Chat Doctor. Your mother-in-law had a silent heart attack which is very typical in diabetics. Stents are put to reopen and establish flow in the arteries of the heart which are blocked. Due to the silent heart attack that she had, the heart pumping function seems to have suffered. Hence, it is not able to effectively pump all the blood it receives leading to fluid overload. This excessive fluid tends to accumulate in the lungs. This causes breathing difficulty. This condition is known as pulmonary edema. I suppose your mother-in-law is suffering from pulmonary edema. It requires treatment with diuretics (water pill), nitrates along with other medications for the stent and the heart which she is already on. Once the extra fluid resolves, she will get better. The Left ventricular ejection fraction or the pumping function is normally 55-60%. After a heart attack, it Chat Doctor. A 2 D Echo should be done which will show you how much the ejection fraction is in her case. Wishing her good healthRegards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello...doctor ito from nagaland age 23 male taken medicine for last 14 months(tubercolusis)continuing akurit kits..but dont shows improvment due aspectic and plural thickness please help is there any further treatment?and also pilling out the lungs cover is there any abnoramalities,side effect? | Hello and welcome to Chat Doctor, Kindly consult a specialist (pulmonologist) for review of the anti-tubercular treatment (ATT). No ATT regime is as long as 14 months. Prolonged ATT is given only in case of bone tuberculosis. The ATT has be reviewed at regular intervals to assess the effectiveness of treatment. In case of pleural thickness, pleural decorticating can be done. However, it is important to consult a specialist for clinical assessment and further management. Thanks and take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a vertical 4 red arc bordering my left ankle and was wondering what it may be. Here is a background on me. I had breast cancer in 2009 and was treated with 26 high dose radiation visits and have been on the 5-yr Tamoxifen treatment plan for 3 years now. I also had a foot wound in which I was diagnosed with Cellulitis , Strep infection and Scarlett Fever, 1 year ago. I flew a long distance 6 months later and both of my feet, ankles and legs swelled up again. My family doctor told me it was just the long flight and that I should get stockings and get up during the flight. I disagreed and thought it was related to my Cellulitis and wondered if my Strep infection was cured. I was originally given 3 antibiotics to treat Strep, Mersa and 1 other infection for the recommended length of time, my family doctor said the infection was treated but did not do a follow up blood test for strep. I still have a few red dots on my legs below my knees. I just got back from a trip to Hawaii from Alaska and my legs were fine! Currently, my latest blood test revealed high glucose and high calcium. My oncologist asked me to do another blood test to recheck my calcium and go from there. I also have an appointment with an internist for an office visit to report blood from rectum with more frequent and loose stools. My family history is cancer, heart disease. No diabetes. I have normal low blood pressure, 101/63 or so. I have also been going through menopause for the last 9 years. I also have frequent nighttime urination along with incontinence . I have to wear a daily panty liner because of discharge. I have had yearly exams and tests ran for all std s but all have come back negative. Sometimes I feel like I have a swollen gland in the outside vaginal area and once in a while feel maybe an ovary pang.? I have had a cough the last couple of months, running nose and a sneeze ever now and then. I have also had a couple of scans on my neck area because of bone grinding and neck tipping . My cartilage is gone between a couple of discs and I was diagnosed with osteopenia and told to take calcium supplements. | thanks for your query can feel your concern sits really hard to cope with so many problems you need to monitor your blood sugar. And you may need medications if it is continuously high. Modify your diet. Avoid junk food and bakery items. Use fresh fruits and vegetables. For your loose stools, you can use EspaΓ±ol husk. You need a routeing urine examination to rule out any urinary infection. Moreover you can have pelvic exercises to overcome urinary incontinence. For cough, use honey and green tea. Steam inhalation is also effective. Avoid cold and soft Chat Doctor. You can use some antihistamine after consulting your doctor. Continue using calcium supplements and also use vitamin D Supplements.wishing you good health regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, My son is in the NICU and has recently had to have a breathing tube. They tested some of his secretions and he has tested positive for Enterobacter asburiae cloacae. They have no way to tell if he is sick from this or if the bacteria is only colonized in the breathing tube. They have moved him into isolation and we now have to wear gloves and gowns. Now they are also wanting us to wear masks, is this necessary?? | Hi, Thanks for the query. I have read your query carefully, and understood your concern. Enterobacterasburaie cloacae is found to be resistant to most of the higher antibiotics. So though the breathing tube was found to be positive for the bacteria your son is isolated. Being in isolation wearing of gown. Gloves, masks becomes mandatory to avoid spread of the bacteria in outer world. One of following specified, powerful antimicrobial like Betalactams, Aminoglycocides, Trimethoprime sulphamethoxazoleare to be chosen with help of doctor specialized in infectious disease, Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | 3 days late. Have lower back pain. Home Pregnancy test came back negative. 3 days ago had very slight spotting when wiped myself at toilet but that was literally it. Have an undwractive thyroid and taking 125 g of levothyroxine. Is there any possibility I could be pregnant or is my body just giving out on me? | Hello dairy understand your concertgoer delayed period could be due to pregnancy and underactive thyroid. Slight spotting may be an implantation bleeding if you did unprotected sex during fertile phase of period. But pregnancy test will give positive results once your period will delay by more than 7 days. If period will delay by more than 7 days then go for urine pregnancy test and or blood Chat Doctor test to confirm pregnancy. Avoid stress, take healthy diet, take proper treatment for thyroid dysfunction, do regular exercise, maintain proper pelvic hygiene. Hope this may help you Best regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I am a 40 year old woman with a very long history of abnormal cells mainly pertaining to the HPV Virus, I have had numerous cryo-surgeries over the years, I have two children now and am all done with that part, my husband has had a vasoctomy. That was over 10 years ago. 2 years ago abnormal cells were again present and my doctor performed the LEEP procedure. The pathology report after that came back showing remaining cells, then I had I pap or two that would be normal, now back to having low grade abnormal cells. He has in talking mentioned performing a hysteroectomy and leaving the overies. I am meeting with my doctor tomorrow for another 3 month follow up Pap test, and I have really decided that I am ready to be done with all of this. I think it is time to get it over with. My hormonal history is another story it is a disaster, a battle with severe depression, cystic acne, horible PMS ever since my teens, mood swings that my family is just suffering from and I have been treated with medications for anger, irritability to the extreme. My point is this: Why should it be my doctors decision whether or not I have a hysterecotmy? I have been through over 20 years of this and am out of my child bearing years. I have already had a LEEP procedure that has not worked?? This has gone on long enough? Here is my other question: Why does he have the say so whether or not I keep my ovaries? He told me that I am young and that I need them. I want them gone! I have decided that they are fighting against me. I am already on Bio-identical hormones and we are having a hard time even getting those regulated, because of what my BODY is producing. I am still naturally extremely high estrogen, and it seems to me that with all of the other hormonal issues mentioned above that it may just be easier adjusting hormone supplementation going in from the OPPOSITE DIRECTION?? Without ovaries?? Isnt that my decision? If I am going to have a hysteroectomy? If anyone has any advice I would gladly appreciate it. I am just walking around with HPV and a hormonal disaster, I feel like I dont have the untimate say so. Thank You and I greatly appreciate your knowledge on this subject. emails are fine also! | Hi there ~I understand your concerns and I believe after reading your brief history that getting a hysterectomy would be a good choice for you. I am glad that you are consulting a psychiatrist for your mental health issues and I believe they will get better after the surgery, as that would be one big thing to worry about less. About the ovaries, it is up to you to keep them, since your estrogens and progesterone are produced by the ovaries, and you might experience premature menopausal symptoms if you decide to have them removed. However, you should consult your gynecologist who will perform your hysterectomy about this. Take care of yourself and have a lovely day! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Slipped down the stairs yesterday when I was carrying my water glass and plates. Hurt my hip and the back, and couldnt breathe for seconds. Stood up and felt really painful on my left ribs and neck, I could only do minimal movements yesterday and felt the numbness on my left hand. I am still feeling the pain this morning when I wake up, should I consult the doctor | Hello, I have studied your case with diligence. If not relieved then possibility of polyarthritis needs to be considered Chat Doctor. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? When such patients come to our hospital I advise them blood test like RA factor, CCP, ESR, complete blood count, HLA B27Hope 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. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my daughter fell off a chair yesterday dinner time, banging her chin/jaw hard on the table, which also caused her head to flick back very hard before she hit her bum on the floor, she had been complaining of a sore neck today, but now has a slight temperature.. could this be linked to the fall? or she just carrying a cold from school also? | Hello, I can understand your concern. The accident of falling down your daughter suffered from may cause injuries in the chin and other areas of the body that are hurt, but the fall itself cannot cause fever. Fever is a sign of infection which can be due to the cold as you pointed out. It is also possible that the sore neck might be due to throat infection if she has problems in swallowing food. If the sore neck is associated with the movements of the neck, then it can be associated with the fall. However, in external injury case, I would advise you to do heat compressions over the area to relax the sore muscles. Also, if she has problems in mouth opening or any area around mouth swells, I would recommend you to visit a dentist or oral surgeon for possible bone injuries to the areas. Acetaminophen can be given for pain and fever relief. You can give the dose you might be giving for simple pain or fever episodes. I cannot suggest the dose here as age of the child is not mentioned. In addition, you should also visit a Pediatrician or ENT specialist for cold and possible sore throat. I hope this information helps you. Thank you for choosing Chat Doctor. I wish your daughter feels better soon. Best, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i took diane last month then i switched to althea after finishing diane, we had unprotected sex frequently, he comes inside me, i read that when taking althea, we need to have protection for the first 7 days. my LMP was Nov. 26, until now, 12/2014, i don t have period yet, is there a possibility that i am pregnant? | Hello! Thanks for your query. Diane and Althea have the same formulation but Diane is more expensive than Althea. If you took Althea in the first day of your cycle you are protected. If you have started using Althea in every other day of your cycle you should use another contraceptive method for the 7 next day. You should take a urine pregnancy test at home to confirm /rule out pregnancy. Take care of your self |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have a cough for almost eight days. My cough was not frequent and I have no fever till now. I feel like something is in my throat sometimes. Can it be a COVID-19? I take Azithromycin 500 mg once a day after meal and Rhinokast F before sleep. | Hello. Do you have any recent travel to countries or areas with COVID-19? How about any recent exposure to someone who is positive with COVID-19? If your answer to these questions is none, then it is least likely for you to have COVID-19. COVID-19 initial symptoms would include cough accompanied by fever. On top of that most patients would also experience difficulty breathing. Since you mentioned you did not have a fever, it is least likely you have COVID-19 at this point. However, if symptoms, persist, worsen or new onset of symptoms such as difficulty breathing, and fever further consult is advised. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have had essentioal tremors for about 20 years and the last 2-3 years have gotten worse. I am at the max on medication (primodine, propanaol) and the tremors still continue. What would you suggest be my next step? This has really taken a toll on my daily living. Thank you, Sue | Essential tremors have limited management strategy in the form of medical treatment. You are on both propranolol and pyrimidine. If you are still disabled then probably you should consult a movement disorder specialist and think about going for the surgery with the options of thalamotomy and Deep Brain stimulation. Both the procedures have high success rates and a movement disorder specialist might explain more about them. Please do not lose hope. You can get better. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I think I have arthritis pain. I guess my doc is the one to diagnose me, I have aches in different parts of my body, My arms, my hands & wrists and sometimes thighs. I m 68 years old. Is this typical? My lower back just reminded me to not forget about it. Can arthritis be cured? or treated? | Hello, Frankly speaking, arthritis cannot be cured as it is due to age-related changes. However, symptoms can be reduced to a larger extent. Get your serum it d, vit b12, calcium level checked. Get a DEXA scan done to know the quantity of bone. Do regular exercises, take physiotherapy sessions, take external supports for knees and back in the form of belts and knee cap. Use over the counter painkillers as needed. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi Doctor iam 30 years old iam feeling anxiety and worrying frequently and going to bathroom frequently and recently went to cardialagist in malaysia he took stress test and told me all is well and suggested me gastrentologist . after eating iam feeling heavy can you please suggest Thanks.. | ! From your presentation I feel that your symptoms of increased frequency of urination is related to anxiety, and not to Castro or cardio cause. You should meet a psychiatrist and discuss the problem in detail. I'm sure that with proper testament you will become much better. Had I been treating you I would have gone for - paroxetine or amitriptyline? Along with that you may need Mizoram on SOS basis for some time. It is quite a common presentation, so please do to worry, it is treatable. Hope the reply is useful for you wish you good health |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. I have a 3 1/2 yr old daughter who occasionally has mottled skin on her extremities and trunks which became more pronounced after taking a bath. Sometimes it also appears even when she s not in the shower and the temperature is not cold . She s kind of irritated everytime the mottling appears. I ve been wondering if this is normal or not. My husband was recently suspected for having lupus because of her malar rash and positive lupus anticoagulants.pls. Help.thanks. | Hello, Just to recap - your daughter has Malay rash, positive ACL antibodies and temperature-sensitive mottled skin on her extremities. She is very young but unfortunately of the right gender for risk of autoimmune diseases like SHE. She needs extensive workup with full blood count (to exclude cyclopedias), ANA profile, DSNA, brain scan (if any history of fevers with fits), cryoglobulin screen with typing (if positive). Cryoglobulin is a type of protein that clots when skin temperature falls below core temperature and therefore very important to keep extremities warm at all times. You need to ensure she is reviewed by a Pediatric Rheumatologist asap. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my friend is in rehab after being in an induced coma in ICU for 20 plus days with dx of severe sepsis. went to rehab then had an abscessed ruptured appendix back to hos now again in rehab. ready to be discharged soon. tonight the staff moved her into a private room saying she had a contagious UTI and are administering oral antibiotics. she is experiencing no burning upon urination or discomfort. they did not do a urinalysis either... what could be going on??? she has excellent medical insurance | Hi, Thanks for asking your query. Your friend has gone through a really tough time and still fighting the sepsis. At times there may some infections remaining in the urinary tract which need to be treated aggressively even if the patient is having no complaints. Such infections are seen more in patients who are comatose for a while and having a urinary catheter inside. These infections must be treated before patient is sent home and that is what the doctors are doing right now. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I got stung by a scorpion in the cheek a couple of weeks ago. I did not have any pain just numbness throughout my body for a couple of day. But I am feeling very tired and listless. Can this still be from the sting. I also have Fibromyalgia and I guess it could be that too. | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes a scorpion sting and fibromyalgia collectively causes this weakness. In my advice you should not worry as this will be cured soon. You van take the paracetamol for pain relief, glucose powder for the energy purpose. ORS can also help as it will supplement the essential minerals that has lost in the scorpion bite. Scorpian sting can be lethal immediately after the bite, but it will not after a day or two has passed. You should take care for the local wound, I advise you should do local cleaning and Chat Doctor. This will cure up the wound readily. I will be happy to answer your further concern on bit.ly/ |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have had a cold for about 8 days now and altho I am feeling better I still have nasal congestion and am blowing my nose a lot. Is is supposed to be clear? It is not always and Im concerned that I may have an infection now. How do I know? thanks so much. | Dear, cough & cold with nasal congestion can be due to bacterial or a common viral infection. Viral infections get cured by itself. To check to bacterial infection you should do nasal swab culture & sensitivity testing in your nearest laboratory. Based on the result of the test you can start the antibiotics. Ill the result comes you should do steam inhalation twice daily to relieve yours nasal congestion. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am a 77 year old male. I have had lower right side abdominal pain (below appendectomy scar) for about four years. Now for the last year I also have the same kind of pain on my lower left lower ab also. This left side pain radiates onto my left testis. It is a stabbing needle type of pain. Sometimes excruciating pian. I now also get this pain on my right side that radiates on to the right testis. What could be causing this pain? A recent ultrasound showed no torsion. | Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you for an ultrasound of abdomen to rule out any chances of a calculus in the ureter which could give rise to such pain both in the abdomen, and a referred pain to the testes. Further management would depend on the findings of the ultrasound. Till that, I would advise you for an anti-inflammatory Chat Doctor. If I were your doctor, I would advise you not to eat any food from outside if you do. I would then get your stool tested for ova and cyst to rule out an intestinal infection, and treat it if positive. If all are normal, I would not hesitate to go for a thyroid function test for you considering the history of sweating and cramps. Further management would depend on the reports of investigations. 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. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello Dr. Grief My daughter has had some type of allergic reaction recently. She has a rash that started on her arm and has since spread over her body. She went to the emergency room two nights in a row and the doctors have said that it could possibly be insects maybe dust mites or bed bugs. They treated her with antibiotics and a topical cream. Her apartment manager called Terminix and they could not find anything. What do you suggest we do? | HI, it can be due to some allergy or some systemic causes also, first get it examined by a dermatologist and then to rule out allergic reaction you should go for differential count and total count of white blood cells, platelets count, prothrombin time and closing time, D dimer estimation, immunoglobulin estimation to rule out any autoimmune pathology going inside the body, can go for complete panel allergen test to rule out allergic reaction, serum Egg should be estimated. Respiratory tract involvement should be ruled out, internal gastrointestinal tract bleeding should be ruled out, routine examination urine should be done, and you should go to a higher center for its diagnosis and should not be neglected. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello Doctor,This is Sneha.I have been using melacare forte for the past four years.I was brown and i turned fair after using melacare.My skin tone has become fair now.When i leave melacare for a week my skin turns rough and black.I am planning to conceive in six months.Should i drop melacare or is it okay to use it for a long term.If i drop melacare what should i replace with to get back my skin.Please help. | Hi. It's not good at all to use Delaware forte for a long term. Delaware forte contains retinoid, HY Chat Doctor. It's a prescription medicine and ought to be used only under the supervision of dermatologist. Indication for its use is plasma/ Melanesia of face but it's never used for getting a fairer complexion. Long term indiscriminate use can lead to skin atrophy(telangiectasis), acne, photosensitivity, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,After three miscarriages, my doctor suggested me for torch test and it came out positive with high values of rubella IgG 272, toxoplasma IgG 78.6 and CMV IgG 12.1 and herpes IgG 46.1. My doctor gave me Acylex 200 mg two times a day for two months and advised us to not try for a baby for two months. After two months medicine course, I did this test again today and again it is positive with rubella IgG 223, toxoplasma IgG 101, CMV IgG is 13.6 and herpes IgG is 47.9. We cannot understand the reports. My uterus, ovaries, hormones, everything is fine. Please tell me when we can plan a pregnancy? And what are the chances of miscarriage again because of torch test positive results? All torch test IgM values are normal. | Hello, Welcome to Chat Doctor forum. I have gone through your case summary. Please tell me about the miscarriage at what time of gestation did they occur. Have you got an ultrasound done in those previous pregnancies? Was any shadow of the baby seen at that time? Was heartbeat seen in the baby? Next is your TORCH test. First of all, it is not responsible for recurrent miscarriages. All high values of IgG suggest that you are immune and now nothing is to be done. If we want to know a fresh infection, then only IgM or avidity testing is required. Did you have any history of fever, sore throat or any eruptions on your skin at the time of first miscarriage? Now, just do not bother about these tests. The important test required to be done. If not done earlier are thyroid profile, fasting, and postprandial blood sugar, V ChatDoctor. Get all these tests and accordingly, she can plan a pregnancy after another month. Pre-conceptionally, she should take tablet Folvite 1 mg and tablet Ecosprin 75 mg once a day. Could be anti-phospholipid antibody syn |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am a 19 year old girl, I have a few on my mind. Inside my mouth, on the plates, I believe I have tiny bumps.I did some research on the internet, all I get is some answers. But they were completely different from one other. Plus I took at the pictures, they dont look like on what I have. the tiny bumps do not hurt, they are the same color. (tiny bumps is like black heads small. Like the ones you see on your face.)I thought it was oral cancer, but I dont think it is. Just because I saw no white, yellow lumps or bumps. please help! last time I went to the dentist was last month. | Hello, thank you for consulting with us. There can be many reasons for this tiny bump on your palate. It can be because of some infection in the tooth or in the gums. But in that case there must be some pain in that. It can also be some allergic condition or may be just a growth of soft tissue. It will be better on your part that you should visit a good dentist and get it examined and get an x-ray done for a good diagnosis, because just matching it with pictures on the internet can not solve the problem. So visit a dentist and get it examined. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi my name is Jenny and I suffer from terrible anxiety, I have had funny things in front of my eyes for the past 8 or so years, they only seem to come when Ive been reading something and are noticeable when I blink. My I have glasses for reading and glasses for distance, I have been to an eye doc and he says everything is normal, I get scared and think I might have something horrible like a brain tumor. | Hi Jenny, I can see why seeing the funny things in front of your eyes has made you anxious and fear about a brain tumor despite assurance from your eye doctor. I would want to reassure you regarding the same, because a brain tumor is a serious problem that manifests with wide range of symptoms. It presents with prolonged headache, vision blurring, projectile vomiting, seizures, significant body weakness or stiffness, loss of consciousness or speech difficulties. There does not seem to be reason to believe that you could have a tumor in your brain. I do not know if the so-called funny things are mere artifacts in the eyes that appear magnified when seen across bright light, or if they are just flashes seen with closed eyes after a tiresome reading. The good news is that, except for the glasses you use, your eye doctor has ruled out a problem in your eyes. Hence, do not worry about this problem. I think you may try washing your eyes with clear water regularly and taking breaks from reading, during the regular use of glasses daily. If this still does not allay your fear, you may get an investigation of brain-scan (CT) done for your own satisfaction. However, it is not recommended in current scenario. Hope this answers your question. Happy to help if any more queries. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | grand daughter was just taken to ER. She was fine all day, running around, then got quiet and fell asleep. Woke up crying with fever, said her back hurt and apparently she did something weird with pulling her chin towards her chest. She was in a pool all afternoon. She also only has one kidney. | Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15Β mg/kg/dose (maximum ceiling dose of 500Β mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I just started a new job and my feet become so painful after a couple of hours I can hardly walk. I got some orthodics for my shoes which seem to help. The problem now is that my knee hurts so bad that I can hardly walk on it. It feels like I have hyper-extended it and it hurts to straighten it out. Now the pain is moving into the calf and ankle. | Hi, thank-you for providing the brief history of you. As you have pain in the calf and ankle, you need a thorough clinical examination. As most pains are activity and stress induced. Which is like the fatigue in the muscles occurs due to a long-standing and excess speed walking. If your knee is hurting you need a thorough knee assessment as sudden onset of pain can be due to any ligament sprain. Also, performing some regular exercises should help you fight against slow metabolism and fatigue. Also, in my clinical practice such cases respond well to general exercises. But if the pain still persist then keeping the age, work profile etc. into consideration they are recommended to physical therapy. RegardsJay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Extreme fatigue , chest tightness, body feeling heavy, dry eyes , unable to concentrate, comeback pain for last 6 years. Cholesterol around 230 all other tests turned negative. No Bp no sugar. Good appetite and sleep. Pain all over body. Doctor put me on anti represents for a long time (wellbutrin etc) no improvement. Male 46. Frequent flu like symptoms but no temperature rise. | Hello, welcome to Chat Doctor. Your symptoms like fatigue, chest tightness, body feeling heavy, Chat Doctor. Bupropion is effective for anxiety and depressive symptoms. Some time patient (approx 40% cases) did not improve with initial treatment, in that case one of the following steps are used:-To rule out any medical condition leading to existing symptoms-Checking compliance to treatment: Take medicine regularly: as medicine used to show effect after 4-6 weeks of continuous use.-Detection and correction of vitamin deficiency (especially vitamin B12): so take vitamin supplement and fruits/milk in diet.-Screening of thyroid dysfunction: Get serum T3/T4 and TSH level done-Increase the dose of current medicines-Change of existing medicine-Addition of other medicine-Addition of psychotherapy in treatment It is better to get re evaluated by psychiatrist and follow above recommendations. Wish you all the best. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. I am a thirty year old female. am a thirty year old female. I was diagnosed with primary hypertension at age 25. My average reading at diagnosis was 145/110, with peak reading at 185/120. In the past few years, my blood pressure readings have averaged out to slightly above normal with medications, averaging 125/95. However, yesterday I had a higher reading of 150/105 and earlier tonight my blood pressure spiked to 140/115 but has now dropped back down to 135/90. I was diagnosed with Type 2 diabetes at age 25 with a fasting blood sugar of 385. Now my blood sugar is in close to normal levels and is treated with Metformin and diet. My A1C is also in normal ranges. I was diagnosed with high cholesterol at age 26. At diagnosis, my total cholesterol was 310. Now it is down to 210 with medication and diet. At diagnois, my LDL cholesterol was 220 and has now dropped to 135 with medications. At diagnosis my HDL cholesterol was 75 and has now risen to 90 with my total cholesterol level being 210 at my last appointment with my cardiologist which was two weeks ago. I have been obese for most of my life and have been unable to lose much weight even with diet and exercise. At my heaviest, I weighed 285 pounds and am now down to 245 pounds which is about 110 pounds overweight. I take Metformin, Benicar, and Vytorin. Last night, I felt naseous and had waves of slight pain and pressure in my chest. I also felt pain in my jawline and left elbow area, whicChatDoctore and went in waves. I was sweating more than usual and was dizzy, but felt better with rest. Today I went about my normal routine, but felt dizzy when I went on my evening walk and now my left arm is numb. With my history, should I go to the ER just be sure this isn t cardiac related? | Hello, With the history what appears to me that your blood pressure is high of course what appears from the readings. But for now I feel it's not any heart attack for now. If it was then things would haven been complained as different way. As dizziness and sweating can also occur due to low blood glucose levels. Now coming back to the fluctuations in the readings. If you are taking the measurement from any of the digital machines, it can show errors too. Having it done on a traditional Blood Pressure apparatus called sphygmomanometer is advised. Next your blood pressure was high, but which arms that you did not mention? Left or the right? Considering the higher on the left or the right the medication will be advised. Coming to your diabetic profile. Usually, due to sedentary lifestyle, people tend to develop the early high blood glucose levels. Taking part in a regular physical activity like exercise should help it under control without having taking medications on a longer run. For high cholesterol levels this has to be taken care with diet more and exercises equally. As cholesterol levels are increased in most cases because the type of food one eats and doesn't burn out leading to high levels. Avoiding oil completely should definitely give the results in reducing the cholesterol levels. Now your next problem is obesity. Now this is something which definitely needs exercise and diet plan. In my clinical practice of 12 years I have seen cases with obesity, high blood pressure, high cholesterol levels and high blood glucose levels at early ages, but all responded well to diet and exercise well and now all are healthy. Medicine is of course good but on long run not good for body and especially kidneys. So most doctors advice control of the symptoms mentioned above with diet and exercise. I hope that you start the diet and exercise regime sooner so that you get some excellent results. 30 is not the age to visit medical professionals more often. This is the age to enjoy. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi i have ashtma and my doctor gave me oxycodone when i broke a rib coughing i took it for 2 months and had sweats chills vomiting and so sick i felt i would die and liver pains they put me though 6 ct scans a gal bladder check and still kept me on this med. i have not took it for a week now i am stll so sick. now she gave me ultram, but i am scared to take it. | Hi, Your main problem is coughing which is here causing your rib pain. But instead of just giving ultra- tramadol an analgesic Chat Doctor. As you have already asthma and must be taking treatment for that. Cough could be due to acute bronchitis, allergic bronchitis or upper respiratory infection etc. You may undergo routine blood investigation with sputum tests and X-ray chest to rule out any other pathology of lung. You will require full course of antibiotics (quinolones or cephalosporins) with anti-inflammatory and antiallergic (antihistamines or steroids) with supportive treatment. Consult pulmonologist for further advise. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. I took postinor 2 twice the previous month and I got my period. I then had sex on the 1st of September and I think I was ovulating, so I took postinor 2 immediately. I feel strange,so I did a urine test whicChatDoctore back negative(I did this 8 days after unprotected sex). Please what are my chances of still being pregnant? | Hello, Thanks for letting us know your health concern. You are well protected even if you were ovulating during the sexual act as you took the emergency contraceptive pill soon after the intercourse. The home pregnancy test cannot read so soon if you suspect pregnancy. You have to go for the blood test. Also, since you consumed the emergency contraceptive pill several times in recent times, your hormone balance is going to be disrupted and a such, you can expect erratic cycles. Do not use the pill more than once or twice per year. Instead, go for regular contraception. Please get further help from your consultant. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello..my father was diagnosed with cardiomyopathy 7 years ago ..at that time he had an only 30% of his heart working..last week he went for new test..and the results were that he has only a 20 -25% working heart. What can we do?? where can we go ?? what is his % of life??? | HelloThanks for sharing your concern. I understand that he has been diagnosed with Cardiomyopathy. However, it would have easier for me to talk about his prognosis (future health), if I had known his age, whether he had a heart attack before, what kind of therapy he is currently receiving, and any specific cause identified for the cardiomyopathy. These will have a strong bearing on how long he continues to live. I hope he is receiving the best possible medical therapy which will include Chat Doctor. However, the specific choice of |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello sir i have been suffering from Jaundice in liver last 1 month.This caused the liver enlarged do i need to go any medical treatment or not.My head always pains n i have lost 15 kgs of weight ,what i must do to recover from weakness n illkness.I m 18 yrs old female | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Most important here is to find the cause of your jaundice. It might be a Viral hepatitis. So, it is important to find if it is Hepatitis B or C. Because that would require proper evaluation and treatment to prevent further damage. As the treatment would be instituted, your liver would regress to normal shape and size. Get following:1. HBsAg2. Anti HCV Antibody3. IGM Anti HEV and HAD Antibody4. Ultrasound abdomens is my best advise for you based on available details. If you have any further query please ask me. Stay Healthy. ChatDoctor, MD |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Im pretty sure I have fybromyalgia, my doc. has not diagnosed it as such but I have talked to him about it. I try not to consume certain foods or drinks, so I think my case is pretty mild now. However, when I get cold (cold feet or hands - get out of shower and leave hair wet for a while) I get cold and then all of my muscles start to ache. Could this be part of fybromyalgia? The only way to feel better for me, is to get a heating pad any move it around different muscles until Im warmed again. | Respected user, hi I evaluated your query thoroughly.* Fibromyalgia is characterized by chronic widespread pain & heightened pain response to pressure, with other symptoms as feeling tired, affecting normal activities, sleep problems and troubles with memory also in many cases.* Diagnosis is usually after exclusion of other causes.* Many more information are not available here in your briefing, but till the information you have provided I don't agree it to be fibromyalgia. Hope this clears your query. Thanks for using Chat Doctor & giving me an opportunity to assist welcome for any further queries. Regards dear take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | seriously... my semen is like chewing gum, its seems exactly the same thing, but only I know that it aint chewing gum.. please PLEASE help me... im really scared that this is a serious matter, that will affect my sperm count or I wont be able to have kids when I grow up... Im 18 years old.. answer me asap plz | Hi, please do not worry. Semen is usually near the consistency of what you mentioned. Probably, you have thick dense semen. It could be possible due to blockade of seminal vesicles as they are unable to empty their secretions into the urethra. How often do you masturbate? Please get a Semen analysis test done, and it will let us know what is the problem. This way your doubts will also be cleared. Share the report with us or see your Doctor or a Urologist for the same. We would be glad to help. Take care, Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my heart beats between 80 - 100 beats a minute. i m 19, i smoke around 7 cigarettes a day and my body has been out of routine the past 2 years. is my heart rate very bad ?oh, and i m currently having digestive problems but i m getting slight heaviness in the centre and sometimes just on the left side of my chest. i ve also been dry reaching a little bit, but not too much. i m stressed that i m going to have a heart attack and it s causing me great anxiety. my doctor says i m find but i m not too sure | Hi, You have nicotine use in the form of smoking. Smoking directly affects the lung and food pipe and stomach by irritating them. This causes Chat Doctor. Smoking can predispose to a heart attack at a young age too. My suggestion is if your pain increases on walking upstairs then you need to consult Chest pain unit. If not, it is only because of the acidity. The best treatment for it is to quit smoking and to take antacids temporarily. That will work magic on your lung, heart, and stomach. Hope I have answered your query. Let me know if I can assist you further. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi doc, I m 31 trying to get preg for 1 yr invain! I have hypothyroidism for which I take thyronorm 100 mg and also PCOS ... I recently visited a gyn and she suggested tab siphene 50 mg and biopreg f for a follicular monitoring ..! Are there better chances of getting pretreat with these medicines? And is the line of treatment correct? | HelloPatients of PCs really find very difficult to get pregnant. Medicines given for Follicular monitoring are perfectly alright, and you must take them regularly. Make sure that your thyroid levels are in normal range and so you keep on taking your medicine regularly and also get your thyroid function tests done regularly. Besides this there are two very important things to do.1... You must take METFORMIN 500 mg twice a day regularly. Consult your doctor for this.2... Do regular exercises and reduce your weight. Thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi my son is 13 years old and has had fever since this afternoon of 103.7 I gave him two Motrins but the fever just went down to 102.3 4 hours later I gave him two Motrins more because the fever went back to 103.5 That was two hours ago and the fever has gone dawn only to 102.3 What should I do? | Greetings. Just relax and don't panic. Better take your son to any nearby doctor, who determine the reason behind the fever by examination and necessary blood tests etc., Sincere advise for betterment of your son(or in general anybody) is that do not give any medicine prior to doctor visit(self-medication), as it alter/ delay/ become over or low dosage/ all of which affect not only outcome of treatment but also dangerous effect to various organs inside the body if not taken without proper prescription by doctor. In this situation tablet MOTRIN shouldn't be taken(given) more viz., 2 or 3 or more, as you wish, since you don't know at 1. What dosage you are giving it to your son?2. How much/how long it should be given? Can it be given to your child Chat Doctor. , all are decided only by your doctor after personally seeing him.Meanwhile, at home give him cold(not ice-cold) compress all over body with help of 5-6 towels for 10-15 minutes. If towels become hot take out, dip it again in cold water and repeat within that 15 minutes. Wait for 2hrs and repeat for 15 minutes till you go to a doctor. Note: These are just guidance and not a definitive treatment as I haven't seen your son personally. Hope you understood the seriousness of self-medication, and it helped. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi , I m DEEPAK .. I notice there is blood clotting on my bum few months ago.. I consulled to a doc. After takin the prescribed medicines it became small. Aftre few month problem rises again and after 2-3 days it break automatically. Now again same problem rise. It is painful. Is it a sign of some kind of cancer.reply AS SOON AS POSSIBLE. | Thanks for asking in Chat Doctor forum In short: As pr your description it seems like a boilExplanation: A boil can get reduced after medication. And clot need not require medication. So, be cool frequent boils can appear in that place. Please avoid alcohol/smoking if you are into it. Then change your position while seated frequently to avoid this. I don't think it is cancer. Please visit a doctor if you have doubts. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have lower back pain and the pain streches to hips and sometimes my right leg too . X-ray shows Straightening of Lumbosacral curvature nd I.V disc spaces are preserved. Doctors told me their is no cure and just do exercise and avoid lifting weights or forward bending. Its been a year now and my pain is only increasing. I am 22 and i want to know whether my cervical curve can come back to its original curve and if yes then what should i do for it.?? | Your symptom indicate arthritis of lumbosacral spine with lumber radiculopathy, x-ray LS spine shows only the bony pathology and gives some clue regarding intervertebral disc and as it is showing straightening of spine, so you need to undergo MRI LS spine which will show the status of disc and neural foramina. Regarding the curvature if something comes like disc prolapse or ligaments hypertrophy which can be operated then doing physiotherapy can restore your curvature. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am allergic to wheat pollen.Symptoms are airway constriction and dry cough(chest congestion).I have been using Foracort 200. It relieves airway constriction but chest congestion remains.In this case what should I do-take nebulisation once/twice to clear chest congestion or to have oral prednisolone(Wysolone-5 mg)?? | Thanks for your question on Chat Doctor. Since you are taking forecourt 200 mg and constriction is relieved, no need to take oral prednisolone. As forecourt contain s inhaled steroid. This is much better and less injurious than oral prednisolone. And it has no effect on relieving chest congestion. So better not to take oral prednisolone. Instead of these start following things to relieve chest congestion.1. Steam inhalation.2. Nebulization of bucolic Chat Doctor. Syrup containing bucolic and expectorant.4. Chest physiotherapy and deep breathing exercises. Since all these are prescribed |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I started feeling really dizzy today whilst walking my dog - and it hasn t stopped, when i tilt my head back, when i lie down, when i stand up, when i walk. It s really frustrating! When i was walking it felt like i d spun in circles and tried to run ... the gravity of earth pulling me sideways. But when i lay down it s a whole room spinning feeling that you get after you ve drunk copious amounts of alcohol ... please help. | Hi Jessie, there are 3 semicircular chambers in side our ears which are filled up by fluid which would balance our head position and our body posture. If there is some problem with those semicircular chambers it would lead to imbalance of the body posture, it seems you are having this problem, and you need a consult a ENT surgeon and needs to undergo some head tilt tests and might need medications as soon as possible |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Today I went fishing. I have not seen a doctor or anything yet, and I am worried. I was down on cements in the beaming sunlight upper 90 degrees, then I felt dizzy. I fell, and got up off the ground after a few minutes and made my way back to my truck. I felt better soon after. I am thinking it was a sugar drop, but I had drunk a Diet Mountain Dew and a Pepsi, meaning I dont think it went down. Also the last time I visited a doctor, about two months ago, my blood pressure was normal. | Hither are various reasons for dizziness and one of the common cause is heat stroke. As you said you went to fishing and was exposed high sunlight, it may be one of the possible cause briefly tell you, heat stress occurs when the body cannot cool itself enough to maintain a healthy temperature. Heat-related illnesses include heat rash, heat cramps, dizziness or fainting, heat exhaustion, heat stroke, and a worsening of existing medical conditions. Overexertion in hot weather, sun or bushfire exposure, and exercising or working in hot, poorly ventilated or confined areas can increase your risk of heat stressSuggest -your self with thin clothing next time when you go out to fishing also try to be in the shade or can use portable land umbrellas Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Well, over the past year or so I have experienced a series of strange sensations, including numbness and tingling , pins and needles, and a burning sensation on my legs and arms. I ve also experienced periods of weakness and vertigo . Late last fall, I began to have involuntary muscle spasms in my arms, legs and face. The spasms can last from 10 minutes or persist for hours. It s not painful but it is extremely irritating. I also have experienced a light tremor in my hands that sort of comes and goes and my fingers move by themselves at times. I also have trouble walking heel to toe (shaking uncontrollably) and my feet swell on a regular basis. I am wondering if all of these symptoms are related and if so what might the cause be. I have gone to a nuerologists and gotten a series of blood tests and an EMG , but I cannot afford the MRI so I have been considering putting any other tests on the back burner until I get the finances to cover the expenses. The nueroloist has not told me if he thinks what s going on is serious but he did say that at 27 years old the symptoms that I am currently experiencing are strange and may be an indication that something is wrong with my peripheral nervous system. Is this an issue that I should address immediately or can I afford to put it off until I get better health insurance? | Hi Nelson, Thanks for writing in. Your symptoms could simply be attributable to a thiamine (vitamin B1) deficiency or something more serious. The swelling in the feet makes it more likely that it is thiamine deficiency. I would suggest that you start taking a multi vitamin supplement like tablet Cent rum to help. This needs to be taken once a day. Also, have plenty of fruits and vegetables. Besides, stop using alcohol and have a healthy and balanced diet. If your symptoms don't improve within 2-3 weeks, we would need to look at other causes. You can try this and comfortably push things to a date when you are in a more comfortable position. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | in Michigan u get your medical marijuana card for a irregular heart beat or chronic chest pain im 21 511 i have a heart problem where it hurts when i breath and walk and its stabbing they say i have a irregular heart beet but dont know where the pains coming from would u have a idea its coming from the right extremity of the heart | Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that chest pain that is triggered by deep breathing and walking indicates an extracardiac cause (musculoskeletal pain, Costco Chat Doctor. It is not related to coronary artery disease. Anyway, I would recommend performing some tests to investigate for the possible underlying causes: - a chest X-Ray study- a resting ECG-complete blood count, PCR, ESR for inflammation- a resting ECG and a cardiac ultrasound to examine your heart. An ambulatory 24-48 hours ECG monitoring would help exclude possible cardiac arrhythmia underlying your palpitations. Other tests (thyroid hormone levels, blood electrolytes) are necessary to exclude possible metabolic causes that can lead to palpitations. Hope to have been helpful! Kind regards, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi sir good morning my name vijay from tamilnadu yestterday i ll kidneyultra sound scan sir result come minimal right pelvicalyceal system separataion sir this type any serieus .? What i ll take precaution.? Sir one more think i m drink weeklythree time sir per day drink water 2 lt sir | Hi, welcome to Chat Doctor. Minimal PC system separation is usually a benign finding on sonography and most of the time asymptomatic. It is generally a developmental anomaly that requires no treatment if there is no obstruction in urine passage. You should check basic urine report, S.creatinine and CT scan to rule out obstruction. You van consult nearby nephrologist, or you can get back to me also with above reports. Water intake of 2-2.5 l per day is adequate normally. I think this would be helpful to you. Best wishes. TC. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | am 55 year old male with cfs with high Epstein bar virus had 2 surgeries 2 years ago and got sick after that tried many things on nexavir now was kutapresson years ago doctors not sure how to help me tried Valtrex for awhile nothing the doctor says I have a current Epstein bar infection | Thank you for following up. I experienced that Value is better for Cytomegalovirus, but for Epstein Barr Acyclovir is very helpful-400Β mg 2 times for 5 days, then you should start to increase your immunity:-Vitamins-Probiotics(Similar, Darolac)-LIV 52 2 capsules 2 times after 15 min before meal for 1 month-Avoid sun, wear cap, stay in shadow, don't visit sea during 5 years, don't do physiotherapy and vaccination during 6 months-Good nutrition Recovery soon Wishing you a good health Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had surgery 2weeks ago Wednesday. My ovaries were removed a cluster of cyst located right behind my cervix was also removed. I have been experiencing a cramps sometime severe since Sunday night. Is this normal? Should I head to ER? Or call my doctor first thing in the morning? | Hi. Thanks for your query. Read and understood your history of Oophorectomy followed by abdominal cramps. Yes, you should report urgently to ER for clinical examination, X-ray of abdomen in standing position to see gas-fluid levels classical of intestinal obstruction, stool exam for infection, tests of blood for CBC and electrolytes. If obstruction or infection is present, you have to get operated. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Starting yesterday evening around 8 p.m. I began feeling a pinching sensation on the right side of my chest. The sensation lasts approximately one second or less. No continuous pain, but the pinching sensation recurred in approximately 10 - 15 minutes thereafter. Most of the night I didnt feel it while sleeping. Same sensation started again this morning around 4 a.m. No shortness of breath or other abnormal physical problems. Do you know whats possibly causing the twitching sensation mentioned above? Thank you. | Thanks for your question on Chat Doctor. I can understand your concern. Twitching sensations, intermittently is seen mostly due to involuntary muscular contractions. These contractions are usually harmless but if persistent then we should rule out low calcium and magnesium. So if your twitching persist and cause you more discomfort than get done serum calcium and magnesium level and if deficiency then you may need supplements. So consult your doctor and discuss all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | we were just in a car accident and we suffer from a pretty bad whiplash we were given novalgin from sanofi aventis and it doesnt seem to be strong enough to take the pain away! we were told that 3 a day should be enoungh but I would like to know if we can take more | Hello, As there was an accident there is always a chance of Whiplash Injury. This injury occurs due to sudden thrust to the head and leading to an impression of damage to the spinal cord at the cervical region. I will advise the first foremost thing to do is taking up an MRI. Because that will provide more light to the injury by revealing the internal structures of the cervical spine and spinal cord. It's good that you have not developed any major injury. Because in whiplash injury things can go otherwise. Thank god that you are all fine and there is only pain. Once MRI is done you will be able to notice the extent of soft tissue involved in whiplash injury. Based on the soft tissue injury, painkillers along with physical therapy will be advised. As with physical therapy like Ultrasound therapy and TENS therapy the pain will reduce, and muscle spasm will be reduced too leading to less pain. Any muscles which have gone wasting during the resting phase may need to regain some strength. Please use the cervical collar for time being to avoid more compression of the soft tissue. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | After my root canal my cheek was swollen to the extent that my natural "cheek" dimple (actual dimple i was born with) was gone. A week later it has started to appear. Now however, I have two small indents that move like dimples on my smile line close to the tooth that was worked on....Is this permenant? what is causing it and how how long will it last/can I treat it? This is almost week 3 post surgery.Feeling self conscious. | Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swelling on check after Root canal treatment even after 3 weeks it may be due to Periapical infection or due to periodontal problem. Don't worry consult your dentist again and go for investigations IOWA X-ray of there is periapical infection go for Re -. Rct if there is periodontal infection then go for Curettage. Do warm saline gargle two - three times a day. Hope this will help you. Wishing you good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i have slight headache, sputum with blood streak, slight fever, yellow urine, catarrh. it was like this from around September last year to February this year, then it left and started from about two weeks ago. what could be responsible? I am 40 years old, weighs 87 kg and have no known history of sickness other than malaria once in a while. I live in Lagos, Nigeria | Hello. Welcome to Chat Doctor. I am Chat Doctor. Blood streaked sputum for such prolong period must be evaluated thoroughly. In my opinion you should consult physician and get thoroughly examined yourself. Also get chest x-ray done. In blood reports CBC, peripheral smear and BT, CT, APT should be done. Give sputum specimen for routine and microscopic examination to rule out infectious agents. Reasons for such illness are many like:BronchitisTuberculosisAutoimmune diseasesMalignancy etc. So you should get it confirmed.I hope this will help you. Give your valuable feedback. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, My 9 month old is running a fever, mainly at night of 101 to 102 for the past two weeks. We went to the Dr. last Monday and there is no sign of infection. She was very fussy and lethargic the following Friday, Saturday she was normal, Sunday she was lethargic and feverish again. Hardly no sleep last night but lots lots of crying no matter if we were holding her or not. What could cause this other than infection (ear, nose, throat is clear) and is there more we can do other than give fever reducer? | Hi, Fever for 2 weeks in a 9-month-old infant, is something that we need to worry. Since your child is lethargic, it is better to evaluate her. Simple Viral infection usually won't go for 2 weeks with lethargy. Rather than controlling fever with antipyretic, it is better to identify the cause and treat it, which will control the fever. For fever, you can give paracetamol or metal. I would advise you to consult a pediatrician, for further evaluation and doses of medications. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Hi I am recently married before marriage i use to get harder ercetion but since my marriage the erection is not hard and i am unable to do the intercourse with my wife the ejaculation happens within minutes am i alright | Hello, It may be due to performance anxiety. For that you may require complete hologram, lipid profile and electrocardiogram after physician consultation. Along with that Avoid stress and strenuous activity. Take proper rest and balanced diet. Till then, you can take tablet sildenafil one hour before sexual act Hope I have answered your query... Let me know if I can assist you further. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | SIR if a person is forgetting about the things that she had already done in the past for example if she forget about the household things where she have kept and when she doesn t get she start shouting on others. Sir there is some kind of memory loss and sir there is any treatment for this. | Degree understand your concerns went through your details. I suggest you not to worry much. From the given information, diagnosis about memory problem may not be possible. There are several kinds of memory loss (Amnesia). Each of them makes you to forget periods or incidents. But from the description, I don't see you fit into any of those categories. If you do not forget to take your food when you are actually hungry, you are safe, you do not have any memory problems. Don't Worry. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hey ..well I am 2 months pregnant and when I urinate I see blood and I get worried I have other children 4 to be exact and my youngest is about to be 7 I didn t experience no problems like this with my others I m just concerned and confused could you help me out? | Hi, Thanks for posting your query. Firstly, I would like to suggest that you confirm where from this blood is coming, from the urethra or from the vagina. If it is from the urethra and if this is a fresh bleeding, it is likely to be from the urethral lining, mostly due to some infection. This needs to be treated as it can lead to a miscarriage if left untreated. If the blood is coming out of the vagina, you should inform your health care provider immediately, take absolute bed rest and avoid all strenuous activity. A sonogram should be taken to note the state of the pregnancy. Further management is accordingly planned. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I was fighting a bad allergy for the last month (stuffy nose, watery eyes, congestion). Two days ago I started hearing a metallic echo when I talk or people talk. I went to the doctor today and I was diagnosed with tinnitus.However, the metallic noise I hear is only when people or I talk. It is not permanent. Is this another kind of Tinnitis? Also, I had a Tetanus shot around 10 days ago. Could this be a side affect? Please, help I am very worry :( | Hi, in your query its opinion may be side effect of tetanus toxic like, Hives, Itching, especially of feet or hands, Reddening of skin, especially around ears, Swelling of eyes, face, or inside of nose, Unusual tiredness or weakness (sudden and severe). Difficulty in breathing or swallowing.in your condition you have a history around 1 month its due to other allergic manifestation like allergic rhinitis, and may be meuniΓ¨re, s disease. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | should I go to hospital? I have for the past eight hours had a pain in the right side of my chest, I am finding it hard to take a deap breath without feeling pain in the right lower side of my chest at the rib cage. The pain has spread to the top of my right arm and up the back of my neck. Feeling slightly dizzy at times ..... soudl I sleep on this and see how I am in the morning or shoud I go to a hospital? | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely. So apply warm water pad on affected areas of chest. Take painkiller like ibuprofen or acetaminophen. Avoid movements causing pain. Sleep on right side. You will mostly improve with all these. If don't improve and have similar pain in the morning then consult doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been getting irregular heart beats the last week, and I am trying to work out if there is a reason why, could it be because I have a hole in my tooth? My heart hasnt carried on like this for a year and a half or so... Not drinking anymore caffeine than usual... | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will bray to explain you something. You might experience irregular heart beat for different reasons.First it is necessary to know what is this irregular heart beat. It might be an extra-systolic beat. This is an electrical impulse that generate from parts of the heart different from normal sinus rhythm, causing a skipped beat that you feel like irregular rhythm. Or it might be a real irregular rhythm, when your heart beats in a chaotic way, what we call atrial fibrillation. You might have these rhythm issues because of different reasons from simple emotional stress to pathology BS like anemia, hyperthyroidism CTA hole in your tooth does not cause irregular heart beat. Only if you have done an infection in your tooth that might generate an inflammatory process that might give a little sinus tachycardia, meaning that your heart beats over 100 beats for minute. So, my opinion as a cardiologist is that if you continue feeling this irregular beats you should see what are this making some examinations like blood sample, thyroid hormones, electrocardiogram and of course a holder monitoring to see the rhythm tendency. You already do not Chat Doctor. Hope I was helpful. Best regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Yes my question is my right upper arm has been causing me Extreme Pain. I wan that on the outer side do my ran the muscle is so sore that the pain is like sharp pain and I can only lift my arm half way up. I had an ultra sound done today and there are no blood clots there My doctor had blood work drawn and the test showed a positive for high risk for clots the test was negative.He also drew blood for my thyroid those results will not be ready until Monday. I am in so much pain do have any idea what is causing me this pain. | Hi, as mentioned by you what I can understand is the pain is radiating in nature from the shoulder to the elbow. This nature of pain is due to the nerve getting pinch in the cervical spine. As the nature of the pain is sharp shooting this is what I can understand.Also, for differential diagnosis - it can be trapeziums or bicep ital tendonitis. But by performing specialist test it will be easy to come close to the root cause. Taking an MRI of the cervical spine will help visualize the soft tissues and also the extent of injury to the soft tissues. Also take a hot water fermentation to the neck region and upper back. Followed by this apply the same at the shoulder and upper arm region back side. Taking therapeutic ultrasound therapy and TENS therapy will help reduce pain for this you may need to visit a physical therapist. Also, after the pain comes down performing neck strengthening and upper limb strengthening exercises will help improve the strength in the muscles and avoid future pains. Usually 99% of patients with similar symptoms recover with physical therapy .with the grace of God I wish you a good health |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I just sneezed and I felt like as if I tore something on the right side of my abdomen, right below the rib cage. I am now experiencing extreme pain by moving, coughing and even taking a deep breath. I am currently dealing with a cold and it is not helping this matter any. Is this similar to a muscle tear that will heal with time or is this something more serious. I am a 49 year old male, thanks in advance. | Hi. The most probable reason I can think of is the fracture of the lower rib/s. The best diagnosis is gone for an X-ray for the ribs, and the local tenderness and history of increase in pain on moving, coughing and deep breathing is classical. I would advise the following treatment. I would advise you to get an MRI/ CT Scan of the painful area, telling the Radiologist to be specifically see for the painful-tender area. This will confirm the diagnosis. I would suggest the following treatment.-Rest to the area by means of strapping with the Adhesive tapes during the deep Expiration phase. This will limit the movement, reduce the pain and give rest for healing to occur.-Anti-inflammatory medicines in full dose as per the weight.-Steroids if required for its strong anti-inflammatory role.-Las ix to reduce the edema. This sort of treatment helps all my patients. And should help you too. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I went to dr due to pain to to my left chest area for about a week. It got so bad that I am not able to bend down or turn over in bed. I had a broken rib a year ago and basically the dr just wanted to eliminate any further fractures. The X-ray report shows do further damage to ribs but hyperinflated lungs. Does this have anything to do with the pain I m still experiencing. The first time I felt this pain was straight after a run, I am also going to a personal trainer 3 times a week and initially put it down as just muscle tension. This really worries me. Thank you Dalene | Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac cause. As left sided chest pain is common in heart problems please gt done ECG first to rule out heart disease. Of your ECG is normal than I advise you to consult pulmonologist as hyperinflated lungs are seen in chronic bronchitis. And this can cause chest pain. For diagnosis of chronic bronchitis PFT (Pulmonary Function Test) is must. And for this you have to consult pulmonologist. So take painkillers and muscle relaxant at present and take appointment of pulmonologist and discuss these things. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi Doctor,I m 34 years old. We are planning for child. But my volume is only 1 ml. 40 millions/ml. Fast Progressive 48% Slow Progressive 10% Non Progressive 10% Immotile 32% Normal 70% Abnormal 30% Impression Normal PURCELL 6.8 HP Can I become father with report or shall I have to go for treatment. How we can grow your sperm count. | HelloThanks for query. Results of your semen analysis reveals semen volume to be low which otherwise is within normal range of WHO standards as far as sperm count, sperm motility and morphology of sperms is concerned. Single reading of sperm count is not be taken as a final result before we label sperm count to be low. We should do semen analysis at least for three times with interval of one month and should be done in identical condition with abstinence for 3 days prior to collecting semen sample. The average of these three reading is taken into consideration before deciding status of fertility of an individual. The presence of 6-8 pus cells suggests infection either in seminal vesicle or prostate and needs to be treated with antibiotic like Doxycycline for a month. Thanks Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been told I have Osteopenia and degenerative disk disease. My regular DR has been telling me I have Osteo Arturitis in both hip and spine. Medicine for that hasn t helped much. So I went to the VA and found this out. Not sure what to do, been told to keep taking the pain medicine. | All the problems you have mentioned are part of natural aging phenomenon Medicines are the first line of treatment for osteopenia and osteoarthritis. Walking, jogging, running, range of motion exercises have been found to help age related degeneration and osteopenia. I suggest you to meet a physical therapist and start conditioning exercises to keep yourselves fitter and healthier. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My left leg pulsates heat from behind the knee, radiates up and down the leg. I also have stabbing pain in my left leg. Severe hip pain and right knee pain. Gets worse at night. I do have 3 old compression fractures and 3 damaged disks in my back. Is this related? | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion your symptoms indicate towards an infection of the joint, you may need surgery, but before that you need to get your blood investigations done to see if the counts are normal, do not wait consult early, because infection can sometimes do irreversible damage. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello, I like to request your professional advise and help: my dad has a situation of feeling imbalance or disequilibrium for many years and sometimes it can get better and sometimes not. There is also constant pressure on left side neck area associated it. Most uncomfortable is the imbalance, especially trying to lay down and getting back up. Also, riding in a vehicle causes more discomfort. Seem few neurologist but we have not figured out an answer yet. Please advise. Thank you. | Your dad will be definitely of elderly age I think. He has problems with balancing n associated discomfort on the left side of the neck riding a vehicle increases the problem. This probably suggests he has severe cervical spondylosis witChatDoctorpression over the cervical cord. Does he have any radiating pain to the hands? Does he have any episodes of sudden fall/transient visual observations? Kindly consult a good neurosurgeon and not a neurologist.IN the meantime ask your dad to wear a hard cervical collar when he is sitting or standing n remove it only when he lies down on bed. If he has severe pain ask him to take tab solo 650 mg when he has severe pain n consult a neurosurgeon |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My dentist recently did a wisdom tooth extraction of lower impacted molars. Sutures are good, no possibility of dry socket. He saw me today at the golf course (he is one of my members) and my left lower jaw is still swollen. Feels like a tight area of tissue in my lower jaw/cheek, about golf ball sized. He says that it is a pocket of air, that I can push out and it will make a fart noise through the suture area. So I ve made it home, and I ve attempted to push from outside, pinch from both sides, and flat palm push it, and nothing is coming out. No movement. It feels like a solid ball of something, not air. 1. Is this common to get? Air getting into the area beneath the gum in a pocket after wisdom teeth extraction? 2. Is it really something I can push out? Why, if so, is it not escaping from my suture area? What can I do to help it get out? 3. Should I be concerned? *note* Dentist said he would see me on Monday to put a needle in and extract the air himself if I was unable to get it out. | Hi and welcome, Entrapment of air in the extraction socket is a rare condition, because after extraction of wisdom tooth the socket is curetted to remove all the irritants and compressed which helps in clot formation and faster healing. Though we can expect air embolus to be formed in the jaw bone which leads to pain or as you have mentioned the swelling feels hard it may be a bony spicule or remnant of alveolar bone left unfilled. I would suggest you to get an X RAY done for the affected area which will show the cause of swelling accordingly your dentist can plan the treatment for you. I hope this information helps, take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I feel la something is in my throat below adans apple for 3 month, no burning sensation, no loss of air, its all day, every day. Im on Paxil and Ambien for Anxiety (thou im taking more ambien than usual (25Mg daily) for a year.Im in a lot of stress and some anxiety. I want to know if there is something to worry about? | Hi, dairy have gone through your question. I can understand your concern. You may have thyroid swelling or some other midline neck swelling. You should go for examination. If your lump moves with swallowing then it must be thyroid. You should go for ultrasound neck, thyroid hormone study and fine needle aspiration cytology of thyroid. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Dear doctor, my name is Temitayo Steven from Nigeria. For the past 8 days, I have been experiencing fever that would start around the afternoon period and disappear in the morning, slight headache and chest pain. Some days before this I had rashes around my anus. I went for a test 5 days ago and below is the result; S.typhi(O 1:320, H 1:160). My doctor recommended Ciproflaxin and I have completed the dosage without any improvement in my health. I decided to visit another doctor. He carried out a blood test and claimed I do not have any trace of S.typhi. I don t know what is wrong with me. Kindly help. | Hi, Temitayo Steven, did the doctors check anything besides for S. type? Your symptoms are nonspecific and could be almost any kind of infection. A lot more tests might be needed. The first test you did for S. type only indicates you have been infected at some time; it may not be an acute infection. Some things I would consider are strep, pneumonia, malaria, other parasitic infections, HIV, herpes, certain other STDs, tuberculosis, atypical mycobacterial infections, other bacterial infections. Many bacterial infections require a different antibiotic than Ciprofloxacin. You need to have a good examination, to describe the rash, and get more testing done to see what this could be. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a sore lump on my areola that is the size of a pea feels like a sore spot and when i squeezed it some white puss came out, is this normal what could it be? I recently gave birth 4 months ago, but gave up breast feeding about week two, could it have been a trapped milk duct or something? | Hi, dairy have gone through your question. I can understand your concern. You have history of childbirth and breast feeding. You have lump on areola with whitish material. Furthermore, you may have abscess forming mastitis or galactose most likely. Furthermore, you should go for fine needle aspiration cytology. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I was playing tennis and severely pulled my hamstring. 2 days later my whole thy was purple. My concern is the bruising has moved down to my calf then it was sore and now to my ankle and Achilles and now they are sore. Is it normal for the blood to travel down like that? | Hello there, Strenious activities like tennis, involves activities of sudden acceleration and deceleration, making an individual more prone to have soft tissue injuries of thighs, knee and ankle. In your case it appears that you might have hamstring sprain along with injury to Achilles tendon and other tedious structure. I suggest you, kindly consult an orthopaedician for examination and investigative evaluation. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have had an arachnoid cyst on the left side of my brain for about 6 years. There is a hole there as well. Just had an MRI and now I also have an arachnoid cyst on the right side. What s going on? What should I do? What should I expect? I do have tremors and have depression. Recently diagnosed with diabetes. I am 74 yr old woman. | Hello, I have gone through your question and understand your concern. Arachnoid cysts are common findings in MRI and considered incidental, generally not responsible for any symptoms at all. The tremor you are having is probably an essential type of tremor and not related to the arachnoid cyst, nor does the depression have anything to do with it. Thus, the arachnoid cyst does not need any treatment. Hope this answers your question, I wish you good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Smoked about 25.00 til noon today i drink lots of fluids bcuz of my kidneys policystic kidney disease and pre diabetes .drank water,tea,milk, & dr pepper .weight 225,height 6 1 .how long do u think it wil be in my system.have to see po tomorrow.ive drank about a gallon of water, a gallon of tea already since this afternoon i pea about every hour due to my kidney problem.plz let me know if more fluids are good or bad. | Hi, welcome to Chat Doctor. Polycystic kidney is genetic disorder. Water intake may delay progression of disease. You should maintain water intake to keep your urine output~ 2.5 L per day. Excessive water intake will not benefit more, but it can lower your S. Na (sodium) level. To prevent progression, keep your blood pressure under control. Keep regular follow up with your Nephrologist and do basic tests for kidney function. I think this would be helpful to you. Best wishes. TC. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.