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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor im 30 yrs of age(male) I was having dark circles and pimple marks on my face,my doctor suggested me to use melalite xl, which I used for almost a month and found very good results, I still have little more marks on my face,should I repeat the same medicine again? Or pls suggest some more effective cream, my skin is very oily. Thanks you so much | Hello Gaurav, Welcome to Chat Doctor Melanie XL contains a mid potent steroid, retinoid and HY Chat Doctor. It is a cream to be used only under doctors supervision and is not meant to be used for long term. It can cause rosacea, thinning of skin, redness and increased sensitivity to sunlight if used for long duration. I would recommend you to slowly decrease the frequency of application to twice a week, then once a week and stop the cream and add on a comic acid or albumin containing cream daily at night. Sun protection with sunscreen is an absolute must. Apply sunscreen ideally a gel formulation as you have an oily skin, and you are pimple prone. Reapply sunscreen every 3-4 hours daily. Cosmetic procedure like glycol peels will help you. You can consult a cosmetologist for the same. For dark circles lifestyle modification is important. Sleep well, |
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ηζθΏ°εηι«εΈει‘γ | hi doctor i m 64 year old diabetic since 17 years. weight 70 kg height 5 7 . i was operated for cervical cord compression 5 years back and the vertebral bodies got fused post op.. now i am having back ache continuously since 1 year, peripheral neuropathy , for which i was adviced an mri of whole spine and the impression in mri was: - L5-S1 degenerative disc disease with mild posterior and posterolateral annular disc bulging , disc bulge causes bilateral neural foraminal narrowing(rt more than lft) with mild impingement over the exiting L5 nerve root - mri cervical spine reveals multiple level degenerative disc disease , posterior fusion of cervical vertebral bodies, spinal cord appear thin at C3 to C6 level with mild hyperintense signal in spinal cord at C5,C6 level suggestive of myelomalacia, - screening of thoracic spine reveals partial osteoporotic compression of D10 vertebarl body with marrow edema.. after this report i was given ozone therapy treatment by interventional radiologist on lumbar vertebrae but i got relief for only some time then symptoms reappeared.. now my concern is what is the cause of my back ?? is it due to thoracic or cervical or lumbar disease? is there any permanent treatment to my condition other than surgery?? is ozone therapy a suitable treatment..? is there any other alternative treatment..? | Hello, The MRI is showing effects of aging and that is causing the nerve compressions and backache. Most likely thoracic and lumbar region problems are contributing to the disease. There is no permanent treatment for this. Life is not permanent and medical science is aimed at making life more comfortable to live inspire of the disease. Your search for the permanent cure may not take you anywhere in any alternative medical practices also. Ozone therapy is an acceptable treatment modality in the hands of a trained person. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi there,I have had many test for arrhythmia including a 7 day ECG but so far nothing has been found. Should I keep pushing my doctor for more tests as i still get the arrhythmia, but only every now and then, i can go weeks without having one. Many thanks | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that sometimes it is difficult to catch a cardiac arrhythmia on a Holder monitoring. Another option would be the implantation of a loop monitoring, which can be held for a longer time, and you can switch it on, when you feel the palpitations. Other tests to consider in order to investigate for the possible underlying causes would be: - complete blood count for anemia-thyroid hormone levels for thyroid dysfunction- blood electrolytes for possible imbalance. Hope you will find this answer helpful! Wishing good health, |
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ηζθΏ°εηι«εΈει‘γ | Hi, I ve had surgery years ago to remove my left kidney because of kidney cancer but for a while now usually once a month on my right side where I still have a kidney remaining, I get this throbbing pain in the front part where my tummy is a little below my belly. Can you help? | Hi Sir, Welcome to Chat Doctor, I understand your query and concern. Your symptoms are suggestive of a renal stone located somewhere in the Right lower ureter. For this you need to get him Intravenous paleography for accurate assessment. I advise you to have Tab Tramadol and Tab. Pantop 40 mg, a course of antibiotic taken under medical prescription to control this pain. Further expert management depends on the outcome of the MVP result. If the size of stone is more than 5 cm then depending on the location of stone Extra corporeal lithography can be done.Meanwhile, you need to take soft and less spicy foods. Chat Doctor. Fruits, fruit juices, vegetable salads, soups should be taken. Consult your urologist for expert management. Post your further queries if any. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | mY AGE IS 47 YRS. i HAVE LOWER BACK ACHE NOW AND THEN. tODAY MORNING IT HAPPENED . I TAKE PAIN KILLER LIKE mobizox containing diclofenac sodium, paracetemal and chlozoxazone. But it affects my liver. Can you suggest me a painkiller which is soft on liver. | Hi, Thanks for your query. After going through your query I came to know that you are suffering from chronic backache. It may be due to vitamin and trace element deficiencies specially vitamin D and vitamin B 12. You need to do MRI to rule out other causes. Back exercises, neurotrophic such as mecobalamine and analgesics give relief. You want to know analgesic soft on liver, tramadol is the safest on liver, but it causes acidity and nausea. It should be taken after meals. Take omeprazole before meals to prevent acidity caused by it. Sometimes vitamin D deficiency can aggravate this so serum vitamin D test is advised if it is lower than vitamin D supplementation will be required. Avoid long continuous standing. Sit in a straight posture. Eat milk, fruits and green leafy vegetables daily. You can discuss with your treating Doctor about it. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have a problem with my teeth. I started using Hexidine mouthwash last month for whitening of teeth, but it is not helping me, and soon my teeth are becoming brownish at some places. What should I do to clean it? | Hi. Using Chlorhexidine mouthwash for more than 15 days in continuation causes brownish discoloration, that is the reason your teeth are becoming brownish. Now that you have developed chlorhexidine discoloration, I do not think scaling will be of any use. Instead, I would suggest you for either bleaching or veneering. Veneering is the solution for the type of stains that you have developed. Dental veneers are thin flakes of tooth-colored material, which are applied over the original teeth. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I get a lot of belching after having my food and feels as though my stomach is full around 2 to 3 months. night times I dont feel hungry much. i do smoke, but alcohol once in a month, not much. And I dont do exercise, this has resulted in a big tummy. Some days back I was taking, but have stopped it now, some medication before breakfast, I dont know the name of it | With your complaints, I can think of a common problem called acute gastritis with reflux disease which can be confirmed with physical examination and few tests. The causes are overweight, smoking, irregular diet too many beverages. So please cut down your smoking and no beverages for some time. Take regular bland diet without many spices. Cut down the smoking to 2 per day. No beverages for one month no milk products like cheese chocolates, ice creams. Put two pillows while sleeping take only lite dinner. You should see the change in 15 days. |
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ηζθΏ°εηι«εΈει‘γ | sir my son he lost his memory, know he is 34 years. when he was 21 years, he is in B.om student. one night he sleep , early in the morning, he lost his memory he told , he cant remember any thing, how he can give the paper, and he left the paper blank many docto give me suggestation. riperdol and, rivitrol tablet. but cant get any result. please guide me, and suggest me, any suitable medician. | Hello, You should know that memory troubles are not really common at this age and could be attributed to a psychological disorder. Anyway, I would recommend checking vitamin B12, vitamin D, and thyroid hormone levels. A brain MRI is necessary too. Only after these tests, I would suggest trying sertraline or paroxetine. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Mom, just got diagnosed with brain cancer with a 1 inch by 1 inch tumor in her head. She has just finished up with breast cancer, surgery, mastectomy and radiation last month. About 2 weeks ago she started losing her balance and not thinking straight. Her breast cancer was stage 3 and in lymph nodes which were removed. | Thanks for your question on Chat Doctor. Breast cancer is very notorious in spread. And brain metastases are very common. So even with the absence of brain metastases it is protocol to give prophylactic radiotherapy to brain for prevention of brain metastases. But your mother already had brain Mets, so chances of worsening brain Mets are more at present. Imbalance mostly due to this only. So get done repeat MRI brain for this. Another possibility is cerebral edema due to tumor and radiation. MRI brain will also diagnose this. So get done MRI Brain and consult your oncologist to rule out worsening brain metastases. |
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ηζθΏ°εηι«εΈει‘γ | hello docter,i m 27yr old previosly i m suffering from right overian cyst..which is remove in nov 2010..my problem is ..recently i got my follicle study report on 14th day..endometriel thickness 9mm no free fluid,left overian follicle size 22mm and not ruptured...after ChatDoctor treatment ..also follicle not ruptured..semen report of my husband is ok..i want to know the chances of getting pregnent | Hello Anusha;welcome to Chat Doctor The basic criteria needed to get pregnant are--regular periods-proper ovulation and rupture of follicle-patent Fallopian tubes-normal semen analysis report of your husband all the other criteria are normal and rupture of follicle is not happening please consult your GAEC, and she will prescribe the necessary medicines for proper rupture of follicle once that happens you will get pregnant. All the best. Thanks |
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ηζθΏ°εηι«εΈει‘γ | My brother was in a car accident but did not suffer any injuries to the head or brain. He was awake and gave the ER my mom s number before they took him into surgery for his ankle. It s now been 10 days and he still hasn t woken up. They did 3 EEG s which showed normal brain activity and 2 CT scans which were normal. He opens his eyes but has a blank stare and he moves his mouth, hands, and leg. Does anyone know what could be the reason he s not waking up. | Howell come to ChatDoctorI really appreciate your concern, car accident can cause the serious head injury, and it seems to be the same here in your brothers case, if the MRI is not being done then it is advisable to get this done, it must be the cerebral injury, so the sensorial is disturbed, tumorous condition needs to be ruled out, in such cases complete clinical examination is must, and it is to know the CNS score (Consciousness level) in short it could be the nervous system injury hope this information helps. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I understand how bizarre my question can sound, given the circumstances, but still, it is an urgent matter for me. I was staying in a hotel and masturbated in the bathroom (in my room). I fear that I could have obtained HIV, if some semen or blood of the previous visitor had been on the facilities (or on the soap, which was dry and in a box and was not exposed to fresh air or light) and then came in contact with my penis (or some small wounds on penis or hands, if there were some, I do not remember their presence though). Can you look at it seriously and answer (with explanation), what is the probability for me to have obtained HIV? Even small real probability frightens me. I am a virgin. | Hi, Welcome to Chat Doctor forum. There is absolutely no chance of acquiring HIV this way. HIV is only transmitted through unprotected sex e.g., either vaginal, anal or oral sex. Firstly, the virus does not survive outside the body for more than a few seconds and dies quickly in ChatDoctor. Secondly, intact skin does not provide access to the bloodstream. However, even if we assume that you had a break in your skin barrier at that time, then also a paper thin cut or a scratch that is not even bleeding does not provide access to the bloodstream. There has to be a fresh actively bleeding deep cut for the virus to gain access to the bloodstream. In my view, you have no risk of HIV, whatsoever. For more information consult an HIV AIDS specialist online |
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ηζθΏ°εηι«εΈει‘γ | hey i m 18 yrs oldnd i hav lot of facial hairs in upperlips nd on d side of cheekswill u plz tell me how much is d total cost for d laser treatment | Dear Prior, Laser hair removal cost depends upon the type of the technology used and number of Laser shots given. Different machines like ILL, Nd-YAG Laser or Diode Laser etc. can be used. The cost will be relatively less for ILL and more for Diode Laser. Usually a patient requires 4-6 sittings for complete treatment. Results of Laser Hair Removal are very good but before starting therapy few investigations to understand the cause of hair growth may be necessary. Regards |
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ηζθΏ°εηι«εΈει‘γ | Hello,I have recently started using a moisturizer called Moisturex containing urea and lactic acid. It seems immidiatley after applying this cream my skin turn quite dark. I was wondering if this is a temporary reaction to lactic acid. Would this side effect subside with long-term use.Thank you | Hello and welcome to Chat Doctor, I read your query and understood your concern. It is unlikely that any of the contents of moisture will cause skin darkening. But maybe since it is quite greasy it may give appearance of darkening. Apply a very little amount on your face. If still it doesn't help you may want to switch cream. Also since lactic acid is mild exfoliating apply sunscreen whenever you go out. Hope I helped |
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ηζθΏ°εηι«εΈει‘γ | I have had a tooth infection and a root canal. The infection returned days after the root canal and continued to hurt, but then I had a Uti with an sulpha antibiotic prescribed for 10 days. I also had two rounds of amoxicillin prescriptions for the tooth infection.the endodontist said the tooth infection has been around for years. i have had extreme abdominal and intestinal gas and nausea for 17 months that went away after the sulpha antibiotic but has now returned very strongly.my question is: can a tooth infection cause gas, nausea, and occasional purging like vomiting, or is chronic uti infection the main cause ? the tooth hurts when not on antibiotics. | Hello, Well, the symptoms of gas, nausea and purging are not due to tooth infection, however can be due to stomach related problem. So, you should once get yourself examined by a Gastroenterologist. As far as tooth infection post root canal treatment is concerned, and then taking antibiotics can suppress the infection and not resolve it completely. However, for complete resolution you should get the tooth treated again with root canal treatment so that the infection is completely resolved, and the pain will permanently subside. So, consult an Endodontist and get yourself evaluated. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I had sex with my fiance right after her period. And 2 days later she took postinor 2, she complained of stomach pains and drowsiness a day after then 5 days later she had vaginal bleeding. She is supposed to see her menses on the 28th but still hasnt seen no sigh of it. Is she pregnant? or just side effects of the drug? | Hello, I would be happy to help you with your question. The initial bleeding followed by the delay in her period is almost certainly related to the medication that she took. While it is very effective, it is not 100%. She should expect a week or two delay in her period, but should also check a pregnancy test weekly for at least a couple of weeks to rule out pregnancy. I hope that this helps and good luck! |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I received CBC and CMP blood test results. Info points to kidney issues but dismissed as nothing by my doctor. I would like your opinion. Key points outside normal range: WBC 12.66, hematocrit 45, eosinophils .5, absolute neutrophils 8.76, absolute monocytes .91, BUN 26, creatinine 1.4, calcium 10.6, EGFR 58.29. Note that tests were performed for autoimmune disease. | Hello, Welcome to Chat Doctor forum. Attached investigations do not show evidence of autoimmune condition (attachment removed to protect patient identity). But it shows some impairment in kidney functions as GFR is lower than normal and creatinine is 1.4. This could be an effect of longstanding hypertension or due to another factor. My opinion is to investigate this renal impairment further by doing the albumin/creatinine ratio in urine and kidney ultrasound. Make sure you are hy ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, a hard lump about the size of a broad bean suddenly appeared seemingly overnight on my forehead. It is just above my right eye. It is hard to touch and not particularly painful when touched but I feel a little bit of discomfort generally in the area. I am worried about its sudden appearance. It is not in the skin but underneath. What could this be? Thank you. | Hi, dairy have gone through your question. I can understand your concern. You may have some cyst, soft tissue tumor or skin adnexal tumor. You should go for fine needle aspiration cytology or biopsy. It will give you exact idea. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | My 6 months old daughter has a progressive cough. She was put on Zythrin, Piriton and solmux carbocisteine. When she is given solmux after a feed, she vomits the whole thing out after about 5 mintues. Her voice has become hoarse. No fever though. Should I continue with the medicine or see the Dr. | Thanks for your question on Chat Doctor. I can understand your concern. No, you should not wait and should consult neonatologist as soon as possible. Vomiting in neonates should be evaluated thoroughly as it can be due to meningitis (infection in brain). So consult neonatologist and get done clinical examination of your baby. Hope I have solved your query. I will be happy to help you further. Wishing good health to your baby. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have a large pretruding lump in the curve of my back above my bum. Its extremely painful and seems to be getting more swollen. There is no difference in colour as I have suffered with cellulitis a few times and thought it might be that. Im not sure if I have maybe bruised the bone? | Welcome to Chat Doctor. 1. The most possible cause could be infective cyst / hair follicular infection with collection with in.2. Second cause could be ganglion from the spinal joint space, other possible cause could be lipomatous.3. Fur further evaluation ultrasound will be helpful - which will evaluate the nature of the lump, its source and extensions. 4. In case of infective etiology a course of antibiotic will help - larger one might need a small incision and Chat Doctor. 5. In case of mass lesion an FNAC - fine needle aspiration cytology to evaluate the nature of the cells involved. And treated accordingly. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ |
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ηζθΏ°εηι«εΈει‘γ | hello doctor. a few days after my Gallbladder removal i had some pain from surgery area.. after i had bm it went away. but a few days after that i got some bad burning sensation going up my chest . it wasn t bad in the start but now it comes and goes, it hurts at times and doesnt let me sleep also. what is this pain? and how can i make it go away ? ty | Hello! Thank you for the query. In some cases the gallstones symptoms and peptic ulcer symptoms/acid reflux are very similar. That is why after gallstones removal, sometimes the patient still has abdominal pain. It is because the main reason of his pain was not gallstones but peptic ulcers. This has probably happened at your case. The other possible reason is the stone left inside your biliary tract. Chest burning always should be checked with heart condition. Especially if the pain radiates to the left shoulder or jaw. You should have heart ECG, abdominal ultrasound, liver tests (AST, ALT,GTP), amylase, bilirubin and if no findings in these tests, upper GI endoscopy should be performed. Hope this will help. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Nephew away at college had a bout of poison ivy recently. He developed a quarter size lump on the side of neck. Also having intermittent headaches which cause vomiting, fatigue and occasional diarrhea. He was treated at Urgicare and given antibiotics for poison ivy. No blood test or other tests done. This doesn`t sound like just poison ivy. He sent a pic of lump and there isn`t any poison ivy rash on his neck. Just well defined quarter size lump. He was told to take antibiotics and if lump doesn`t clear to see his family Dr when he is home for Labor Day. We suspect swollen lymph node. Is that possible from poison ivy? | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that poison ivy causes rash only. Lump and lymph node swelling are associated with some kind of infections. I suspect some kind of viral infections that cause lymph node swelling and fever, diarrhea etc. Kindly take good antibiotics according to your family physician. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have chest wall pain at about a 4-7 on a scale of 10 with 10 being the worst. I have been checked for heart attack, with xray, EKG, and blood studies and have been told there is no problem with the heart. My question is: could there be arterial blockages causing my pain. The pain is not centralized but moves around over the entire chest cavity. Right now its under the left should blade and slightly toward center of the back? This has been going on for about a week with little or now relief. I recently stopped taking Zocor thinking this was the problem, but as of yet no long term relief. I also have stopped taking Celebrex in hopes that these would help also. HELP. | Hello. I read you concerns carefully. If it is a chest pain described as heaviness, then an additional stress test would be appropriate, to rule out cardiac causes of the pain. If it is related to your meals, then it may be with a cause from the stomach. It may be from hematological factors. It also may be caused (rarely) as a side effect of Celebrex use. My opinion is that you should not discontinue Color and that you should primarily rule out the cardiac causes of this chest pain. I hope I was helpful with my answer. Good day |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...for the last 2 years Ive had periodic episodes with swollen lip syndrome.Ive noticed they come always at night and last about 12 hours.I think Ive narrowed it down to crab, red wine or a grape derivitive. What is strange is that it occurs 12 to 18 hours after Ive consummed these items. No sure why. what can be done except total avoidance and is that all it is? | Hi, If you have swollen lips after consumption of red wine or grapes derivatives since 2 years then it clearly indicates your allergy or sensitivity. This allergy occurs after 12 to 18 hours then it is delayed type of hypersensitivity. You can try these beverages with the use of straw by avoiding direct contact with the lips, but I am not sure if It's going to work or not because of delayed hypersensitivity but still I would say you can try it once. The best way to cure allergy is definitely avoidance of allergen, but there are good medicines available in market like steroids or antihistamines to combat allergy. Thanks |
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ηζθΏ°εηι«εΈει‘γ | my wife ate a ripen papaya in large qty and took eldoper tablet as she had loose motions. after that she even took dart and dolo tablet as she was suffering from fever. during this period she had missed her periods for 12 days and came to know through a urine test that she is pregnant. we already have a 11 month old baby who has stopped breast feeding. now my question is whether she would have hurt the new baby in womb by doing the above acts and whether baby would be safe to be delivered? waiting for ur reply | Hi there, None of the above medications, and fruit when taken so early in pregnancy are known to cause any deformity in the baby. So your wife can safely continue the pregnancy. Get her ultrasound done to know to condition of the baby, and get exact dating of the pregnancy, Follow up regularly with 11-14 weeks NT scan and 20 weeks anomaly scan. Make sure she takes proper vitamins, iron and calcium, as having back to back pregnancies may render her iron and calcium deficient. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my mom is unable to walk and says shes got a catch or muscle pull somewhere in the groin area and it moves to the inner thigh. I am unable to figure out whether its really a pull or is it a stroke shes got and it has affected her movement. It hurts her while trying to walk. | Hello, As history don't guide anywhere towards stroke symptoms. It might be ligament sprain. I will advise doing hot water fomentation, and slow passive Range of Motion exercise for the hip and knee. Post which static hamstring and static Qua Chat Doctor. Also, hip strengthening exercises in a prone position will be helpful. Teach gait training to her with the help of support initially. Later independent walking once confidence is gained. You can take the help of the Physiotherapist close by if needed. Hope I have answered your query. Let me know if I can assist you further. Jay In |
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ηζθΏ°εηι«εΈει‘γ | I am waiting for a fibro scan due to raised enzyme in blood tests, I have been suffering with back pain and stomach pain for some time. More recently I have been feeling extremely tired and ache. The Hepotolgist is not concerned about my liver but wants to out rule any concerns in elation to my liver. I am also awaiting a gynaecologist appointment. I am concerned that my symptoms are getting worse and I am no closure to a diagnosis | Hello. Thanks for writing to us. The raised liver enzymes are not worrisome if the values are less than three times the basal levels. Such mild rise can be corrected with dietary modifications and weight loss. You need to have rest of the investigations to rule out other organic causes. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | i AM 80 AND WHEN I TAKE A BRISK WALK.. I GET SHORT OF BREATH AND EXPERIENCE TIGHTNESS IN MY CHEST.... I HAVE HAD A LIFETIME HISTORY OF ASTHMA.. BUT I DONT HAVE ATTACKS NOW LIKE I USED TO WHEN I WAS YOUNGER.. AND I DONT TAKE ANY MEDS FOR ASTHMA... SHOULD I STOP WALKING... WALK SLOWER.. BUILD UP MY BEING IN SHAPE..... | Hello Chest tightness in your age need proper clinical evaluation, and it is important to exclude cardio-pulmonary causes. You need clinical correlation and investigations like routine hologram, random blood sugar, liver function test, renal function test, lipid profile, urine RE/ME, Chest X-ray (PA view), ultrasound of abdomen, ECG in all leads, TMT,ECHO. It may also be due to chronic asthma. You may need PFT(pulmonary function test). Proper treatment depend upon findings. You can continue slow walking and don't undergo more exertions till proper evaluation. Get well soon. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My mother was suffering from Chronic Cough for a period of 6 months. She is a Chronic Diabetic and she is having insulin injection. Her age is 66 and her height is 155cms and weight is 60kg. She has labile hypertension. She has been prescribed Dilzem by her Cardiologist and she has been given Seroflo 100 and Flouhale 100 rotocaps one capsule two times a day for 3 wks. I would like to know whether Seroflo inhalation for 3 wks is good to her health? As I went through the prescription catalog I found that long administration of Seroflo will lead to rise in blood sugar levels? I would also like to know wheteher Dilzem30 mg can be combined with the administration of Seroflo rotocaps? | Hi, From the symptoms that you mentioned, it seems that your mother might be having lower respiratory tract infection(ROAD/Bronchial asthma/Emphysema). If I were her treating doctor, i would have suggested her to undergo some tests like complete blood count, spirometry,chest x-ray. I would also have liked to rule out the possibility of cough due to cardiac origin as she is a cardiac patient and a known diabetic on insulin. And ECG and Echo would have been helpful in such a situation. Seroflo can be used for the given time period in accurate dosage for symptomatic relief along with Diem 30 which is a cardio protective Chat Doctor. Consult your cardiologist/GP for carrying out the tests and a further review. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi my Biochemistry report says my SGOT is 41.0 and SGPT is 85.0..... what does that stand for and what effect is it making in my body and what do I need to avoid in terms of food and beverages and which part of the body is it affecting and how serious is the above figure.... | Hi thanks for asking question. Sgpt and got are enzymes alt and AST that are present in liver hepatocytes... So whenever liver is affected they are liberated in blood through sinusoidal and enzymes high in blood. You have borderline elevation of enzymes. So you might have fatty liver like conditions you are overweight lose weight. Alcohol excess intake avoided... Low fat diet taken... Use only good oils like canola, sunflower etc.... Use less oil in cooking. Regular exercise done.... Cheese, fried food, junk food, non veg taken very much less.... Hope your concern solved.... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have had dizziness and fatigue for almost 2 months. I have done every test imaginable(Ct, heart, blood tests, MRI, carotid, etc..) and everything was fine. I saw a neurologist and was diagnosed with vestibular migraines at the age of 44. My mother and brother suffer from migraines. I still do not believe these are migraines. Doc put me on topamate and i only take 25 mg a day. | Hi, I had gone through your question and understand your concerns. One of the adverse effects of Separate is fatigue, yet the dose you are taking is minimal. I think you can discuss with your doctor the possibility of treating the migraine headaches with other medications according to the frequency and severity of headaches. If the fatigue persists after stopping Separate, there are other conditions to be looked for like chronic fatigue syn Chat Doctor. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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ηζθΏ°εηι«εΈει‘γ | My wife is 59 years old and will be 60 years old in March of this year.She us about 5 2 in height and weighs 70 kilograms (154 pounds)She was previously diagnosed as having a fatty liver.She was prescribed Zocor (simvastatin and/or silymarin) which she takes every other day.Recently, her blood test shows the fact:1) ALT/ GPT Blood - 62 with the range being IU/L 33 2) AST/GOT Blood - 41 with the range being IU/L 32 Query: Should we be concerned that there may be something wrong aside from a fatty liver? Would you recommend more tests I.e. Abdominal ultrasound? Sample of her liver tissue to be taken for biopsy? EtcThank you very much!John | Hello! I have been through your question. Related your concern I think that you should know that the elevated levels of ALT/AST is moderate, and usually fatty liver is the most common cause of unexplained persistent elevation of liver enzyme levels after hepatitis and other chronic liver diseases have been excluded. The good news is that fatty liver is a reversible condition that can be resolved with changed behaviors and often has no symptoms and typically does not cause permanent damage. But when fatty liver is caused by an underlying condition, it can become harmful to the liver if the cause is not recognized and treated. The most common cause of fatty liver is alcoholism and other common causes obesity, hyperlipidemia, diabetes some medications. You should know that potential causes of liver transaminase elevations include viral hepatitis, alcohol use, medication use, stenosis, and cirrhosis. So what I suggest for your wife in this situation is doing a physical examination by a hepatologist, exclude viral hepatitis (lab test Bag and anti HCV), abdominal ultrasound to see the local situation of your fatty liver and to exclude cirrhosis and lipidograme. Furthermore, a liver biopsy definitively allows excluding alternate causes of elevated liver enzymes, and it is the only method to distinguish (in certainty) non-alcoholic fatty liver from non-alcoholic steatohepatitis, and it provides information on the stage of the disease. But it belongs the hepatologist, based on your data to decide to do or not a liver biopsy because as all invasive procedures exist some risks. I hope my answer help you. |
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ηζθΏ°εηι«εΈει‘γ | Ive been experiencing pain in my lower right abdomen and back for a couple of weeks now. I went to the ER and they were unable to diagnose. It was better most of the week, but has returned. Sometimes the pain is sharp and sometimes dull. Today I noticed some silver dollar size bumps on my lower back | Hello and thanks for postingGlad to hear that the ER evaluation was normal, and hopefully they did a CT scan to rule out any underlying pathology such as appendicitis or else. Uncertain as to what to make of the "bumps" on your back, but certainly have your physician take a look. Sometimes people can develop shingles that is easily diagnosed and treated. If the abdominal pain does not resolve as well, make sure you follow up the evaluation with a gastroenterologist. Best of luck |
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ηζθΏ°εηι«εΈει‘γ | I have a kidney stone that is 2.7 cm in size. I have seen my urologist and he has given me 2 options. 1 to have the stone blasted in 2 separate procedures, or be hospitalized and have the stone removed through a small incision (a tube placed in the incision.) I know that the procedure through my back will allow them to remove all of the stone at one time, but I am concerned that I will have to be off of work for over 10 days. However I have read that there are side affects from the blasting technique as well. I dont know which procedure to do... | Dear Sir, Sorry to hear about your problem. Your stone is quite big, and the blasting procedure would require multiple sittings to completely get rid of the stone. Such a big stone usually mandates a surgery although with the new blasting techniques these days doctors are able to deal with such stones as well. The blasting technique is associated with a small risk of pain during and after each procedure and a risk of infection, but you do not require prolonged admission. On the other hand the surgical part will take care stone in one sitting but would require a lengthy admission. Hoping for the best. Please feel free to clarify any other query. |
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ηζθΏ°εηι«εΈει‘γ | hi , my age is 27. i am suffering from sever pcod&over weight.since 10year. i took so many medicines by doctor recommend. but it still its not cure. so,that i cannot consive also.and i took so many test thats all ok .so,please tell some remidi to get pregnancy. | Hello dairy understand your concerns is very complex disease and difficult to treat in some cases. It causes hormonal imbalance, insulin resistance, infertility issue. I would suggest taking treatment under the advice of the authorized gynecologist. Following medicine will help you:Progesterone pill: in second half of the period to regularize the periodMetformin: to induce ovulation and decrease insulin resistanceClomiphene citrate: first 4-5 days of the cycle to induce ovulation and help in conceivingSpironolactone and FSH analogue can be used. In unresponsive case surgical process like ovarian Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My husband has been diagnosed with liver cirrhosis from fatty infiltration. He has had hepatic encephalopathy with elevated ammonia levels. He now is chewing on his tongue. (He has no teeth, so no injuries, but his tongue is very sore.) He does this unconsciously, even at night and cannot seem to stop. Is this another symptom from this disease process? | Thanks for posting your question on Chat Doctor! I really appreciate your concern for your husband. In addition to other signs and symptoms, although less common but abnormal tongue chewing is seen in patients with hepatic encephalopathy. Loss of coordinated movements of the jaw and tongue occurs due to injury to the part of brain that is concerned with the movements of tongue and the jaw.in comatose patients, the tongue can become juxtapositioned between the teeth resulting in this chewing reflex. You are advised to take an opinion of a dentist for possible use of acrylic mouth gags to prevent the injuries in oral cavity. Wishing your husband a speedy recovery, INSA Allah. |
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ηζθΏ°εηι«εΈει‘γ | Hi there, I have had severe pain in my right hip since I was pregnant with my twins. It has been 5 years and doctors still do not know what it is. Pain all day, hurts with walking and every day daily activities, walking upstairs it feels like it is almost going to pop out. Severe pain when opening my leg it is almost in the groin area. I have tried everything. Physio, chiro, acupuncture, massage and osteopath. I m usually a very active individual with very high pain tolerance but this is starting to become unbearable. I cannot live in pain everyday for much longer. Any suggestions as to what it could be ? Have had X-rays and ultra sounds coming back fine. Thanks for your help. | Have you had an MRI? Hip pain with radiation to the groom area is usually indicative of hip joint pathology. I would need to know more about your medical history. For example are you taking any medications that would predispose you to certain types of pathology? And medical problems that can cause this? Usually, however, MRI is a better option to visualize the hip joint for the pain you are talking about. |
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ηζθΏ°εηι«εΈει‘γ | Hello, I started having pain in my head, eyeball and cheek on the left side, also I really can t tell if my teeth/gums are causing the pain. My eye started first, then my teeth on that side at the top. When I woke up this morning my cheek/head pain started. My eyeball has also been itching. No swelling or redness in eye or cheek, | Hi, Thank you for posting your query. The short duration of your symptoms suggest that your pain could be due to an infection. The likely source could be teeth or gums. A dental examination would be helpful. In addition, herpes virus infection can begin like this. If you notice any blisters on the face, then, it could be suggestive of infection with herpes virus. In that case, you should consult dermatologist. As of now, you can take ibuprofen or diclofenac tablets for pain relief. I hope my answer helps. Please get back if you require any additional information. Wishing you good health, Chat Doctor. Ly/ |
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ηζθΏ°εηι«εΈει‘γ | I have had asthma most of my life and am now in my adult years (69). My asthma is triggered by changes in the atmospheric pressure. We have inversions here and when the air is cold and foggy I especially have problems. I have been taking advair to prevent asthma attacks, however, advair is causing other problems with my health. Is there any other drug that is designed to prevent asthma attacks? | Hello are taking AFFAIR i.e. fluticasone+ salmeterole, no doubt this is a good Chat Doctor. When patient with these symptoms visit I prescribe them to take MONTELUKAST+ ALBUTEROL (10 mg each) once or twice in day. Usually patient respond this treatment very well. Since fluticasone is a steroid and have many side effects, which I think you are facing. Hot coffee and steam inhalation also provide instant relief because as these both acts as bronchodilators. In my opinion this treatment will help you. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I recently began cymbalta, 7 days on it. I feel terrible. It was for nerve pain. I want to stop. I am having insomnia, and am very jittery. They had me decrease my lexapro to only 5 mg. with the 30 mg. of cymbalta. My doctors are not getting back to me. Please. Can I stop and gradually increase back on my lexapro. | Hi, Regarding your concern, I would explain that you can switch to learn again as it seems that you are not tolerating well Cymbal ta. I would recommend to gradually switch to Learn, with a gradual reduce in the dose of Cymbal ta and gradual increase in the dose of Learn, in order to avoid possible interactions and serotonin syn Chat Doctor. You should discuss with your doctor about this. Hope to have been helpful. Let me know if I can assist you further. Wishing all the best, |
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ηζθΏ°εηι«εΈει‘γ | I was diagnosed with a pulmonary embolism from post surgery about a year ago. Proceeded with treatment. About 2 months ago, I was diagnosed with a dvt. Currently on warfarin. Chest is clear but there is still residual clotting in the leg that is clearing up. Can I smoke marijuana? | Hi, Welcome to Chat Doctor forum. Any smoke, or any tobacco can effect the lungs, fatally. You are not cured completely of the deep vein thrombosis. Now it is not advisable to think of the marijuana, especially with the permission of the doctor. D.V.T. is also a result of the smoking, atherosclerosis, and thrombosis. If you have it now, the thrombus can be in the heart, or brain. Sorry it is not threatening, it is a fact. Take more of green leafy vegetables, pulses, sprouts, and protein rich foods to be healthy. Wishing for a quick and complete recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Dear Sir. I am 66 years. My ESR IS 78 mm/hr MCV is low and DRW is high, Platelet is high too, Please help me to diagnosis my problem | Hi...welcome to Mr. Sabre ., here Your Age is is important criteria.,1) Your ESR is very high (78) normal is 0 to 9 mm/hr High ESR seen in Tuberculosis, Rheumatic fever, (both conditions very high)., next normal chronic infections.,2) Chat Doctor. .depend on the cell count only, it can assess., 3) Platelets are high generally in Chronic Myeloid leukemia (Blood cancer), Iron Deficiency Anemia, Polycythemia Vera and acute infections., bleeding conditions.,4) MTV (Mean Cell Volume) Volume of average Red blood cells are low means you are having definite anemia category... You are not mentioning duration of illness .hence consult good MD physician he can give correct advice o.k. good luck |
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ηζθΏ°εηι«εΈει‘γ | hi,please, help 55year female with biliary stent (pigtail) to bypass CBD stone, 3month ago,now jaundice relieved but still theres astone &sonography shows normal daimeter CBD with stent .ERCP FAILED. | From the description you have given it seems that the stone in the CBD is impacted. It is dangerous to reattempt endoscopic removal. The safest method would be open surgical exploration of the common bile duct which will not only help in complete clearance of the stone load but also provide an opportunity to carry out a prophylactic surgical procedure in order to prevent the condition from recurring (biliary enteric anastomosis) depending upon the actual size of the CBD as observed during surgery. |
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ηζθΏ°εηι«εΈει‘γ | I have recently realized that my hand is hsaking all time. Thouse its not noticable but i can feel it. But it is very much apparent when i lift my hand or wrost or even hold somthing tight. I have a family background of diabetics but i checked my diabetic 3 moth before which shows nothing. Well before few days i had a argument with some one, and during the argument i stated to tremble very very badly and for a time being i wasnt able to speak. I was trying to speak loudly but wasnt able to say , somthing was blocking my words and felt little bit dizzy. I have noticed my shakeyess after that. Now i want to know why its happening. | May be its anxiety, anxiety can lead to such tremors and shaking or in other words nervousness, your family background of DM has nothing to do with your hand shaking. Its purely due to nervousness, every one feel nervous at some time in their lives. However some people overcome it easily some exhibits symptoms like you. I can also advise you to be stress less, not to be intimidated easily, talk to a friend, don't keep stiff inside yourself, read good books. I wish you all the best, thanks for writing to us. |
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ηζθΏ°εηι«εΈει‘γ | I believe I have bells paulsy because I have all the same symptoms but I haven t seen anything about lumps and I have one tiny lump under the skin behind my ear and another under the skin in the mid of my neck. What do you suppose that is? The bells palsy began with a swollen ear but I understand that it can also be cancer. What do you think? | Hello, Bells palsy is by definition a paralysis of the nerve that controls the movements of your face whose because we don't know, but we often blame it on a virus. The symptoms of Bells Palsy are as follows: Half of the face will gradually (usually over several hours) become paralyzed. People often realize this either by looking in the mirror, realizing that one of their eyes is not closing or that they are having trouble Chat Doctor. There may also be changes in taste, where taste in half of the tongue is diminished. The symptoms are hard to notice though since the taste receptors in the other half of the tongue are still functional. There may be sensitivity to sounds and the muscle that helps dampen loud sounds in the ear becomes paralyzes as well. There are usually not external signs other than nerve paralysis, meaning that there should not be any swelling, pain or tenderness anywhere in the face. What you are describing sounds more like an infection or some sort of inflammation because you are having swelling in your ear. The lump behind your ear may be a lymph node that is swollen as there is a collection of lymph nodes behind your ear. I would say cancer is lower on the list of diagnoses, but based on the information I have and lacking a physical exam I cannot rule it out entirely.Nonetheless you should go see your physician to get a proper physical exam which would include a full neurological exam and an exam of the Head, neck, mouth, ears and nose to identify any possible causes. Imaging may also be necessary in which case an MRI would be the best choice without and with added contrast to visualize infection and growths better. Routine blood work would also be recommended including a complete blood count with differential, complete metabolic panel and an ESR to evaluate for signs of infection. Depending on the physical exam, other tests may be necessary. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | i started masturbation at a very early age, one day when i was giving quick jerk , i might injurd something after that day , for few month it start leackage sort of probleme , and now when i am of 33 yrs old i am feeling very shame due to undeveloped penis i hve | Hello, By doing pelvic therapy and practicing Keels, you can help control your ability to start and stop. This may help delay ejaculation. Certain medications. You may use a topical desensitizing cream which will reduce stimulation and help to delay orgasm. I suggest you to visit your doctor for complete checkup and look into this matter thoroughly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I have a pain in my left shoulder/ arm and left side of my chest the last week or so. I also have sharp shooting headaches for about a week also. I had a baby ten weeks ago if that makes any difference? When I was in labour I had a severe pain in the top of my spine which also hurts every ow and again. | Hello, As I see that most people usually don't complain of the upper limb pain post delivery, but very few complains have been received. This might be due to degenerative changes in the intervertebral disc. Taking an MRI of the cervical spine along with lumbar spine after a synced certification would help understand the pathologies better. Using a soft cervical collar will help stabilize the cervical spine and reduce the cervicogenic headache and upper limb pain. In my clinical practice of over 12 years, most cases post delivery undergo Physiotherapy for better health and muscle strength. Thereby reducing the symptoms and helping them for ease, will recommend you the same. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my dad has severe heart failure. Now in hospital. He is aged 83. His breathing has got worse over the last few weeeks before he was admitted to hospital. He has a little memory loss, urine and chest infections. He said he is in a lot of pain and feels he will die very soon. Advice please | Hi, Heart failure and memory loss in elderly is very bad and prognosis is not good. Some tips you should follow:- Restrict fluid and salt intake in diet. Specially total daily fluid intake should not be more than total urine in 24 hrs. Do not add common salt in his diet. Keep propped up position while in bed and can use extra pillows to raise head. Light exercise is always better if he can do or by passive means. Use blood thinner like heparin or fondaparinux to avoid DVT and pulmonary embolism. Be in care of cardiologist. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My Dad is 79 was having severe abdominal pain and vomiting for about 1 month went to ER monday did CT Scan found very large gall stone blocking duct to liver had Endoscopy on Tues couldnt remove stone was to large had a second endo on Thurs and they quote filleted the duct and removed the stone, put in a stent, cleaned area of slugh then yesterday he started passing dark/black stool each time he went to the bathroom total of 5 times, Dr. immediately did another endo to look for bleeding and to put a sealant over the duct area from previous day he stated he didnt think the blood was coming from that area. Any idea what could be going on with this situation? | Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist. Presence of black stool suggest bleeding from upper GI tract. And with a prior history of ERCP suggest bleeding from the papilla site as papilla has to be cut for stone removal. And if your has checked that site and is sure that it is not bleeding from that site, means it may be blood passed in Hi tract during the procedure and now the bleeding has stopped. So keep watch on stool color, which may be black for another 3-4 days after which it should be cleared. In case it is not cleared the repeat endoscopy is warranted. I hope I have answered your query and this will help you. Wish you a good health |
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ηζθΏ°εηι«εΈει‘γ | Hi I am 31 yr olf ttc for 8 mth. Periods are ranging from 26 days to 30 days ; I got HSG and Day 3 baseline test done ; Ovaries and eggs are good ; HSG indicated right tube bloakage and left tube dilation (20% chance); But left may be clean is what the RE said; I did the test on CD 10 May 17 2013 ; I am on CD 17 today with mile spotting and acute pain in lower right side of the abdomen ; This pain normally comes during menstrual cycle. But this side has been paining now for like 3-4 days ; It comes for about 20 min and goes away ; Occasionally my legs ache too. What could be the reason for the same . Please let me know. | Hi, Thanks for the query. As you are having right side tubal block and now having pain on the same side, better to consult gynecologist and get examined. As you are trying to conceive and as sometimes you are having shorter cycles, though rare there is possibility of tubal ectopic pregnancy. The other possibility for pain is pelvic inflammatory disease. Consult gynecologist and go for ultrasound to find out the possible cause. For more details you can ask me through: http://www.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | .hi, i am 23 yrs old guy. i recently found out that i have disc slip in L4-L5 and the pain is bit on higher side though i ride my bike and i travel around 8 km avrg every day. so thought to buy a car so that i ll hav back support while riding , but some say its not good to ride car with back pain and some say it is goodwhat should i do, go for a car or just reduce the travel and opt a bus. Thank you. | Dear patient If you are having disc prolapse and have to travel lot train is best option. If you can manage to reduce travel its also good option. Also, proper treatment of disc prolapse is also must. Avoid weight lifting and forward bending. Start short wave diathermy for your back. Do physiotherapy in form of back strengthening and back extension exercise. If this doesn't benefit you epidural steroid injection can also be given. You should visit expert spine surgeon nearby you and get yourself examined and treated completely. All the best. |
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ηζθΏ°εηι«εΈει‘γ | i have a problem in my stomach,veins of stomach are stereching so the result is pain in lower stomach.if i put some heavy thing then pain increases.weins are stimbring automaticaly and eyes are also stimbring ,i felt lots of fatigue and mentaly stress as wel.so i am not able to concentrate on things.after that acidity also started in my stomach i am sufring from this problem for last six months.pls tel me the solution to this problem. Regards Davender Arora | Hi Defender, For the discomfort that you are having in the abdomen, you must consult a doctor and get a detailed examination done, including ultrasound scan and if indicated gastro-duodenoscopy to diagnose the cause of your abdominal discomfort. Once the cause is established correct treatment can be instituted. Twitching in the abdominal muscle and eyes may be due to calcium deficiency. If that is the case you will require calcium supplement. Wishing you all the best. |
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ηζθΏ°εηι«εΈει‘γ | my mom is of 50 yrs she s suffering from depression since 10 yrs. but nw since a yr she has menopause problem n lot of mood swings sudden change in behaviour agitation anxiety sleeplessness frequent hungerness irrelevant talk not mixing up with family members not carrying out any household chores. she s on olimelt 10 once at nit, risdone plus twice a day and qutan sr twice a day. she s on des medicines since 15 days.......but v r hardly seeing any change in her behaviour.pl help my sister s gettin married soon v want our mom to recover in a mth soon. | Hello... Thanks for your query. I really doubt is she was labelled as a case of depression considering the nature and the duration of symptoms. However, there exists an entity called "agitated depression" which fits your description. Also, the number of medication, that of three anti-psychotics seems inappropriate for her age. I would suggest you meet your psychiatrist again to clarify the diagnosis and the reason for multiple psychotropic medication and get back to us for an opinion if required. Hope you find my suggestions useful. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi,my mother s blood creatinine level was diagnosed as high 2months back(around 3) and she has been on medication and a strict diet since.We have been monitoring the levels since and it came down to 1.9 but last week was around 2.3. Please can you let me know how to control it and get reduced to normal level. We are in Bangalore so it would be great if you could suggest a good dietician for this issue asthe current dietician we are seeing has asked her not to have most of the vegetables and fruits due to which she is having a very bad constipation problem. She is also taking medicines for High BP.Please help. | Hi welcome to Chat Doctor Forsythe creatinine is high that indicates the kidneys are not functioning normally. So there is no such remedies to reduce the creatinine level only. If the treatment should be based to treat the kidney condition then automatically the creatinine level will reduce. There is no treatment in allopatry which will cure the kidney conditions. But homeopathy have remedies to cure this condition and Hun Chat Doctor. So if you would feel to contact me then it is my email ID - [email protected] no - 91-9937412150www.multicarehomeopathy.com |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,My 97 year old mother, who is in a nursing home, is more tired and feeling unwell. A blood test has shown she has likely got multiple myeloma. She had left-sided paralysis from a stroke six years ago. She cannot speak, and she is slow in understanding and writing, but she has no dementia. She also has atrial fibrillation from 12 years. Usually, she is alert and enjoys life with what she has. A bone marrow biopsy would be too nasty and cruel for her, so our physician and I have ruled it out. The physician can only offer palliative care, and maybe a blood transfusion if she gets anemic. I have been researching other alternative supplementation to help her.The physician is reluctant to refer her to a hematologist, but I think she should be referred just to get an expert assessment and possibly other tests, even though she cannot have a bone marrow biopsy. Could more be done to help with diagnosis and determining what stage of cancer she is at, or if she has MGUS or smoldering multiple myeloma through a hematologist referral? What do you think? Do you have a particular view about the blood results? Are there any more interpretations to be had? Weirdly, the physician also says you have to do bone marrow biopsy to refer her to the hematologist. But my understanding is the physician refers to the hematologist, who then orders bone marrow biopsy, right? I think they are just fobbing me off because she is old.Her blood report shows, total serum protein is 83, serum albumin is 27, serum globulin is 56,\tIgA is 1.12,\tIgM is 0.56, serum protein electrophoresis discrete band in gamma region, serum immunofixation monoclonal band of IgG lambda paraprotein band is 26.1, serum TSH level is 1.46, serum free T4 level 12.9, serum ferritin is\t30, basophil count is 0.02, eosinophil count is 0, monocyte count is 0.4, lymphocyte count is 4.46, and neutrophil count is 2.71. Her platelet count is 166, MCH is 31.5, mean corpuscular volume (MCV)\tis 95.1, hematocrit is 0.37, and red blood cell count is 3.93. | Hi. Sorry to hear about your mother\s condition. Take care. Hope your concern is solved. I wish your mother good health. Revert with more information to a hematologist online Take care. |
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ηζθΏ°εηι«εΈει‘γ | I ve been sick for a week my throught feels like it s been swelling up and I m finding it harder to eat it feels like I have a cold but I don t my chest is hurting I ve got a cough I m getting temps of 40 I was in a car crash a week ago and I ve been sick ever since then what do you think ? | Hello, You are having fever, cough and chest pain. All these are commonly seen with a lung infection (pneumonia). So, it is better to consult pulmonologist and get done a clinical examination of the respiratory system and chest x-ray. A chest x-ray is must for the diagnosis of pneumonia. You will need a higher antibiotic, antipyretic, and other supportive Chat Doctor. Do not worry you will be alright with all these. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hello Doctor,My father got double vision suddenly. Age 58 years. His BP was high. He has diabetes.His CT Scan report says:-Impression: Multiple calcified foci as described above. Diffuse cerebral atrophy.Content: Two calcified foci without perilesional oedema are seen in bilateral occipital region. Prominence of cerebral cortical sulci are suggestive of diffuse cerebral atrophy.What dose this mean? | Hello, It seems from the history that your father is having sudden onset of double vision. He is a known diabetic and hypertensive. The CT scan report you have mentioned here like diffuse cerebral atrophy is not of much significant and they indicate age related changes. The CT scan findings are not significant as a cause for double vision. First the symptom needs to be evaluated to find out whether it is uniocular or binocular. Uniocular double vision means double vision with one eye open. Binocular double vision means double vision which disappears on closing on eye and present only with two eyes being kept open. The most commonest in this age group is binocular double vision. The most common cause in your father for double vision is nerve palsies which affect the extraocular muscles like 3rd, 4th, and 6th cranial nerves. The cause is because of diabetes and hypertension. Most of them recover by 3-6 months. The treatment by vitamin B12 supplements and other vitamin B complex will help to hasten the recovery. Along with this strict control of diabetes and hypertension is required. Do inform me regarding whether it is uniocular or binocular and status of diabetes and hypertension, so that I can guide you regarding further treatment. Hope the information is helpful to you. Consult an ophthalmologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi,My last blood test does show ALT level is 47, LDL is 122, CRP is 3.74 and TSH is 5.060. Hep is neg. Dont drink. I have hypothyroid and it was out of control for a while. My BMI is 35. Do I have a fatty liver or ALT is elevated bec of thyroid problem. | Hi, Thanks for posting your query. I am Chat Doctor. K and I am pleased to assist you. Yes, hypothyroidism can affect liver function and can cause elevated ALT levels. Since your BMI is high, it is more likely that you have fatty liver. It can be confirmed with an ultrasound scan of the abdomen. Nonalcoholic fatty liver disease is the most common cause of elevated liver enzyme levels. I hope that answers your question. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I have genital herpes and am wondering if it has moved to intraoral herpes. I get ulcerations (which Im hoping are canker sores) on the insides of my cheeks. They are very brief. They seem to happen as one single ulcer, mostly occuring on the inside of the mouth on each side where the lips crease. Just wondering if it is common to have intraoral herpes (hsv 2) outbreaks on the insides of the cheeks as opposed to immovable tissues. | Hi, Welcome to Chat Doctor. The lesions on lips is usually caused by herpes simplex virus type 1. There is a possibility of HSV2 causing oral lesions if there is contact with genital lesions. Fortunately, herpes infections are treatable by antiviral medications like acyclovir. I suggest you get a prescription for oral acyclovir and B complex capsules. Also avoid spicy food as much as possible. Application of oral analgesic gel like denote over the sore can also be helpful. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | I am suffering from major tailbone inflammation and tenderness. It has become increasingly more painful the last few days. I recently flew overseas and was on a plane back for about 8 and half hours maybe it is just irritated? I have been taking Motrin every so often and icing on and off for 20 minutes. It does not feel like it is improving that much. At some moments it feels great and then an hour later the pain is back. I am a student and have many obligations coming up in the near future. Not sure what to do from here. Any suggestions? | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that it is necessary exclude possible nerve damage or an infection in this region (including abscess). That is why, I would recommend performing a careful physical exam of the region and a CT scan, to exclude the above-mentioned possibilities. Inflammation tests (complete blood count, PCR, ESR) are also needed. If an infection is excluded steroids would be another treatment option. I would also recommend performing a lot of physical activity, in order to reinforce the muscles of this region. Hope to have been helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | siri checked my PP is 225 all my age male 56 i am healthy as on date no bp since my gums are week one by one my tooth is falling my dentist says remove rest put artificial but he says it will take 15 days to attach i cannot be without tooth for such a long time? | With your query, situation what you have us called a periodontitis which is nothing but inflammation and destruction of tooth supporting structures and with this you are also medically compromised. Depending on the remaining teeth and condition your dentist will decide the best treatment because sometimes to maintain the causal harmony and integrity t would be good to extract the remaining teeth go for complete dentures or with good support of bone even implants can also be done. Hope this helps you. After extraction healing Jul take 7 to10 days. |
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ηζθΏ°εηι«εΈει‘γ | I AM A RENAL TRANSPLAT PATIENT SINCE 2003 NOW I HAVING ALLERGIC BRONCHITIESALREADY HAD TWO COURSES OF ANTI BIOTIC ( TENOVIC 250) AND NOW ON CEFTUM 250IT IS TAKING LONG TIME CURE ( NOW 3 WEEKS)WHT TO DOX RAY SHOWS CLEAR CHEST | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know more about you like your age, reason for renal transplant, any medications, any other medical conditions, allergic bronchitis since what age, how was diagnosed, whether a smoker, your environment, any nose symptoms, any eye symptoms, any hospitalization, etc. etc. Above details would help me to understand your complaints better and therefore to make suggestions for you more specifically.2. However, at present, I would suggest you allergy testing for common air-borne allergens like house dust mites, molds, pollen, insect proteins, pet dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.3. For symptom relief, I usually suggest my such patients to use albuterol/levosalbutamol inhaler to be used on as-and-when-needed basis.4. Regular breathing exercises and steam inhalation may also help in a long run.5. In general, please avoid exposure to dusts, smokes and air pollution as much as possible. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | hi I am Simon. I have a serious pain on my left chest right below my breast. I play soccer but I can t even do warm up with my players because my panting rate increases within few minutes with pains as if I ran a marathon and when taking deep breath I feel pains and sometimes I can t sneeze because of the pains sometimes it allows me | Thanks for your question on Chat Doctor. In my opinion we should rule out cardiac cause first because you are having left sided chest pain. So get done ECG. If ECG is normal then no need to worry about cardiac cause. You are having worsening pain with coughing, sneezing, this is the feature of pleurisy (inflammation of pleura). So get done chest x-ray to rule out causes of pleurisy (pneumonia, tuberculosis, pleural effusion etc.). If chest x-ray is normal then no need to worry much. You are having musculoskeletal pain mostly. So avoid strenuous exercise and heavyweight lifting. Avoid bad postures in sleep and movements causing pain. Take painkiller and muscle relaxant. Apply warm water pad on affected site.Don't worry much, you will be alright. |
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ηζθΏ°εηι«εΈει‘γ | I have tingling sensations in my hands/legs/feet & face. The tingling sensation is constant in my legs and feet which when severe can cause burning in my feet and toes. The tingling in my face is more common than my hands. The tingling in the face used to just be in the chin, it has now spread to the nose and forehead. When severe it leads to burning in the lips. I have spinal stenosis and had cervical fusion surgery on c3/c7, the tingling in the hands still persists but not as often as it used to. I also have stenosis and bulging at L2/L5 and L5/S1. I had an MRI of the brain that came back normal. What causes the tingling? | Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : What causes the tingling? Answer : The Tingling Most Probably is due to peripheral neuritis. There are many causes for peripheral neuritis, but the most common cause is diabetes. Please check your blood sugar levels Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello, we have been touring Spain for 5 weeks, doing lots of walking and standing. 2 days ago we did a 6.5 hour bus trip and that night I noticed my husbands ankles were swollen. He is not a large man about 70kgs and about 6 feet in height. We still have 6 weeks of touring. What do you think the swelling be associated to? | Hello, I have read your query, Due to long term rheumatoid arthritis there can be cardiac involvement. Due to weak cardiac function there can be swelling over both ankles. Another possibility of ankle arthritis leading to swelling.X-ray will rule out arthritis. You can do cardiac function along with renal function test consulting your doctor. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | i am 24 yrs old .i hv left ovarian cyst having size 67mm ang right ovarian cyst having size 28mm.drs suggest me for surgery. i had taken ayurvedic medicine but no good result appear rather than size increases upto 67 mm.can it be removed or dissolved by homeopathy medicine. | Hello Patient, Homeopathy has great scope in the treatment of ovarian cysts. Since the basis of any ovarian cyst is hormonal imbalance, it would be better if you submit a complete case history for the constitutional homeopatChatDoctoredicine. This will not only take care of the cyst but also prevent further recurrence. Although I can confidently state that the 28 mm cyst will get dissolved, the bigger cyst can take some more time. You can send your reports to Chat Doctor. Com for further specific guidance. In the meantime start with FERRY PROS 6X, ATRIUM SYLPH 6X & CASCARA SYLPH 6X 3 pills each, thrice a day. If you have been having periods problems, you can also take BIO-COMBINATION NO. 15. All these medicines will be available at any homeopathic pharmacy. All the best! |
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ηζθΏ°εηι«εΈει‘γ | Whenever I breathe in deeply I get a tightening in the right side of my chest which also causes a pain in my right shoulder blade. The pain in my chest is a bit sharper than in my shoulder blade, but not so much that I have to stop whatever it is I m doing. What could it be? | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out pleuritic pain in your case. You are having right sided chest tightness and right shoulder pain. And this can be due to pleurisy. Common causes for pleurisy are lung infection, bronchitis, tube, pleural effusion etc. So better to first get done chest x-ray. If chest x-ray is normal then no need to worry about lung diseases. Sometimes, musculoskeletal pain can be the cause. So take painkiller (ibuprofen). Apply warm water pad on affected areas. Don't worry, you will be alright, but first rule out pulmonary causes. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, Question regarding cramping. im 37 yr old male, avid weightlifter/amateur bodybuilder. I experience cramps in my toes and abdominal region fairly often. The toe cramps arent painful and go away within 30 seconds. The lower ab and oblique cramps feel like a golfball sized compact tightening of the muscles and can be brought on by simple act such as twisting and turning during normal daily activities. They can last up to a minute or two and leave me writhing around trying to get it to unclentch. I try to drink at least a gallon of water a day due to the vitamins and legal supplements I take. Aside from water and bananas and not overtraining my stomach muscles, what can I do to mitigate these cramps. Thanks for your help | Hi. Thanks for your query and an elucidated history. The cramps and particularly the history of goofball sized compact tightening in fact can be a real mass or a cyst or a lipoma inside the muscle mass or a small hernia. I would advise you to get a physical examination done by a General Surgeon and evaluation by a high resolution ultrasonography. IF indicated get operated and you will be dined. The cramps at the toe may be just incidental, do not worry if there eye no other associated symptoms of lower limb weakening or so. |
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ηζθΏ°εηι«εΈει‘γ | sir, my patient is periampullary adenocarcinoma with locally advanced stage, given gencitabin 1000 mg and oxaplatin 100 mg 4 days back, now total bilirubin is 2.2 in comparison to 1.5 before application of chemo, alkaline phosphate comes down to 612 from 685, other LFT parameters elevated moderately, kindly comment on state of health of my patient, | Hi, dairy have gone through your question. I can understand your concern. Your patients have periampullary adenocarcinoma. He is taking gemcitabin and explain. Explain can cause transient elevations of liver enzymes. You should keep close watch on liver enzymes. If level increase further than it can be due to explain toxicity, and you need to stop explain. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | hi My mother is 64 and her blood preasure is 186/111 she is allready on medication for her blood preasure.and her doctor increased one of her medications and told me to call him tommorow. should she consider going to the doctor or should we wait until tommorow. she said she feels alot of preassure in her head but so far thats it .what should we do?she weigh 213.and is 54 | Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that her blood pressure values are high, which means that her current antihypertensive therapy is not very effective in controlling blood pressure. I agree with you her doctor on the decision of increasing the doses of her current antihypertensive Chat Doctor. But, if her blood pressure values do now lower with these changes to her current medication, considering the fact that she has a lot of pressure in her head, I would recommend bringing her to the ER, in order to lower her blood pressure values. You should know that if her blood pressure values continue to be high, she may be at increased risk for stroke or intracranial bleeding. Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | I have been having a burning sensation in the upper part of my stomach and bad abdomen pains. I also have been really constipated making me feel really bloated. recently I had these red itchy bumps appear on my thighs hand arm and ankles that wont go away. What could all this mean??f | Hi, welcome to Chat Doctor forum. Pain and burning in the upper abdomen, with altered motion is usually caused by acid peptic disease. It can be initially controlled by antacids and Chat Doctor. Later, recurrences can be prevented by the following precautions.1)make you eat habits regular(keep correct time)2)avoid in between snacks.3)avoid much oily/spicy/fried items.4)reduce non veg items(especially beef and pork) to minimum.5)avoid smoking and alcohol-the most important measure.6)take enough fruits and veges with high fiber content. I hope you will find this information useful. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi my name is Gingelle Jackson Im a 30 year old mother of two n almost all of my lifeI have always had extremly dry hands well palm about 3 years ago I notice they have a like a slight sour smell Ive tried everything n nothing works please can.u help | Thank you for your answer! The situation you prescribe is called hand dermatitis or hand eczema. When I have a similar patient I first check if there is a bacterial or fungal infection overlapping the eczema, because they are usually due to persistent Chat Doctor. So I suggest you do an examination for fungi or bacteria if you also see other lesions on your hands. I would recommend washing your hands not very often which means twice or 3 times per day with a mild solution designed for atomic skin or o soap with emollients such as Avenge cold cream bar soap, Initial or Excedrin 2-3 times a day. If the situation is complicated you should talk to your physician for a prescription of HY |
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ηζθΏ°εηι«εΈει‘γ | Do I need a urologist or a nephrologist for treatment of renal tuberculosis? I live in Texas and Im having trouble locating a physician in this speciality. All the physicians that Ive called have not treated anyone with this. Would you please give me names/locations of a physician/s in Texas that has or had experience with renal TB? Thank You, Judy | Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Uncomplicated renal tuberculosis can be treated by nephrologist doctor. Anti tuberculosis therapy should be started for that. If renal tuberculosis is complicated with abscess formation in kidney than urologist consulted as Chat Doctor. Kindly mention your reports for giving more comment. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hi I had a blood test today first in my arm but blood was slow to come out and nurse worked to try and fill required bottles unfortunately not enough so she went into my arm on same side I have noticed just above the injection site I have a lump and hand is very painful | Hi, thanks for sharing your health concerns with Chat Doctor! In such cases of traumatic needle puncture or hematoma formation, generally I advise followings:1. Do not rub it2. Apply pressure for 30 mitutes3. Apply ice for comfort4. Use heparin gels for dissolution of the clot5. Take painkillers if the pain is not relieved6. If still not relieved within 2/3 days, antibiotics, aspiration and even physiotherapy required! Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have a 7 week old baby girl. She always falls asleep on feeds and most evening when she vomits its slimy. Sometimes her poo is also slimy. She is always crying and hardly ever stays asleep in her back or even on her bed. Please help. Email me on YYYY@YYYY | Thanks for asking I have gone through your question and understand your concern Falling asleep on feeds is normal for infant. you should interact while feeding. Your one hand should be free while you feed. With the free hand you should massage highly on scalp and soles. But this interaction infants take good feed (approx 10-15 min) and good nap for 2-3 hours. Slimy vomit and stool is normal. When she feed for good time (approx 10-15 min) she should sleep for 2-3 hours. Hope I answer your question wish happy parenthood. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,My fiancee and I had sex this weekend. It was unprotected and I ejaculated inside. We had sex during her safe days. She is expecting her periods in a day or two. Can there be any chance of delay in her periods? Can she consume a contraceptive pill within 72 hours and avoid pregnancy? I have asked her to consume the pill tomorrow (60 hours after sex) in case she misses her periods. Please advise. | Hello, Welcome to Chat Doctor forum. If she is getting regular 30 days period cycle and you had intercourse after the 20th day of her period then there are no chances of pregnancy. Also, no need to take any contraceptive pill as her periods are due in two to three days. The period can delay because of stress and tension. |
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ηζθΏ°εηι«εΈει‘γ | I am currently taking 225mg of venlafaxine and goldsheild brand eltroxine - 1.25mg?? Not sure of the unit of measure there. I have also just in recent weeks started taking yasmin to help with my skin. In the last few days things seem to be getting on top of me, and I have been crying a bit, after a long period of nothing phasing me this has been a little unusual, could this be caused from the hormone imbalance due to the yasmin pill? I have had a stressful few weeks with work, moving and not sleeping (even with zopiclone for the vivid dreams caused by the venlafaxine), so wondering if it could just be tiredness. Thanks Rebecca | Hello Rebecca and welcome. Yes the Yasmin pills can bring about a hormonal imbalance, but there are many other contributing factors for the same. The Elton that you are taking is for a thyroid condition, which proves that you already have a hormonal imbalance caused by your thyroid. So there could be various contributing factors for a hormonal imbalance in your case ma'am. Please visit a doctor for the same. Hope this helps. Best wishes. |
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ηζθΏ°εηι«εΈει‘γ | Hi,I am 26 years old. I have penis infection with the following symptoms since last 2 weeks.I didt have sex with girl in the last 2 years. I used coconut oil or shampoo for masturbution. -some small dot like pimples - sometimes itching - pain or burn when i urinating- heavy Neck pain sometime- below hip (legs, thigh) pain- i feel feverish in the evening time (shivering, burn eyes)I confused and i am frustrating.Please help me with suggestion and let me know the specilist for this diseases. | Hello, It may be due to sexually transmitted infection. For further assessment you may require complete hologram, discharge culture sensitivity and relevant blood tests after physician consultation. You may require antibiotics after consultation. Further treatment mainly depends upon the underlying condition. For pain, you can take tablet acetaminophen. Avoid sexual act till the complete recovery Hope I have answered your query. Let me know if I can assist you further. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Dear sir, I am Munish Sharma resindent of Ludhiana working in a marketing Job for TATA my concern is about my hairloss, i had lost my hair by almost half in recent four years. What to do?Also is there any relation of smoking with hairloss?(not a chain smoker but usually take 2-3 a day) | Hi, As per your query you have symptoms of hair loss which seems to be due to fungal infection, hair follicle infection leading to folliculitis, side effects of any medications or allergies to certain shampoos or hair cosmetics. Need not worry. I would suggest you consult a Trichologist and get evaluated, and he can advise you treatments depending upon the exact cause of the problem. In case of fungal infection, antifungal shampoos along with steroid lotion massage can relieve. In the case of Folliculitis or Impetigo, antibiotic ointments and oral antibiotics can be advised. Maintain cleanliness of scalp. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I used clavam 625 as a treatment against thypoid. I am using microgynon 20 as birth control, my doctor said it might not have effect on the birth control pills, however I got a small bleeding today. Might it be because of taking clavam and microgynon? | Hi, It is not safe to take CAVAM and microgynon together. The antibiotic CAVAM can reduce the efficacy of contraceptive pill microgynon-20, and thus it may increase the risk of pregnancy. It may result in breakthrough bleeding which you seem to have developed. You should use an alternate or additional method of contraception such as condom/diaphragm during or after treatment with CAVAM. Hope I have answered your question. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My mom had an MRI and the following it what was found: There is moderate to severe nonspecific bilateral periventricular and sub cortical white matter T2 and FLAIR hyperintensity, probably from chronic microvascular ischemic disease. What should I expect for the coming days, weeks, years? | I would need more clinical information on her condition and if she actually has any neurological deficits such as weakness in a limb, trouble walking, slurred speech, etc. The report is calling for chronic white matter disease in all likelihood, but there are other possibilities depending upon her age and condition. Depends on the cause(s) for this microvascular ischemia whether it will progress or hold steady....unlikely to remit....but that may not be significant in her case either depending upon the clinical. Hypertension, diabetes, hypothyroidism, smoking, high cholesterol, and desalinating disease are all possible causes of the picture you describe. Please rate this encounter with a 5 STAR choice and if you have further questions please contact me at: XXX |
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ηζθΏ°εηι«εΈει‘γ | my grandfather smokes heavily and is 67 years old and i just watched him cough in his sleep. it began as a continuous cough, cough cough however it then turned to one long cough and his eyes rolled to the back of his head. after 5 seconds of this he woke himself up with his coughing and looked dazed and his body was shaking and his arms were twitching. could you give me any explanation as to why this has happened and what can be done. He is very stubborn and refuses to stop | Hello dear, thanks for your question on Chat Doctor. I can understand your grandfathers situation and problem. He is having coughing, only and only due to smoking. So ask him to quit smoking as soon as possible. Following are the possible common causes for chronic, continuous coughing in heavy smokers.1. COPD (chronic obstructive pulmonary disease)2. Chronic infection like tuberculosis3. Lung cancer4. Pulmonary fibrosis. So better to consult pulmonologist and get done1. Chest x ray2. PUT (pulmonary function test)3. CT thorax if required. Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. CT thorax is needed to rule out lung cancer and fibrosis. So consult pulmonologist and first diagnose himself and then start appropriate treatment. Smoking cessation should be the first step in his case. |
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ηζθΏ°εηι«εΈει‘γ | Why are these daily migraine headaches... so severe I am light and sound sensitive. I have been getting numbness in my feet along with tingling. My memory Is poor. One day I got lost driving to my sons house to pick him up. A place I have been to many times. Sometimes I have trouble understanding speech. | Hello thanks for asking from ChatDoctorMigraine is a throbbing severe headache that occurs in frontotemporal region of brain. The headache occurs in episodes and usually aggravated by sounds and light. The numbness and tingling in feet, memory impairments during episodes, difficulty in understanding etc. symptoms are sometimes associated with migraine. Migraine with aura present with blurring of vision, brain fog and giddiness. Cause of migraine headache is abnormal vascular phenomenon in brain. I would advise you to consult a neuropsychiatric for expert opinion and treatment. Medicines commonly used in migraine are amitriptyline, nortriptyline etc. These are TCA antidepressants with good result in migraine. If no response occur then sodium valproate can be used. For symptomatic relief Chat Doctor. In severe cases to prevent headache propranolol have nice results. Apart from conventional medicines I would advise avoiding caffeine, tea and alcohol. Wear sunglasses in light. Have good sleep for at least 7 hours a night. Hope this helps you. Thanks |
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ηζθΏ°εηι«εΈει‘γ | I just got a cavity filling done yesterday, and my mouth is still sore. Just now, when I was walking around, I felt something in my mouth. Turned out to be a piece of tooth, I believe. Also, feels like a piece got down my throat. Is this something to worry about? | Hello! Thank you for posting here. This can be dislodged filling or broken tooth. If it is a broken filling, it must be redone. You must get it done immediately to prevent sensitivity and prevent further weakening of the tooth. If you broke your tooth, then an x-ray is necessary to assess if it is close to the pulp chamber. In that case, if it is close to the pulp, a root canal is necessary. Anyway, an x-ray must be done in case you broke your tooth. Do not chew on this tooth till you see your dentist. Check if you grind your teeth in the night. Dislodging of fillings is common in night grinding habit. If yes, you must get a soft splint to wear in the night. It will reduce the stress on the teeth you apply unknowingly. Hope this helps. |
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ηζθΏ°εηι«εΈει‘γ | Hello, I have been suffering from chronic sinus infections for awhile now. I have had 3 in the past 3 months that have lasted about two weeks each. Everytime I have been to a doctor I just am prescribed antibiotics that dont do anything for me, usually amoxicillin. I have severe allergies that I am sure is triggering the sinus infections. Ive tried several antihistamines with no luck. My nose is always congested, eyes always burn and the eyelids swell. I have tried eye drops too. I have chronic fatigue and am becoming increasing allergic to more things including any fragrances, molds, pollen, dust mites, cosmetics and toothepaste. What can I do to help my allergies and prevent sinus infections? | Hello & Welcome to Chat Doctor, I had gone through the case and have concerned to you. I have treated a lot of patients like you having chronic sinusitis and allergy. I will advise you to go for the correct treatment, take proper homeopatChatDoctoredication and learn nasal wash (JAL net hi) from naturopathy center and take 15 night soaked almonds in morning with milk. Definitely your problem will resolve very soon. Hope my answer will be effective for you. Thanks Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor, i am using eli grace cream to be applied in the night before going to sleep and also melas lotion in the day time, I wanted to understand like how to apply these cream, and how long will it take to see a difference in the complexion and also if they are any side effects. Thank you in advance | Thiis ELI pharmaceutical is mainly based on natural products which rarely have side effects but in some patients erythema and redness over skin is noticed, you can apply meals lotion of ELI pharma twice or thrice a day and grace cream once at night, along with use a good sunscreen for better results, don't worry, be patient, it's a time-consuming procedure, for instant results you can go for chemical Peking and other procedures too. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | i had neck pain before 2 years i was given medicines cobix 200 and retense and nexito-ls and simultaneously physiotherapy treatment so i was given some exercises then i was alright. now this year for the past 1 month i m suffering from back n low back pain .i took MRI and it says muscle spasm and disc dehydration. can i take the same medicines which i took for neck pain.are there any side effects | Hello, Thanks for your query. Low backache looks like a positional anomaly. The low backache is a result of muscle spasm which in itself is a protective mechanism body develops so that the back avoids abnormal posture. You can take these Chat Doctor. I suggest you to try back strengthening exercises by extension of the back muscles which can be taught by your Orthopedic or Physiotherapist. This will help to relieve the possible muscle spasm which causes the pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Wishing you speedy recovery. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi, I need your advice. My mom has a block which was confirmed during an angiogram and Docs have advised to go for Angioplasty. I happened to hear that there is a treatment where Docs remove block by injecting I V 2 medicine by drips. Could you please advice if this treatment is more effective than an angioplasty. | Hello. Thank you for your question and welcome to Chat Doctor. I understand your concern. PCI (percutaneous coronary intervention) is a procedure where a stent is placed in a coronary artery, after balloon inflation. This is a safe and effective procedure for treating a plaque that is narrowing or blocking the blood flow in the coronary artery. It is accompanied by a small percentage of minor and/or major complications, which you were provided before the procedure, in your informed consent. This is what happens in my experience, and I would recommend that she should go on and do it. As about the injections, I will assume that you are referring to the agents that lose ("melt") the thrombus in the coronary artery (such as, streptokinase, release, alternate, tenecteplase). These agents are used when a patient suffers a heart attack, in the acute phase, caused by a total blockage to the coronary artery caused by a thrombus (blood clot). They are usually used to "buy time" until a healthcare facility to perform primary PCI is available. I hope I was helpful. Take care. Good luck! |
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ηζθΏ°εηι«εΈει‘γ | My boyfriend has a lump on his forehead. It isnt hard like a knot. Its soft. It came about 3 days ago or so but it wasnt really noticeable. It is about and inch in diameter now. It doesnt hurt. You can push on it or touch it and theres no pain. What could it be? Is it something to worry about? | Hi, dairy have gone through your question. I can understand your concern. He has some benign cyst like Desmond cyst or spot tissue tumor like lipoma or skin adnexal tumor. You should go for excision biopsy and histopathological examination. Surgical excision is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | Please help I went to XXXX to have botox on my brow and frown lines on Monday .... I have been under huge stress lately and thought it would be a nice pick me up instead, my brow is almost frozen solid and feels so heavy. my eyebrows have been pushed down (unevenly) squashing my eyes down causing folds in my eyelids. I am in tears! the manager responded to my first mail to say it was perfectly normal and will settle and the feeling of heaviness will subside. now she will not respond to my emails. I look terrible and do not know if there is anything I can do? | Hello and welcome to Chat Doctor forum, i would be glad to answer you query, according to the history presented by you, it seems that you had a bad experience, Botox if injected on a wrong site or in huge amount, it can result in a frozen look. Also, sometimes due to a wrong injection site, upper eyelid Chat Doctor. I have not seen you clinically therefore cannot rule out the diagnosis, but in order to relief heaviness you can take a painkiller, just be calm .use 0.5%Iopidine eye |
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ηζθΏ°εηι«εΈει‘γ | yes please, my face has, the right side, has all of a sudden became enlarged and swollen. I woke up like this on Saturday morning and I actually could feel it growing kind of. That s what made me look in the mirror and see it swollen jus before my earlobe, from my jaw bone up to my cheek bone. and if it helps to know that I was eating strawberries and sugar with milk and I have a sore inside my mouth. Is this just a dentist problem? Is sort of feels like an abcessed tooth yet different place in mouth. | Hello, I can understand your concern. There can be two possibilities in your situation. First is, as you feel the sore at the different place in mouth, you may have been bitten by an insect while you were asleep, and you may have developed allergies due to the poison of the insect presenting as swelling of the face. As you are not feeling any pain, I feel this as a more probable diagnosis. You can start an antihistamine like Levocetrizine 5 mg (Exocet) or Loratadine 10 mg (Forfeits) once a day for five days. If it was allergic reaction, you must feel relief in the swelling after the fist dose of the medicine. Alternatively, you might have an impacted or infected wisdom tooth which usually presents with this kind of swelling in patients. It could also be a decayed tooth which may have developed abscess and swelling. In that case, you should visit a dentist for oral examination, x-ray of the area involved to confirm the possibility. If that indeed is the case, then extraction of wisdom tooth or treatment of decayed tooth will relieve you of swelling. The sore that you have developed in mouth can be treated by local application of Benzoate gel (McCoppin) 3-4 times a day over the ulcerated area, especially before meals to avoid pain and burning due to eating. It should heal within 7 days. I hope this answer helps you. Thank you for choosing Chat Doctor. Let me know if you have follow-up questions. Best, |
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ηζθΏ°εηι«εΈει‘γ | My husband was diagnosed today with having mild to moderate blockage in both of his carotid arteries. I am looking for something naturally he can take to help. I take red yeast rice and I thought it was for that....will that help and do you know of any other supplement? Concerned 59 year old wife. | What goes in should be proven to help. Natural doesn't mean safe. The most poisonous chemicals are natural. The only proven treatments for someone with carotid disease are to seek control of blood pressure, lower cholesterol and possibly a baby aspirin every day. The extract that you take is actually the Chat Doctor. The natural way of lowering cholesterol is effective but requires strict adherence to a diet similar to that popularized by Dean Cornish. |
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ηζθΏ°εηι«εΈει‘γ | hi..i have a SGPT level of 70.0 and my doc consider it high..i don t drink nor smoke , i don t take any drugs like to lower cholesterol for i have a normal level on that test.. i am a gym fanatic but that was 7 months ago. Since i stop doing my regular work out, i gain almost 20 lbs from then.. My doc told me to shape up in a month, go back to the gym again as i used to ..then we will do a lab test again..is there any way i can lower it to normal range ? what food do i need to eat or not to put on my diet? tnx | Hi, Welcome to ChatDoctorIf you have only mildly raised SGPT no other health issues, it is a right way to repeat it after 3 to 4 weeks to see if it is normal or not. It is good to do regular exercises but not fanatic please do regular gym not very heavy one start from cardio exercises. As you have gained weight there may be some fatty liver which can cause SGPT rise there are many other causes of such rise but take care of diet also take less fats and avoid high calories in diet. Which also depends on your age. You may take 3 to 4 months to lose weight, but it is more important to maintain that. Take care. Remember prevention is better than cure. Good Luck |
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ηζθΏ°εηι«εΈει‘γ | Dear doctor i am using voxidep 50 from last 5 months,i am a very intelligent man an engineer(b.tech ) electrical working in electricity board.30 yr,male,i am under the treatment of a psychiartrist from 1 year.my main problem is very low memory i do all works correctly but my brain is slow.say the usage and side effects of the tab.i do any activities like mad.my doctor does not correctly diagnose me.my doubt is ,is it is a mental or neuro problem. | Degree understand your concerns went through your details. I suggest you not to worry much. I do not think that you have these problems. Anyway answer these questions and come back to me. What was the movie you last saw? If you see an interesting movie, will you be able to remember the story? Do you remember any story of any movie which you saw earlier? Ever forget to eat food at the right time? Ever forget anything urgent related to job? 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 some psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I am seventeen year old i jus had appendix operation in april and since then i have been having problem with my stomach. since three to four days i have sever gas and i burb alot along with that i feel dizzy and have weekness after taking food. | Hello, After some operation it requires some time to normalize your peristalsis - digestion. From your complaint scenario looks like this. Don't worry have regular food timings with regular intake of food which are easy to digest like Moog deal chichi. Applying coconut oil on abdomen once a day may get some help. If symptom remains still 4-5 day get help from your specialist. We hope to get well soon, good day. |
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ηζθΏ°εηι«εΈει‘γ | i am 25 weeks pregnant and everything was fine till i noticed slight orange color in urine. The only recent intake of fluid prior to this observation was that i took liquid iron with orange juice. I take this as i have iron defeciency. Is this color because of the syrup or is it some thing to worry about | Hi dear, I have gone through your question and understand your concerns. The changes in the color of the urine is most likely due to the intake of Orange syrup and juice. There is nothing to worry if you do not have any associated symptoms like burning micturition, or increased frequency of urination, in which case the possibility of urinary tract infection should be ruled out. Hope you found the answer helpful. Wishing you good health. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My little boy is 8.5 months old and for the last 3 days his stool has been like mush, kind of green, and smells very acidic. When you first smell it you would think it was vomit. We have yet to experience this and are not sure what might be the cause? | Hi...this looks like viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My 4 year old daughter has a terrible headache. About 10 days ago she had strep throat. Then 4 days ago she had a virus. Both times she had a fever of 105. She seemed better as of yesterday but now she s complaining. She hasn t been around anyone. She hasn t left the house other than to see her doctor. She has a temperature of 99.8. What is going on??? | Hello, 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 a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hey, I was just wondering I am now 10days late with my mens. cycle and me and my husband are trying to conceive, but I have been having irregular periods for the past 4 or 5 months, I was wondering what my chances of me being pregnant now are, I took a hpt when I was 7 days late, and it was neg. | Hallow Dear, Urine pregnancy test done 7 days after missed period may give false negative results. Now that 10 days have passed, you may please repeat the test which may give you reliable results. The other option is to undergo ultrasonography which can give you direct visual evidence of the status of pregnancy. Your menses were irregular, hence, missing a period cannot be relied up on, and you have to get the pregnancy detected by one of the following:1. Urine Pregnancy Test2. Ultrasonography3. Beta Chat Doctor test: This is very sensitive and specific test. I feel this should be your best option. |
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ηζθΏ°εηι«εΈει‘γ | I m having suicidle thoughts all the time,keep having really bad mood swings, crying 24/7 not wanting to go to school. Loosing intrest in the things I enjoy, Stopped eating due to thinking im fat doing things to wreck my body like cut my self.Cut my hair off.. shave my eye brows off. I listen to music that makes me cry, i cant do anything I enjoy anymore, I cant look at myself in the mirror without nearly crying all the time, never orginised never sure what to do with myself, nobodys here to speak to me when I need it, cry that much I keep shaking, cant sleep properly, keep halusilating, strong head aches, periods keep coming late, locking myself away in my room. Looking up loads of stuff on the internet, writting suicidle notes and theres so much more i could tell you im crying right now typing this too you, failing in my school life,not being able to think. My life is hell and I was wondering if you could help me? As I cant seem to talk to anyone about this and I cant go to the doctors with out my mum being there, im 13 years old and live in the uk get bullied quite alot, my mum also suffers from deperssion which is why i find it hard to tell her things with out her getting really bad. I have no one to talk to teachers at school hate me I have anger issues not seen my dad since i was five i hate him he tried killing me and my mum latley ive tried things like weed, smoking and drinking im getting really bad and cant contolle my actions anymore.. and was wondering does it seem like I have Bipolar or bad depression or anything too you? and do I need to speak to someone about this? PLEASE ANSWER THIS?! | HI megantriggertiny. THANKS FOR YOUR QUESTION. YOUR SYMPTOMS SUGGEST YOU ARE SUFFERING FROM DEPRESSION LIKE LOW MOOD, FATIGUABILITY, LOSS OF INTEREST IN ALL ACTIVITY AND SUICIDAL THOUGHT AND AS YOU HAVE A FAMILY HISTORY OF DEPRESSION (IN YOUR MOTHER) SO YOU ARE MORE PRONE TO DEVELOP DEPRESSION AND A EARLY AGE LIKE YOU IN JUST 13 YEARS AND IN YOUR CASES PROGNOSIS ALSO NOT GOOD IF YOU DONOR START TREATMENT. DO YOU HAVE EVER FEEL VERY TALKATIVE, INCREASE ENERGY, INCREASE APPETITE, FEELING Perfect IF SO THEN YOU HAVE ALSO INTERMEDIATE MANIC/HYPOMANIC SYMPTOMS SO YOU QUALIFY FOR A BIPOLAR DISORDER? THIRD THAT I AM THINKING IN YOUR CASES THIS RECURRENT SUICIDAL THOUGHT MAY BE A OBSESSION I MEAN YOU HAVE COMORBID OBSESSIVE COMPULSIVE DISORDER TOO AND PROBABLY HAVE SOME PERSONALITY PROBLEM. SO THERE ARE A LOT OF ISSUE IN YOUR QUESTION.SO PLEASE GO TO A PSYCHIATRIST URGENTLY, DISCUSS EVERYTHING YOU MAY NEED A DIAGNOSTIC PSYCHOMETRIC AND PERSONALITY ASSESSMENT THEN BASED ON ALL REPORTS PSYCHIATRIST WILL PRESCRIBE Chat Doctor. THANK YOU |
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