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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | 1 of my very close has the following problem. i will explain as far he has told me. spines c5,c6 to c7 or c8 has been detected problem. Doctor said that an disc has been moved. more over the doctor has said that go for physiotheraphy and at the same time continue with some medicine he has prescribed mean time let us ask an neuro specialist advice for nerves problem. could u explain me what his actual problem is | Tithe spine is the bone in mid-line of back. It is not single bone - many pieces stacked on each other. In between pieces, there is disc. If disc becomes weak, bone may slip. The spinal cord is inside the spine. Nerves go out between the pieces. So slip may press the cord or the nerve. The nerve may become weak. Pressure on cord can cause paralysis. So you have to see nerve specialist - to prevent or treat. Good luck |
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ηζθΏ°εηι«εΈει‘γ | i got my implannon takin out in august because i want another baby. i have been using ovulation test and this month was the first time i actually got a positive ovulation test so i am just wondering why i havnt got pregnant yet its been five months of trying and it only took us a month to get pregnantg with our first child. Im just scared that i cant have kids because i have hpv and i have had abnormal paps after having my son. yes everything is ok now but im afraid that it might have made it impossible to have kids | Hi, Welcome to Chat Doctor. I am Chat Doctor. I will be answering your concerns It would have been nice if you had provided me some more information like age, BMI, regularity of cycles etc. Among couples trying for pregnancy, 80% of them conceive in the first year and 90% by the end of second year. So don't be worried. You will conceive.HPV does not interfere with fertility. Since you have written about abnormal pap tests, I just want to know if you have had STD before. If so, then get HSG for tubal patency done (STDs can cause pelvic infection resulting in blockage of the tube). If you have not had STD before you can try for natural conception for another 6 months. If you do not conceive by the end of one year, then consult doctor and get baseline hormone tests and HSG for tubal patency for you and semen analysis for your husband done. The tests results will help in planning the treatment. To increase your chances of conception maintain normal BMI, quit smoking (if you're a smoker) and have intercourse at least three times in a week. If you have any further concerns do contact me through Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I slept with a friend a few days ago and we didnt use a condom since her ovaries or how ever you spell it idk :-P are upside down so I was wondering what are the chances of her getting pregnant.I trust her that she has the illness but just to be shure :-D | Hello, Welcome to ChatDoctorThere is nothing called upside down of the ovaries, but there is a condition called tilted or introverted uterus. Ovaries are essential only for the release of ovum or egg. Fertilization of egg takes place in fallopian tube. Hence, position of ovaries won't affect pregnancy. So, there may be chances of your friend becoming pregnant if you had unprotected sex. I would suggest your friend to confirm it by doing urine pregnancy test once she misses her next periods. Hope you are happy with the answer. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi Dr, I have had a white canker sore on the side of my mouth where I have two wisdom teeth that I haven t removed yet. This canker sore has erupted in the same spot many times, and I bite down on it usually due to the wisdom molar teeth at the back of my mouth near the Palatoglossal arch. It comes and goes and I am worried it s cancer every time... My question is should I Be worried? | Hi there, a recurrent sore or white patch in the mucosa could be due to the constant irritation caused by the tooth. It would be a good idea to get the offending source removed because constant irritation can be one of the etiological factor for malignancy. Do get an exfoliation cytology done of the site and that will help you rule out malignancy or even a biopsy can be done to get over your worry. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I m a 39 year old female. Have had hives, swollen joints and pain everyday for the last 2 years, recently diagnosed with fibromyalgia. Recently, I have been getting the feeling of goosebumps for a half hour straight everyday. What could that be caused from. | Hello, It is necessary to make further tests in order to investigate for the possible cause underlying your complaints:- Complete blood count, PCR, ESR for inflammation- AS tier - FR plasma levels-Thyroid hormone levels for possible thyroid gland dysfunction- vitamin D plasma levels for possible deficiency. You should discuss with your doctor on the above tests. 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,Yesterday, unfortunately, I slept with my mobile phone under my testicles. I slept like that for five hours. I have heard of mobile radiations causing harm to the sperm and testicular cells by affecting the DNA. My problem is that my wife and I are both 34 years old and are planning for conception. Now, because of this incident, how long should I wait to plan for conception? How long will it take for spermatogonial stem cells to recover if they are affected? I am asking this as I have an autistic child and I cannot afford to take any risk and also our reproductive age is passing by. | Hello. I read your query and understand your concerns. First of all, I would like to inform you that spermatogenesis is a long process and the sperm cells produced already may be available for the next two and a half months (72 days). So, considering this fact that you had a radiation exposure, it will be ideal to avoid conception for the next two to three months. However, radiation exposure by phone is very much limited and there is little data to support mutation by phone radiation. I hope this helps you. For more information consult an an ChatDoctor. /ask-a-doctor-online/an |
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ηζθΏ°εηι«εΈει‘γ | I read that Allergens can cause sinus infections. I keep getting head colds, sinus infections, last was upper respitory. Now another sinus thing. Ive come to believe I have an allergy to sewing fabric. I worked on a project over the weekend and got a little itchy so I washed the second project. Wondering if my sinus thing is related to this type of allergy? I would think not that would only cause a rash, but once I had an allergic reaction so bad I was in the hospital multiple times and they said it was so sever that I must have ingested whatever was causing it. Only later did I realize it had to be the quilt I was continually working on. | HI, sinus infection is secondary to repeated common cold attacks getting secondary infection, if person has low resistance. So, allergy being one of the instigating factor in repeated colds, may be blamed for sinusitis. Yes one can be allergic to fabric/quilt dust fibers -inhaled & manifested as allergic rhinitis (common cold)allergy. You need to- - get allergy testing, followed by avoiding allergens/ a desensitization treatment for removing allergy. - have a nutritive diet, exercises,respiratory exercises, vitamin,iron, supplements( if advised by your doctor) Thanks. |
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ηζθΏ°εηι«εΈει‘γ | hi college a full term baby aged one week old and triglycerid were checked twice 4.5 ,the baby on full feeds ,didn t received any TPN,pending the result of lipid profiles of his parents,the baby developed G+ve infection and has been controlled by antibiotics,the baby is ok and tolerating FSF Can you help | Hello, And must receive additional information from you so that I can learn what it is you want to know. 1. Why does such a young infant need to have his serum lipids (triglycerides are one kind of lipids in the blood) checked? Why twice? What does "4.5" at the end of the first line of your question indicate? 2. What part(s) of his body was infected by gram-positive bacteria? Antibiotics are the correct treatment for a gram-positive infection (such as Strep and Staph) of spinal fluid, blood, lungs, skin, joints and bladder. 3. Does FSF mean full-strength formula? What is its full name, please? 4. Why did you mention TPN? Was the infant ill? Did he have a GI problem? 5. What do you need help with? I would continue working with you to answer your questions., if you like. When you return to our website, please ask if you can return to a specific doctor because he wants to continue to help you. If you select the Elite Panel of questions when you return, then we can have a back and forth "talk" by computer. I will be at this website Nov 25, 26, 27, 28 from 6 PM to 9 PM USA, EST. 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 | My daughter of 6 years, very healthy, has been having stomach cramps and throwing up since Thursday. We have been to the hospital twice and been following the prescribed medication. She is currently taking antibiotics. I noticed the cramps get worse when I give her buscopan and she eventually ends up throwing up. Two questions, can she be reacting to the buscopan? I have heard palm oil can help when having stomach cramps. Is this true as I am considering giving her some | Hello! I have been through your question. Related your concern you should know that Tuscan is used to relieve (muscle spasms) cramps in the stomach and intestines and has no data to cause cramps even as side effects. Maybe increasing cramps is related to the situation that your daughter have and has no relation with taking Tuscan. I haven't hear and read that palm oil could recommend for cramps. What I suggest for the moment for your daughter, except the antibiotic (that she has started) is that should Chat Doctor. Furthermore, you can stop giving your daughter Tuscan and can use another antispasmodic dicycloverini or peppermint oil for cramps. I hope my answer help you. I wish your daughter a quick recovery. |
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ηζθΏ°εηι«εΈει‘γ | Im 27 i was diagnosed w stage 2 hodgkins lYmphoma went thru 8 chemo ABVD infusions n 18 radiation treatments the lymphoma is gone.. Can i live 40 more years , or will i only live about 20 more yrs . Is it possible to live to grow old after this type of cancer. | Hopkins lymphoma has a good prognosis. And stage 2 the 10-year survival rate is 95 percent. It is generally considered that the cancer is cured after 10 years of remission. Maintain regal followup as advised by your oncologist. Even after 10 years there is a 5 percent chance of recurrence. Even general population is at a 1 to 5 percent risk of developing cancer. So once you cross 10 years you are at par with the general population in regard to risk. Do not worry. |
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ηζθΏ°εηι«εΈει‘γ | Hi I had a chalazion excised 3 weeks ago and been using antibiotic (with steriod) ointment since the surgery. My doctor asked me to stop using the ointment already, but 2 days after I stopped, I felt that the bump had formed in the same spot where it was removed. The bump is also swollen now. Whats happening? | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. It is possible that infection has occurred there, so the swelling has occurred. I advise you to continue the treatment as there is possibility of infection. Please start the oral antibiotics as it also treats the infection. I advise you to take the definite 200 mg tablet under your doctors' guidance. Paracetamol with serratopeptidase helps prevent infection and improves the healing. Please take the above medication under your doctors' guidance. Please maintain good hygiene as it is equally important in treating infection as antibiotics do. You can wash the eyes with normal saline frequently. Wearing a goggle can reduce the eye strain. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | Yes, I have a friend that has been changed for about 6 month now. He was intelligent, handy, chef and business owner as some of his talents. Family oriented, outdoor man and loves music. It is like he was plugged in for life and now unplugged. He spends his day indoors, mostly pacing the floors. He cannot concentrate on anything. He doesn t want to talk to anyone. He is fearful of going outside, other people. He cannot go anywhere and doesn t know why. It is driving him crazy and myself. He s been to the ER several times, once baker acted and spent time in a recovery center that just drugged him and made him worse. First his PCP felt he was severely depressed and tried prestiq but it didn t do anything good. He bacame more depressed and isolated. At one time he refused to eat and drink and lost 40 lbs. He s been to the PCP, psychiatrist, and ER several times since October. Nobody knows what this is and nothing has helped. | Hello, Social anxiety disorder is a chronic mental health condition in which social interactions cause irrational anxiety. For people with social anxiety disorder, everyday social interactions cause irrational anxiety, fear, self-consciousness and embarrassment. Symptoms may include excessive fear of situations in which one may be judged, worry about embarrassment or humiliation or concern about offending someone. Talk therapy or psychotherapy and antidepressants can help increase confidence and improve ability to interact with others. I suggest online psychotherapy and counseling. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I m suffering from sever pain in the RIF region bowel sound + and discharge from p/v from 3 months .Doctor say intestinal infection and prescribe gentamycen inj. for 10 day but i have no relief then he give CLAVM 625 for 5 days 1x2 and NUROTROY for 10 days 1x1 but problem is still . ultrasound shows normal sonogram . my apendics was removed 5 month ago.i have no problem in period . please dignose my real problem ang sugest some medicine and any test if necessary.seema kumari, 42 yers. two issues. | HI. With the history you have provided I have a feeling you are suffering from colitis with vaginitis. Many times both can occur simultaneously. A simple 5-day course of an antibiotic and metronidazole and fluconazole single dose may help. Ask your husband also to take the same thing simultaneously (for vaginitis). You can repeat the course if already taken (change the antibiotic). If there is no response or only partial response it is advisable to go for colonoscopy. |
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ηζθΏ°εηι«εΈει‘γ | I was eating an orange and it went down the wrong pipe. It took my breath away and I struggled for a while and continued to cough. I thought it had cleared but the next day it seems like there is something in my lungs and I keep coughing to try and get it out but nothing is happening. | Thanks for your question on Chat Doctor. I have gone through the question and understand your concern. I see similar kind of cases in my clinic. In first meeting, I advise them not to worry about aspiration in lungs and ask them to visit again after 1 week. If they still have same feeling of something stuck in the lungs then I post them for bronchoscopic evaluation to rule out foreign body aspiration in the lungs. So you can discuss this with your doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi , I have a skin allergic , doctor prescribed me dazit m at morning and emtek before dinner. For 3 weeks but I am not able to take tables regular . due to my travel .. I am still facing skin allergic these rashes come mainly in chest and upper hand , then go away with in 20 to 30 min.. Now I am afraid does this may be a symptoms of hiv. I had protected sex before .. Even I tested in June its negative . which I take after 2 months of sex . now I am having sex with only one that too protected .. | Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint rashes over the chest and hand that comes and goes seems to be due to allergic reaction and can be due to either any food or medicine or can be Contact DERMATITIS that can occur due to allergic reaction to some detergent or skin cosmetic while other causes can be allergic reaction to poison ivy, leather, latex etc. I would suggest you to consult an Allergist and get evaluated, and he can advise you allergic testing like Patch test, LAST test, Food challenge test to rule out the exact cause of allergic reaction and preventing exposure to allergen can help. In case if still you are exposed to allergen you need to take anti-allergics like Davit M that contains Montelukast and desloratidine. An Immunotherapy can also be instilled to reduce the severity of allergic reaction. Hope this information helps. Thanks and regards. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | DEAR SIR, I M RISHABH DUTT FROM DIST. YAMUNANAGAR , HARYANA .. SIR .. MY SISTER HAS A DIFFERENT PROBLEM . SHE IS IN 19 YEARS. BUT 1 OF JANUARY SHE FELT A LITTLE PAIN IN HER LEFT LEG , & WE RUB A GEL. AFTER SOME DAY SHE SAID MY LEFT LEG IS NOT WORKING PROPERLY . WE TOOK HER TO A FAMOUS HOSPITAL OF OUR AREA (VERMA HOSPITAL, LADWA.KUK.) BUT DR.VARMA WAS NOT ABLE TO GIVE TREATMENT & SAID TOOK HER INTO LNJP HOSPITAL KUK.WE GOT TREATMENT TO A LADY DR. FROM LNJP. SHE SUGGESTED US FOR M.R.I OF SPINAL . WE FOLLOWED ALL THE TREATMENT AS DR. SAID. BUT PATIENT WAS NOT RECOVER . EVEN PATIENT LOSS HER BOTH LEGS NOW SHE WAS UNABLE TO WALK TOTALLY . SHE COULDN T MOVE OR SHAKE HER LEGS. ANOTHER THING THERE WAS NO PAIN . AFTER THAT WE MET TO A ANOTHER DR. IN SAME HOSPITAL (DR. O P SAINI). HE TREATED HER VERY GOOD . BUT HE SAID THAT U HAVE TO DO SOME IMPOTENT CHECKUP FROM CHANDIGARH BECAUSE WE DON T HAVE MUCH BETTER FACILITY . NOW WE WENT PGI CHANDIGARH 12 SEC... WE ALSO GOT TREATMENT FROM THEM . THEY DONE THEIR ALL TEST CHECKUPS BUT. THE ALL ARE USELESS . THE PGI DR. SAID PATIENT S BRAIN HAS PROBLEM . MAY BE PATIENT WILL GET RECOVER SOON OR NEVER ESCAPE FROM THAT ILLNESS .. NOW SHE IS IN HOUSE & WE CARE HER AS WELL AS WE CAN. | Hi, Thank you for posting your query. It is unfortunate that your sister has suffered serious neurological illness and is currently disabled. Moreover, a proper diagnosis ha not yet been made. In a young girl like her, the possibilities include multiple sclerosis and vasculitis. If you can upload her MRI brain and MRI spine reports, we would be able to help you more with diagnosis and treatment plans. Best wishes, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hello doctor my 4year old son has cough problem fro 1 year and alway doctor give him normal medicin and salbuta mol now i pressure on doctor for blood test and now they noticed my son has asthma problem ,,and now few hour ago i noticed that my son has left rib cage swelling i am worried about it please suggest me. | Hello, Thank you for asking at Chat Doctor.I went through your sons history and would like to make suggestions for your son as follows:1. First, I would like to mention here that childhood asthma is very different from adult asthma. Any blood test cannot diagnose or rule out asthma. Of course, blood tests can diagnose allergies, which may be one of the causes for asthma.2. Asthma is best diagnosed by spirometry with post-bronchodilator reversibility testing. However, usually child Chat Doctor. Hence, diagnosis of asthma at 4 years of age remains more or less of a judgment of the doctor. Detailed history of all the symptoms since infancy as well as physical examination is required for proper diagnosis.3. Regarding left rib cage swelling, I would like to know its exact location, how it appeared, when appeared, whether painful, hard, soft, moving, etc. details.4. If it is painful, I would first rule out rib fracture as your child has cough for last one year. An opinion from orthopedic surgeon and an X-ray will be helpful.5. If it is not painful, there are many possibilities. Hence, I would suggest you to get him examined by his doctor and then decide further. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish your child the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hello, I just noticed that I have what looks and feels like an indentation to the outer side of my right leg. The indent is just above the ankle, but below the calf muscle. By comparing it to the other ankle, it is an area which is mainly bone. What would cause this pitting? | Hello, Most probably such indent can be due to soft tissue swelling. This can be due to excessive walking or heavy exercise or after long journeys. If there is associated fever, pain or if there are other annoying symptoms then it is of concern. If it continues to enlarge then you should consult to your doctor and have an x-ray. Hope I have answered your query. Let me know if I can assist you further. Take care |
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ηζθΏ°εηι«εΈει‘γ | My left knee is really painful and keeps giving out. Doctor took X-rays said he did not see any structural damage. Have been doing physical therapy for surgery on my right foot I had done in the end of January. It hurts on the lateral and inside of my knee and right up the middle when I stand up. Do you have any suggestions to help it or a idea what might be wrong as it keeps getting worse and more painful? | Hi, as you mentioned, you have taken x-ray and nothing seems to be in specific. Well why don't you Just get one MRI done. It will help to see some soft tissue Injuries present. in the meantime as mentioned, you are undergoing physical therapy for foot post operative. Well, how about you doing some exercises for the left leg as a while. Since you have an operation done on the right foot, there is always a tendency to apply more weight on the other side of the body. So it will lead to pain which can be temporary. As the strength improves in both it the lower limbs I am sure you will find ease of your left side. With the grace of God I wish you a speedy recovery |
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ηζθΏ°εηι«εΈει‘γ | Have had what feels like a bladder infection for 3 months...initially thought I could get ri of it with cranberry juice etc s it did work 2 months before....but now am still feeling it and have gone through countless bottles of juice and pils as well as antibiotics....it mostly hurts at night...when I need to urinate and while urinating... | I read your question and understand your concerns would like to ask that* is their any burning sensation also while urinating* color of urine is?* any visible blood in urine?* any history of renal colic/stone?if I would be your treating doctor I would suggest your URINE R/M AND C/Sand also Ultrasound abdomen to see your kidneys, ureters, bladder and according to your reports would treat you with broad spectrum antibiotics. So better to go to your family doctor and check with him and also take plenty of fluids, take good care of hygiene, and you can also use aka your sachet 3 times daily I hope my answer will satisfy you good luck & TC |
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ηζθΏ°εηι«εΈει‘γ | I have dry skin a the top of my butt crack. It gets dry and irritated and I dont know what to do to make it go away. It comes and it goes but its frequent. Ive recently been tested for every single STD known to man by my family physician and Im clean as a whistle. Any suggestions? Oh, and how do you go about keeping your butt crack clean? I just use soap and a wash cloth and figure thats the way to go. Its important to wash down frequently there, right? | Hi thanks for writing here. Chat Doctor. It has the number of underlying causes such as bacterial and fungal infections, worm infestations, eczema , stress released, etc. You may also get constant itching if you have piles or fissures as secretions oozing out irritate the skin., Ruling out underlying cause is important in such cases, so it will be better you consult a dermatologist. In any cases it is always important to keep area clean, wash with water and a toilet soap instead of cloth use running water after toilet, also keep area |
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ηζθΏ°εηι«εΈει‘γ | Hi,I was just reading one of the other questions and answers and noticed something that applied to me. I have a history of SVT and have had a catheter ablation for it. Since then, I have still had issues with heart racing (under SVT rates of 150, though) and my cardio thinks I have Innapropriate Sinus Tachycardia. Am on 50 mg Inderal daily. Toprol made my BP too low. The Q and A that caught my eye was the response from that doc telling someone to stay away from pools until their problem is dianosed. The doc thought it might be SVT. When I am in a pool for a period of time, I feel like I am starting to have some sort of heart issue and have to get out. Also, Ive noticed that, when Im riding in a car for more that 30 minutes, Ill get out of the car and feel a huge BP drop and feel like Im going to faint. Also get migraines soon after. Can you shed dome light on these things? | Dear, I'm glad to answer your question, but it shouldn't prevent you to visit your cardiologist .SVT is treated mainly by Isospin in much larger doses during the attack, then we release the patient on oral Isospin (240 mg / day). Also, we may let the patient on oral Propafenone 150 - 300 mg / day. Propafenone is more specific in arrhythmia than Isospin (calcium channel blocker) and Federal (Beta blocker) which have been used in lowering hypertension. So, I think you should change Federal to Propafenone 150 Thanks |
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ηζθΏ°εηι«εΈει‘γ | I am a virgin and last night i masturbated about three times with shampoo as my lubricant. Now, my penis and ball sack sting, it seems like irritation.But now they have developed yellow like puss balls on my testicles. My penis also has yellow like substance on swollen foreskin. Please help! | Thank you for writing to Chat Doctor. I have gone through your question and I feel that you have an infection of the testes which is causing the problem in you. The yellow color pus is the remnant of an infection which is causing the death of the white blood cells which is causing the yellow colored pus to appear. I think that you need to see a Doctor as soon as possible to get the pus tested. This will allow you to find out which infection you have. After the diagnosis of which bacterial infection you have, your Doctor will start you on antibiotics. Please see a Doctor as soon as possible because you have a serious infection. All the best and wish you a speedy recovery. Hope this helps you. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Ive recently been put on antibiotics for a urine infection. Ive notice that around mykidney area is really swallen. I m panicking more because my husband was diognosed with kidney cancer around this time last year. Could you put my mind at rest pls tonight, so i can get some sleep. I suffer with anxiety which doesn t help. I m terrified because of the swelling by my kidney, thank you | Hi and welcome to Chat Doctor, thank you for your query. If you mean that your lumbar areas are swollen then I have to admit that this is not very common symptoms. Also, kidney cancer does not manifest on this way, and you probably feel just pain and discomfort in this area because of reinfection. I am sure it will be better when treatment is over. If not, then you need to do certain tests including ct scan to rule out some other kidney disorders. Wish you good health. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I had a miniscus repair. I understrand that the surgeon cleaned up the tear. He removed torn fragements of meniscus. He told me that I have arthritis on my knee. he said that eventually I will reqquire a total knee replacement. I am experienceing more pain now than before the surgery. | Hi, As mentioned in history about meniscus surgery, it such that the part of broken meniscus is removed and now the muscles of the knee aren't stable to hold the knee joint in place and maintain the required space between the femur and the tibia. It is not a conditional that people who undergo meniscus or any other ligament surgery of knee lands up in the OA knee. I have seen cases with Meniscus or ACL surgeries and all are doing perfectly well. None of them are having any signs of aging. I made a continuous follow-up for the last 12 years and none have issues. The only thing they ask is - long to do exercise? Well I only advice them to keep doing as much as they can. N no signs of any pains in the knee or any adjacent joints. Coming back to your case. The pain in the knee is due to the lack of strength in the muscles of the knee. Which needs a definite attention. I would advise you to start taking sessions under a competitive physiotherapist so that the required strength is achieved. Also, I will recommend you to do reverse walking to strengthen the qua Chat Doctor. Rest you can try out with Pilates, balance board training and resistance band training. I am sure you can do well and may not need TKR. As you must have heard that most sports person gets ligament injuries. How many of then have undergone knee replacement. I think the ratio is too low because they take the best training, so I do provide my clients the best service so future complications don't arise. Hope you will take this in the positive way and make a good call for the best rehabilitation. Anything and everything is possible, we just need some determination. 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 | So my left side of my bottom jaw has been hurting me for a week. This morning while brushing my teeth a clear mucusy liquid-filled my mouth after spitting it out. Blood-filled my mouth. After spitting out the blood the blood stopped no mucus was happening and my jaw stopped hurting. Why? | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint it seems that there is either a deeply decayed tooth that has led to dental abscess formation or deep infection in tooth causing gum abscess. Due to pus formation there is compression of nerve fibers leading to pain. As the pus and blood has Chat Doctor. . But this can be temporary, and the pain can recur if the cause is not treated. So my suggestion is to consult an Oral Physician and get evaluated and a thorough clinical evaluation and investigations like x-ray can help in diagnosis and treatment can be done accordingly. As of now you should start doing warm saline gargles and gargle with antiseptic mouthwash. Hope this information helps. Thanks and regards. |
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ηζθΏ°εηι«εΈει‘γ | I need to get a prescription for a pain killer for my back. i want to avoid synthetic opioids like oxycondone and ibuprofen or aceitametafin. I thought maybe codine would be good because I have a friend who took some and he said it was all natural,non addicting and effective. what do you think? | Dear patient codeine can be used for back pain but not used primarily for it. Codeine mainly is part of antitussives means cough suppressant syrups. Onother common use is spinal headache. If you have back pained we need to search for the cause of it so that appropriate treatment can be given. Like if u have muscular backache you should take muscle relaxant moral. I would like to do X-ray of the lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. You need to consult orthopedic surgeon nearby your area with report. |
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ηζθΏ°εηι«εΈει‘γ | Hi! I have extremely dry skin where my two butt cheeks meet, like in the crack of my butt. It itches terribly, and often leaves a burn of flakey dry skin in my underwear. I know that I have psoriasis on my scalp. I was just wondering if it can affect my butt cheeks and also my genital area? I ve had vaginal itch since I was young. Yeast infection medicines dont work, rarely will an anti-itch cream work. It was localized on one side of my vagina for 10 years and had since spread to both sides. My family doctor just says to use anti-itch, but I think there s a bigger issue or a better answer. The left (original) side had turned a darker color and is thicker. What exactly could be the issue? | Hello and welcome to Chat Doctor Psoriasis is a likely possibility as it can very well involve the body folds. Psoriasis classically involves the extensors like scalp, elbows, knee, shins and lower back, but sites like maxilla, groin folds can also be involved either together with the extensors or solely, where it is classically known as inverse psoriasis would advise that you see a dermatologist for a confirmatory diagnosis. Psoriasis in the body folds responds very well to topical steroids as well as topical immunomodulators like tacrolimus/pimecrolimus ointment. An OTC antihistamine once daily e.g. cetirizine would help you symptomatically with the itch. Regards |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,My lax les is 38 cm with inflamed gastric folds and severe antral gastritis. Presence of diverticulum and ulcer near the pyloric ring. I have constant nausea, bloating, and throat tightness. | Hello. Gastritis is an inflammation of stomach mucosa. It happens due to Helicobacter pylori a bacterial infection, smoking, alcohol and also certain medicines like Aspirin. Presence of diverticulum also causes gastritis. You are taking good medicines to your concern, continue them. You can add Panchsakar Churna 3 gm twice a day with warm water after meals and Arogyavardhini Vati 1tab twice a day after meals. Avoid spicy and fried junk foods, quit smoking and ChatDoctor. There may be need of surgical removal of diverticulum. |
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ηζθΏ°εηι«εΈει‘γ | Hi. im wondering if you can help. ive been trying to conceive and think i could possibly be pregnant but i am unsure. i took a test a few days ago which was funny instead of 2 vertical lines(which indicate pregnancy) it was one vertical line and one faint horizontal line. i now have a sore head, stomach cramps, feel sick, am tired and my breasts feel sensitive and have just discovered a tiny bit on blood in my cm. can this be implantation bleeding or am i looking for false hope of being pregnant? | Hello and welcome to Chat Doctor. Thank you for your query. I understand that your result was inconclusive. This can happen when a diluted urine sample is used. Which is when this test kit can be inaccurate. I would only advise you to repeat this test, but this time with an early morning urine sample as this would be most concentrated and would yield an accurate result. This process can be repeated at least 2-3 times, on 2-3 consecutive days, to confirm a result. If it has been more than 2 weeks since the last time you had sexual contact, this method should confirm/rule out a pregnancy. Your other symptoms can also be related to pregnancy, and yes, if you are indeed pregnant, then the small amount of blood could be due to the implantation process. Once pregnancy has been confirmed, I advise you to schedule a visit to your doctor. All the best. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. |
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ηζθΏ°εηι«εΈει‘γ | I had a lap choli the end of August. I am on Coumadin, for previous portal vein thrombosis. I slipped and fell down our stairs. Socks and bare hardwood steps. Of course I was bruised, but now I am having pain near my incision over my belly button. I dont know if I should be concerned or not. | Hi.noted history of laparoscopic cholecystectomy and recent postoperative site pain associated with trauma. Are you experiencing any other sign or symptom (such as fever, nausea, vomiting, bleeding)? If there's none, observation will do for now. Cold compress over the area might also help decrease the inflammation or swelling. there's presence/progressions of symptoms, a follow-up consult with your surgeon is best for physical examination and clinical evaluation. Even those who have been operated on several years ago, occasionally experience, discomfort or mild-moderate pain over the operative site area, but is tolerable and resolves spontaneously. Dignostics (such as imaging) and management (medical and/or surgical if indications are found) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | 786MY NAME IS RAHIMULLAH:I am 30 years old when I born from my mother I had undesinded testes when I become 14 years old I operation it right site and I operation left site when I become 26 years old I get marred tow years ago I have no children and I have azoospermia I must mention that both site became hol with its self .Rahimullah My email add is :( YYYY@YYYY )My skype name is (rahimullah100)And my phone no is: 0000 and 0000Can I have care or no? If yes how and where? if in India how much money is need send email or add me in skype to chet and I understand youI well be faward to your answerI eat deferent kind of medsen such us fertile m , proveron , vitamin e , testosterone inj , Thanks rahimullah | Thanks for posting your question on Chat Doctor! I can understand your problem regarding infertility. You had descended testes on both the sides. Normally the testicles are formed in the abdomen during fetal development. During the last couple of months of normal fetal development, the testicles gradually descend from the abdomen through a tube-like passageway in the groin (inguinal canal) into the scrotum. In order for testicles to develop and function normally, they need to be slightly cooler than normal body temperature. The scrotum provides this cooler environment. If the testicles do not descend they remain in the abdomen or in groin. In order to prevent the complications of descended testes like infertility and testicular cancer later, a surgical operation (orchiopexy) is done to correct their position and fix them in the scrotal sac. This is usually done between 3 months to 12 months of the age to reduce the risk of complications. Low sperm counts, poor sperm quality and decreased fertility are more likely to occur among men who've had an descended testicle. Since the surgical operation was delayed in your case, that could be reason behind azoospermia. You are advised to consult your doctor for the follow-up. Best regards! |
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ηζθΏ°εηι«εΈει‘γ | Hello, I am a 20 year old woman. I have been getting lower right abdominal pain recently, and I went to walk-in clinic and did a urinalysis test. It is not appendicitis because its a different pain from that. Doctor said my urine has a lot of white cells and that my bladder is infected. He gave me antibiotics to cure it. But I do not have any other symptoms of bladder infection (urge to urinate, blood in urine, etc) except for bladder pain (lower right ab). It is now hurting my right back, pelvis, and upper legs of my right side too. I sometimes get pain in my lower right ab where my right bladder is, when I urinate. The right side of my bodys pain goes on when I am lying down, too. Would it be better to go to another doctor? Or get a CT scan or ultrasound? Do I have bladder infection?? | Welcome to Chat Doctor. 1. The possibilities in this case will be repeated UTI or any calculus in the right lower ureter. 2. As your history suggest the pain gets ease off after passing urine - suggest possibilities of any calculus in the kidney or ureter. 3. In this case It's recommended to get an ultrasound abdomen and pelvis - to evaluate the kidney and urinary bladder. 4. Infection features in the urine also seen in case of the calculus. 5. Some time after the antibiotic course of UTI - the intestine does give some discomfort and pain. How so ever I recommend to get Ultrasound. CT is unnecessary radiation. Good luck. Hope I have answered your query,anything to ask ? Do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am 20 years old male.I have been taking Citanew(Excitilopram) 20mg and Olepra( Olanzapine ) 5 mg for 4 years because my parents complained I was frustated,angry and depressed.Since the day I took it,my hunger and sleep has increased.If I dont sleep 10-12 hours a day,I feel exausted and drowsy.I have told this to my psychiatrist but he insists I take it.I put the matter before you | Hi.Escitalopram is not so famous (or infamous) to induce sleep, but olanzapine is.and olanzapine increases hunger, thus may worsen your metabolic profile.so you require periodic check-up and also regular exercise.also some dietary modification may be required.you can also try to take it in the evening so that it would not delay your arousal in the morning.discuss the issues with your psychiatrist.have a good health. |
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ηζθΏ°εηι«εΈει‘γ | Good afternoon Sir,I am going through an IVF cycle this month. My LMP was on 26th april. My doctor has advised me to take Lupride 0.4 inj from 05th May till egg collection. As per their protocol, I have been called for egg collection on 19th or 20th May which will be the 25th day of my cycle. Here I am confused bcoz during last IVF cycle the collection was done on 14th day and ET was done on 16th day of my period. I request you to please explain and clarify the case.Thanks.. | Hi, Thanks for your query. I read your query and I understand your concerns. Following is my reply:1) There are different protocols in IVF stimulation. Hence, your previous doctor seems to have antagonist protocol.2) Present doctor seems to be using long agonist protocol. Hence, don't worry. It is just a different protocol. I hope I answered your query. Write back to me if you need more clarifications. |
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ηζθΏ°εηι«εΈει‘γ | Could severe chills be related to potassium levels (and not infection)? My husband is on dialysis and generally his potassium levels are low enough that he can have 1/2 a banana or slice of tomato. Last night he had a slice of tomato with his hamburger; about an hour later, he had severe chills. Just wondered if the two were connected. No sign of infection. | Hello, chills are not related to low potassium levels. By far the most common cause of chills or rigor is infection. Anything else would be uncommon or even strange. It rarely happens in allergic reactions. Low potassium levels may cause weakness and very low levels may cause rhabdomyolysis (which is muscle destruction). I doubt your husband has that low values since dialysis patients are regularly checked for electrolytes. I hope I've helped! If you'd like more information, please let me know. I'll be glad to answer. Kind Regards! |
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ηζθΏ°εηι«εΈει‘γ | sir iam 29 years old my problem is my penis my hight 5.5)kg 79)penis 3inch sir few day before iam first time i enjoy with my girl frd realy she tel to me your penis small and no length and now iam very tenstion iam not married what cani do sir please give good sugection thanks | Hello, The size of the penis varies in the different individual according to their body texture. There is no medication to improve penis size. Initial few centimeters are only sensitive to sex. So I don't think 3-inch penis size in flaccid state is problematic. You may need not worry about that. The satisfaction after sex is more important rather than size of penis. 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 | I am Betaloc 50 X BD, S numlo 5 mg OD, Calaptin 120 mg sr and olemesartan 40mg OD since last 8 months. I am patient of hypertropic cardiomypathy non obstructive. With these medicines my BP remains 120/84. At times I feel body drag and fatigue. Could it be because of extra dosage. Echo normal, Thalium Scan normal, holter normal but have atrial fibration. pse advice | Hello, I passed carefully through your question and would explain that chronic fatigue could be related to Below adverse effects. I don't think that you are taking an extra dosage as your blood pressure values seem to be normal and not too low. Coming to this point, I would recommend reducing gradually the dose of Below. You should discuss with your doctor on the above issues. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My husband, age 52, spit up foamy pink saliva this morning. He says it is intermittent but has been happening for in excess of a year. He has HBP controlled by Benicar. He claims he has no other symptoms but I am concerned it is a potential heart/lung issue. Recommendations? | Thanks for your question on Chat Doctor. I can understand your concern. Pink frothy saliva in morning is a symptom of possible early heart failure or bronchitis. Since he is already having hypertension, you should first rule out heart diseases. So get done blood pressure monitoring, ECG, 2d echo and stress test. If all these are normal then no need to worry about heart diseases. Also get done chest x-ray and PFT (Pulmonary Function Test) for the diagnosis of bronchitis. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | My daughter, aged 37,and her husband, aged 41, have been trying to get pregnant for over a year now with no success. My daughter thinks it is because she was on birth control for over fifteen years, but her husband recently had his sperm tested and was told that he has a high percentage of malformed sperm. Also, he smokes, I think the problem is with the sperm. Do you agree? | Thank you for the questions you have rightly mentioned, healthy functional sperms are required for conception. Abstinence from smoking might improve the sperm morphology and increase chances of conception. When a person has the high number of malformed sperms, the chances of conception reduces, but it does not mean that the married couple cannot conceive since it requires one healthy sperm for fertilization with ovum. Consult a fertility specialist who can provide a better insight into the issue and guide you accurately on how your daughter can improve her chances of conception |
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ηζθΏ°εηι«εΈει‘γ | Hi Dr,my baby is six month old. last one month we are giving solid foods like nestum and cerlac. My baby diet is :10 AM - Nestum 1PM : dhaal with vegetable soup 5 PM cerlac remaining time mother feed.Can we give cerlac in @8 PM. (baby likes dhaal and vegetable soup than cerlac. | Hi... Thank you for consulting in Chat Doctor. Your kids birth weight and current weight are absolutely superb. My congratulations on it. At this age you can start giving Carla stage one rice or Nestum rice stage 1 etc. All are same in calories and energy. Only thing is palatability which is subjective for each kid. Other home-made food options will be - 1. Deal and rice well cooked and made into a oatmeal along with ghee2. Boiled apple or banana and mashed into a paste.3. Any made cereal oatmeal preparation with additional ghee added. Remember certain principles like -1. Add one food material / cereal or fruit per week. This will be useful because if he develops vomiting or diarrhea, we will know what to avoid.2. Add vegetables and fruits made into a paste surely to avoid constipation.3. Do not add too much sugar as it may cause diarrhea. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health. |
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ηζθΏ°εηι«εΈει‘γ | actuly m facing chronic urticaria problem from past 7-8 months....first i consulted to a doc he did several food allergy test...he suggested to take vaccine for allergy... i was not satisfied with that so i consulted some another doc. who has given me some medicines. here i want to ask only one que that i have to suffer whole lyf with this allergy or it is curable? | IF YOU CAN GET BLOOD SERUM TEST FOR COMMON FOODS LIKE MILK WHEAT AND POTATO OR COMMON FOOD YOU EAT YOU WILL GET RESULT AND ELIMINATION DIET WILL CURE INJECTION OR VACCINATION IS NOT GURANTEEYOU HAVE TO INJECT THREE VACCINES OF HISTAGLOBE AFTER 1 WK INTERVAL FOR ONE SET AND THIS SET TO BE REPEATED AFTER 3 6 9 MONTHS AFTER TO HAVE FULL IMMUNITY BUT NO GURANTEEWITH MEDICINES YOU CAN ONLY SUBSIDE BEST IS TO GO FOR ALLERGY TESTS |
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ηζθΏ°εηι«εΈει‘γ | I have got breast cancer, my lymph nodes are clear from the armpit as this was checked when I had the lumpectomy, I have this aching pain in back of my knee, although the sports injury man said it is pulled hamstrings, and I have no lump or swelling, could it have spread to the knee if my lymph nodes are clear in armpit | Thanks for your question on Chat Doctor. I can understand your situation and problem. I also think that your knee pain is mostly due to muscular injury. No need to worry much for cancer spread. Breast cancer tend Mohave bone metastases. So bones are common site for breast cancer spread. Most commonly involved bone is vertebrae and long bones like femur. Joint involvement is very uncommon. So no need to worry. But better to rule out this fear by doing ultrasound examination of joint. If this is normal than your pain is mostly due to muscular cause. So take good painkiller and muscle relaxant. |
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ηζθΏ°εηι«εΈει‘γ | I am a 25 year old women. I have pcos. I finished one pack of 21 tablets of novelon and then 7 days of no pills. Today is the 28th day but i still have.notgot periods. Should i start the next pack ? Or should i wait ? I have been advised to take it for 6 months. Please suggest. Thank you. | Hello dear. Understand your concern.I advised that don't start new pack because it can more delay in your period or missed period. Look pills have failure rate 0.5-1%, so first you wait or do UPT test & confirm you are not pregnant.in earlier stage, in some women spills delay periods, so don't worry, may b its just side effects & you got your periods in 3-4 days. If after that it's not solved, then consult your doctor & do USG or hormonal test In absence of pregnancy period can be induced by using higher dose of progesterone like me Chat Doctor. Do regular exercise and reduce weight. In PCs, reduce 10 % weight help in regularize the period. You can also start metformin and spironolactone to regularise the period in PCs after consulting the gynecologist.hope this may guide you. Best regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,My 7 months old baby boy is dropping down his head occasionally. Sometimes, he has some mild jerks. Jerks were at the time after his feeding or after he wakes up. That time, he just swallows or lick his lips with tongue. Otherwise, his activities are very normal. He can hear us, identify us clearly, take his toys on his own choice, starts to grasping things, etc.. He started to crawl and got his milk teeth. For example, if we ask where is the fan, then he automatically sees the roof. If the fan is switched off, then he just sees it and cry. If he crosses some particular color lights or television, he will turn his head towards it and watch it. When I took him to his pediatrician, he said he is absolutely normal. Also, his health is good. He asked us not to worry. But, it makes me fear while he drop his head down or getting jerk. He is our second son and it was a cesarean. Now, he is having cold. He got his vaccinations on correct time. Is there any need to take him to a neurologist? | Hi.I have read your question with care and understand that you are concerned about few jerks your kid has. First and foremost, I would like to appreciate and congratulate you for giving detailed descriptions. |
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ηζθΏ°εηι«εΈει‘γ | I got my two lower wisdom teeth removed a week and a day ago today. The dentist said that he had to do no cutting and both teeth were easy to remove. Two days after surgery I notice on the lower right side an opening of gum tissue going up my cheek connected to the hole. Im scared I accidentally ripped my gum upwards. Theres no significant pain but a little red around the right socket. Also, ive been really nauseous and theres a tingling in my throat that has been present for the last 4 days. Should I be worried? | Hi, Thanks for your query. Ideally an extraction site take around 10-15 days to heal depending on patients body resistance. The opening of gum tissue attached to the extraction site is hanging there because it was attached to the tooth but now is just there as the tooth has been removed. I don't think you should worry about it. Give it some time to heal. The tingling in throat after a week may not be related to the extraction. Still, I would suggest that you visit your dentist for a thorough check-up. Hope this helps. Regards |
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ηζθΏ°εηι«εΈει‘γ | Are there any developments in the management of cerebral palsy? My son is 23 and has been on baclofen most of his life. currently takes 10mg twice a day and 20 mg at night. Recently he seems to be much stiffer than 6 months ago, being hard to manage and position. He has in the past had Botulinum toxin injections in his wrists and legs, and also a few operations on his adductors. | Hello understand your concerning now there is no curative treatment for cerebral palsy. Only treatment available is for relieving the spasticity and alter some behavior abnormalities. Effect of botulinum toxin last for 3-6 months only. And its need to be repeatedly injected after that period to get the best relief to spasticity. Few operations might have been tendon release or contracture relieving surgeries. |
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ηζθΏ°εηι«εΈει‘γ | I had a discectomy 4 weeks ago although my pain is better has not completley gone on my right side and i have a new problem on my left side since surgery . Sudden sharp pain in my left groin and my left foot the toes suddenly curl up in spasm ,very painful ! Also I get a grinding pain in my lower spine after walking short distance! | Hi, It is too early to say anything about the healing process as everyone heals differently. You need to check back with the concerned doctor for the status of the spine post surgery. The nerve compression might be released, but the healing will take time. Lower limb exercises like bending your leg from hip and knee and straighten it, taking your leg outwards and inward sand walking will help you in relieving symptoms like tingling and numbness. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Just had a scan and was told I have a heart murmur. I have been experiencing fainting , I have episodes of fainting and then it goes away, blood pressure is up sometimes. What do you suggest. Had pain in chest about four years ago, had a special blood test done, kept in and told I had a mild heart attack. Next day doctor came round and said I could go home. Told no follow up was needed? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely concern about your symptoms. You are having heart murmur and had fainting attacks, chest pain etc. These are suggestive of arrhythmia (rhythm disturbances in heart) more. Arrhythmias like atrial fibrillation, atrial flutter, supra ventricular tachycardia etc. can cause similar symptoms. If not treated promptly, they can be life-threatening. So better to consult cardiologist and get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of reports, you will need anti arrhythmia Chat Doctor. Don't worry, you will be alright. 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 | sir, i am a recurrent gbs patient and doctor prescribe me to intake ciplox 500 (2 times daily for 3 days) if a diarchoea occurs as a part of antibiotic therapy. also please inform your valuable suggestion to prevent GBS in future.email id: YYYY@YYYY | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I have read your query in detail. Furthermore, I understand your concern. Ciplox can not prevent an episode of GBS. Ciplox can only treat the diarrhea. GBS is an autoimmune response. There are noways as such to prevent the occurrence of GBS. This is my best advice for you with the available details, if you have any further query, please ask us. Stay Healthy |
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ηζθΏ°εηι«εΈει‘γ | I have always had a cold feeling in my eyelids when I eat cheese. Now it seems to be happening when I drink milk or eat yoghurt. Am I becoming dairy intolerant? I do have allergic rhinitis and suffer from frequent stuffy nose, headaches and sore throAts. | Cellophane You for contacting Chat Doctor. Your description is telling that you have chronic allergy problem from dairy products(in your case it could be cheese). You did not mention your age. If I were your treating doctor then I would suggest you following things:> First and most important thing is that you need to find the cause of allergy. As you are having from cheese, so you need to avoid it.> In the meanwhile take Montelukast once daily for 1 month. Research has shown that it decreases sensitivity to allergy.> Cetirizine one at night for allergic response.> Try to avoid dust as it is an important factor in initiating allergy. I would also suggest you to undergo allergy testing at allergy clinic as you have chronic allergy problem. It will tell that you are allergic to what specific thing. The results will help an allergist to prescribe you immunotherapy to that specific allergen, and it will improve the problem. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | Hello Doctor,I am suffering from cough from more than one week. Although the cough has reduced but sometimes at times cougChatDoctores continuously which makes me feel breathlessness. Am I suffering from asthma ?? Also the doctor has advised me deflazacort 12mg once daily. What is the functioning of this medicine ?? | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you have had such symptoms only first time, I would suggest you not to worry about asthma at present. In asthma, usually patients have frequent or constant symptoms of cough, breathlessness, chest tightness, etc. which may improve and worsen over long periods.2. If you have such symptoms repeatedly or frequently or seasonal, I would suggest you an investigation called "spirometry with post-bronchodilator study" which is important to diagnose asthma. Usually pulmonologists and allergists perform such investigation.3. Deflazacort is an oral corticosteroid which controls inflammation (akin to "swelling" in common language) of the airways and thus improves breathlessness and other symptoms. It is preferred in severe symptoms. 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 and a very good recovery ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | Im very concerned about having esophageal cancer. In 2009 I didnt have trouble swallowing or food getting stuck that i can remember, but I did have that constant lump in my throat feeling for about a whole month. After an endoscopy I was diagnosed with grade B esophagitis, normal biopsy, and put on nexium 40mg once a day. Any time I try to go off of it now, that lump feeling comes back, I lose my appetite mainly because I feel like heaving, and cant really burp, or its foam.. | Hi, Thanks for writing in. Esophagitis is a condition where there is an inflammation of the lining and there is development of an ulcer like condition. Rarely a person having esophagitis can develop a cancer and the risk for this is around two to five percent. As biopsy is normal for you therefore there is no need to worry. Please take medium as prescribed by your doctor and avoid taking spicy and oily foods that might increase your esophagitis. The lump in throat might be due to the esophagitis or can also be a psychological thought that persists in your mind. Please be reassured that if the biopsy is normal then the chances of transformation in to a cancer is remote. You need to take a bland diet and also eat small meals every 4 hours in the daytime and avoid fasting. Avoid lying down after having a heavy meal and also try to raise the head end of your bed by 6 inches to reduce symptoms and dependence on medicine. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my wife is in her 30th weak of pregnancy, and she is suffering from Pruritic urticarial papules and plaques of pregnancy, n god its terrible, she cant sleep whole night. We had visited a skin doctor and is said that it will cure after the delivery and he prescribed one tablet Avil 25(Pheniramine Maleate) twice a day and a Lotion named Ciala (Calamine and Light Liquid Paraffin), are they safe to take and what else she can do to get relieved from the itching? | Hi,Avil-25 is not known to cause any harmful effects on the baby hence can be taken safely during pregnancy. In addition to the prescribed medications I would suggest her to:* Take an oatmeal bath or use baking soda during her bath* Avoid hot showers and hot baths (at least lower the temperatures)* Avoid wearing tight fitted clothing* Not to scratch her skin as it itches* Take plenty of oral fluids and* Avoid stress and practice relaxation techniques Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My 5yr old daughter out of the blue today spiked 103.5 fever, she had fallen asleep and woke up when her dad come home said one thing then her eyes did this wierd ticking thing for about 5 seconds then she went back to sleep. She has since perked up and is playing but im wondering what would have caused the ticking and should I be worried? It almost looked like she was having a sezure but it was just her eyes | Yes it is a seizure, they can be of various presentation like ticking of eyes chewing of mouth flickering of face deviation of face even pain abdomen and frank seizures. It occurred after onset of high grade fever disappeared and child is alright sensorial wise after seizure. You have to control the fever in this case and further fever episode. The illness is known as febrile seizures. It is seen in children between 6Β m to 5 years age group and usually disappear by age 6. |
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ηζθΏ°εηι«εΈει‘γ | I ve previously had strep in January then was diagnosed with mono. Almost two months later I have a growth in the back of my mouth on my jaw that looks like a raspberry but is flesh colored. What could it be? It was bigger but it s slowly going down. Theres a couple of white patches that come and go also. | Hello, Welcome to Chat Doctor, Infection with Epstein-Barr virus (ABV) is very common and usually occurs in childhood or early adulthood. ABV is a contagious infection that spreads from person to person.ABV is the cause of infectious mononucleosis and the symptoms are fever, sore throat, swollen lymph nodes in the neck, and enlarged spleen. The symptoms like nausea, vomiting and diarrhea are very much rare with ABV infection. Individuals with ABV infections requires1. Adequate rest 2. Plenty of Fluids3. Corticosteroids to treat significant swelling in the throat4. There is no specific medicine to treat ABV infections. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My mom is 62 and has multiple issues.. she has hypertension, artheritis, BP, CKD, soriasis but no daibetes. she has been on amlodipine 5mg x 2 per day. since few days her BP was shooting up.. and a doc has advised for concor5mg. i need to know is it fine to concor 5mg 1 in the morning and night amlodipine 5mg or how to work out. he bp before was normal wz amlodipine and since last 3 days it was going as 150/90 and tday morning it was alarming to 200/125. after taking concor 5mg it came to 140/90 and she is fine. need your advise | Hellene you have diagnosed with high blood pressure you need to control your blood pressure either by taking regular medicines or by lifestyle modifications, and it should be maintained below high normal limit which could be 140/90 mm of Hg. I would like further information to help you better libelous age and recording of blood pressurePresence of any associated risk factor like high cholesterol or family history of high blood pressure In my opinion you should not skip even a single dose without consulting with your doctor, it can be dangerous. You should avoid alcohol and smokingExercise regularly like brisk walking jogging or swimming must avoid fatty fried and junk Food can also do yoga and meditations for restoration of optimum health. Thanks and regards |
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ηζθΏ°εηι«εΈει‘γ | I got a concussion 2 months ago and I was fine after. I did everything normal like I usually did. Then one day as I got to school everything started to feel really weird and dizzy sort of like a dream like state. And I went through the day fine but still experiencing these symptoms my mom thought is was my eyes I thought it was my concussion coming back. But I read online about derealization and depersonalization and I thought that might be it because I do have a background of anxiety. So I just want to know if thats what I have and how do I get rid of it because I hate how I can be normal and then everything just feels weird and changes like this :/ | Hi, Welcome to Chat Doctor forum. It appears to be the complication of the previous concussion. Don't try to self diagnose the condition. I advise you to consult a neurologist for diagnosis and treatment. You may need to have a C.T.scan for actual diagnosis. The other causes may be the infection of the internal ear, gastric irritation etc. I usually prescribe to my patient with such symptoms' sanitizing, and interline till the diagnosis is established. Wishing for a quick and complete recovery. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am 60 years old and have COPD. I have been taking butadiene inhaler whenever I have difficulty in breathing and seroflo once in the morning. Two weeks back, I had difficulty in breathing and took deriphyllin injection, when I was prescribed AB Phylline (Acebrophylline) - 100mg and Montek LC. I took 7 tablets of AB Phylline and 5 tablets of Montek. After the intake, I had symptoms of dizziness and severe cough. | Hi, dizziness may be due to some side effects of medicines. COPD is a serious disease if not treated well, so first increase your stamina slow and slow so that lung capacity will increase in your chest. Mind it this is not a treatment but supportive therapy. Monte mac and levocetrizine both are anti-allergic, so might produce some dizziness. If acerophyllin is not working properly change it after the advice of doc. Coffee is also a bronchodilator, so in emergency it can be used for time being. Good luck |
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ηζθΏ°εηι«εΈει‘γ | my son got bitten by our dog who is already fully vaccinated against rabies. i took my son to hospital and they gave him a tetanus as well an anti rabies vaccine but after that i decided not to continue with the course. will that have any side effects on my son? | Hello, Welcome to Chat Doctor, As your son was bitten by a vaccinated pet dog which has led to wound, dog is known to transmit rabies, which is 100 % fatal, but it is 100% preventable by proper and adequate treatment. As there was no bleeding from the site, according WHO categorization it is categorized into Cat II, Which requires following treatment.1. Wash the wound thoroughly with soap and water to wash out the rabies virus if it is present in and around the wound.2. Active immunization with anti rabies vaccine on days 0,3,7,14 and 28. I would suggest you to give at least three shots of anti rabies vaccine on days 0,3 and 7.3. Inj TT was given4. Topical application of TB act ointment. The aforementioned measures will help to prevent development of rabies. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hey,Im having a cold feeling in my left chest area on and off for the last couple of days. Its as if an icy hand was wrapped around my heart. This is accompanied by a appr. 120bpm.In addition to that theres a weird crackling in my throat when i touch it and theres a lot of what i take to be air bubbles beneath my left ribcage (when i touch it it sounds as if someone were chewing cereal next to me). Im 22 years old. My blood turns out to be okay, electrocardiogramm, too. Im really afraid this might be something bad.Thanks in advance. | Thanks for your question on Chat Doctor. I can understand your concern. Since your blood reports and electrocardiogram are normal, no need to worry about major heart related diseases. In my opinion, you're all symptoms are stress and anxiety related. But we should first rule out lung related pathology. So get done chest x-ray. If chest x-ray is normal then no need to worry about lung diseases and you symptoms are due to stress and anxiety only. So consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,So for the past couple of weeks, I have been very itchy and will break out in little bumps. I went to the doctor to find out if it was an allergic reaction or something else but they were not very helpful. They prescribed me Desonide for the breakouts. I have been using it but it has not helped with the itching. I also talked to a pharmacist and she asked if I had ever had experience with eczema and I did when I was a baby, but I thought I had grown out of it. She recommended me taking Claritin for the itching and using a moisturizing lotion and to continue using the Desonide. I have been doing this for a couple of days and I am still itching like crazy. I do not know what else to do. | Hello. I have read your query. Profuse itching over your body leading to a little red bumps could be an urticaria or an allergic reaction. Since it is from two weeks it can be acute urticaria. Urticaria uaually comes down in 24 - 48 hours to appear in other areas. These can also be called as hives. Complete blood count along with differential countIgE (immunoglobulin E). Acute urticaria. Anti-pruritic creams like Sarna or Ritch cream. Can use steroid like Mometosone if the itching is persistent over the area. If there are too much of red bumps and itching is not controlled you can use a low dose oral steroid Prednisone 5 mg for a week along with oral antihistaminics Hy ChatDoctor. Take care. |
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ηζθΏ°εηι«εΈει‘γ | How do I what stage my husband s liver cancer is at? The doctor s have not mentioned the stage of his cancer. My husband has opted not to have a liver transplant and the doctors have indicated that this is the only viable option that is available to him. How do I know when the end is near? | Thanks for your question on Chat Doctor. There is TNM (Tumor Node and Metastases) classification of each and every malignant tumor of the body including liver cancer. Classification mainly based on 1. Size of primary tumor.2. Lymph nodes involved3. Metastases to distal organs like lung, kidney, bones etc. To find exact staging CT abdomen and contrast and PET scan is needed. In my opinion your husband is having terminal stage liver cancer. |
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ηζθΏ°εηι«εΈει‘γ | blob on ct scan lower lunghi, im 37 yrs old weight roughly 172.( havent lost the baby weight ) 55. had a ct scan with contrast done for kidney stones and was told I need to call my family dr. about a blob that was seen on lower right lung. should I be worried? | Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are not having any respiratory symptoms, no need to worry much for CT scan report. Blob like thing in your CT scan report can be due to any of the following. 1. Simple benign lung cyst. 2. Sequestration of right lower lobe. 3. Fibrosis or absent right lower lobe etc. All these are benign conditions and thus no symptoms are experienced. As they are harmless to the body, no treatment is required. Lung biopsy is needed for confirmation of the blob. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, i am 55 years old and am a diabetic. For about a month, I began to experience sever back pain . No medication helped me have relief . I got MRI scanning done two days ago and the report says that there is annular disc bulge. Is surgery necessary for this? Or can I have go for homeopathy treatment? Please advise me. thank you very much in advance | Hello Madhusagili, As per you've mentioned regarding your MRI scan report that there is an annular disc bulge, and you are already suffering from D. M, there is no need to go for surgical procedure for that. Homeopathy is fully capable of treating the condition 100%. Just consult a good homeopathic doctor near your area and talk to him regarding the condition. There is one more important thing that Homeopathy will take care of this disc bulge as well as your D. M in proper manner. Homeopathy is one of the best treatments for lumbago, cervical spondylosis, lumbar spondylitis, disc prolapse, bulge and many other conditions associated with back as it treats the person as a whole. With the proper medication you should take care of certain things like regular exercise esp to strengthen your back, posture of walking and sitting, better chair etc. So, it's better to consult a good classical homeopathic consultant in your locality. You'll be fine soon.... :)take care and ve a good and healthy time ahead |
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ηζθΏ°εηι«εΈει‘γ | Good day,My son, who is 4 yrs old, has been diagnosed with lobar pneumonia and is now hospitalised. This is about his 6th or 7th infection. He had a double aortic arch that led to the entrance of his right lung and his trachea and esophagus being squeezed. He is now diagnosed with asthma. Can the pneumonia deplete his lung function over time? What, if anything, can I do to reduce the number of infections? | Thanks for your question on Chat Doctor. I can understand your concern. Yes, recurrent lung infections can directly diminish lung functions. Recurrent infections can also cause asthma, bronchitis and further deteriorate lung functions. Best way to prevent respiratory tract infection is vaccines. Give him pneumococcal and influenza vaccines. These vaccines will provide 80% protection. Give him fruits, multivitamin tablets and protein powder for high immunity. Hope I have solved your query. I will be happy to help you further. Wishing good health to your son. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | my dad has jaundice and he gave his blood test and the report says that his liver is mildly enlarged in size (15.1 cm craniocaudal length in rt MCL) and it is written that no ascites or pleural effusion is seen.and there is impression that mild hepatomegaly. and so what does it mean is serious? my dad is 45 years old and his about 5 feet 7 inches something like that. | Hi thanks for contacting Chat Doctor... Here he is having jaundice with hepatomegaly... So first cause Has to be searched for... To differentiate hemolytic and hepatocellular jaundice from obstructive urine urobilinogen estimated.... Liver enzymes markedly raised in hepatocellular jaundice.... In hemolytic jaundice PS shows norm oblast and increase relic count....Meanwhile, low fat diet taken in jaundice.... Some good foods like carrot, aloe vera, dandelion, grapefruit juice, golden seal, lemon juice taken for healthy liver.... With keeping this in mind consult gastroenterologist for examination.... Avoid alcohol if habit... Take care... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | On the right side of my teeth, just behind my last molar my gum is swollen. The swelling is not red (its the color of healthy gums), and has pus (I assume, because I have a constant bad taste in my mouth). When I close my mouth, I can feel it hitting my top gum. The swelling popped up virtually overnight, and is in just that one spot. It has a throbbing feeling and slight pain on the right side of my jaw and the swelling is just barely over the edge of my back molar. I have no difficulty opening/closing or moving my jaw in any way. My throat just barely aches on and off, like that just-before-you-get-a-cold feeling. All of my adult teeth have grown in. I thought it was gingivitis, then thought that it had something to do with wisdom teeth, but Im only 15. I have braces. Im female and 15 years old. Should I see the dentist? | Hi, as your gums behind the last molar is swollen it suggests of peritonitis or may be the last molar is erupting, and also you feel pain in your throat that could be a reaction of your immune system to 3rd molar eruption. You please star warm saline gargles 2-3 times a day and also consult your dental surgeon in the meanwhile you can take some painkiller for relief. Wishing for your better health |
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ηζθΏ°εηι«εΈει‘γ | I had a fall down stone steps. Don t know how I didn t break something but I didn t. Didn t have it checked though. A very large and painful bruise and lump appeared and it was very painful. That was 3 and half weeks ago and the lump is still there, painful and my ankle and foot is still swollen. Have just come back from a long haul flight so expected my feet to swell anyway but the injured leg/foot is still swollen. Should I have it checked or will it go away on its own | Hi, Thanks for your query. An initial X-ray of the injured part is mandatory to rule out any bony injury (fracture). If the X-ray is negative for a fracture, then the other possibility is soft tissue injury either to the ligaments, tendons etc. Knot might be due to haematomaformation(collection of blood).you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care |
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ηζθΏ°εηι«εΈει‘γ | hi sir .my mother kidney has failed.i am very sad.but my blood group is no match.but a man want to donate kidney.but doctor no ready and he demand paper.if my mother will not well i will also die.doctor are god for patient.please sir wat do me?please sir help me and save my life. | Hi, Welcome to Chat Doctor Forum, Kidney transplant cannot be done only when the Donor is ready, there are few protocols to be followed before proceeding. So, discuss it with your family, friends and take an opinion from other family Doctors as well, they all will help and lastly, don't lose hope. Discuss your issues with the concerned Doctor as well. Your mother will be alright. All the Best, Take Care. |
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ηζθΏ°εηι«εΈει‘γ | I am suffering from pain in the lower left region of abdomen and some itching on that region. I am also suffering from hypertension (S3) from last few years, my age is 56 yrs. I am also taking Ramipril- 5mg (B.D).So please suggest any possible treatment.Thanks | Treatment depends on the cause which cannot be pinpointed from the details provided by you. Examination is required. However, pain in lower left abdomen generally occurs due to irregular bowel habits or constipation. If that is the case, you need to take high fiber diet and fiber supplements like Isabel with dinner. You may also take lactulose syrup one or two teaspoonfuls at dinner. Try these and if you do not get relief, see a doctor. The high blood pressure and the medication is probably unrelated. |
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ηζθΏ°εηι«εΈει‘γ | Hi , a while ago i noticed a lump in the wall area between the anus and vagina, it seems to be getting bigger. it feels quite spongy and doesnt hurt. I did go to the doctors with this originally, but I dont think she really saw what I was talking about, and put it down to childbirth. Should I go back to the doctors ? | Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, as your doctor is right. But as you still worry, I would advise having Second Gone doctors opinion.USG of the pelvis would resolve this worry. Hope this would resolve your query. Welcome for any further query in this regard to ME. I would love to help you outwriting for any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant |
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ηζθΏ°εηι«εΈει‘γ | I am taking PEXEP-10 mg ,1 tab in the morning and 1 tab at night. My doctor has advised to take ZAPIZ 0.25/0.5 mg along with it. I am taking these medicines from last 1 week or so. Want to know, if i stop ZAPIZ and only continue on PEXEP, would it do any harm.Just to brief you about my medical history, i started suffering from Panic attacks and acute anxiety sometime back in year 2009. I was put on PEXEP and ZAPIZ initially for around 2 months and then only on PEXEP and ZAPIZ as SOS. After doing this PEXEP course for around 2 years, i started gradually decreasing my dose and finally stopped taking it in Oct-2011. But some how again the problem has relapsed some 10 days back. Please advice how to go about it. | Dear it would be advisable to take rapid for 2 weeks as peep or paroxetine will take nearly 3 weeks to have its antianxiety effect. So take rapid for few more days or else acute attacks will be difficult to manage. Next thing you need to understand is that panic attacks always have some psychological basis behind them. You need to change your faulty cognitions that something will happen and try to control your anxiety. Relaxation exercises and yoga helps a lot. |
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ηζθΏ°εηι«εΈει‘γ | OK I am anticipating having some dental work done. My dentist is suggesting sedation dentistry. His office uses a Dr. Atlas to administer the medication. I am trying to find out about this Dr. to put my mind at ease. I am not comfortable with being put out due to the fact that I have acid reflux and have not laid flat in years. I need to know that he and my dentist will take me seriously about not being put all the way down in the chair due to that problem. How can I find out about Dr. Atlas and do I need to worry about this? | Thanks for using Chat Doctor. Read your query. The dental work is using done on local anesthesia, it is not clear why the dentist is using general anesthesia, since the treatment plan of the dentist is not elaborated here. Acid re-flux is usually overlooked, so it is absolutely necessary for you to keep the dentist and the anesthetist updated and treatment you are taking for reflux. It will help in avoiding any complications during and after the procedure. Preventive measures can be taken. Hope this was useful, and you have a successful procedure. Thanks and regards. |
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ηζθΏ°εηι«εΈει‘γ | hi, i have my semen test and following is the result, volume: 8 ml, count: 15million/ml, pH 8.5, motality: active10 sluggish20 non-active 70 %, morphology: Pus cell 15-20/HPF epithilial cell 0-1/HPF Red blood cell1-2/HPF, color: c.white, transparancy: thin. kindly suggest. | Hello, Your semen analysis is abnormal. The main defects are 1.the low sperm count of 15Β m. It should be at least 20Β m above 40Β m would be better. 2. Most of the sperms are non-active. Best results would be with about 60% of actively motile sperms. 3. The number of pus cells is indicative of an infection. You should have a semen culture and then one can decide what antibiotic you should have. The abnormalities can be due to infection or other causes like varicocele. If your scrotum feels like a bag of worms, it is varicocele. You would be required to see a urologist as it may require a surgical correction. You are welcome to get back to me with the semen culture and sensitivity result. Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | i have low sperm count and doctor has given me 2 month medicine carnisure500mg and evion vitamin e and b complex .it is sufficient my semen after test is 22 only please give me advise what to do,after2 month doctor again called me to test my semen again whether it is increased or not | Hello you can write back to me with following details like your complete semen analysis report, your age, whether you smoke or consume liquor, I will be told you more accuratelyMeanwhile your sperm count is towards lower side so continue with medicines your doctor advised, all these medicines are health supplements, and it will help you in achieving good quality sperm and semen. You should follow these guidelines as wellComplete abstinence of smoking and alcohol is requiredHave lots of fresh fruits and vegetables should enjoy your life, try to avoid excess stress and anxiety Hope this helps you please feel free to converse further with more relevant history so that I will be able to tell you more precisely. Best wishes |
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ηζθΏ°εηι«εΈει‘γ | hello doctor,my friends 4yr old son has been diagnosed with nephrotic syndrome n is on steroids,.hes been complaining of severe frontal region headache with constant low grade fever..what could be the reason?doctors say it can range from sinusitis to CVST...what do we do?can you pls suggest ur opinion? | Hi thanks for asking question. Noted your friends' child diagnosed with nephrotic syn Chat Doctor. . So if it is associated with inflammation of glomerulus that is glomerulonephritis then also such symptoms do occur. And secondly yes if cough, cold, sore throat present and headache and fever might be from acute viral infection. Treat it symptomatically. If abdominal symptoms present then abdominal diseases like hepatitis can lead headache. The steroid also can lead to headache ... I hope my answer will helpful to you... Take care... |
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ηζθΏ°εηι«εΈει‘γ | hi i had a red dry blood clot on my testes the day and it was burning like anything. after about a week it has now become open and it seems as if puss is coming out from the sides of the so open area and it has a black dot right in the middle it burns as soon as it touches my underwear or leg. | HelloThanks for your query, based on the facts that you have posted it appears that you have infected sebaceous cyst over scrotum. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally they fade away without treatment however they need to be treated if increase in size or get infected. Please take broad spectrum antibiotic like Δeferin along with anti-inflammatory medication like Diclofenac twice daily. If it does not subside even after taking antibiotics consult qualified General Surgeon for clinical evaluation and further treatment. If necessary it may need to get excised in Toto (Completely along with the sac) under local anesthesia. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am still having pain in my right bottom calf leg. I have had land therapy, three cortisone shots, and am now in water therapy. I am slightly better but am still plagued by not being able to stand for more than ten minutes in a shoping line nor walking for more than fifteen minutes before pain in calf returns. I have been seeing my regular orthopedic surgeon who does not recommend surgery due to two discs, L4 and 5 protruding and my stenosis condition. Will continuation of cortisone shots repeated this September compromise the tissues or muscles in my spine do harm? Should I get second opion from neurosurgeon? | Yes you vocal visit a euro surgeon and take secondary opinion about surgery. If the problem is too much then need to take a chance and euro surgeon is the best doctor to take opinion in your case. Apart from this you can also have omega 3 and vitamin C and do tablets to support the bone as well as circulation in body. Omega 3will help to support the spinal cord too. Hope you got your answer. Take care |
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ηζθΏ°εηι«εΈει‘γ | Hi my name is Elena.. i have a problem of pigmentation on my face and getting more and more i sed cream lightenning but this there i used few but just not going away ... i did used laser but not happenning,,, could u pls help me coz both of my face are nearly covered.... thank u so much | Hello, Melasma is a kind of hyperpigmentation seen mostly in females of middle age and is dictated by hormones and sunlight. It treatment is challenging but with proper regimen good results can be achieved. Usually the treatment is divided into clinic based treatment and home based. At clinic, I suggest series of chemical peels like glycol, Lesser, TCA with or without microdermabrasion. At home, you can apply cream containing comic acid, albumin, etc. and vitamin C serum for maintenance. Use high SPF sunscreen on regular basis. Use glycolic acid based face wash. Hope this will take care of your issue. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | what could be causing the pain in my left leg. It like a constant ache in the upper muscles of my leg. feels like a constant pulling and pain. I have not been doing anything different other than wearing some different shoes. At night it shoots up my back when I m lying down. | Hi, It might be a musculoskeletal pain. As the first line of management, you can try analgesics like Acetaminophen or Tramadol for pain relief. Also, apply warm compresses and take bed rest for few days. Most probably symptoms will settle in a couple of days. If symptoms persist, you can consult an orthopedic and get evaluated. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hi my daughter is 3 year old and she is having viral fever. Doctor gave only two medicines, Nutrolin B syrup and Lysonate and told to give calpole 120mg whenever she is having fever. Now fever has gone, but cough remains. I would like to know whether medication is right. fever started5 days back | Hi...by what you quote I feel that she is recovering form viral illness, and it is very common in kids to have cough while the viral illness is settling. Cough is a precursor that the kid is recovering from viral illness. As the fever has remitted now the cough may remain for another 2-3 days. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - |
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ηζθΏ°εηι«εΈει‘γ | I have been having lower back pain on the right side near my . It has caused my hip to raise up higher and my posture is not normal. I have pain when I get up from sitting and then walking. The pain is sharp and it causes me to feel like I am going to fall. I feel it on the tailbone of my spine. | Hello, The mechanism of injury that you are telling suggests that you may have a fracture of coccyges which is the end of the tailbone that gives you pain while sitting, and you may change your posture by sitting on the side or leaning sideways which will give pain in the lower back. I have a question. Have you had pain while defecation or blood in stool after this fall? Fracture of tailbone might damage the rectum part of the bowel and give you difficulty in defecation and bleeding. Normally, a finger examination of the rectum by the doctor might be necessary to rule out this. Also, an x-ray of the lower spine will show a fracture or dislocation of the tailbone. The general prognosis is good. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have completed 17 weeks of pregnency. During my internal examination I was told by my doctor that my cervix is small. Its length is 3.3 cm. The doctor has suggested stitching the cervix For now, I am told to take bed rest and come again after 15 days for examination after which she will decide whether to give the stitch or not. Please tell me if having a small cervix can cause some problem and is stiching/ operation is compulsory. Also what are the risk associated with this condition. | Hello, and I hope I can help you today. Cervical shortening (it is the length of the cervix that is measured) can be a risk factor for preterm labor as well as preterm delivery. It should be measured accurately with a transvaginal ultrasound not just with a digital examination. However, the cervical length at which intervention is recommended and where we have real concern is a length of less than 2.5 cm. Cerclage (or placement of a stitch to close the cervix) really should only be performed if the length shortens to less than 2.5 cm. The procedure itself has some risks including breaking the water at the time of the circle and infection of the cervix. However, the most effective treatment currently available to prevent preterm delivery with a short cervix is vaginal progesterone. This is given as a cream or suppository and does not have the risks associated with circle placement. So in summary, I would not recommend any treatment if your cervix is longer than 2.5 cm, as a length of 3.3 is not considered a significant risk factor for preterm birth. If your cervix shortens to 2.5 cm or less, vaginal progesterone is a safer and more effective means of preventing preterm delivery over circle. Furthermore, be Chat Doctor. I hope I was able to effectively answer your question today and that my advice was helpful. Best wishes for the rest of the pregnancy, |
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ηζθΏ°εηι«εΈει‘γ | Hi.. Is augmentin dds is safe medicine to give a 3 year old child. Many doc have told me that its the hardest antibiotic which is given only in critical conditions but our paediatrician always prescribe augmentin dds for throat and other kind of infections. | Hi, I had gone through your question and understand your concerns. You should be worried but not too much. Augmenting is usual amoxiclav. It is very helpful for Streptococcal infection, which causes tonsillitis at babies. The most common side effect-diarrhea, but if child will take also probiotics-Vizylac or Similar, then you will not have it. Please let me know if you have further questions before meeting your primary care Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have applied steroid cream (Betnovate-C) and my skin has become extremely thin and dark now. A dermatologist recommended me to try dermaroller so I want to know is it safe? And will it work? Please explain in detail as nothing has worked for me. | Hello. Indiscriminate use of topical steroids can cause skin thinning (due to collagen degradation) amongst other side effects like acne, facial hair, etc. Most of these side effects resolve gradually over next few months after stopping the topical steroid cream. This recovery can be aided by certain creams as well as certain procedures like dermaroller that help in collagen regeneration. Dermaroller is safe. The extent of improvement would depend on the extent of initial skin damage and the number of sessions. Moreover, results are individualized. For more information consult a dermatologist online Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am a 14 year old girl. Over the past year, I ve been feeling extremely depressed. I use to self harm every single night, I ve tried committing suicide but couldn t go through with it. I use to thoroughly enjoy playing sports, because it was one thing I was good at. However, over the last few weeks I barely have the enegry to turn up to a game. My attendance at school has dropped dramatically, my grades have dropped with them aswell. I am known as an unreliable employee because I rarely turn up to work. I ve just woken up at 2.00pm, I fell asleep at 11pm. I seem to just sleep my days away, my weight as increased dramatically also. I ve been told I abuse the use of alcohol and drugs, but have never seen it until now. I m just looking for a hand, a little bit of advice would be nice. thank you. | Degree understand your concerns went through your details. I suggest you not to worry much. There could be several factors combined. First you should visit a physician and get your thyroid checked for T4, T5 and TSH. If you find there is no problem with thyroid, then you must add Chat Doctor. Though you are just 14, there could be wasting diseases such as anemia. You also could be disappointed. Work with your physician for correct diagnosis. Don't diagnose self, please. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I was playing basketball and got hit near my eye by my temple by a girls elbow. It really hurts. My head also hurts too. There is a sharp pain in my head when I move my eyes or move really fast. I am overly tired and don t feel like moving. Could I have a conclusion? | Hi, I had gone through your question and understand your concerns. It depends on from the force that hit your head. According to your symptoms, I would say yes you may have concussion. Rest, OTC Chat Doctor. If you experience nausea, vomits, worsening headaches you should consult your primary care Doctor. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. |
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ηζθΏ°εηι«εΈει‘γ | At the age of 21 I suffered from neurocysticercosis later on fully recovered almost last 20 year any seizure or any kind of problem , but still taking Eption 100 MG one Tablet only every night, please suggest can I stop it immediately , in latest CT Scan no any abnormality observed in Brain. | I read your question carefully, and I understand your concern. So if I understand you correctly you have been without a seizure for 20 years now and the latest scan showed no abnormality. It would've been preferable if you had an MRI instead of a CT scan, it is a more reliable exam. That being said though 20 years without seizures is a long time. Generally it is attempted to with Chat Doctor. Furthermore, only 1 tablet a day is too low a dose, I wonder if it is providing any protection at all. So I would advise stopping it, of course after discussing it with your physician as well. I remain at your disposal for other questions. |
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ηζθΏ°εηι«εΈει‘γ | Hie im 20 yrs old..bt due to some circumstances i was living in a vulnerable house fr two yrs with direct sunlight..nw aftr four yrs my body has come to its own colour bt my face is still dark n widout glow...i hav faced lots of mental tensoin also...please i need mah colour back n mah glow...help | Hello and welcome to Chat Doctor I have gone through your concern and I have understood it. Tanning seems to the problem that is bothering you. I would suggest you to use a sunscreen, regularly. UV A part of the electromagnetic spectrum is mainly responsible for tanning. Therefore, a good sunscreen should have broad spectrum UV A coverage in addition to UV B coverage, in order to be able to prevent tanning, and it needs to be applied in sufficient quantity and every 2-3 hourly. A sunscreen with minimum 30 SPF would be adequate. It should mention both UV B and UV A coverage. Therefore, it is important to select the right sunscreen for desired effects It should be applied in the following quantity:--3ml for face and neck(a little more than 1/2 teaspoon)--3ml for each arm(a little more than 1/2 teaspoon). A sunscreen should be applied every 2-3 hours. If I was your treating doctor I would have asked you to use a cream containing one or more of the skin lightening agents e.g. comic acid (comic cream), glycolic acid (Glycol -A cream), albumin (Demean cream) or HY Chat Doctor. Hope this helpsRegards |
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ηζθΏ°εηι«εΈει‘γ | i m 25 years married man. i have gall stone 1.4 cm and suffering from pain. there is extensive pain in my back lower the shoulder. some doctors suggest me to remove the gallblader. is there any other way so that my stone can be removed instead of gallblader. | Hi, How are you? Stones in the gall bladder are a fairly common finding during USG of the abdomen. But not all gall stones need treatment. In most cases the stones do not cause any symptoms to the patient. This is especially true if there is a single stone. In some cases, when there is a small stone, it can spontaneously get expelled from the gall bladder. This is usually accompanied by pain and occasionally jaundice. The main danger of gall stones is when the stone blocks any of the ducts (tubes) Chat Doctor. In 99% of the cases, the treatment is accomplished by "Laparoscopic Cholecystectomy" (removal of gall bladder by making 3 small cuts on the abdomen, guiding the surgery through a small camera inserted). This is a fairly routine surgery and could be done at most hospitals safely. Unfortunately there are no medical therapies available once the stones have already formed. In your case, since it is a single stone which is fairly big, and since it is causing pain, I would suggest you to get the gall bladder removed at the earliest. Hope this helped, and please do not hesitate to contact me for further details - [email protected] |
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ηζθΏ°εηι«εΈει‘γ | I am a 30 year old woman who has been getting frequent infections. In the last two years I have fought recurrent UTI with pyelonephritis, recurrent pneumonia, and most recently had Strep throat that did not respond to initial therapy. It got so bad that I felt like my upper airway was obstructed and I was (painfully) coughing up dark army green coloured phlegm. Now I have left flank pain which is associated with a decrease in urine output, change in colour to muggy yellow/brown with some discomfort. This happened just a couple of months ago for 3 weeks and the doctor prescribed cipro for a UTI eventhough she didnt really think I had a UTI. I did not take the drug until the pain became excruciating. It did not help. About a week later the pain got better suddenly on its own and the day after that I had Strep throat. It seems that I do not have a functional immune system. I have asthma and get migraine headaches during every period. I have recently been diagnosed with generalized anxiety disorder with panic episodes and have had major depressive disorder for about 10 years. Many people think that my frequent illness is hypochondria but I dont just THINK Im sick, I AM sick as proven by numerous culture and sensitivity results and blood in my urine with my last episode of flank pain. Please help... Is there something really wrong with me or is it all in my head? | Hello dear, Welcome to Chat Doctor. I figured your concern. It is normal condition, that after severe diseases you feel anxiety about your health. I wanted more details about your urinalysis and urine culture, you did not treat your kidneys properly, thats why you have relapse of disease. I suggest--Urine analysis and urine culture-Ultrasound of kidney-If you have infection in urine the best treatment is ceftriaxone 1,0 2 times a day intramuscular for 5 days, then pharaonic 1 tablet 3 times for 2 weeks, then cyst one 2 tablet 2 times for 1 month. If you have stones in kidneys you should take Stone 1 15ml with 1 glass of water daily for 14 days. -For prophylaxis of recurrent UTI you can use Nalidixic acid(Seagram)1 tablet 4 times for 7 days, Cyst one 2 tab 2 times for 1 month, ayurvedic medicines, other antiseptics.-For Bronchial Asthma take Allegra 1 tablet in bedtime for 10 days, Montelukast 1 tablet at night for 1 month-Absorbents(charcoal)3 tablets 2 times for absorption toxins and gases for 5 days-Visilac, Darolac 1 capsule 2 times for normal flora of intestine and increasing of immunity.-Exercises, swimming walking -Hypoallergenic diet, plenty of water every day.-Phototherapy(boiled water from flax seeds, peels of pomegranate, hair from corn etc) Take care! Recovery soon Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello Doctor Am 31 years old and married since two years. Am actually following a treatment with the local gynae to be able to get pregnant. In Feb 2013 had a hysterosalpingogram under the instruction of the gynae All hopefully happened well during the process But the very next month and ever since I am having ireegular period whereby i was always regular. At first i did not have my period and my gynae prescribed me some medication for me to have my period but this month it is a very slight blood flow since 2 days. I normally have heavy periods for seven daysPlse help me doc | Hello, I would be happy to help you with your question. The HSG is not associated with causing your cycles to become more irregular. This is probably related to whatever underlying because that might exist that is causing infertility that led to the HSG in the first place. I would check a pregnancy test to make sure you are not pregnant and get in to see an OB/GUN or fertility specialist to re-assess your whole situation. Hopefully your partner has also had a semen analysis. I hope that this helps. If you have more questions, please click on "ASK ME A QUESTION" link above to directly ask me a question! |
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ηζθΏ°εηι«εΈει‘γ | I was lying down typing on the computer when all of a sudden my inner arm on my wrist where the vein is started itching. I looked at it and saw that it was all red and broken out with bumps and they were swelling. I immediately jumped up and felt dizzy so I asked my brother to rush me to the ER. Then I changed my mind because I assumed anxiety was taking over taking a sit for WHILE the bumped started gong down and the dizziness left. there are still lumps/bumps there but they are small. | Hi, The lump near your inner arm appears to be insect bite/bed bug bite?. I would advise following treatment under cover of your PCP doctor-Soda-bicarb application locally at the bite site to neutralize the insect-toxin. Anti-inflammatory Chat Doctor. Cold compresses x 2-3 days time. Hope this would resolve your query. Welcome for any further query in this regard to Chat Doctor. Write good review and hit thanks if this reply is helpful to you. Have a Good Day. |
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ηζθΏ°εηι«εΈει‘γ | Hi,it s about three days that I have pain and swelling in my left wrist . It started the day after I had dental work and the next morning I noticed the pain and swelling . at first it was little but the day after it got worsed,I m worried about heart and artery disease. Thank you, | Hello, As mentioned that you have pain and swelling of the wrist. This could be totally the other point other than the heart issue. As you haven't mentioned your age or any past medical history about Heart or any other trouble this sounds to me as a more of the orthopedic point of view. Why don't you just try to use the hot water fermentation and use some crΓͺpe bandage? This should help. In case if you have existing heart or diabetic issue than this should be related to the heart. As sometimes due to lack of cardiac output people may develop swelling of the wrist or ankles. In fact, the ankles are more common than the wrist anytime soon. Maybe I feel you have held the armrest of the dental chair so hard that there will be some vasocompression which might have led to this issue. Since now, you know what can be the possible causes please take the right call according to the need. 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 | I have been diagnosed with right atrial thrombosis and am on anticoagulants andaspirin. Recently blood tests revealed total cholestrol at 467 and ldl at 197needing second opinion and further treatment.pl.respond at YYYY@YYYY or 0000 | Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Anticoagulants are effective for all types of thrombus. Both arterial, venous and even atrial thrombus.2. The INR range should be maintained between 2-3 at all times, then only anticoagulants will be effective against thrombus.3. The cholesterol level is too high and needs to be brought down at the earliest. Risk of atherosclerosis and infarction present. You need to be started on statins and vibrates. Non-pharmacological therapy includes weight loss, low fat diet, fiber rich diet along with moderate exercises. LDL apheresis can also be done, if it continues to be high. Hope it helps. Any further queries, happy to help again. |
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ηζθΏ°εηι«εΈει‘γ | hello, im probably over reacting but i just want some opinions. I had unprotected sex 3 out of 5 days of my ovulation (2-6) time.. none of the times he went in me but i know the sperm can live for days..and i just started birth control a week ago and now im having lower abdominal cramps and a slight streak of blood the 14th. The cramps are sharp but go away pretty quick..i have been very moody. Help please?? | Hello and welcome to Chat Doctor. Thank you for your query. There are two-three possibilities from your description, and I shall explain them to you.1. Birth control: The initiation of birth control can easily cause side effects like lower abdominal cramps, mood swings, slight discharge (blood), etc. Thus, what you could be experiencing could be side effects of the birth control. You could consult your prescribing doctor and report the same2. Pregnancy: This is always done. Is routine in patients experiencing such symptoms, this I request you to conduct a home pregnancy test, which is to be done at least 20 days after your last sexual contact or on the first or second day of a missed period. An early morning urine sample should be used for most accurate results. This test might have to be repeated 2-3 times for an informed result3. Infections: As you are sexually active, the possibility of an infection, will have to be ruled out as welly opinion would be to consult your doctor, and find the cause for your presentation, which should most probably be one of the above conditions. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes. |
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ηζθΏ°εηι«εΈει‘γ | Hi , Dr. My daughter in-law is in her 34th week of pregnancy. Recently, she had been suffering with lot of cold /cough with some breathing discomforts. Her dr has advised he rto take Cepodem & Deriphylline. I am just worried if that is ok. Is there any other way than taking the antibiotics? Pls suggest. Thanx. | Hi, It is best if she takes the Code and the Deriphylline as prescribed by the doctor. She is already 34 weeks and the Code will not cause any harm to the baby. The Deriphylline will help her breath more easily. It is very important that she takes the medications as breathing discomfort and chest infection in pregnancy can harm both mother and baby, if not treated promptly. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hello. I recieved unprotected oral sex. A week or so later my penis head burned like a UTI. I drank lots of water and it cleared up a bit. Now a few weeks later its back and my testicles are sore. Not all the time, but enough of the time. CAN YOU HELP? | HelloThanks for your query, based on the facts that you have posted it appears that you have developed infection of glans penis and testicles following unprotected oral sex. Oral cavity contains plenty of bacterial flora hence one is prone to get infection of genitals after unprotected oral sex. You need to take broad spectrum antibiotic like Δeferin along with anti-inflammatory Chat Doctor. Along with topical antibiotic ointment like Newsprint twice daily. Ensure to wash your genitals with warm water twice dailyEnsure to avoid sexual encounters till it heals up completely. |
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ηζθΏ°εηι«εΈει‘γ | My mother is suffering from knee pain and now for last 3months her back is also paining. She cannot walk without stick and not able to stand straight. She complains the stiffness of thigh(from hip to bottom of knee) apart from knee and backpain. As per Dr. advise digital x-ray of spine and knee has been done and Dr. has suggested for knee replacement. My mothers age is around 64 yrs and weight is 75kg. Kindly advise me. Regards R.K.Rao | Hi, thank you for providing the brief history of your mother. As your mother is advised with TKR, I think in many of the cases TKR can be delayed or avoided even depending upon the clinical findings. As your mother is 64 years old, there will be some degenerative changes happening within the joint which may lead to damage to cartilages within the knee joint. If the x-ray has revealed no joint space most surgeons will recommend TKR as to reduce the pain levels. Also, due to knee pain, there will be changed in normal gait mechanism leading to stress and strain on the spinal column leading to back pains. In my Clinical practice, most patients never underwent surgery even after the x-ray was indicating the TKR. As we follow a strict protocol to rehabilitate the knee and back to make sure the surgery is avoided to 99%. Also, in my practice many patients been seen under me who had a prescription of advice for TKR but never underwent. The first foremost thing we did is a thorough clinical examination and then used the diagnostics for understanding the knee mechanism and predicted the outcome score. Infact we got more than we expected. Many patients coming to me with similar complaints are actually having a functionally active lifestyle like jogging. We never underwent surgery. If you can provide me some more details I would be happy to help your mother and regain the full knee mobility. RegardsJay In Chat Doctor. |
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