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ηζθΏ°εηι«εΈει‘γ | hello everyone i am having some rapid hair loss just after coming to new home i suddenly feel hairs less volume and day by day they r going lesses i am worried im 25 n half male how to control this and what kind of baldness it is? should i shampo daily or oiling? | HiT hank you for asking ChatDoctorI have gone through your query. You should get your hemoglobin level and TSH which will rule out anemia and thyroid disorder respectively which can be a cause of it. If you are getting hair fall on frontal side it is most likely male pattern hair loss. In such case minoxidil lotion helps. But it should be used for at least 3 months to get some benefit. It should be continued also. You can take vitamins for hair like biotin. Avoid stress and take nutritious foods. But if you have scales like silvery appearance then it can be scalp psoriasis. In such case if mild coaltar shampoo application helps. Local corticosteroids like clobetasol will be needed if no improvement. It is better to get a dermatologist consultation to rule out the type of hair loss you have. Hope this may help you. Let me know if you have any further query. |
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ηζθΏ°εηι«εΈει‘γ | my wife and me both got intimated one day without protection ten days before but due to our business in daily work we dint take pills. i pulled out before ejaculation but that created doubt. how can we clear our doubt and is there any pill which works ten days after. plz help. | Hello, Unprotected sex with pulled out method has high failure rate 15 to 27%, and it depends on her fertile period (11th to 19th day of regular 28 to 30 days cycle). There is NO contraceptive pill available which works after 10 days. Most emergency pill works within 72 hrs of unprotected sex. Here, she needs to wait for upcoming period and if it is missed, she must undergo one home pregnancy test to clear doubts and repeat the test after 7 days. She can consult with local doctor after that. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I have a problem with getting tired very easily. I am only 25 and am over weight but not massively. I play football a lot and had good stamina for my size. Over the past year I have suffered from getting tired VERY easily. Sometimes from walking for a few seconds. Which isn t normal at all. People say I look yellow a lot. When I am at football training my muscles feel strong, but after only a few minutes my lungs (I think) are shattered and I can barely move. What could this be? Thanks, Nick. | Hello, In my opinion, we should definitely rule out asthma or bronchitis for your symptoms. So consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is showing obstructive defect then you will mostly improve with inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone). If PFT is normal then your symptoms are mostly due to obesity. So try to lose your weight. 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 | am suffering from asthma. Ive already consulted a physician about this. She just nebulized me, gave an antiallergies and nothing follows. What I want is a drug that will permanently disable my asthma. Ive got this thing a year ago. I have no records of asthma during my childhood days. Thanks | Hello dear, Asthma is caused due to bronchoconstriction (obstruction of smaller airway passages) which is indicative of Hyper-responsiveness of air passages. Management consists of:1. Stalin inhaler-provide symptomatic relief by causing bronchodilator (dilating the smaller airway passages)2. Montelukast preparations- used as a maintenance therapy to relieve symptoms of asthma.3. Antihistamines like Cetirizine can also be used to provide symptomatic relief.4. Need for anti bionics can arise if there is a secondary infection.5. Also make sure that you are well protected from exposure to cold, dust or other allergens. As the condition is related to hyper-sensitivity of your immune response, it can only be managed symptomatically. Complete cure will need complete shut down of your immune mechanism, which will make you prone for severe life-threatening secondary infections. So, kindly continue the medications as prescribed by your treating Doctor. Wishing you a good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | HELLO SIR...i am suffering from abdominal discomfort for last 2 months ...yesterday i did an USG...It is showing ascites .. & then i did CECT OF abdomen... it is showing rectosigmoid narrowing...meanwhile peritoneal fluid analysis revealed..lymphocytosis,high ADA(109),negative AFB,Negative M cells....now WHAT SHUOLD I FURTHER DO???? | The further course of action should be as follows::Colonoscopy to find out and to take biopsy from the recto-sigmoid narrowing area to see whether this is due to Cancer or Tuberculosis. Once the report is available the treatment will be according to it. If this is tuberculosis and there are so symptoms and signs of obstruction you can go for anti-tubercular treatment for 6 to 9 months according to the Doctors advise. If this is a Cancer you have to go for surgery as the results will be fine as the detection is early, and you have not mentioned any nodes in the Ultrasonography and CT can. |
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ηζθΏ°εηι«εΈει‘γ | Having a lower back pain from last 6 months which I presume,and been due to long sitting hours at office.But afterwards I had been quite active but the pain has constantly increased.I was in Delhi that time so could not contact you,and as per the consulted doctor this is due to stiff muscle.What should I do? | Dear patient low back pain for last 6-month falls under chronic backache, and common reason are 1. Muscular 2. Instability 3.lumbar spondylosis. If pain occurs only on sitting and activity which reduces on rest possibility is of muscular pain. If pain also occurs at night chances of spondylosis is increase. You need to do X-ray of lumbosacral spine anteroposterior and lateral views to confirm diagnosis. Please get it done from radiology center nearby you. Meanwhile, start tab moral 4 mg nice a day with diclofenac sodium 50 mg twice a day for pain relief. Hot water fomentation with water bag helps in reducing pain. If X-ray is abnormal please consult orthopedic surgeon nearby you. All the best. |
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ηζθΏ°εηι«εΈει‘γ | I just got out of the ER with chest pains, cold sweats, disorientation, dizziness. They said it was anxiety and I dont believe them when i was hooked up to the monitor my blood pressure was 166/99 and my heartrate was 100 for like 20 minutes then dropped to around 67 for the rest of the duration of my visit. My town is notorious for our hospital to be equivalent to a veterinarian clinic so I dont know how well I want to believe the diagnosis.I hope someone can shed some light and opinions..... | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something. You should know that typical heart pains have some characteristics. They are usually retro-sternal pains likes quizzing, tightness or heaviness. They might irradiate to both arms, neck and jaw. They last from 5-20 minutes and might be associated with nausea, vomiting,tachycardia, difficulties in breathing deeply, dizziness and sweat. According to high blood pressure values you should know that we talk about hypertension if we have mean value that exceeds 140 /90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. So, to tell if it is just anxiety or something else if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and walls, a full blood analyze, cardiac enzymes and if it is possible a stress test and holder rhythm monitoring to see your rhythm tendency. Only after this we can better judge what we are dealing with. Hope I was helpful. Best regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello! I have had a small lump apprx 1 inch above my belly button. Ive had 3 kids and never had a problem until I started weight training - that is when the lump appeared. I did have a very small stretch mark above my belly button from the pregnancies. I was training at the gym today and it looks like something has pushed thru the stretch mark and is protruding. Like a bubble of flesh sort of. After I relax it goes back in and I am left with a scab that heals in a few days. Any ideas? Thanks so much =) | Hi, dairy have gone through your question. I can understand your concern. You may have incision hernia. Your skin is weaker after healing and with increased intro abdominal pressure abdominal content protrude from that site. You should avoid weight lifting, avoid straining. Consult your doctor and go for examination. Surgery is the treatment of choice. Meshplasty or other surgery can be done according to need. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | hi, i m a lady aged 28 yrs, yesterday i go for an laparoscopy and hysteroscopy . Dr told me that i won t be able to conceive the only way for me to have a baby is through ivf cause my tubes are closed and there is nothing that he can do about it. Can you please help me with something to use just to open them again. Very desparated | Hello, As tubal blockage has been confirmed on laparoscopy, it is bilateral and if operative procedure tried to open the tubes have not succeeded, then as your doctor has suggested correctly, IVF is the only option for you to conceive. As you are 28 years old, if there is no other factor for infertility, if husbands semen analysis is within normal limits, then you have good chance of success with IVF considering your age. But, still, it can not be 100%. Hope this information is useful. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | hi doctor, today noon, almost 7 hrs b4 me & my wife had a sexual inter cause, without precaution. as our first child is 18 mnt old only we r trying not 2 ve our second child now. what can we do now. is tre some tablets available now in market 2 avoid pregnancy? | Hi, There are emergency contraceptive pills which can be taken within 72 hours of unprotected sexual contact (more effective when taken as soon as possible)& should be taken under guidance of an obstetrician. Consult an obstetrician for continuation of contraceptive measures (IUD suitable for you) to avoid this kind of situation (unwanted pregnancy). Hope this ll help Thanks n regards (Chat Doctor. Com) |
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ηζθΏ°εηι«εΈει‘γ | I am pregnant and when my doctor had received my blood test results they had shown that I am a carrier for Cystic Fibrosis. My question is: Is it possible that the father of my child is the carrier and not me? I have had blood taken for tests in the past and this had never been brought up. And when I had looked up the symptoms for CF he seems to have them but had never gotten it checked out because of the fear of getting back bad news. | Hi there, Cystic fibrosis is a condition where the lungs of the person are affected and he/she could have breathing difficulties and repeated infections in the chest, he/she may also have digestive enzyme deficiency as it can also affect the pancreas. This is a genetic condition and the child is only affected if both parents are carriers or patients. A carrier, such as you, do not have symptoms of the disease but can give the disease to his/her kid if the other partner is also a carrier. You need to get your partner checked if he is a carrier of the defective cystic fibrosis gene or not. If he is not a carrier then there is no risk of your child developing cystic fibrosis. If he is a carrier there is a 1/4 that your baby may have cystic fibrosis, if found positive you need to meet with an Obstetrician who can do amniocentesis immediately. He suffering from cystic fibrosis is very unlikely as most men with cystic fibrosis are infertile and are unable to father a kid. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Hello. I am 3/4 of the way through root canal treatment and I currently have a temporary filling in place for 2 weeks. The root canal is completed, the last step being the crown being cemented down permenantly. I am however, experiencing some pain around the area and the area surrounding it. It is a dull ache which seems to linger. Is this normal with temporary fillings at this point in root canal?Thank you for your time. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query pain and sensitivity after root canal treatment occurs due to two reasons firstly there can be an infection which causes pain, that remain after root canal. Secondly sensitivity is caused due to periapical periodontal fibers. You should not go for crown placement till the time pain would not heal completely. I would suggest you to do warm saline gargles several times a day, maintain oral hygiene. Take ibuprofen (if not allergic) or acetaminophen, which will reduce pain and swelling. Consult your dentist again for proper evaluation and rule out condition like high point. Doctor may order X-ray to confirm diagnosis. He/she may prescribe antibiotics, release the high point or in case the infection doesn't go away with antibiotics then he/she may consider repeating the root canal again. Hope your concern has been resolved. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | I have hayfever and just started using cetirizine tablets, however I feel really weak and have a really red rash on both my cheeks forehead and chin but it s the worst on my cheeks with a few spots in it, the rash is very painful and blazing red like I ve been burnt. | Hi, Antihistamines like levocetrizine 5Β mg once at niftier usually effective at treating itching, sneezing and watery eyes, but they may not help with clearing a blocked nose.corticosteroid nasal sprays or Chat Doctor. . A decongestant, like oxymetazoline in the form of a nasal spray, can relieve this. Decongestants reduce the swelling of the blood vessels in your nose, which opens your nasal passage and makes breathing easier...regards |
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ηζθΏ°εηι«εΈει‘γ | I have a really itchy scrotum. My Dr has prescribed steroid creams in the past but they are not very effective so I stopped using them. For a while, I was slathering myself with vasoline which seemed to help for a while.but then the itching resumed so I have discontinued. I do hope you can help with this problem as i often scratch so hard that i bleed so this makes infection a hazard. Thank-you | HelloThanks for query. The itching of scrotum seems to be due to fungal infection Use topical antifungal ointment like Fluconazole twice daily. Ensure to wash your genital area with warm soap water twice daily before applying ointment. Ensure to wash your inner wares in boiling hot water mixed with antiseptic solution like Detail. Ensure to use loose inner wares. This will get cures within 5 days. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi Ive been on Nebido injections for the past 6 months as I was put on them by my consultant as he said Id never gone through puberty properly because of low testosterone. So basically my question is how long will all the changes take? Its just Ive met somebody recently but Ive always been very reluctant to get into a relationship as I wouldnt be able to have sex/get an errection. So I was wondering how long does it take till I can start getting erections and engaging in intercourse | Hi greetings. I understand your concern. Since your consultant told you that without testosterone injection you will not reach puberty meaning, either your testis is not producing enough testosterone or there is inadequate stimulus from your pituitary gland to the testis. Now I have no idea of your age, present hormonal status and your body stature.(I mean your hair pattern and size of the Penis etc.).IF TESTOSTERONE IS NOT PRODUCED IN YOUR BODY YOU WILL NEED THIS FOR A LONG TIME TILL YOU HAVE TO BE ACTIVE IN SEX. It depends up on the dose, and it is calculated as per your hormonal levels. It is safe, and you will be able to have normal sex. So don't worry about it and to know about your present stage discuss with your doctor as I have no access to examine you. Hope my answer helps you. Regards |
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ηζθΏ°εηι«εΈει‘γ | I ve got a lump on my upper palate , its hard and painless, I first noticed it 3 days ago, and it doesn t change. It may help you , but just before the New Year I ve got the problem with excessive mucus , and I went to doctors and CT it, but they said it s nothing to worry, but it never gone. My age is 39, female, smoker, height 174 cm, weight 65 kg. | Hi welcome to Chat Doctor, lump on the palate could be due to numerous causes, but looking at the symptoms you are stating it seems to related to salivary glands situated on the hard palate, there are numerous minor salivary glands situated in the region of hard palate, or it could be due to any infection of the teeth of the upper jaw, they are normally slow growing, if you could click a few photos of the swelling and send the soft copy(com images of the ct scan if you have or click pictures of the ct scan, then I will be able to guide you better. You can email me the picture at: Chat Doctor. Co.uk or [email protected] |
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ηζθΏ°εηι«εΈει‘γ | hi i have had a little pain in my lower abdomain for about 5 weeks ad a small lomp that hasnt grown, and the pain sometimes goes away, and i am still playing in my regular lacrosse games and it is not affecting it, i have regular bowel movements with no pain and the lump dosent move and i do get some acid reflex at night but does go away after a while and sometime i dont get any, what could it be? | Hi ! Good morning. I am Chat Doctor answering your query. Although it requires a physical examination, from the history alone, the lump could be an inguinal hernia which in its initial stages would cause some discomfort and pain. You would have to get it examined by a general surgeon in your area for confirmation. For the acid reflux specially at night, you could do the following:1) Elevate the head end of the bed with two blocks on each side, so that the regurgitation does not occur while lying down, and the contents of esophagus and stomach flow down with gravity.2) Some modification in your diet like more of roughage, enough liquids, avoidance of oily, fried, and fast food, and avoidance of alcoholic beverages and smoking if you do.3) Regular routine exercises like morning walk depending on your medical fitness.4) Prescription for a prokinetic agent and a proton pump inhibitor for symptomatic relief and to have a control on the acid production and facilitate movement of gastric contents downwards.5) Routine stool test for ova and cyst and treat them if positive. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am 31 yrs old and I have one daughter of 7 yrs,now as I want second baby,I am trying since 5 months to get pregnant , but no results. My periods are pretty regular.But I think the sperm fully comes out of my vagina after we work. Should I wait some more or see doctor? | Hi, thanks for query. As you had pregnancy earlier major causes of infertility are ruled out. Sperms coming out after relation has not impact on chances of pregnancy. You should visit a gynecologist and go for ovulation study to see whether it is normal or not. There are bright chances of you getting pregnant again. Just visit a doctor and look for any abnormality that you may have. Wishing you all the best for pregnancy. |
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ηζθΏ°εηι«εΈει‘γ | I m a certified personal trainer. After the birth of my son I have been having ALOT of back pain and other problems that didn t exist. THe doctors recently did an MRI and this is what was found. can you help me figure out what it means. Disc desiccation at L5-S1. Minor posterior bilateral paracentral bulging wild mild encrouchment upon the ventral thecal sace and mild central bilateral neural foraminal stenosis . Increase T2 weighter signal intensity along the posteral margin of the l%-S1 consistant with nannular tear. What does this mean? | Hello Heinrich. Welcome to Chat Doctor. As you have mention ur prob, the desiccation means Chat Doctor. .the function of disc is to act as cushion between the vertebrae bones and prevent the injury to the spinal cord and spinal nerves also. In your case the s little compression of spinal cord which is creating pain. This happened after delivery of your baby. During pregnancy the all the ligaments and muscle becomes lax due to hormonal secretion which is normal.but that takes time to regain normal strength after delivery. So u need to consult an orthopedic and physiotherapist. You need proper positional training, training to handle baby, and some exercises to get rid of pain. And u can strengthen your back muscle...to have a happy health fit life... With regards |
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ηζθΏ°εηι«εΈει‘γ | I live in northern Indiana. One hour ago I picked up a handful of leave in an outdoor stairwell and was bitten on my index finger by something I never saw. It felt like a bee sting with a small amount of bleeding. I treated it right away with hydrogen peroxide but I m concerned. The pain is less now. Not much swelling. Still aching. | HelloWelcome to ChatDoctori understand your concern. Most of the people with bee sting will have localized reaction to a bee sting. In the normal reaction to a bee sting, the skin will be reddened and painful. Swelling and/or itching may also occur, but the pain usually disappears over a few hours. So, i would advise you to 1.apply ice packs over the bite area2. Clean the area with soap and water, then apply HY Chat Doctor. Take antihistamines like chlorpheniramine male ate for itching and painkillers like ibuprofen. Hope you are happy with the answer. Thank you |
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ηζθΏ°εηι«εΈει‘γ | Yes, I have had pyloneohritis several times years ago. I now have a kidney infection with the bacteria that can cause it. I have had problems for several weeks because of back problems that I believe have masked the symptoms. So you always have fever with it? | Hello, Fever is not a disease but a natural defense mechanism of our body in response to any infection. So fever is an indicator of infection. Pyelonephritis means infection somewhere in the kidney. If you had correct treatment for that and infection subsided then there will be no fever. Fever can occur due to any infection in the body so let's have a complete checkup at your physician to know the cause of fever and subsequent treatment of the underlying infection. Take care. Hope this helps. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | yes my name is sherry hill and i have mastoiditis. I have a hole in my eardrum in my left ear i vant hear anything out of it and i recently was admitted into the hospital i got out january 21. I supposed to have followed up with an ear nose and throat doctor but i havent because i have no medicaid and no money i have taken all my antibiotics and now im having headaches like everyday i take tylenol it works for a little then it starts hurting again what should i do is this something serious? | Hi Sherry, I understand your difficult situation but as we all know healthy is better than wealthy. There are five stages of the disease, and it is better to stop it asap to have fewer complications like your hearing loss, intracranial extension of the infection etched you finish the treatment with antibiotics as your doctor prescription? Did you have ear discharge or temperature? If the answer is positiver than consulting ENT doctor is a MUST. The disease has severe complications, and it is better to follow up than cure the side effects of the disease. Hope that helped |
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ηζθΏ°εηι«εΈει‘γ | Dear doctors,Day by day, my drowziness is going from bad to worse. This morning I got up very, very drowzy. I am 65, of Indian decent from Malacca, Malaysia. I am diabetic. This mornings reading is 6.0 (fasting). On other days it my be up to 10.00 (fasting). I am on insulin ( 14.0) every night, and take a Metformin tablet at night and in the morning. My parents were diabetic. My blood pressure this morning (20.2.2011) is 122/78. Pulse 79. In June 2010 a doctor at the General Hospital told me that I had slightly low blood pressure (106/66), and advised me to increase my salt intake. I have been adding very tiny amounts of salt to my drinks. I do not excercise, except cut the grass once a week, have never been a sportman in my life. That did not prevent me from learning to fly microlight aircraft. I flew for three years(1995-1998). At that time I was very normal and didnt even know that I had diabetes. I am worried that the increased frequency of drowzniness may have something to do with a decreased flow of blood to my brains and that I may have a stroke soon. I cant afford to undego angiograms, by-pass surgery or any expensive treatment. I need advise. I live alone. Jeyapaul S. YYYY@YYYY | Hello, You need to check your blood sugars regularly in the early morning and midnight as well. You might be having low blood sugar levels during your sleep that is causing the Chat Doctor. I suggest you to visit your doctor for expert consultation and review your sugar chart properly and adjust your treatment according to your needs. 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 | I ve had implanon for 2 yrs now. When I first got it I bleed for about 6 months .. I have had may 3 periods since then .. maybe! I just recently started being more sexually active and started bleeding again I thought it was related to that but now I have been bleeding for about 3 months now and I m starting to think something is wrong | Hello, Thanks for posting your query. I have gone through it and understood your concern. Persistent bleeding after settling down with the contraception should call for further evaluation by an expert. You need a proper clinical examination, a sonogram of the pelvis preferably in the trans-vaginal route, blood counts, coagulation and liver profile and urinalysis. Pregnancy should be excluded. Local causes like erosion, polyps and infections should also be excluded. Weight disturbances, stress, infections and use of certain medications create hormone disturbances and can cause such bleeding. Hope you find this information useful. Wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | I have an oroantral fistula resulting from surgical extraction of an abscessed tooth two-and-a-half weeks ago. Aside from the fact that it interferes with normal talking, eating and drinking, Im worried that the OAF will not heal and lead to chronic sinusitis. What is the most successful method for treatment of an OAF? | Thanks for your query, I have gone through your query. The most accepted treatment of choice for managing the oraoantral fistula is the buccal pedicle or palatal pedicle or advancement flap positioning after removing the fistulous tract lining. Consult an oral and maxillofacial surgeon and get it done. Yes, if you won't get it treated, it will result in chronic maxillary sinusitis and pus discharge from the fistula. I hope my answer will help you, take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi, Im 27 years old and had surgery 2 days ago to remove my submandable gland, Since getting home yesterday I have has really bad pain in stomach area ( I feel like I have someone sat on my chest!) I have to keep taking deep breaths! Is this just my body getting back to normal after pain killers etc? should I go see the doctor tomorrow? | Hi! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would not consider the pain abdomen to be related in any way to your sub-mandibular gland removal surgery. I would definitely refer you to the ER of the hospital for a clinical examination and related investigations to rule out any intra-abdominal pathology requiring early attention. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I m having a large amount of panic attacks and depression I m currently unemployed and no insurance before I was on medication and seeing a therapist for 6 years can I use niacin for help until I can get some insurance I read that it s a vitamin that can possibly help with the chemicals in my brain | Dear serve understand your concerns went through your details. PANIC ATTACK a sudden overwhelming feeling of acute and disabling anxiety. Panic disorder is different from the normal fear and anxiety reactions to stressful events. Panic disorder is a serious condition that strikes without reason or warning. Symptoms of panic disorder include sudden attacks of fear and nervousness, as well as physical symptoms such as sweating and a racing heart. Panic attack always happens due to an underlying anxiety disorder. So you need to treat anxiety disorder. Anxiety disorder is treated with the help of counseling and psychotherapy. You should consult a psychologist. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hi im 29 I tookthe morning afterpill on a sunday two weeks ago. The friday after I took it I bled for 5 days despitemy period not being due for several more weeks. Ivehad indigestion tender breasts andmoodswings sincei took it along with occasional stomach pains how long will this last? | Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH) |
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ηζθΏ°εηι«εΈει‘γ | have had hepititus B (I think) for forty years or more from IV use, (three injections), 10 years ago I was diagnosed with Hep C with the new tests they have. Still smoking pot, two puffs a day, very little, and have one glass of wine a week or less. Have had hand tremors now for five year, seem to be getting worse. Does this automatically mean that my liver is deteriating? | Hi thanks for asking question. Noted you have hepatitis b and c both. Because of such long duration you might have cirrhosis of liver. And secondary to liver cirrhosis hepatic encephalopathy might develop that lead to tremors. So cirrhosis must be controlled by cutting oil in diet and more fruits and green leafy vegetables. Strictly alcohol should be avoided. Second possibility is secondary to alcohol you might have vitamin B deficiency that can lead such symptoms. So multivitamin B tablet can be taken for it. If you have increasing symptom consult surgeon for further work up. Take care. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have deep throbbing pain in my anterior shoulder area which radiates over my collarbone and sometimes up into my neck and ear. Sleeping on the afftected side makes it worse. Is this a rotator cuff problem. I am able to lift my arm above my head, does hurt to take a shirt off over my head though. | Hi. Before suggesting you anything I would like to know various details of your issue... Had you been to any kind of investigation to pinpoint your diagnosis of shoulder issue. I suggest you to go for an MRI for your shoulder... With your way of narrating symptoms the source of your shoulder pain could be from the coracoid process of scapula... I would like you to do... Icing frequently in your painful anterior aspect of shoulder... Do shoulder stability workouts to improve shoulder stability.should include retraction work... Do share with us the MRI reportDepending on the report... management protocol changes...however above suggested recommendations hold good to help you recover faster... Hope this is helpful for you. |
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ηζθΏ°εηι«εΈει‘γ | i hit my head about a 3 weeks ago, quite hard on a glass shower door, on my forehead above my eye, i did not knock my self out but went to the hospital a week later and was diagnosed with concussion still. I now have a dent there and still feel like i have concussion. | I read your question carefully, and I understand your concern. It is unclear though what do you mean by feeling to have a concussion, what symptoms do you have to make you think that. The presence of the dent is not indicative of concussion, it is an external manifestation, doesn't provide any information on what is happening inside the brain. Speaking in general it is possible for concussion symptoms like headache, fatigue, lack of concentration, sleeping difficulties etc. to last for several weeks even months. To say whether that is your case though as I said you should provide more information. I remain at your disposal for other questions. |
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ηζθΏ°εηι«εΈει‘γ | I have gotten a lump in the middle of my rib cage. It seemed to appear when exercising or sitting up. That movement of getting up made something in my stomach bulge out of my stomach. It is so painful i want to cry and scream all at the same time. I push it back into my stomach to make it go away. What do you think it might be? | Hi, Dear Thanks for the query to Chat Doctor virtual Clinic. I studied your query with available details given in your query. I understood your health concerns. Cause for the lump/painless-For the right treatment right diagnosis of the cause of the lump in the middle of your rib cage. Cause of lump -With the facts given from you, following possibility could be causing such a lump in your case-Epigastric Hernia/Ventral Hernia(if operation history is there with you)/Spiegelman Hernia(if lump is away from the center of the upper stomach)This lump occurs due to weakness in the Central line above the belly button. As your story of increasing bulge on stomach while getting up or while sitting up confirms this cause. So also the sever pain goes away, when you push that lump back in to your stomach/abdomen. Tests to Diagnose it-USG of the part and Second Opinion from ER Surgeon is advised Urgently, as it causes sever pain with screaming, which could complicate in to strangulation or obstruction of the hernial contents. This would help you to plan treatment with your doctor, whom you should plan your visit urgently, before it complicates anymore.Don't Self-treat or medicate in your case as the case may go in to further complications. Hope this reply would resolve your query and would help you to plan treatment with your doctor. Hope this would relieve of your health concerns. Welcome for any further query in this regard before final suggestions are given in your query. Wishing you fast recovery. Have a good day. Chat Doctor. N. Senior Surgical Specialist. |
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ηζθΏ°εηι«εΈει‘γ | sir, I t ook my MRI 3 years back and was told that there is mild retnolisthesis of L5-S1. I took medicine pregabio - 75mg once daily with some vitamin an painkillers and was ok for almost 3 ys but recently again it started may its my fault t lifted water bucket. I started the same medine and i read some where that it puts on weight . I am 42 years nad putting on weight what should I do. I am 5 ft 3 inch and weigh 56. kg. | Retrolisthesis is just a descriptive term to indicate one bone is misaligned on MRI more posteriorly than it should be but does not tell you why this is happening. There are many reasons this can happen but the only treatment to correct it is surgical. However this happens to many people and most people treat the pain symptomatically as you have. There are many options besides pregabalin if you are concerned about the side effects. You should discuss this further with your prescribing doctor |
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ηζθΏ°εηι«εΈει‘γ | Hi I am 31 n my husband too. I get normal periods regularly, my sonography looks fine, i get positive opk, with bbt rise every month. My husbands count is arnd210 millions. We are trying to conceive by timed intercourse for last 3-4 months? No success? | Hi I think you should try at least for a year if your periods are regular and there is no obvious problem. But if you want, you can go for some blood test like Thyroid profile and prolactin level. You can try ovulation induction with timed intercourse for conceiving if you don't conceive in next 6 to 8 months. Be in contact with your husband every 2 to 3 days after your periods stop. It will increase chance of pregnancy. Hope it helps. |
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ηζθΏ°εηι«εΈει‘γ | I m a 30 Indian Male, and I get both extremes of blood pressure. Recorded a high of 160/110 and a low of 68/45 on my digital sphygmanometer (or I think that is what it is called. I also suffer from arrythmia wherein my heart rate has often shot upto as high as 138 beats per minute. For my arrythmia is was prescribed Tenormin (varying doses by diff. doctors) for way too many years now. Even in low blood pressure, my heart rate is often as high as 110. Any cues for me? | Hello, Regarding your concern, I would explain that it is important performing some tests in order to investigate for some metabolic disorders which can mimic this clinical scenario. In this regard, I would recommend performing these tests: - a resting ECG and cardiac ultrasound-thyroid hormone levels for thyroid gland dysfunction- blood electrolytes for possible imbalance-kidney and liver function tests - a Doppler ultrasound of the renal arteries for possible narrowing-cortisol and aldosterone plasma levels for possible a Chat Doctor. Increasing the dose of Tenor min is necessary considering your high heart rate. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | In the past couple of years my husband has experienced pleural thickening, then pleural effusion with a partially collapsed lung. He has seen two pulmonologists and they have only taken regular cat scans. He now has a fatty liver with elevated GGT (124). He is not overweight and not a drinker. I am concerned that something more is going on now that he has liver problems also. Any suggestions? | Hello,1) Fatty liver and pleural thickening are not associated to each other.2) He needs liver evaluation, grade of fatty liver for fatty liver and this require USG abdomen/Ct scan abdomen. A follow-up evaluation is mandatory to check progression or regression in fatty liver.3) He need base-line lipid profile test and must be done every 6 months (even if he is not overweight) and USG abdomen every 3-months.4) He should follow instructions for pleural thickening as given by pulmonologist. |
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ηζθΏ°εηι«εΈει‘γ | I am having cold and cough regularly . Now I am also having fever for last 2 days . My body feels cold shivering and the temperature rises to 101 degree to 102 degree centigrade . I take crocin the fever subsides . I have severe problem of throat infection with itching in throat and when it further aggravates there is pain in throat . Right now its cold and cough and fever and I want to know if I can have Droxyl Clav 500 m.g. morning and evening 5 days . The nose is always blocked and I am disgusted with this as it is happening for months . Every alternate week or two week interval I get the infection and I take lots of steam and gargil . I just want to get relieved immediately as it is badly impacting my work . Got Droxyl Clav 500 which was suggested to me by an ENT doctor last year . Can I have now and will it give me relieve | Thanks for your query. From the history provided by you, it seems that you are having an upper respiratory tract infection (fever, throat irritation, cough). You haven't mentioned you age and gender though. Medications like Amoxicillin, Amoxycillin-Claveulenic acid (625 mg, thrice a day for 5-7 days) and Azithromycin (500Β mg once a day for 3/6 days) may help (better to take it after a physician examines you). Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I started a bad cough a couple months ago...its been better for a couple weeks now after lots of doctor appts, antibiotics, cough meds, musenex, allergy med, and finally steroids and an inhaler....i still cant take a real deep breath without forcefully coughing to the point ogf gagging...i also run a low grade temp alot...around 100? | Thanks for posting you query to Chat Doctor.chronic cough should be investigated first as you have taken the lot of antibiotics, so now you need to take treatment according to infective agent. I suggest you to go for.1. Sputum examination for a. aerobic culture and sensitivity. b. microscopic examination for tuberculous bacteria.these two infection will guide you about organism and its treatment plan.review me after investigation .hope you are satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My father is 55 years old. He has stones problem in gall bladder. When he sleeps facing left side, after 5-10 minutes he feel uneasy and had to change the sleeping direction. Please suggest what could be the problem? (His Heart checkup resulted normal) | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Your symptoms may be suggestive of gallbladder stones, so you should do at least ultrasound or CT scan to evaluate it more accurately. This is caused by stone in bile duct and is very common condition. Stones are seen more commonly in obese people and those with diabetes. You need to change your dietary habits first. Need to avoid fried food, carbonated Chat Doctor. You should eat more milk products, vegetables and boiled food. If there is no improvement on lifestyle or dietary changes, then surgery is recommended. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. |
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ηζθΏ°εηι«εΈει‘γ | I recently had the symptoms of kidney stones, i have been to the doctor and seems to think that is the cause of all the pain, however i have a scan due soon, but i have this dull ache on my side just above my right hip could this be due to the stone and i am still having blood in my urine after a week of the syptoms of kidney stones | Hi ! I have gone through your question and I understand your concern Yes your dull ache can be caused of the kidney stones also the blood in urine too. If the stones are in big size, and they keep being in the kidney they will irritate your urinary tract and so you will have symptoms. It could be also caused of infection of your urinary usually you will have burning during urination and frequent urination. Also, when you have stones for a long time they may cause kidney problem (HY Chat Doctor. If the stones are there you will keep having symptoms, so I would advise: |
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ηζθΏ°εηι«εΈει‘γ | I have a 5 month old baby who is very congested with a terrible cough. Its rattly/raspy and croupy sounding cough. She started choking on her coughs and the mucous that has come up. She also has a fever and runny nose. Should i take her to urgent care? | Thank you for using Chat Doctor. I would suggest that you see your doctor. Your baby maybe having bronchiolitis which is a lung infection common to your kids age. It is commonly caused by a virus. Albuterol via nebulization should be utilized in order to alleviate the wheezing and also help with the congestion. A decongestant can also be used for the colds. Also, it would also advise doing a chest X-ray in order to rule out other diseases (ex. pneumonia)sincerely, Mark RosarioGeneral pediatrics/Pediatric Pulmonology |
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ηζθΏ°εηι«εΈει‘γ | Hi I noticed a reb bumb like on the shaft of my penus I don t think its herpes but not sure it doesn t hurt at all only after I get done touching it and trying to get puss out of it then it does when I first did I had some white puss come out at first and it made a pop sound when I squessed it more and it poped and then just a yellowish color and blood came out I left it alone for a day or so and then squessed at it more and more white puss came out is that just a ingrown hair? | HelloThanks for query. The pus filled bump on shaft of the penis is infected sebaceous cyst. The penile 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 antibiotic like Doxycycline along with anti-inflammatory Chat Doctor. Please consult qualified General Surgeon for clinical evaluation and further treatment. If needed it may have to be excised in Toto. Under local anesthesia. |
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ηζθΏ°εηι«εΈει‘γ | I have a lump on the mastoid bone that was infamed and painful to touch, beginning three days ago. Also, had sore spot in back of throat on same side. I took aspirin, gargled salt water, and used nazal spray as home treatment. Now, thelump is smaller and throat is much improved,, but the lump is still painful to the touch. Cannot place that side of my head on pillow. Do you think I can wait a week or so before seeing a doctor. I have side effects to many drugs, and want to avoid an antibiotic. Thank you. Charlotte | Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged lymph node or cyst in that area. Ideally you should take a course of antibiotics. If it doesn't respond to treatment then you should go for biopsy. Most probably it is reactive lymph node. But biopsy diagnosis is advisable. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi I was drinking water and when I swallowed all of a sudden there was a big pop in my chest between my breast bone my friend sitting away from me said WHAT WAS THAT ? It was that loud it hurt alittle buti didnt think to much of it later that nite I went to the bathroom and filled the toilet with bright red blood please can u tell me what happened or if i need to go on to the dr about this ? | Thanks for your question on Chat Doctor. I can understand your concern. That loud sound while swallowing is mostly due to burping and belching office gas from the stomach. This is normal and can be seen in gastritis. But more important thing than this sound is blood in stool. This is known as dysentery and most common cause for this is intestinal infection. Other causes anal piles, anal fissures. Gastric ulcers etc. So better to consult gastroenterologist and get done 1. Upper GIs copy for gastritis and gastric ulcer 2. Anal and rectal examination for piles and fissures. Don't worry, with appropriate treatment, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | HI, THERE DOC. my age is 24.i have been married for 7 years.Me & my hubby r trying to conceive for last 1 years. but still no result. I am a SLE paitent. My SLE is stable right now. Do i need to stop my SLE medicines to conceive. I am taking reconil 200mg (1.5+0+0). i HAVE GOT PCO ALSO.I AM TAKING OVACARE(0+0+1) EVERYDAY. | Hi, first you're suffering from SHE which one is a multi system chronic autoimmune disease which cover many system/organ of over body. And you have told that at present you have stable SHE. Means your treatment of line has control over SHE. So don't think to stop for medicine or treatment. And you have developed the pod which may be a consequence of SHE. As per your infertility problem you have to consult to your physician for SHE and gynecologist for pod and infertility both. But you need both specialist. Get well soon. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my son is 16 month old and he has developed a rash since Friday, on his stomach front area and spreading around the back now. It looks like heat lumps/sweat rash, but some of the spots are now turning out with blister like lumps on, so I am thinking he maybe has chicken pox ? | Thank you for choosing Chat Doctor.usually, chicken pox presents with rashes and FEVER. If your kid developed fever before the rashes came out, your kid most probably has chicken pox (basing on the way you describe the rashes). If with no fever, you might be dealing with another entity (probably allergy). Also, did your kid have chicken pox shots?sincerely, Mark RosarioGeneral Pediatrics/Pediatric Pulmonology |
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ηζθΏ°εηι«εΈει‘γ | Hi.. I had a fibroadenoma in my left side of the breast.When i consulted the physician,he said not to operate it.He gave me Danogen-50,and asked me to continue it for 2 months.This my first month and 2nd week,but now am getting some pains in my food path and stomach too.Is this is because of dosage? | Hi, Yes, pain in the food pipe and stomach is due to the side effect of danogen-50. Nausea, heart burn, dyspepsia or epigastric pain may occur with the use of danogen-50. It may be due to the dosage taken. It can be prevented by stomach acid suppressant like antacid or proton pump inhibitor. Talk to your doctor about reducing its dosage or switching to another Chat Doctor. I advise certain lifestyle changes to prevent this problem like:- Avoid lying down soon after taking a medicine-Elevate the head of the bed-Avoid spicy foods, alcohol and coffee Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I was diagnoised with neuropathy over nine years ago I was given a nerve stimulation test 3 times on each leg nerves so damaged ICOULD NOT TOLERATE IT so the nerologist told my MD he would not put me through that again after many med tries I have had good results with duragesic patches on a 24/36 hr schedule along with xxanax I also am w/c bound with arthritis and now for some reason neuropathy has become uncontrolable with the xxanax not holding for more than 2-21/2 hours may doseage of xxanax is 1mg every 4 hours 7 x per day my MD doesn t have faith in what I say and neither does my family my husband does to some intent it scares him if stuff makes me sleepy but lately it has no effect. please help | Hello and welcome to Chat Doctor. Thanks for your query. 7 tablets a day of Xanax is definitely excessive and indicates that you have developed an addiction / dependence on the medication. You must remember that long term use of benzodiazepines, like Xanax can result in "tolerance" to the medication - which means that progressively higher and more frequent doses will be required to produce the same effect. So, increasing the dose is not only dangerous but will just push you into more dependence. I would advise you to consult a psychiatrist for further help in coming off the Xanax, and planning other treatment strategies to tackle your chronic pain. Wish you all the best. |
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ηζθΏ°εηι«εΈει‘γ | Hello, about a year ago, I bit a small part of my upper lip. It usually shouldnt be a problem because it heals and closes, but in my case its not doing that. Every 3-4 days, a new layer of skin forms, and starts pealing, and eventually peels off completely. After another 3-4 days a new skin layer forms again, then start peeling, and goes away completely also. This has been going on for 1 year, there is no bleeding associated with it, but this wound just won`t heal and close, and a new skin layer forms and peals every 3-4 days. I tried using every medical lip stick I know off and all sort of things but they are not working. What is the solution? | Hi Dear, Welcome to Chat Doctor. Understanding your concern. Lip bite is very common kind of thing and there is no need to be panic about it. The area will take around week to heal but as you having recurrence It's due to frequent licking of your lips which leads to formation of cracks in skin and eventually fungal infection there. It could be due to riboflavin deficiency as well. I would suggest you to :-- Maintain proper oral hygiene.- Do HY Chat Doctor. Mix HY |
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ηζθΏ°εηι«εΈει‘γ | hello, i have been advised to take fertyl super 100 mg from starting from day 2 of my period till the day 10. is it correct ? my age is 32. | Hi Welcome to Chat Doctor Ferry super 100 is camphene citrate 100 mg tablet and dosage schedule given to you is extended camphene citrate regimen. Extended camphene citrate regimen is therapy for the management of clomiphene-resistant women with polycystic ovary syn Chat Doctor. The extended camphene citrate regimen result in modest ovulation and pregnancy rates with no side effects. This therapy seems to offer economic, efficacy and safety advantages, and it is worth undergoing before starting more expensive or sophisticated alternatives. So your doctor is trying best for you, going step by step. Keep faith and keep trying. All the very best. Take care. |
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ηζθΏ°εηι«εΈει‘γ | I have a eye problem that i think is due to allergies so i get weekly shots in hopes of getting rid of this 5 years puffy, droopy, painful eye problems that was recommended by my allergist. How effective are these shots? Will it help with my eye issue? | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know more details about your eye symptoms and how allergies were diagnosed.2. Allergic conjunctivitis/rhino conjunctivitis responds better to allergy shots (immunotherapy). Usual symptoms are eye itching, animation, redness, etc.3. Swelling around eyes, if due to allergic angioedema, may respond to allergy shots.4. However, most of the eye allergies do not have eye pain. So I would like to know what is the cause of painful eyes.5. It requires very detailed information about your problems, previous treatments, investigations, etc. to make more specific suggestions. Hope above information will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | Ive had a tight chest for about a week now. It feels as if its hard to get a deep breath at times. What could this be? Chest xray came back normal. Dr ordered blood tests, thyroid etc. I was told by a dr at Urgent Care that he thought it was anxiety. I dont feel its anxiety as this has been going on for a week now and it happens even when Im not stressed about anything. The first day it started my chest was really tight, I felt dizzy, sweaty and had the chills. Everyday after that is just tight chest, hard time getting a good breath and occasionally feeling weird...perhaps dizzy or light headed. What could this be? Im 27 and take good care of myself. Im not overweight and I run 3 times a week. | Hello! Thank you for asking on Chat Doctor! Regarding your concern, I would explain that your symptoms do not seem to be related to any cardiac disorders. Anxiety or musculoskeletal pain could also explain your symptoms. Nevertheless, I would recommend performing some other tests to exclude other possible causes: - respiratory function tests to exclude a lung disorder- PCR, ESR for inflammation - thyroid hormone levels for thyroid dysfunction- a resting ECG. In the meantime, I would recommend trying alprazolam. If it helps, it would indicate possible anxiety underlying your symptoms. Hope to have been helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | I am Somnath Age-,My Semen Report is Vol-2.5 Ml Viscosity -Mucoid Reaction -Acidic ,Total Sperm Count-20 milions but morphology is 27% Normal & motility 30 min active 20% 1HRS Active 15% 2HRS Active 05% my Faimily Doctor is prescribe Tribulus Terr Q Already I five Pcs daily twice drink it 30 drops . I know best solution. | helloThanks for query. Based on the report of your semen analysis that to have posted I would state that your sperm count is very low compared to WHO standards (Oligospermia)and your semen is acidic in nature. It is vital important for semen pH to be alkaline so as for sperms to survive in acidic environment in vagina and to move forwards in to uterine cavity to fertilize female egg to result in to pregnancy. The Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I am 29 and trying to conceive. Me and my husband have gone through all the tests suggested by gyne and the reports are normal. I had the problem of irregular periods, for that gyne has given me oosure and bigomet. Is it safe to take these medicines? | Hi, It is safe and in fact needed since you have irregular periods most likely due to improper ovulation. These medications help in monitoring insulin levels in the body and thus help in ovulation. Once ovulation is regularly established, you can proceed with your plan to conceive. Please remember, regular monitoring is necessary while on these medications as there is a risk of ovarian hyper-stimulation. Please maintain a healthy weight and a healthy diet. Wish you good health and success. |
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ηζθΏ°εηι«εΈει‘γ | i have cough and bronchodilators are not working.earlier omnicortel 20 ,10,5 was also given but did not work.doctors say your lungs and chest are clear.One of the doctor have now suggested defcort 30.one tablet for 5 days.i understand that its a steroid.shold i take this.age 52 height 5.2ft weight 62 kg.doctors say i am suffering from allergic asthma | Hellos you mentioned that you are a patient of allergic asthma and for symptoms used omnacortril ( prednisolone) . But you didn't get relief. Now your doctor advise DEFLAZACORT 30 mg / day for 5 day. I am sorry to say this is not fit for you (in my opinion and very dangerous for life).Anyhow, allergic asthma is there. When such type of patient visit my clinic I prescribe them to take montelukast+albuterol (combo pack) one tablet once or twice in day depending upon the severity of symptoms and condition of patient. As montelukast is the most potent antihistamine (anti-allergic) , while albuterol is most potent and acceptable bronchodilator. Since this is a prescription Chat Doctor. Avoidance for mite, dust, hay, fodder, pollen, molds, sudden fall & rise of temperature will help you because these are triggering factors for asthma and allergy. Hope this will help you. |
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ηζθΏ°εηι«εΈει‘γ | My husbands MRI came back stating there is a focal region of cystic encephalomalacia and gliosis in the left cerebral hemisphere primarily within the portion of the head and body of the left caudate nucleus. I have been trying to find a explanation online with no luck. Please explain what that means and symptoms. | Hello Cystic encephalomalacia/gloss refers to loss of normal brain tissue, and it is filled by glial cells. It may be due to many reasons like post trauma, infection,ischemia/stroke etc. Gliosis is a reparative mechanism in brain tissue. There is small area of gloss in your husbands case. This condition doesn't need any specific treatment. It is a healed stage and patient only need symptomatic treatment. Get well soon. Take Care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | i had follicle study on 12th day . endometric is 5.1 and in right ovary multipal follicle occur but the largest is 1.26cm ... and no fluid found in pod.... ow my doctor asked me to come on 14th day for further follicle study . is this helpful...... now is this mean that i will definitely have periods this time | Hi SWAT, Welcome to Chat Doctor.First your baseline status of follicles in the ovary has to be assessed by 7th day of your period. If there is increase in size of follicle from that baseline study, it is informative. Starting the follicle growth study on 12th day may be misleading and tend to be misinterpreted. From the data provided by you the follicle growth(if it did increase from its baseline status) is not satisfactory. Endometrium thickness is also on the lower side. From this single study nothing much can be predicted. As suggested by your doctor, repeat the scan and see if there is any progress in the follicle and endometrial maturity. Wish you all the best. |
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ηζθΏ°εηι«εΈει‘γ | I was in the hospital for hypertension and the doctor gave me amlodipine bestlayte 5m and I have been feeling the same, I lose my appite and I dont feel like talking to anyone, and My saliva feels like water should I stop taking the pill or wait and continue taking them and make an appoiment with my doctor? or is this normal? | Hello, thanks for posting a question on Chat Doctor. I understand what you are going through. When I usually prescribe amlodipine for my patients, some complaint of nausea and other symptoms. A majority of them report that the symptom goes away after few weeks of taking continuously taking the medication. I will advise you consult your physician for an alternative medication if you continue to have this symptom. Wishing you a good health. |
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ηζθΏ°εηι«εΈει‘γ | hello. I had a dimple creation surgery done, and I dont want to take the amoxicillin, so I am holding it off... if infections occure later on, can I take it then and would it work? Also if infections were to occur, how long after surgery does it usually start showing and what would be the symptoms? Thank you. | Hi. Welcome to Chat Doctor. I have gone through your query and can understand your concerns. As per your complaint as you have got Dimple Creation Surgery done, or you get any other surgical procedures done you are given an antibiotic cover to prevent infection at the surgical site. In case if you do not take the antibiotics you become more prone to get infected. Even if you get infected the healing will take a longer time to occur even after taking antibiotics. I would therefore suggest you to take the antibiotic amoxicillin as advised to you by your surgeon and also follow the post-operative instructions genuinely to prevent complications. Hope this information helps. Thanks and regards. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, I having abdominal pain on right side. So I have underwent ultrasound scan. Report as follows - Hepatomegaly - multiple echogenic lesions in non dependant wall of gallbladder -polyps/ adherent calculi and rest reported as normal. and suggested to have medicine the Ropraz D SR After that I facing this pain almost daily. Seems to be not cured. Kindly help/ advie Regards, Preetham 0000-0000 YYYY@YYYY Bangalore | Hello Lawrence. Thanks for posting your query. I think you may be suffering from gall bladder calculi. However, your ultrasound findings were not conclusive, even though it showed some echogenic lesions. I would suggest you undergo repeat ultrasound abdomen, after fasting for 4-6 hrs. If gallstones are detected, you need to undergo laparoscopic cholecystectomy. Hope this helps. Do ask if you have more questions. |
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ηζθΏ°εηι«εΈει‘γ | hello, my son son has just started taking vayrin at the request of his doctor who is trying to address his ocd adhd and lack of focus. he is also diagnosed with IDD and autism spectrum besides bipolar disorder. He is very sensitive to many meds and supplements in an adverse way. I am concerned this is making his OCD worse. Any feedback is appreciated. | Hello thanks for askingVayarin is a dietary therapy for treatment and management of ADHD. The therapy is supposed to help in controlling ADD symptoms. But I am afraid the therapy will not help in OCD. For OCD, he should be given proper treatment. Medicines like SSRIs like Fluoxetine or Paroxetine are used for treatment. Apart from medicines behavior therapy also has great rolled in OCD. Please consult his psychiatrist for the management of OCD. Thanks |
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ηζθΏ°εηι«εΈει‘γ | Hi Dr. Prasad. I am a 23 year old male and over the past few days I have been noticing a strange redness on the opening of my urethra . I opened it slightly with my fingers and can see 2 or 3 small bright red bumps. Almost as if they are hidden in the opening of the urethra. When I stand normally, the opening of the urethra is very red in one spot about 2 or 3 millimetres big. What could this be? Thanks | Hello, Thanks for the consult. Brief answer, This may be due to urethritis or any sexually transmitted diseaseExplanation,1. I have seen your query. I am happy to help you. You already mentioned that you have red bumps at the site of urethral opening2. This red bumps may be due to urethritis which is commonly due to gonococcus or any sexually transmitted diseases like herpes or syphilis3. Kindly do urine examination for bacteria, V Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi,Im 48 years old female,I never had abdominal pain problem. In October last year I accidentally swallowed salmon bone and had an endoscopy, the doctor didnt find fish bone,the result was normal, but 2 days later I experienced bloated stomach with pains around my belly button and under my left and right ribs. ULTRASOUND was okay. I was tested for h pylori and was positive. After my treatment with triple therapy for H pylori ON 12TH DAY i started to experience constant burping and filling something is stuck in my esophagus. H pylori was eradicated but now i have worse symptoms than h pylori FOR 6 MONTHS .Also I have occasional pains around my belly button on the right side and under the ribs. I dont have burning sensation. | Hi ! Good morning. I am Chat Doctor answering your query. If I were your doctor, I would advise you not to eat any food from outside if you do, specially fast, fried, oily and spicy food. Food from outside could bring on infections into your stomach which might become chronic and resistant to infection. So, I would advise you also for a routine stool test for ova and cyst, and treat it if positive. I would also try to rule out a chronic UTI (urinary tract infection) by a urine test (routine/microscopic/culture and sensitivity). If all these are negative, and you continue to have such kind of pain, I would advise you for a CT scan of abdomen, or for a diagnostic laparoscopy to rule out any intro abdominal pathology which might not have been picked up on ultrasound. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I was hospitalised about 3 weeks ago due to staff in my blood stream, abses on my sacram and a staff infection on the tendon in my left ankle. They sent me hme a week later with a pick line and I seemed to do good the first week but then they changed my antibiotic and my dressing an ever since ive felt like I can tell the infections still in my body if not gettin worse now, I hqve a constant burning pain from elbow under arm pit an the whole chest an shoulder on the side of picc line, feeling week, sore cramped muscles an swelling is back in my ankle. Not to mention the nurse who changed my dressing didnt wear gloves and pulled the pick line out about an inch an a half then pushed back in about a half inch not including after that I lifted my arm up an the muscle pushed the line out an inch so I hurryd and layed my arm down with jamed that inch back in.. I dnt feel right at all I believe but I mite just be paranoid. .. wat should. I do? | Hello, Thanks for your query. Antibiotics are used to treat staph infections. There's another treatment sometimes used with staph infections. If the infection goes so deep that it involves muscles or fibers that enclose muscles, it needs to be surgically cleaned. A staph infection is contagious if the wound is weeping or Chat Doctor. If the sore becomes unusually painful or red, get prompt medical attention. 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,I have been chewing pan masalas and gutkhas for about 5 years and now since past 4 years i have completely left it.but i found myself a problem that i am unable to open my mouth at full. so could you please tell me the solution and to which specialist should i need to consult and is it a... | Hello have gone through your query.first its God that you have stopped taken gut or pan masala.BT as you have taken it before you got a condition called oral submucous fibrosis(OSF).are you having any burning sensation also while taking spicy and hot food. Treatment for OSF is to quit the habit first DAT you have done. Take antioxidant tab with lycopene like ms fire tab twice daily for three months. Depending upon the severity escort gel or submucosal in can be taken. Check whether your mouth opening is three fingers, two fingers or even less. For severe cases surgical procedure can be done. Certain mouth exercise also helps to improve the symptomsVisit a dentist to find out severity of your condition. Hope this ans helpsRegards |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,My mother has a big-time issue with itching on all parts of her body. She is 66 years old and has blood pressure and thyroid. Kindly suggest. | Hello, Welcome to Chat Doctor forum. Itching can be due to ChatDoctor. Please get comprehensive blood work done to rule out these causes. Please treat according to the cause. Symptomatic treatment includes using calamine lotion, Cala |
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ηζθΏ°εηι«εΈει‘γ | hi,I am 49 years old , just had a root canal in my upper right molar 2 days ago, and since then i have a clear yellow liquid coming out of my right nostril specially when i bent ? is it dangerous to wait 2 days till i go to my doctor ?can it be brain leakage ? Ihab | Hello, No brain leakage should occur from a root canal. You may have a fistula that has made a pathway into your sinus. This would allow nasal Chat Doctor. Antibiotics such as amoxicillin should be prescribed to HEL this to resolve. If there is a communication into the sinus this needs time to heal and often will on its own once the source of the infection is removed. Do not create stress or blow your nose. Limit bending. Gently wipe your nose. Decongestants and saline nasal spray may be helpful. Anti-inflammatory medication such as the antihistamine Ben |
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ηζθΏ°εηι«εΈει‘γ | Lower backache I am experiencing backache from 2 months. I am 24 years old. I lost abt 20 kgs in about 9 to 10 months. now i am 62 kgs and height 163cms. backache started after doing a few exercises in the gym. I quit the gym a month back but backache is getting worse. plz suggest what i need to do now. | Welcome to Chat Doctor. 1. It is too much to lose 20 kg over so short period - in this case I would look for any pathology in the body.2. The back ace in this age should be eased off with simple back exercises followed by physiotherapy.3. In this case I would recommend getting an MRI spine done that will assess the possible cause of the pain and can be treated accordingly.4. If you are doing exercises in order to lose weight - please stop it as your good enough for your height anymore will be underweight.5.Finally, ultrasound abdomen will assess the possible cause and solid organ pathologies and any lymphadenopathy. 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 | Hello doctor,Please find attached the blood test report. Highlighted in bold are the tests which are out of range. Can you please advice on the reasons and corrective measures to get the exceeded test values in control? Do I need to perform any follow-up tests? I have got the blood test profile checked just as a general checkup and not specific to any illness (I get it checked once every two years). | Hello. I have gone through all your reports (attachment removed to protect patient identity) and I am impressed with your overall health. However, there are a few things that need to be sorted out. Your total red blood cells and hemoglobin levels are slightly increased than normal but not significant in the absence of symptoms like headache, hypertension, itching in the body after a warm bath, etc. If you are a long-term smoker, this could be a cause of the slight increase. Do you have any chronic lung disease or kidney disease that is known to you? Also, I see that your serum lipase is a little off, it usually indicates pancreatitis. Are your suffering from any symptoms like abdominal pain, fever, nausea, or vomiting? I suggest you repeat serum lipase. For more information consult a family physician online Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, My brother is facing some issues now a days, he feels like fainting and puke after sometime. it has happend twice in this week, but never before that. once he was in Gym and had not taken proper intake. and sec. time he was in office in morning when he encountered it. he is only 22. well physic, hgt.- 5.10, wt.- 64, i consulted a doc. and he said his body is completely fine but there can be a problem with the brain and suggested to took MRI and EEG tests to know it better. please suggest which is the best center in PUNE to perform these tests along with the approx cost, and are these symptoms dangerous. we dont have any heriditry problem. | His had gone through your question and understand your concern. First, let me assure you that these symptoms are NOT dangerous or serious. A person can suffer these symptoms due to various reason, and deny Chat Doctor. If I were your physician, then I would have gone for rather smaller tests like He, CBC, etc. Also get your brothers blood pressure checked. Anyway, an MRI scan can you around Rs 7000/- and EEG around Rs 700-1200/-. I hope this information was of help. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hello I am currently 5 days late and began having these dull cramps in my abdomen few days before my period should have started and then 2 days after it should have started. Then the pain shifted to a combo of sharp and dull left sided pain. I have taken 3 hpt (one on the missed day and one two days after and the third yesterday ) all neg. Am I pregnant with ChatDoctor hormones that are too low to be detected? If so should I wait another week to test or is it too early to get a blood test? If this isnt a preg what else is wrong? | Hi. Thanks for your query. Repeat the test after 5 days(you are already late by 5 days). There can be another reasons like enteritis or ovarian pain and so on. It there is no other symptoms, wait and watch. You may take a symptomatic treatment like anti-spasmodic tablets if the pain is unbearable. It there is development of further symptoms like distension, loose motion, fever etc., get a clinical opinion and treatment. |
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ηζθΏ°εηι«εΈει‘γ | hello i have genital warts, as told by my doctor. there not big warts at all there actually small. but my doctor gave me this cream and since i have applied it my clitorus is seeming like it has like light pinkesh spots forming around it. and when i pee it burns, what could this mean? | Hi Small warts are best handled with a local cream application. You are on the right tract. The pinkish spots on your clitoris is due to local irritation from the cream. It will pass away. Just apply the cream with much care. With local irritation around the clitoris, burning sensation at urination is common. I will ask you not to be worried. If the pains become too intense, you can then see the Doctor. Wish you the best |
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ηζθΏ°εηι«εΈει‘γ | hallo doc, im 26 year old married women, yesterday when i have sex with my partner i swallow some semen and i heard that, swallowing of semen will makes a lady fat.my husband likes me drinking his semen. i dont want be fatty. so kindly help me on this. | Degree understand your concerns went through your details. Semen contains both albumin (a protein structure) and free amino acids. Semen is edible, and it passes through your digestive tract like any other edible item. Body absorbs whatever it can and leaves rest. Proteins, if taken in excess, converts into fat. That happens only if protein intake is in excess than what you actually require. Weight gain is possible only then. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | i slightly twisted my ankle this morning, but caught myself before it actually twisted. i was able to walk on it all day and had no pain. I even forgot it happened. When I got home from work and got out of the car, i noticed it hurt on the top of my foot. I proceeded to walk my dog and was limping before walking around the block. I am still limping around the house. I can put weight on it, but not walk on it. What is wrong? it is the top middle to outer part of my right foot. | Hello, Thanks for writing to us, I have studied your case with diligence. As per your history pattern there can be tear in ankle ligament leading PAIN. I will advise doing MRI ankle for soft tissue involvement. Till time, you can continue physiotherapy exercises and also use supportive splint or brace. Physiotherapy like ultrasound and TENS will help in early healing. If there is complete ligament tear then arthroscopic ankle ligament repair can be done or if capsular tightness is severe then release can be done. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. |
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ηζθΏ°εηι«εΈει‘γ | I m having a really, really, REALLY hard time breathing. Maybe it s because I m classified overweight or I have severe anxiety, but I don t believe this is the case. I ve been overweight since the end of elementary and my severe anxiety has been with me for almost two years, but these new problems have only appeared in the past year or so. Even at rest, if I don t focus all of my energy on breathing normally, I breathe like I just ran five miles. And exerting myself, even a little (like going upstairs, picking up something and moving it somewhere else), leaves me completely breathless for at least five minutes, normally longer. And it actually hurts to breathe. My lungs are always burning and my throat feels like someone s clawing at it from the inside. It just feels like I never have enough air around me to take in. | If you can focus your body into breathing normally and succeed, you do not have a problem with your lungs or your heart as if you did, you would never succeed without treatment. You could be having obstructive sleep apnea syn Chat Doctor. The upper airway collapses on breathing in and this causing excess snoring at night and lethargy and sleepiness in the daytime. You have no energy because you haven't slept well. The treatment is losing weight and nasal CPAP. A small surgery of the upper airway is also helpful. You need to get a test called polysomnography to diagnose this. If your chest and throat are burning, you might have a gastric reflux. Would suggest an endoscopy and pantoprazole/ coastal for 10 days. |
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ηζθΏ°εηι«εΈει‘γ | my son is suffering from microcephly and cerebral palacy.He is six and half years old. He can not walk, stand ,speak and hold things.Can he be treated? Hello Dr. my son is six and half years old. he is sufferinf from microcephly and cerebral palasy.he can not stand, walk, speak and hold things.Is there any treatment for him in any steam of medical science?Please answer my tis queston?Plz. | Hi archaea, I'm really sorry for your state. Cerebral palsy is a disorder of development. Your son unfortunately has a small brain which is not adequately developed due to some event during birth or any cause which is unknown. Unfortunately there is no cure for it. However, there is a lot of scope for improvement with proper training for him. With regular exercises, he can be trained to do his daily activity in such a way so that his disability can be limited. You need to find out which hospital has a good scope for managing such child Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Auto crash airbag deployed 13 days ago. Chest pain has diminished. feels like sternum is bruised, cannot see anything but chest hurts, specially when cughing, burping, etc. Breasts sensitive to touch and hurt all the time. Unimpeded breething and eating. Pain is getting better as time goes by. Chest nipples hurt. especially when bending down. Do I need to see a doctor or will this pain disappear with time? | Thanks for your question on Chat Doctor. I can understand your situation and problem. No need to worry much for this. This will mostly improve by its own in 1-2 weeks time. You had blunt chest trauma. And musculoskeletal injury is common after this. You are not having breathlessness or unbearable chest pain, so possibility of internal lung damage is very less. Your pain is improving, so you will mostly improve in 10-15 s days. For quick recovery do following things. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller and muscle relaxant Chat Doctor. 5. Apply warm water pad on affected areas. These will surely help you more. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,Daily after my shower, my face turns red with rash. This has been happening since years. I have changed my soap and face wash several times. Besides, I have lived in many cities; this happens every time and everywhere. What could be the reason? What should I do for it? Please help. | Hi, Welcome to Chat Doctor forum. From your history it appears that, you are suffering from cholinergic urticaria or heat hives. This condition of being hypersensitive or extremely sensitive to heat or the response of sweating. People with this condition often wonder why they feel itch when they exercise or any time they seem to get hot. It can be sensitivity to cold water also. Heat hives can occur at any age and can come and go often without treatment but in some it persists. As you said, after exposure to hot or cold water the skin will become red and sometimes itchy lesions will appear. Itching or burning sensation during the initial attack is common, and normally goes away when the overall body temperature has cooled. No effective treatment is yet available to cure cholinergic urticaria except avoidance of trigger factors. Tablets like Levocetirizine or Desloratadine are only helpful for short periods. Avoidance of trigger should be your first priority. Oxyhive treatment is sometimes helpful. |
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ηζθΏ°εηι«εΈει‘γ | So to make this short and quick Im a 33 year old male who has been disabled by a loosely or undiagnosed condition, as I see it, including symptoms ranging from chronic neck pain, eye pain, muscle spasms, body wide muscle tension, neurologic abnormalities, cervical radiculopathy, fatigue, pain in lower back/coccyx, low testosterone, low vitamin D, osteophytes mainly in my cervical spine/lumbar spine, mild stenosis in cervical, many different blood work abnormalities(IGG IBB.... antibody, ACE high, low RBC, high rheum factor, etc. Ive been seeing my pain management dr. for about 1 1/2 years+ who is a nurse practitioner. She seems to know less about pain management than I have accumulated throughout my 3 years of debilitating pain, and treats me like Im a statistic. Ive never violated my pain contract in anyway and have passed all of my drug tests. Ive also given her permission to talk to my family, friends, girlfriend, doctors. Anyways, my question is when is it time to seek the care of a new pain doctor. Ive gotten every procedure that theyve suggested, continue to see a slew of dr.s trying to get a confirmed dx so that I can work at the core of the problem and not just the symptoms. I realize I forgot to mention my problem with her care. She has me on 75mcg fentanyl patch, which has been the only long acting medication that even keeps me moderately functional though she refuses to prescribe a short acting med for breakthrough pain. Shes been putting me on a wild goose chase where she tells me to do something like see a pain psychologist then tells me not to, then told me to see him again last week. I feel that my pain is the primary symptom that is keeping me from finishing my bachelors and being a more functional person. I dont want to be on opiates all my life but I believe that keeping me as functional as possible until I find out what is causing all of this is a lot better than not. Ive tried physical therapy, yoga, meditation, ice packs, heat, hot baths w/ magnesium, distraction, etc. and nothing else seems to help. My PCP, psychiatrist, and family all believe its a logical idea but she does not. There is a Dr. in charge of the pain center and the last ditch effort is to ask him to intervene but Im afraid of getting nowhere and if I have to find a new Dr. I know that many are reluctant to take on patients whove seen pain doctors in the past. I hope you may help steer me in the right direction. Thanks in advance. Sincerely,Matthew Olsen | Hi Dear Mathew welcome to ChatDoctoryour concern regarding your health is normal, and you have got degenerative changes in your bones very early due to inflammation of joints and synovial membrane, I will advise you to visit again your orthopedic Doctor and ask him for further investigation like CRP, ANA, and HLAB27there are some immunomodulator which can retard the progress of ailment and some time reverse it, for pain management you can try Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | is there an over the counter substitute for dicloflex? My husband was given them for kidney stones, but he away on business, and will run out of med. Should he be taking them everyday, even if he not experiencing pain? he has been takin 3 daily. Can he cut down to 1 or 2 a day? | Hi, Thanks for your question. Tab Dicloflex contains Diclofenac sodium which is a NSAID (Non-Steroidal Anti-inflammatory Chat Doctor. In kidney stone it is used to subside pain, it has no effect on stone its self. In kidney stone pain is severe when stone is moving down the ureter. Stones in kidney rarely cause severe pain. That's why Tab Dicloflex should be taken only when there is pain. During asymptomatic period the stone is either in kidney or urinary bladder. And there is no need for painkiller medicine. So he should use the medicine AAS and when required i.e. during the period of pain. Consult neurosurgeon for definitive management of kidney stone, it will depend on exact location, size and number of stones. Hope this helps you, if so do vote as thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi, i recently had a deep dental cleaning and cannot open my mouth more than an inch. painful and it s like it s locked and i cannot eat food either. only liquids. doctor had to give me high doses of shots b/c novacain doesn t take effect. Dentist perscribed me an anti biotic and predisone and said I got acid in my muscle tissues in my mouth which apparently isn t uncommon. he said it could takes weeks before i can open my mouth. i ve never heard of anything like this before. any suggestions? YYYY@YYYY Thank you! | Thanks for your query. I have gone through your query. The limited or difficulty in mouth opening can be because of the trauma to the muscles while injecting local anesthesia or repeated injections, or it can be a disc displacement in the jaw joint that occurs if you had kept your mouth opened for long time during cleaning. Nothing to be panic, you can take analgesics like ibuprofen and muscle relaxants like chlorzoxazone. Give hot fomentation over the joint and muscles. I hope my answer will help you. Take care |
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ηζθΏ°εηι«εΈει‘γ | My 86 year old mother in law just called me saying she just woke up from a nap but felt cold inside her body...strange feeling....she has atria fib and a weakened heart muscle working at about 1/3 capacity is this feeling cold inside something that is real and should I be concerned about it? | Hello, thank you for putting your trust in our site, my name is Chat Doctor. This feeling of cold inside her body considered a common symptom of atrial fibrillation for females above 60 years old like your mother-in-law, and it happens due to decreased cardiac output to the whole body, so you should not worry about this complaint and assure her that this feeling is normal with her condition and she should be covered while sleeping and wear more clothes. I hope this answer fulfill your query and if you are satisfied with the answer please consider giving 5-star rating, wish you a good health with regards, |
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ηζθΏ°εηι«εΈει‘γ | Hi, my mother aged 60 had recentrly went both knee replacement. she got some hospital acquired bactirea infrection which leads to plumonary thrombosis. it was cured. our docotor was advised acitrom tablet to maintain PT INR value. due to local lab fault we are unknown that the INR Value is reached to 15.6 and the lab is projecting only 1.5. yesterday only i came to know this, and i rushed to hospital. they told it malena. today when we checked creatinen its 3.9 which was very high. can u pl suggest how to get down the creatinen value atonce. thank you | HelloThanks for query. Based on the facts that you have posted it appears that your mother landed in pulmonary thrombosis secondary to kidney infection and is on anticoagulants and her PT INR is being watched frequently.However, her PT INR was raised to 15 and was wrongly reported to be 1.5 resulting into internal bleeding in GI tract which reflected as a galena (Occult blood in stools). And her serum creatinine has been detected raised to 3.9 mg. The raised serum creatinine is likely to be due primarily due to kidney infection and not due to raised PT INR. Consult qualified Nephrologist for assessment. Taking adequate fluids and antibiotics with diuretics should help to normalize her kidney function and lower down her creatinine levels. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | FOR THE PAST TEN DAY I HAVE BEEN EXPERIENCING A HEAVINESS IN MY HEAD AND A TINGLING IN MY FACE. CAN YOU PLEASE HELP ME. I WENT TO THE DOCTOR TODAY AND HE CHECK MY BLOOD PRESSURE, MY EARS, MY EYES AND SOME BALANCE TECHNIQUES AND HE SAID EVERYTHING SEEMS TO BE FINE. HELP. | Hello, Did your doctor run lab tests looking for anomalies in either your thyroid hormones (TSH, FT4), nutritional elements (It. B12, folate, It. D, homocysteine, methylmalonic acid), or other hormonal imbalances (testosterone and FREE testosterone if male, cortisol)? If not, then, I would ask that your doctor run the above tests and if It. B12 is 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 got married 1 and half year back But last month I contacted gynpcologist who advised me to undergo tbbpcr test..which outcome was positive..but to confirm Tb infection I undergo tbplatina igra test which was negative.but doctor still recomending for akt4 for 2 mo n th.my menses also not proper.shold I start akt4 for anti Tb drug.cann I conceive after full course of akt4. Little bit blockage is also there in my falopion tube inn hsg.can it be cured fully...i m very depressed after came to know Tb infection. Nisha 27 years | Thanks for your question on Chat Doctor. I can understand your situation and problem. Tuberculosis of Fallopian tunes is common cause for blockage of tuberculosis and infertility, especially in India. And your TB PCR is also positive, this also favor possibility of tuberculosis more. So better to start anti tb treatment. It is having two phases. 1. Intensive phase consists of four Chat Doctor. 2. Continuation phase consists of two |
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ηζθΏ°εηι«εΈει‘γ | hlo sir,am 19 n my problm is dat my face becomes darker n darker....i ve tried one or two fairness creams(fair n lovely,garnier)...n after using dat only a slight change was seen n it diminished very soon,so i quited using dos things....am very desperate about the dark tone of my face...even ma neck n ears are far fairer than ma face....now,i went to a dermatologist n she prescribed me acnemoist (saying dat its a good sunscreen)...using dis for about nearly 1 month i couldnt see any difference....shall i continue this??? ma friend suggested me olay . as it worked well for her....but i am afraid of experimenting with new things....can u pls suggest me any good remedies?? n pls say why it happens to my face alone??? | Hi Susana, To treat tanning over your face, you might try these suggestions a mild Glycolic acid based face wash like Aha glower melawashUse a good sunscreen of SPF more than 30 like shadow, photoban take vitamin C and oral antioxidant supplementsApply Comic acid based cream in morning like Bolivia or clear plus and a Glycolic acid 6 percent cream in night. With in a month or two, you will notice good response. I would advise you to take few sessions of chemical peels too for better response Hope that answers your query. Take care. |
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ηζθΏ°εηι«εΈει‘γ | My 21 month old has a bright red rash with "C" shaped spots on his trunk, extremities and neck. He has no fever, but has had diarrhea for 3 days. He vomited 3 days ago once, then again yesterday once. Should I be concerned about the rash? He seems fine, except a little tired. He is still playing normally. | Hi...looks like a toxic urticaria or a sort skin allergy. It may or may not be related to the diarrhea. But as you say the kid is playing normally I can say that you can be rest assured. But, skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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 | Hi , I have upper back pain right across my back just below the shoulder blades and around to the top[ of my stomach just under the nipple line, it is making me feel nauseous and I have lost my appetite. It feels like a muscle strain but I am not sure about the sickness. Paul | Reduction of spaces of intervertebral disc joints, arthritis of spine joints, compression of nerves and in turn pain, spasm, irritation in the area where nerves supply, is probably what causes you such symptoms. It is imperative to know the cause. Management and treatment of any joint involvement is similar. To know the cause x Ray of AP and Lateral view of spine (of concerned area such as lumbar, sacral etc.) is sufficient. Treatment part is anti-inflammatory and analgesics, physiotherapy, Yoga, deep breathing etc. are important. Avoidable are lifting weight, bending, exertion etc. Even if safe herbals are used to strengthen spine muscles to keep the gap, x Ray report is necessary for assessment. Hope it helps. |
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ηζθΏ°εηι«εΈει‘γ | Ive suffered with chronic severe back pain, In the lower back just above the buttocks. On several occasions Ive woke up with severe back pain as well as my skin being very sensitive to touch. Even my clothing caused pain all over my body. I am currently being treated with Lortab 10 mg and Zanaflex 8mg. Ive also taken Lyrica, Doxipen and a few others for fibromyaliga. Also I am having severe chills and upset stomach. | Dear patient What is your age? And for how long you are having back pain? If It's for long duration and not relieved with medications it should be investigated. First with X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities such as spondylosis and spondylolisthesis. Next is MRI of lumbosacral spine with screening of whole spine to rule out canal stenosis and disc prolapse. So visit radiology center nearby you and get it done. Till then continue your pain medication. If report shows abnormal findings consult spine surgeon nearby you. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have tiny rashes all over my body. It started with my hands, then my laps, now it seems to be all over. Sometimes, it looks very dry, as though it is peeling and whitish. I went to the hospital and I was told it could be an allergic reaction and to relax but it has been almost a month and the rashes has spread to other places. Please help. What can this be? | Hi, Welcome to Chat Doctor forum. I have gone through your complaint and reviewed the attached photograph (attachment removed to protect patient identity). It seems to be dermatitis. I would recommend you to apply topical steroid like Clobetasol propionate cream diluted in a moisturizing lotion in the ratio of 1:3 on the affected areas twice daily and take antihistaminic like tablet Cetirizine 10 mg once or twice daily depending on the intensity of itching for 10 to 14 days. |
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ηζθΏ°εηι«εΈει‘γ | hello my name is ryan. I believe i may have seratonin syndrome . I was put on an anitdepressant called paxil for my anxiety. i started taking 5 mg for one week then i increased to 10 mg about two days after switching to the 10 i started to notice having a weird feeling i have never experienced before. i was feeling agitatied irrated depressed and very anxious and my nerves were on edge. i believed that it might be a side effect of the drug i tryied to push through it hearing that the side effects do go away after 4 days of this it became unbareable and i was so afraid that i quit taking it. the physical side effects went away within 2 days but i still felt aggition and depression and my anxiety was worse than before the medicine. i stopped taking it last tuesday. i told me doctor about this and he prescribed me a new antidepressant zoloft . both of the medications were generic brand. i took my first pill 25mg on this tuesday around noon. i did feel a little optimistic after taking it hoping it may help me. around 7 oclock that evening i started to feel this rush of fear and thoughts about all the bad things going on in my life. i started to panic and pace around my room crying and feeling like im going crazy. I ran outside to see if it would help but it didnt. I really wanted to go to the hospital but instead to calm me down i drank 2 glasses of whiskey in 20 mins. Ever since then i have become extremely aggitated and very anxious worse than before when i expeienced these symtoms on paxil. i wake up in the morning around 5 or 6 every day very anxious and racing thoughts. i fall asleep ok around midnight after being awake around 18 hours. In the past month me and my girlfriend broke up after being together for 2 years and i know it was because of my anxiety that our relationship failed. my car broke down so me and my dad are fixing it in his garage. ive been having problems at work because of my anxiety. Ive been smoking weed everyday for my anxiety over the past 2 years and just recently about a month ago decided to quit to get healthy and in shape. just everything pilling up it very overwhelming and depressing. i read online that seratonin syndrome can occur when you increase a dose in a ssri anitdepressant. Im wondering if my taking the zoloft agitated this and made my symtoms worse. I saw the doctor on thursday to tell him about this. he seemed he like he didnt know too much about mental health so he called a psychiatrist to fit me into an appointment on monday morning. in the mean time he prescribed me antivan to calm me down. i took the first pill thursday around 2 it was .5 mg. I didnt experience any change in my anxiety and mabye a less slightly aggitated but not enought to calm me down. i decided to up the dose to 1 mg too see if it would be any different i took that at 7 pm thursday evening after 2 hours of waiting for anything i didnt experience any change either. i became very upset and panicky becuase i thought something was seriously mentally wrong with me for this not to work. I had to resort to smoking marijuana just to calm my nerves and its my only option right now or going to the emergency room. im trying to hold on to seeing the psychiatrist on monday but im afraid it may effect my work this weekend i work at a resaurant and it really busy on the weekends. Any thoughts on what i am going throught would be greatly appriciated. | Hello Ryan. There seems many reasons for your anxiety. First it may be you quit your cannabis only recently, and you may be having some with Chat Doctor. Secondly your doctor should have told you that SSRI has an anxiety provoking effect initially. Only after sometimes they have antianxiety effect. Also, medication show side effects earlier than the effect. That is why you have increased anxiety before relief. To relief such symptoms your doctor have prescribed you benzodiazepine, but don't take it more than prescribed as you already have addiction issues, and you are prone to develop addiction to it. As far as continuing the medication is concerned, you can do under the cover of benzodiazepine, which will help you to cope the anxiety and will help you pass the duration of time left to meet psychiatrist. Meet your psychiatrist ASAP as he can give additional medication which reduce the severity of anxiety Take care |
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ηζθΏ°εηι«εΈει‘γ | I am training for my first marathon, and have been a runner for 10+ years now. I have started to get knee pain and sometimes a dull throbbing in my left knee. I find it starts hurting around mile 8-10, and then sometimes after doing other cardio. I do strength train as well. Would like to know if there is anything i can use to put over my knee such as bands or something to help alleviate the pain. | I understand your complaint. The mentioned symptoms mostly due to muscle, ligaments or tendons spasm. This is usually in athletes and during heavy exercise. Applying band around the knee is useful. Take non-steroidal anti-inflammatory Chat Doctor. Applying creams for muscle spasm and analgesic on affected site twice daily for also 10 days. Take rest for one week and decrease exercise in this period. |
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ηζθΏ°εηι«εΈει‘γ | i have developed a condition that seems similar to gerd. i have so much pressure in my chest that i cannot breathe sometimes. ialo have to burp constantly .i have been to the hospital er several times thinking i was having a heart attack .i dont have insurance and am very low on money what can i do? | Hi thanks for asking question. Here you seem to have Acid reflux disease if associated abdominal pain also present. Omeprazole taken for it. At night put your head above pillow as head rise position. Avoid smoking. Second if you are doing heavy exercise or weight lifting then also such symptoms can occur. If you are taking excess stress then anxiety induce chest tightness can occur. So try to avoid stress. You can do chest x-ray for rule out respiratory causes. Avoid smoke. Garlic and ginger good for resp tract. I hope my suggestion will help you |
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ηζθΏ°εηι«εΈει‘γ | 24 age married women , having 8 months baby which is healthy and perfect . the women is suffering from mental disorder . now i telling you disorder , Sir at age of 18 she got rejection in medical college this thing she cant accept , she broke the things .. shouted and got in depression which affects her mind .., we try to keep her happy so she can come out of depression , and she got married .. for one year she was good and fine ., now again she is shaking her head left to right and right to left .. , like spikes or shock some times in a day . , she is thinking negative , and cries .. now due to this condition we are really worried and we are not getting any proper treatment , please give us proper solution . | Hello She is just 24, and she is having negative thoughts, crying spells, and she is in depressed mood. Most likely the symptoms are of Depressive Episode. Also, her last episode appears to be depressive episode. Depression is an episodic illness, and it tends to increase in severity after some significant life event. But proper management is possible by a trained Psychiatrist. Medicines like SSRI as Fluoxetine, Paroxetine, Sertraline etc. are new medicines and have very less side effects. Non-medicinal therapies like Cognitive Therapy is very useful in depression. So please take her to a good Psychiatrist and take expert opinion. Thanks |
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ηζθΏ°εηι«εΈει‘γ | I got my ears pierced yesterday and they are now swollen, hot to the touch, and extremely itchy. They are my second piercings on each ear but are not in the cartilage. The earrings are now tight on my earlobes and the backs are not adjustable. This never happened with my first piercing and I doubt that I have an infection because I have cleaned them properly and I got them pierced at my doctor s office to be extra careful. However, my ears have always been very sensitive. What should I do? | Hello, Welcome to Chat Doctor, As your ears pierced yesterday, and they are swollen, hot to the touch, and extremely itchy may be due to injury to the ear cartilage. The tetanus spore can sustain for longer period of time in the anaerobic environment and the rusted objects are known to harbor these spores. I would suggest you to recommend you to follow these measures1. Take TT injection2. Apply Metro ointment over the wound3. Oral antibiotics like Tab Augmenting, twice daily for 5 days. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I did my body checkup. I found that some of the reports are not in the normal range. So, I just want to know if I need to check further for some diseases. What should I do to bring it to the normal range? Currently, I am very normal.The following are not in the normal range:Total RBC: 6.05 X 10^6 /\xce\xbcL Range: 4.5-5.5.Mean corpuscular volume (MCV) 81.2 fL Range: 83-101.Mean corpuscular hemoglobin (MCH) 26.8 pq Range: 27-32.Red cell distribution width - SD (RDW-SD) 37.1 fL Range: 39-46.Platelet distribution width (PDW) 15.3 fL Range: 9.6-15.2.You can even check the report file. Thanks. | Hello, Welcome to Chat Doctor forum. I have just gone through your reports (attachment removed to protect patient identity). I do not think you have to worry much. The only thing that looks abnormal is vitamin D levels which are low, possibly due to sedentary lifestyle and less sun exposure and obesity/overweight which are common causes. That can be corrected with simple Vitamin D capsules of 60,000 IU given weekly for eight weeks. I would be happy to help you further if you have any questions. For more information consult an internal medicine physician online |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a 65-year-old white male and tested negative for HIV 1 and 2 in a one-time test three to four years ago. I am not sure if it was a third or fourth generation test. I tested negative with a fourth generation test four months back because I thought I might be having some symptoms. And I remembered the flu-like illness about six months after exposure.I weighed 204 kg three months back and now I weigh 191 kg. I have worried a lot (pacing the floor, sleep loss) for past five months, took Paxil, and realized my worry could account for some weight loss. Shortly, after the test, I had the following symptoms:I started having a small patch of 8 to 10 pinpoint sized pink-light red dots under the skin of my left wrist that have been there for two to three weeks.I also had a smooth, flat spot about 3/8 inch in diameter that appeared on the back of my right hand about a week ago, that has now faded to a pinkish brown. I have read about Kaposi sarcoma being a definer of AIDS, but do not understand how that could happen with a non-reactive fourth generation test four months back.Three months back, I had sinus type headaches multiple times that would sometimes be severe. After three rounds of antibiotics and a CT scan two months back that showed shadowing in a sinus, my ENT doctor just told me this week that there is something in my sphenoid sinus. He is treating it with a rinse for inflammation for three weeks before I see him again. I have had blood in my mucous from my nose for past three months. It dries out in my nose and causes blood almost every time I pick at it. The ENT doctor said that the lining of my nose had been worn down from this, but did not seem concerned about it. I do mess with it a lot, and blow my nose a lot.My PSA elevated quickly in the last six months, going from 1.2 to 3.5. A biopsy two months back showed an early cancer in one of the 12 regions biopsied.I had a lithotripsy on an 8 mm kidney stone this month and I am still passing dark urine. I was told that I do have several small stones still in each kidney. I have had multiple stones over the years.I have a swelling sensation all the way around my waist down into my groin at times that has been there for about two months, but no noticeable swelling. Several doctors have felt in my abdomen and detected nothing abnormal. A CT scan with no contrast 10 days ago showed no abnormalities other than a little swelling in the right kidney where the 8 mm stone was blocking the passage into the ureter. A CT with contrast five months back was normal except for showing stones. But I have microscopic blood in my urine since then.My vital signs have consistently been normal for past five months, including temperature, BP and oxygen. I know I am getting old and some of these symptoms happen with age. But it is driving me crazy that so much has happened since my negative fourth generation test which is supposed to detect antibodies may not be conclusive after three to four years of exposure. I had Zoloft 100 mg daily earlier but currently, on Paxil 40 mg and Propranolol 60 mg daily.After nearly four years of exposure and a negative antibody test four months back, would that test have detected antibodies if I were in a stage of HIV or AIDS? Do you think it was conclusive? Or is there another test I should have done? I have read about an HIV RNA test, but it says early detection. I understand that it detects more than the antibodies. What are your thoughts on my next step? | Hi, Welcome to Chat Doctor forum. Your test done before four months is certainly conclusive and final. A three months intervening period/window period between risk exposure and a fourth generation HIV screening test is good enough for it to be considered conclusive. 95 % of those infected with HIV will have detectable antibodies by four weeks and by 12 weeks, or three months 100 % of HIV infected individual will have detectable antibodies. Antibodies once formed will remain detectable by screening tests. In fact, antibody based HIV screening tests are the gold standard tests for the diagnosis of infection whereas an HIV RNA PCR test is more commonly utilized as a measure of response to antiretroviral therapy in HIV AIDS patients rather than as a diagnostic or screening test. For more information consult a HIV AIDS specialist online |
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ηζθΏ°εηι«εΈει‘γ | hi just woundered if you could tell me whats up iv bin having lower abdominol pain during sex i have had this before and when i went to see my doc he said my right tube was blocked iv since had tht removed and now having the same pain could u help me? | Hi. The commonest cause is Pelvic Inflammatory Disease, the causes of it are many. Another reason can be due to your own fear too. Get a proper diagnosis by a Gynecologists opinion, internal manual examination to elicit the site of pain-this is most important but not elicited by many. Tubal blockage do not cause this. Then go for ultrasonography and / CT scan whatever is felt necessary by your Doctor. Get a full course of antibiotic and anti-inflammatory medicines to get a cure. A proper diagnosis always helps in a guided treatment. |
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ηζθΏ°εηι«εΈει‘γ | Have had shingles for past three weeks on left back/side, abdomen. Now both arms, both leg, chest are itchy/tingly. Took bath in oatmeal scrub, but hasn t helped. Took two Benadryl. Do you think this is related to shingles, or possibly something else altogether? | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that it seems to be related with herpes simplex. I suggest you to continue the medication provided to you with shingles. If it won't respond to you, please change it to with other anti-viral Chat Doctor. Take vitamin B12 and B complex, cetirizine, and paracetamol as and when required. Apply calamine lotion as and when required. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | How do you put the past, in the past. I had a horrible and very tramatic event occur several years ago. I prayed, talked with a therapist, had the oporrtuinty to speak with a major person who was in authority at the time and wrote lies and did very mean things to me, he apologies and while I forgave him several years ago. I can not regain my trust of authority or understand what I did wrong to be treated in the manner that I was treated. | Degree understand your concerns went through your details. I suggest you not to worry much. Past is. Whatever happened in your life in the past, taught you a lesson. Positive experiences taught you positive lessons. Negative experiences taught you positive lessons (positive because, those lessons shall come handy in your future). In any case, you learned something positive. We have no enemies. We see god in every person, then we cannot hate anyone. That is the basic lesson. Yesterday is over don't look back except for positive feelings. Tomorrow is uncertain. Plan and be prepared, but don't be apprehensive. Live today, be happy, enjoy the one and only life given to you by the almighty. Thoughts are there to come and that is the duty of the brain. Let the thoughts come. You need to divert the thoughts to more priority ones. Means, be busy and divert thoughts. Relaxation and meditation plays an important role in controlling mental disorders. Plenty of water, oxygen and exercise also are most important. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. |
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