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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Doc ! My mom is having knee pain (right leg) for a month. Every year, specially during winter time, she gets such joint pains for at least 10 days. After taking medications, she will get relieved of the pain. This year, it continues in spite of taking medications for more than 10 days An Ortho specialist prescribed medicines like Omez, Zerodol - P and some vitamin capsules. Her symptoms are swelling of joints, specially at her right knee and mild swelling in her toes and finger joints. She is finding so hard to climb staircase. After taking necessary lab tests for arthritis, it was all normal as told by the Ortho specialist. Recently through some of our friends, we heard of Class IV Deep Tissue Laser Therapy which is great for relieving pain at joints. Can you please let me know how the therapy is efficient in relieving joint pain? will it be beneficial to give it a try? Please suggest any herbal or drug therapy as mom is reluctant to go under the knife for a surgery.
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Hello! Welcome to Chat Doctor ! Since you say all test came out normal. I think its normal knee joint pain which occurs in elderly people. As one ages, a fluid called synovial around knee caps which protects from friction during motion is degenerated. And hence one experiences pain around the knee. I suggest you to get ayurvedic treatment called Japan bast. In which we try to regenerate the fluid around knee and reducing pain. Laser therapy and any other surgery will not help you much. I won't recommend at least. Hope this clarifies your concerns. Thank you for contacting us. Take care
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am a boy, I can do the front splits and I can also do the jump front splits. I was practicing and about the third time I did the jump splits I hit the ground and around my right buttox and right side of my hip made popping sounds. Like bones cracking, about 7 times in a row really fast. I felt light headed and like I was going to throw up. I could barely walk. It is now approxametly 3 hours after and I taken a bath, it hurts when I move it. And when I say hurt I mean HURT! Please help!
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Snapping hip is a condition when inflamed muscle ligament or tendon move past a bone process or tuberosity you should :Reduce your activity levels and apply ice to the affected area. Use non-steroidal anti-inflammatory Chat Doctor. I recommend complete 3 days rest in extended hip position to keep your hip joint function from deteriorating if this does not help then I suggest visiting ER for possibility of hip head fracture Hope I was of help to you Good Luck
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I started itching this afternoon at work. I get home and have red welts all over, driving me crazy itching, it put itch cream on, it stops it for a few minutes and starts up again along with burning, I have no Benadryl, is there something else I can try to stop the itch and burning?
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Hi. The rash could most probably be an urticaria (hives). But there are other possible diagnoses too. You could take an antihistamine tablet and apply calamine lotion for a week. Try to find out the causative agent for the rash, the most common being Chat Doctor. If you do not get any improvement in a week, you should consult your dermatologist. Hope I have answered your query. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have diverticulitis and was prescribed ciprofloxacin. Once I finished my prescription I got a really bad yeast infection. Its been 3 weeks and I still itch. I also take metformin....sometimes because it makes my heart beat fast. So I stop taking it. But Im tired of this rash.....what should I do?
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Thanks for your query at Chat Doctor! I am Infectious Disease Specialist! I went through your query! Please continue your metformin and consult your physician before stopping. Describe your lesions in detail? Which part? Apply topical clotrimazole cream twice day for 7 days. Single stat dose of oral fluconazole is also the treatment for a can dial infection.Also, intake of oral antihistamine like either cetirizine, fexofenadine or loratadine(10Β mg once) once or twice DailyPay to take more queries! You can also write a review for me. If you would like some more information, I will be happy to provide. You can take a follow-up query. Take care!
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i am 28 yrs old and ithink i have forgotten the way to masterbaute?and now i dont feel like iam alive,im still virgin and cannot become able to make relationship with girl,this happned since i changed my way of doing it,now iam completely lost ,help me
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Degree understand your concerns went through your details. I sincerely don't think your ability to do sex or masturbation will be lost once you stop masturbating on one fine day. That cannot happen. There are certain genetic predispositions whicChatDoctores through genes. Sexual ability is one among them. You cannot alter your behavior about sexual abilities. They are inbuilt. Having said that, there could be a problem of anxiety which could blanket your inborn ability temporarily. Your current problem could be related to anxiety and obsession. I suggest you to consult a psychologist or sexologist for counseling and therapy. Take care. 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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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi, I am 57. In morning blood pressure (BP) reading at 158/102, after seat down for 3 min, BP read at 140/95. After excercise by running in door, BP read 134/84. I am taking Losartan Potassium 100mg and Amloodipine Desylate 5mg. Is my BP OK . I also have heartburn lately, is that side effect of this medicine.
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Hi their understand your concern and I would like to advise you that you should consult your treating doctor personally as your BP medication dose need to be adjusted for high levels of morning BP. Rest you need to take general precautions like taking low dietary salt, avoiding junk and canned food, stop smoking (if you do), go for daily morning walks 45 mins a day for 5 days a week.No, neither of these BP medicines cause heart burn. You can take any Proton Pump Inhibitors like Pantoprazole for 10 days empty stomach 20 mins before breakfast. I wish you good health
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi... I was just recently diagnosed with trivial tricuspid regurgitation. I have all the symptoms of this as I have for close to a yr. As it says trivial means insignificant but then it goes on to say if left untreated it can lead to heart failure or cirrhosis. My question is what do you do to keep it from leading to heart failure or cirrhosis?? How can it lead to cirrhosis?? It also says once it becomes severe your prognosis is poor... so what can I do to stop it from progressing to severe? I read where it says that there is usually an underlying cause and if so it needs to be treated. My Dr did an ekg, chemical stress and the echocardiogram. But everything checked out ok except for the trivial tricuspid regurgitation. He wants to see me back in 6 months, no stimulants or caffeine or decongestants, become more active and lose weight which I m trying to do. Is this something that can fix itself in time or is it something that will ultimately lead to heart failure. Thank you for your time. Cindy J.
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Dear Cindy, Trivial tricuspid regurgitation is seen about 80% of healthy adults. It is not considered an abnormal finding, and there is no need for treatment. It can progress, only if there is an underlying disease, e.g. lung disease, after heart attack, etc. In your case there is absolutely nothing to worry, no need for any treatment. Just follow healthy lifestyle. Wishing you good health In case of further questions don't hesitate to ask
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have had an experience a few days ago regarding my heart . I was sitting at my office chair when I suddenly got this heavy ache in my chest the pain was pressure and a hot ache so extreme that I couldnt breath and my jaw started aching as well. I managed to flag a co worker with my hand and I couldnt talk the pain wasso intense that I could only wisper to help me. All the while holding my chest the pain lasted about 10 minutes thats an estimate. My test at the hospital showed nothing. I had this same thing happen again last night and I had the same symptoms only longer time frame about 25 minutes. My husband was with me and untold him the hospital said I was ok so I didnt let him call 911. Today if feel heavy in my chest area and tired what should do?
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Hi thanks for contacting Chat Doctor... You have not mentioned test that you have done ..... You are suffering from sudden left side chest pain which when comes remain for sometimes.... Investigate with.....-blood pressure measurement -2D echo -tread meal test If above normal then cardiac cause ruled out. Now for further work up investigate with spirometry for pulmonary function test... It will help in diagnosing obstructive or restrictive disease as well as severity of disease according to which you might have given bronchodilator Chat Doctor. Avoid smoking ..... If all normal it could be simple muscular strain pain.... Consult pulmonologist with keeping this in mind Take care
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My son is 18months and gets a recurring red spotty, raised rash on his cheeks. one doctor said possibly ringworm, but im not convinced. Dactacort helped after a few days but maybe it just ran its course? It has happened 3 time snow and once woke him up clearly in pain.
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Hi... I feel it could be an eczema. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. But...kin 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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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hi my wife used to complain about the noise of hoovering from next door,or like she used to think that next door guys is keeping eyes on her throughout the day and later on she starts forgetting things like cooking shopping like most of the social life she is under treatment now she dont complain about noises and the guys following but keep forgetting things to do in just a seconds..is she will be cured?
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Hello, The symptoms of your wife are not related to anxiety or panic or depressive disorder. They are just part and parcel of her psychosis. She is recovering from her illness and the voices and auspiciousness have reduced, but the distraction or inability to concentrate is still there. Many patients when get free from their positive symptoms (like hearing voices etc.), develop negative symptoms-memory problems, lethargy, inability to work properly and lack of motivation for most things. This also gets better with time and treatment. Patient should be motivated for doing all kinds of household works, and encouraged by others. She should bot be nudged and insulted for her declined performance (negative comments only deteriorate them). Then gradually, with continuous efforts, she will definitely become better. Donot worry, most of the time there is no permanent memory loss. Wish you good luck
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hello doc, i am using a gel named retino ac*(tretinoin 0.025% w/w and clindamycin 1% w/w gel). i am obsevring a peeling kind of thing on my skin.., it has become ruff just the way skin becomes in winter, it is also causing a bit of burning sensation and i feel the pimple marks on my skin have increased. could u plz tel me whts wrong,i am very much worried.
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Hi You are using retinoid and clindamycin ,this is a combination which is very effective in acne and is very frequently prescribed by dermatologists... But the problem is that proper application of this topical medication is very important. It has to be applied only at niftier little amount has to be applied,and it should not be rubbed onto the skin,,,The cream should only be touched over the affected area. Now in your case, you have developed irritant dermatitis. Firstly, you should stop using it for the time being. Use a mild topical steroid like HY Chat Doctor. And use an oil free moisturizer regularly over your face to decrease the
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi! I have ALWAYS had periods like clockwork - 29-30 days but this months I spotted on cycle day 27. I never have early periods and never spot. I did have unprotected sex with my husband around ovulation - cycle day 13-14 by bbt charting. The spotting was a small spot of mucus with pink and brown streaks and it happened again later that evening. I was bleeding heavier the next morning but I noticed it looked pinker than usual and it didnt last the entire day. I usually have a medium/light flow on the first day that turns into a very heavy flow by that evening or the next morning. I have noticed brown/pink tissue when wiping yesterday and today and one small tissue clot came out when I urinated yesterday,CD 31. I have had severe bloating, mild constant cramping, moody, gassy, headaches, shooting pains in breasts, indigestion/heartburn, insomnia and my bbt has stayed around 97.3-97.5 (usually 97.0-97.1) since. I had BFN on CD 29,30,31, 32. Could I be pregnant? THANKS!
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Hello, and I hope I can help you today. Pregnancy symptoms vary widely between women, and many of the same symptoms (including a temperature jump) occur with PMS as well as pregnancy, and the most common sign of pregnancy is actually a missed period. Urine pregnancy tests purchased over the counter are just as accurate as a doctor's office, so if you already have had multiple negative tests, you are definitely not pregnant. Your menstrual cycle may be irregular this month for a number of reasons-the most common one being the stress of trying to become (or avoid) pregnancy. So if you are trying to conceive, I recommend just having regular unprotected intercourse (at least 2-3 days/week) without BBT charting, actually because your body temperature only goes up AFTER you ovulate, so if you wait for your temperature to go up, you can miss your fertile time. Furthermore, if your cycle is longer than average, your ovulation actually occurs later, more around day 16-17. So I would wait a bit longer and see if you develop a full menstrual flow. Once you do, the bloating and other symptoms should go away. If you continue to have irregular cycles, you may want to see a local physician for a hormonal evaluation. I hope I was able to answer your question today and that my advice was helpful. Best regards,
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Suddenly was unable to come with right words thats vital s were completely familiar. She is 89 years old and had three TIAs in the past 10 weeks. A visiting nurse came and tested her vital signs. Everything normal. Doctor say these TIAs are random occurrences. Besides monitoring there is nothing once can to prevent them. Do you agree?
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Hi, This is common at this age as there is insufficient blood circulation in the brain leading to temporary forgetfulness and even unconsciousness. After circulation becomes alright, she will be fine with normal memory.at this age there are some atrophy changes in the brain might cause this problem as well. If her physician finds it proper he can be given Low does of aspirin for thinning of blood. Avoid keeping pillow below neck while sleeping. Ok and take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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in 2006 i had 5 stents inplanted. i am 79 yo. i have been taking plavix all this time. i am also taking lipitor and high blood pressure medication with very good results. being checked every 6 months.Never had a heart attack. what is my long term prognosis ?
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Hello Welcome to Chat Doctor. The long term prognosis of angioplasty with 5 stents with preserved heart pumping function is good. But as you mentioned you must be checked up regularly every 6 months. The more the number of stents the higher is the risk of restenosis (stent narrowing). However, since your body has adapted these stents for this long, I suppose the chances of restenosis are less. A stent usually remains patent for 10-15 years. I suppose you are undergoing a treadmill test or stress test every year which is very essential. Also, since you have completed more than 10 years with these stents, I recommend you go for a check angiography to see whether the stents are patent. Treadmill tests have a sensitivity of 67%, so some amount of heart blockages can get misdiagnosed. That is the reason I am asking for an invasive test. It is recommended for patients with more than 10 years with stents irrespective negative treadmill tests. Overall, the prognosis is good. Wishing you good healthRegards
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi My Wife age 22 had kidney biopsy last week and the report claims 40% kidney damage it says "12 glomeruli out of which 5 are obsolescent. Impression: Native -focal segmental glomerulosclerosis, collapsing variant" . She is experiencing serious back pain and Doc (neprologist) started with tablets - Wyosolone and shelcall for this week and said will start with STEROIDS from next week. She often gets BP above normal and terminated pregnancy last month due to the above reason. Pls advise if this is totally curable and also advise if she can concieve a healthy baby in the future.
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Unfortunately collapsing FSGS is a very bad disease. She needs aggressive treatment. Steroids is a good initial option. How she responds to steroids is very crucial thing for further prognosis. About next baby, difficult to say at present. If she gets good result with steroids, there will be an option for planning pregnancy, but it takes time of at least 2 years. All the best. If you have any questions feel free to contact me.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Doctor,I am 35year old and suffering with hypothyroid... i am regular monitoring my thyroid and it is under control.. doctor asked me to do Anti bodies and that report is also ok. Next report they asked me for Tourch where my lgG is very high;Rubella lgG @ 24.10Cytomegalovirus, lgG @ 129.00Herpes Simplex virus 1+2, lgG @ 24.10 i want to concieve... kindly advise on this... i am worriedRegards,Preeti
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Hello dairy understand your concerned not worry. Your IG G is high, but it does not suggest active infection. High IG G suggest you have developed antibody against the rubella, cytomegalo and herpes virus infection. It does not cause any damage to baby and does not interfere with conceiving. Take proper treatment of the thyroid and kept your thyroid hormone level in the normal range. Do alternate day sex in the fertile phase of the period. Avoid stress, take healthy diet, Chat Doctor. Hope this may help you Best regards
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Oncologist needed: I am a 49 yr. old cancer survivor. I had an adenoma carcinoma pulp of the colon stage 0 when I was only 35, 1998.. I need help now: My most recent breast biopsy results were not benign. The microcacifications were: Adenosis with columnar cell changes and hyperplasia. Also, Flat epithelial atypia , and PASH cell changes. I was told to have a lumpectomy, or double mastectomy. I would like the later of the two. That was my 6th breast biopsy and my risk for breast cancer is very high. Next, a lesion in my left ovary was just found on my current ultrasound. 4.0/2.7/3.7. I have severe gyn pain doubled over, unable to walk, stand. I have bloating, vomiting, frequent urination. I want to seea GYN oncologist now. Hard to find. Next, I really need and want to go to a Cancer treatment Hospital but only told I was not diagnosed with cancer yet. Which organ goes first? Thanks, Anita
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Hello and welcome to Chat Doctor, Your history suggests that you had a cancerous adenoid of colon 15 years back. What treatment did you receive for this problem. I guess the cancerous adenoid along with apart from adjoining colon was surgically removed. Secondly, the breast biopsy suggests changes of malignant in the lining epithelium of the ducts of the breast. Bilateral mastectomy is a better option as compared to lumpectomy. Thirdly, an ovarian tumor is detected on USG. Associated bloating, vomiting, and frequent urination are also present. Bloating and vomiting appear to be due to indigestion. Frequent urination can be due to urinary tract infection. It could also be due to ovarian tumor compressing the bladder neck. The ovarian tumor needs to removed first. Histological examination of the ovarian tumor needs to be done to know its nature = benign or malignant, its histological subtype, and its stage. Further management, radiation therapy and/or chemotherapy will depend on the histological subtype and its stage. Mastectomy can be performed after removal of the ovarian tumor. If the ovarian tumor turns out to be malignant, a genetic test also needs to be done. Since, multiple tumors are present, a genetic cancer syn Chat Doctor. Consult your oncologist for genetic testing. Thanks and take care
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i have a toothache, but around the tooth is white and swollen. everytime i try to brush my teeth my gums bleed and i have a kancher sore on my gums right around my tooth with the cavity. I took 2 pills from my zpack and last night i took advil and alieve. HELP ME PLEASE!!!!!!!
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Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have swollen gums and Carious tooth, cancer sore around tooth can be Sinus opening, there can be Periapical Access formation or Periodontal Access as you have swollen gums, You do warm saline gargle two - three times a day, Take one Tablet Diploma SP twice daily for pain, Consult dentist for investigations done IOWA X-ray done if Carious go for Root canal treatment and if periodontal problem go for Scaling and root planning properly Hope this will help you. Wish you good health
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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About 2 weeks ago, my 2 year old son slept until about 3pm, woke up, ate a little and then went back to sleep from 4 until 7. The next day he seemed fine, so I figured he was just tired. Then a week later, He developed a fever that reached abot 101 degrees (axillary). He also had what appeared to be a diaper rash and was irritable and tired for a couple of days. We gave him tylenol, treated the diaper rash and let him rest and this seemed to resolve within 48 hours. Then five days later, we noticed what appeared to be hives all over his body and face. So, we took him to a doctor and they diagnosed him with strep throat. We started antibiotics that night (Thursday). On Saturday morning, my husband said that he felt warm to the touch, but never took his temp. He just gave him Tylenol and the antibiotic. He also noticed that his gait seemed a little funny and he was crying and irritable when he woke up from his nap. This morning, Sunday, I called the doctor s office because I was concerned about rheumatic fever or some other complication of strep or something being missed altogether. The doctor finally called back this evening and stated that he was doubtful that it could be rheumatic fever but agreed to see him again tomorrow. The latest development this evening is that my son does not want to bear weight on his legs. He will not come to me when called and he only wants to sit, crawl, or be carried. When I tried to stand him up, he cried. Otherwise, his temperament is normal, he s eating and drinking and in good spirits. Do you have any ideas? Thanks, Lynette
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Hi, So he had fever on & off for few days, arthralgia and a rash. The possibilities are acute rheumatic fever as you told, or it can be even myogenic arthritis. A detailed examination few lab tests will clinch the diagnosis. You may be asked for some blood tests, x-ray of limb and chest, ECG and sometimes fluid aspirate from joint. Your doctor will guide you. Meanwhile, continue antibiotics and analgesics given. Hope I have answered your question. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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my daughter is 5yrs 9 months old, 19.5 kg. she has severe stomach cramps once she wakes up in the morning and refuses to eat anything. i give her warm water before her breakfast. most of the time she vomits after a few minutes. But she does not have any problem after that and eats her lunch and dinner. She had a similar problem about a year ago and took Junior Lanzol for 3 months and her condition improved. She also takes Montair LC kid everyday. Now her pediatrician has given 20ml Cremafin twice a week, 15ml Duphalac everyday. iam concerned about this as her stool is not very hard and also she passes stool everyday but not always in the morning.
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Hi, you are worrying too much about daughter, treat her like other child Chat Doctor. There is no need to give warm water before breakfast, instead you should wake her 20 minutes early and give her more time for her breakfast, if she vomits don't be angry at her, give her some time. There is no need to give Montage LC kid tab everything, it is given for a long time when a child is asthmatic. Remain and dual can be continued but if I was treating her than I would have advised her to eat more salads, fruits and all variety of foods so that this problem would have solved without any
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am 30 years old and I have been diagonised with PCOD, we are using fertyl 50 mg, folic acid and metaformin tablets. Please let us know what are the other methods to conceive early like going for an alternative medication or laproscopy, please throw a light when the laproscopy should be done. We are married since 2 years
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Hallow Dear, Fertyl contains Camphene citrate which helps egg release from the ovary. In cases of Polycystic Ovarian Syn Chat Doctor. To control insulin levels, Metformin is given which is supposed to increase the success rate of pregnancy in PCs. However, it has been found that use of MYO Inositol in place of Metformin gives better results. MYO Inositol in addition to controlling insulin levels also controls male hormone levels. You may try this with the advice of your infertility consultant. While on medication for induction of ovulation, I would advise you to monitor your ovulation either by ultrasonography or by home kit. Please try to have sexual intercourses on and around the day of ovulation. It will increase the chances of fertilization. In. Chat Doctor after ovulation helps continuation of pregnancy after conception. If these practices are not successful, you may have to opt for Assisted Reproduction Techniques with the help of Infertility Consultant. If your tubal patency and the study of the other reproduction organs have not been done, they should be carried out. Laparoscopy and/or Hysterosalpingography can provide such information. If there is tubal block, it will have to be managed surgically. Any other anatomical abnormality will have to be dealt with accordingly. In fact, you should have got husbands semen examination done before this. If not done, please get it done after at least 4 days sexual abstinence. Considering your age and marital history, you should not waste your time in trial and errors. Please report to Infertility Consultant ASAP. I hope this provides you sufficient guidance.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi I was diagnosed through MRI that I have scolisis, loss of normal lordosis, ostheophyte disc complex, disc bulge and spondylosis. I had a bad fall in may of 2010. Did chinese acupunture helped only for a while and by early Jan I could not walk with sever pain and did an epidural steroid injection. However it helped for awhile by now my weakness in my left arm and pinching of nerves through my fingers that radiates to my leg and to my toes. Prolong sitting is not possible. What would you reccomen I do? Thank you
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Dear Sir/ Madam, Thank you for posting your query at Chat Doctor.come advice you to start strengthening exercise for you back and abdominal muscle.Also, the specific exercise for scoliosis. As you may be aware that one side it will be concave and one side convex. If your right side is concave Hanford concave side-do stretch. Place the pillows and sleep on left side of the body. Opposite(i.e. right side) will get stretch. For convex side do strengthening exercise. These two exercise will help to prevent further damage. Hot water fermentation will relieve the pain. If still pain persist, consult a physiotherapist, who will help in reducing pain and radiating pain by using the electrotherapy. And also will demonstrate the strengthening exercise which would take care of weakness. Hope I have answered you query, If still you have any question, kindly revert to me. I will be happy to help you. Your thank-you note will be very much appreciated!! Look forwarding best wishes, TEhzib Sailed(PT)
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Im on the pill and was supposed to start my period on Monday. I hadnt had it by last night so I took a pregnancy test. It said that I was NOT pregnant. later that night i had sex with my boyfriend (using a condom since Im worried about sex on the sugar pills) and the condom broke. Is there a chance that I could get pregnant and do I need to take the morning after pill?
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Hello dear, I understand your concern. In my opinion it might not result in pregnancy due to condom breakage while on sugar pills provided you have taken all the hormonal pills regularly without missing a single dose. So there might be no need of morning after pill. But if you had irregular intake previously then there might be risk of pregnancy. Relax and use pills regularly for better results Best regards...
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hello dr samuel what iis indeterminate activity im diagnoised ptb 2 years ago and go for treatment for 6 months. but 2 years i go for my medical exam applying work in abroad and the result is right upper lobe ill defined opacities.this may represent pulmonary tuberculosis of indeterminate activity what does it means?
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Thanks for your question on Chat Doctor. You are having old tb scar in right upper lobe most probably. If you had tb and took the treatment, healing has to occur. And in lungs healing occur by 1. Fibrosis2. Calcification3. Bronchiectasis4. Rarely complete resolution. Fibrosis and calcification are seen more commonly. And on chest x-ray it gives appearance of fibrotic scar tissue. So one can not comment on these x-ray lesions whether they are active or inactive. So report has been mentioned like undetermined activity. You need sputum examination and bronchoscopy with BAD (BronchoAlveolar Lavage) analysis for TB for confirmation about your lesion whether it is active or inactive. If both are negative than it is clear that your c ray lesions are inactive fibrotic scar.
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Hi, My boyfriend last weekend was aching all over and going through periods of burning up and feeling really hot to periods of being cold and having the chills. That lasted from Saturday Night until Wednesday. He developed the same symptoms again this weekend and it started last night. He originally thought he had the flu but wasnt sure if thats what he was experiencing again.
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Hi, Since you have mentioned symptoms like fever, cold, sweating I would like to rule out conditions like lung infection, malaria, common flu, enteric fever.1) If you have evening fevers with sweating all night along with cough and sputum then I suggest you to get chest x-ray, CBP, ESR, sputum culture test as soon as possible.2) If there is fever with chills followed by sweating then we should rule out Malaria by peripheral smear test.3) If you have chest pain, fever, body aches, with rusty sputum then it indicates a lung infection which can be diagnosed by a chest x-ray because you have mentioned many of these symptoms I am of a sincere opinion that you need to get evaluated ASAP. Do not worry now that you have received a doctor advise. Go and see your doctor. Hope I have answered your query. Let me know if I can assist you further. Best regards,
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi My dad, 76 years old, had melanoma on his toe. It was removed a year ago. The cancer was in the lymph nodes. The doctor removed some lymph nodes in the groin area and all negative. Two weeks ago, we went back for check up, had a CT scan. There are bilateral, multifocal noncalcified nodules in both lungs. The doctor told us it had been spread to the lungs and prognosis is not good.My dad feels fine, happy and very active. No symptoms at all. Are we 100% sure that the cancer had spread to the lungs? Could the nodules be something else?Thanks.
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By the picture you have given, the likelihood of this being cancer is much higher than it being anything else. Malignant melanoma is one of the deadliest cancers in the human body and is known to come back, generally in the lungs or liver. It is curable only in the early stages and when it has spread to the lymph nodes, likelihood of cure is remote. Having said that, please be assured that the treatment that has been given so far to your dad is absolutely correct and scientific and is the reason why he has survived so far. If you really want to be sure whether this is cancer or not, you can get a PET scan done. But there is little doubt that this is cancer. The options also are not very many particularly at his age, and you need to discuss them with your oncologist. Sorry to say, but your dads' health is going to deteriorate with time as the disease has just come back. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i have pain in my upper stomach and same time in mid back , pain is mild and not constant. I have feeling this heavy stomach and extremely hungry feeling all of sudden . I am indian national and working here in KL from last 3 months. I have insurance card of AIA. which doctor I should consult today ( sunday ). I stay at TTDI
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Hello, Good afternoons per your symptoms you might be suffered from APD (Acid Peptic Disorder) which leads to pain in upper abdomen and back region. You should go to general physician for clinical examination. Upper G.I. Endoscopy should be done to rule out exact location of your ulcers i.e. stomach or duodenum. If we talk about management part of your problem then first you should take care of your daily schedules, Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I just completely the 9 day BIke across Kansas - I am 48 years old and in good health. The last 3 days of the ride I would wake up with a puffy swollen face - the swelling would go down as the day progressed and then would show up again the next morning. The ride ended on Saturday and on sunday I had swelling in my lower legs - and my legs just feel heavy - I am normally not winded and am winded after climbing 3 flights of stairs. My face isn t swollen in the morning now but I am a bit concerned what all this means.
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Hello, I have studied your case and I think that you are having high blood pressure. This causes puffing on face and in lower limb. I would suggest you to get your blood pressure check up and also blood urea and nitrogen checkup. This will help us in confirming your diagnosis. If there is high blood pressure then you need to take salt restricted diet and also take antihypertensive tablets. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i have a biting and chewing problem and i have had it for along time. is there a term for what i have? i bite and chew on pens, cans, bottles, straws, plastic spoons, my fingers and nails, my gum, and even grind my teeth together in my sleep. i am 19, i am 57, 202 pounds. i have adhd and GERD.
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Thanks for using Chat Doctor. Read your query. The biting on pens, bottles, straws, gums suggests the psychological conditions of yours. The stress in life and or anger is being tried to be overcome with these measures. I would suggest you to reduce your stress levels and lead a carefree life, which would reduce the risk of biting these things. If you are under any depression, i would advise you to visit a psychiatrist and get it treated and check up. Hope this was useful. Thanks and regards for a very happy life.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My brother is married person and got problem with night fall regularly.bcoz of this he feels very week.he is almost sure that because of regular night fall he got liver problem too.He told me that few years back,once he had sex for 90 mins while he was drunk and he fainted and woke up in the morning,after that he is having problem with lower stomach(just above the penis) and from that time he is having nightfall problem.
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Hello Its completely normal to have nightfall in teenage and adults, however it could be due to excessive masturbation, over production of semen or its thin consistency, weakness of semen holding tubes, excessive use of semen producing diets, avoiding sexual act for a longer duration of time and weakness of kidneys as well. I suggest you to visit your doctor for your brothers detailed checkup and proper treatment if needed I hope I have answered your query.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi i have been experiencing random gasping for air (lasting about a second) throughout the day for this past month. It feels like my heart has flipped inside my chest and i making a gasping noise like ive forgotten to breathe.I also feel a dizziness or a mini mind blank which last 2 seconds now and again. This also has just started in this last month. I feel like my brain switches off for those 2 seconds. Its quite frightening. Any ideas of what it might be?
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Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more. But better to rule out cardiac and Pulmonary causes for this. So first get done ECG and 2d echo to rule out cardiac diseases. Get done chest x-ray and PFT (Pulmonary Function Test) to rule out lung pathology. If all these reports are normal than possibility of stress and anxiety as a cause for these symptoms is more. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need additional anxiolytic Chat Doctor. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My son is 5 yrs old.he is not asthematic but starts getting chronic dry cough inhumid wheather or in winters.no cough syrup effects.i ve been nebulizing him with levolin respules or somtimes budecort.are these safe for him.as he is already an adhd child.
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Hi thanks for contacting Chat Doctor. If patient is not known case asthma and if no severe bronchoconstriction present then no need for nebulization. Nebulization given whenbronchoconstriction Present and rhonchi heard in auscultation... Your child can have Seasonal allergy for which fexofenedin like antiallergic Chat Doctor. ...... Symptomatic treatment done ... More water and healthy diet. One tsp turmeric powder added in hot milk useful....
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hello doctor.....i m 26 years old girl..i walk daily in evening about 1 hour..but yesterday i suddenly feel heaviness in my chest as i am breathing properly...what could be the reason..and somtimes i also feel my chest hurt when i take deep breath..plzz i want to know ur opinion
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Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis can cause heaviness in chest and chest pain on breathing. So we should first rule out bronchitis in your case. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (Pulmonary Function Test). PFT is must for the diagnosis of bronchitis. It will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). If all these are normal then possibility of stress and anxiety is more. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello, Doctor, MY NAME IS SASIREKHA RESIDES IN DELHI. IAM 28 YEARS OLD. I HAVE HEARD ABOUT UR HOSPITAL A LOT. IAM VERY IMPRESED ABOUT THE REPUTATIONS. OK. MY HUSBAND IS IN ARMY. HIS JOB IS TRANSFERABLE. WE COULD NOT STAY IN A PLACE FOR A LONGER PERIOD. COMING TO THE POINT. IAM PIH CASE. I HAD 2 TIMES CESARIAN. FIRST WAS IN 7TH MONTH OF MY PREGNANCY AND THE BABY WAS BOY, BUT HE SURVIED FOR 21 DAYS ONLY. SECOND CESARIAN WAS IN 6TH MONTH OF MY PREGNANCY AND THE BABY WAS GIRL, BUT SHE SURVIVED FOR 24 DAYS ONLY. THESE ALL HAD HAPPENED ONLY BECASE OF THE HIGH BLOOD PRESSURE AND THERE WAS NO PROPER FOLLOW UP. NOW WE ARE PLANNING FOR 3RD CHILD. NOW I WANT TO BE IN A SAFER SIDE. COULD U PLEASE GUIDE ME.
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Hi, I think you have to take some precautions. Get your blood pressure checked in non pregnancy state also to rule out a chronic hypertension condition. If you have high BP records, start some antihypertensive from now onwards. When you conceive, get evaluated by a gynecologist at frequent intervals. Take antihypertensive properly. Get regular growth scans done. Get a urine albumin done at intervals to assess the severity of hypertension. Get delivered at a hospital with a good NICU facility.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello doctor,I am a male who had unprotected intercourse two days ago with a female who had tested negative on Oralquick two months ago. Turns out she has been quite active and I am debating on doing PEP. I can see her on Tuesday and she said will take another test but that will be 96 hours. I can start PEP tomorrow but it may not be needed if she tests negative. My questions are if I start PEP can I stop if I find it is not needed? How much does one trust an Oralquick test? I read they can have 7 % false negatives. Does taking Acyclovir have any effect on HIV or PEP? Should I do PEP?
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Hello, Welcome to Chat Doctor forum. Acyclovir has no effect on PEP (post-exposure prophylaxis). Yes, it would be wise to start PEP and later you can stop it. Oraquick is not reliable after two days of exposure. Hope it helps. For more information consult an HIV AIDS specialist online
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have chronic back pain. aherniated disc(c3-l4 & l5) and facent joint lumbar pain tha facet pain is going to be burnt off on 8-29 9 A TRIAL OF 10HRS WAS DONE A MONTH AGO ) BUT NO ONE IS DOING ANYTHING ABOUT THE DISC PAIN. i know IT IS A HERNIATED DISC FROM READ THE RESULTS ON MY PORTAL & i HAD L4 REMOVED 20 YRS AGO. THE SYMPTOMS ARE THE THE SAME AS 20 YRS AGO.i HAVE A PRIMARY DOCTOR APPOINTMENT TODAY AND NEED TO KNOW WHAT TO SAY/DO TO GET THIS DISC ISSUE SOLVED. THEY ARE DOPING ME UP FOR THE PAIN BUT IT JUST MAKES ME TIRED,PAIN IS STILL THERE. PLEASE HELP!
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Hi, I had gone through your question and understand your concernsWith such presentations in my clinic, I would first reassure my patient telling him that the first line in treating disc herniation problems is conservative treatment then to wait for improvement of back pain and radiculopathy if present. If there's no improvement of the back pain and progressive increase of articular symptoms in spite of treatment, so we proceed to surgery. Conservative treatment for your problem include the following:1- Physical rest :Avoid heavy activities, prolonged standing, bending 2-Wear lumbosacral belt 3-Receive Muscle relaxant once daily, NSAID when needed and pregabalin 150 mg once daily before sleep.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I recently had a chest x-ray that showed some abnormality. Then I was told to have a ct scan. I had that and was told that I have prominent density in the right hila region and right hilar adenopathy. Could this be because I have had a toothache/infection?
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Thanks for your question on Chat Doctor. I can understand your concern. Yes, your CT findings can be due to toothache and tooth infection. Your CT findings are suggestive of lung Infection at him. Aspiration pneumonia is commonly seen in right him. Dental infections are common cause for aspiration pneumonia. So your tooth infection can cause right Hilary infection. So better to start dual antibiotics with anaerobic coverage. Also take bucolic, expectorant and antioxidant Chat Doctor. Since all these
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello, I have a little lump I can feel in my lower abdomen on the right side that is a little tender when I push on it. I have not noticed this before. Could it be a swollen lymph node? I am on my period, would that make a difference? Is this something to be concerned about?
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Hello! Thank you for the query. This can be a lymph node only if this is located in the groin. Otherwise, you are unable to palpate abdominal lymph nodes. Painful lump is usually a benign skin lesion which has gotten infection. Very common is sebaceous cyst. Infection usually results with swelling and redness. If this lump is soft and located in the groin, inguinal hernia can be the case. Period has rather nothing to do with the lump. This lump should not be the reason to concern. However, you should consult your doctor. Soft tissues' ultrasound can answer about its nature. Hope this will help. Regards.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi, I ve got a pain in the left side of my chest - it s a sharp pain that only happens when I drink but then leaves a dull ache, it almost feels like something is stuck. I thought it may be heartburn but nothing seems to be getting rid of it. Do you have any ideas?
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Hi. I can understand your concern. Ideally ECG and 2d echo should be done first in your case. If both are normal than no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can cause similar kind of chest pain. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause central chest pain and nausea. You can take proton pump inhibitors. But along with Chat Doctor. Avoid stress and tension. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Quit smoking and alcohol if you have these habits. Go for walk after meals. Keep 2-3 pillows under head in the bed to prevent reflux. Lose weight if you are obeseDont worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Basically i d like a second opinion. When i was 14 i had an implanon inserted i had it until it expired early this year and another one inserted straight away ( i think it may have been nexiplon) I have some serious concerns about being on the bar as i have had what i believe to be negative side effects my doctor insists its safe and im fine but i just dont know can you please tell me your opinions on this type of contraceptive
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Hello dear. Understand your concern. As you said, you are 14,when you implant. According to me its early age for implantation,maybe it can difficulties in the future. I think you have to take another method for contraception like condom, diaphragm,hormonal tablets & patches.... Implanon have some side effects like, bleeding,amenorrhea, nausea,dizziness, loss of appetite, headache,changes in libido, acne,depression, infection at implantation site, etc... I hope, this will guide you. Stay safe & healthy.thanks. Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Dear doctor,I participated in unsafe sex with a girl and after one and a half years, I have been tested with CMIA test rapid antibody test and ELISA test and all results are negative for HIV 1 and 2. But, the tension in my mind was not cleared and every day I am suffering from this thought did I get infected with HIV. This is because I am getting skin allergy on my shoulders and chest. Shall I go for marriage or not? These questions are running through my mind every day. Are these tests enough to confirm that I am not having HIV? Shall I start my personal life? I will be very thankful to you.
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Hello. I have noted your concern. I request you to kindly upload a few images of the allergy/rashes on your shoulders and chest so that I am able to have a look and guide you better. As far as your HIV screening is concerned your test results are conclusive. Regards. For more information consult an HIV AIDS specialist online
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Doctor,I got a small lump on the back side,between my neck and shoulder.It is small in size and has been one year from now, i am feeling it.it is painless and not growing in size.I am a bit tensed about its presence.Kindly assist me.Regards,venkat
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Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi doctor,I am a 24 year old female. Last week, I suddenly saw blood in my stool, and I have a small lump in my anus. I consulted a doctor, and she gave me Dulcoflex and an ointment. It was fine for 10 days, but now again I feel that lump and saw blood in the stool. What could be the reason? Are there any home remedies for this? I had my periods last week.
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Hi, Welcome to Chat Doctor forum. This is anal fissure, and that lump is an anal tag. I suggest you try doing the following: Do not worry at all. You will be absolutely fine. Consult me again after fifteen days. Revert after 15 days to a surgical gastroenterologist online
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I have copd, presently I am on sprivia and advair. my shortness of breath seems to be getting worse since the advair was added. I also have had a number of times where I got what appears to me is a cold or flu, I get the chills, ackes and piaings etc, I
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Thanks for posting you query to Chat Doctor. Advair do not cause shortness of breath as it is a steroidal Chat Doctor. Your shortness of breath may be due to some other causes .as you are presently suffering from flu like symptom, so there may be possibility of some kind of infection and for which you need to contact to local physician for examination .you can take Paracetamol in 750Β mg adult dose two times a day to relieve pain and body ache.further treatment will be decided after examination by physician. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards,
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am a 33 year old healthy female with left sided chest discomfort as well as lower rib pain. I have also been experiencing increased anxiety and heart palpitations as well as a general feeling of noticing my heart beating. I saw a physician s assistant and was diagnosed with costocondritis. She did hear PVCs during her assessment and had an EKG done which was normal. CMP CBC TSH all normal. Can a musculoskeletal ailment like costocondritis cause the heavy heartbeat I am feeling?
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Thanks for your question on Chat Doctor. I can understand your concern. No, Costco Chat Doctor. But no need to worry about heart diseases because your ECG is normal. Possibility of uncontrolled anxiety as a cause for your palpitations and heavy heart beat is more. So better to consult psychiatrist first. Get done counseling sessions and try to identify stressor in your life. Start working on its solution. You may need additional anxiolytic
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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sir my right knee comlete acl tear according MRI report . sir please help me what can i do surgery or physotheraphy..sir many doctors say to me surgery and some doctors says physo..sir i confuse please tell me the better suggestion to my knee ...I Thanks to you always sir.
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Management of a complete ACL tear depends on certain factors such as age, level of physical activity and feeling / symptoms of instability, i.e. feeling of giving away at the knee joint.Therefore, if you are young playing sports/ physically active and with a feeling that the knee is going to give away or buckle then you certainly need surgery. However, prior to surgery you have to ensure your knee has complete range of movement,i.e. it can bend and straighten completely, no swelling should be present and your qua Chat Doctor. E the front thigh muscle should be well exercised for a successful outcome of surgery. I recommend 6 weeks physiotherapy prior to undergoing ACL reconstruction in cases divided surgery. If you are middle-aged with not many physical activities like sports and there are no symptoms of buckling then a conservative approach/ physiotherapy is recommended
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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what is the treatment of globus bilateral pallidal calcification?is it harmful.actually my mother suffer that problem in the age of 50
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Hi!welcome to Chat Doctor .com. The globes pallid us is a part of the brain that helps regulate movement. Calcification of it can be a sign of a neuropsychiatric disorder (idiopathic basal ganglia calcification) that may present itself as having difficulty performing movements and some psychiatric problems such as difficulty concentrating and/or memory and personality changes. However, in age 40 and elderly it is a sign of age related change. Hope she doesn't suffer any symptoms. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Younger brother diagnosed with liver cancer in Sept. Lots of stress on us all. January I was given antibiotics for sore throat . This caused a whopping case of clostridium. Still on pro biotics. Now allergies have set in and have occassional achy skin and chills at night. Just can t seem to get well .Am wondering if stress has weakend my immune system. Brother passed away last month. This was so stressful I feel that I have been weakened by circumstance and illness. I am 67, basically good health, don t take pills for anything, good appetite. Take vitamins , ubkiquinol, calcium.
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Hello there, Welcome to Chat Doctor. Firstly, my heartfelt condolences. You have been suffering from vague symptoms for quite some time, from what I could gather. Some kind of GI upset, then off and on fever with general ache and malaise. So I suggest you to undergo a thorough evaluation including blood analysis, chest X-rays, abdominal ultrasounds. Nothing to panic, but it is always better to get investigated well and then treated rather than go on treating only symptoms. Pl do consult a primary care physician.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am about 5 months pregnant, and I dont eat a very healthy diet. My stool has seemed to bevery thin and slimy, almost greasy like throughout the entire pregnancy so far. Only seems this way when I look at the tissue after wiping. Stool looks normal in the toilet. Could this be from eating greasy and unhealthy food?
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Welcome to Chat Doctor. Your query has been assigned to me, and I am happy to assist you today for the health issues you raised. In pregnancy, it is normal to have some indigestion issues. You need to improve your diet in the first place and add more dietary fiber and seafoods, fewer fats. Add more fluids and fruits, vegetables and salads. No junk food. Avoid western diet and take Dietary fiber as a supplement easily available from market (fiber all, citruses etc. brands). It is the poor quality intake of food that is causing issues. Once you will improve diet, things will start getting better accordingly. Referral by your ORGAN to some Gastroenterologist is needed in case you don't get better with the above-mentioned remedies. Hope it was all you needed the answer for. If you have some more questions or doubts in mind, please let us know to help you. We are all a team of the best experts from all over the world to assist patients online. Give your feedback to help us make this service even better. Healthiest Regards!
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Dear Doctor, Good evening. This is Ramachandran from Coimbatore aged 61 years. MY Alkaline Phophastes, during my master health check up found the value of 1200 which is very high. I am perfect in my health and never had any lever related issues. All other parameters are excellent. Pls advise what treat I need pls? My weight is 64 kgs and I am strict vegetarian.
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Hello Thanks for writing to ChatDoctorAlkaline phosphatase is made mostly in the liver, bone and some are found in intestines and kidneys. It is increased in many conditions. It may be due to liver disease like cholecystitis, cirrhosis of liver, alcohol intake, bone disease like pages disease etc. You need proper clinical examination and further investigations. You need routine hologram, RBS,LFT, RFT, GGT level, urine RE/ME, ultrasound of abdomen. Further investigations can be done if needed. Proper treatment depend upon findings. Get well soon. Hope I have answered your question. Take Care Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi my names haley, and well i was in a four wheeler reck few years ago and I ript my knee completely open I had 30 stitches and 12 staples but the scare is purple still and I get shooting pains in my legs sometimes from my hip should I be worried
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Hi, If injury was some years before, and you were normal in between then chances of that knee injury causing pain this time is less likely. If pain is occasional and not interfering with your daily activities you should not worry. Please avoid activities which are leading to pain. Scar should not be purple but white. If there is recent change is scar you need to visit surgeon for detailed clinical examination. Hope I have answered your query. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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whiples operation on 1/3/11(findings: The distal stomach, bileduct, head of pancreas and proximal jejunum were removed. No obvious metastatsis in lymph node or liver were noted)Histopathology: (Periampullary) Adenocarcinoma, Moderately differentiatedwhat treatement now
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Thanks for your question on Chat Doctor. You are having adenocarcinoma. You are not having lymphatic spread as lymph nodes are negative for malignancy. The best treatment is surgical removal (Whipple s operation) and post-operative chemotherapy. Since you already had Whipple s operation, better to undergo post-operative chemotherapy. The main reason for this is to prevent local recurrence and distal metastasis. During surgery, handling of mass can cause local site spillage of tumor cells. So these can cause local recurrence. So to prevent this, chemotherapy is needed. So consult oncologist and discuss all these.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Decreased hydration and diffuse bulge of L4-5 intervertebral discs with mild indentation of central canal, lateral recesses and intervertebral neural foramina with no neural impingement.Define T2 hyper intense lesion at L3 in the body - hemangioma.
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These are incidental findings of no likely clinical significance and would not be expected to explain symptoms of significant pain, numbness, tingling, or anything except the normal aging process which everyone experiences. Disc bulges are not believed to be important unless clinical symptoms correlate to location of the bulge(s) AND there is some nerve root that is being compressed. A hematoma is common radiographic finding and is a small collection of capillaries within an organ or tissue. On the skin they look like tiny cherry spots but cause no harm and they don't convert into anything else. Usually believed to be there long before they are discovered. Please rate this a 5-STAR ENCOUNTER and write me at: www.bit.ly/ Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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sir I am 56+. from last two three days I am feeling week and giddiness. I an feeling my head heavy and little pain in left arm. I consulted doctor he said my bp is highe 165/100 and gave some tabs. but i am still feeling giddiness and weekness. what to do .
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Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that it is important to perform a careful differential diagnosis of different causes that may lead to your symptomatology. Have you suffered from high blood pressure before? What is your past medical history? I recommend you to closely monitor your blood pressure different times during the day (in sitting position after 10 minutes of total relax) and refer those values to your attending physician. Do you have other symptoms like chest pain, difficulty breathing? I would also recommend performing some tests, besides a careful physical examination: - a resting ECG and cardiac ultrasound to examine your cardiac function- a chest X-ray study - blood lab tests (complete Food count, PCR, sedimentation rate, thyroid hormone levels, fasting glucose, kidney and liver function tests, blood lipid profile, blood electrolytes, etc.) to exclude other possible causes of high blood pressure. Hope you will find this answer helpful! Best regards!
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One month after quitting smoking pain in my right shoulder that radiates down to my hand and makes me hand stiff and I submit it to the back of my shoulder and sometimes to my neck I haven t had run with shortness of breath but is accompand by extrely beingextremely hot or being extremely cold. I have had a few dizzy speel but It more just makes me feel out of focus
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Hi, thank-you for providing the brief history of you. A thorough neuromuscular assessment is advised. As the pain radiates from neck to shoulder and to the hand, it is related to pinched nerve in the cervical spine. Taking an MRI will help understand the soft tissue status.Also, physical therapy will help reduce the pain with Therapeutic ultrasound therapy and TENS therapy. Post which exercise will be taught to get the strength in the muscles of the neck and upper limb. The symptoms are classical to the indication of pinched nerve. And can be treated well with Physical therapy and simple medication. In my clinical practice many patients have this complains and majority of them respond well to physical therapy and medication. RegardsJay In Chat Doctor.
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2 weeks ago I went to the hospital with chest pain and panic attack . I had panic attack every day for a week my dr prescribed me a low doss of Xanax it has helped with the panic attacks, but sometimes at night my head feels weird like I could have a seizure or something. then last night I was really tired and dose off and woke up because my legs were shaking real bad but when I woke up they quit what do you think this is?
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Hello, Many patients also report nocturnal (night) panic attacks and in a few minorities, panic attacks occur only at night. It is very much likely that what you experienced at night was also a panic attack. You should discuss with your doctor about taking medicines daily if you are taking it only as and when needed. Also instead of Xanax (Alprazolam) which is a short-acting benzodiazepine, you can ask your doctor to prescribe you Clonazepam which is a long acting benzodiazepine and hence can control your symptoms for much longer duration. A low dose of Clonazepam .25 or .5 mg prescribed by your doctor to be taken at night should be helpful in my view. Ideally, if you are experiencing multiple panic attacks which are severe in nature, in that case your doctor should consider the option of starting an SSRI antidepressant like Sertraline or Escitalopram for few months at least. SSRI antidepressants are currently the first line medicines for treating anxiety disorders. Kind regards Vikas
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Hello, I am on my first cycle of clomid, my last period started on 4th July it lasted 3 days, my GP says that I anovulate and blood tests show that i have very high Teststerone levels. around the 25th of july i began to have cramps and felt a lot of pressure low down in my belly along with very sore nipple and tender breasts. these symtons have now become much milder but I have never experienced them before. Is this because I am now ovulating properly or could it possibly be signs of early pregnancy (I dare to dream!) I have also had headaches, dizzness around the same time and am tireder than usual. I would love your opinion and if you could tell me the best time to take a test as i m terrified of being dissapointed again x x x x x
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Hello dear, I understand your concern. In my opinion some woman experience muscle cramps, tiredness,sore breasts before the periods. These symptoms are due to hormones and signify that the cycle is ovulatory. In case of ovulatory cycles there might not be symptoms. The closed is effective in inducing the ovulation, and it is the first choice in those with an ovulation. The presence of symptoms might suggest ovulation has occurred. The urine pregnancy test needs to be done a week after missed period for accurate results. Test with the first morning sample of urine. The first sign of pregnancy is missed period. Other symptoms of pregnancy like nausea, vomitings, increased urination, sore breasts start 2 weeks after missed period. Hope this helps. Best regards....
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My dog bit my arm last night. It was painful and left indentations but did not appear to pierce the skin except for a tiny amount of epidermis shed today. tonight there is bruising and a red, blotchy, slightly bumpy rash, that doesnt itch, around the area of the bite. Should I see a doctor about the rash? If so, what does the rash indicate?
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Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Such a bite mark will never cause any problem. But you should be worried about the two things. First is the infection that occurs because of the bite mark. For bite marks I advise you to do regular cleaning and Chat Doctor. Antibiotics and analgesics can be useful to prevent infections. Second is rabies. Rabies can be observed by the condition of the dogs. If the dog remains healthy for 10 days you can be free from the rabies. In other case you can take the rabies vaccination as scheduled. There is no harm in taking it, and you can be protected from the rabies. I will be happy to answer your further concern on bit.ly/
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My 11 year old fell off his bike last night. He scraped his left side above his hip bone and we just noticed it s a dark bruise that s protruding quite a bit. It s tender to the touch but he hasn t complained of any intense pain. Any ideas as to whether how serious this might be?
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Hi, Thanks for your queryBased upon your description, I suspect that you might have soft tissue injury. Dark bruise might be due to hematoma formation(collection of blood). You need an x-ray to rule out any bony injury. I suggest you to consult an orthopaedician nearby for a detailed examination. You may get the X-ray of the area affected under his/her guidance. Beside icing and elevating it, you can take anti-inflammatory Chat Doctor. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
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Hi! I just have a question about bitter phlegm? It s not that I m coughing it, but sometimes when I just swallow and if there s phlegm, it s really bitter and this just started happening probably just last month. Also, it doesn t happen often. Just sometimes. I was wondering if it ll pass? Is it something I m eating, or anything I should be eating? Thanks!!
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Hello, No, bitter phlegm can not be caused by food. A most common cause of bitter phlegm is a lung infection. So in my opinion, you should definitely consult pulmonologist and get done chest x-ray. If the chest x-ray is normal, then no need to worry about a lung infection. A smoking habit can also cause the same. So quit smoking if you are an active smoker. Hope I have answered your query. Let me know if I can assist you further.
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i have a lump just below my shin where i got tackled in football its been there for 4 weeks now and is the same size and shape there is no real pain there unless i press on it ,. 2 years ago me and my mate smashed shins together playing football and im wondering if it has anything to do with that as when that happened my leg swelled up and was black with a big bruise
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Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Treatment of shin bump-I don't find any reason to associate current painful lump to 2 yrs back trauma, as it would heal by now. For the lump below shin 4 was ago-I would advise you to Use anti-inflammatory Chat Doctor. This advice is based on the facts from the history you give and needs further clinical check. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good resume and Click thanks if you feel satisfied with my advice. Have a Good Day.
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57 yrs old great health female, single, divorced. Very fit & health consciouse. Do not drink or smoke. Currently have no health insurance (working on it) as a consultant. Been experiencing bad thumping, heating beating every night from 7 pm until next morning. Sometimes it starts earlier and never stops. Gets worse around 11 pm so unable to sleep as so loud. When I do manage to get a little sleep, it wakes me up with same thing at 4 am and cannot get back to sleep. It also happens during the day. I have no anxiety, and min stress, and highly allergic to medications. Was taking 5mg claritin but too strong. I also have bad ear infections, but unalble to take steriods or antibodicts. This has been ongoing for a year and getting worse and happening every day now. I have gone thru menopause at 53, but possibly still part of it. The only thing I can take is Childrens Benedryl 1 tsp. Sometimes it is skips beats. I suspect food allergies; however, even if I eat nothing, still does it. Worse after eating within a 2 hr period. I have low blood pressure; however high cholestrol as very genic in family. The feeling of a lot of adrenaline pumping, even if not working out. A lot of pressure in the chest as well. I tried bioidential hormones but could not tell any difference. Not taking anything now except B-Complex Sublingual Liquid once a day and the Benedryl if having an allergic reaction.
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Hello! Welcome to Ask a Doctor service! I passed carefully through your question and would explain that your symptoms could be related to gastroesophageal reflux or a metabolic disorder. A cardiac arrhythmia can not be excluded either. Coming to this point, I would recommend consulting with your attending physician for a physical exam and some tests: - a resting ECG and a cardiac ultrasound-complete blood count for anemia-blood electrolytes for possible imbalance-thyroid hormone levels for thyroid gland dysfunction. An ambulatory 24-48 hours ECG monitoring would help investigate for possible cardiac arrhythmia. In the meantime, I recommend avoiding caffeine intake and eat in small portions, frequently during the day, in order to avoid large meals. Hope to have been helpful! I remain at your disposal for any further questions whenever you need! Kind regards,
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hello sir....... i m 27 yrs old lady. not married yet. my height is 5ft 2inch and my weight is 63.whenever i do blood test my esr level always remain high. it never ever gone below 35. doctor use to tell me since ur sick so its high but this time when i did the blood test i was nt sick but even though its high. whats the reason for it. is there any problem inside me
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Hi, dairy have gone through your question. I can understand your concern. Your ESR remains high. There are many causes of high ESR. Tuberculosis, anemia, infection, autoimmune diseases, malignancies, paraprotienemia etc. causes high ESR. In your case you may have autoimmune disease or anemia. You should investigate. Many times many healthy people have high ESR without any known causes. So don't worry if you don't find any cause. 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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I have constant pain seemingly related to my shingles. Now originally the site of my rash, though unusual, is a spot at the end of my tailbone with which it caused shooting, tingling, burning pain before and continue for months and months after. I really cant say that I actually ever got relief, I m just being optimistic!! Is this possible #1? #2) I have been having recurring pustules that do not ooze or pop, that seem to be directly related to a nerve ending in my scalp and hairline along with constant headache and nausua. Could these flares be also related to shingles because it really feels to me like a shingles rash. Oh and there may be a slight clear substance I could get out if I tried but very little and very tender to the touch. If not shingles, what is your best guest. This is very painful, irritating and distracting condition, please help...
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Hi, I have read your query & yes the recurrent pustules, itching, pain, prickling skin, rash are symptoms of Shingles. Visit ER, get physically examines, get STD tests done. You should start on the antivirals & antibiotics without delay. The rashes on the scalp often cause a headache, nausea & then fever. If neglected the immune system will further get weakened may complicate to Herpes Zoster spreading & affecting the eye. Such infections cause corneal damage & vision problems later in life. Get connected to your PCP, he may need to give you stronger nerve blocks, medications & painkillers. Take nourishing diet & Vitamin supplements. Hope I have answered your query. Let me know if I can assist you further.
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Hi, I just had a tooth extracted, bottom molar (#19) and it was about 13 hours ago. I am still feeling numbness, but that is not the biggest concern because it is slowly going away. I have always had trouble clotting and the oral surgeon put collagen in this time to help it clot? Im not sure what that all means. Anyhow, it bled for hours, even though I was using gauze properly for 30-40 minute periods. Finally, all blood stopped. However, I dont think I have a clot. I have seen clots before and this doesnt look like my many other extractions. I shined a flashlight on it and it is brown, white and flat. There is no hole in the extraction site, but its not a clot either. Should I go back to the oral surgeon tomorrow or should I wait two days. I am just wondering if he can do something as to form a clot. I have trigeminal neuralgia and dental visits are so terrifying to me, but pain is worse. I have taken abided by all advise from office. I only drank cold drinks and NOT from a straw. I have only had cold pudding, jello and a mashed up banana today. I have not spit, rinsed or brushed my teeth. Any words of wisdom?? I feel like crying. Pain in any part of my mouth will trigger my Trigeminal Neuralgia.
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Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have mentioned that you have undergone extraction of wisdom tooth don't worry much, if you feel like bleeding or foul smell from extraction socket, then you consult your dentist immediately, As you said that you have said that are not brushing your teeth after 24 hours of extractions you can Do warm saline gargle two - three times a day, do mouthwash twice daily, to maintain good oral hygiene, Hope this will help you. Wish you good health
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Hi, may I answer your health queries right now ? Please type your query here...i have a 23 week 2day baby in my stomack ,the doctor said that i had a enough water in that area.so it can cause drop baby is that right. i had a anc sonogram study(colour dopper) Repoar of sonography are below BPD measure:5.71 cm corresponds to 23 week 3 days AC. measure :18.3 cm corresponds to 23 week 0 days FL . measure: 4.21 cm corresponds to 23 week 5 days average ultrasound age is :23 weeks 2 days Estimated foetal weight is :594 gm Expected date of delvery by ultrasound: 18/07/2011 +-10 days Placenta - posterior,grade I Cervical length 3.7cm (Amniotic fluid moderately increased in amount) No gross sonographicallydetectable congenital anomaly visualised
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Hello, Please do not panic. Your ultrasound report looks quite normal. For moderately more amniotic fluid- I usually suggest getting a glucose tolerance test or blood sugar test two hours after 75-gram glucose. Also, please indulge in healthy food habits and regular exercise regimen. Avoid or stop habits of alcohol, smoking, if any. Avoid deep-fried foods, bakery products, and refined sugars. Do not worry if blood reports are normal, please do follow-up ultrasound at thirty weeks. Hope I have answered your query. Let me know if I can assist you further.
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For probably 2 or 3 years now Ive been drinking an energy drink every morning to help me wake up, but for the past couple months if I dont take a day or two off once in a while my chest will start hurting like my heart is sore or something. Is this dangerous?
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Hi thanks for asking question. Here pain most probably seems to be muscular pain. In your routine day take more fruits. Take healthy nutritional diet with green leafy vegetables. The pain might be because of heavy weight lifting or improper sleep posture. If still pain frequency increasing then chest x-ray done to rule out respiratory cause. Third if heart disease is under suspicion then electrocardiography done to rule out any heart disease. I hope you understand my concern. Wish you good health
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my age is 70 hgt 5 6 weight 63 kgs undergone complete thyroid removal operation due to cancer.taking eltroxin 100 mg 2 tab early morning before food. frequent body cram and catch. calcium 500 mg 2 a day at present I am taking. calcium level is 7 only. please advise
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Hello, Your calcium level is 7. In best of my knowledge calcium should be between 9-11 mg percent. So your calcium levels are very low. Low calcium, magnesium & low blood sugar may lead to cramps in arms and legs. You should do following to correct your level of calcium:-Take citrate preparation of calcium. This type of calcium preparation is absorbed well & it has good bio availability.- You may have diet rich in calcium like milk and milk products, egg,cheese, etc.- Take vitamin D supplements. Without vitamin D calcium is not absorbed in body. Take all these for at least 4-6 months. Concomitant use of vitamin E preparation with L carnitine decrease the chances of occurrence of cramps. Hope I have answered your question. Let me know if I can assist you further.
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I have a constant ache in my chest, mostly center and right side. AS if I have overused the muscles. It is worse with use of my right arm, especially if I lift it. If I touch my chest I feel bruised. The bruised-achey sensation is under my arms as well, more on the right side. I have developed a mild earache that has recently worsened and the right side of my face is tingly numb at the cheek and jaw area. I have had a battery of heart tests, all showing more or less normal results. I do have very low oxygen levels when doing any activity (82%) such as standing up and walking down a hallway. My cardiologist is trying to figure this all out, but I am between appointments. It has been two months since I have seen her, and I feel worse and worse.I am female, 50 years old, I have type 2 diabetes, (recent A1C 5.7) hypothyroidism both well managed with medication. My diet is outstandingly healthy, mostly vegetarian, and as organic and homemade as I can afford. I have in a year brought my cholesterol levels from the 250 range into the 140 range. What is your opinion of my symptoms?
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Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal pain is more likely because you are having pain on movement and specific positions. No need to worry about heart diseases as your reports are normal. So follow these steps for better symptomatic relief in musculoskeletal pain.1. Avoid movements causing pain.2. Avoid heavyweight lifting and strenuous exercise.3. Avoid sudden jerky movements of chest and arm.4. Take simple painkiller and muscle relaxant Chat Doctor. 5. Apply warm water pad on affected areas of chest.Don't worry, you will be alright with all these in 1-2 weeks. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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I am 31 yrs mail n having anxiety problem since long time, at times its gets so bad that i can barely speak. The tough time is whn in public i have to tell my name and stuff. At times I am very confident that i forget that I had anxiety. Pls help me,,,,Gautam
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Degree understand your concerns went through your details. I suggest you not to worry much. From the description you gave, I am to understand that you have some sort of adjustment problems and apprehension about speaking in public. This may not amount to classic case of anxiety. But can be categorized as general anxiety. Still need proper diagnosis. Therefore, do not jump guns. At times, you are very confident, and that is what counts. Gain confidence from those positive incidents and those experiences helps you to be bold. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
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a friend had a malignant lump removed from his neck then a pet scan in which revealed progression, he has been told he needs his tonsils removed and 3 teeth, and then 6 weeks of radiation and chemo he would like to have combined therapy! meaning aso herbal, where can he get advice on this, thank you
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He can take a second opinion here from the oncologist available.all he has to do is send the scanned copies of the reports and the query, and he can take consult. I did for my father taking a cardiologist second opinion from here...it was worth the money I paid. I never had to wait for any appointments or queue, and I could speak to him to my hearts content about WHT should be done and the outcome of all the options.can u imagine I had a 40-minute discussion over phone with the specialist til I was satisfied with clearing all my doubts???
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I was told that I have 2 extra ribs in the lower part of my back. These were seen recently in an xray, but xrays from when I was a child did not show this. The area hurts constantly and stops me from doing everyday things. Could you please let me know what can cause this and if there is anything I can do about it?
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Dear-Thanks for using our service and understand your concern. If you have extra ribs they should be seen in the plain front rib X-ray. Your bones were very small when you were a child, and sometimes it is hard to see those details in a plain film. The area can hurt due to inflammation of the rib cage, Costco Chat Doctor. You can try anti-inflammatories as ibuprofen to relieve the pain. Avoid very tight clothes and keep your back straight. I hope that my advice has been helpful
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Hi Dr. Got my blood tests back Monocytes 8.8 Eosinoph. 1.3 Basoph. 0.4 RDW-SD 43.1 Neutroph. 58.9 Lymphoc. 30.6 does it mean anything bad? Or....how bad is it? All other tests are ok in reading except for triglicerides which are a bit higher this time? Thank you kindly
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Hi, Thanks for asking. Based on your query, my opinion is as follows.1. All the hematological results are normal. Mild variation in monocytes according to different studies, not to worry.2. Triglycerides reduction is necessary, as it increases further atherosclerosis. 3. Weight reduction is necessary also with low fat nutritional diet, moderate exercises. Medication also may be taken for control. Follow up with repeat lipid profile after two months. Hope it helps. Any further queries, happy to help again.
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My husband has suddenly developed these small flat brown spots on the base of his penis. They do not hurt or itch the skin doesn t look irritated or inflamed. They aren t wet or oozing anything. I have no signs or symptoms of any infections. He is 34 years old and in pretty good health.
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HelloThanks for query, You husband has developed what is called as Force spots around base of the penis. Skin in this area 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 consult qualified General Surgeon for clinical evaluation and further treatment. If needed some of them which are bigger may need to get excised in Toto (Completely along with the sac). Chat Doctor.
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Hi, i am a patients of broncheactasis 35 years old (female) but due to sweat test positive doctor guess it may be cystic fibrosis.sticky heavy greenish cough, broncospasm,short breath ,asthma.azithromycin antibiotic is resistance(pseudomonas auriginosa).now pls.give me the suggestion.
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Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of cystic fibrosis is more in your case. And pseudocodes infection is more likely in cystic fibrosis patients. Best treatment is by giving appropriate effective antibiotic treatment. And for this sensitivity report is needed. Along with antibiotics, following things are also beneficial in cystic fibrosis patients. 1. Enroll yourself in Pulmonary Rehabilitation center where chest physiotherapy and deep breathing exercises are done. 2. Start inhaled bronchodilators and inhaled corticosteroid (ICS). 3. Get done adult Pulmonary vaccination with pneumococcal and Influenza vaccines to prevent recurrent respiratory tract infection. So better to consult pulmonologist and discuss all these. Hope I have solved your query. Wish you good health. Thanks.
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Sir, i am suffering from psoriasis from last ten year. My dermatologist has recommended to take methotrexate by injection once in a week i.e.25 mg (1 ml). Is there any side effect of taking this medicine regularly? How much time it will take to cure psoriasis.- Deepak Salunke
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Hello, Welcome to Chat Doctor. I understand that you are having psoriasis and are concerned about the treatment. Methotrexate is a very effective Chat Doctor. The usual adult dose is 10-15 mg per week which is calculated based on the body weight. We usually start at 2.5 mg per week and if there are no side effects gradually escalate the dose. It usually takes 6 weeks (6 doses) for you to notice a significant reduction in scaling and redness. Methotrexate is a toxic
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HiI had a fall on my hipHard on ground playing with my dog It as 10 days stop, its now Just a hard lump size of a.plum on my hip bone on side Its not bruised colour, just lumpShould I go to see, Im stiff 2nd lump ing when I try and do my light jog w my dog on sand, its painful stiffSho ups I go to See Dr get. Cortisone shot, Im using Arnica, cannabis oil topical , and cellebrex.
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Hi. Thanks for your query. Noted the history and understood your concerns. History of fall on the side on a hard surface and then limping, hard lump indicate an internal injury due to fall. This should not be taken lightly as impacted fractures do not show more symptoms and signs.Hence, the following is needed in your case:Get an opinion of your Doctor and get clinical evaluation, examination preferably by an Orthopedic or General Surgeon. The investigations needed will depend upon the clinical findings which may be X-ray or CT scan of the affected area as this is superior investigations and help to get any internal trauma clearly to plan the further management. Till then continue the anti-inflammatory medications. You may please take Ibuprofen if it suits you. Take full rest ill a proper diagnosis has been made.
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I am 28yrs old working woman,living in Mumbai.My husband is 28yrs old.We got married 2.yrs back.I have been trying to conceive since 1yr.My periods are very regular.We have consulted a gynec and have gone through several tests,root testing and folecular study for 2 cycles.According to doctor all the results are absolutely normal.My husbands test result was also fine.Since last one year we are trying.Now I am really worried.Can please advice.
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Hallow Dear, When you cannot conceive in spite of all the results being normal, such case is labelled as a case of unexplained infertility. Before you go for any ART treatment, I would advise you to try few simple things:1. Monitor your ovulation by ultrasonography. This will locate the day of the ovulation. Try to plan your sexual relations at and around this day. 2. Ovulation monitoring should start from day 9 onwards. Please find out what was the size of the follicle before rupture. Follicles between the size of 18 mm to 21 mm release the healthiest eggs and have the best pregnancy outcome. 3. Also find out the thickness of the endometrium at the time of ovulation. Endometrium of thickness between 9 mm to 14 mm is most conducive for implantation. If this trial does not work, you may try artificial reproduction technique. Please report to an infertility consultant. I hope, this helps you.
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Yes, thank you. I have severe emphysema and for the last 10-12 months have had a rib pain that is a tightening around my lungs along with a lot of pain - my breathing becomes shallow and life just becomes miserable. What causes the ribs to tighten and hurt so much,Thanks
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Emphysema is the dilatation of the alveoli which is the smallest unit of lung or the smallest respiratory unit dilatation of alveoli occurs in cop din emphysema lungs grow in size and that causes the symptoms of coughs breathlessness, phlegm tightening symptoms are due to obstruction in the airways pain in ribs can be a symptom you need to consult a Pulmonologist who ll request for a spirometry and ll stage your disease and give you inhaled medications as necessarythanksfeel free to ask more questions
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hello ive having problems recently with my anas as its been itchy and recently i say a white thing that was moving about it was about 3mm it length so i done some research and come across something that seemed to match it was a pinworm is there any easy way to get rid of them without going to the doctors as i wouldnt want to speak to my parents about something personal like this please any help would be nice
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Thanks for contacting ChatDoctorI am sorry to see that you may have a pin worm infection. Pin worms are a very common parasitic infection that is transmitted from person to person. The pin worms lay eggs at the anal opening at night and that is what causes the severe rectal itching. The eggs then stick to clothing and can be transmitted through the clothing. Also, after going to the bathroom the eggs can get on your hands and with inadequate handwashing will also transmit the eggs. The treatment requires washing clothes and bedsheets. You will also need to take antiparasitic like albendazole or granted. You can purchase granted over the counter as Pin-X or Reese's Pin worm. Furthermore, you may need to retreat in 2 weeks after your first dose. Good luck Hope this answers your question. Please contact us again with your medical concerns and questions
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi Dr. A Chakraborty, for the past 36 hours or so I have had intense swelling behind the last molar on the upper right side of my mouth. It is very painful and getting worse. I have had all of my wisdom teeth pulled. Do you have any idea what this could be?
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Hi thanks for your query. That swelling might be related to decayed tooth resulting in abscess. The other reasons could be Pain, peritonitis, development of periodontal disease on the second molar, crown and/or root resorption of the second molar, caries in third or second molars and TMJ-symptoms are associated with retained third molars. Please visit oral and maxillofacial surgeon for further treatment.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i had an ultrasound for my liver and was told it was like an alcolic liver and was concerned how bad it was i dont drink or overeat i had a blood test the gamma function was 4.6 and had high against it if i eat a lot of carbs my liver seems to get sore so i am scared to take any more medication for depression and try to repair my liver no one has any concerns over this and is putting medication into drink and food i am so worried it will do more harm than good i was on resperidone for 20 years and think this is to blame but no one will lisen to me or explain things to me i have an appointment to see a phyciatrist but scared they will make me take medication or put me in hospital but no one has concerns over my liver please help
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Hi, I had gone through your question and understand your concerns. If you have alcoholic liver disease, and you are a heavy Chat Doctor. Talk to your doctor about how to get help. If you don't stop you could get complications like alcoholic hepatitis or cirrhosis. If you are overweight or obese, do what you can to gradually lose weight -- no more than 1 or 2 pounds a week. Eat a balanced and healthy diet and get regular exercise. Limit high-carb foods such as bread, grits, rice, potatoes, and corn. And cut down on
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I discovered a lump in my throat 2 months ago and still waiting for ENT. I do smoke and drink some, age 63. it is behind vocal chord and the size of a pea. I had my tonsils out as a child and had surgery for sleep apnea 10 years ago. Should I be pushing harder to see an ENT? Any idea what it could be? Of course fearing cancer.
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Hi. Thanks for your query. Noted the history and understood your concerns. At the age of 63, cancer obviously is the major feared thing one should think about. It is wonderful to know how do you know that there is a pea sized lump behind vocal cords if endoscopy is not done. Well, with the history of surgery for tonsils and sleep apnea the lump in throat should be taken seriously. I would advise you the following: Consult an ENT Surgeon for endoscopy and clinical evaluation. MRI of the neck is very important to see for the lump whether polyp or something else. Plan for surgical removal and histopathology. This will get the diagnosis clear and treatment plan manageable.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Doctor, i am 29 and have been trying to conceive since last 2 1/2 yr.My periods are regular.. all my tests r normal including thyroid,USG pelvic,HSG.In HSG a mild dilation in spill is seen in left fallopian tube while right seems perfectly fine. My doctor is now asking me to get follicular study done in the coming cycle and to take injection corion 5000 when a follicle in right ovary hs developed to a size of 19mm.Is this treatment is okay??is this injection is safe? To tk a second opinion i went to another doc, she asked me to get TB PCR test done.. To my knowledge TB PCR is quite unreliable test and it has nthig to do with infertility as many fertile women also show positive.. What shall i do? plz suggest.
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Hi, If your periods are regular and all your blood test sand ultrasound are fine. I don't think follicular studies and Chat Doctor injection will help. I am assuming that your husbands' semen analysis is normal. Since you are trying for 2 1/2 years without any luck, I would advise you to under Diagnostic Laparoscopy with Hysteroscopy. This would not only give a good picture of your Fallopian tubes but also see the uterine cavity is good for implantation. And in any couple with more than 2 years of infertility IVF has shown better results and should also consider the same after the laparoscopy. Hope this helps. Regards.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a swelling which occurs on my back side of my right hand palm and tends to bend it inwards but when i take prednisone and diclofenac it subsides and after many days comes again. What is it Doctor? What other medicines do you suggest for me apart from the ones i use since they erode my stomach?
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Hello, Looking at your details it looks that you may be suffering from tenosynovitis of extensor tendons at back of hand. This needs to be evaluated to know about the cause behind it. You should consult to your orthopedic doctor or a rheumatologist for this. You should get evaluation for connective tissue disorder and rheumatoid profile. Hope I have answered your question. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My Wife has taken unwanted 72 on the second day of her period when we had sex. Now its 12 days but she is having regular stomach pain and sometime in her breast and in leg most of the times. Her stomach has swelled and her left side of vegina has also swelled (red). Touching the stomach causes the pain and even at the time of urinating its gives burning feeling. Some time few drops of blood comes out. It seams like bacterial and fungal infection. Should we take any medicine is it ok?
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Hi, thanks for using Chat Doctor. Your wives symptoms are suggestive of urinary tract infection or genital infection. Nor related to unwanted 72 pill intake. Complete history and examination required to confirm condition. Antibiotic treatment required. Good hygienic measures required. Treatment of partner is also essential. Intercourse on 2nd day of cycle is safe, unwanted 72 pills was not required. Regards
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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HI, I have a severe toothache (upper back jaw)and I did see a dentist yesterday and they said all my teeth were fine.I even did an xray but everything seems normal. I suspected for sinusitis. I did have a sore throat flu and fever couple of weeks ago which doctor prescribed an antibiotic for it. Then my fever and flu gone. But I noticed my nose not fully clear always feels congested but not runny. Few days ago I started having this very painful toothache which I cant sleep at night. It came and gone once in a while . I took a painkiller to ease the pain(paracetamol 500mg).I went to see a doctor yesterday afternoon and she gave me loratidine,pesudoeprine,piritone and flomist spray.But last night I still have a very painful toothache,and this morning again after taking all the medication the doctor prescribed 2 times (last night and this morning).I will go to another clinic for second opinion after this.For information I did feel a ittle bit pain when pressing the front face beside the nose(test for maxillary sinusitis).It is really painful although it come and gone once in a while.Any advice or recommendation? I was thinking of taking antibiotic for maxillary sinusitis for a week or so and monitor before meeting ent specialist.What do you think? Please help me doctor.Thank you.Abdul Rahman Halim.
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Hello, Your tooth discomfort may very well be related to your sinusitis. This is not uncommon. Please be careful before introducing more antibiotics. You may need a change in the antibiotic or a stronger dose, if what you have taken has not been fully effective. Please consult your doctor before taking any antibiotics. Definitely take medication to reduce discomfort due to congestion. This will help determine if you have an issue with the tooth, or it is merely a reaction to the inflammation caused by the congestion. Inflammation and the accompanying discomfort needs time to heal. Keep this in mind and try and reduce your discomfort while giving more time to heal. My suggestions are to use a toothpaste for sensitive teeth, fluoride rinses, maintain good day dental care, follow a bland diet with no acidic and spicy foods. Your mouth may be acidic and this can cause a sensitive reaction at the gum line. This can be severe if you have root exposure or recession. You may also be breathing through your mouth with the congestion. This creates a harsh environment and Chat Doctor. Your plaque is much harder to remove. Please make sure you are well HY
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a few problems. The first I have had for many months, my bottom left wisdom tooth has come in, but didnt come all the way out. It allows food to get under the gums and get infected, its pusses alot. The second problem is my bottom and top back molars are turning black and starting to hurt, despite good brushing. My wisdom teeth are also coming in right behind both of those teeth. What can I do with no insurance? Im in pain everyday.
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Thanks for your query, I have gone through your query. The pain and infection could be because of the gum infection over the wisdom tooth (periodontal infection leading to space infection). The disc oration can be secondary to the decay. Consult an oral physician and get a radiograph done to rule the amount of space present for the tooth to erupt if space is there for the tooth to erupt then the gum covering over the wisdom tooth can be removed. If the space is not available then you have to get the wisdom tooth removed. If I am your treating doctor, Meanwhile I would have prescribed a course of antibiotics like amoxicillin 500Β mg and metronidazole 400Β mg TID for 5 days (if you are not allergic). Do saline gargling. I hope my answer will help you, take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hi sir can ChatDoctor be taken on 3rd or 5th day of menses to concieve?im confused.
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Hi Ran, Welcome to Chat Doctor. Self treatment for infertility is not advisable. You have to consult an infertologist and follow his advice. More over follicular growth monitoring on ultrasound scan will be necessary to know the effectiveness of Chat Doctor. It will be necessary also to confirm that your tubes are not blocked and that your husbands' semen analysis is within normal limits. Wish you all the best.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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my period is 16 days late and i ve taken three home pregnancy tests one i coouldnt tell what it said. it looked like an upside down T and the other two clearly said not pregnant.. ive been wicked tired, my boobs kill, im nauseas, constantly go to the bathroom, crampy, and irritable.. i dont know what to do.. could i be pregnant? if not what s worng?
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Hello dear, I understand your concern. In my opinion the chances of pregnancy might be rare in your case. Because usually the urine pregnancy test gives accurate results a week after missed period. So by this time it should have been positive. As it is negative there might be no pregnancy. I suggest you to consult doctor as you might need medicines for periods.Also, ultrasound might help in confirmation of no pregnancy and the cause for delay of periods. Avoid stress. Best regards...
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My partner had throat cancer staqe 2 and the radiation.chemo worked to remove the main site it tranverred the throat to the other side and got lymph nodes involved for 4/11 being removed in the shoulder surgery which had a lot mass removed.Today they said the CT Scan showed a shallow in the throat but nothing to be worried about but to a repeat CT Scan in three months. They also did a deep camera view of his shoulders height to his neck.What is a scam and why it is not visble with the camera exam tody and wy another CT scan in3 months
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Hi, The exact meaning of throat cancer is unclear. Throat has several subsides. Anyway chemoradiation is the treatment of choice in most of the cases depending on the disease stage. Probably post RT neck dissection has been performed. Now the scan is done as a routine follow-up procedure. Nothing to worry about. This can early detect the recurrence if any and proper treatment can be given. Do not worry at all. Follow your doctors advise.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Ive been diagnosed with hypertension. I was on a diuretic for about 6 months, then I was taken off- doctors orders. Fast forward almost 4 years and I wake up EVERY morning with swollen hands. Throughout the day, the swelling goes down. Is this a sign that my BP elevates overnight every night?
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Hi, It is not a sign of elevated blood pressure at night, you should check your kidney function, if it is normal, then you shouldn't worry. And is you suspect that you have high blood pressure at night, you can have 24 hour ambulatory blood pressure monitoring done and find out what is your blood pressure at night. Hope I could help nourishing you good health In case of further questions don't hesitate to ask
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since the morning (8:00 am & now 10:00) i have had severe lower abdominal pain, as if at the bottom of my uterus, with pain as i press on it and rub it - perhaps more on the lower left side. it is around time for mentrual cycle to start, but i have never experienced pain like this-so severe to affect walking. also have chills, body aches abd headaches....
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Hi. Thanks for your query and an elucidated history. The combination of the pain in lower abdomen, tenderness left lower abdomen, shills, body ache and headache is suggestive of some infection:Mostly PID, pelvic inflammatory disease, Salpingitis or Ovarian problem. The pain gets enhanced due to the congestion one get just before menses. I would advise you the following:Ultrasonography. Gynecologists examination and opinion. Start appropriate antibiotic cover. Bed-restI hope this answer helps you, you have not mentioned any urinary or bowel symptoms hence not suspected to have Gastroenteritis or colitis.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Just had an MRI and was diagnosed w/ multilevel degenerative changes w/ C5 -C7. Broad based disc bulging w/ mild to moderate disc bulging. Moderate to severe disc space loss...mild to moderate stenosis . Also found Reversal of the normal cervical lordotic curvature w/ approx 14 Degrees of kyphosis (what the heck is that???) Also 2mm degenerative anterolistesis of C4 AND I made Team USA Triathlon World Championships and am going to London in Sept to compete.... this is REALLY cramping my training!!! HELP!!!
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Hello Linda, Welcome at Chat Doctor. I have read your question. It looks from your details that you are having multilevel disc degeneration at cervical spine level. The multi level disc degeneration can be a part of age related changes. If stenosis is there & this is causing symptoms to you like radiation of pain or other symptoms then this can be best tackled with conservative measures. You should consult to a physiotherapist for relief. You may learn some exercises for strengthening of neck muscles. He may give you relief by traction therapy,infra-red therapy, etc. Your doctor may also help you by some analgesic medicines or by epidural steroid injection. Hope this all will help you.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i am student and i have not had my period for the past 2months ..i don t want to be pregnant.i am just 18 and just started my degree. please i won t be able to afford expensive medications,if any natural ways are there please help ...if there isn t any way i ll commit suicide
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Hello dear, I understand your concern. In my opinion a urine pregnancy test need to be done to confirm the pregnancy. Then depending on the age of pregnancy the termination is planned. Early pregnancy up to 6-7 Weeks can be terminated by medical methods. After 7 Weeks surgical methods are successful. Iam sorry but there are no natural methods available for pregnancy termination.First I request you to avoid stress and don't get depressed. Mistakes happen but we will need to correct them.Don't think of ending life for this small matter which is correctable and reversible. I suggest you to consult doctor without delay and follow their instructions. Nothing to worry. Do not try the abortion medicines on own as they are associated witChatDoctorplications like heavy bleeding, incomplete abortion etc. So relax and consult doctor. Hope this helps. Best regards...
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello doctor,I am wondering if I can take Levothyroxine along with MAO inhibitor? Also, I have taken Etizolam for a sleep disorder, how long do I need to wait before I can take MAO inhibitor?
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Hello. You can take Levothyroxine with MAO (monoamine oxidase) inhibitor. The list of contraindicated ChatDoctor. MAO inhibitor after being stopped, show an increase of neural monoamine levels for 2 to 3 weeks. Concomitant use of MAO inhibitor with Etizolam show side effects like sedation, dizziness, etc., but not fatal side effects are reported. For more information consult a pharmacologist online Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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im 37 y/o, female, asian. my mother had breast CA. I am a little bit worried because there is a bruise-like discoloration on my right breast and its been there for over a month. It is not painful, no lumps, no warmth, and does not seem thickened. i did notice two black spots on the areola. should i be worried?
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HI, thanks for using Chat Doctor There is an increased risk of breast cancer if there is a family history of disease but this increased risk does not mean that you will definitely get this disease but that you need to monitor yourself. The bruise on your breast may just be an indicator of a small vein burst. It is not a normal presentation of breast cancer. You may want to consider the tests for the bra 1 and bra 2 genes. These genes make tumor suppressor proteins which are proteins that reduce the chance of breast cancer. Persons with abnormalities with these genes are at increased risk breast cancer. I hope this helps
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Went to a dentist in Nov and was injected several times in lower right gum line. The procedure could not be finished because the area was still suscuptible to pain. I had about a week of sorness and now cannot open mouth fully without severe jaw pain.
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Thanks for your query, I have gone through your query. The pain could be because of the tooth infection resulting in pus formation involving tissue spaces. Consult an oral physician and get your self examined. If I am your treating doctor I would have suggested you to take penicillin, metronidazole combination with an analgesic if you are not allergic. Consult a physician immediately before it result in any complications like breathing problem. I hope my answer will help you take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I took a hard fall hitting my head very hard and scraping my left arm above the shoulder. I am on Xeralto - one a day. Is there a chance I COULD HAVE repercussions for the jarring of the head? Have been shaky and weak since Tuesd, the day I fell. Thank you.
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Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. The following symptoms following Head injury require evaluation by a Neurosurgeon1. Loss of Consciousness2. Fits 3. Headache 4. Vomiting 5. Dizziness6. Giddiness7. Double Vision 8. Blurring of Vision 9. Numbness10. Weakness 11. Bleeding from Nose 12. Bleeding from Ears13. Bleeding from throat Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hi sir, well I had a left radial wrist surgery and ive got k wires in my wrist. i just want to know if once they will remove them, ill be able to immediately have all mobility, put pressure on it to use crutches. because im waiting for the removal so bad to be able to use crutches to walk with my left broken femur.Thank you in advance,Gavin.
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Hello, Normally, after a wrist surgery with k wire fixation, the patient does not have full range of motion. Normally, I remove the k wire after 6 to 8 weeks and the patient is on splint. After 6 to 8 weeks the fracture either is not 100% healed or has some kind of post-traumatic osteoporosis (in women mostly) which means that is not ready to use crutches. I think with physical therapy for 4 weeks you can gain your range of motions. Regarding using crutches I would wait more than 4 weeks after k wire removal. That will depend on you bone quality and healing on x-ray. It may go to 8 weeks after k wire fixation to use crutches. You can use wheelchair instead. Hope I have answered your query. Let me know if I can assist you further.
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