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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have many reoccurant rashes and I want to know what causes them. I have tried normal rash creams, steroid rash creams, using products for sensitive skin , eczema friendly products but none of them work. Actually after using these products for a while my skin seems to react to them. I can now no longer wear make up or put anything but water on my face, even moisturizer burns. Last time I wore make up my face looked like it got sun burnt and my ear lobes swell up. The rashes seem to be slightly different depending where on my body is. My legs, feet, elbow, inner arms, hands, face particularly lips are all affected. Can anyone help me? I just want this gone.
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Hi...dear Joe., Thanks for choosing Chat Doctor., Why You're using different types of creams., Due to these., Youβre skin going irritate and gives hypersensitivity to all., So stop all topical applications., Tab. Levocetrizine 10 mg daily for 20 days., Use low pH soap.....UNDER.cu ratio company., After few days starts...... Morning use....SUNSCREEN LOTION., Night times use ELO CON...momenta some., thanQ
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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my husband did his semen analysis and has 80 milion count sperm and 30% abnormal and 1.78volume , 10%active motile ,30%sluggish , 60%nonmotile liquidation time after 30 minutes is his result effect his fertility , with regard that ihave married from 4 months only and this his first time to do semen analysis report my email address YYYY@YYYY
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Hello Maria, Well I think the semen analysis reports suggest asthenospermia. But since you are only 4 months married, I wonder why you are so much eager to have conception and did a semen analysis. I think you may not need an active interference now and may wait for a few months more. I would like to know if your husband has habits of smoking or alcohol and if so kindly advice to abstain from those habits. If your husband has other problems like varicocele, he may need treatment later. He may avoid tight under-wears, and if possible avoid hot environment. I would suggest you to have planned intercourse between 8 and 18 days of cycle if cycles are regular for few more months, after which you can go to an infertility specialist. He can take few preparations available in the market containing COQ, astaxanthin etc. and repeat a semen analysis 3 months later with a different pathologist.Don't worry, at all now. Good luck
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi, my one year old has had a fever about 102 now for 3 days, a cough that is phlegm and a runny nose. She is drinking but not eating much. I have been giving her ibuprophen every 6 hours and it is still about 100 after I give it to her. I have been taking her temperature under her armpit. I brought her to the doctor and they said her lungs sounded ok and they did a strep test but that came back negative....should I bring her in again? Or what could be wrong with her?
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Thanks for asking. I have gone through your question understand your concern. Your 1-year child is having fever since last 3 days you visit doctor and doctor done strep test. Which is negative and you are so worried. Most common cause of fever with cough is viral. sometimes it can take 5 days to recover. So as you visit doctor and strep test is negative. You should wait for 2 more days' fever will come down. Hope I answer your question. Wishing you healthy family.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi Doctor my mother is lung cancer patient and she is currently running a persistent fever opf 101 F for the last 2 days. We have already given her 3 tablets of Dolo 650 ( Paracetamol 650) during the day, the last being given some 4 hours ago. The question is what is the safe dosage of DOLO 650 for Cancer Patients running fever Regards Neeraj
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Hi, paracetamol is very safe Chat Doctor. It has hepatic (liver) toxicity at very high dose which is subjective. Lung cancer if not spreads to liver her liver function seems to be normal. Then you may use the same dose for even 4 times a day. But cause of fever to be detected and to be treated accordingly. Paradetamol is not definite treatment. You should go for a complete blood count. Consult oncologist.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a ( what i thought was a spider bite on the bottom of my foot, it has been there for weeks, it is rock hard like,a callus consisted of dead,skin, has an open hole in the center. on sometimes hurts to walk on it. My mom told me to try and pop it, so i just squeezed a little and it hurt alot
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It is likely you have a plantar wart. This is a lesion that looks like a callus that typically appears on the bottom of the foot. It is caused by a virus. These can be painful and can get bigger or spread. They may require repeated treatments to get them under control. Popping it does not help. Sometimes the callus needs to be carved down with a surgical knife and the lesion frozen or lasered to kill the virus. Best to see your family doctor, a dermatologist, or a podiatrist to get it properly diagnosed and treated. Hope this helps.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hi, i m in early stage of jaundice where my blood test results are given below: sgot is 335 u/l sgpt is 832.6 u/l bilirubin 4.7 MG/DL let me introduce myself,i m female and 21. What are all the advisable indian(tamil) food i can have? How long i need to follow this? I m a non-veg eater and love to eat snacks as well. Any advice from you that i m starving of these non-veg and snacks for a week itself?
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Hello! Thank you for the query. This is not early stage of jaundice! There is no diet to treat it. There is nothing you can do by yourself. It is strongly advisable for you to get medical help. Your liver tests are very bad and can be life-threatening. Such liver tests results can be caused by viral infection, bile ducts blockage, liver cirrhosis, liver cancer. You should have abdominal ultrasound, GGT and AP blood tests, amylase in urine and blood, HAD, HBV, HCV tests. Do not neglect it and get medical help as soon as possible. Hope this will help. Regards.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I got home from a vacation yesterday and found about 50 raised red bumps on my sidesaddle back. Noticed today I have a few more on my torso, and upper thigh. They are slightly itchy, but more just sensitive. Is there a way to tell if it is bed bug bites (stayed in 3 hotels), a rash from a hot tub, or something else? Had sore axillary unilateral lymph nodes yesterday too. Thinking its not bed bugs because my husband slept in the same bed, my daughter in the bed next to us and not a single bite. No fever ...
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Hi Welcome to Chat Doctor Froufrou your clinical picture, it looks like you are having scabies. Scabies is a mite infestation presenting with itching popular lesions all over the body, mainly over abdomen, finger webspaces, thigh and genitalia. It usually causes more itching at night. It is a contagious condition, so proper treatment of the patient and the contacts has to be done need to apply 5 percent permethrin cream all over your body. Single application of this cream all over the body below the neck is to be done. Apply it at night, leave it overnight, take bath the next morning. Use rotation cream from the next day twice a day over the affected areas. Take antihistamines for itching. You have to take care also to disinfect all your clothes and weddings by washing them in warm water and Chat Doctor. And also find out, if anybody else from your family has similar lesions or itching, then they should also be treated. Wishing you speedy recovery
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi I have a boyfriend who have leukemia for for ten years now, hes 28 years old. We are committed to each other.I am scared that its genetic, so hows severe or 1%can the kids inherit the disease?I am worry, that I might not enjoy my motherhood if we get kids. And for how long will my boyfriend lives from now on (life expectancy)?
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Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you are right about leukemia inheritance. Leukemia s are inherited in nature. The possibility of inheritance is depending on type of leukemia. B cell leukemia have high inheritance then T cell leukemia. So please reply me the type of leukemia he is having. And with modern medicine, prognosis of leukemia s are good. Life expectancy is usually up to 40-50 years if regular follow up with oncologist is done. And inheritance in child is up to 5%.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am currently being treated for an infection with ciprofloxacin. 2 days of a 7 day prescription. Once the fever broke and the body aches went away, I noticed throat hurting more and glands on neck right under back of jaw are extremely swollen. And painful. They normally are slightly noticable(I had my tonsils out when I was 5) and they have been that way for 4 decades! But I just want to be sure that after a few more days on the antibiotic this will probably clear up?? They are the size of large grapes, and very painful. Thanks for some reassurance?
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Thanks for posting you query to Chat Doctor. Lymph node enlarges in response to infection, they are the policeman of our body, trap infecting agent and in this work they increase in size. Antibiotic treatment will treat your infection and not the NODE.this node will regress in size after eradication of infection, but I am sorry to say that rarely they reach to their normal size, but I assure you that they will decrease in size up to the level that do not cause any discomfort to you. Further I suggest you to take Tablet of Diclofenac sodium 50 mg with Serratiopeptidase 10 mg orally after meal 2 times a day. It will decrease soft tissue swelling and help in decreasing size of your node also. Hope you would be satisfied with my answer. Feel free to communicate if any query.regards, Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am having abdominal pain, lower on both sides, back pain low on both sides. Went to ER had a CT scan and they saw possibly a small cyst on left ovary and a stint or clamp on my liver (never had one put there) and they saw red and white blood cells in my urine. They put me on antibiotics but the pain is still pretty intense.
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Hi. Thanks for your query and an elucidated history. There is nothing to get a confusion about since you have pain in the lower abdomen and the low back. A small cyst on the ovary can not cause such symptoms. IT is the most probable urinary tract infection with severe cystitis causing the symptoms you have. Get tests done for the blood, urine - routine and culture and sensitivity. Start on an antibiotic and supportive medicines, and you may be fine.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am experiencing complete impotency and I have a varicocele that hurts extremely bad on the left side. I had testicular cancer 3 years ago and went through chemotherapy but not radiation. After I pee, I also have to normally pull on my penis or press on my gooch area to relieve all of the urine to be done. I smoke cigarettes but I am trying to quit. What tests should I have my urologist run on me to find out what the problem is?
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HelloThanks for your query, based on the facts that you have posted it appears that you have Left sided Varicocele that is painful and have painful urination and have to apply pressure on supra pubic region to empty the bladder. Please consult qualified urologist for clinical examination and get following tests done to grade the varicocele.1) Ultrasound scanning of Scrotum. This will also reveal the status of your testicular cancer after chemotherapy.2) Color Doppler study of testicles .3) Serum testosterone levels and Prolactin to assess the cause for ED. Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I Just bought Active Liver. I had my gallbladder removed 7years ago and have always had problems with my stomach after..I m always bloated. Some one told me this would help where I did have a gallblader and have bile??? Also that I may lose weight from it?????? Hope this pill helps.....
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Hello, The mentioned tablet or supplement help in improving liver function. It will not help in relieving bloating. Your bloating can be due to removal of gall bladder. Celestial tablet and fiber supplements can be prescribed in case of bloated stomach. You can Consult nearby physician for detailed evaluation and get prescription accordingly. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have mild chest pains on the right side of my chest. The upper section of my right arm is a little sore also. I was recently diagnosed with MVP. I had an EKG, a stress test, and an Echo about a month ago, and eveything looked good(minus the MVP). Normally I only get palpitations caused by MVP, but the fact the I am feeling some pains is concerning me. They have been coming and going for the past 4 hours. It brought on a mild anxiety attack, but I took a Xanax and that subsided. I have never exprienced pains that lasted this long. I am not having any trouble breathing, and I am not sweating or dizzy. I m not sure what is wrong with me, and do not want to ignore it if it could be serious. Please assist!
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Hello Thank you for trusting Chat Doctor MVP patients are asymptomatic but few patient experiences chest pain palpitations, dizziness and syncope, migraine and anxiety. Cause is unknown or poorly defined associations with a Chat Doctor. One third of patients emotional stress precipitate benign arrhythmias. No need to worry if your feelings emotionally peak movement try to control it. If symptoms not improved consult your doctor. Thank you
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My father has recently had a stent removed after having his kidney stones blasted. He is in process of taking antibiotics for infection which he gets a lot of, but today has had couple of accidents where he has wet himself. he is worried this will be continuous. Is this side effect from removal or is this something he needs to get use to?
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Hi, I don't think his problem will be continuous. He seems to be having urge incontinence which is most likely to be because of urinary tract infection. Get his urine routine examination and culture done and take antibiotic according to culture sensitivity. You have not mentioned if your father is diabetic or not. Get his blood sugar checked. Also get ultrasound of abdomen to see if his prostate is enlarged. I wish him a speedy recovery
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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IM HAVING PCOD I HAD AN FOLLICULAR STUDY ON 12 AND 17 DAY OF MY CYCLE THE RESULT IS RIGHT AND LEFT OVARIES ARE NMF AND CAVITY ECHO IS 8.7 IN 12TH DAY AND6.8MM IN MY 17TH DAY AND NO FREE FLUID IN POD WHAT MEANS IT EXPLAIN ME SIR HOW CAN I BECOME PREGNANT
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Hi, Welcome to Chat Doctor. I understand your concern. Your USG shows absence of ovulation with lack of maturity of ovum till16th day of menses Endometrial thickness is less than normal. Indicating hormone deficiency due to absent ovulation. Lack of free fluid in pod indicates absent ovulation. *overall result favors ovulation problem. Likely to be due to pod. *You need to get treated the condition pod by a gynecologist (by 3 months contraceptive treatment/camphene to induce ovum maturity ovulation/Glyciphage for management of over weight management insulin resistance./ ovarian Chat Doctor. . As per need. Consult a gynecologist for help. Once ovulation starts you have good chances of conception. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Please suggest me a medicineCERVICAL SPINE:Osteophytic lipping from C2 to C6 levelMild reduction in disc space are seen from C3-4 to C6-7LUMBO-SACRAL SPINE:Osteophytic lipping is seen in all lumbar vertebrae.Reduction in disc spaces at all levels most marked at L5-S1 level
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Hello.... You have not mentioned the symptoms that you are experiencing. A reduction in disc space without any symptoms does not necessarily warrant treatment. It would also help if you could tell me your age since some disc space reduction can occur as a normal part of aging. A significant reduction at L5-S1 could suggest lumbar canal stenosis and would cause symptoms such a low back pain and radiating or burning pain along the back of the thigh and in the legs. If you are experiencing these symptoms please consult an orthopedic surgeon who would guide you as regards the further course of action. You may need to take lumbar traction along with calcium and it.d supplementation. Severe lumbar canal stenosis would require a surgical procedure known as laminectomy. Hope this helps...
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello, My sister has had major pains for over a month and a half. Many ER visits and still no understanding of a reason. Here is the issue: she has major pain that starts from her back. The pain travels to her abdominal region which then also causes pain in her lower abdomen and bladder area. The pain is a shooting pain and also a burning sensation in the back. The pain starts with or without food. After taking Motrin, she feels fine until the medicines effect goes away. We recently discovered that she was vomiting constantly early on a lot due to the pain. If she doesnt take the medicine, she vomits constantly and is in pain. Her test results: UA specific gravity low 1.005, blood large, leukocyte esterase traced, RBC 9 HPF HI. No gallbladder or pancrease issues. No evidence for cardiac arrhythmias. What could it be??? We only suspect kidney stone but cannot figure out what to look for in test that maybe all dr missed.
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Hi, I appreciate your concern for your sister. I also advise you to go in the direction of the kidney stone diagnosis. The pain that starts from back, is shooting in the nature, travels towards abdomen and bladder, and is associated with vomiting is very peculiar indication towards kidney stone. I advise that she should go for urine routine test. That may show discharge of crystals suggesting kidney stone. To be further sure, she should go for USG (Ultrasonogram) stomach. Kidney stones, if present, can be diagnosed and located in USG. Meanwhile, she may take painkillers that suit her to relieve pain. Also, she should Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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2 weeks ago I lifted a heavy object with my right arm. the arm was straight, not bent at the elbow. as I lifted i got severe pain in my forearm/elbow area and heard a louc crunch/tear. i have rested the arm and used anti inflams but am still in pain and discomfort particularly when lifting even a kettle. there has been no swelling or bruising
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Sudden onset of pain after lifting of heavy wight suggest tear or sprain of extensor muscles of fore arm. Extensor muscles take origin from lateral part of elbow. Sprain at this area is called as tennis elbow. It takes time to heal. But you should not be worried at all. It is a treatable condition. Avoid screwing movements, apply tennis elbow band(commercially easily available), icing and analgesic gel massage at tender area and mild analgesic such as ibuprofen will give relief in symptoms. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My pigeon chest has become all inflamed and tender and sore over ladt couple of days. I had a replacement aortic root surgery 4 years ago so I am worried. What might the problem be. I am in a lot of pain and discomfort. What could it be and what should I do ?
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Thanks for your question on Chat Doctor. I can understand your concern. You are having congenital developmental defect of rib cage, pigeon chest. Most common cause for this is calcium and vitamin D3 deficiency. So tenderness, soreness, inflammation and pain can be due to these deficiencies. So better to get done calcium and vitamin D3 levels and if deficiency then you will need supplements. Also follow these steps for better symptomatic relief in such symptoms. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. 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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7.5 month old grandson sudden started fighting drinking his formula bottles and then started refusing to eat baby foods too. Occasion low grade fever. Doctor appointment last week confirmed no ear problems, possible teething but no teeth yet and still refuses to eat anything. Now foul smelling diarrhea as well. Will not eat baby food or table food and only 3-4 ounces of formula 2-3 times a day. Has also thrown up twice. Used to take Tylenol with no issues now have to literally force it in him, taking two of us to get him to take it without spitting it out. Only other change is brand of formula, from similar to Costco store brand and now back to similar. Can this still be teething? How long can he go with decreased amounts of formula without it affecting his growth and development?
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Babies start to become fussy about food around 7-8 months of age and their appetite also swings back and forth. These not-wanting-to-eat phases do not last for long. Do not force-feed the child and try to bring some variety in his diet. Foul smelling diarrhea indicated some infection for which you need to consult your Pediatrician and give the child plenty of water. Teething issues come up repeatedly whenever new teeth erupt, but they can cause irritation but not loss of appetite.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello doctor,I found a dark, round spot on the back of my foot towards my toe. Unfortunately, I do not know how long I have had it. I was told by my mom, who is a nurse, that it was probably a freckle. I am not sure because it is pretty big. It is still smaller than an eraser on a pencil though. When I rechecked it last week, I saw a little tip at the edge of the mark that I did not notice the first time I saw it, so I do not know if it is growing or not. Even after searching a lot of sites about this, cancer, etc., and knowing that my family does not have any history or genetics linked to cancer, I cannot tell what it is. Let me know if I should panic.
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Hello. I understand your concern, but there are no attached photographs in your message. Kindly send a picture of the affected area to help you better. I need to see the affected area to assess the condition and to suggest the appropriate diagnosis and treatment. Please send the picture of the affected area.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have not felted that congestion lately in my nose, mainly more at night time, and ive had slight pain behind my right eye, almost feels like a headache behind right eye. Should the pain behind my right eye be caused from sinus congestion. I have Allergies and take claritin
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Hello, Welcome to Chat Doctor, This may be a symptom of sinus infection, but it should be confirmed by the physical examination and the X-ray PNS, which will helps to make the proper diagnosis. The clinical examination helps to know presence of sinus infection, patient with sinusitis may have light pain behind the eye, headache and other constitutional symptoms. The symptoms may come down with steam inhalation, antihistamines and a course of antibiotics will help to control the symptoms and improve the condition. Thank you.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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my name is madhavi latha age of 32 i was married in the year of 2002 as of know i have no baby i went for many doctors, two times i was concive and aborshan , my problem is bicornuate uterus and vigenal septem the operation has completed successfully in CMC hospital vellore in 2011 but no concive as of know we are planning to go for ivf what is the success rate of this ivf my husbend age is 39 he is dayabatic patient but it is control what is your suggestion
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Hi, Since you are already under treatment of gynecologist it will be best you discuss it with your doctor. Evaluation of your uterus and tubes should be done by H S G to know the tubes are patent .your husband to be evaluated also doing semen analysis. Bicornuate uterus is known to have recurrent abortions, and you will have to be under care of your doctor throughout from conception when it occurs expecting the best outcome. In case both the partners having normal parameters and normal sexual activities I V F may not be advised for conception. Hope you get result with treatment and pregnancy continues to full term or at least to viable age when a premature baby can be taken care of in well-equipped I U C attended by efficient doctors and nurses. Treatment to enhance fertility will be helpful for conception.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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my mom has had anxiety attacks since she was a child.. she has been leagally dead because of these.. and needed a defibulator to come back her heart and blood pressure stops.. and she faints right away.. then is in a comma state without reachtion.. then shakes whole body jumping uncontrollably .. she has shakes to any mental stress as low as feeling guilty of telling someone she would do something and then find that she cant.. she has had a stress test .. they diagnosed her with a severe panic attack but i forgot the name to sign her up for disability .. she is currently living with me. and has been told she cannot work. she has been tested for parkensins and other illnesses. please tell me what the name of the panic attack that physically kills a individual. thank you for your time
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Hello and welcome to Chat Doctor. Thanks for your query. To answer your question directly, no panic attack "physically kills" an individual. No anxiety disorder, including panic attacks, requires a "defibrillator" to bring back the patient to life. The facts which you have mentioned that "her heart stops" and that she becomes "legally dead" are totally inconsistent with a panic attack. However, you mention that she has had tests and has been told by the doctors to have "severe panic attacks". It is not possible for me to give you an exact diagnosis without a detailed history and a proper evaluation / psychological assessment of the patient. So, I would suggest that you discuss and clarify with her doctors reading her exact diagnosis. Wish you all the best.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My friend had a second back surgery the second surgery was for a herniated disk, now almost three months after surgery he is in chronic pain has numbness in the groin and anal regions, his leg twitches and has a mind of its own he cant sit and is limited on how much he can stand for fear of falling. He has now been on morphine for about two months thats how much pain hes in is that normal for this type of surgery?
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First I would like to know what was patient complaints before surgery. Are these new symptoms after surgery? Does he have any bladder issues? Due to severe disc herniation one may present with severe leg pain and numbness and weakness and such patients gradually recover after discectomy. However, if this is new after surgery this needs to be investigated and It's normal to have such numbness and so much pain. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi I was wondering, If I got 2 stitches in 2 spots (total 4 stitches) near my calf area, how long should it take for it to heal and be taken off? They said 14 days but my volleyball tournament is coming up and I need practice!! I was hoping 10 days? or do I have to wait the full 14 days? Can I play with it on?
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Hi, Thanks for writing to Chat Doctor. Usually in body when sutures are put it takes different time to heal at different places. Since calf region is weight-bearing area you need to keep sutures for 14 days. After that if there is no infection or redness then sutures will be removed. I would suggest you not to practice till your sutures are out. As it may cause separation of sutures due to tension or again trauma to the site and bleeding. Hope I have been helpful. Regards Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a hole in my tooth, 2nd from the gum. Its been here since last year. I dont have insurance, and last year i went to the dentist and he was talking about pulling my tooth or filling it. i am a college student and i dont have money. the hole camefroma filling that was already in there. it only hurts when its cold or when food is clogged in the hole and i have to did it out. its been fine but i just began getting pain like i had last year and i am trying to prevent it from the excruciating pain? what should i do
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Hello, Thanks for consulting ChatDoctorRead your query, as you have restored cavity in tooth now you had pain and sensitivity in tooth don't worry treatment of pain in tooth can be Root canal treatment, I will suggest you to consult dentist and go for investigations done Iowa X-ray of tooth reveals pulp exposed or secondary caries then go for its treatment root canal or removal of tooth as soon as you can manage money. Inmeantime do warm saline rinses 2 - 3 times a day, you can take antibiotic course like amoxicillin or ofloxacine and analgesic like diploma or painted by consulting with your local doctor. Hope this will help you.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i have just recovered from a slight touch of pneumonia during which time I was running a slight temperature of 98.9 or 99.0 or even 99.2. after two weeks of antibiotics (different nes) eighty per cent of the time there is no temearture, but every afternoon I can feel it rising to 99 8; 98.9. AT these times I feel flushedathen perspire abundently and the temperature returnsto normal. Can you suggest someting or someway to keep the temp town. Frustated. age 83 and malel..
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Hi I am Chat Doctor. But you still have afternoon rise of temperature. How is your appetite: normal/increased/decreased? Do you have weight loss? I advise you to go to your physician get a thorough check up witChatDoctorplete hologram and sputum examination. It may be that infection which cased pneumonia has not subsided completelyorPneumonia/touch of it may have been an acute exacerbation of tubercular pneumonitis.you may suffering from flu like disease. So one need to get thorough examination done to rule out tuberculosis infection especially by sputum examination.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I think my daughter is addicted to roxycontin although she says that is the only thing that helps her pain,she says she has severe back pain from a wreck she had 4yrs ago she was left with some alterations in her moter. Skills,when she walks it looks as if one leg is weaker than the other
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Hello, I have studied your case. Dependence on medication can be hazardous, you need to contact your treating doctor and start alternative with Chat Doctor. You can take neurotrophic like methylcobalamine with pregabalin for pain. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care
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Hello Doctor, I am presently in US(Boston) with my family having a 14 month old baby girl named Ninitha. My kid has just arrived from India . So we went for a normal check up for my kid to a pediatric consultant. As per their procedure they took TB skin test which exactly after 49 hours resulted in around 10mm of small red spot and said the baby has positive infection on TB. Then adviced us for an Xray and the Xray result was negative. So the doctor has prescribed isoniazid syrup 10ml daily once for 9 months. I have not started the medication I am really worried if my kid is really infected. I studied that the BCG vaccine which is given in India during the first few days of birth will also result positive skin test. Please need your advice . Kindly help Should I undergo QFT Gold test which would confirm infection. None of my family members have any symptoms of TB . Also I am relly worried of the side effects of consuming the syrup for 9 months without an infection.
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Thank you for asking quarry. Nice description, i think you studied nice for the subject. According to Indian guidelines if the child has the following then its need to beinvestigated--persistent fever or cough x 2 weeks--loss of weight--history of contact with TB Still i don't think it's necessary to start medicines immediately. If still needed to do gastric lavage/bronchoalveolar lavage as next investigation or CT chest to find any focus, then consider for treatment. Hope you find this helpful. Rate the above answer if you like it. Chat Doctor.
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Hello Doctor, I m a 22 year old female and I have these indentations on my shin. It feels like am ache/knot on my bone on my shin area so I push really hard and it leaves this HUGE indentation. This happens usually once a year, on the same leg. Do you think this could be from weather change, (some people say they get aches when the weather changes) or possibly something wrong with my shin bone? Thank you for your time, I look forward to your response.
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Hello, I have studied your case and most probably you are having pitting edema. This is due to either some allergic reaction or circulation issue. It can also be possible in patient who remain standing for long time. I would recommend you to show it to physician and confirm the diagnosis. I would also suggest you to take less salt in diet and wear stocking on affected side. Avoid standing or keeping your leg hanging for long time. Thanks
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I do too much masturbation with my hand...I have good erection but I cant satisfy since I cant ejaculate during intercourse...I ejaculate only when I rub my penis with my hand i.e. masturbation. Please help me how can I ejaculate during intercourse?
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HelloThanks for your query, based on the facts that you have posted it appears that you are unable to ejaculate during sexual intercourse whereas able to ejaculate on masturbation. During masturbation one gets excessive sexual stimulation due to holding the penis tightly with grip of hand which. Lacks during intercourse. This is the reason for not getting sexual stimulation enough to get ejaculation. Please spend more time in foreplay. You may take Sildenafil (Viagra) as on demand. Please get prescription from your family Physician, Chat Doctor. This will help in getting good hard sustainable erection and ejaculation.
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I injured my lower back 2 weeks ago. The pain went into the inner thigh and now extends in part down the inner leg to the foot. I am unable to properly bend the leg, and a dull ache remains in lower back and buttock. Most noticable thing however is swelling of leg and foot and what feels like muscle knots in places where the most intense pain is. Age 40, Average weight/height.
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Welcome to Chat Doctor I have gone through your query and understand your concern. At present, you need analgesic such as ibuprofen for pain relief. Physiotherapy will be helpful. You are also advised to get your vitamin D3 done and if found low you can get vitamin D3 supplements. You can further investigate the case by doing MRI of lumbar spine. Swelling of both foot can be also due to heart related condition, so you can get your heart condition examined. You can discuss with your treating Doctor about it. Hope I have answered your query. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. Wishing you good health. Take care.
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Hi, i am 32 yrs old. Had gone under surgery for endometriosis on 18th Aug 2014. Had bleeding for few days. My gyneac said i will have to take lupride injection after 8 days of my surgery i.e on 25th Aug. I took the injection and the doc said i can have a normal pregnancy. Just 2 days back i visited my gyneac as i had my periods and she told me i will have to take two more dosage of lupride each month to reduce my bleeding. I don t understand why sucChatDoctorplication even after removal of endometriosis. Please help as i and my husband are desperately TTc. How long will it take me to conceive and will it be normal pregnancy.
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Hello, and I hope I can help you today. Endometriosis is a chronic inflammatory disease of the pelvis that cannot be removed completely by surgery. The reason is that endometriosis implants can be microscopic, which is why ultimately most women are treated with hormones to suppress their menstrual cycle for 3 to 6 months after endometriosis surgery. This helps to prevent recurrence of cysts and scarring within your pelvis which may increase your chance of conceiving. However, while you are on the Leuprolide (LU pron) injection, you will not menstruate regularly and is unlikely that you will become pregnant. Your greatest chance of pregnancy is in the first six months after stopping the medication. Because you only 32 years old, I would recommend doing a full six months of Lu pron injections before trying to conceive again. So again to clarify, you do not need Lu pron because you had any complications from your surgery, rather the issue is that Lu pron reduces your risk of recurrence of endometriosis after surgery, which will help to maximize your chance of conceiving later. So there is no reason why you and your husband cannot have unprotected intercourse while you on the Lu pron treatment, however the goal of the treatment is to reduce the inflammation your pelvis after the surgery to help you heal and also to reset your hormones so when you go off the Lu pron you will be in the best shape to conceive. I hope that I was able to adequately answer your question today, and that I helped clarify the role Lu pron has in the treatment of endometriosis. I wish you and your husband the best of luck in conceiving,
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hi ... I am 38 yrs old, smoke 4-5 fags, drinks 2-3 pegs at least 4 times a week, swim twice a week but follow it with long steam and sauna sessions... We are trying to get IVF done with donor s egg and hence got semen analysis done. As expected, results are very dejecting...sperm count is zero. Doctor checked testis and said he can still be able to extract sperms from testis. Is this going to be permanant now? Can i never be able to ejaculate sperm along with semen?
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Hi, dairy have gone through your question. I can understand your concern. You have azoospermia. You should go fructose test and testicular biopsy. If you have obstructive azoospermia then it can be treated by treating obstruction. Simple surgery will help you to cure the condition. If you don't have production of sperm cell then its permanent. Consult your doctor and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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Recently completed a CT due to severe abdominal pain - the test results provided There is some soft tissue density in the left adnexa, which could be multiple adjacent loops of bowel - Very small ventral hernia just to the right of midline, approximately 12.5 cm above the umbilicus. The fascial defect measures 1.9 cm in maximum diameter - rather large mass appearing to arise from the anterior fundal portion of the uterus, measuring approximately 6 cm in size, likely uterine fibroid. Uterine contour otherwise somewhat lobulated, likely fibroids - Enlarged, measuring 19.3 cm in AP dimension and 14.2 cm in superior to inferior length
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The report of the CT scan is simple and straight forward. It shows ::It looks you have problem with the left ovary and / or Tube- inflammatory reaction leading to intestinal adhesion. Secondly you have-Hernia in the central part of upper abdomen-needs surgical correction. Thirdly you have big masses coming from the uterus called Fibroid, which to need removal of the uterus - Hysterectomy. All this can be done now-a-days with Laparoscopy.
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My husband was diagnosed with AML (Acute Myeloid Lukemea) that has mutaion or moleclar change in a gene called Flt 3. He is under going treatment and completed the fourth Chemo cycle. Also he is on a study drug calledI Midosaturin . I recently read that Imitinef Mercilet is a cure for Blood Cancer and it is available at Adayar Cancer Institute, Chennai, India. Is it correct? The name of the medicine is :Imitinef Mercilet
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Hi, Thanks for writing in. Since your husband is diagnosed with AML which is a type of blood cancer, chemotherapy is one of the best solutions for him. Midostaurin is a promising medicine and is under multiple research and treatment trials. If your husband is getting this medicine then let him continue taking it under the recommendation of his doctor. It is considered effective for a type of cancer called systemic mastocytosis. The promotion of limiting merciless in some sections of media is misrepresented. Just like midostaurin, limiting merciless is the name of another medicine which was in trials some time back. This medicine was not totally curative for all blood cancers but under research for certain blood cancer types. Unfortunately due to public ignorance, this was made in to a news report and mail and circulated among unintended sections of society. It is important not to get misled by such details. Please do not worry.
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Woke up last night to a 110 or higher pulse rate, dizziness and neausa. Wasnt having a nightmare or any anxiety, and had 1 cup of coffee at 10 am yesterday morning. This morning, still feeling weak with a slight tightness in my chest. Im a 26 yo extremely active
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Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having tachycardia (high pulse rate), dizziness and chest tightness, better to rule out cardiac cause first. So get done ECG. If ECG is normal then no need to worry much for cardiac cause. Acute gastritis can be the cause for such symptoms. Because nausea and chest tightness can be seen in this. And coffee actually worsens this condition. So you are having mostly acute gastritis. Better to avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Avoid affine containing Chat Doctor. Take Proton pump inhibitors. Don't worry, you will be alright.
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I am a 46 yr old female recently diagnosed add (my son and my 2 siblings have diagnosed add). My dr Rx d Adderall 20mg twice a day. The first few days I had a headache and felt like I had too much caffeine. I don t notice any other changes after two weeks and I have gained 2 pounds! Does this mean I don t have ADD?
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No, it doesn't mean that you don't have Added. Adderall usually causes weight loss. However, the side effect (or lack of it) has nothing to do with the diagnosis. Even response to treatment is not the way to diagnose a clinical condition. In my opinion, the issue for you should be whether you see any benefit in the symptoms that led you to seek consultation. You should feel free to discuss this with your psychiatrist. I hope this answers your question.
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hi , i am vivek i had been suffering from jundice now my bilurbin is 8.0 and conj. bilurbin is 0.5 mg/dl ,my esr level has increased 103 before 2 months it was 0.8.biochemical report alk.phosphates 211 and normal value is 36 to 141sgpt 72 and normal value is 5 to 40sgot 59 and normal value is 5 to 40what is means in increase of ESR
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Hi.noted history of elevated bilirubin and ESR level. It is possible that you have an underlying pathology somewhere in your hepaticopancreaticobiliary tree area. It may be an infection or an obstruction which lead to elevation of your bilirubin and ESR. It is best if you consult with a doctor, preferably a general surgeon or a gastroenterologist, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, ct-scan, etc.) and management (medical and/or surgical if indications are found will be directed accordingly. Hope this helps. Good day!! ~ Chat Doctor.
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Hiya I ve had really bad knee pain all my life since I was a child and always been told it s growing pain my brother also suffers with the same thing and he gets told the same and my little boys also complain about there knees hurting too it gets so bad sometime I can t move and I m just stuck I can t go to the toilet get dressed or anything I m just stuck and I was wondering if you had any idea as to what it could be I m 19 years old but have a very high pain threshold Thank Louise
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Hello, I have studied your case. As per your age and history there is possibility of soft tissue injury in knee. Most commonly meniscus injury occurs may be associated collateral ligament injury. If pain persists then you may need to do MRI knee to see for any functional defect. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. Rest and ice fomentation along with supportive brace will help to reduce swelling and pain. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
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Hello doctor,My tissue transglutaminase IgA are high but I have not done any biopsy but done only an endoscopy (normal). If my TTG IgA is high then I must be having celiac disease because this level only goes high with celiac disease, am I right? Then why do I need to go for biopsy as it is a painful procedure?
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Hello, Welcome to Chat Doctor forum. It is useful for comparison of severity of bowel involvement in raised antibody status. Raised IgA TTG level grade according to Marsh classification if your antibody level less on Marsh stage you may need a biopsy. If the patient is suffering from hypoglobulinemia present with less IgA level may present even though positive results but severity of bowel involvement is high. So, in that case, we need confirmation. I think I answered your question. If you have more questions feel free to ask. For more information consult an internal medicine physician online
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Been going to the VA to have my heart checked out. Wore the harness, echo cardiogram etc. I guess those turned out ok. It has been 3 or 4 weeks. Scheduled for a lung test this month. I get extremely short of breath when I do anything. Can get deep breaths in but, when I exhale it is difficult.
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Thanks for your question on Chat Doctor. I can understand your concern. Heart and lung diseases are common causes for breathing difficulty. Since your heart related reports are normal, no need to worry about heart diseases as a cause for your breathlessness. You are having more difficulty in exhalation. This is commonly seen with bronchitis. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment is based on severity only. You may need inhaled bronchodilator and inhaled corticosteroids (ICS). Quit smoking as soon as possible if you are smoker. 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 having chest pains, but im not sure if it is a pulled muscle or a problem with my heart. It just came on all of a sudden while I was excersising around an hour ago. The pain is just to the left of the centre of my chest and its most painful when I breathe heavily, in and out. I am also having pins and needles in my left little finger. I am 22, 57 and have no history of medical problems. Do you think it is a pulled muscle or something else? I would be greatful for your advice
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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 due to pulled muscle is more. But since it is left sided chest pain, better to first rule out heart diseases. So get done ECG first. If ECG is normal then no need to worry about heart diseases. Follow these steps for better symptomatic relief in musculoskeletal pain. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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hi my 15month old has swollen gums which have been bleeding. Her breath is really bad and it looks as though there is a blister behind her top teeth or maybe food stuck there? I cant get close enough to her mouth with her tooth brush as she is in too mmuch pain
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Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your child have symptoms of swollen gums and bleeding which could be due to infection in oral cavity, and it seems to be due to poor oral hygiene and compromised immunity of child making susceptible to infections. Need not worry about it. Maintain proper oral hygiene by brushing and flossing daily. Take antimicrobial mouthwash rinses such as Listerine. Take antibiotic such as Azithromycin to prevent further infection. Visit periodontist once and get it examined and go for scaling and root planing of teeth. Chat Doctor. Avoid giving sticky food such as chocolates, toffees to child. Hope your concern has been resolved. Get Well Soon. Best Wishes,
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My 16 year old daughter has been very depressed. We have taken her to the dr. and they gave her prozac for depression and anxiety. We also have her in counseling, although we have only went twice, and it s not very intense. She has also engaged in other risky behavior with drugs and alcohol and sneaking out while staying at other friends house. She is having a really rough time at school, with peers and teachers, and I just don t know what else to do....
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Hello, Welcome to Chat Doctor, Your son is of 16 years old, and he is having lack of interest and feeling that he will blow up. There must be something that is bothering him. Another important point here is about his nature as a child and adolescent. Does he like to talk to people? Does he have any phobias? Does he have friends? Does he be less interactive as a child? Whether he was outgoing and playful child? Does he say or do anything unusual recently? Like talking alone, seeing things, animals, people? Does he say that somebody is behind him to harm him? Does he fearful? Important here is to rule any possibility of personality disorder and psychotic disorder. If these symptoms are not present then he might be having depression, and he needs Chat Doctor. So first go for consultation to child and adolescent psychiatrist and ask for help. He will guide you further about what can be done and what are the options. Thank you.
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I am an accute sufferer from Parthenium related allergy.. I have been to several doctors and one common suggestion is to keep away from those places with Parthenium but unfortunately, that is not an option for me.. I have been prescribed Montec as an option to block the symptoms.. Are there permanent cures for Parthenium allergy? I live in Chennai.. CAn you point me to a doctor I can reach out who is an expert in this specific aspect?
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Hi, Welcome to Chat Doctor. As you have mentioned, avoidance of allergen is the best treatment for your condition. You will have to go for antihistamines in case of acute episodes. In case of breathlessness please rush to your nearby clinic. And regarding your concern, permanent cure of allergy is often not feasible. The body may adapt, and you get freed from particular allergy in rare instances. There are desensitization treatments available, but results vary from person to person. Please reply in case you need me to suggest such a center in your locality, Chennai. Do reply. Thank you.
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I have two questions I have an unexplained bruise right under and kind of on the side of my left breast that I noticed about two months ago is it something I should worry about? And my second question is I went to the doctor for a physical last year around June? My blood came back and I was told I have fatty liver disease my AST was 71 and my ALT was 161 I havent gotten called back should I seek a doctor and what do those numbers mean? Is my liver failing? Am I to late to fix my liver?
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Hello, I have gone through your query and understand your concern. First thing you have to do is to differentiate whether the lesion under your breasts are either rash or bruise. Because if it is a rash, it may be an Intertwine. It is an inflammatory skin rash that shows up between the folds of skin. It is a very common skin rash that can crop up throughout life. Intertrigo is most commonly caused by loss of air circulation, moisture, and it is further enhanced by yeast infections. If it is not a rash, then it can be due to inflammatory breast cancer, coagulation disorders provided no history of any local injury or trauma. Some time wearing ill fitted bras can cause the similar bruise under breast.Thus, you need thorough breast examination and ultrasound breast to rule out any breast cancer.2. Your blood reports shows that Abnormal liver function. The results just indicate that you have liver damage, but the cause could be many. Some common causes are Fatty liver, Hepatitis from any cause such as alcohol, virus, Chat Doctor. Thus, without proper clinical history and examination, it is not easy to diagnose the exact cause. Further you can rule out any fatty liver of cirrhosis by ultrasound abdomen. You may need to check viral hepatitis by viral antigens for Hepatitis viruses commonly B and C virus. Hope this helps. Please write back for further queries. Wishing you good health.
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Hi, My husband is having BO and is prescribed tildiem for rest of his life. He has been diagnosed with BP 12 years ago. He is 37 years old now. I am bothered by his health condition and want to understand is there something really worrying with his health?
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Thanks for your question on Chat Doctor. I can understand your concern. Bronchiolitis obliterate organizing pneumonia (BOOK) is chronic lung disease caused by exposure of specific allergens. It is treatable if we can identify the causative allergen. So get done detailed allergy testing for your husband and identify the allergen. Complete avoidance of that allergen along with long term steroids (2-3 months) are must for faster recovery. So consult pulmonologist and discuss all these. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
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hello.my fiance has some problem.he has supposesd a person in his mind.he talk with supposed person.there r any things in his mind .my fiance has scared of death..the suposesd person tell him u gonna die now and then in future..my fiance is really disturb.he cant sleep all the night..he got treatment..but after few months the problem has started again.wht should i do
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Hello there, from description given by you, it seems that your fiancΓ© is having psychotic symptoms. Thar supposed person speaking to him is called as hallucination which is psychotic symptom. Feeling that there is a person in his mind is bizarre delusion which is a thought disorder. Because of these symptoms his sleep is disturbed. As you have mentioned that he has received treatment in past then I will like to know more information about it like what were the Chat Doctor. Also, as you have mentioned the problem has started again then is it because of non-compliance to treatment or with treatment. At present, you should consult nearby psychiatrist or the psychiatrist whom you had consulted in the past.
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my 13 month old daughter is having a hard time moving her bowels...i give her veggies and water ,milk etc...is it too soon for the table food could that be the reason....at times its so hard she cries i have to help pull them out then the second part seems to be softer....should i get her baby food til she gets a little older?ps i figured solids were ok even her w.i.c. is solids
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Hi... Thank you for consulting in Chat Doctor. I think your kid is having habitual constipation. I have certain questions and suggestions for you. Questions:1. Did your kid pass motion or meconium on day one of life?2. Since how long is the kid constipated?3. Does the kid have any bleeding along with hard stools?4. How much milk does the kid consume per day?5. Does the kid eat fruits and vegetables (fiber diet) appropriately? You can get back with answers at the following link -www.ChatDoctor .com/doctors/ Chat Doctor. Natural methods are the best to relieve constipation.2. Constipation is a risk factor for UTI3. Maximum milk consumption per day should not exceed 300-400ml4. Minimum 3-4 cups of fruits and vegetables to be consumed per day5. Toilet training - that is - sitting in Indian type of lavatory daily at the same time will help a lot. 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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My granddaughter is 9 she went to bathroom .she tried to poop and done just a dab it looked kind of stringy .it didnt look like BM..When she wiped on the paper it looked like there was 6 little white worms. They were about1/4 inch long maybe a little bit littler .She said they moved but I m not for sure if they did. I was wondering if this sounds like Tapeworms.
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Hello, THX to contact us. I understand your concern. If I am your doctor I advise you to give him an Albendazole tablet 400 mg single dose at nighttime. This single dose regimen clears her from the infection. As per your symptoms it is obvious that it is not tape worm. Tape worm or Tania Saginaw or soleum is very big worm only its fragments comes out of the body which is square. The observed worm in the stool of your parents is slender, so the possibility of tape worm is ignored. I will be happy to answer more of your concerns, kindly know me, Wish you a very good health at Chat Doctor. Chat Doctor. Infectious Disease.
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hello sir...I m planning to conceive...but this month I m taking norethisterone (month of april) to stop my period bcz of a wedding function..after stopping pills I ll get my period...so my question is that can I try to conceive from my coming ovulation date( month of May)???what would be my chances of getting pregnent???
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Hello dairy understand your concernNorethisterone contain progesterone and some time it causes hormonal imbalance. So it may cause disturbance in your next menstrual cycle. But it will not affect your conceiving process. You can do unprotected sex in fertile phase of the period according to length of cycle. If you have cycle length of 28-30 days then do sex during 10th to 20th day of cycle. So you have high chance to become pregnant. Avoid stress, take healthy diet, Chat Doctor.
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hi. im coming to you on the behalf of my girlfriend who is 20. she deals with anxiety and uses the word depressed a lot. things that get her in these moods seem simple and not worthy of attitude/stress to me. its like if things dont go the exact way that she plans them then she shuts off and goes into all the pessimistic thoughts in her head.
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Degree understand your concerns went through your details. I suggest you not to worry much. I am sorry to tell you that your girlfriend is a victim of her own negative thinking, as you have suggested. Her problem is disappointment and not depression. Her second problem is her idleness and obsessive thoughts. Disappointment from unforeseen life events do produce symptoms like sadness, inactivity, loss of appetite, thirst, loneliness etc. You know well Idle mind is devils workshop. Idle mind always goes towards negative thinking and in that process most of the thoughts become obsessive. Her problem clearly is obsession or obsessive thinking. She needs expert intervention. She needs counseling and psychotherapy. I shall provide her with the required counseling and psychotherapy techniques online, to overcome these problems. Please describe the whole problem in detail and post a direct question to me. Hope this answers your query. Available for further clarifications. Good luck.
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Hallo Doc, My husband just had his LFT anf KFT test done. The results are as followsS. Creatinine -1.00mg/dlG.G.T.P. - 98.00IU/LS.G.O.T. - 40.00U/mlS.G.P. T. -45.00U/mlS.Uric Acid -5.40 mg/dlRemark - Done on dry chemistry AnalyserIs he alright and are all these tests enough to know if there is no problem in his liver and kidney,as he drinks regularly? He has high levels of triglycerides too.
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Hi thanks for contacting Chat Doctor Here you have only mild elevation of Sept and GGT. You have high triglyceride and alcohol habit. So here liver and bile calculi might be affected, and so enzyme elevation can be there.... Rule out fatty liver, gall stone And cholestatsis by USG abdomen and scan if needed. If you have overweight then lose weight... Avoid alcohol..... Excess fried food avoided.... Regular exercise.... If liver enzymes increasing then complete LFT with viral marker study done if needed. Take care. Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am 19 I have a brownish - pink dark patch at the back of my penius head. Like a ring... It looks like a darkened skin colour. I might have had this for over a year. I don t remember what my penius gland colour was.the first time I pulled my fore skin back was at 16,I have Phimosis, I can only retract the foreskin when it s not errict. So I rarely see my glands, and when I do its usually for few seconds to clean it. Which i do once or twice a week. my penius is also wrinkly , it doesn t hurt. The only thing I m really worried about is that my penius head (where the ring is) is softer than the penius body/shaft. When errect the tip of the penius body is hard , the tip(pee hole) of the head little hard BUT the upper/back glands where the ring is, is usually soft.
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Degree understand your concerns went through your details. I think you are worrying unnecessarily. In any case, doctors have to examine the ring thoroughly to diagnose. Please consult a dermatologist. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.
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Hello I am having static sensations in my head and is very annoying hearing these sounds. What can I do to get rid of this? Last week on my job was hard for me to use headsets. Every time I put the headsets on, the static got worse. The bad part about it my job requires me to use them.
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Hello! Welcome on Chat Doctor! Regarding your concern, I would explain that your symptoms could be related to an inner ear disorder. Other possible causes would be: - a brain lesion like a tumor, infection, etc.- thyroid dysfunction - chronic anemia. For this reason, I would recommend consulting with an ENT specialist to exclude an inner ear disorder. Further tests may be needed if an inner ear disorder is excluded: - a brain MRI-thyroid hormone levels-complete blood count- PCR, sedimentation rate. Hope to have been helpful! Kind regards,
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hello sir!! i m a 3rd yr dentistry student from mumbai. i recently took a CBC for a surgical tooth disimpaction & have had total counts of 21800 and 20000 in two reports a week apart. i don t suffer from any medical conditions nor i am on any medication. the rest of the report is normal. blood sugar levels are also normal. could suggest if there is any problem??
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Hello, A WBC of 20,000 indicates an active infection. Did you take an antibiotic? Are you experiencing any other symptoms? Are there complications with healing? Was the dental procedure difficult? From the information provided, I can only recommend being prescribed an antibiotic and suspect a relationship with your recent dental procedure. Are there additional details that raised concerns to consider taking a CBC? I am available to answer additional questions and am glad to assist you. Thank you for your inquiry.
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I am a 41 year old female that was diagnosed with Pericardial effusion almost 2 years ago... drained finally after approximately 3 months, continue to have small amount of fluid around heart, have dealt with many irregular beats since as well, including bigiminy and trigiminy (sorry about spelling), i have a whooshing sound in ear for a couple of years now as well... I have lost approximately 50 pounds and many inches in the last six months and that isn t easy for me as I have tried to lose weight for years with no success as I am surgical menopausal since I was 34 as well as hypothyroid for approx 15 years. ... the worst thing is now I seem to have developed a heart murmur... no one can figure all of this out and it is getting frustrating. I hope you can give me some suggestions. thanks from a frustrated, fatigued woman. Sheryl.
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Fluid accumulation around the heart may occur alone but also as part of other illnesses. Be sure that you are clear with your doctor as to the source of fluid accumulation. A murmur is a sound heard as the heart beats. It may occur as a result of some of the problems that cause fluid accumulation around the heart, as a problem with a heart valve or as a variation of normal. The studies that are done to look at fluid accumulation will also see the heart valves. If no severe problem is uncovered, these are probably not the primary source of your symptoms. For someone like yourself, I will usually screen of systemic problems like the thyroid disorder that someone already found. Discuss what has been done with your doctor and consider additional screening for more widespread inflammatory illnesses.
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My 3 year old grandson was diagnosed with Hand, Foot and Mouth Disease today...I m supposed to babysit for his infant brother tomorrow and then for 2 of my other grandchildren in the evening. My daughter is in her 9th month of pregnancy. Do I provide any risk of passing on the H,F and M Disease to the others (including my pregnant daughter)?
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Hello, Welcome to Chat Doctor, Hand, foot, and mouth disease is caused by a group of viruses known as retroviruses. This is a condition which can lead to fever, blisters on the hands and feet, mouth sores, sore throat and a poor appetite. It can spread from one person to another through direct contact with discharge from the nose and throat, saliva, infected stools, or fluid from a blister. There is no specific treatment for HFMD. Medication may be given for relief of symptoms such as fever and aches. I would suggest yo to follow1. Good personal hygiene2. Oral NSAIDs3. Topical anesthetics to minimize the pain caused by the blisters.4. Wash your hands frequently. Thank you.
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Hello Sir, My name is Amit, i want to donate my kidney those whose need very urgent. But before that i want to ask that after donating my kidney, will i face any problem in future. But i am ready to donate it what ever it may be. please contact me if some body need of kidney. my blood group is O+.,, Age- 22, Height- 157cm, Weight- 70Kg. my email id is " YYYY@YYYY "
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Hi, Thanks for writing in. Donating kidney for money is illegal in India. You may donate it to any close friend or relative when such a person is matching with your HLA typing. Donating a kidney voluntarily to anyone who needs it urgently without knowing the person and the illness they have is not correct. Donation of kidney is through a major surgery and requires hospitalization and pre donation checks which need to be approved by ethical board appointed to oversee the donation process. There are organ transplantation laws in India and if anyone is caught indulging in malpractice then they will be scrutinized under existing laws of the land.
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Lately Ive been experiencing some heart related problems. Im 21 years old, and stopped practicing sports for like 2 years ago, due to College and I also started working. I have a high blood pressure, yesterday o checked it and I had 15/8, and 2 months ago I had 14/9. My heart beat was 99, at rest. But what bothers me most is my irregular heart beat. It has a quite fast pace, but it sometimes stops for like 1 second, and then it occurs one big pump, and returns to its pace. Ive been more worried for like a week and a half, when one day I started feeling a bit dizzy, and my heart started pumping a bit hard. I was like that for 2 hours or so. What can this be?
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Hello thanks for posting here. Since you feel that your heart beats are irregular with intermittent pauses, i advice you a holder monitoring which records a 24 hr EKG. It is attached to your body, and you go home with the machine, do your activities as usual and return next day. The machine downloads all the EKG recordings for the last 24 hrs. It can tell you whether you have these irregular or missed beats, their frequency, type and whether they are harmful. On basis of the above if you have irregularities in heart beats, you can be started on treatment if required. Otherwise if the test doesn't show any irregularities, you need not worry. Thank you
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i have had a hernia then a yeay later a seroma surgery. medication, for the pain, nerve intrapment shoots. three so far, tried the tens no relief. they wanted to shoot medicine in my nuts, but pain doctor said it only temp. now i am going to see a surgen in chicago rush hospital. this will be twice to see him. Dr keith milligan. i have tried everything. the meds get me real sick and the injections last for a short time. but when the pain comes back it comes back harder than before. after having the hernia surgery i had to at the same time. did the mesh surgery. 3 days my doctor put me back to work. on light duties, driving to work on 11-7 shift on drugs, which later that week the security told me its against the law driving on narcodics. about a week later at work i bend down to pick up a piece of paper and felt another strain. and thats when i found out about the seroma. the doctor who did the surgery said it would go away but it never did. they drained it and it came back. then i had the same doctor cut out the seroma because it hurt all the time. yes i got hurt at work. but when they cut out the seroma the insision is about 5 in the seroma was pretty big over a yr the doctor told me it would go away. but when i had the first surgery i had sharp pains up near my hip. the doctor said its because he had to put extra stapples up there. and ever sense that time i have had some serious pain. so i did it all the treatments, and now they are saying that it is my iliophypogastric nerve. the pain is from my nuts all the way through my side into my stomach for almost 20 months i sleep maybe if i am luky 2hrs of sleep. because the pain is so bad it keeps me up. yes i do take a sleeping aid. my nick name is nelly yes i did a spinal block and they put 6x the amount to do 6 surgeries the other pain doctor i am going to.. my bladder almost pop because they were putting fluids in me while my bladder was so full . icould no go because the num staff would not let me go pee. and had no decafiter
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Hi, Illiohypogastric nerve formed from ant division (ventral RAM) of first four lumbar spinal nerves (L1-L4) with some contribution from twelfth thoracic spinal nerve. It gives motor innervation to internal and external oblique muscle as well as traverses abdominal muscle. It gives sensory supply to suprapubic area and anterolateral part of gluteal area. Hope I have answered your question. Let me know if I can assist you further.
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I was stung by a bee (went up my trouser leg) over a week agoit hurt for a while & was swollen then stopped but left a bruise around the area but today I have a very itchy rash & red area around the sting I have put antisan on it but still v itchy red & raised
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Hello, Welcome to Chat Doctor, When bees sting a person they will inject venom through their stinger into the skin of the victim. People stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. For any Bee sting, following measures should be followed1. If the stinger is present remove it immediately. 2. Apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. Wash the area with soap and water4. Take antihistamine such as Ben Chat Doctor. 5. Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. Aforementioned measures should follow whenever there is a bee sting. Thank you
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi I ve been experiencing a strange fluttery twitch in my upper abdomen. It s on the left side about 2 below my rib cage. The best way I can describe it is It feels like when ypu are pregnant and the baby has hiccups or a repeated kicking sensation, but I know I m not pregnant. It s been happening for about a week now and is getting worse/more frequent. It can actually be felt by someone else pressing on my stomach ib the area of the twitch. What could be causing this please.
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Hi. Thanks for your query. This is a very strange history. The first probable diagnosis in your case can be Pseudocyesis, meaning there is no actual pregnancy by the person starts feeling many or all symptoms of pregnancy. There is a rare possibility of intestinal obstruction of whatever reason, actual muscle twitching of the abdominal musculature and so on. I would advise you to get your blood, urine tests, particularly the electrolytes. Also go for an X-ray of the abdomen in the standing position, ultrasonography, and most important is an opinion of a gynecologist.
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I am a 46 old female and I am suffering with lightheaded feelings and dizziness . I have some pressure in the right hand side of my head which ones and goes .my blood pressure has been quite high recently can this be causing the dizziness , blood pressure has been 165/108 down to 165/95 varied
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Hello! Thank you for asking on Chat Doctor! I read your question and understand your concern. I would like to explain that your symptoms are probably caused by the high blood pressure. You should know that the brain function is closely related to the blood pressure. Normally within some blood pressure limits, the brain has an auto regulatory function, which allows it to maintain a normal function despite the slight fluctuations in blood pressure. But if it is a higher blood pressure, the pressure is transmitted into the brain vessels and the brain tissue, causing dizziness, lightheaded feeling and headache. I recommend consulting with your attending physician for a careful physical examination, a resting ECG, a routine blood test, kidney and liver function tests, blood electrolytes and thyroid hormone levels to exclude other causes of high blood pressure. You should take into consideration beginning an antihypertensive therapy to lower your blood pressure. Hope to have been of help! Best wishes,
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i am a 31 y/o female in healthy condition and exercise regularly and eat extremely healthy - no sugar or processed foods. The other day i started to get a pain in my lower left abdomen near the crease of my leg right above my pubic bone. Each day it has gotten worse. I can t even do one sit up. When i cough or sneeze I feel a sharp pain, almost as if something is going to pop. I had a hernia when i was 4 years old, but I can t remember what that felt like. My stomach and abdomen above my pubic bone have been distended for a few days. I thought I was constipated because of a change in my diet, but laxatives and stool softeners have done what they re meant to do and this pain just keeps getting worse. I can t really carry a few bags of groceries now because the strain hurts too much.
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Hi. Thanks for your query. I would like to say that this is an EMERGENCY. The reason being your history. It is very peculiar of the Pitchers Hernia. You have a history of hernia, it does not grow much in females. IN your case a small part of the circumference of the bowel gets obstructed to give this typical presentation you have described. Attend the ER, get investigated fast. You may need exploratory laparotomy to see the damage to the bowel, repair it, and repair of the hernia too.
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My son was told by his doctor that he may have excelerated thyroid problem. His blood pressure is high. His heart beats rapidly and he shows high anxiety. He is 35 years old; ADD person; has ulcerated colitis since age 17 where pain killers were introduced and he became additive, drug problem from age 17 up to age 29/30. He is waiting for some blood results to be reviewed. This is the first time he has seen this doctor. What would you recommend for further testing, whatever.
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Thanks for your question on Chat Doctor. I can understand your concern. Yes, hyperthyroidism can't cause similar symptoms. So better to get done thyroid function test to confirm hyperthyroidism. If thyroid reports are normal then consult psychiatrist as uncontrolled stress and anxiety can also cause similar symptoms. So consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. . Counselling plays very important role in management and stress along with
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I am 16 and half weeks pregnant And was told yesterday at the Dr that my baby might have Trisomy 18 but they dont know for sure yet. because i havent had a amnio.But the dr I seen was not my actual dr. It was at a different hospital . But they said we where gonna lose our baby just from looking at the ultrasound. But ever since I have been pregnant i have had brown vaginal discharge which my dr says is normal and fine. But ever since yesterday after i went to the dr I have had the same light brown discharge but its now a light pink with clumps or chunks in it. When they said i was gonna lose the baby they said they didnt know when or how.But yesterday our baby was moving around like crazy on the screen and the heart rate was 153 and its been around that since ive been pregnant. But I was just worried after having the light pink discharge with clump or chunks. what that might be???? I havent had any cramps or pains or anything tho. But yesterday when they did the ultrasound they did a vaginal ultrasound. And I didnt know if maybe the light pink chunks where maybe the lining of my uterus or maybe dead skin cells or something and when they did the vagnial ultrasound it maybe knocked some of the dead skin cells or lining lose or something. Any info for me????
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Hi there,Please do not be so tensed, having been told that you are going to lose your baby must be a devastating experience. But nothing is confirmed till a definitive test such as an amniocentesis is done. A transvaginal ultrasound does not cause any damage to the lining of the uterus or to the pregnancy, do not be very concerned about it causing harm. If some defects were identified on the ultrasound we will need to rule if they are isolated or associated with a genetic cause such as a trisomy. The amniocentesis will take some fluid from around the baby and analyze it for the DNA. But if the baby does have a genetic defect it is also more likely to miscarry itself, which could be a cause of the constant mild spotting you have already had through this pregnancy. If the amniocentesis comes out with a normal finding and there are still defects observed on the ultrasound, you will need to get detailed scans at 20 weeks and a cardiac ECHO of the baby at 22-24 weeks to rule out other problems if any. Hope this helps. Regards.
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Hii Dr , my son is 3 month old, he has loose motion and vomiting from last 5 day s . Dr give nor metrogyl and ondensetron as a bid dose . Nor metrogyl dose 2.5 ml and ondensetron 10 drops . But loose motion is not stopped? Today I given my son oflomac oz suspension as a bid dose 2.5 ml and ors after consulting with Pharmacists, but loose motion does not yet stopped? What is your advice?
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Hi, Thanks for asking question on Chat Doctor. Loose stools in a child of this age group are usually because of viral infection. Please do not worry as it usually takes 5-10 days for a child to recover from this viral gastroenteritis and medications are of the least help. Rather than giving medications to stop loose stools it is more important to maintain HY Chat Doctor. Give him 60 to 100 ml of WHO oral rely
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I am 20 weeks pregnant and have been receiving a yellow discharge for two weeks. it has always been irritating, but with proper washing and constantly changing pantiliners it s usually not too bad. However the last few days every time i feel the discharge come out it instantly causes severe burning itch. I ve tried petroleum jelly, but it doesn t help! A. is this normal? and B. what can i do to alleviate the sore itchiness down there
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Hi, You have a vaginal infection, which needs to be checked and treated immediately, as vaginal infections in pregnancy can lead to miscarriage or preterm birth. Get a urine examination and also vaginal swab taken and culture and sensitivity done. You can safely take vaginal antifungal pessaries in pregnancy. If bacterial vaginosis is identified it needs to be effectively treated by Clindamycin pessary or metronidazole pessary which can safely be used in pregnancy. Do get immediate treatment. Hope this helps. Regards.
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Hello... Doctor.. very good afternoon... My Name is Venkatesh, Age 31 yrs. I have Mitral Valve Prolapse (MVP) problem... Very often I used to get pain in my chest... Actually, I am planning for marriage... Just a general doubt, it is OK, going for marriage...? Is there any serious issue or problem may occur after marriage...? If yes, what precautionary steps I should take..?
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Hi, actually it depends upon the severity of the illness which can be known from echocardiography. How you asymptomatic except some chest pain, it seems there shouldn't be any problem. However, if its severe then it may create problems in sexual life like decreased stamina. You are able to walk flight of stairs or run without excessive fatigue or shortness of breath then most likely it will be uneventful. However you should inform your partner regarding illness and there may be Need for valve replacement in the future.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi my name is Pam and I have an occult primary cancer, removal of 37 lymph nodes left side of neck, had chemo and 35 radiation treatment - completed september 2012My blood count continues to go down - white cell count 3.0, lymphocytes 0.5 - lymphopenia and slight anaemiaI know have pain under my left ribs - abdo area -is this an area of concern
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Hi and welcome to Chat Doctor. If you think of cancer metastasis it is always possible, but isn't usual in this place. IT can be basal pulmonary infection(especially considering your low WBC) or stomach and spleen issue. Also, chemo and radio have effect on many organs including spleen and liver. I suggest doing abdominal ultrasound and chest X-ray and everything will be clear. If you have reaching difficulties, vomiting or sharp pain around heart and left shoulder you should go to hospital as soon as you can. Wish you good health.
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Dear Dr. please i want to ask you about a big problem that i had about one year and half i am 29 year old and my sexual performance is so bad ( while masturbating ) i make this habit from long years ago what can i do please tell me?? i have premature ejaculation , no hard erection , no repetitions as usaul, i have damaged my pennis or what? please i want ur advice
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Degree understand your concerns went through your description. I suggest you not to worry much. Masturbation is natural, and it cannot decrease your health, or it cannot reduce the sexual powers, for sure. But anxiety associated with it definitely give you sleepless nights. If you are worried about masturbation can harm your sexual ability, why not control it? Instead of finding a solution for the problem, you are just worrying about the problem. Worrying cannot give you answers. In my opinion, you do not have any of the problems as described by you. It is just your anxiety. The problems are in your thoughts. You might need psychological counseling., I am more than happy to provide telephone psychological counseling through Chat Doctor. Contact me through customer care, www.ChatDoctor .com. Hope this answers your query. Available for further clarifications. Good luck.
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Doctor I am having a disease call BRICK Iam getting Itching and after that jaundice iam 36 years old I got this more than 8 times doctor suggest only Udilive tablet and its getting cured within few days? they said its may be herritory is there any medicine to cure this permanently?there is no block or stones in my liver ultra sound report says,liver biopsy also normal please help me
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Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can. Jaundice is sign of some pathology and exact cause should be done. Then it can be treated. In most cases this is caused by bile duct obstruction, and you need to do ct scan or ultrasound at least to see is there stone or some other blockage. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. Chat Doctor.
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My son was in wrestling practice and someone pulled his shoulder forward. The coach moved his shoulder around and said there was nothing wrong with it, but he cannot lift his arm in front of him or up from his side. He can lift it behind him slightly better but not all the way. I have given him ibuprofen and put ice on it for 20 minutes but it did not seem to help. What should I do?
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Hello, i have studied your case and I think that your son may be having shoulder cuff tear. It can be diagnosed with the help of MRI. If there is partial tear then it can be recovered with rest and physiotherapy. If there is complete cuff tear then he might need surgery for this. In both cases an MRI is must. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
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I stubbed 2 of my toes yesterday, my foot, just below my toes, I used an icepack, kept my foot elevated and didn t put weight on it last night as the pain made me feel sick, I have a bump on my foot and its slightly red and swollen, could I have broken a bone?
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Hello, You may have not broken any bone. But for a safer side, an x-ray is good. Using crΓͺpe bandage or immobilizing the part in ankle brace or stocking will help. Do hot water fermentation and keep it elevated. If it's a fracture you will get to know in 3 days of time. But usually, it never fractures so easily as lower limb muscles are too strong. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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I have emphysema and the winter has sure set me back. since I breath better outside than I do inside. I keep hoping there is something out there that can help.
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Thanks for your question on Chat Doctor. I can understand your situation and problem. In winters respiratory viral infections are very common due to cold weather. And the most common cause for worsening of emphysema is viral infection. So I advise you to get done Adult respiratory vaccination with pneumococcal and H.influenza to prevent future respiratory infections. You can also enroll yourself in pulmonary rehabilitation program where chest physiotherapy and deep breathing exercise are done. These will strengthen your lungs and improve lung functions. Regularly and timely treatment with inhalers in winters will prevent worsening of symptoms. So better to consult pulmonologist and discuss all these.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i am 27 year old got married in 2008 jan we have being trying for an issue from the last 6 7 months bt havent succeded i have done my ultra sound and husbands semen analysis and all the reports are normal i am very eagar to conceive what should i do??
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Hello Welcome to Chat Doctor. As per your query regarding get conception. There are lots of things involves in conception.First Semen analysis is normal, and also you have done Ultrasound also and it's also normal. Now you need to check your ovulation status as ovum ruptures time to time and it has been matures or not. Such things also have to concentrate in it.1. Need to have intercourse nearby ovulation2. Check as semen do not come out from vagina after intercourse.3. Good relations and love while intercourse leads good results.4. Vaginal infection or any heat atmosphere also make die sperms before conception.Also, more micro things need to counselling for the cause and solution. You can contact nearby infertility expert or can contact for online consultation too.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi, may I answer your health queries right now ? Please type your query here...Hello. My father has been suffering from high blood pressure and two weeks ago his pulse was at 125 for a number of days. This landed him in the hospital for about 10 days. He was diagnosed with atrial fibralation as well as anxiety and chronic fatigue. Both he and the rest of my family have been taking care of my mother who is has a terminally ill with cancer. He is on a number of medications now and is taking Lisinipril and cumodin and other meds. His cumodin level was high this week. He walked to the store the other day and had to ask for a ride back as he wasnt feeling well. The hospice nurse took his blood pressure and pulse today: 153/100, pulse 50. She said that he should get checked out again soon as something does not appear right with his meds. Any advice you might be able to give would be appreciated. My father is 79 years old. Thank you. Melinda
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Hello, There are two issues in him, first his blood pressure is not under control so his BP medicine needs to be hiked up. Dose of lisinopril can be increased in multiple of 5 up to 40 mg. Blood pressure is not emergency you can get it optimized from your doctor. Secondly, his pulse rate is low and pulse rate controlling med needs to be decreased. Like he must take some beta blockers like metoprolol or nebivolol, or other medicines like Verapamil or Diltiazem, dose of either med needs to be decreased. Also, he should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. Regular exercises like brisk walking, jogging according your capacity at least 30 minutes a day and 5 days a week. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Monitor INR regularly. Hope I have answered your query. Let me know if I can assist you further.
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What can cause a sudden change in hemoglobin levels in a 65 yr old man. He is pale, no energy and has lost 10 pounds in 2 weeks. His level went from 15 to an 8. He also has had no injury that caused blood loss. He is set for a colonoscopy and a GI study Tuesday. There has been no blood in his stool and had a normal colonoscopy 10 years ago and also has had no stomach problems. I have ideas but looking for input.
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Hello and thanks for the query, It is possible that somewhere in the gastrointestinal tract that he is having a slow and gradual loss of blood. This can come from ulcers, diverticula, inflamed blood vessels, or possibly from a cancer. This is why the endoscopy is indicated. If the endoscopy is normal - a workup for hemolysis is indicated - this is where the body is somehow breaking down blood cells causing a Chat Doctor. This can sometimes be an autoimmune process. Lastly, if all else appears normal an examination of the bone marrow may be indicated. This would require a referral to a hematologist. For now - proceed with the endoscopy and then the doctors can determine the next logical step in helping to improve the hemoglobin. One other thing - diet - can affect hemoglobin. In cases of low iron the hemoglobin will be low. All of this can be assessed with simple blood tests at the discretion of your doctor. Sincerely,
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I have noticed a loss of skin pigment on my genitals. One dime-nickel sized spot on the shaft, perfectly round and another spot at the base of the shaft leading onto my left testicle. I am 29 years old. I would like to know what is causing this and if it is in any way harmful to my health.
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Thanks for asking in Chat Doctor forum In short: Genital area is usually hyperpigmented, but you may also find less pigmented area over there. Explanation: If your hypopigmented patch is new or less sensitive to touch, you need to show it to your doctor and go for investigations to find out the cause for it. Most probably it is a fungal infection patch if it's itchy. Any ways meet your doctor. Good luck
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Hi, may I answer your health queries right now ? Please type your query here...I am about 12 days late from my period, its towards the end of the month so Im assuming Im not gonna have a period this month. Last period was around the 15th of last month.. Iv been having severe pains in my abdomen, pelvic area near ovaries and some in my lower back.. all I wanna do is sleep or I always feel tired. Sometimes I feel like i wanna throw up, but dont, and causes me to feel like i wanna pass out or get dizzy if I move too fast. My feet and arms have also been tinglin and feeling numb sometimes. Also have had lot of clear and white discharge where i feel like i have started my period cuz of how wet i am, but still no period.. what can be the problem?
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Hi. Thanks for your query and an elucidated history. The most probable causes of pain in the abdomen, pelvis area and back may be :PID-Pelvic inflammatory diseaseAppendicitis. Ovarian cystGastroenteritis. Psychosomatic problem as you have missed the periods. I would advise you the following:Get Urinary pregnancy test as you have been late by 12 days (if you have history of actual sex). Ultrasonography of the abdomen. Standing X-ray of the abdomen to see if there is any intestinal obstruction. Reports of the blood, urine and stool. It will be worthwhile to send for thyroid function tests. A 5-day course of an antibiotic, metronidazole, probiotic and symptomatic treatment can help you to get better.
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Hello About 2 weeks ago I went into a minute clinic bc I had pain all over(achy) and a slight fever. She told me I had a sinus infection and gave me meds to take. Just a few days ago my symptoms have come back but worse. It hurts to open my eyes and I was running a fever of 101.8 last night. Do I have the flu?
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Hi, see flu is not diagnosis but it's a symptom complex and different from common cold. If you're having difficulty to open eye with fever, then It could be due to conjunctivitis, keratitis usually associated with upper respiratory tract infection or sore throat, or common cold need to see Ophthalmologist if u really have hurting to open the eye with other eye symptoms otherwise physician would be better.
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hi, 2 mos ago, i was diagnosed with epididymal head cyst (thru scortal ultrasound), but before that i experienced groin pain & at my lower back, i undergone urinalysis, and i have hematuria, so the doctor prescribed me with ciprofloxacin 500 mg for 7 days, and the groin & lower back pain disappeared for a week, then it came back again, then i made a physical check up with my srotum and i discovered that i have a lump on my both testicles, then i go to the doctor then, he by feeling it he said this is only a cyst, just to be sure he requested for an scrotal ultrasound, it is an epididymal cyst, but until now im experiencing lowerback pain and occasional groin pain, does it related to my scrotal cyst? btw, my scrotal ultrasound was on july 3 2014, and until now im experiencing the low backpain. please help
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Dear patient Back pain is not caused by scrotal or epididymis cyst and both conditions are not related. Epididymis cyst us usually asymptomatic and diagnosed incidentally. Your back pain might be due to other causes like 1. Trauma 2. Weight lifting 3. Infection at the back. So I would recommend a visit to back pain specialist and radiograph of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. If its normal start tab diclofenac plus thiocolchicoside combination twice a day for 5 days. Do back strengthening and back extension exercise. All the best.
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Hello doctor,I was diagnosed with a left branch bundle block a few years back. I have been under the care of a cardiologist to make sure my heart is fine since then. I have done stress echos yearly or every two years since and have been told my heart is otherwise fine. I just had to switch the other doctor because of insurance and my new doctor says old stress echos are irrelevant, that only chemical or nuclear echos work in patients with lbbb. Is this true? I have a strong family history of heart disease, my father survived two heart attacks, mother survived double bypass and my maternal uncle died from a heart attack, all were smokers with high cholesterol and high blood pressure. I am a former smoker. I am a 43-year-old female. I have been exercising six days per week for over 20 years. My cholesterol is high 213 but HDL is 140 and triglycerides are low. I am a little put off by a nuclear stress echo and would prefer the regular exercise. But I want to know what this new doctor says is true? Then I guess I will have to go nuclear. I am currently taking Spironolactone 100 mg for acne, Omeprazole, and multivitamins. I just had an ultrasound of heart and EKG past monday. Doctor did not mention anything other than lbbb that was previously diagnosed.
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Hello, Welcome to ChatDoctor Treadmill test is not very informative in case of lbbb patient, however, stress echo either exercise or nuclear is valid. Stress thallium is the best test to be done in you. I guess you did not have any symptoms like chest pain or heaviness during stress test and if so it will still suggest the absence of significant heart disease. In my opinion, there is not much difference between exercise echo and chemical stress echo and not invalid, but nuclear scans like stress thallium is certainly a better test. I would advise for a nuclear scan as it would be more informative. Anyhow, you should have a healthy lifestyle like avoiding fatty, oily and high calorie diet. Have a low salt diet and monitor your blood pressure regularly. Do regular exercises like brisk walking, jogging according to your capacity at least 30 minutes a day and 5 days a week. Eat lots of green leafy vegetables, fruits, and fish once or twice a week. Avoid meat, smoking, and alcohol if any. There should not be any abdominal fat deposition or obesity. Get your lipid profile and sugars tested once. Take care.
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I bought a roasted chicken from Whole Foods and at home I made the dumb mistake to put it in the oven in the same black plastic container without the lid. I thought it was fine because it said it was microwavable safe. After a while I realized that the container melted in the outside. I pulled it out and saw that the chicken was fine and served it for dinner to my daughter and myself. I am now concern from what I have read in other websites that it can cause some health issues such as cancer. Could that be the case from just one time?
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DearWelcome to ChatDoctorWe understand your concerns went through your details. I suggest you not to worry much. Our body knows how to throw out the things which it does not need. Digestive system is very powerful. Thing goes into the stomach when we eat. Immediately on finding something strange in the food, stomach reacts and throws it through vomiting. Second option is diarrhea. Colic etc. Third, our liver disintegrates any toxins and removes them through sweat and urine. Means we have our own defense. Melted plastic, should come out through your digestive waste. Cancer means malignant tissues. That happens when there is some sort of malignant tissues inside like gangrene or so. Continuous intake of plastic could cause cancer. That is all. Once or twice is not a problem. Take a deep breath. Hope this answers your query. Available for further clarifications. Good luck.
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I just turned 70 and on oxygen. Even when napping my heart rate rarely gets below 90. Sitting here it is 95 and gets up to 122 - 124 when sweepin, etc. Is this dangerous? I weigh 135 at 5"4 which is the most I have ever weighed. I take Advair and Spriva. My lung collasped on 1-21-2011.
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Hayes chronic elevated heart rate is problematic. One of the reasons is you are on inhaler adverse, it has albuterol which can increase heart so discuss with your physician if possible to decrease that content from inhaler. Do u snore, do u have interrupted sleep, daytime sleepiness. If yes you probably have OSA and needs treatment for it. Also get oxygen level checked once, is it low if yes you will need home oxygen for that.
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my wife had a bilirubin count of 2.8 3 weeks back but her SGOT and SGPT were elevated at 156 and 123 respectively. At present her SGOT has come down to 101 and her SGPT to 50 but her bilirubin count after taking medicines for 3 weeks is 10.2. Doctor says that it will start coming down slowly in maybe 2 weeks since SGOT and SGPT levels are reacting to the medicines. Is there any cause for concern for such high bilirubin levels.thanksaravind
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Hello welcome to Ask A Doctor service. I have reviewed your query and here is my advice. You are having jaundice and cause for it should be ruled out. Viral hepatitis, alcoholic liver disease etc. can be possibility and attach reports to comment on that. Take low fat diet. Sugar cane juice and apple juice can be taken more. Take rest for few days. Close monitoring needed for bilirubin value. I suggest you to consult gastroenterologist for examination. Hope I have answered your question. Let me know if I can assist you further.
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We just found out about the contents of a MRI report for my husband and the doctors never discussed it with us and we need some direction as what follow up would be best. Report reads: several scattered foci of increased signal within bilateral parietal high to mid convexity white matter. Corresponding increased T2 signal within these regions on FLAIR imaging. What could this mean? My husband does have impaired memory since his illness both retrograde and anterograde covering areas of memory from all ages
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I read your question carefully, and I understand your concern. Imaging studies often can't be interpreted alone without other data though, because interpretation depends on many factors like age and accompanying conditions. That report speaks of changes which are not specific and could have many origins. Most commonly they are seen with advancing age especially when there are conditions like high blood pressure, diabetes etc. due to chronic changes in your small blood vessels (but some changes do occur with age even in the absence of those other conditions). So if your husband is an elderly person your doctor didn't discuss it with you because he considered it a normal finding. There may be other causes like past trauma, past infection etc. If there are other additional data you can provide feel free to ask again and me or my colleagues might give a more precise answer. I hope to have been of help.
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Hello doctor,I have had swollen lymph nodes for over 1.5 years. I have gone through scans and viruses blood test, which resulted negative (attachment removed to protect patient identity). I have them everywhere I can feel. Neck, groin, armpits, chest and even on my face. What are the chances it is cancer?
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Hello. Generalized lymphadenopathy cannot always be due to cancer. However, lymphoma blood cancer is one of the cause for that. I suggest you investigate with biopsy of grossly visible enlarged lymph nodes or FNAC scan to identify the cause for enlarged node. If you have lymphoma, then it will be evident by histopathology of biopsy specimen. It is advisable to rule out HIV also by combo ELISA testing.
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I was taking dianil 1 and glucomet 800, twice daily and my sugar was not under control. Now i take iscept forte and jalra 50 mg. Plus I also take novomix insulin and my sugar is under total control. what is the difference between dianil and iscept forte and glucomet and jalra ?
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Hi, These medicines are commonly prescribed alone or in combination to control the blood sugar in patients suffering from type-2 diabetes, and they work by different mechanisms. Daniel contains glibenclamide which acts on pancreas to release insulin. Glucose (metformin) acts on the liver and intestines to reduce blood sugar as well as to increase the glucose uptake inside the cells. Except forte is a combination of glibenclamide and metformin. Clara (vildagliptin) acts on the intestine to release certain hormones which act on pancreas to release insulin. Hope I have answered your query. Let me know if I can assist you further. Take care
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I am bleeding vaginal but only when having intercourse. I was suppose to of started my period two weeks ago but have not. About four days ago I bleeding the same only during intercourse. I have a history of hemmoargic cysts on ovaries which I went in for surgery a year ago but during surgery doctor said everything was normal since than I am still in still pains in ovaries n have new symptoms of lumps in left breast which I have. A mammogram tomarow
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Hi. Thanks for your query. Noted the history and understood your concerns. Lump in breast needs to have a mammogram but more important is the FNAC or excision biopsy if anything serious like cancer is suspected. The bleeding during intercourse has many reasons and not related to any ovarian problems. If a woman is bleeding during sex, the probable reasons are as follows:If this is the first intercourse, this is due to rupture of the hymen, if the bleeding stops and does not occur during further acts, nothing to worry. Another reason is that she is either menstruating or has inter-menstrual bleeding. Another reason is she has some vascular anomaly. You need to consult a Gynecologist to do an internal examination to find the reason and get operated and treated accordingly.
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My 16 year old daughter has had a sore stomch for a month I took her to the emergency room they did test on her and said it was her appendix sore we went o the hospital had it done. but the next week she still had the pain but was worse. We went back to the doctors had blood test and found out she had a kidney infection. they gave her antibiotic, but this week her pain has come back sore all over and she gets dizzy when she stands up for 5 mins I want to know what 2 do because her white cells aint killing the bacteria. Do I take her back to the doctors for more test or have you got a solution on her condition
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Hello.thanks a lot for your query on Chat Doctor, it sad to see your daughter referring so long...from your history given, I would suggests you better to leave the doctors who have already seen her and consult a doctor and undergo a battery of tests again, that should give an exact insight as to what she is really suffering from, there are numerous causes that can cause features that your daughter is facing from.afterwards take specific and accurate treatment.things will go fine...don't worry.be positive...
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I have been drinking green tea, for about 6 months now... I used to drink 4-5 cups of brewed tea everyday but had no problem for the first 3 -4 months... But these days whenever i drink a cup or two of fresh brew geen tea, i have episodes of mild blackout whenever i get up from sitting postures... I searched the net for side effects of green tea but didnt find an answer... I don t have any medical problem yet... I would be greatful if you would be kind enough to reply my question...
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DearWelcome to ChatDoctorWe understand your concerns went through your details. According to the available research findings, no side effects could be found in the consumption of green tea. But your green tea intake is fairly high, I suppose. I suggest you to reduce the free tea intake to two cups a day. You should include more vegetables and fruits in your daily diet to have positive effect on overall health. As you have no other medical condition, the dizziness could be obsession. Dizziness while getting up from a sitting position or laying down position is fairly common. You may consult a general physician to get your vitals checked. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care.
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brianne berry. i just found out i test positive for the hpv. my mom had bowens and cervical cancer and uterine cancer.i go to get a biopsy soon but what are my chances of having what she has. she got those before she was 22. i am 26 now.can u tell me what i should do and what are my chances of actually haveing cervical cancer?please help.thanks
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Hello Human Papilloma virus is the causative factor in more than 95 percent cases of cervix cancer. Getting infected with HPV virus makes a person more prone to cancer of cervix uteri, although it goes through stages from precancerous condition i.e. developing IN 1,2,3 to frank invasive cervix cancer. IN 1 can become normal or develop into 2 over a time period of few years. IN 2, 3 has got higher chances to develop into carcinoma (over 5-20 years some time). But any person tested positive for HPV Should consult their gynecologist to discuss whether any frank growth present or suspicious area which needs to be confirmed with biopsy. Treatment in case of IN 2 and 3 is suggested based on patients age, family completed, or future pregnancy is planned, patient can come for regular followup or not. In your case you should definitely consult your gynecologist for biopsy and to discuss other issues. Thanks for posting. Hope this answer solves your query
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Hello doctor,I have a stiff neck, and some movements cause my neck to spasm and feel like something is being pinched. Which position should I sleep in tonight?
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Hello. This appears like a muscle spasm. Doing hot water fermentation and gentle kneading massage should release the neck spasm and make it comfortable to lye down flat without the pillow. With the help of gravity, the stiffness will reduce in the overnight, and you should be fine. Incase if the stiffness is same, please do let us know so we can suggest the other methods.
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mr prakash rai had been admitted in the cmc hospital unit neph 1 ward no. A/W114B hospital no. 932669D since may 25 , 2011 to 15 june he was totally fine and he was dischange by the Dr shibu jacob and he has given the medicines for 3 months also but continueing the medicine & following renal diets the same promblem accured since yesturday : Shivvering headche , hi fever and abdominal pain?
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Dear Prakash RAI, Hi & Welcome. You seem to have developed recurrent urinary tract infection which has resulted in shivering, fever, and abdominal pain. You need to consult your physician/nephrologist immediately for further evaluation which may need lab tests such as urine and blood culture and sensitivity tests, an abdominal ultrasound scan, CBC, etc. Based on the report of the culture and sensitivity tests you need a course of appropriate intravenous antibiotics to eradicate the infection. Hope this will help you. Best regards.
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I stepped down hard on a rock two days ago. A vein below my left calf instantly swelled, turned the area around it red as well. Pain was level 10. Yesterday the redness was gone. Swollen and tender to the touch. Today I have an 5"diameter bruise around the whole area. Still tender to touch. I have very low blood pressure but a recent cbc had high red cells & hemaglobin. Ideas? Should I call my Dr.?
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Hi and thanks for the query, Raised hemoglobin and blood cells are raised under two main circumstances. First, this is usually due to errors in the measurement of these parameters and the machine used might need to be checked or the test done elsewhere. Secondly, in case the values are actually raised, there is a condition called polycythemia Aubrey Vera of Vasquez disease that causes this. This is usually accompanied by redness in the palms, headaches and body itches. I suggest you consult a hematologist for a complete clinical review. Thanks and kind regards, Bain LE, MD.
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I noticed a hard lump on my clavicle bone at the inside of the right side. It did not hurt but is noticeable. I m not sure if I m imagining some soreness in right shoulder and neck area because of thinking about it, but I do believe I have some minor soreness. What could be the cause of the knot and are the two related?
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Hi! Good afternoon. I am Chat Doctor answering your query. If I were your doctor, I would examine the lump physically to see if it was originating from the clavicle itself, or it was a lump just adjacent to the clavicle. In the second case, it could be a lymph node swelling common in the cervical region and there has to be a primary focus of some infection or pathology for the lymph node to enlarge. So a detailed physical examination would be needed before deciding on the plan of management. Therefore, I would advise you to please take an appointment for a general surgeon in your area and get it assessed by him. Till then, you could go for an anti inflammatory Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
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