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69 year old male with high blood pressure for the last 30 years .taking Zanidip and Mylocand (generic of Atikand plus) Lately finding that puls is about 110 to114 Just taken blood pressure and was lower 136/86 but with pulse of 124?? Under a lot of stress at the moment! What can I do ??
Hi welcome to him understand your query and concern. Persistent high blood pressure should be treated immediately to avoid complications like ischemic stroke. I advise you to start Tab. Telma once daily. Monitor your blood pressure regularly for every one week. I advise you to get serum. Electrolyte s, complete blood picture, ECG,2D Echo, lipid profile as a part of routine screening to look for any heart disease. I advise you to also start take Copilot, Ecosprin, atorvas once abnormality is detected. Restrict salt intake to less than 6 gm per day. Fruits and fruit juices are preferable. Take plenty of fluids. Avoid smoking and alcohol. Avoid fatty foods. Also take low protein high fiber diet. Exercise regularly for 30 min. Consult your cardiologist for expert management. Post your further queries if any, Thank you.
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I am 63 years old having hypertension since 1990 but blood pressure maintained with medicine. Recently I underwent tmt & eco tests and was declared as TMT positive. now I have the following queries.-whether tmt positive relates with coronary artery blockage? if so, then what is the percentage of blockage?-how is often is TMT positive related with heart attack?-Is angiography recommended for further investigations?
Hello 1. A positive TMT has a 78% sensitivity for coronary artery disease which increase further more with age more than 60 along with Hypertension and diabetes. Blockage percentage cannot be given by TMT. Angiogram is done for that.2. A positive TMT means that an individual might be having a coronary heart disease it's not related to heart attack. However, a patient can have a heart attack while doing TMT 3. Yes Angiography is the Gold standard test for further evaluation. I wish you good health
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I am a 20 y.o. female. I weigh 114 lbs and am 5 foot 3 inches. I have had chest pain now consistently for about 12 hours. Well, I wouldn t exactly call it pain, but definitely severe pressure with intermittent pain. It does seem to have gotten a little better since it started, but earlier today I was very short of breath and it felt like there was air or something in my lower throat. It also felt like something was pushing against my trachea. I have been slightly tachycardic and my BP was 139/92. I can also feel pressure, maybe almost tingling in my upper left back muscle, like it s been pulled or something. I m worried because I know unrelieved chest pain is a problem. I m also worried because I ve been on Adderall XR 40mg for about 4 years now, and I know there are a lot of heart conditions associated with that. I plan on going to the Dr. tomorrow morning if it hasn t subsided but I m honestly a little worried to go to sleep if it s something more serious.
Hi dear though you are just 20 but as you are on amphetamines for 4 years a probable cardiac causes to be ruled out, amphetamines can cause ischemia, cardiac ischemia(less blood supply) is a very common side effect of using amphetaminesThey can also cause lung condition like pneumothorax which also presents with the same symptoms amphetamines can also cause severe gastritis and heart burn which also can present with the same symptoms would suggest you to go forEcg2d echo chest X-ray PA view this will help you to reach a diagnosis that what is the exact cause of pain and medication can be taken according to diagnosis thanks
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I have been having severe stomach pains in the upper left abdomen area under the lower ribs soon after eating late afternoon/evening. I notice this more often after eating spicy/more acidic foods, but does not feel like heartburn/acid reflux. These are sharper pains and sometimes radiate to the lower, middle part of the stomach after a period of time. Sometimes these pains are accompanied with a nauseous feeling as well.
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have severe abdominal pain with acid reflux. Well there can be many reasons for symptoms you mention in query like acid reflux (as you also mention) , heart burn and IBS. I would suggest you eat light and non-spicy, take antacid after every meal, take light walk after every meal, take small and frequent meal, elevated your head while lying down and eat at least one hour before going to bed. If condition doesn't get well then consult gastroenterologist for proper examination. Doctor may order ultrasound, stool test or physical examination. Doctor may prescribe omeprazole or sanitizing along with laxative and ornidazole. Hope your concern has been resolved. Get Well Soon. Best Wishes,
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I am a male age 44. I have frequent kidney stones. I recently thought i was having yet another kidney stone attack although the pain was not as severe. I did not want to wait for the pain to get worse, so i went on to the ER to get a CT scan and a tordol shot. The CT scan revealed multiple stones in each kidney which i was already aware of, but to my surprise no kidney stone in my urethra... Anyway, the pain persist lower right back and also lower right stomach , but admittedly not the kind of pain i have normally encountered with over one hundred kidney stones. What could this be?
Hi, Whenever a stone passes through ureter, it is likely to give rise to severe spasmodic pain like you had suffered in the past. In my opinion, it appears possible that there might a small concretion (very small stone like a grain) which may have passed this time, not causing much pain, this time. Persistent pain in right Lower back and lower right stomach could be directly related to presence of kidney stones or some other pathology in the abdomen. Hope I have answered your query. Let me know if I can assist you further.
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I have recently had laser treatment for small veins on my nose. I had good results. One vein was omitted as it was much larger than the others. I was told that it would be extremely painful to laser it. I was informed that a vascular surgeon could probably correct with a saline injection. Is this expensive? Is it more painful. Are there more possible bad effects from this? The vein looks like it is about 1/16 inch wide w/ spiders.
Hello, It's a minor surgery. Prices vary and insurance coverage for it is poor unless there is bleeding. If there is bleeding then a poorly cosmetic scarring down of the vein can be done by practically any ER or acute care physician. It is the cosmetic aspect of it that gets to be potentially quite pricey depending on the particular procedure. Hope I have answered your query. Let me know if I can assist you further.
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My sister is experiencing seveere head ached and back pain. Last night she was in the energency room all day with the doctors giving her IV s because along wuth the head aches she was vomiting and experiencing diarhhea. She is suppose to have a spinal tap done on Thursday because of the swelling of her ocular nerve. I am concerned about her constant headaches and the fact that the doctors are looking at the spinal fluid from the test. The MRI of her brain showed no tumors and the CAT scan or what ever est they did today showed no irregularities of her heart since her heart rate was elevated today. Could my sister be experiencing early signs of spinal menegitis and if the doctors are doing a spinal tap want they be looking for bacteria in the fluid. More importantly shouldn t they place a rush on this test because I know spinal menegitis can be lethal and if gone untreated a patient could succumb with in a 24 hour spand of time.
One of the most worrisome differential diagnosis of headache with fever is meningitis. You did not mention fever, but if she has fever or any signs of infection in her blood analysis (leukocytosis, high CRP) and there is no other origin found (normal chest X-ray, normal urinalysis) a spinal tap is definitely indicated to rule our meningitis or encephalitis. To a Chat Doctor. The tap can be deferred for a few hours, if that is not the case. Headache is also a common nonspecific symptom with accompanies a GI-infection, which does seem more likely from what you told me.
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I have been having large itchy red bumps the last three days. They get so itchy swollen and hard and have been itching for a few days. Some of them as big as a fifty cent coin. There are also small groups of them in a bunch that seems to increase in numbers after scratching . In the center of some of them there is sometimes water.
Hello, Thanks for the query you might be suffering from an endogenous eczema. Treatment with oral steroids is required. Oral anti histamines can be helpful. Please meet a dermatologist to confirm diagnosis, Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/ Chat Doctor. Thank you
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Hi. I just sat down today in a certain position, and I felt a sharp pain on my right buttock. I then noticed that there is a small lump on the inner part of my right buttock. It is not really visible by the eye, but if I put my finger on it, I can feel some sort of lump inside my skin. I actually have been feeling like there is something in my butt for the past about 2 to 3 weeks. However, just this week, I started feeling some pain when I wipe that area of my buttock after going to the bathroom. Just today I noticed the lump though when I felt it with my finger. Im not sure as to when the lump exactly developed. Do you know what this could be? Also, what type of doctor am I supposed to see about this?
Hi, dairy have gone through your question. I can understand your concern. You may have some piles (hemorrhoids) or some perianal abscess or fissure. You should go for examination. Furthermore, you need to consult general surgeon for that. Take high fiber diet and Chat Doctor. Try to avoid constipation. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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For seven months I have been taking ovralG , as a cure for pcos . After stopping the intake of medicine 8th month I got my menstural cycle after that , months have passed and have not got my menstural cycle.. Please tell if it s an effect of the medicine or suggest me in regards..
Hi, Ovral-G is a combined hormonal medication commonly prescribed to prevent pregnancy, to regularize the menstrual and other conditions. Its common side effects include nausea, vomiting, headache, bloating, breast tenderness, swelling of the ankles / feet (fluid retention), or weight change may occur. It may also cause bleeding between periods, irregular or delayed periods. I advise you to consult your doctor for further evaluation and to rule out other causes of delayed period and for possible treatment to induce period. Hope I have answered your question. Let me know if I can assist you further.
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hi dr Andrew. My son is 8 years old and having very high fever temperature 39 -41 degree C. I have given him paracetamol syrup but the temperature do not drop at all. He also complains of stomach pain after taking the paracetamol syrup. Should I change to other types of medication? what can I do to help to lower the temperature?
Hi, Fever of a few days without any localizing signs could as well a viral illness. Usually, rather than fever, what is more, important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Apart from Paracetamol, you can try Ibuprofen at 8th hourly if fever is more than 101F. Hope I have answered your query. Let me know if I can assist you further.
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Hello doctor ,good morninI am pandian from karur.My wife has been suffering from depression for the past three years.Initially i didnt take any steps to recover her.After one and half years i went to the doctor for consultation. He gave treatment but it didnt works much.Then i went with her to a psychiatrist ,he gave tablets it works fine.She took tablets for 15 days then she came into normal mood.But after that she thrown away the tablets that she was not affected by any disorder.We take more and more steps to give tablets to her.But she doesnt took tablets.Her characteristics:1.She is not sleeping in night.2.Always thinking about something.3.She is fear of strangers.4.She told to me that some person was talking about our family only. Help me doctor.
Degree understand your concerns went through your details. I suggest you not to worry much. Psychic patients are like that. You need to convince them to take medicines. If she does not get convinced, she needs to be admitted to a psychiatric hospital and force-feed. These are the only available alternatives. Try taking her into confidence. Trust is the key here. Use someone your wife trusts. For your information, Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck.
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hi - i have just dropped my daugher off at nursery and on my way back got a painful twinge in my back now i cant stand up straight as its too painful - i suffer mildly from sacaitica and this happened to be about 6 years ago- my mobile is not working its in the shop to be repaired so i cant even call a doctor - any advice please
Usually back pain is managed with painkillers till 1-month period. If it persists beyond 1 month, then further investigations are done. Since you have a bad pain I will suggest the following: - Back pain can be due to many reasons. You should get x-ray lumbosacral spine done in AP and Lateral done send us report or discuss it with your doctor. Only then further management can be advised. - Avoid heavy weight lifting pushing and pulling heavy objects, because it will further increase back pain. - You can take medicine like painkillers + muscle relaxants by discussing it with your doctor. You may need stronger painkillers which are available on prescription only. You can try ibuprofen or naproxen till you see your doctor. - Apply hot packs for 30 min in morning and evening. I hope it helps. You are welcome to ask further health related queries. Thanks. Chat Doctor.
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hi there i have had a p/e from a long haul flight (supposedly) but this was only found 3 months after the actual flight. I now get very nervous to fly and every time i experience shortness of breath or chest pain, i fear i have another p/e.What are the chances of getting a second P/E....the hospital found no cause for it. I am 36 years old, healthy, fit and not on any contraceptive pill.
Hi there, Thanks for using Chat Doctor. Long flights with prolonged sitting leads to venous thrombosis in the legs. This usually does not cause any symptoms. Long flight increases the risk of venous thrombosis by 2-4 times. Venous thrombosis may lead to pulmonary embolism. The risk is high especially if you are obese, have clotting factors related issues. The symptoms you have now is more likely to be due to anxiety. You can take an anxiolytic medication while travelling. Risk of recurrence is always there especially for flight more than 4 hours and with the above risk factors. You can do the following to avoid recurrence -1. Do calf exercises2. Remain ambulant during the travel3. Wear compression stockings4. Sit in the aisle seat. Is this answer helpful?
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well i must start off by saying i am a gay man and i unprotected anal sex on saturday and i have this itchy anus that started off on Monday, i have bowl problems i dnt seem to be letting much out and my anus is way too itchy.. i had a look down there and seems like there is nothing but feels like a little mucus coming out.. i am confused and need help now
Hi, thank for quarry. As you mentioned all your symptoms as anal sex is concerned it increased the risk of HIV in homosexual much more than heterosexual anal sex. When semen is inside the anal canal it may cause severe itching as in case of yours. Medically anal sex is much dangerous so best to avoid it or use proper protocol to avoid diseases.site bath in iodine solution may help. Hope the answer will help you. Feel free to contact me regarding your health issues. Wish you a good health.
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Hi, my Mom had uterine cancer 2 years ago...she had a hysterectomy..they found it in her lymphnodes...she had chemo and radiation..it came back, more radiation...it has now spread to her lungs and they want to do chemo again...shes also complaining of headaches...could it now be in her brain?....I feel the doctors are not being up front with her because she is not asking the hard questions...Im sure she is scared...I want to know how long she has to live...I feel that perhaps she should not suffer through chemo again...she is 79 and otherwise very strong and healthy.
Hi, dairy have gone through your question. I can understand your concern. Your mother has uterine cancer with metastasis in lung. It is already stage 4. Moreover, she may also have brain metastatic lesion. So no treatment will cure the disease. Chemotherapy and radiotherapy remains treatment of choice. Despite treatment prognosis remains poor. Life expectancy is not good. Sorry to say but it is fact. 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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What does minimal involutional change in the cerebellum mean its suspectedWhat does it mean on a CATScan there is a tiny approximately 3mm low-density area in the medial left lentiform nucleus area. The age of this lesion in uncertain. But the doctor from ER states further evaluation can be obtained with a MRI. Should I get the MRI done?
Hi, Thank you for posting your query. Both the findings on the MRI brain are minor and there is no need to worry. Minimal involution changes in cerebellum can normally occur with aging.3 mm low density area in the left uniform nucleus is most likely a small old infarct (lack of blood flow). However, as the ER doctor suggested, more detailed information can be obtained with MRI of brain. I hope it helps. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/
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i used to work between 2012 - 2014 when i think that i may have hurt my heel, i ordered a pair of work shoes from my workplace. within months, i noticed that my feet hurt, mostly my right foot. i continued to wear them, they were non slip rubber work clogs with a low heel. ever since, my right heel has been in pain and i am starting to limp and walk very slowly, i am afraid to step down on my right foot. there is a small lump on the back part of my right heel that is tender to the touch. it is getting harder to walk about.
Hello, As per your symptoms, there is possibility of calcaneal spur along with plantar fasciitis. It is advisable to wear low heel shoe to maintain center of gravity of whole body. You may need an x-ray heel to see bony overgrowth. Start plantar exercises consulting physiotherapist. Use soft insole in shoes and take calcium supplement with vitamin D. Hope I have answered your query. Let me know if I can assist you further.
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My mother in law starts 6months of chemo today for colon CA- 3 days in hopital every 2 weeks- She lives with us- I have a 4 year old son whos room is 20 feet from hers, and I may be pregnant- She isnt the cleanest person, has to be reminded to wash hands/ bathe- Also has COPD and constantly is coughing- HELP! Im terrified to even be in my own home! Should I move out with my son while she is undergoing chemo or find her a place to live until shes done?
Hi, Thanks for writing in. Chemotherapy is treating with medicines given in injection or tablets. Usually the chemotherapy is given with intravenous fluids and mixed in it. The injection is given in slow rate and over a time duration. The chemotherapy is only for the patient and no one else is at risk. Your boy can touch the patient, and he will be safe. There is no hazard arising from chemotherapy which will affect the boy. There is no need to move out of the home, but the patient should be reminded to keep clean so that she does not get any infection. In conclusion there is no problem in your mother-in-law getting chemotherapy and staying in the same house with your son. Please do not worry.
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Dear Doctor I do competativ show jumping and get quite nevous before entering ashow or having a jumping lesson in the week. My doctor prescribed me Inderal which was great I would just take one an hour before my lesson and another one at the start and it helped me tremendously(as when you are nervous it transfers to your horse). I phoned in for a repeat perscription but received Pur-bloka instead, I am confused as that seems to be for heart problem patient which is not me at all, I am very healthy adndo not take any medication of any tim I run 6 kms four times a week and am 52. Why did he give me Pur-bloka and is it ok.
Hello and welcome to Chat Doctor. Thanks for your query. I understand that you are concerned about the medication that you have been prescribed for your anxiety problem. Both Federal and Pureblood contain the same medication, Propranolol. Propranolol is a medication that is used for a treating a variety of conditions - like high blood pressure, heart problems AND ANXIETY (specifically social anxiety). Low doses of Propranolol is safe, effective and approved in the treatment of anxiety disorders, especially situational / social anxiety. So, you needn't worry about the medication change. You have been given the correct medication for your problem. Wish you all the best.
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My 2 yr old has been quite fussy the past 3-4 days, very unlike her normal behavior. She has had an abundance of soft stools in that time, far more than her typical 1-2 a day. Nothing has changed in her diet. Notably, she s been telling us her eyes hurt and asking for bandaids. They haven t appeared watery, red nor produced any discharge. Today she woke with a low fever. At 1030 it was 101.3, which we eased with Tylenol. She napped and it went down. She s been awake for about 30 minutes, and the fever is on it s way back up. I can tell by the touch. She s complaint about her eyes even more and having sharp crying jags, referring to her eyes. Still, no other symptoms.
Dear Sir/ Madam, Thank you for posting your question at Chat Doctor.comic is clear case of upper respiratory tract infection, probably viral infection. Continue with Tension along with anti histamine that will help in reducing inflammation. Keep a cold water pack on head, if the fever persist get the blood test done and seek an opinion from the nearest pediatrician. Hope you find my answer informative. You vote of thanks is very much appreciated! With best wishes,
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Now i am in my third trimster of pregnancy, 32-33 weeks. I seek my husband s support almost everytime. Sometime i feel that he use to get iritate with this. But it s not so that he does not love me. he do. But i can not control over my angerness and feel so depress. May i have some useful suggestion pleas.
Emotional instability during pregnancy may make you irritable and sad at times it is all due hormonal excess and will go off of its own so during this period you have to keep your self relaxed as much as possible. You can have daily exercise, deep breathing exercise, morning and evening walk. Start dairy writing whenever you get time to keep yourself busy so that you need no help from your family members.
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I don t have any pain in my knees, but for as long as I can remember, whenever I bend them for any reason, they crackle like I am crinkling paper. I am only 33, but it has been going on for at least 10 years. Is it something that I should be concerned about?
Hello, I have studied your case It is very common to have crackling sound in knee joint, and it is not a disease. I would assure you that it is not going to give any trouble in the future. It can occur in a normal knee also. I have the following suggestions for you.1. Avoid squatting and sitting cross leg for some time.2. Hot water fomentation is also helpful.3. You should take calcium and Discern tablet. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
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Hi, may I answer your health queries right now ? Please type your query here...Hi My Name is Imelda Jane..... My Father has Merkle Cell Cancer.. He had a large tumor removed under his arm in his Lymph nodes... Its has returned small, painless and inoperable... What path does this henious afflication generally take? Is their a pattern to this rare disease...
Hi, Thanks for writing in. Merkel cell cancer is a rare and aggressive form of skin cancer. It is influenced by sun exposure and appears as a painless nodule in the skin. If there are lymph nodes involved then it is stage 3 cancer. Since the reports have come as inoperable, surgery might not be the best treatment of choice for him at present. Chemotherapy and radiation therapy are two important strategies that might have to be planned by his doctor and given in a regulated manner. Radiation will limit the aggressiveness of the cancer and reduce tumor size. The chemotherapy will destroy the cancer cells. Please do not worry.
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Hello my name is Samantha, I am 23 years old and have had kidney stones and kindey infections due to my kideny stones since I was 5 years old...I have kidney stones again, but this time it feels like more than just kidney stones...I have done a lot of research and believe that I have Chronic Kidney Disease, could you please help me detemine if I have it or not?!
Hello Samantha and welcome to Chat Doctor. As a Urologist, i understand your anxiety.CKD is possible, if tests confirm it. As you've had kidney stones and infections since childhood, your kidney function can decrease, with time. You need to get examined by a Urologist. Do the following tests : 1. Urine routine, culture and ACR.2. Blood routine, creatinine,calcium, phoshorus, uric acid, electrolytes,RBS, LFT,and platelets.3. Ultrasound-KUB, ACTIVE or an MRU, to know the kidney function status. According to reports, further advise can be given. You can send the reports to me, as a direct question, for an expert opinion. Chat Doctor. Manga.
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my husband is 58 years old and had a bad motorcycle accident a month ago has improve now he able to speak but he still confused he recognizes who is around him but not completely coherent he will be starting speech , occupational and physical therapy what are the chances of him improving . His is diagnosed with bilateral hygroma .. I am really concern that he may never be the same
Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Users question: What are the chances of improvement in case of bilateral aroma? Answer : Chances of Improvement in cases of Aroma are very, very high Please don't worry Consult your Neurosurgeon He will sort this out Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.
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I had a ct scan done in Sept. and it showed several prominent peripancreatic/periportal lymph nodes. My doctor set me up with a gastro doctor and I went to see him on the 9th. He said I should have a EUS so they could check the lymph nodes with ultra sound. I have also had bright yellow loose bowels, abdominal pain, nausea and over all tired. What could these lymph nodes be a sign of?
HI. Thanks for your query and an elucidated history. Multiple lymph nodes in the peri-pancreatic and periodontal area are to be taken as secondary nodes to Cancer unless proved otherwise. I would advise you to tell your Doctors to get an ultrasonography guided FNAC or a direct biopsy, MRI study to see if there is a primary cancer and get operated if indicated. Get a reference for an Oncologist so that you do not waste much of an important time and get the diagnosis fast and treatment as early as possible
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i am awaiting to see the ear nose and throat at the hospital as i have enlarged lymph nodes on the left side of my neck and a movable lump the size of a golf ball that keeps banging on my windpipe. All my bloods have come back normal. These swollen lymphs have been about for almost a yr but have noticed the large lump 3 weeks ago. What can this be im terrified?
Hi, Dear,thanks for the query to Chat Doctor virtual Clinic. I studied your query and understood your health concerns. The lump on the left side of the neck indicates old tonsillitis on left side. The lump on the windpipe, seems to be normal Thyroid, as your blood tests are normal. Plz confirm if thyroid tests are done by your doctor and that they have come normal. Hope this would resolve your query. Welcome for any further query in this regard. Write good review and hit thanks, if this reply helps you. Have a good day. Chat Doctor. N.
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Hi, I am 29 yrs old , weight 66, dignosed with PCOS, I was on Crimpson 35 and folic acid for 3 month from February 13 to March13. Now having regular cycles, although the cycle is 35-40 days. Now trying to conceive from June but no success. My Gyn has put me on Folic Acid and Metrofin now. Want to conceive as early as possible. Can I take Evecare Syrup with Metrofin. Is there any side effect ?????
Hello, With above medications, your period will be regularized and ovulation occurs properly. Ovarian cyst will be under control but can't be eliminated and PCs symptoms will be reduced. You must stop KRIMSON-35 while you are trying to conceive as it is a weak contraceptive pill. Metformin and folic acid is quite effective. Eva care syrup only help to regularize period. Do unprotected sex close to ovulation day (14 days prior to due date) or fertile days (18th to 28th days of each 35 - 40 days cycle) to maximize the chance of pregnancy. You can use ovulation prediction kit in mid-cycle. Key treatment of PCs: low carboy Chat Doctor. Good luck.
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sir a post renal transplant patient done in 2005, creatinine level incresed from1.2 to1.4 in a month, bun is 22, renaldopller shows everythng is normal, my ct scan said i had a urinary bladder partially distended , prostate is not visible what does that mean? liver report is normal,cholestrol is 215(border)had a rejection episode in 2008. creat level shot upto 3.15 then after medication came back to 1 0
Hi, Thanks for writing in. CT scan gives a detailed evaluation of the abdomen and pelvic organs including prostate. The prostate gland is a small strawberry shaped organ located at the base of the urinary bladder. It enlarges in the elderly when the size is a concern. In CT scan, the prostate is not completely seen if the urinary bladder is not completely full. As you have mentioned the partially distended urinary bladder at the time of scan hence the doctor was not able to see the prostate clearly and make a comment about it. Please do not worry as this is only for the record and not a real problem.
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Im a girl and I was doing wrestling after school. I tried to do a move but then i fell into a splits and then my opponent fell on top of me. My legs sort of hurt but not too bad, but at the time it hurt. Will there be any damage to my ligaments or tendons?
Hi and welcome to Chat Doctor. Thanks for the query. It is hard to say without seeing him or making some tests, at least X-rays. you'll see soon will there be pain and swelling and if it is even after 10 days than you should do ultrasound or MRI to rule out ligament injury. Most tendons and muscles injuries recover spontaneously, just apply ice compresses, elevate leg, rest and take standard painkillers. Wish you good health. Regards.
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My 8 month old baby over the last two days has had her tongue turn black, starting in the back and moving forward. She does not breast feed, has not recently taken medications. She seems to be in no pain and the tongue feels the same temp as her body
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concern. As per your complaint black discoloration on tongue can be due to a condition known as Black Hairy tongue. It is a harmless condition, so you need not worry about it. It is due to a number of causes like lack of proper oral hygiene maintenance, overgrowth of bacteria or fungus, food debris accumulation, taking medication etc. I would suggest you to maintain a good hygiene status of your infant like cleaning tongue with a tongue scraper, using a soft toothbrush to scrape your tongue, feeding with ample of fluids. It can take a few days to resolve and in case if it does not resolve consult a Periodontist and get evaluated. Hope this information helps. Thanks and regards. Chat Doctor.
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I have a lump, in the inside of my jaw. right above my lower jaw. I can move it and it hurts so bad at all times. It s about 3/4-1inch just like round ball inside my jaw. You can t see it, but it is painful and you can feel it. I went to the doctor for this about 3 months ago and they said it was a swollen saliva gland? and it would go away in like 3 days if i just ate alot of sour things, and ate hard candies and stuff. Instead, it got bigger and more tender. I noticed my gumson the inside of my mouth (for teeth #17-19) was feeling rough so i went to brush my teeth and i was pinching a little and it still wasn t gone so i checked the next morning and i have a white patch with red swelling around it that s about 1/4 inch long, and 1/6 wide. all of this hurts so bad. Please help! :(
Hello and welcome to Chat Doctor forum EMA, according to the dental history provided by you, I would like to inform you that you dentist was correct when he said that the lump is due to salivary gland. You have not mentioned anything about your medical history, I assume there is none. Also, is there any Chat Doctor. I would advise you to visit an oral pathologist as a few tests might be required to rule out the cause and provide you with the treatment. Try to
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How is klebsiella diagnosed? I had it show up a few years ago and now I m not sure if it was a urine or stool test but the doctor never treated me for it. I have a lot if swelling(edema) and not sure if this could be a cause. I ve also had Lymes and food sensitivities and just want to be sure this isn t something to check into and who to go to especially because the dr who saw the test did nothing! Thanks for your help! Julie
Hello, THX to contact us. I understand your concern. If I am your doctor I advise you that Klebsiella pneumonia in the stool has no importance. So if the K. pneumonia bacteria is isolated from the stool it will be considered as communal flora of the Castro Intestinal Tract. But if it is isolated in urine, it is necessary to treat it. 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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Thanks you so much Doctor. I am Mrs. Pillai and 57 years old, the problem is my left leg at the Knee are some swelling and while changing direction some pain is there. Accordingly I met Ortho surgen and taken Xray and Blood Test(CCBC, ESR, RBS, RA (QUANTITATIVE). All the reports was o.k. in the range. Xray report is with doctor only, but he said there is no fracture, but in side little scratch there. following medicines prescribed: (spelling error might be there) ACE PROXYVON gastracid liquid -opain -knee cap When I have seen the side effects of the Ace Proxyvon, I am very much tensed eventhough our doctor prescribed, for a 2nd opinion I was searchin on the internet, this is what I want to know...
Hello Mrs pillar. The pain medicines are best taken under cover of an antacid or anti-acidity medicines like pantoprazole. Your medicine Procyon is indicated for severer pain and may be stopped in 2-3 days or taken SOS, it can be replaced with simpler medicines like veteran (Diclofenac), there is no need to change doctor unless there is mistrust, I see no reason at all, rather confide your fears in this doctor -he will explain what to do best wishes
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My brother is under treatment in hospital for Dengu.His blood platlattes came to normal from 36000 to 148000 during this treatment.But his SGPT & SGOT levels are higher than 1000.Please advise me about,1.specialist doctor in this area to consult in Pune or in ahmednagar.2.what is probabalie desease ..?Hepatatis ?3.Precaution to take regarding diet and other if any 4.If possible let me know name of medicins that can cure this.
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.AST (GOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitis’s cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health.
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I am a 70 yr. old female just recovering from a respiratory type flu . However, I have also had pain in my stomach area. I have confirmed diverticulosis , but am wondering if I may have diverticulitis now. The pain is in the area of the transverse colon, not the descending, has spread a bit to my back, and is kind of low-grade pain. I really don t know if it might actually be in the stomach, but I don t think so. It gets worse if I try to eat, so I have not been eating much for the last six days. The flu is much better, but the stomach pain is not going away. No cramping, no diarrhea, no fever, no nausea or vomiting. Is there a simple, but definitive test for diverticulitis infection? I live in a remote area and called a clinic 40 miles away and the nurse said the only way to confirm is a barium enema . This does not sound logical to me.
Hi, Welcome to Chat Doctor Forum. Diverticulitis occurs when the diverticula in your digestive tract become infected. Diverticula are bulging pouches that can form in your digestive system, including your esophagus, stomach, small intestine or large intestine. Are your Bowels habits regular? Get yourself evaluated further by a Gastroenterologist to rule out appendicitis, IBS, PID. A CT scan would be a better option for your Doctor to come to a final Diagnosis. IF Diverticulitis is confirmed you may need a Surgery. If your symptoms are mild, a liquid or low-fiber diet and antibiotics may be all you need. Chat Doctor. All The Best, Take Care.
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I suffer from various health problems but there is one that is becoming very bothersome & have not addressed it w/ any of my doctors because I don t know WHICH ONE to bring it up to. I keep getting a pins & needles sensation when my body perspires or gets hot. It is all over my body but primarily my LEGS. It feels like needles are being stuck into all my pores simultaneously & is extremely uncomfortable. There are no pins & needles in the feet which I have heard of. The sensation does not extend down that far. No numbness accompanies the needles either. For example, I can walk by a oven or heater & the needles in the pores will occur.
DearWelcome to ChatDoctorWe understand your concerns went through your details. Tingling hands, feet, or both is an extremely common and bothersome symptom. In many cases, however, tingling in the hands, feet, or both can be severe, episodic, or chronic. It also can accompany other symptoms. Such as pain, itching, numbness, and muscle wasting. In such cases, tingling may be a sign of nerve damage, which can result from causes as varied as traumatic injuries or repetitive stress injuries, bacterial or viral infections, toxic exposures, and systemic diseases such as diabetes. Diabetics, idiopathic, Kidney and liver problems, alcoholism and host of other problems could be the cause of the pins and needles. You should talk to your physician to get a thorough check-up. To provide you some relief, such pins and needle symptoms are also possible due to anxiety and obsession. Therefore, try to ignore the symptoms for a week and see. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
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Hello Doctor, I never thought i would be asking this question in my life but things so happened that I put myself in this situation. I would like to know if there is a chance that my wife will become pregnant (which we both do not want at this point in time) after we made out without direct contact of our genitals but with minimal clothes on... I don t even know if I have put forth my question right... Regards, Karthik
Dear Parthia, If your sex play was with clothes on and no penetration of vagina by penis; in short, no possibility of deposition of either semen nor pronominal secretions (which do contain some sperms) in or around vagina, there is no possibility of pregnancy. Moreover, if the whole incidence has taken place beyond the fertile period, you should not be worried about pregnancy. Now let me explain you fertile period. Egg is released 14 days prior to the next expected period. Considering eggs life of 24 hours and sperm activity for 72 hours, a period of about one week around the day of egg release is considered as fertile period. Dear Parthia, if you are sure that you want to differ pregnancy for some period of time, I would suggest you to adapt some reliable method of birth control instead of going through such stressful situation which is not good for your neither for your wives health. Condom, birth control pills or intrauterine device like Cut are good simple contraceptive methods. You may opt for anyone or more of them. I hope this helps you.
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Hi. Ive been on 150mg of trazodone for at least a year. Im also on 2400mg of neurontin a day, for at least a year. I continue to have severe anxiety, insomnia, and chronic depression. (among other things) . He thinks its a good course to stay on, but I just checked the side effects of those drugs and I have most of them. I didnt think there were so many mental repercussions. Is there anything you can recommend to help me get back on track?
Dairy understand your concernsTrazodone and Neurontin are good to treat severe depression and anxiety, but at high doses, they do have their ill effects. Time and again it has been proved that medicines along cannot cure depression and anxiety. You need lifestyle changelog need meditation, yoga and psychotherapy. Meditation and yoga helps to streamline your thinking process and metbolismPsychotherapy streamlines your lifestyles. Consult a psychologist soon. Wish you speedy recovery.
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My daughter has fever on and off for 9 days now, from the highest was 104.3 today, the 9th day she woke up with 102.7 and gave tylenol as my pediatrician said. on the 6th day we went to ER because of high fever which was 102.8 and then she did not show any symptoms but high fevers that comes and go. She is totally fine after her high fever goes a way with a dose of tylenol.Urinary analysis was neg. also We were sent home and asked to see her pediatrician if everything is the same. Went to see her pediatrician, pediatrician did swab, and urinary analysis both negative. we are sent to lab tests and we are still waiting for the result. It s frustrating now, the question I have, the only thing I can think of without blood tests is maybe she has bacterial infection, would it be ok to just go ahead and give her antibiotics?
No, it is not a good idea to start antibiotics without knowing what is causing the fever. Fevers can be caused by viral and bacterial infections, but they can also be caused by other conditions, such as parasites like malaria, blood diseases, and other problems. When a person has had a fever for a long time without a diagnosis, it is called Fever of Unknown Origin, and a work up for the cause should be done. This would initially start with a variety of blood tests. Talk to your pediatrician about what further tests need to be done. Hope this helps.
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hi, I m a physiotherapist treating a patient for lower back pain when running. He recently found out he has a thornwaldt cyst. He also presents with sudden large twitching of his body which I predict it originates from his lower Tx spine as that is where the greatest contraction of the muscle occurs- been occuring for about a year and only occurs when he is relaxed. his back pain is present for about 3years
Hi, Thank you for providing the brief history. As mentioned, the patient is having a low back pain, first needs to undergo an MRI as it will provide the insight to the soft tissue injuries. Also, by doing TENS therapy and ultrasound the pain can be under control. Post that doing regular core stability, pelvic floor and spine strengthening exercises will put a weightage to the recovery of the patient. Performing regular breathing exercises will help to improve the capacity of lungs, and also it will help to improve the cellular physiology of the muscles. As you need to figure out what is the pathomechanics of the spine for this patient, usually pain in the back can be of varieties of possibilities and needs to be ruled out before implementation of the exercises. With the grace of god I wish for good recovery.
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Hi, i have been taking the microgynon 30 pill for the last 6 years, I have recently turned single so stopped taking it. I ve had a two month gap and I haven t had a period. I would like to start taking the pill again though as I have become sexually active again. Can I just start taking it or do I need to wait for a period? Many thanks
Hi, You have not had census for two months. Were you sexually active during these two months? If you were not sexually active then you can start taking Microgynon right now. But you need to use additional contraception like condom or diaphragm for the first seven days until Microgynon effect is established. Since you did not have census for two months, the endometrial lining of uterus must have become thick. It may cause irregular bleeding/spotting once you start pills. So I advise you to first take progesterone to bring about Period bleeding and then start Microgynon. If you were sexually active during those two months, then it is extremely important to rule out pregnancy by blood pregnancy test. If negative, use progesterone for with Chat Doctor. I hope I have answered to your satisfaction.
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My 16 year old son went to ER with chest pains and shortness of breath. He is very active in sports. The chest pains began during a baseball game. His ECG was abnormal but his chest xrays were normal. We seen his primary doctor today and they said he is healthy and can resume physical activity; however, as a parent, I would feel more comfortable having a specialist state it was safe for him to return to sports. I understand this is a tricky subject but any advice would be appreciated. Thank you
Thanks for asking your question completely understand your problems per you have written ECG was abnormal, the treating physician should have ordered a 2d echo and if that also comes normal then a spirometry to know the lung health and state of lungs. Sob with chest pain can happen in many diseases like bronchial asthma, pulmonary embolism, obstructive airway diseases, and restrictive or occupational diseases. It will be better f you can refer a pulmonologist.thanks/regardsfeel free to ask questions may god bless your family with good health
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My husband had a sperm count done with his number being 72.4 out of a range from 20-160. We are contemplating tubal reversal or IUI, and I need to know if his count is viable enough to validate the expense, and based on his count, which procedure to do? If it will take multiple tries at IUI, I would prefer the reversal.
Hello, The semen count of your husband was 100% OK. But associated factors like motility, morphology are important. If the other factors are OK the count is viable enough. I assume that the tubal reversal you mean is vasectomy reversal. The success rate of vasectomy reversal depends upon the age and the sperm count and motility analysis done during the procedure. Usually the success rate is reasonably high for an individual with a normal count and motility. If your husbands' semen was stored before vasectomy surgery, IVF is the only option. The GUI is of your choice. Best wishes
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Hi I recently went to the ER for lower right side pain/pressure, fells like someone is pushing in on my lower right side. Ct scan shows retroperitaneal nodes and enlarged spleen with thick loop SB. Blood work normal. What would you think it could be. ER doc mentioned lymphoma?
HI, thanks for using Chat Doctor There are different possible causes for enlargement of the spleen such as: (1) infections(2)blood disorders such as leukemia, lymphoma, platelet disorders(3)tumors and cysts in the spleen(4)autoimmune disease(5)liver disease can lead to enlarged spleen(6)heart failureYour doctor would likely consider further testing including blood tests. The treatment would depend on the findings. I hope this helps
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Hi doctor,I was attacked by mumps around three years back and now my testicle sizes are different. So, I wanted to know about the treatment. Will I get rejected in visa medical test? I am a petroleum engineer. Please help.
Hello, Welcome to Chat Doctor forum. I had gone through all the details posted. The difference in size of the testicles is mainly because of two reasons, orchitis and hy ChatDoctor. Orchitis is inflammation of the testicles, which has happened three years back due to mumps. There will be redness, pain and no fluid around the testis. For decrease of swelling and pain, we need to use anti-inflammatory agents. If there is any bacterial infection, then we need to use antibiotics. In case of hy
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hi, i am 39 years old. i am getting treatment for myoclonic jerk for 5 months now. almost about year back my chest, jaw and shoulders used to shake occasionally, and that became a regular feature, but i got to see a neurologist only from march of this year at which point i was told i was suffering from myoclonic jerk. can you please tell me how long does a myoclonic jerk last?
Hi, I have gone through your question and understand your concerns. Myoclonic jerks duration depends on the underlying cause. If an underlying cause is diagnosed (toxic, any medication, metabolic disorder, autoimmune disease, kidney or liver disease) treating the cause should stop myoclonus. In some cases no underlying causes is found, and in such cases, myoclonus could lest indefinitely, or could stop at any time, we don't know for sure. 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 ans
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After exercise or when agitated my skin breaks out in red blotches which then turn white and raised like scars what could this be ? I am an active 21 year old male and this started around 2 month ago however i did have severe asthma attack in April 2013 which is my only health problem
Hello, I have gone through your query and understand your concern. You are suffering from Exercise induced Urticaria or Cholinergic urticaria. This is the allergic reaction to Physical exertion or sweat. Exercise induced Urticaria is caused by your body having an allergic response to exercise. Cholinergic urticaria is caused by sweating that results from a rise in your body temperature. Exercising in hot weather makes you more susceptible to cholinergic urticaria. Both Exercise induced Urticaria or Cholinergic Urticaria both needs attention, and you should consult Allergy and Asthma specialist now. You should stop exercising because it may aggravate the allergy and lead to life-threatening conditions like difficulty in breathing (As you already have asthma, exercise is not advisable till you consult the specialist). Both conditions well respond to Antihistamines like cetirizine. If you have cholinergic urticaria, rapid cooling in a cold shower can help relieve symptoms. If you have an allergic reaction to exercise or sweating, always take your medications as prescribed to avoid hives. You may need to avoid vigorous-intensity exercises or follow an approved exercise routine after discussion with Allergy specialist. For cholinergic urticaria and heat rash, preventing sweating is the best way to prevent hives. Exercise in an air-conditioned area and wear lightweight clothing. Avoid ointments and lotions that can block the pores and make you prone to heat rash. Hope this helps. Please write back for further queries. Wishing you good health.
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I have a lump on the right side of my neck about a 1/2 inch above my collar bone close to where a mans adams apple would be. I just noticed it yesterday. There is not a corresponding lump on the left side. It is a little tender to the touch. what do you think that could be?
Hi. Thanks for your query. From the site you have described, this looks more to be a lump from a thyroid gland. It can be a lymph node too. Clinically see if it is moving with swallowing. The final diagnosis is best done by a simple ultrasonography and FNAC- fine needle aspiration cytology. Further, blood and other investigations are dependent on your symptoms and the signs the examining Doctor will find.
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I had sudden high blood pressure and dizziness. My blood pressure is controlled with hypertension medicine and it is usually 130 over 80 or 120 or 70 but it spiked up to 160 over 96. Now is it down to 146 after lying down for 15 minutes. The dizziness lasted quite awhile.
Hello! Thank you for asking on Chat Doctor! I read your question carefully and understand your concern. It is necessary to perform a comprehensive differential diagnosis between different disorders related to your symptomatology. The main disorders to take into consideration as possible responsible for this clinical scenario would be an inner ear disorder and a transient ischemic attack (TIA) in the vertebra basilar system. I recommend consulting with your GP for a careful physical examination, a resting ECG and some blood lab tests (complete blood count, thyroid hormone levels, kidney and liver function tests, blood electrolytes, fasting glucose etc.). A Doppler ultrasound of the cervical vessels would be necessary to examine the blood flow to the brain. If all the above tests result normal, I recommend consulting with the ENT specialist for a physical examination and labyrinthine tests to rule in/out any possible inner ear disorder. Meanwhile, I recommend to carefully monitor your blood pressure and avoid straining physical activity. Hope to have been helpful! Best regards,
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I have been really sick for the past three or so days with varying symptoms. The first day I had cold-like symptoms - achy arms, headache, cough. That night after eating dinner I got intense stomach pains and ended up vomiting a little and having intense diarrhea several times. The next day the stomach pains were gone but I had an intense headache all day, as well as coughing and sneezing. That night I kept waking up every hour or so because the pain in my head was so intense. Then yesterday I again had an intense headache with mild coughing and sneezing and now nausea. Gradually my headache became isolated to the left side of my head only. I have also had two intense nosebleeds in the past 24 hours.
Hi. Thanks for your query. Your history of flu like symptoms, abdominal pain, vomiting, nausea, headache which has isolated to the left side and nose bleed is indicative of the following:Typhoid - one gets the similar problems with nose bleed. Or Flu with secondary infection of the GI tract and Upper respiratory tract. I would advise you the following:Get the vitals and general examination done by the Doctor. Investigations of the blood, urine, stool. CT scan of the Brain and sinuses to rule out any internal problem causing nose bleed and left sided headache. The treatment will be symptomatic to start with like an antibiotic, topical and oral decongestants, painkiller for headache. The specific treatment may be continuation of the same or changed as per the reports.
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hi my 7yrsold son is having caugh,running nose and fever and moreover fever is especially evening 5-6 and early morning 1-2 after that it subsided itselft,i gave him cough syrup and paracetamol.morning ,afternoon he is ok ...during time he keep upon crying.advice pls
Hello. Thanks for posting your query at our health forum. It seems your son has developed an upper respiratory tract infection (mostly viral) and hence has developed cough, cold and runny nose. It is better to wait for 2 days because antibiotic usage due to chances of developing resistance, is not prescribed right away. You can continue giving him Paracetamol syrup for his fever twice daily after food, and Ben Chat Doctor. The Ben
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Hi, may I answer your health queries right now ? Please type your query here...Why do I have lower bache pain with my flu, whicChatDoctores and goes as my flu dies and lifts or returns. It is reducing over days but I am a little concerend. Could the flu virus be affecting my kidneys?
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have back pained with symptoms of flu which is because of upper respiratory tract infection leading to common cold, which can be caused by bacterial or viral infection. Need not worry. I would suggest you to consult ENT specialist for proper examination. Doctor may order test like viral culture test, throat swab test and blood test to confirm the diagnosis and rule out causes. Doctor may prescribe antibacterial amoxicillin or anti-viral acyclovir depending upon the diagnosis along with decongestants. You should take proper rest and Chat Doctor. You should take muscle relaxants as well. You should take steam inhalation along with vaporizers. Avoid hot, sharp, spicy food. You should do warm saline gargles and
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I have genetic spine problems. 30 years with lumbar pain, herniated disc L5,S1. Since few years ago also neck problems. Went into three mild car crashes among the years which resulted in whiplash. Diagnosed with neck straightening and retrolisthesis in C4-C5. I like to dance salsa, but I am Pilates instructor, as well. Three years ago, after dancing I have got a neck strain, after a month of no improvements I was suggested that I needed surgery to release the tension caused by the disc compression. I decided to go for the radiofrequency, which was applied in three discs. Despite of this surgery, hours of physiotherapy and my own Pilates, the pain in the neck still not only present, but is worse now, it is all over my neck, shoulders (also have a slap surgery in one of my shoulders) and now even feel pain in the thoracic area. It is a 24-hour pain. The doctor suggested I need a titanium disc replacement. No nerve damage yet.I thought I have strengthen my muscles, but maybe not enough. Clearly I dont want to go into the surgery process, but..Is this the only option now? Do I have the chance to get stronger musclewise and keep away the operation and diminish the pain? If going through the surgery, which percentage of movement is going to be recovered? Realistically, how long is the recovery time? Will I be able to keep dancing?Sorry for the long message, but I dont know if this is enough information to make a judgment, buy want more opinions before doing this, since I need to plan it properly since I would need to fly to the place in which the surgery would be done.I will truly appreciate your answer in advance.Kind RegardsSusana C.
Hi Susana, In your long history I need your investigation report like MRI, X-Ray to comment better. But according to your history you definitely require an operative decompression with/without fixation surgery it leads to ankyloses of adjacent vertebrae so requires a disc prosthesis implanted such that u can perform dancing activity as earlier even after your surgery. So in my opinion visit orthopedic center where this surgery is being performed as it is very skillful surgery. Hope this ll help. For any medical queries feel free to ask. Thanks n regards
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I am a 23 year old female. Today I woke up and when I breathe in deeply I feel tightening on my chest , close to my collar bone. My throat is also bothering me along with my left ear. Im not sure if the chest pain is because I am developing a cold or it has to deal with my heart.
Howell come to ChatDoctorI really appreciate your concern, tightening here in your case could be due to muscular spasm, and it may not be due to any cardiac disease, in this young age and in female chest pain due to heart disease is not likely unless have some congenital disease, what the symptoms you mentioned it here could be muscular spasm and would be temporary if ever happening due to deep breathing spell and hope this information may help.
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My dad is 67 years old & just had a heart attack yesterday,tests just now have confimed he has eight artery blockages & an open heart surgery shall need to be done....How much are the costs involved in Dubai,& also,is it safe enough for him to travel to Canada & get it done there as he is a Canadian Citizen ?
Thanks for your question on Chat Doctor. I can understand your concern. I don't know about the cost of CABG (Coronary artery bypass grafting) in Dubai. But he is definitely at risk of life if he travels in this situation. He is having eight arteries blocked. This is urgent need for CABG. And air travel is strictly contraindicated in such patients. If you still insist on getting CABG done in Canada then take him Canada in air ambulance. Hope I have solved your query. I will be happy to help you further. Wishing good health to your father. Thanks.
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Doctor Im Tomas Encarnacion I fiill up a form for excuse dury duty . Because every time i went there i feel an tromatic Enxity because of my fast divorce court, Last year I really cannot control my self my tears fail in front of the judges. so they let me excuse n send home. hope you do under stand my situation. YYYY@YYYY
Dear serve understand your concerns went through your details. Anxiety disorders are a category of mental disorders characterized by feelings of anxiety and fear, where anxiety is a worry about future events and fear is a reaction to current events. These feelings may cause physical symptoms, such as a racing heart and shakiness. There are a number of anxiety disorders: including generalized anxiety disorder, a specific phobia, social anxiety disorder, separation anxiety disorder, agoraphobia, and panic disorder among others. While each has its own characteristics and symptoms, they all include symptoms of anxiety. Anxiety medicines alone cannot cure anxiety disorders mainly because medicines do not alter behavior. Behavior change and Continuous practice of the changed behavior cure anxiety. I suggest anxiety education, progressive counseling and progressive psychotherapy. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
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Hello, we are using to 2 novelon birth controls pills, it will act like I pill, we are rugulary using condom, later we found it was scratched and now 36 hours later we consult doctor, she suggest use 2 novelon birth control tables and after 12 hour take another 2 number tables, does it really prevent from pregnancy, my cycle start exactly 31st dec 2013 , i dont have any problem in my cycle till date.. Please suggest, can i get the pregnancy or else can use these tablets
Hello, Thanks for trusting us with your health concern. I have gone through your query and would like to offer some suggestions. Ovulation occurs two weeks prior to the onset of the next period and this is the fertile phase when an unprotected intercourse can cause conception. If you had the intercourse before or after this phase, you are safe and do not need emergency contraceptive medication. Also, if you take proper course of emergency contraceptive pill within the stipulated interval, you are protected. In the future, please opt for regular contraception. Hope this helps.
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Yes. I have a friend whose son in 2004 completely quit eating for 180 days not much water intake either. He has since been eating well and has been encouraged to eat other things.He at one point was in the hospital for a short time but then his mother took him home. He was in the Psychiatric Unit of the hospital. Now he has a girl friend and she is asking question. At this time he is getting his strength back and going to the gym once a week riding the elliptical and the tread mill at great paces. When and even before he seems to be having trouble bending his knees and is not stable when walking alone has to use a walker. I am assuming that much of this has been caused from not having the nutritional diet he needed for 180 day. They want to have him have a brain scan or even cat scan of his head. Is this a recommended way to go?
I appreciate your query on Chat Doctor. Based on the history I would suggest that diagnosis of Depression is clinical and not based on CAT or CT scan or any brain scan at present.Moreover, patients of depression will have a (mostly)normal CT/CAT scan. The symptoms you have mentioned may be due to some other brain disease (Neurological) in that case CAT/CT scan or MRI brain is helpful. I hope you find this helpful.
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Hi doctor,Can you please tell me if a unilateral posterior polar cataract has a congenital onset or develops after birth? I am desperately seeking answers as my daughter who is 5 years old has been diagnosed for the first time with a congenital polar cataract. The doctor who originally diagnosed her stated with confidence that it has been there since she was born. My daughter has been diagnosed with 20/300 vision and deprivation amblyopia. I took her to another doctor to get a second opinion and he stated there is really no way to tell if it has been there since birth but stated it could have been. How was the first doctor able to make this diagnosis with such confidence when another doctor stated there is really not a way to tell? From what I have researched online, posterior polar cataract is very rare and has a congenital onset, is this true?The second doctor has started her on a patching regimen for half of her waking day. Her vision has not improved since she has started wearing her eyeglasses and I am wondering how much or if at all it will improve, with such a late diagnosis. Also, I, unfortunately, contracted HSV type 1 during my third trimester while I was pregnant with her and I have also read that this could be a cause, is this a potential cause? If it is a cause in your professional opinion, would you recommend that a newborn born to a mother with HSV 1 developed during late pregnancy with an ophthalmological issue due to the risk? Any input you can offer will be greatly appreciated. Thank you in advance.
Hello, Welcome to Chat Doctor forum. Since you had an HSV (herpes simplex virus) infection, there are increased chances that this polar cataract is congenital (since birth). Now, during initial years, if there is a hin ChatDoctor. Your ophthalmologist has correctly started patching therapy but my question here is why has he not thought about surgery because then we can remove the cause of amblyopia, get a clear visual axis, and start patching again. In my opinion, that would yield a much better result. Please consult a pediatric ophthalmologist who does pediatric cataract surgeries and discuss the case there because I think removing the cataract and implanting a lens is a very good choice and it will help in amblyopia therapy very much. For more information consult an eye care ophthalmologist online
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Hi, Im 15 and a half years old. Recently I have noticed a sharp feeling in my throat, which I guessed that there was something stuck but noting was there, a couple of days later I felt that all the bones in and aroundy neck felt asif they were sticking out, I m feeling abit worried as it hurts most of the time, do I need to worry?
Hi, thank-you for providing the brief history. A thorough clinical examination is advised. As you are feeling some sort of Tightness in the neck region it can be muscle spasm. Also, the back of the neck contains bones called vertebrae and the front of it contains cartilages. What I am understanding by your history is the spasm of the muscles of the front of the neck which is making you discomfort. This can be related to cramps but with a thorough clinical examination and some diagnostic tests for thyroid can help understand the matter better. Regards Jay In Chat Doctor.
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Hi,I have been having trouble with stress and basically dealing with life. I have been having trouble sleeping, I have been gaining weight and have been having headaches every day. I have no energy and have been having trouble working because of all of this. I am wondering if this could be caused by depression or if I should look further into it.Thanks
Hi, I can understand the distress that you seem to be having due to your symptoms. The symptoms that you have mentioned in your query are highly suggestible of depressive disorder. I would suggest that IOUs seek a psychiatric consultation for your symptoms. Treatmnet with anti-depressants medications like sertraline would beneficial. In addition, you should start exercising daily which will help you relax. Sharing your emotions with someone or writing diary on a daily basis could also help you de-stress and relax. Hope you found this information helpful. Best wishes.
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I have a pain on my right side that does not hurt when standing, only sitting or laying on my right. No other symptoms, fever urine problems etc. it s a sharp pain, but pressing in that area does not make it hurt worse. Any ideas? YYYY@YYYY
Hi, The location and movement of a pain gives clues as to what is going on. Specifically in this instance the question is if the pain is with touching the surface or deeper in and these would be quite different. With pain on the outside (more common) than local pulled muscle or a local irritated nerve would be some possibilities. With deeper in, then usually standing makes it worse, and it is difficult to know what would be deeper in and cause pain with lying down. Hope I have answered your question. Let me know if I can assist you further.
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I have a rash in my arm that started about a month ago only as what i thought were mosquito bites or maybe a smallnspider since they were forming almost a full circle, they went away by them selves, since then they have come and gone 2 more times, but this time they got bigger itchier and they have now joined togeather in a half circle shape leaving a very red very itchy and bumpy patch.... Its only this and alwys in exactly the same place!!! Could it be some alergic reaction yo a bug bite?
Hi, The rash could most probably an urticaria. Other conditions such as Tina, Popular urticaria etc. could be ruled out after proper examination by a Dermatologist. You could take an antihistamine tablet for a week. If you do not get improvement in a week or if your symptoms worse during the course, you must consult your Dermatologist for proper management. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I am an indian, working in Qatar for last 5 years. My marriage was three years before and for last 2 and half years we were trying for child.. and unfrotunately not yet. As per doctor.. my wife is ok.. only me needed treatment since my sperm count and motility is very low. my last sperm analysis as follows, Total Sperm count : 44 Total Ejaculate Sperm count: 88 Motility (1/2 Hr) Active 25 Sluggish 30 Non Motile 45 Motility (1 Hr) Active 20 Sluggish 30 Non Motile 50 Motility (2 Hrs) Active 15 Sluggish 25 Non Motile 60 RBC 6-7 Pus Cells 2-4. This was two months before.. and before this analysis i have done the same three more time and the result was poor.. Pls advice wht will be the best treatment for me.. Continue with medicine or...
Hi, Welcome to Chat Doctor . Since you are taking treatment and the parameters are not responding that means you are not responding to the treatment. It would be good if you had written what treatment you are taking. I suggest you to discuss with your doctor regarding GUI. It is intrauterine ingestion of sperms. Here sperms are washed and processed, and healthy sperms are placed in uterus. So though your count is less healthy sperms may be taken and also since they are placed in uterus motility problem also tackled. So your problem is bypassed and increase chances of pregnancy. You may try 5-6 cycles of GUI before proceeding to IVF(in vitro fertilization). Hope I have answered your query. Regards Chat Doctor.
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Hello Doctor..............I am suffering pelvic pain since a week..............i feel weak all the time.............i took morning after pill abt a month ago..............n most importantly i am 17 yrs old............is there a chance that i am suffering frm cervical cancer?? i dnt have multiple sexual partners........n my partner is nt suffering frm any sort of infection............pls help...........!!!
Multiple sexual part is one of the risk factor for cervical cancer particularly when sexual activity started at earlier age as in your case. General symptoms of the cervical cancer is inter-menstrual bleeding per vagina(bleeding in between cycle of menses), post-coital bleeding(bleeding immediately after sex not related virginity) discharge from vagina, pelvic pain, backache. So in your case you should consult gynecologist and get your pelvic examination(PV/PS) Done to rule out cancer cervix. The fundamental thing nowadays is HPV Virus as etiology of cervical cancer which is sexually transmitted disease from male to female.
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Hi, I am taking 75 mcg of levoxylthrine. Been on this dosage for years. I am having trouble with fatigue, headaches, back aches, foggy. I am 152 pounds now and the only way to lose weight is to eat very little to nothing. Every time I go to the doctor and they do blood work. I am in the normal range. What should I do?
Hi Thanks for your query and welcome to Chat Doctor. I have gone through your query and understand your concern. It is advisable you to get your vitamin D3 levels as these symptoms are like vitamin D3 deficiency. Analgesic such as ibuprofen will be helpful to symptomatic pain relief. Multivitamin and mineral supplements are of help. You can discuss with your doctor about it. Hope your query get answered. If you have any other don't hesitate to write to us. Wishing you a good health. Take care.
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Dear doctors, My name is Toan Phan, an Asian, Vietnamese. I am 69 years old. I got diabetic for about 20 years as type 2. I take 2 Metformie 500 mg and 1 Glpizide 5 mg per day. I has just got an urine test . There is keytone 1+ in the test. Glucose is negative . My blood test is 6 in the range of 4.5 to 5.7 What I need to do my case I need to drink more water and no exercise ? Can I test ketones at home and how ? Thank you doctor , Warm regards, Phan Toan
Hello, Before commenting much on your case history, I would like to get a few more information from you which consist of what's your current sugar level and moreover are you trying to deliberately lose weight or not. Just with this history background if I had been your treating physician, then after getting your sugar done I would have suggested you that you need to modify your dose of metformin and glipizide and along with that I would have also suggested you to stop doing any exercise and Chat Doctor.
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Hello doctor,I was suffering from minor Achilles tendinopathy and visited a physiotherapist today to get it checked. During the session, he performed some deep tissue massage on the calf (which was very tight) to relax it, which was very painful. After the massage, I experienced sharp pains while walking (which was not there beforehand), and when I brought this up with the physio, he said it was normal because it was the first time I had gotten deep tissue massage on that area.I have been icing the calf and resting, and while it has gotten a little better, it still hurts to walk. I have my exams tomorrow which I have to get to and other events on the weekend where I have to be (and will involve walking). I am worried about how I can see as I cannot walk at all. Is it normal to experience such pain after deep tissue massage to tight calf muscles, or did I sustain some injury (say a muscle strain or something similar) and need to get it checked out?
Hello, Welcome to Chat Doctor forum. I read your concern. Sometimes, usually, they try to break the trigger points, and it would have caused discomfort. The technique itself is pro-inflammatory techniques and will induce some more inflammation so that healing happens. So do not worry. Now, I request you to ice your calf frequently like once in two hours for 15 minutes as of now and stretch it properly things should settle down fast. Tomorrow morning you might feel a lot of stiffness in the calf, do not worry as you have to stretch your calf gently and roll your calf over a foam roller or if have somebody ask them to massage it for few seconds. Things will be fine. You can walk without pain. I hope this is helpful to you. Kindly revert in case you need any further information in this regard.
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About a year ago, late summer of 2009 an ex girlfriend of mine gave me oral sex. From that point on my penis has hurt inside if i pinch it, it feels like rocks are inside and if i pinch it they go away. I have no clue if that is actually what is happening, but thats just what it feels like.Last winter(the winter that fallowed the oral sex,) I was kissing my girl friend, and when she left, I had to go pee and saw blood on the top of my penis, but it wasnt continuous bleeding I just wiped it off and nothing happened there was no pain or anything. What do these things mean?
Hello, Bleeding after oral sex is commonly due to tear of the frenulum (French). It may be due to rough sex, friction during sex or allergy. Avoid sex for a couple of days till the tear heals. The frenulum tear commonly heals by itself. However, you can apply ointment Aureomycin or Tobramycin for relieve. Take care of your hygiene. Since you saw blood in the tip of the penis, you are suggested to get clinically examined by a Urologist, get Urinalysis(C/S & R/E) & STD tests done to rule out any STI. Your treatment will depend on the pathology detected. Hope I have answered your query. Let me know if I can assist you further. Take care
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Last week I had a strong electrical tingling sensation in my mid chest. Lasted only a few seconds, but was sharp. Later that evening I had several small, similar sensations also in mid chest, above sternum. Today, about a week later, I had similar electrical tingling in my left arm. It has continued for a couple of hours, but mild so far. Not as intense as the initial chest sensation.
Hi, Thanks for writing in. The nerves to the arms and chest originate from the spinal cord in the cervical and thoracic spine. The cervical spine is made up of 7 small bones aligned on top of each other and the thoracic spine has 12 bones lined up together. There are spongy discs between these small bones which give it a cushioning effect and help in forward backward and turning movements. There is a possibility that your discs at particular levels have been degenerating for some time. Since it has happened over the past week, it is important to rule out any nerve irritation or a condition that has developed recently. The tingling sensation is more frequent when there is pinching of the nerves in the region. Doing an MRI scan of the cervical and thoracic spine might be required. This will be decided after once a neurological clinical examination is complete. Treatment depends on clinical and imaging findings.
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I was informed last week that mt daughter may get chicken pox as my friends little boy has got them A few days ago my daughter has about 10-15 red spots that looked like they had whiteheads on them so i pur camamoil lotion on her an the next day they had gone could it be a mild form of chicken pox?
Hi.... I do not think that this is chickenpox. This could be any other simple viral erythematous illness. If she had fever before this Rash we can be almost certain that it is a viral illness. But if it is subsiding by application of topical lotion then it could also be a simple allergy or Eczema. From next time I suggest that you upload the images on this website so that we will be in a better position to guide you. I am telling this because skin conditions are best diagnosed by directly seeing them. Regards -
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all week i have been having trouble breathing because of the allergy levels so ive been stuffed up bad. im also sensing heart fluttering. im also taking beta blockers at the moment but my husband also just left out of the country. could a mix of the stress and his leaving be causing?
Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms seem to be related to anxiety. Anyway, I would recommend performing a careful physical examination and some tests: -a resting ECG and cardiac ultrasound-blood lab tests (complete blood count, thyroid hormone levels, fasting glucose, blood electrolytes, kidney and liver function tests) to exclude other possible causes of your symptomatology. I recommend you to carefully monitor your blood pressure during the day and refer those values to your attending physician. If all the above tests result normal, the main cause of your symptomatology would be just pure anxiety. Hope to have been helpful! Greetings!
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Hello... as I read from some answered questions here that the hair loss treatment Anatism can be taken for three-four months to see visible resulst.. After this period of time can I continue using it ? or should I stop. or should it be used like permanent solution? Thank you so much in advance. Fatima Saleh
Hello, Thanks for the query. Anatism is definitely helpful in hair growth. I suggest you to take vitamin supplement also. Biotin causes hair growth. It is one of the component of hair building unit. It also promotes utilization of proteins by hair. Use minoxidil along with biotin.It's a good treatment. Apart from this you can also use tab an Chat Doctor. Regarding food, you can take any diet rich in protein.Also, you can wash hair daily. Washing won't cause hair fall. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.http://www.ChatDoctor .com/doctors/
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MY BRAIN MRI SHOWS MANY BLACK SPOTS. I ALREADY HAD A BREAST REDUCTION . THEY SAID IT WOULD REMOVE THE PAIN IN MY RIGHT ARM AND GIVE ME BACK THE USE OF MY RIGHT HAND . I HAD MY GALLBLADDER REMOVED BEING TOLD I HAD A 70% CHANCE OF THE PAIN GOING AWAY. I USE TO BE AS STRONG AS AN OX, I M HAVING ISSUES PICKING UP 40LB NOW. I USE TO BE ABLE TO LIFT 100LB WITHOUT ISSUES. NOW I HAVE HAND TREMORS, THEY CAME AND GO. THE TREMOR ARE GETTING WORST, INCLUDING BOTH HANDS AND NOW ARMS. THEY GAVE ME MY MRI BUT WOULD NOT GIVE ME THE REPORT. THEY SENT THAT TO MY DOC. MY PC SAYS NOTHING MATCHES SO IT HAS TO BE STRESS. THE ONLY STRESS I HAVE IS HOW I FEEL
Hello, Thanks for the query, I understand your problem You need a detailed neurological evaluation by a neurologist which will include clinical interview to clarify the symptoms that you have followed by neurological examination. This will guide us the necessary investigations required to diagnose the condition. Please note that there are many causes of such problems including problem in the spinal cord. It would be difficult to resolve your issue without a proper clinical evaluation. Black spots in the MRI may also be due to many causes, and it has to be interpreted along with the clinical data. I urge you to get a neurological evaluation at the Earliest Best wishes Chat Doctor. Chat Doctor .com/doctors/
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I have been on 20 mg of lisinopril once a day for about 60 days. Blood pressure in AMs is about 139 over 85to 90. In the evenings it goes to 139 over 96 to 100. I have a doctors appointment in a week. I excersised tonight and 1 hr later it is 139 over 111 and 15 minutes later it was 139 over 95. Can I take one more pill per day?
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values. To judge if it is necessary to rise a medical dosage or add another class we should judge on mean values and other factors like age, cardiovascular associated rich factors and associated disease. The dosage of lisinopril might be added to 40 mg a day, so it is possible to take another tablet. But if I was the treating doctor I would recommend some examination like a cardiac echo, a full blood analyze and a holder pressure monitoring to evaluate your blood pressure values during day and night and then decide. Hope I was helpful. Best regards, Chat Doctor.
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I have Spinal Stenosis and degenerative osteoarthritis...I ve had 2 lower back surgeries as well as fusions and I have a rod in my lower left back. I was OK for a while, but now the pain is worse...I can barely walk...only about 10 feet. Then last year I ended up having major stomach surgery because blood was coming out of my belly button...no cuts, holes, etc. To this day no one knows what caused it but I had ER surgery because a hernia blockage was starting. What s going on w/me?
Hi, Without an exam, I can only give general information. It is doubtful there is a connection between the belly button and the spine. The blood out of the belly button is quite unusual and can be from remnants of the fetal structures behind the belly button, or a local irritation. The pain after major spinal surgery is NOT unusual. It's pretty usual and is most of what pain management deals with. Hope I have answered your query. Let me know if I can assist you further.
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I have been having issues with my ADD for a very long time, but I am unsure about the process of being prescribed adderall or any other pills that may help with my ADD. My father has ADHD and my sister has ADD and is prescribed, can genetics be involved?
Degree understand your concerns went through your details. Latest research proves that ADD can also genetic. But you don't have to worry about the disorder. There are treatments available for complete cure. A combination of psychiatry, psychotherapy and meditation techniques always showed good improvement in the patients. Management has become easy. Please request your psychiatrist to know more details about psychotherapy and meditation treatment. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
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i am a patient of pcod.. my rt ov is fine bt my left overy has a few follicles
Hi Shreya Welcome to Chat Doctor. You have very good possibilities of becoming a mother. Pregnancy in women with POD is not impossible. Managing hormonal imbalance, ovarian stimulation and timing of sexual intercourse as per the day of ovulation, makes many women with POD pregnant. Though the treatment takes time depending on the severity, emotional stability and confidence in you are important to be motivated. I advise you to read more about POD and follow the treatment regularly. I wish you motherhood as quick as you want it. Good luck.
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i get pain on right side .i am 21 weeks pregnant .it is a dull pain ,i get it when i breathe or when i change from this side to that while sleeping or when i press while standing. why is that like that
Welcome to Chat Doctor If the pain is in the side of the lower chest, you could be having a muscular pain due to bad posture during sleep or work. Nothing to worry. You can apply pain killing balm or gel on that area to relieve the pain. Adopt proper posture, no sideways turning of head and upper body during sleep. Get a urine test if kidney stone is suspected. If you develop fever, back pain and burning sensation on passing urine you would need medical help to take care of a possible urinary infection which should not be neglected. Chat Doctor. Eat plenty of fresh fruits and vegetables to prevent constipation as well.
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My daughter says she thinks something bites her at night. She has small rings the diameter similar to a pencil all oover her arms legs and hands.She says they itch a little. But they don t look like bed bug bites.She also shares.a room with her sister, whose had no experience of ththis herself. What could this be?
Hello Sir/Paramour daughter probably has worm infestation and cutaneous fungal infection. It is quite common for this age, and you need not worry. If your country laws permit availability of over the counter medicines, you can use the following Chat Doctor. For the skin patches you can apply CLOTRIMAZOLE cream twice daily for 5 days. It will gradually wane off. You can also give her a dose of deforming agent - ALBENDAZOLE suspension per orally. If your daughter is You can follow up with us for any further doubts.
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I have an extra rib on my right side. Im a female, 16 years old 54 110lbs. I have already been to a doctor about the pain I have been feeling from it but it seems like it hurts more frequently now. Sometimes I have to apply pressure to my rib because it feels almost out of place. I have asthma but no other diseases or conditions.
Thanks for your question on Chat Doctor. I can understand your concern. You are having accessory rib. And this can cause chest pain and pressure. So better to apply warm water pad on affected areas. Avoid heavyweight lifting and strenuous exercise. Avoid movements causing pain. Avoid bad postures in sleep. Try all these in your day-to-day life. You will mostly improve. But if you don't improve then surgical removal of that rib is the only option. So better to first try above-mentioned nonsurgical measures. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Im 35 years, two years back i have an open myomectomy surgery and found 35+ number of fibroids and they were removed. after that i had given lupride depot 3.75 for 3 months (every month 1 injection). Now my HSG report says im having cornual block in both the fallopian tubes. doctors suggest that this block may be due to the scar due to the surgery and they cannot be removed, i have to go for IVF procedure. is there any treatment available for me without IVF. Suggest Please
Hello, Although this Fallopian tube blocks can be removed by removing scars by surgery but the chances of achieving pregnancy are very much doubtful and may take long time.Moreover, you are already 35 years and hence it would be increasing very difficult to achieve a normal pregnancy because I'd dwindling ovarian reserve, even if your Fallopian tube blocks are successfully reversed. If you are interested in a child, then go for IVF. Thanks
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i jumped into water that was much shallower that i thought & experienced sharp pain in upper chest. almost 2 weeks ago. since then when i cough or sneeze or laugh or try to turn over in bed or get out of bed i get a sharp pain in upper chest. any idea of what i did to myself? (i had a vius about 4 weeks ago and another 1 started the day after i hurt myself, so i need to cough but hold it back because of the pain)
Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having blunt chest trauma. And pain on coughing, sneezing is seen in following possible complications of blunt chest trauma. 1. Rib fracture2. Pulmonary contusions3. Pneumothorax4. Muscular injury. So get done chest x-ray. If chest x-ray is normal then no need to worry much. You are having muscular injury mostly. So try to follow these steps for better symptomatic relief. 1. Avoid heavyweight lifting. 2. Avoid strenuous exercise. 3. Avoid bad posture and movements causing pain. 4. Start painkiller and muscle relaxant. 5. Apply warm water pad on affected site. 6. Start antihistamine Chat Doctor. Don't worry, you will be alright.
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my daughter 11 yrs had mild seizure on 31st night. After that she is perfectally alright ang attending school. She had fever from 25-26 and down fever from 27-31. What could be the reasons of seizure. After EEG report doctor has started oxetol for one month. Does she really need medication for this? How long she has to take? What are the side effects? Any chances of reocurrence of seizure.
Hello Thanks for using Chat Doctor .com From the information it looks to me like it is first episode of seizures in her. If some has seizures post infection one has to consider the possibility of Acute disseminated encephalomyelitis. MRI of the brain with contrast can diagnose this problem. If MRI is negative other possibilities in her are benign childhood epilepsy probably precipitated by fever. EEG done in sleep can in most instances confirms the diagnosis. If EEG and MRI is normal I personally feel medications are not required at this point of time. Keep her under observation and consider the option of medicines if seizure recurs. Sincerely, Chat Doctor.
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I take multiple meds due to ms heart disease hp and currently developed a copd flare and a lite kidney infection.the only meds added are generic Amox/k Clav 875 mg 2 xs daily and at the time I am also taking over the counter phenazopyridine Hydrochloride 95 mg 2 every 4 hours problem about 45 min to an 1 hour after I take my meds I have a very disorientated feeling very sleepy and extreme weekness. it last about 30 to 45 min. do either of these meds have this type of reaction?????Sincerely HELPSandra Harris YYYY@YYYY
Hi, Welcome to Chat Doctor forum. It appears that the Chat Doctor. Phenazopyrine also should not be used for more than 2 days. So first thing you should do is to stop TH ephenazopyrine. And stop eighth amoxicillin and clavalinic acid combination after completion of the course. If still symptoms persists you can use sanitizing with your doctors advise. Wishing for a quick and complete recovery. Thank you.
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I am 26 yrs old, I wiegh about 123 pounds and I am 53. I have had pain and discomfort in my right breast for over 2 months. There is a lump there that I can feel and it is a little grey where the lump is. My right breast is now slightly larger then my left and sometimes my nipple hurts and itches. A heating pad will relieve the pain temporarily and then it comes back. Some days are easier to deal with then others. I did have a benign tumor when I was younger in 2001. It was removed along with two others they diddnt see on the sonagram. Is this just another episode of what I have experianced in the past or is this different? To touch my right breast is a little painful.
Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you should consult doctor and get done 1. Clinical examination of breast 2. Mammography of breast. Possibility of recurrence of fibroadenoma is more. But since you are having pain and slight color change of overlying skin, possibility of breast abscess (bacterial infection) or early breast malignancy should also be evaluated. So better to get done mammography and biopsy if needed for the diagnosis of breast swelling. Don't worry, you will be alright.
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what would cause a 9 year old to become nauseous and vomit every evening for three days with no other symptoms. Then at lunch become nauseous and spike a temp of 104 and just as quick drop back down to 97? When this happens he becomes pail white also.
Thanks for the query. Need detailed history. Whether there are loose motions?, there is burning in urine?, Is there yellowish tinge in eyes? It may be due to urinary tract infection or viral fever. You can do urine routine, microscopy, bile salt and pigments to rule out urine infection and hepatitis. You can give paracetamol in the dose of 10 to 20 mg/kg per dose every 4 to 6 hourly for fever. Give sips of cold oral rely Chat Doctor. For nausea, you can give ondansetron syrup or tablet after consulting a doctor. Hope I helped you.
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I am suffering from fever from last 3 years its started form 15 april, 2008 and start out vomits by 28th and got hospitalized but they said nothing and given me antibiotics and drips and concussion was nothing. after that treatment I was still suffering, motions and vomits takes its place.... some said gastro issues then in endoscopy they found mild gastro in funds and body and start treatment but nothing effect it takes more than year of mine life and I lost 15kg of mine and after that one doctor given me onidabd and nowarm tablet along with omizac tablet it gives me releaf and treatment take place 3months I was fine after that but now after 8 months I am again suffering from high fever again I am uncomfortable and its going on from 3 months doctor said its mild throat infection but today my throat is ok but still I am suffering I got 100 fever this day and it comes down with the help of crocin, pls help
Hi madam, welcome to Chat Doctor, I understand your problem, maybe this all is happening become of your weakness or low hemoglobin, so, please check once, if its low, then start iron sucrose in weekly once, for 10 weeks, for present u have to use paracetamol 650 thrice a day, for 5 days, .... for your gastric use pantoprazole+levosulpride tab before breakfast for 3 months... take some green leafy veges, Chat Doctor. . Hope u satisfy with my answer, thank u
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I had suspicious breast tissue biopsy and will hear results today. They found irregular persistent density in the 9 o clock region of the left breast. Focused sonographic examination of this area reveals a hypoechoic structure taller than wide and measuring 1.2 x 0.9 x 0.8 cm. Are these usually cancer?
Hi, Thanks for writing in. Focused breast ultrasound helps to determine characteristics of doubtful lesions in the breast. As described above, there is a dark area as seen on ultrasound at the 9 O clock position. This is marginally taller than wider if we take measurements as 1.2 x 0.9 x 0.8 cm. In some research studies, it has been found that 74 to 80 percent breast lesions which were taller are malignant. This way breast biopsy is the best confirmation, and you have already got it done. By appearance, I will say that please do not worry as the lesion is slightly taller than wider, and we can still hope for a benign finding. The final result is by biopsy. Please do not worry.
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I m having pain at about 9.5 in my frontal shoulder area. Could this be bursitis, arthritis, torn rotator cuff, or dislocation. To my knowledge I have not injured this shoulder. I had 3 months ago surgery on the opposite shoulder for bursitis in which the bursa sac was removed. I do have osteoarthritis in some of my other joints. I am having to wait for my orthopedic appointment until next month on the 12th. What else can I do? I ve tried icing and it helps while on. Booze also helps with pain. I will not take Norco. I take meloxicam daily for fibromyalgia and have also take aleve today as in other days. Is there anything else interim that I can do?
Hi,First thank you for providing me an opportunity to assist you. I don't think it will be a bursitis, arthritis, torn rotator cuff or dislocation. I think it will be a purely muscular pain and weakness of muscle groups around the shoulder joint. Why don't you try strengthening your triceps, biceps, trapezius muscles and wait till you meet your or tho.I have seen many cases with anterior pain in shoulder joint, it all takes a few weeks to get rid of it, if the triceps and trapezius are strengthened. Once the anatomy of the body is made aligned the problems are out of the body. I wish you a speedy recovery and best for future health. Thank you
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I am approx 5 weeks pregnant from my LMP and I had a vaginal ultrasound which show just a gestation sac which measured 7.5mm but nothing else and the Dr said this shows around a 4 week pregnancy so either I am earlier than calculated or it has stopped. My ChatDoctor levels were 7500 or so. What do you think/ Should I be worried?
Hello dear, I understand your concern. In my opinion a variability of 1 week might be normal. The Chat Doctor level appears normal.Don't worry. I suggest you to repeat the ultrasound after 2 weeks to know the pregnancy status. Definite diagnosis cannot be made with present status. Wait and repeat the ultrasound for accurate diagnosis and apt treatment. Take folic acid and if suggested by your doctor progesterone supplements too might be needed. Avoid stress and physical strain. Take rest. Best regards...
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Hi, may I answer your health queries? Please type your query here... Hi I have this sort of a dull pinching pain on the right side of my stomach about a hand size space away from my navel, the pain isn t too unbearable but it is rather uncomfortable it occurs every now and again and also when i am sitting or standing is some positions i feel the pinching feeling more at night when I m laying flat. I had an umbilical hernia about 1.5years ago and noticed a lump before the surgery but this time there is not lump or bump so i am not to sure what it is.
Hi. Thanks for your query and an elucidated history. You have a history of Umbilical Hernia surgery. The pain in the area you noted is usually due to colitis or a kidney problem and rarely due to the scar of the previous surgery. I would advise you the following:First get a Physical Examination done by a General Surgeon as proper history taking and clinical evaluation does help in proper diagnosis. As per the findings to undergo, blood, urine and stool tests; Ultrasonography and CT scan of the abdomen; any further tests as may be required. The aim has to get a proper diagnosis and hence only a proper treatment can be planned.
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I play softball and I took a ball to the tip of my pinky and middle finger about 2 weeks ago the middle finger seems to be doing better but the pinky now has a lump at the second knuckle on the inside and is still sore when I move it and hurts when I touch the lump.. what could this be
Hi ! Good evening. I am Chat Doctor answering your query. From your history, an inflammatory swelling an abscess or a fracture/dislocation would have to be excluded. Each of these condition requires different specialist management, and for the diagnosis, this ought to be examined physically by your family physician/orthopedic surgeon in your area along with some related investigations. Therefore, I would suggest you to take appointment with the concerned doctors in your area for an appropriate management. Till that you could take an anti-inflammatory Chat Doctor.
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Hi...I ve become a little concerned with how some parts of my face seem to be losing pigment, or other parts have become darker possibly. It is primarily around my eyes and my forehead . I have no moles , or anything else, and have been spending an inordinate amount of time indoors lately as a result of school, so I m no longer outside in the sun like I used to be for most of my life up until about two years ago.
Hi, Thanks for writing in. The problem can be vitiligo, IGH, polymorhic light eruption etc. Without actual visualization of the skin it is not possible to comment on nature of pigmentation. Sun protection is most important for any cosmetic treatment. Use good quality sunscreen. Avoid sun exposure. Use brevity face wash. Apply Bolivia cream at night over dark spots. Take a lot of vitamin C in diet. Visit a dermatologist for proper examination and diagnosis who can also provide you some clinic based procedure like surgery and laser. Visit a dermatologist for some clinic based procedure like chemical peeling and laser. Hope this helps. Regards Chat Doctor.
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My mother in law has brain cancer glioblastoma. She is in Ireland. We believe it is near the end. Suddenly she now is in pain. The morphine patches are only 5mg. We are so upset about her pain. She is on steroids also. She has lost vision and is bed bound. She is 84. How long?
Thanks for your question on Chat Doctor. I can understand your situation and problem. Pain due to terminal stage cancer is very difficult to manage. We have to give centrally acting painkillers and sedative Chat Doctor. Transdermal fentanyl patch is very effective, and its effect lasts for 72 hours. Low dose sedation also helped patient to reduce the suffering s from pain. Discuss end of life issues with her.
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Hello doctor, I am just now noticing these patches on my skin and would like your input. My skin does not itch but I have been noticing patches on my chest and it is all over my back.
Hi, Welcome to Chat Doctor forum. These patches are due to fungal activity. Let me suggest you some medicines. You should apply and give me feedback. Moist wet skin. KOH (potassium hy ChatDoctor. Tinea versicolor. 1. Wash with Ketoconazole lotion once daily.2. Apply Terbinafine cream twice daily.3. Take capsule Fluconazole 150 mg once only. For more information consult a dermatologist online.-
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Hi, My father is suffering from Amyloidosis with renal involvement. His legs will be swollen everytime. Have consulted with few doctors but its not yet identified if its Primary or Secondary type. Which test will make that clear ? He has already gone through Bone Marrow and Kidney biopsy. Some where on internet it was suggested that Cat s Claw help in reducing the Amyloid, how true is that ? Can he take it in his day to day routine. Should I keep consulting a Hematologist or should I approach a Nephrologist as kidney s function is getting affected day by day. Please help me with these question. Please let me know if you need any information.
Hi there, Using cats claw isn't going to help him at all. I've never heard of such a treatment and I'd be wary of using this. You should definitely consult a nephrologist if his kidney function is worsening. He may end up needing dialysis, but he can at least treat his swelling in the meantime with some medications such as diuretics. I hope I have answered your questions. Please feel free to contact me if you have any further questions or if you feel I haven't ad Chat Doctor.
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sirim 23 male im suffering asthma not by birth but from last 8 yearswhenever i do hard work or be in a dusty place then i find a breathing problem and i take few puffs from inhaler and i feel ok and in normal condition i feel ok with out taking inhaler for a long timemy question is what is my level of asthma means is it curable and my 2nd question is weather my children will get effected with this disease after their birth.
Hi ! Asthma can be controlled and managed if triggering factors are taken care off. It is not curable BCO if trig erring factors come, it can come.It's better to know them to avoid like:pollen, dust, smoke odors, perfumes and sprays etc. Viral infections.serious exercise. Sudden change in weather. Laughing or crying loud. Even food preservatives. Asthma can be inherited if there is family history, but it is matter of chance. So, Donor worry if child Chat Doctor. .