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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Last December I started with pain in my right knee. A couple of weeks later it came in to my left knee to. Firstly I went to the physio but that did no good. I finally went to the doctor as the pain was unbearable most days. I had xrays and ultrasound as she thought it was arthritis but doesn t appear to be. She gave me medication (Diclofenac twice daily and Cymbalta once a day). I have also seen a doctor in the city who works with sports injuries. Todate he is also baffled. My doctor is sending me to see a Doctor of Internal Medicine on August 17th. Hope he can help as it has been 8 months now. I saw an ad on the TV today for a drug and they mentioned liver and knee pain so I thought I would give you a try.
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Hi, Thanks for your query. Your pain is due to Arthritis. When bone is not able to take weight due to arthritis than it has to be shared by muscles. It causes pain in thigh and calf muscles.Also, some time it can be due to nerve compression. You can judge your self. If your pain increases on walking and relieved with rest, it is suggestive of nerve related pain. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
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My husband just received his smallpox vaccine a part of his pre deployment checklist. A part of our personal pre deployment checklist is trying to get pregnant. I had my iud removed a couple weeks ago and my husband hasnt even thought of condoms since we first dated some 2 years ago. Can I go ahead and try to get pregnant? He has been following all precautions for the post care.
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Hello, After removal of IUD, fertility gains within 1-2 months. Successful conception depends on proper timing of unprotected sex and ovulation time or fertile days. You have to continue this for 6-12 months. In addition, you can use ovulation prediction kit to predict ovulation time. Take folic acid & vitamin supplement with diet. Do light exercise regularly and avoid mental stress. Hope, it helps. Good luck.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Not sure where to ask this but I had MMA (double jaw ) surgery two years ago and have had consistent pain in the lower left jaw from ear to chin . I have tried all sorts of natural and medical ways to take the pain away but it doesn t seem to work. Could the titanium plate be the source of this pain? My oral surgeon is willing to take it out but doesn t know if it has anything to do with the pain. It feels like the bone hurts.
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Hello.your pain as per description seems to be neural in origin especially related to mandibular nerve. I can not say with purity that titanium plates are the cause of pain. But after MMA few patients get the pain u had described. first I would like to know whether the compression of nerve is there by titanium plate. It is very difficult to find out even by best non-invasive investigations. If plates are compressing the nerves your pain will be relieved permanently. I would like to know about any nerve injury during the MMA procedure. The nerve injury is one complication which can occur even by best precautions. Please consult a good neurosurgeon . Ur description of pain is very less. Its episodic, continuous, sharp, dull,location, radiating nature, etc . Will be deciding factor in your treatment plan.muscular pain after 2 yrs of surgery is not common. So I had ruled it out. And bone/ligament inflammation causing the pain in your case is also not possible after 2yrs. As their healing takes place by then. Take multicity like it B1,B2,B6, B12, calcium, magnesium, alpha-lipoic acid and acetyl L-carnitine . These help in nerve cell growth.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Dr, for the past couple of months i have had a very faint red mark on my penis shaft. It is flat, has never been painful or produced any discharge. It comes and goes, and gets quite dry. I see that masturbating is the thing that irritates it the most and comes back very red soon after. In the past few weeks i have developed more of these marks - 5 or 6 now and all positions on my penis that would be affected to friction marks from masturbation. They are not painful at all, although in the past few days they have become slightly itchy, although this may be down to bad hygiene. Sexual history: i have not had a sexual health checkup in a little over a year, and have had unprotected sex with several women, and these marks came along after one woman in particular. However, after a lot of research it seems i don t fit any of the symptoms for the usual STI s. If anything it seems to be more of a skin condition; my family has a history of serious psoriasis and i see many of my symptoms in conditions such as Bowenoids and dermatisis. Could you give me any advice? Thanks
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Welcome. I have gone through your query. It is difficult to comment on it without examination, so I would either suggest you to see doctor for examination and for exact diagnosis or upload the pictures here, I'll go through them, and provide you with specific advice. It is better to rule out STD, see local doctor for tests. They might be due to friction as result of sexual act but need an examination to confirm Hope this helps. Take care
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My ovaries hurt and I dont know whats wrong. I frequently need to pee but struggle to get it out. I also struggle emptying my bowls. It hurts during intercourse or inserting a tampon. I have yellow smelly discharge. Im extremely tired and my periods have gotten heavier. I have pains just under my belly button to the left. And sometimes I get pain shots in my vagina and just a little bit above it. I dont know whats wrong at all. Someone please help me
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Hi. You are suffering from pelvis inflammatory disease. You have to get yourself checked by a Gynecologist and Gastro-Surgeon. Furthermore, you need to undergo Ultrasonography of abdomen, pelvis and transvaginal USG to get a proper diagnosis. This will lead us to a proper treatment plan. With proper antibiotic cover you will get alright. Keep in mind the possibility to undergo surgery if indicated.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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For several weeks I have had left hip pain that increases with sitting. I have abdominal pain in the pelvic region as well. Sometimes I have to use a cane to walk. The pain is in my left leg to my foot sometimes and the entire side becomes stiff sometimes. I can often walk it out but I have to be careful bending, lifting, sitting, or squatting. I have had a total hysterectomy over a year ago.
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Hello, Thanks for the query to Chat Doctor. Forum. I would come up with these possibilities for this severe pain in the left hip joint, This includes. 1 Pinched nerve (sciatica) , diagnosis can be confirmed by C T scan and X-ray of lumbar sacrum region. As you mentioned that there is severe pain radiating to leg, foot, as all these symptoms are an indication of sciatica nerve involvement (pinched)2 Degeneration of head of femur. Diagnosis can be confirmed by C T scan & X-ray of head of femur.3 Osteoporosis, diagnosis can be confirmed by blood examination and bone density test.4 Osteoarthritis, diagnosis can be confirmed by C B C and E SR. Hysterectomy have not any role in this pain. In my opinion consult an orthopedic surgeon and get his opinion. Good luck.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a sensation of something crawling on my face cant see anything. when I rub my face with alcohol I can get some relief but notice, activity of something moving in my nose, eyes, eye brows increase. After 30 min or so the activity starts again. Sitting on the couch in the house I feel something that seems to bit my hands, wrist, feet and the back of my ears. No matter if I am at home or somewhere else I feel like something is always flying in and around my ears and the crawling on my skin. I think at times I may see what is bitting my hands/feet/ ears but its tiny. what ever is crawling on my face I can not see. driving me crazy.
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Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, there is no insect and nothing is biting you. I suspect that either you are taking a meth or you have some psychiatric illness. I advise you to please take the meeting with the psychiatrist as they can help you in such a problem. Till that time I advise you to do some work, which makes your brain continue working. This makes you numb with all the symptoms you mentioned. You can also take the vitamin B complex tablet under your doctors' guidance as this also can sometimes causes such a symptoms. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello my name is Cartasia Johnson and I wanted to know if I m pregnant and if I took a pregnancy test to early or what? Ok my last period was on the 3rd of Feb. and I had sex on the 14th of Feb. then on the 23rd of Feb. I begain to spot it lasted till the 26th of Feb. then on the 1st of this month I took a home test it came back neg. then i went to the doctor on the next day and it came back neg. so what s them problem?
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Hello Dear. I have understood your concern. I will suggest you the best possible treatment options. As your both urine pregnancy tests are negative you are mostly not pregnant. I hope you have very regular cycles. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. Your unprotected sex activity falls in this period, hence you need to cautious about possibility of pregnancy. I will suggest You to wait for 5 days after your expected date of the cycle and get urine test done. In case of doubt blood beta Chat Doctor test and USG will be of help. I hope this answer helps you. Thanks Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am 20 years old 5 6 115 pounds. i had a injury to my neck in november where i fell in my head with all of my body weight going on to it. i havent done much that requires those muscles since the incident. and i did some workouts for the army yesterday. i woke up this morning and couldnt move my neck, when i finally got it to move i have had shooting pains up and down my spine all day and a constent headache. should i seek medical assitance right away?
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Hello, Your symptoms seem to be related to the workout. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the pain. I also suggest using cold compresses for local application. Furthermore, I recommend resting and avoid activities that can trigger the symptoms. If the pain continues, you can do an X-ray of the neck for further evaluation. Hope I have answered your query. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I had a rash on my penus that was very painful. I went to see the doctor three weeks ago and he gave me antibotics and a fungle cream. That did not clear it up, so I went back about a week and a half ago. He gave me an oral anti fungule. Slight improvement but rash still not gone, and there is a white /clear discharge from the head now. What is goin on??
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Hello I share your concernLooking at your description this could be STI or infected ulcer I would like further information to help you better Your age and relevant medical history like diabetes or other metabolic disease Any recent exposure to unprotected sex? You should ask your doctor for few investigations to confirm the diagnosis like Urine culture and sensitivity test as well as pus culture of the discharge from the rampart from. This blood sugar fasting and post radial and Blood for CBC and liver function test are also advisable. Maintain good hygiene Wash and clean it with antiseptic solution or soapbox can apply mupirocin ointment externally. Use condom during sex Hope this answers your question please feel free to ask for more clarificationThanks and regards
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My husband and I had protected sex on and before sex the condom was put on the other way around so we removed it n put it on properly and then had sex. My last period was on September 12th. It s 18 th October n I haven t got it yet. Can I take regesterone to get my periods? If so what is the dose? And also are there chances of me being pregnant?
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HI, I understand your concern. If the condom was used properly & it did not break during sex. You would not have conceived, The delay in periods may boo incidental due to some other cause. It's already 6 days past your last menses, why not wait for 2 more days, get urine pregnancy test done, exclude pregnancy & start taking Tab. Progesterone (one pill twelve hourly (twice a day) for 3 days . & wait for period for 8-10 days after with Chat Doctor. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hypertension.I just took my blood pressure = 149/84.I am taking Amlodipine, 5mg. My doctor recommended me to increase the dose of Amlodipine to 7.5mg.What studies would you suggest to find out the source of my hypertension, instead of just increasing the dose of medication?
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Hello, Regarding your concern, I agree with your doctor recommendation on increasing the dose of Amlodipine in order to have a better control on blood pressure values. I would also recommend performing some tests to investigate for the possible causes underlying high blood pressure:- A chest X-ray study and pulmonary function tests- A cardiac ultrasound-Complete Blood Count for anemia-Fasting glucose-Thyroid hormone levels-Cortisol and aldosterone plasma levels for possible a Chat Doctor. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a child that is six years old and she been running a 102 3 fever for three days we been giving her Advil and ibuprofen they bring it down but doesn t back it the only other system she seem to be having is congestion and stuff nose nothing in the chest and I was wondering if I should bring her to a DR. There is a virus with those systems in my area is the fever high enough for me to worry
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Thanks for your query on Chat Doctor. From your history it seems that your child has a viral upper Respiratory tract infection. It is common to have grade fever in viral infection and not the indication for hospitalization if child doesn't have any other problem. I advise you to give him ibuprofen for fever, cold sponging if fever is high grade, and plenty of water to Chat Doctor. Antibiotics in viral infection will not help and should not be given. Regards-
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi. I am writing concerning a friend. He was diagnosed with an enlarged prostate some time ago. He now has chronic pain in his tail bone area, lower bak, and hips. He has been running a low grade emperture for a few weeks with some pain in his uper left shoulder area. He has been on several rounds of antibiotics including z-packs and nothing has helped. Are these signs of prostate cancer and if so, how advanced could it be? He refuses to have any real tests done.
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Hi, dairy have gone through your question. I can understand your concern. Symptoms of prostate cancer varies according to stage. In very early stage no any specific symptoms are seen. Fever and weight loss can be there. Later on difficulty in urination, bleeding from urethra can be seen. Back pain may occur due to bone metastasis. He should go for prostatic biopsy. It will give you exact idea. MRI of spine is also necessary to search metastasis or other cause. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I had a breast reduction done for cosmetic reasons and the pathology report showed no abnormality in the breast tissue but said the axillary nodes taken were reactive and had sinus histiocytosis. My surgeon said these are both benign conditions and was not worried at all, but I am wondering what might have caused the nodes to be reactive in the first place and how common a finding this is. Also, does it indicate I need to pursue further testing to figure out what the original cause of the reactivity was? I was due to start my period two days after the surgery, so I m wondering if the nodes could have been reactive because the period was about to start. I have always been very healthy with no other problems. I am 45.
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Hi, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. Based on the facts of your query, you seem to suffer from-Reactive Nodes-meaning hyperplasia of the nodes in response to some subacute load of infection-which could be generalized as from Viral/bacterial from recent throat infection even and may not be related to the Breast Pathology. Or this reactivity could be due to the post breast reduction surgery which you had recently. This node reactivity by no means is related to the impending menstrual period. In this scenario-there is no need and hence I don't suggest any further investigation to pursue the cause of the reactivity of these axillary nodes, even though your menses were to start 2 days following the breast reduction surgery. Hope this reply would help you to plan further treatment with your family and specialist doctors there. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi doctor,This is for my husband. On Saturday, he had a master health check-up and a few values are not good. I would like to hear your opinion on those. He is 35 years old. His weight is 71.9 kg and height is 168 cm.The abnormal values are as follows:1) Serum globulin 4.2 gm/dl - High (normal range 2-3.5).2) T4 - 11.46 ug/ml - High (normal 4.6 - 10.5) whereas T3 and TSH are normal.3) Vitamin D - 9.65 (low).4) Serum HDL 34.9 (low) other triglycerides and LDL values are normal.5) Vitamin B12 - 144 (low) (normal 180-914).Also, I attached his ECG where it was mentioned unconfirmed report. Please check and let me know the outcome of the report.He is an athlete who is active in a cycling race, running and swimming. But, he was out of the sport for one year and hence gained weight around 75 kg from 68 kg. Now, again he reduced 4 kg in the last three months. But he is following bad diet plans such as paleo one week, intermittent for the next week, proper balanced normal food for one week. Hence, I am really worried about his health.
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Hi, Welcome to Chat Doctor forum. I feel his low vitamin B12 levels may be linked to his paleo diet, which can be deficient in legumes, nuts (which are beneficial for the heart). He need not be so fastidious about the diet, I feel and vitamin B12 can be got from dairy products, eggs, fish, and chicken. His low Vitmain D levels are almost very prevalent in Indians, and basically this can be rectified by more outdoor activity, and if need 60,000 units of D-rise once per week for six weeks. His HDL levels are low and although his LDL (bad cholesterol levels) are also low, I would recommend daily exercise (half an hour daily) to boost HDL levels. His isolated High T4 levels, mean you need to check for a thyroid goiter and possibly do a thyroid scan, but it could also be linked to high globulin levels. Isolated high globulins need work up too, possibly disorders of immunity or rare disease like multiple myeloma (possibly consult a hematologist). I hope this helps.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a geriatric resident with a 1-11/2 i nch tramatic tear in his forskin, possibly infected. What is the proper tx.? He has a foley change mnthly. His scrotum and penis are very swollen and painful. He is not sexually active and does not masturbate. He wears adult diapers during the day for fecal incontinence. Please help
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Hello appreciate your concernLooking at your description this could be due to infection of the foreskin may be due to Foley catheter or diaper I would like further information to guide you better he has been catheterized? If possible upload a photograph? I would advise him to follow strict aseptic precautions He should wash and clean the site with an antiseptic solutions or antibiotics ointmentNeosporin powder can be sprinkled upon the clean siteProlonged catheterization and diaper both can cause to infection or inflammation of the foreskin and whole of the genital and perianal region Hope this answers your question please feel free to ask for more assistance, I will be happy to help you Best wishes
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am 16 and I have smoked weed nearly 2 years, in the last week Ive been getting intense pressure and popping sounds in the lower back of my head and upper neck.The pressure gets more and more intense as I come off the high. It will get worse when I look at a screen for a while or simply start thinking about it. How can I avoid this pressure, I have a slight addiction to pot physically and if slowing it to less then once a day would help I d really like to know.
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Hello, I have studied your case. Most probable reason for your symptoms could be postural problem as you may be sitting for long time and working on computer/table for long time. When such patient comes to my hospital we usually take x-ray spine or if required MRI to see for any nerve compression. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi doctor,My wife is pregnant with twins, 24 weeks now. Her Hb levels never in life had gone above 10. At the start of pregnancy, it was 8.5 but now it has touched 7.7. We did serum ferritin test and her level was 50 (normal) which I guess means no iron deficiency. She is a beta thalassemia minor as per the detailed reports. Can you please guide here? Our gynecologist would be consulting a hematologist today but if we can get an opinion here it would be great.
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Hi. Thalassemia minor is hemoglobinopathy and so hemoglobin level can never be above 12 in such patient. In pregnancy, plasma is increased and so hemodilution can lead to more fall in hemoglobin level in CBC. Orofer XT like Iron tablet can be prescribed for such case. It would be great if the Hb level remains around 9 or 10 during pregnancy. The Iron infusion can be given in second or third trimester of pregnancy only if needed. You can discuss all these with your treating doctor or hematologist. No other mode of treatment is available as per my opinion. Close watch up is necessary in such case. I would like to suggest you to investigate with HB electrophoresis as well to avoid thalassemia major child. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I just had a body scan today. I am a 60 yr old female. I had to have an injection and wait a couple of hours come back and have the scan. I ttook about a half hour. The results wont be ready for a week. I had an elevated enzyme in my liver from blood work done. What could be wrong with me?
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Hi thanks for contacting Chat Doctor. First of all elevated liver enzymes can simply be due to fatty liver.USG and serum cholesterol estimation done for it. If you have fever, abdominal pain and body ache Like picture hepatitis ruled out by serum viral markers. Elevated liver enzymes can be by excess alcohol Chat Doctor. It can lead fatty liver, cirrhosis like damage. For cirrhosis USG and serum albumin useful. If you have history of heart problem or muscular problems then also enzymes can get elevated. I hope your concern solved. You have done scan lets see what comes. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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sirI am manjunatha from dandeliMy mother aged 65 yrs every week her platelets counts decreasing and doctors gave Ominicortil tablets, since then her sugar count is started increasing. This happening since last one month.mailid: YYYY@YYYY
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Hi Manjusha, Omnacortil is a corticosteroid. Looking at the details provided, if the cause of reduced platelet count is immune mediated due to antibody production (immune thrombocytopenic purpura), then it will be helpful. Corticosteroid are known to increase sugar level and dose needs to be changed. If required, insulin can be started or diet control can be tried. If the platelet count is not improving, other cause related to bone marrow needs to be identified. Any further queries, happy to help again.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My boyfriend is having a lot of pain in what seems to be his molar. The pain has now migrated to his throat. We went to the ER on Sunday. No x-rays were given, The doctor said it was not tonsils. She wrote him a script for pain and Penicillin. My boyfriend says he is still in a lot of pain. He said the meds that were given to him only dulled the pain. Any ideas or suggests as to what this is or how to make the pain stop? He does not have insurance so a dentist is out of the question.
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Hello, Thanks for writing in this forum, I feel his molar tooth is carious and that has involved the pulp inside tooth...thatch he is having pain.... In this case Root canal treatment is required...or extraction depending on the tooth condition... If you take antibiotic and analgesic the infection will be subsided but after some days again he will get pain...medicine will give you temporary relief, but he has to take treatment that only can give permanent solution...Meanwhile, take warm saline rinses 5-6times/day... Analgesic he can take according to prescription... Get your proper treatment done... Wish your boyfriend good health.....
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Just home from robotic lathroscopic hysterectomy. Total hysterectomy with rectocele correction and removal of skin tag near rectum. Experiencing a lot of soreness yet in the abdomen, Very sore and burning rectal area. Trying to keep on top of this with Advil (2 every four to six hours) /been sleeping in recliner. Hurts to sit on hard surface.How long does it take for the abdominal/bloat/gas to dissapate? With the rectal area stitches, I feel a constant burning in the vaginal/rectal area. Is the rectocele repair part of this discomfort. Felt pretty good in the hospital with the IV pain drugs and then had trouble with hydrocodone and constipation. Switched to Advil only.Help???
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Hi, you had robotic laparoscopic total hysterectomy. There will be so many complicated stitches and contractions, you may have all these for nearly 10 days, if it exceeds you consult your surgeon for follow up. It may also be due to anxiety and tension. I to my patient with such symptoms as usually happen to occur prescribe alprazolam .5 mg HS for few days. And continue the antibiotic for few more days. Thank you.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i m suffering from leukorrhea from last 9 years. i m 23 years old. i m taking medication.Symptoms somewhat improves but not completlely diminsh especially before periods the flow increases.know i m getting married soon. what kind of complication can come? could i concieve?/
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Hi there, I have understood your concern. I will suggest you the best possible treatment options. 1) First do not panic. 2) If you have vaginal discharge, that increases before your expected date of cycle, then it is quite normal. If your vaginal discharge is not foul smelling, curry white or green I'm color. And if it is not associated with Itching or burning urination, then you need not worry. 3) keep private parts clean and Chat Doctor. Use of Lactic acid containing vaginal wash on daily basis will be helpful. I think this should not be a cause of concern for you while getting pregnant. Please start using Folic acid, vitamin B 12 and Omega-3 supplements at least 3 months before you plan to get pregnant. This helps to prevent many problems during pregnancy and delivery. I hope this answer helps you. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Dear sir, I have done semen analysis and come up with acitivity grade 3- and motility is 65%, Pus cells are increased and hpf 8-10. this seems to abnormal, is it treatable as acitivity grade 3- means circular movement of semens.Kind regardsAli abne johare
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Hello Ali and. As a Urologist, I do share your concern. You should've done the semen analysis, after 2-3 days of abstinence. Pus cells of 8-10/HP, is suggestive of infection. You'll need to take a course of antibiotics, for at least 7 days. Ciprofloxacin /Sept ran/Nitrofurantoin are routinely advised. If you've fever, semen culture, should also be done. In case, you're referring to motility(activity), then grade I- 65%, is considered as normal. For that clarification, refer to the semen analysis again. To confirm semen is free of infection, repeat analysis, after 3 weeks. For an expert opinion, on the report, send it to me, as a direct question. Chat Doctor. Manga.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi um I am 18 and a girl. Ifew months ago i realize i had a hard little mass under my tongue. uhh near the middle of the big vein under it. I ignored it ansd then i realized during the night will will get bigger and in the day return small. I still ignore it cause it doesnt hurt and its kinda fun to mess aroudn with,. However recently it has becoem very large. It is red/pink, squishy and soem sort of liquuid seem to be inside. idk what to do. UMMm i have had a cold for the past 2 weeks mild tho. plz help me thank u.
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Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query red colored lump under the tongue can be due to injury to a minor salivary gland or its ducts leading to spillage of mucous into the adjacent soft tissues leading to formation of a lump. It can also be due to blockage of the duct of major salivary gland known as submandibular salivary gland due to crystalline deposits formed by the minerals present in the saliva. It could be canker sore or caused due to trauma from any food item. I would suggest you to consult a dentist and get evaluated for the exact cause of the lump. If it is due to salivary duct blockage it will resolve by digital manipulation and surgical excision. Laser ablation is another treatment option. Hope your concern has been resolved. Get Well Soon. Best Wishes,
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on the 4th of july i was stung by a bee above my left knee,in which the stinger was left in, I scraped the stinger out but not sure I got it all. I had itching, swelling, and the area was very hot to the touch off and on for the next week.....there is still a purplish color mark about the size of a baseball that is dark and then fades out in color in the area. Today I noticed a swollen gland in my neck just about my collar bone also on the left side of my body it is a little tender to the touch. do you think this could be related to the sting?
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Hello, Welcome to Chat Doctor, When bees sting a person they will inject venom through their stinger into the skin of the victim. People stung by bees will have an allergic reaction to the sting and in severe cases it will cause anaphylaxis. For any Bee sting, following measures should be followed1. If the stinger is present remove it immediately. 2. Apply ice or cold packs to the area to reduce the bodies inflammatory reaction.3. Wash the area with soap and water4. Take antihistamine such as Ben Chat Doctor. 5. Pain relievers such as ibuprofen or acetaminophen can also provide relief of symptom. Aforementioned measures should follow whenever there is a bee sting. Thank you
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Feeling very low at the moment I have been to c a doctor and has put me on venlafaxine plus go am taking mirtazapine also zopiclone to help me sleep .Today has been my worst day live even looked for a mental health hospital nearby .I hv been depressed before but that was over 22 years ago when I hv hd postnatal depression but I hd to hv electric shock treatment .Please can anyone help me
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Degree understand your concerns went through your details. I suggest you not to worry much. Depression is a state of low mood and aversion to activity that can affect a persons thoughts, behavior, feelings and sense of well-being. Depressed mood is not always a psychiatric disorder. It may also be a normal reaction to certain life events, a symptom of some medical conditions, or a side effect of some Chat Doctor. This is what you should know. Depression need not be treated with medicines, in the first hand. It requires lifestyle changes so that the mind acquires the capacity of coming out of the current negative feelings. These things are practiced in psychotherapy. Plenty of oxygen through deep breathing relaxation techniques, plenty of water and exercise are essential part of therapy which surely results in total cure. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some 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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My alkaline phosphatase level is 164 by a recent blood test. I also have long standing rheumatoid arthritis. I have been taking 200mg of celebrix amd 5o mg injection og Embrel weekly for about 14 years. Should I worry about this level? Nancy Scielzo
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Hello, What is your age why because ALP may vary according to the age. In males up to 19 years range 79 to 222. More than 19 years normal value is 45 to 115. It may be elevated in obstructive jaundice. If it is elevated along with GGT means liver pathology. Bone disorders also it may elevate. Few Chat Doctor. So, do not worry if it is elevated more than 3 times of normal range, then it is significant. Hope I have answered your query. Let me know if I can assist you further.
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Hi Doctor, I am six week pregnant now. I have 1 son he is one year and four months old. After my first delivery I have some complications doctor advised me to start levesam 500 twice. Now its 250mg at the morning and 500mg at night.Now I am 6 weeks pregnant. Is its affects my baby. Please some one give me the answer because I am UAE. I cannot consult my old doctor.
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Hallow DearLevesam is an anticonvulsant medicine. It contains Levetiracetam as a generic medicine. It falls into Pregnancy Category C; meaning there by that animal reproduction studies have shown an adverse effect on the fetus; however there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the Chat Doctor. Considering this potential risk, you have to take informed decision about whether to continue this pregnancy or opt for termination of pregnancy. If you want to go for termination of pregnancy, take the decision before you complete 9 weeks, ideally 7 weeks of your pregnancy since up to this stage of pregnancy, it can be terminated effectively and safely by medicines. Medical methods of Abortion carry much less risk of complications. I hope this helps you.
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good morning doctor ever time i have flu my heart rate goes up and i get chest pains when i cough must of the time i end up in hospital i also have a sorties of blood and the doctor tell me its a muscle between my haert and ribs that is get hurt can you please tell me what is going on im thigter and shaken alot can you let me now
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Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of either post infectious bronchitis or lower respiratory tract infection (LETI) is more in your case. You're all symptoms are more common in bronchitis and LETI. And viral URI can complicate as any of these conditions. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out LETI (pneumonia). PFT will diagnose bronchitis if present. You may need antibiotics, inhaled bronchodilators and inhaled corticosteroid. So better to first diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks.
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I cut my thumb two days ago on a tuna tin it only bled for a minute and then did the washing up afterwards. Today I noticed a red line going halfway up my arm from the cut on my thumb. Could I treat it with tee trea oil... steaming... or drink lots of fluids|???
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Hi, Sir/MadamWelcome to Chat Doctor. I understand your concern. The red line on the wounded area probably represents signs of inflammation. Its very important that at this stage you do not allow it to get infected leading to pus formation. Yes, Tee tree oil can use effectively at this stage because of its anti-infective and antioxidant properties. At the same time, application of an allopatChatDoctoredicine will also hasten up your healing. Injuries with vegetable matter are known to cause fungal infections. I generally treat my patients with topical creams of Terminating and Betadine to prevent bacterial and fungal infections. I suggest you to please see a doctor if his views are same and if can he prescribe these Chat Doctor. Steaming is not necessary at this point of time. Of course, you can
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I am pregnant about 6 weeks. Yesterday I was standing in my mirrow and i started bleeding. The bleeding wasnt very bad, but by an hour later the bleeding stopped and it turned brown. So today I checked i have no bleeding at all just a small brown spot. I was wondering if this normal are is this a miscarriage?
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Hello dear, I understand your concern. In my opinion the bleeding or spotting during pregnancy can be due to various reasons like thyroid abnormalities, progesterone insufficiency, bleeding from cervix,low-lying placenta, abnormal pregnancy etc. It needs physical examination and necessary investigations like thyroid profile, ultrasound to rule out the above causes. I suggest you to consult doctor. Nothing to worry as the spotting decreased. But the cause for spotting should be evaluated and treated. Best regards....
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So yesterday I felt this bump on my neck which today have started to hurt a bit. I ve had it before during a cold but it disappeared when I got better. after I got this pain yesterday something is happening I think. when I raise my shoulders & drop them right down I can feel a shock in my smallest finger as well as the underarm. I don t know what to do
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Hi, dear. I have gone through your question. I can understand your concern. You may have reactive lymph node enlargement. You need a course of antibiotics. Furthermore, you also have some ulcer nerve stimulation. It gives current in your smallest finger and underarm. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor. Wish you a very good health.Don't forget to click, thank you.
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Two weeks ago i went for a 3 mile walk,the next day i had got a pain on the top of my right foot.when i am standing still it seems ok but when i start to walk i seem to get a pain at the top of my foot,this also happens when i am standing and i curl my toes slightly upward.What advice could you give Many thanks Pete Docherty.
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Hello, It is due to local inflammation due to prolonged weight. Another possibility is conditions like plantar fasciitis. As first-line management, you can take analgesics like paracetamol or diclofenac for pain relief. If symptoms persist you can consult an orthopaedician and plan for a steroid injection to the sole. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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i have a lump on the back of my neck. i have had it for around 2 years and its got bigger as time has moved on. i have seen a doctor numerous times over the 2 years and i have been told its probably a cyst and that it would need surgically removed. i am a british person living in america, so its hard for me to get better advice as i cant afford to pay to see a doctor. i am very concerned. the lump is not painful to touch, but it does feel uncomfortable most of the time and this brings on dull headaches. the lump moves if i touch it. its underneath my hair, so it is hidden, but i am worried it will keep getting bigger and bigger. i have had sensitive skin since i was a child and mild acne, so i am wondering if it has something to do with that. occasionally, small blemishes will appear around the lump which are so small, i can scrape away with my finger nails. this makes me think it is acne related, rather than a cyst.
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Welcome to Chat Doctor .1. History given by you suggest me it's a lipoma (lump with fat content) in the first place, followed by cyst. 2. Since it's hard on touch, pain less, slow growing - more towards lipomatous lesion.3. If its causing discomfort and dull headache - excision is treatment of choice.4. Before that an ultrasound - which helps in assessing the nature of the lesion, its source and extension. Then FNAC - fine needle aspiration cytology to confirm the fat content.5. Folowed by treatment - excision depending on discomfort, otherwise asymptomatic lumps will be just monitored. Good luck. Hope it helps you. Wish you a good health. Anything to ask ? Do not hesitate. Thank you.
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I ve had a broken tooth on top that s giving me pain now I have a very large lump on roof of my mouth and teeth all around broken tooth sensitive to touch I ve been taking amoxicllin for the past 3 days and seems to be getting worse. I can t get in to a dentist because have no insurance or Medicaid of any choices. What could I do for pain I ve tryed ibprophen alive gaggle warm salt water and mouthwash
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Thanks for your query, I have gone through your query. The swelling over the palate is because of the tooth infection. Nothing to be panic, you can take metronidazole along with amoxicillin (if you are not allergic). Then the teeth has to be treated with root canal treatment. Regarding the financial issues you can go to an educational dental institute where you can get it free of cost. I hope my answer will help you, take care.
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Yes, thank you. I am on Methadone 10 mg tablets, Methocarbamol 750mg tablets, Trazadone for sleep and two anti depressants. Ive been hit 3 times in car accidents and recently tripped and fell onto my chin and face. Ive been in severe pain for about 10 years and am so tired of being on medications. I am depressed - lost my younger brother, my uncle, 7 friends and my husband within a year, lost my job, am considered disabled, and so on. Is there any hope that my neck and back might someday be in less pain? Ive tried 37 different treatments, chiropractic, accupuncture, sacrial cranial work, pain management and more. Sorry, I am unable to pay the $15 for a reply...I do not have extra $ to spend.
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Thank you for asking on Chat Doctor. If I was your treating physician I will do the following for your pain:1. Start tab duloxetine (this is a strong antidepressant having a special feature to relieve body pains).2. Start tab pregabalin. It is useful in relieving neuropathic pains in the body. 3. Investigate for other causes of neck and back pain by doing an X-ray of the neck spine and back.4. Self CBT or professional talk therapy for depression. I can understand the pain that you are going through and the stressful times you have been through. You can also join social support groups online and start simple muscle relaxation exercises. I hope you find this helpful.
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I have had a sore on my face next to my mouth for 7 months. It started out like a pimple, then it grew out wards to where I could look down and see it... No mirror...! I messed with it and squeezed it and got a lot of blood and pus out. Now it is more flush with face, but it still fills up with blood and ous every day... Like 5 or more times a day. It is a scaly red rash and an open appearance in the middle... Ulcerated I d say. I went to hospital. They said it is fungas and there was nothing they could do for me! In the beginning, I had these things all overy face and head. This one that remains, is the first one I got. Help!!!
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Hi, The rash could be most probably an acne vulgarism or seborrhea dermatitis. Treatment differs greatly for both the conditions. But other probable diagnoses are there too. The other diagnoses include folliculitis, topical steroid dependent face etc. I request you to visit your Dermatologist for confirming the diagnosis and for initiating the proper treatment. Hope I have answered your query. Let me know if I can assist you further.
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Hi , I am 24 year male and suffering from male pattern baldness . it started when I was 20 till now its continuously falling and now very little hairs are left on my scalp . between this 4 years I tried so many treatments but nothing worked out . again I started using hair 4 u with follihair tablet. Kindly advised will it help or if there is any another treatment please let me know.
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Hello, Thank you for posting on Chat Doctor. I appreciate your concern regarding hair fall. Hair fall is usually ascribed to multiple factors like diet and nutrition, hormones, stress, cosmetic products etc. From your description, it seems you might be having Male pattern hair loss or An Chat Doctor. If I were your dermatologist/trichologist, I would like to take through history including family history, history of recent major trauma/illness/stress/medications etc., and recommend some basic investigations like CBC, blood sugar, Thyroid function test. I would suggest you a course of oral tablets containing biotin and other essential vitamins and minerals for minimum 3-6 months. Also, would put you on solution containing 10% minoxidil once a day and a hair serum containing peptides for hair growth at night.(Q era etc.). Finasteride can be used in selected patients after thorough counselling and checking your liver function. Finasteride, inhibits metabolism of testosterone at hair root level. It sometime leads to embarrassing side effects like impotency, decrease in semen volume but which are totally reversible on stopping the
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Hi Doctor, i lost my daughter last month due to what the doctors said was hepatomegaly, why was her stool black in color?Could it be that her liver had a problem after she underwent Nephrectomy in December last year?Following some liver function tests done shortly before her demise it showed her Liver had stopped functioning long time ago, but she had never presented with jaundice, help me understand these as im stil trying to get into terms with the death f ma one and only daughter.
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Hi thanks for your question. Liver failure could be the biggest reason for her death. What lead to liver failure? Liver function test done before death along with autopsy report could establish cause of liver failure. Neurectomy cannot lead to liver failure unless it was performed for malignancy. Black stool could be due to bleeding from gastrointestinal tract, especially stomach, as she was having complete liver failure. Which means her coagulation system was not working, as all coagulation factors are produced in liver. In liver failure, jaundice is always there, autopsy can also resolve this issue. Hope this answers your question.
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Hello doctor,I am a 24 year old male. I work as a software engineer. Over few days, suddenly my arm muscles are shaking for a few seconds and it will be normal after sometime. Also sometimes, I am not feeling well. Are these the symptoms of diabetes or any other health issues?
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Hi. First of all thanks for the questions and for showing trust on us. Follow these self-care tips: Fort further clarifications consult a general practitioner online Take care.
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Since I had knee surgery and have been off my feet alot, the skin on my legs from the knees down has turned a mottled brown, only in the front of the leg all the way to the end of my foot. Do you know what could cause that? it doesn t hurt at all. Thank you
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Hello, As the knee is fine and there is no pain post surgery I think will be the discoloration of the skin due to vascular insufficiency. Try doing hot water fermentation and do ankle toe movements. Usually, the skin discoloration doesn't happen in many of the cases. Taking a blood routine will also be good to see if any infection is causing the issue. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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my wife take saazo ds from last 15 days .after that she is suffering from fever&red rasses in full body from last 15 days .now i admit her in hospital. after that her liver is affected her sgpt,sgot , wbc hsa gon up by 38000 lun has also been affected now what to do
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Hello, Yes, Saab DS may cause yellowing of your skin or the whites of your eyes, flu-like symptoms, painful red or purple rash, blistering and peeling skin in few patients. Liver and kidney may also BE affected because of this Chat Doctor. Take antibiotics along with corticosteroid may helpful. Please consult with physician he will examine and treat you accordingly. Take care. Hope I have answered your question. Let me know if I can assist you further.
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I have a slight pain in my groin/pelvic area. It is not annoying, almost resembles a gas pain. I believe it is a muscle ache due to the ache acting up when I am working abdominal muscles at the gym. How do I know if this is the onset on a hernia?
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Hi... All lower abdominal pains and groin pain may not be sourced only by hernia. Please don't be suspicious on that always. I would like to ascertain certain features before heading towards investigation and confirmation of early symptoms of hernia.there should be pain while coughing...pain need to be radiating to groin need to be same and that should not alter while squeezing my thigh.there should not be any pain originating from the mid back region...there should not be any alteration in pain when I press on the front pelvic bone junction archive a good Anti gastritis table careful while working out with heavy weights in gym . Use proper abdominal supporter and protect yourself Hope this is helpful for you...
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Respected SirThis is to inform you that patient Mrs. mnk,mee from Jamshedpur (Membership no.- 1mjmlkm89) who was seen at Dr.Mol,lns Diabetes Specialities Centre in Chennai on 23 march 2011 for diabetes problem is suffering from some symptoms(problems) after coming back from there. Dr. M.Ramu prescribed her medicines. The blood sugar level is within 200-356.The symptoms are:-1. Stomach pain2. No desire to eat3. Non clear latrine(3-4 times a day)4. VomitingKindly give some suggestions as soon as possible. Thank you in anticipation.Phone no.- 0000, 0000
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Hi.You are a known patient of diabetes. The level should be around 150 of the blood sugar. Unless Diabetes is well controlled, no disease can come under control in spite of the treatment you may be taking. SO Get the Blood sugar monitoring done, consult a local Planetologist or ME, Medicine to get adjustment of the dosages... Your symptoms of stomach pain, no desire to eat, no clear latrine and vomiting is suggestive of a complication of Diabetes in the form of :Gastroparesis- meaning slowing of the movement of your intestines as a whole; added on some sort of infection of the GI tract in subclinical form. Get a 5-day course of an antibiotic, metronidazole, probiotic and Risperidone. I hope you will be fine. If no response, you need further investigations under the cover of your Doctor to get more appropriate diagnosis and treatment accordingly. It is possible that you may need to be started on Injection Insulin till you get alright.
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I have been getting pain on the left side of my chest for about 4 to 5 months now the pain has started to spread to under my breast and round my lung area with a bubbling sensation I getting that frightened I started taking phone to bed seen my gp they seem to think anxiety I not convinced
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Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out heart related chest pain because your pain is on left side. So consult cardiologist and get done 1. Blood pressure monitoring 2. ECG 3. 2d echo 4. Stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Sometimes uncontrolled stress and anxiety can also cause similar symptoms. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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I have both anxiety and asthma. I am in the middle of college finals so I am under extreme stress and have had a full 3 hours of sleep in like 3 nights. And I understand that stress can trigger asthma symptoms...as well as anxiety. Starting last night my chest began feeling tight and feels hard to breathe. I wasn t particularly anxious before this nor did I have other anxiety symptoms, but I had been up for two days straight at this point and was exhausted. I ve taken my anxiety medication and been using my inhaler, but not much relief. I can t tell if I m anxious over having an asthma flare up or if I m having asthma-like symptoms because I m under anxiety and stress. Is this worth going to urgent care for?
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Hello there, thank you for writing in your query. Yes, stress can precipitate asthma symptoms. At present, you are suffering from exam anxiety. Anxiety symptoms often present with panic symptoms which can trigger breathing difficulty and ultimately your asthmatic symptoms will worsen. As you are already taking your antianxiety pills, I will suggest you to consult your psychiatrist again and explain your symptoms. You may require some other anxiolytic agent. Meanwhile, you make proper schedule for reading, fixed duration of sleep, do some relaxation and meditation. All the best
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my sun has a rash on is bottom draw it started out as three bumps then increases now it is spreading, it looks redish fine bumps that gather together took him to the doctor and he gave me candiderm cream to used two times daily but it looks as if it is spreading more.what should i do? my son is two years old
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Hi, It seems that probably your son may be having ringworm infection. It is also called dermatophytes or Tina corporal, cruris. It is a fungal infection caused by dermatophytes. Furthermore, it is highly infectious and spreads quickly. Poor immunity, poor hygiene, wetness,excessive bathing, perspiration,soap bath . etc. might exacerbate the disease. Kindly consult the dermatologist for the perfect diagnosis. I would suggest...- antihistamines like HY Chat Doctor.
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I am a lactating mother of my baby who is approx 3.5 months, and she is suffering from lose motion for about 2 months now. But there is no weight loss. However baby has gain about 200gm of weight. Dr says it s normal. But I am so worried that it should turn into any hidden dangerous desiese. Could you please advise me regarding this? Also, can I use zinconia syrup on lose motion? If so, please suggest the quantity.Thanks,Smita
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Howell come to ChatDoctorYour concern is appreciated, the baby is just 3.5 months old and this is the period where great changes can be seen as long as weight is concern, and it is the normal phenomenon, the only thing that mother needs to be worry about the ill condition of baby, like fever, diarrhea, vomiting, respiratory symptoms, moreover if the pediatricians' opinion is okay and said it is nothing to worry then no needs to worry about this, no question is there for hidden disease, even no need to give any medicine without any indication of illness, breastfeeding is best for baby hope this information helps.
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Im a typical high school girl and I have PE as one of my courses. On Wednesday, we have a mile run. Usually, I have a hard time breathing after the run and have a need for water. This week however I ran harder than usual, and in the end my heart was pumping much faster and I ran short of breath. As I result I became weak almost unconscious. After drinking some water I had to lie down for a while till I caught my senses again. This usually happens when I run faster than normal. Can I possibly have a symptom of asthma?
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Thanks for your question on Chat Doctor. I can understand your concern. Yes, you might be having asthma. You are having breathlessness on exertion (running). And at your age (14 years), asthma can cause similar symptoms. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test).PFT will not only diagnose asthma, but it will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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I had to go back to my nurse today as i was getting really bad side effects from the mini pill ceratte she has put me back onto the combined pill yasmin, i have 6 days left of the mini pills first month, if i start taking yasmin tomorrow how long until im protected fully from getting pregnant??
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Hello dear. Understand your concern. If you start new pack you are fully protected but period may be delayed first you should finish your 6 tab. Of mini pill, or you don't want to take it any more then, avoid unprotected sex or use condoms up to your next menstruation cycle. If you start new pack of Yasmin now then it surely protects you from pregnancy, but it delays your period. Whenever you finish your Yasmin tab. Then you got period. So I advised you that finish your tab & finish your next upcoming menstrual cycle, then start new pack of Yasmin from the first day of your next cycle.hope this guide you. Best regards. Chat Doctor.
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My dentist just told me that I probably have pemphigus vulgaris. He said he cannot find out for sure until I have another flare up of oral blisters and he does a biopsy. He told me to do some research on it in the meantime. Well, the research I did makes me want to jump off a window. I am not sure how to deal with just waiting and not knowing.
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Hi, Thanks for asking the query, I understand your concern, Memphis vulgarism is autoimmune intraepithelial disease which consists of blister formation on various parts of the skin and mucous membrane. Diagnosis of the condition is done upon laboratory diagnosis and immunofluorescence studies. I would suggest you to wait till the biopsy results come. Management of the disease is through corticosteroids or immunosuppressive Chat Doctor. Take care!
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DR. LAMPERTI. I HAVE READ THAT YOU ARE 4 STAR IN PLASTIC SURGERY. MY QUESTION IS: WHAT EXPERIENCE DO YOU HAVE IN CANCER SURGERY. i HAVE A CANCER IN THE EXTERIOR ON THE BACK OF MY NECK YOUR HAVE BEEN RECAMENDED TO ME TO REMOVE THIS CANCER. PLEASE RESPOND. jACK dWYER
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Hi welcome to Chat Doctor. You have mentioned in history as having cancer in back of neck . The treatment protocol depends on histopathology report means grading of tumor, to which extent it has spread in body called metastasis and degree of Lymph node involvement etc. If possible TNM staging also done... As it is a malignant tumor, needs to be excised ... If needed and found suitable than radiotherapy or chemotherapy might be needed according to type of tumor You can upload photo of lesion and histopathology report for detail comment Take care Advise : Consult Oncosurgeon for detail work up of your condition
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Hello my friend Angela is experiencing chest pains when she breathes. She has felt this way for the past couple of days. She is 25 years old and does not smoke. Moderate drink. Maybe a glass of win here and there. She says she can breathe but it is hard when her chest is hurting. She has no fever.
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Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathing difficulty in young individual (25 years old) is seen commonly with asthma. So get done clinical examination of respiratory system and PFT (Pulmonary Function Test). If PFT is normal then no need to worry about asthma. Sometimes undiagnosed stress and anxiety can also cause similar symptoms. So tell her not to take stress and tension, be relaxed and calm. Avoid alcohol. Consult psychiatrist for anxiolytic Chat Doctor. Don't worry, she will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your friend. Thanks.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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respected sirs, My mother is suffering UPER LEFT ARM pain for about 1 year and now with intervals and often she feels full Left side pain top to botum. My request is that what kind of problem(Diseas) she is facing.and what is its cure PLEASE REPLY IN DETAIL, REQUESTING........
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Hello, See, based on this description your mother might be having one of the following problems. Differential diagnosis: 1. Rotator cuff tendinitis/ tear2. Adhesive capsulitis shoulder3. Cervical spondylosis with Right sided radiculopathy4. Left upper limb neuropathy5. Myositis You will need to investigate her. X-ray of Cervical spine & Shoulder App & lat CBC, ESR, SERUM URIC ACID, IT D3, IT B12. Hope I have answered your query. Let me know if I can assist you further. Take care
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My four year old daughters stomach started hurting and she couldnt go poop. That night she vomited and felt better. Next am tummy still hurt and I gave her Miralax. Pain, but still no poop. No appetite at all. Gave Miralax next am and later had some diarrhea. Third morning, still no appetite and no poop.
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Many thanks for the opinion. From the history of your child looks like two things 1.pain epigastric.2.constipation.this needs physical examination ear, nose and throat for any infection. If there is no there is no tonsillitis to pharyngitis, then there is small chance of acute gastritis or hyperacidity. This can be rule out by H.pylori test, either stool test for it and same time stool for ova and parasites. If he is constipated then he needs good HY Chat Doctor. -avoid junk foods, chips and chest etc-avoid Pepsi, cola, chocolates and candy.-avoid banana and potato.-avoid too much milk and its products. If problems is not solved with dietary manipulation then needs full investigations.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have been experiencing tongue discomfort. I can eat and swallow with no problems. However, my gums have been sore and there has been a burning sensation in my cheeks and there is a white (pimple) like bump on the left side of my tongue, My dentist and an MD have done visual inspections and both have said that everything looks fine (no discoloration or lesions). However, I have noticed a small bump in the roof of my mouth. Could I have an infection? There is no foul taste in my mouth. Ive been cleaning with warm salt water.
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Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint burning sensation inside mouth along with small ulcer over the side of tongue and bump over roof of mouth can be Authors ulcers and burning sensation can be due to Authors dermatitis. It can occur due to a number of causes like deficiency of iron and vitamin B12, stress, Chat Doctor. . I would suggest you to start gargling with a numbing mouthwash containing Lidocaine to relieve burning and pain. You can take anti-inflammatory painkiller like Ibuprofen. You can take multivitamin supplements. You can suck ice and gargle with numbing mouthwash containing Lidocaine. Avoid spicy food and
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi, age 32 male. Serum creatinine 2months back 1.4mg/dl currently 1.2mg/dl. Blood urea 8. Both kidneys smaller in size ~8.6cm rt and 7.6cm left. Left kid shows scarring in focal area and contour shape affected. Ultrasound shows attenuated CM diff in left side and small ~6mm calculus in lower calyx. Am moving towards renal desease?
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Dear SIMM calculi can be left on its own and will be cleared off. Apart from this do detail biochemical investigations including serum calcium, phosphorus. Consume a lot of water. Avoid tomatoes and other foodstuff containing oxalate. Repeat Ultrasound after 6 months. Most of times the cause of calculi is Idiopathic(no cause found), investigations are required to know the cause and correct it. All the best
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Im feeling very sick since i took excedrin extra strengh rapid release caplets and i just found out the y recall the medication along with some others, im having a sharp pain in the right side of my back where is the kidney i guess, the pain travel to the side of my belly and legg, pls i need an asvice, Lisa
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Hello Right sided abdominal pain may be due to many causes like problem in liver or gall bladder, right kidney calculus, musculoskeletal causes etc. You may need clinical correlation and further investigations. Investigation includes routine hologram, liver and renal function test, urine RE/ME, ultrasound of abdomen. Ultrasound of abdomen can exclude many conditions. Proper treatment depend upon findings. Get well soon. Take Care Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Possible causes of chest pain - left side , acute periodic pain level 2 (out of 10)....rest, breathing, exertion does not affect either duration or level of pain. No known heart disease in my family history. General health is good, HWP, 60 years old, social smoker, light drinker, mild exerciser, contrlled hypertension for 20 years....lotrel2/20
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Thanks for your question on Chat Doctor. In my opinion you should first rule out cardiac cause for your chest pain. Risk factors in your case are1. Smoking2. Blood pressure3. Old ages you are at high risk of cardiac disease. Better to get done ECG, 2D ECHO and TMT (Trade Mill Test) to rule out cardiac cause. If any doubt in above tester than go for coronary angiography. If everything is normal than you may have bronchitis. As you are smoker, chances of bronchitis are there. So get done chest x-ray and PFT (Pulmonary Function Test). Quit smoking and Chat Doctor. Start regular exercise.
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I have lower back pain especially on the left side. I thought it was related to physical effort but it has increased every day. I got some labs for a UTI but they came back negative, the doctor said it could be because I am taking cranberry pills. Could this be the symptom for something serious?
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Dear patient cranberry pills has no relation to back pain. If UTI is ruled out possible cause will be back pain of muscular origin or instability. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views. Please get it done from the radiology center nearby you. Meanwhile, start tab ibuprofen 400 mg twice a day for pain relief. Local application of hot water bag will help in pain relief. If X-ray is abnormal you need to consult orthopedic surgeon nearby your area.
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I am the teacher of a 9 year old girl with severe learning disabilities. She wets the bed nightly and has frequent, sudden urinary accidents at school. There are times when she stares into space, refuses to respond to verbal directions, cant follow along when someone else is reading and is very slow to process information. I am concerned that she may be having undiagnosed petit mal seizures. Can these be causing her urinary problems?
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Any seizure can be associated with passing urine. Lapse of attention for few seconds can be an absence seizure. Learning disability has to assessed in details. At times, they are associated with adjustment problems at school, emotional difficulties in child, anxiety and depression, parenting issues and all. In such conditions improvement is possible. But if learning disability is a result of a developmental anomaly then It's less likely to improve Chat Doctor.
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occasionally I have this cold burning sensation in my chest and throat. Its like I am inhaling cold air when I am just breathing. At these times I find it difficult to breath, and I am short of breath. One thing that I find to be consistent, is the fact that this generally occurrs one to two days after taking an allergy or cold medication. Can anyone help me with what may cause this?
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I, Dear,Thanks for your query to Chat Doctor. Dear I read your query and reviewed it with context to your query facts. I understood your health concerns and feel Concerned about them. Based on the facts of your query, you seem to suffer from-Bronchitis with Cold. Burning sensation in chest and throat-is from irritation of the cold air to the inflamed bronchial mucosa lining. Resultant increase in congestion of mucosa, chokes the bronchial and alveolar passages. This choking from inflammation- post-air trauma to the bronchial mucosa. This effect is seen mostly after 2 -3 days of taking medicines. This is because of the anti-muscarinic/ or anti-cholinergic effects of the antihistamines used in the Cold medicines. Remedy-Adequate fluid intake and Steam inhalations would reduce the irritation of the air linings and would reduce the cold burning sensation with shortness of breath in chest. Hope this would help you to treat your health issues in the best way possible. Welcome for any further query in this regard. Good Day!! Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi,I had a gout that lasted for two months. took alluprinol and NSAID as needed. Got acid reflux. Given PPI. Now acid reflux has gone,but have diturbed sleep and swollen gut. 5 weeks have gone by. Taking all the precautions with diet. No improvement. please advise. Thanks
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Gout is the disorder of purine metabolism. It will lead to high uric acid level in the blood. Later on its crystals are deposited in the joint and produce pain. So allopurinol is the perfect Chat Doctor. it's will increase the excretion of uric acid. Take NSAIDs as and when required only if plan and inflammation is there. And take low protein containing diet. It will help you to decrease uric acid level. And regularly check uric acid level. And change the dose of allopurinol accordingly. But it's the perfect medicine that you are taking.
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I have had a sebaceous cyst on my head for quite some time. It has gotten bigger this past year, and about a week ago started leaking when I am always at it. The fluid is clear with traces of very little blood,and the cyst area is sore...is this normal?
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Hi, Good Evening. Thanks for the query to Chat Doctor. I studied it in depth and I understood your health concerns.-Treatment-for Sebaceous Cyst of the head-1- In my opinion -the clear fluid appears to be due to the cellulitis fluid due to the handling of it by you and hence little of fluid -indicating that the infection is not advanced and could be controlled with proper treatment with ER Surgeon.2-As rightly said by you the cyst is not painful and red, but is sore due to excessive handling by you with less of fluid discharge.3-So I would advise you to Consult a Surgeon and who would treat it accordingly as told above and with proper antibiotics and anti-inflammatory and proper Chat Doctor. 4-Dont get scared and uneasy, but be cautious and act fast. Hope this would help you a lot to relieve you. Wish you fast recovery-and healthy life. Wellcome to Chat Doctor with more queries till you are satisfied. Have a Good Day...!!
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I had 3 miscarriages in last 2 yrs because of no heart beat and today is my 31st day, my preg test is postive ... doctor suggested gestofit 100mg and fertigyn injection. but she raised a concern because of weight (85kgs) there can be some challenges. i had a DNC, hysteroscopy and laproscopy for the previous cases. and my Rubella iGg report was positive for which i had taken Rovomycin tablets for 8 weeks. will my pregnancy be successful this time.
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Hi, Thanks for your query. I have read your query & I understand your concerns. Please start taking low molecular weight heparin as well as esprit 75Β mg tablets after consulting your doctor. These will help in miscarriage patients like you. Also discuss the possibility of taking progesterone supplements to be on safer side. Please obtain prescription for above medicines from your doctor. I wish you a healthy pregnancy. I hope I answered your query. Furthermore, I will be available for any followup queries you have. Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I have a very itchy purplish rash on my inner upper thighs and above my pubic area in the crease where my heavy stomach hangs. It started when I was sweating a lot working in the heat. I have tried Gold Bond powder to try to keep it drier, to no avail. It itches more at night than during the day. It is very ugly!
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Hi, After reading your query it appears to be due to Fungal infection of the area which is quite common due to heat and humidity. Fungal infection of the skin is quite common due to infection and hygiene as well as most commonly due to diabetes. To prevent the further spread maintain good hygiene wash it two times properly. Stay away from hot and humid climate. If I were your dermatologist then would have prescribed clotrimazole cream or terminating cream over the affected areas under medical supervision. I suggest you to take antifungal tablet by mouth such as fluconazole 150 mg alternate days for 15 days. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I got into a car accident 6 years ago. To this day, my the tendons in my neck are extremely tight, causing headaches and distraction. My back muscles are fairly tight too. I also struggle with forgetfulness, short term memory only. Sometimes I ll be so tight that my fingers in my hand lose their dexterity and the fingers in my right hand twitch. At times I will get light headed and it is hard to focus on things at hand. What can I do to make myself loosen up? Also, do you think I may have suffered from nerve damage in that car accident? All of these things begin happening right after my accident.
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Hithere may be following reasons for your symptoms with a car accident 6 years ago:1.post concessional symptoms, but those symptoms are same as yours, but they rarely persist beyond 2 months2.cervicogenic pain meaning your neck bones malalignment3.spinal stenosis at your neck resgion4.internal carotid artery dissection5.cervical myelopathy means your neck spine having pressure effects6.chronic subdural heamatoma7.PTSD post-traumatic stress disorder go to neurosurgeon and get tested for above diseases, and you will get your answer....its critical that you see a doctor very soon take care
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Hi, I am 17 yrs and I have the MRI Findings: 1. There is a loss of normal lumber lordosis . 2. Severe lest posterior paracentral disc extrusion at L4-5 Level, almost completely obliterating the lest lateral recess . The extruded portion of disc measures about 1.3 x 0.6 x 1.3cm (CC x AP x TS) in size. Left descending L5 nerve root is impinged. Left anterior thecal sac is moderately compressed with crowding of the descending sacral nerve roots. The minimal AP diameter of the central canal measures about 0.46cm. the left descending SI nerve root may be impinged. The right lateral recess and bilateral neural foramina are preserved. Disc height and signal are mildly reduced. 3. The rest of lumbar discs show normal signal intensity and disc height. No disc herniation is seen. The anterior epidural space is well preserved. The Spinal canals are adequate. Questions: 1. How severe / bad is my conditions? 2. What are the treatment options available and which one is most appropriate / effective? 3. If surgery is a must? 4. Can the conditions be cured by physio, chiro and medication? Many Thanks. Vel
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Hello, Thanks for posting this question in Chat Doctor. Please find the responses point by point Questions: 1. How severe / bad is my conditions? Ans: I have noted all the findings in the MRI. Note that such MRI findings must be interpreted with caution and must be correlated with clinical findings. This MRI finding should not make you worried. 2. What are the treatment options available and which one is most appropriate / effective? Ans: Options are medical, if fails surgery. Surgery is effective. It does not mean we will advise you to go for the same based only upon the MRI data. 3. If surgery is a must? Ans: No 4. Can the conditions be cured by physio, Cairo and medication? Ans: Displease visit a local neurologist and get examined. His clinical evaluation will help in this case Hope this clarifies
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Im a 17 year old female for the past year and a half I have been getting weak, dizzy, shaking, having chest pain and difficulty breathing, when the symptoms occur I have a rapid pulse and high blood pressure. Ive been to 3 different doctors and they all tell me there is nothing wrong with me. Ive never had any health issues before this please help.
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Hi welcome to Chat Doctor ... You have not mentioned which investigation you have done and what was treatment given.... Your work up needed with.... -Auscultation-Blood pressure measurement-EKG-Echo if needed -CBC -Stress test etc. According to cause further treatment can be guided.... Sometime stress can lead such presentation but as chest pain and dyspnea since long time above work up necessary... Take Paradise : Consult pulmonologist or cardiologist for this
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hi doctor,I have a herniated disk in the neck area. Later, my right hand started tingling and the numbness grew more pronounced. I also started having burning pain on the back of both thighs. I have had some muscle twitching down my right arm. I am having accuracy issues with typing now. I had another epidural and trigger point injects four weeks ago, but it does not seem to have done much this time. This week, I started having numbness in my toes and some burning there. My legs just do not feel quite right and maybe a little heavy. The thighs are still burning on and off. Do you think it is possible that my cervical issues at C4-C5 or C6-C7 could be responsible for both the hand and legs? Do you think I might have a lower back issue?
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Hello. MRI cervical spine with images, neurological charting of extremities, vitamin D and B12 levels. Will advise once a provisional diagnosis is established. Revert back with the reports to an orthopaedician and traumatologist online.- Take care.
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Hi doctor,I have a small threadlike protrusion near the opening of the anus. It is paining the whole day. There is no blood during defecation. Please give a remedy.
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Hi. The threadlike growth in the anus seems like a small anal tag, that is, just a skin tag. Usually, it will have an underlying anal fissure, that is, crack in the skin near the anal opening, that causes pain. I suggest you take the following medicines: Please review with me after three days or earlier if the symptoms worsen. You can take a picture of the area if possible, for better understanding. Good luck.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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hi , i am 31 years. i have ECG A WEEK BACK SAYING T WAVE INTERIOR NON SPEXIFIC ABNORMALITIES. BEFORE THAT ECG I WAS TAKING SUGGESTED METPURE XL25 but after ECG my blood pressure was 170/90. now i have given SESTAMUT AM metroprolol. it has been 10 days now. yeterday night whenever i tried to sleep , my heart was sleeping and not letting me sleep. i want to forget but whenever i think of heart i feel little squeezing. I scare if something wrong with my heart. Many times my heartbeats are so obvious. Also I have been having.stitching like pain in my upper back left side . May that has some connection? Do I need to worry?
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Welcome to Chat Doctor. You are having a common pattern called nonspecific ST-T changes on ECG along with the symptoms of chest discomfort, awareness of beat and hypertension. So to treat this complex your doctor has started you on a combination antihypertensive treatment. You should get reevaluation at this time because you are symptomatic despite treatment. Such symptoms may indicate a faulty cardiac rhythm called arrhythmias or may be due to excessive surge of blood pressure. I hope the advice will be helpful for you.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My daughter is 33 with 2 small children, she has just been told by her Doctor she has high blood pressure 190/85. The doctor referred to the type of Contraceptive pill she is on. She will have a monitoring band on her this Monday for the day. Is this something I as her mother should be really worried about. I have told her to go off the conraceptive pill as of today. Also she has had endometriosis.
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Hi welcome to Chat Doctor. I understand your query and concern. Contraceptive pills are the main cause of elevated blood pressure in your daughters case. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a day for 5 days a week is pretty useful. Chat Doctor. Reduce the intake of fatty and fried food. Endometriosis can be managed with other depot hormonal preparations.It's always safe to maintain your blood pressure under 125/80 mm of Hg pressure. Consult a Cardiologist as well as Gynecologist for further expert management. Post your further queries if any. Thank you.
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for the past year ive been feeling breathless, feeling like i cant get enough air into my lungs, i can just be sat doing nothing and still have the same symptons, been to my gp about this three times and puts it down to stress it seems to be the answer to everything! im a young 48 and work full time, my regular meds are zapain and ibruprofin for a bad back which ive been on for approx 3years. I dont know what to do. lesley
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Hi thanks for contacting Chat Doctor.... Noted you feel like not getting enough air in your lung.... First just consult pulmonologist and your respiratory examination done...If you need to rule out asthma or COPD like causes pulmonary function test done by spirometry.... If it comes abnormal then further investigation can be done.... Here you might have stress related dyspnea as suspected by doctor... By excess stress panic attack can lead air hunger... So try to avoid stress... Early morning yoga and exercise good for stress relief.... If needed you can consult psychiatrist for further behavioral therapy and counselling.... No need for worry. Take care.... Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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I am a 61 year young female. I have been waking up with tingling in the chest radiating to both arms. This started about two months ago. I wake up often during the night and have this going on. I do not have pressure, just the tingling. I do not have any major medical problems. I do take a blood pressure pill daily.
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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. This tingling sensation has to do with a rhythm issue. There are some electrical impulses that generates from parts of the heart different from normal sinus rhythm. They cause a premature heart contraction that you feel like a tingling sensation, you might experience palpitation, dizziness,difficulties in breathing deeply. This rhythm issue might happen for different reasons like stress, pathologys like anemia, hyperthyroidism,electrolyte imbalances, ischemic heart disease, cardiovascular anomalies etc. So, to better understand what we are dealing with, if I was your treating doctor I will recommend some examination like an electrocardiogram, a cardiac echo to evaluate heart function and valves, a full blood analyze to exclude anemia, hyperthyroidism and the most important one a holder rhythm monitoring to evaluate your rhythm tendency and a street test if it is possible to exclude ischemic heart disease. Only after this we can understand what is this tingling sensation and how to treat it. Hope I was helpful Best regards, Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello, I fell off a knee walker 9 days ago on the leg I was peddling with. I formed a large lump and pain. 48 hrs ago I started having new brushing in my ankle and foot, my leg is a bit red and painful. I have neuropathy quite badly so feeling this pain is unusual. Any suggestions?
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Hi ! Good evening. I am Chat Doctor answering your query. With your history it seems that you got a hematoma (collection of blood) on your knee following the fall. Most of the hematomas could resolve by itself in a few days with a pressure bandage and some anti-inflammatory Chat Doctor. However, in case the size of this swelling increased along with discomfort/pain, then you would have to consult an orthopedic surgeon for a clinical assessment and related investigations for an appropriate management. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
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Hi, may I answer your health queries right now ? Please type your query here...hi,doctor am a man of 30yrs old but i do have stunted penis,the size is very small in erection equivalently to my body size,am 6feet tall and 85kg of weight.but my penis is 3inch in erection please help me doctor what to to do if there is any treatment i can get.
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Hello dear, The size of penis is genetically determined, and it cannot enlarge beyond a certain limit. Regarding the problem of Erectile dysfunction, it is due to decreased blood supply to the penis. It can be improved by having a diet rich in fruits, vegetables, fish, nuts & honey. Connections between erectile dysfunction & excess use of porn has been reported in many studies. For those affected, recovery takes place by 6-12 weeks & mainly involves avoiding the causative factor, that is watching porn. Avoid stress...practice meditation.this helps in improving concentration & builds up the confidence level. Avoid smoking & alcohol. Despite these measures, if you experience difficulty, it will be better to rule out other causes like high blood pressure, blood sugar and other local causes that impair blood flow to the genital organ. Wishing you a Healthy Life. Take care.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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Hello Doctor, Me and my girlfriend are young, Im 16 and she being 14, two days ago we got a bit naughty and I stuck my penis in her vagina for 5 seconds then pulled out, Im wondering if she can get pregnant. I masterbated the night before, and had urinated throughout the morning before that happened. Please doctor, I am very worried.
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Hi, Thanks for using Chat Doctor. Even though you masturbated the night before, and had urinated throughout the morning before intercourse, the chance of being pregnant is there since you had inserted. But getting pregnant requires sperm to enter the vagina. So it is difficult to say whether she can become pregnant or not. If she is in the fertile period she can take emergency pill with in 3 days of intercourse to prevent conception. (Regular use of emergency pill is harmful)Conception occurs if she was in 10th to 18th day of her cycle(in a regular cycle of 28 day duration). You can ask her at what day she is in and wait for next cycle to occur. If it delayed by 7 days then get done UPT to diagnose if pregnant and then the required treatment can be taken. Regards
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Hi i am Sujata from calcutta.i have experienced a massive pain at backside 2 days ago.lateral probe into these matter results in that i had a calculas at right kidney with fullness of the renal pelvis & small caculas at lower right ureter.the size of calculas is 0.5 cm.i want to know such obstruction in right kidney can be removed with medicine or it require any other messure.
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HIA calculus of size 0.5 cm may pass by its own in about half the patients. Rest will require surgery to remove it. If your kidney function is normal and if pain is under control then you might prepare to wait. A prescription of tamsulosin might help along with painkiller. If you have continuous pain, fever or if your blood test for kidney function is altered or if fever develops then it is an indication for operation. Please contact a urologist who may guide you appropriately.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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My husband is 40 yrs old. He has had two courses of Kelfex to treat the pea size lumps under his armpits. they are still there and he has night sweats all the time...what else could this be besides hidradenitis? Should I take him back again since they didnt go away with this course of Keflex?
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HI, Dear,Welcome to Chat Doctor. Based on the facts and data of your query, you seem to have night sweats from Hideradenitis. Your Reflex treatment is not effective, hence I would suggest you,-Instead of treating with reflex, Consult a Surgeon and plan for its excision under antibiotic cover. This would resolve your problem totally. So Don't Worry at all. Consult on these lines and if need be treat it according to Suggestions of your Surgical specialist doctor. Hope this reply would help you to resolve your sever anxiety. Welcome for any further query in this regard Will appreciate writing your feedback review comments, to help the needy patients like you at Chat Doctor. Good Day!! Chat Doctor. S. Genl-CVTS
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Hello, I wanted to ask a question regarding myself coughing up mucus/phlegm almost every morning that is black in color or is clear with tiny blackish/grey specs in it. I tried doing some research online but with little results. I do smoke marijuana on daily basis pretty much but I do not smoke cigarettes at all. On some of the sites I was reading on suggested that it is the tar/resin being expelled from your lungs and is the bodies natural cleansing method for getting the toxins out of the body. But Ive also read that it could be caused by a jaw infection which oozes out from in between the teeth and gums and trickles down the throat to the lungs and that the infection could be caused by having wisdom teeth removed which I had done a few years ago. I was hoping to get a little insight before scheduling a doctors and/or dentist appointment.
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Thanks for using Chat Doctor. Read your query. Removal of wisdom tooth followed by what is mentioned is not a relevant thing and if read somewhere, there are no such theories as such. Marijuana smoking is harmful. Black mucus and phlegm can include the tar from the burning process caused marijuana. The longer you wait, the worse it will get. It will affect the whole body and once addicted, it is difficult to quit. I suggest you to stop using it completely. Visit your general physician and have yourself evaluated for any lung infection and have it treated. Hope this was useful. Thanks and regards.
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Hi, may I answer your health queries right now ? Please type your query here...sir, my 14 months daughter is not eating properly bcoz of some inconvinience in stomach. can u suggest some home remedy... last 2 days diet for her is pupkin, black beans, whole milk, lentils
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What kind of discomfort is she having? Is she having colicky pain, cramps or bloating sensation. Does she have normal bowel movements? Sometimes child Chat Doctor. This can also be a possible cause for discomfort. Make sure not to give beans, onions, or any gas forming food. If she has pain in stomach soon after ingesting food, then it could be due to gas. You can give gripe water to the child to relieve discomfort and rub a small amount of asafoetida (hing in Hindi) after roasting it on gas flame. Cool down to a suitable temperature and rub it around the navel. You can dissolve asafoetida in mustard oil and rub it around the navel to relieve gas and strengthen babies abdominal muscles too. You can also give buttermilk with added carom seeds powder (again in Hindi) and black salt to relieve stomach discomfort. Hope this will be helpful in solving your problem.
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The gland in my neck is painful, my body is worm to the touch, i have night sweats sometimes and i suffer from aches and pains. The tips of my fingers and toes also get painful. I also got a metalic taste in the back of my tongue the other day, for the first time. The other symptoms have being going on for a year
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Hi, thank you so much for your question. I got that you have been suffering from painful neck gland, associated with night sweat and body and limb aches and pain. There are many reasons for neck gland enlargement, depending on your geographical residence, ethnics and dietary habits. Diagnosis also depends on the detail description about the lump, especially, accurate site, shape, painful or not, movable or fixed, and ulceration or inflammation present or not, on the underlying skin. Also, you should look for any constitutional symptoms such as fever, weight loss, fatigue, AMD so on. Let me also know your past medical, surgical and Chat Doctor. Thank you. Best of luck, and have a nice day!
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hi my daughter had 4 teeth orally extracted this morning i have given her 2 hydrocodone 50 mg and a 500mg penisillin shes not due for another pain pill until 800pm its 342pm now should i take her to emergency im afraid to give any more pain meds and i cant alternate because shes allergic to ibuprphen
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Hello, In case if the pain is severe and not tolerable, then you can take her to the emergency room so that they can give her injectable painkillers to relieve pain for a longer duration and also faster. In case if she is allergic to Ibuprofen, you can also give other painkillers like Motorola, Diclofenac etcetera, but only if you know she is not allergic to those. Also, do cool compresses over the cheek. Apply Lidocaine gel over the extraction site as it will help in relieving pain. If the pain still continues to get worse, consult her dentist and get checked. Hope I have answered your query. Let me know if I can assist you further.
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Hello. 32 year old female with constant pain under right ribs mainly in back. Helps to put pressure on my back side by ribs. Lots of discomfort and seems a tad worse after I eat. Have been exercising with turbo kick and wondering did I pull a muscle in this area or is it something I should go in for?
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Your symptoms suggest that you have spasm of chest muscle due to exercises. You need not worry a lot. Analgesics such as ibuprofen, muscle relaxant (thiocolchiside) and ice will decrease pain .deep breathing exercises will also be beneficial. If pain does not subside within 5-7 days then consult to an orthopaedician. Hope this helps. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health.
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I lost a tooth over a year ago and still sometimes I get a little pocket of pus on my gum where the tooth once was. There isnt any pain just sometimes i feel pressure then look and the pus is there then i squeeze it then the next day it usually happens again?
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Thanks for using Chat Doctor. Read your query. In your query, you have mentioned as your tooth was lost, did you consult the dentist and have a check whether the full tooth was fallen out completely? I can understand your dilemma. The presence of a root part of the tooth could be the reason for the recurrent infection (abscess formation). I would advise you to visit your dentist at the earliest and get a radiograph done to evaluate if there is any fragment left behind. If so, get it extracted and the healing will be good. Antibiotic coverage like amoxicillin and metro lag will be needed on prescription from the dentist. Do salt water gargling. Hope this was helpful. Thanks and regards.
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Hello, I have not felt well today, very light headed. I have been hearing and feeling a swooshing noise and it vibrates my head and body. I have noticed swelling in my ankles in the mornings over the last few weeks but the last couple of days i have experiencing swelling all day. My daughter just took my bp and my systolic was 170/100. I am also having chest discomfort. Should i go to the er now or do you think seeing my md in the morning is ok
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Thanks for your question on Chat Doctor. I can understand your concern. You are having higher blood pressure reading (170/100). In my opinion, you should definitely consult cardiologist to rule out hypertensive heart failure. So consult cardiologist and get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). You will need antihypertensive and diuretic Chat Doctor. Strict salt restriction in diet is needed. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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My mother has osteoporosis and is 83 and suffered a bad fracture of her L2 vertebrae. A week ago Thursday, she had a kyphoplasty procedure done and is still suffering from pain around her waist area and it radiates around her right side into her rt hip. An x-Ray has been done and her family physician sees nothing irregular about it! Do we need to get an MRI or consult the radiologist that did the procedure?
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Hi, thank you for providing the brief history of your mother. A thorough neuromuscular assessment is advised. As this pain appears in the nature of radiating it looks more of pinched nerve in the lumbar spine. Since your mothers age is 83 it is more of a degenerative change in her spine. Also, undergoing the physical therapy like ultrasound therapy and TENS therapy in combination with Chat Doctor. As in my regular practice of geriatric rehabilitation at home, I face this questions a lot of time and with the help of physical therapy they respond well. Also, at this age is the need for muscle Strengthening which can be performed by regular general exercises to improve the quality of life. RegardsJay In
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Hey! I was riding a pink scooter listening to the song walking on sunshine while on meth and I took a sharp turn in my living room and stepped off and it felt like something on the sides of my knee shifted or popped. I have no pain,swelling or problems with using knee. - pink scooter
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Hi I am Chat Doctor. . I don't think you should be worried icing it for the first 48 hours with topical massages and elevating it will be fine for such contusions and take care of your pink scooter and your room, I hope and don't wont to find you in the ER. Please click THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you, Any further clarifications feel free to ask.
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I have been having a mild to moderate lower back pain since 2 months. Its kind of dragging pain at times manifesting just as stiff back. It exacerbates on exercising after long working hours and squatting. my doc gave a painkiller(NSAID muscle relaxant combo), evion lc and neucobal G for a week but it did not help much. On MRI it was seen that there was a posterocentral diffuse disc bulge compressing thecal sac and neural foramina mildly at L4L5 L5S1 level. The diagnosis of PIVD was made and nucoxia, evion lc neucobal g along with spinal extension exercise was advised for 2 weeks I have been taking these for 1 wk with mild relief however still the pain returns on exertion. kindly advise.
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Dear Concerned., You have not mentioned regarding the Bed Rest Part as 06 to 08 weeks of Bed rest is usually prescribed in any setting. For Muscular Stiffness at least it requires 06 Was rest for it to subside. Stop lifting weights /Bending abruptly and Do not ride a TWO-WHEELER. Avoidance of squatting in Indian Toilet and Using Western Toilet. Physiotherapy of SWD and Traction for daily minimum of 30 mins or as prescribed by Or tho Surgeon. Using Hard Bed Rest without any Cushions (Sponge/Foam). Use a Properly Sized Lumbosacral Belt for lower back Support during any activity if Bed Rest is not head to. All the above to be followed in addition to Prescription Medicines of your doctor for abatement of symptoms. Take Care. Wishing you a quick recovery. Best Regards., Chat Doctor.
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My son had his appendix removed due to appendicitis and after that he developed a skin irritation and i was told that he could probably be allergic to iodine, but not he is worse and his skin has red bumps. What should I do. I just gave him Zyrtec for kids for allergies.
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Cellophane You for contacting Chat Doctor. There are two possibilities. First, as you mentioned that it could be due to iodine allergy. Second, wound could have been infected. I would suggest you following:> keep wound Chat Doctor. > For allergy you are already giving Zyrtec. Continue it for days. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.
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im 19 female im having a pulsating in my right upper chest and pain going down my should out of nowhere i have no health condtions an im taking no medications ive also been having muscle spasms every where for the last three weeks and docters and hospitals have yet to figure out why. Anything im freaking out right now.
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Hi Mam, I understand your query and concern.Your symptoms are related to abnormality in the electrical conduction of heart secondary to anxiety. I advise you to get an ECG,2 D Echo of your heart to confirm the diagnosis. Do not worry. Avoid stress and anxiety. Once diagnosed, Chat Doctor. Meanwhile, avoid strenuous activities. Consult cardiologist for expert management and follow-up care. Post your further queries if any, Thank you.
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Hi doctor,Please suggest me a way to cure my constipation. I am suffering from my childhood. Now, my age is 45. I am taking medicines for the past four years. Before two years, I got TIA attack. I took both ayurvedic and homeopathy medicines for constipation. After a few days, I got peripheral neuropathy. I took allopathy medicines for three months, and I was taking homeopathy medicines too along with it for constipation. I had no relief from my problem. I was taking tablet Dulane 20 mg, Pregab 150 mg once a day, tablet Insumin plus.
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Hi, Welcome to Chat Doctor forum. I can understand your difficulty due to constipation. People who naturally have vaatha type of prakriti (lean body) has the higher chances of constipation. So, I would like to suggest the following: Consume ChatDoctor. When taking more
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hi doctor,im27 trs old and has been married for a year and a half now.we have bn trying to have a baby to no avail, what do we do.did some tests and doctor said i had some adhesions but that it wld b ok after taking som anti biotics, but since i havent been able to conceive,what do i do
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Hi, Thanks for writing to Chat Doctor. I think you are having adhesions in uterus. I would suggest you to undergo hysteroscopy. In this you will come to know those adhesions have dissolved completely or still there. If adhesions are still there then in same setting with that hysteroscopy the adhesions can be released. So it would be both diagnosis and treatment. Along with that any growth in uterus or the opening of tube is blocked also can be diagnosed. Other investigations needed at initial stage are follicular study hormone profile-thyroid, FSH, Lh, prolactinhysterosalpingo graph (HSG). Just go through the list you must have done many among them. You can discuss with your sync doctor. Hope I have been helpful. Regards Chat Doctor.
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I have been experiencing a aching almost constant pain in my lateral hip area right below the hip bone for the past 4 days. Sometimes the pain will go down into my anterior lower leg area. Seems to get worse with sitting. I have been taking a lot of alleve but t doesn t seems to help. Also resting my leg on a pillow and using a heating pad. I am on vacation and don t know what else to do. I have had a lumbar laminectomy L 4-5, S 1 approx 10 years ago. This pain brings me to tears at times. I have a 5 hour plane ride home soon and am worried about tolerating it. Could this pain be related to my previous back surgery? Or mre likely from another cause. I am a very active 61 year old female.
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Hi Thanks for your query and Welcome to Chat Doctor. You have pain in your right sided hip area which also seems to go down lower leg region. Now interestingly you have a previous history of a spinal surgery as well. There are many causes of pain in lower back region. It can be due to faulty posture, related to weak muscles, issues with Intervertebral Disc, narrowing of Spinal canal, any Bony instability besides many other, so accurate diagnosis is the key to proper management of the condition. You will have to elaborate your problem as to a detailed discussion of your back pain which means duration of pain and mode of onset. I would also like to ask you if it is associated with any other neurological symptoms like numbness, paresthesia (electrical shock like abnormal sensations) or any weakness in limbs. How much distance are you able to walk normally without any painkiller ? Please also tell me about any associated symptoms like fever, weight loss etc. What medications you generally take and what has been your treatment history till now for existing problem. If you have localized back pain with no other symptoms like significant radiating leg pain, neurological symptoms like numbness, weakness, paresthesia etc., then you can start with following recommendations for initial period of 2-3 weeks: - To maintain proper posture of your back while working and sleeping- If pain is more than you can take a short course of an anti-inflammatory medication like tab etoricoxib or paracetamol or one which suits you-Physical therapy initially under supervision of a trained physiotherapist and then to continue at home-Adequate calcium & vitamin D intake if levels are low in body-Ice packs can apply if your pain is acute, then hot fomentation can be done at home-Analgesic spray for local application can be used and is easily available.- Avoid lifting heavyweight/ acute forward bending in mornings etc. We will observe you for next 2-3 weeks how you respond to this conservative management protocol. Do not hesitate to contact me if you need any further assistance. You can also discuss your case and treatment plans with me in a greater detail in a private consultation. Thanks & Regards Chat Doctor.
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I was on Zocor. Had a blood test after a couple of years and found that my ALT ans AST were 125 and 150. Had an ultrasound of the liver and was diagnosed with Grade 2 fatty liver. Stopped Zocor. ALT and AST went to 24 and 31. Had another ultrasound 9 months later. Still have fatty liver grade 2. Any connection here between Zocor and fatty liver? any suggestions?
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Brief Answer:NORMAL liver enzymes with fatty liver. Detailed Answer:Hi. Thank you for posting your query at Chat Doctor. Zocor may have caused the deranged liver enzymes but NOT the fatty liver.advise:get following blood test:1. Viral serology - anti HAD, Bag (if not vaccinated against HBV), anti HCV2. "Lipid profile"You may visit hepatologist. Get the blood tests done asap. Further advice:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Health professionals aim to diagnose properly and manage patients according to their limited knowledge. Cure is blessed by the ONE who Created us, whose power and knowledge is unlimited .wish you good and sound health. Any further questions are welcomed. Regards, Chat Doctor.
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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
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i have a red itchy rash that comes and goes that s not on a regular basis but it appears on my arms, legs, feet , and hands. I went to the school nurse a few times and they said it looks like contact dermatitis from washing my hands, but i don t wash my legs too. There isn t really any changes in my soaps or lotions anything like that either. I don t know what to do because if i go to the doctors office it is not always on my body.
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Hi, From the description you have given it seems more like urticaria than contact dermatitis. In most of the cases, urticaria has no underlying cause. However, worm infestation, particular food intake, foods with preservative like jams pickle and sauce, medicines, infections can cause urticaria. To treat the same, you might require a course of oral anti-allergic like fexofenadine or cetirizine for a couple of weeks. You can also apply calamine to soothe rashes. Hope that answers your query. Take care.
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I am a 65 yr. old female. have had a chronic cough with phlegm, some wheezing when I exhale Thishas been going on for about 3 weeks. I have Hashimoto Thyroid with goiter, take Armour 30 mg. daily. Have allergies to dustmites, pollens. Just now I got into a cought "fit" and had a very strong metallic aftertaste..something new with this! I take Claitan D daily, and last night, 2 benedryl. What can do tonight to calm this down? I have access to antibiotics, but have not taken any.
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Hi, I have gone through your query. From your history it seems to an Upper respiratory tract infection. Symptomatic treatment will help you temporary. You will require a course of antibiotic like Levofloxacin 500Β mg twice daily or azithromycin 500 mg once daily. Instead of Clarity D you should take Manticore (montelukast and Levocetrizine). You can continue with your thyroid medications. Do consider positive feedback as a credit to my work. Let me know if you have any further questions.
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