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hi, i have two fingers on my left hand my ring and pinky my pinky is worse they are cold n tip of my pinky is on the purplish side. i didnt do any thing to them that i know but feel like i froze them in the snow kinda like that and also hurt when i put them under hot running water
Hello, I have studied your case and I think that you might be having either a frost bite or a Reynolds phenomena. In both condition exposure to cold causes' lushness of fingers and difficulty in movements. I would recommend you to show it to orthopedic surgeon for confirmation. Treatment is gradual warm fomentation of the finger. Antispasmodic medication is also helpful in Reynolds phenomena. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
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I have a really bad middle back pain that hurts when I move. And very sharp pains when I take deep breaths. I m able to walk but very slowly as the pain is sharp and hurts a lot. I ve also had a head ache since thurs and since then too I ve also not been able to hold food down. If I eat a meal it feels stuck on my chest and I cough and vomit it up. I was told last year that I had copd and just wondering of any of this is related. I ve been in bed since thurs. Attempted to work today but couldn t stand it. I m also freezing and shivering but my partner says my skin is burning Should I go to hospital
you must visit hospital as pain in the middle, vomit and other problems need attention of doctors with few X-rays of chest and back. An upper gastro-endoscopy for food pipe and stomach and upper bowels may be required, chest x-ray for COPD issues, and spine X-ray?MRI for disc related lesions. You will be given anti-emetic to control omitting, antacids/PPI inhibitors or acidity controllers and some pain medicines. Complete assessment is the necessity as of now. Endoscopy rules out food pipe lesions, stomach lining issues, ulcers etc Best wishes,
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I fell off my horse a week ago I have been to my Dr and got an xray of my hip and pelvis and everything checked out ok, I am still having alot of pain and my Dr cleared me for work, they said I had some internal bleeding but never checked anything but the xray, I fell again tonight on the same area should I go to the er and get checked the pain is the same as I have been having.
Hello, The symptoms seem to be related to the contusion from the fall. I suggest using anti-inflammatory medication such as Ibuprofen 400 mg three times a day. I also suggest using cold compresses at the area of the injury. Furthermore, I recommend resting and elevate the area. If the pain continue you should go at the emergency room for further evaluation. Hope I have answered your query. Let me know if I can assist you further.
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Hi I am Manasa from India, I am 29 years old, I had my laproscopy on 7th Dec 2012 for the endometric cysts . and from Jan I was on Lupron depot one on 7th Jan then 26th Jan and 16th Feb,today is 19th March I have not got my menses yet I have done a pregnency check which is Negetive, Can you please help me how to get the priods back and i want be concive as soon as possible.
Cellophane you for your query. Firstly, understand that Lu pron depot has the common side effect of scanty or delayed periods or no periods at all also. So your amenorrhea is due to Lu pron. Please don't worry as you will resume your natural periods once the effect of Lu pron wears off. Regarding your conception, it depends on lots of factors. The grade and severity of your endometriosis. Patency of your tubes. Your ovarian reserve and semen analysis of your partner. If your endometriosis was severe enough to warrant Lu pron shots, please go in for GUI or IVF after consulting an infertility specialist at the earliest, before the endometriosis recur. Take care
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Patient age: 74/ female Gallbladerstone in cbd ,ERCP done. report-Papilla visualised-small.Selective canulation of CBD achieved. cholangiogram showed a large filling defect in mid CBD s/o stone with upstream dilataion of proximal CBD and CHD, IHBR. Intrapancreatic CBD is normal sized and tapers down to the papilla. A wire guided sphincterotomy done and a 10cm 10Fr stent placed in the bile duct. Free flow of bile seen. Conclusion Large CBD stone. Biliary sphinctrotomy with stenting done. advised laser surgery- your expert comment on it and adevise best sergion, estimated expense, admite duration in mumbai and navi mumbai
Hello. Thanks for writing to us. Surgery is the only treatment to remove a bile duct calculus. It can be done by laser also. The duration of admission and expenses depends on the procedure chosen for you, any associated diseases and complications, etc. Only the operating surgeon can tell you this after complete evaluation. You can see our patient written reviews to select the best surgeon. I hope this information has been both informative and helpful for you.
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Hi, I am Arun, My kid is 7 months old, she is having loose stools for the past 14 to 15 days. Doctor has advised to give sporolac, but after sporolac, she passes formed stools, but by another 2 to 3 days, same process of loose stool continues. Is it safe to give Ofloxacin and ornidazole.....
Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics like Ofloxacin or Ornidazole. Antibiotics are not indicated unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
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hello, My 15 month old son is having some sores pop up on his head in dime size patches. small pimple like bumps that will eventually secrete clear fluid and dry to a crusty yellow scab color and will spread out from that area. He also has small pimple like bumps popping up sporadically all over his body but are not clustered together and do not scab over like the ones on the scalp. He is on his second round of antibiotics for his scalp right now. Any ideas?
Hi, I am Chat Doctor. Also shampooing of hairs 2-3 times a week with medicated shampoo will help. But its it requires a proper diagnosis, you should seek help of pediatrician of dermatologist. You can also upload photos at this site. 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 questionsTake care.
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Hi I have had a hard bony lump on side of leg just below knee area of left leg, the lump is not painful but i do get a cold like cramp pain feeling in the lower part of my leg. I had a CT Scan a couple of days ago, while there i was sent for xrays to confirm what the scan was showing, but i was not told what the outcome of this was, they told me a report would be sent to my doctor. I know its nothing serious but am curious of what it could be. thanks
Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-hard bony lump on the sides of the leg below knee of left leg. Cramps in the lower leg and X-ray study after the CT scan study, indicates something money osteophyte of the knee joint, causing the issues with the lump below knee. This lump could be MB Cyst or could be Osteolcastoma of upper end Tibia / or could be osteophyte of the knee joint. Arthroscopic removal of the MB Cyst or Osteotomy of the tibia with Bone graft would resolve the lump besides the knee. CT and USG would fix the diagnostic ambiguity and doubts.Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Good Day!! Chat Doctor. S. Genl-CVTS
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My wife has gone through MRI of Lower portion because Doctor said She suffers from Cervicle/Lumber Spondlitis . In this scan Doctor observed that there are lesions in her bones . What are the implications ?? Is it possible that She can have Cancer . Now they have asked her to go though Bone Scan . Please explain !!
Hello, Usually, with the MRI scan, we can analyze the soft tissue of the body, but the bone scan is for assessing the construction of the bones if they are strong enough with proper deposits. As there is no mention the clinical symptoms it will become wrong on our part to comment over the orthopedist decision. The bone scan is only referred to post-MRI if the Orthopedist finds clinical complaints different from what actually it is shown in the MRI. Also, spondylitis is a common thing we find sometimes in every 3 Rd individual. In my practice of 12 years, I have seen almost a bunch of cases for spondylitis and most of them have responded well to medication and Physical therapy. Also, cancer cannot be detected in the bone scan. Bone scan only reveal the composition of the bones. For cancer, if suspected there might be advised to take blood reports or a biopsy. Please follow the Orthopedist guidelines for now without any worry. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In Chat Doctor.
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my 19-month old son has an ear infection and was prescribed amoxicillan. This is the 3rd time that hes had this medication. suddenly on the 7th day of taking this drug (the 3rd time) he broke out in hives and his face swelled up. could he have just recently developed an allergic reaction eventhough this isnt the first time taking this medicine?? he also had chills tonight.
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that your son had an allergic reaction to the antibiotic given to you leading to rashes and swelling. It is one of the common presentation of allergy to antibiotic that leads to rashes and swelling. Many a time there is a delayed allergic reaction as the antibodies against a specific allergen are gradually formed in the body and once they are sufficient in concentration they try to fight against the allergen leading to the symptoms. You should also immediately give him the antibiotics and consult your treating physician and get evaluated, and he can give him anti allergic like Ben Chat Doctor. . Doing cool compresses and applying Calamine lotion can also help. Give plenty of water to wean off the effect of the allergen faster by increasing the excretion through urine. Hope this information helps. Thanks and regards.
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I have had recent back surgery! 7 weeks ago to b exact! Two levels of lumbar discectomy! One at the L5-S1 area and the other at the L2- L3 area ! I was having a lot of problems on my right hip and thigh and numbness. Well after surgery it has transferred down to the left side and is excruciating pain at times! Tender to the touch but deep pain! I can t even walk the same ! Cant sleep on my left hip! Definitely Worse at night! My doctor is telling me that it is bursitis and gave me a cortisone shot a week ago! The pain is the same, numbness still there and still having problems with walking! these problem like this are starting to really concern me! Could it be from the surgery and he isn t diagnosiing it correct? Just worried! Thanks
Hello, The fact that pain on the right side has improved after surgery confirms that initial diagnosis was correct. The new problem that you are having maybe either complication of surgery - for e.g. infection at the surgical site causing involvement of left side nerves. Other possibility is that prolonged positioning during surgery can cause problems like bursitis. In your case repeat imaging of the surgical site may give a clue to the cause. Good luck.
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Hello doctor,I am having a hard yellow thing accumulated in lower four teeth near gums. I do not know what it is? It just happened a few days ago.
Hello, Welcome to Chat Doctor forum. The hard yellow deposit is calculus (mineral deposits) on lower teeth which are receding your gum (attachment removed to protect patient identity). It can be apical periodontitis and/or apical periodontitis with abfraction. Please share a good picture just focusing on lower teeth. As per treatment, if you have calculus then get ultrasonic scaling done. Oral hygiene. Abfraction. Apical periodontitis. Maintain your oral hygiene and get ultrasonic scaling done every six months.
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I was diagnosed with tendonitis on my right elbow. My Ortho doctor told me that i have a tear as seen on MRI, my X-Ray is normal. He recommended a debridement injection surgery. Do I really need to have this kind of surgery and what is the risk of having this? I did a research and this kind of surgery are mostly people having problems w/ their knees not elbow. Please advise. Thank you.
Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. Based on your history, X-ray was normal and MRI was showing tear of the tendon. Well, X-ray cannot show soft tissues, and it is taken only for bony deformity, so in any case x-ray will be normal. Also, if MRI shows the tear of the tendon, than what is the grade of the tear? As based on the grade of the injury, the conservative or surgical treatment is planned. If there is complete tear than surgery is advised but if it is partial or fibers of tendon tears, then conservative treatment is planned. Usually in my clinical practice, I have seen patients recovering in the conservative treatment and never need surgery. Also, you can try performing physical therapy as it will help you reduce the inflammation by using therapeutic ultrasound therapy and for pain relief, TENS therapy. Later stages, exercises will be performed and taught as well, to regain the Elbow complete ROM and Strength in the muscles to avoid direct strain on the tendon. Which means, your case will be treated on a special note like a sports injury case to regain the maximum output of the upper limb functions without straining or damaging further the tendon. My clinical practice has only advised for conservative therapy than surgical one. RegardsJay In Chat Doctor.
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I am going in for a colonoscopy and upper scope on April 15th and the Dr. called and said my potassium level is low and I am to eat foods high in potassium for 2 days and they will do another blood test to see if it is normal before she goes ahead with the procedure. I have been taking potassium pills for over 2 years because it has been low before. I have night sweats quite often, could this be the cause of the loss of potassium. I am a 74 year old female with many medical problems. Thank you
Sweats do not cause a Chat Doctor. Low potassium could be due to leakage of potassium from the urine. You need to check a trans tubular potassium gradient in urine. Also check your serum aldosterone as high levels could cause potassium to leak in urine. Check your magnesium and calcium levels with vitamin D. unless you treat the vitamin D deficiency, in this case with the active vitamin D(caltrop), the low magnesium and low potassium will be resistant to treatment. There are conditions like renal tubular acidosis which also cause low potassium.
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I have pins & needles across my chest and starting to go down my left arm, the sensation started this morning and comes & goes within a few seconds. I am a dibetic & have had heart surgery could you give me some idea what might cause it. I am a 76 year old male reasonably fit walk often & play golf twice a week.
Hello! Welcome to Chat Doctor, and thank you for your question! I understand your concern, and would explain that your symptoms coupled with your past medical history are very concerning for a possible coronary artery disease. I recommend going to the ER for a careful physical examination, a resting ECG, a chest x-ray and some lab tests : fasting glucose, complete blood count, kidney and liver function tests, blood electrolytes and cardiac enzymes to exclude possible acute coronary disease. Further, tests (like a coronary angiography, etc.) may be needed if suspicions are raised. Hope to have been helpful! Best wishes,
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i am 25 year old and just married . my wife is 23 years old and I couldn t have sex with my wife due to no erection . I consulted doctor and he asked to go for ED test and the test shows everything positive . He gave me few tablets (tadalafil) but still have erection problem . That doctor is providing only negative replays . Pls advice how should I proceed
HelloThanks for your query, based on the facts that you have posted it appears that you have problem of Erectile Dysfunction and have no satisfactory results even after taking Tadalafil. You need to consult qualified Urologist for clinical evaluation and get following tests done to study the penile circulation.1) Color Doppler Ultrasound Scanning of penis to rule out arterial insufficiency or Venous leak as a cause of your ED. Further treatment will depend upon the cause of your ED. Chat Doctor.
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Hello doctor,I have PCOS and had unprotected sex the day before my period, and my partner ejaculated in me. The next day I was supposed to get my period, but I did not get it. Since then I have had minor pregnancy signs. Last week I took two home test, and both were negative. Now, two weeks and a few days later I noticed brownish pinkish discharge and now I am bleeding lightly. Is this implantation bleeding?
Hello, Welcome to Chat Doctor forum. PCOS causes irregular cycles. Hence you have had a gap between the periods. Scanty menses with the minimum flow is common in PCOS. Since the urine pregnancy test is negative, there is no chance of pregnancy. You could be having the discharge due to a new cycle. However, consult a gynecologist personally and get an examination done. You may need oral pills for three months or progesterone for with ChatDoctor. Thank you.
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i had pus generating from my foreskin after sexual intercourse with my girlfriend. Urinating seems fine, no pain etc. The pain developed during sexual intercourse. The pus started coming out on the next day. Is it due to infection? As of now the foreskin is reddish.
Hi, You might have developed an infection after sexual intercourse. The foreskin is very thin and sensitive. During sex there might have been friction and rough sex leading to small cuts and abrasions in the foreskin. Following this if you have not washed the area and taken care of hygiene then there is every possibility of development of an infection with pus formation. As pus is there, the infection might be severe, and you must consult your doctor and take oral antibiotics. Please keep your genital clean and use condoms with a lot of lubrication the next time you are having sex with your girlfriend. Also get her tested if she has any genital infections.
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I have a reoccurring blister that appears behind my last molar in my mouth. It fills with fluid and pops. It reoccurs about every 3 to 4 weeks since I had a root canal on the molar two years ago. I also have a sore throat , sore neck and jaw pain. Please help find an answer for me. My dentist had no idea what is going on.
Hello, It seems that the root canal treatment you have had about two years ago is left incomplete by the dentist, or you have got recurrent infection in that. If your dentist had taken an x-ray of the area, diagnosis could be confirmed. The molar teeth of lower jaw usually have two roots and three canals. Even if half or one canal is left untreated, the bacterial load increases in that area and re-current infection may occur. Due to the infection, the area fills with pus. The pus gets no outlet to Chat Doctor. Jaw pain is due to this infection only. Now, to treat this infection, you should visit a root canal specialist (Endodontist) and go for re-root canal treatment. In case, the tooth will have poor prognosis after treatment, the Endodontist will advise you to go for extraction of the specific molar and replacement of the tooth by artificial means. However, the sore throat and sore neck are not related to tooth infection. You might have tonsillitis which is just a co-incidence. You can take Azithromycin (AEE) 500 mg once a day for 3 days and the infection of throat will resolve. Do warm salt water gargles for faster relief. I hope this information helps. Thank you for choosing Chat Doctor. Let us know if we can be of any further help to you. Best,
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Had and upper EGD this morning. Everything went well. Small gastric polyp removed. However, my neck and upper shoulders are sore and even once in a while I have a shooting pain. I think this is probably due to positioning during the procedure. Any thoughts?
Hi, thank-you for providing the brief description of your history. A thorough neuromuscular assessment of you is advised. As the pain is in the shoulder and neck you can aspect this due to the position. As it is postural pain you should be fine in a day or two. Also, if the pain goes longer, taking the help of a physical therapist you will have relief of pain and also strength in the muscles of the neck and shoulder. RegardsJay In Chat Doctor.
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I am 26 yrs, age is 85kg,hight is 1.55m. My health is not so good, i feel severe palpitations,heavy pressure on my abdominal cavity ,weakness,dificult of breathing(some times),tiredness,polydepsia, and my gestational period is about 5. Thanks ,plz give me your cohorent answer.
Hi, This is Chat Doctor. Increased heart rate & palpitations can have a lot of causes. It can be normal sinus tachycardia due to anxiety or stress, or it could be abnormal supra ventricular tachycardia. For the diagnosis, you need to do ECG at the time of palpitation & tachycardia. If the duration of palpitations are short enough to reach a nearby hospital, we put a 24hr ECG monitoring (Holder Monitor). You also need to do a 2D Echo & thyroid function test to see for any associated abnormality if any. Thanks
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hi Doc, good day..i have a laboratory result showing my creatinine is higher by two points from acceptable creatinine levels, is this levels is a serious kidney failure? i have my urea laboratory result falls on acceptable levels..i need to see my doctor after office our, i need advance information regarding this matter before i see him so that it can help me to undrerstand more..i am 45 years old, we have no history of diabetic yet frone to high blood pressure, i have no such indication of illnesses so far, my BP 110/70-80, 120/90. thanks a lot & God blessed.Robert FaeldenPhilippines
Hi, It is important to know how much exactly is your creatinine level and the reference values followed by your laboratory. Creatinine levels must be evaluated in detail and treated at the earliest to avoid complications and potential danger to kidney functions. If your creatinine levels are higher than normal, it may suggest that your kidneys are not filtering the blood as effectively as they should. However, over time, glomerular function rate (kidney filtration rate) can fluctuate, so one abnormal test result does not automatically mean that you have chronic kidney disease. A diagnosis of chronic kidney disease is usually only confirmed if repeated glomerular function rate tests show that your glomerular function rate is consistently lower than normal over the space of three months.
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What can you tell me about dermal hypersensitivity? My dermatologist has recently diagnosed me with this, however, I have yet to meet back with her and am trying to learn more about this. I have had these red small bumps for nearly a year which itch and persist even after using bethamethasone (SP?) on them.
Thanks for your query. I have gone through your query. The dermal hypersensitivity reactions can occur secondary to many reasons example, to dust, food, soaps or insect bite. Nothing to be panic, consult a good dermatologist and get it evaluated. If you are not responding to dexamethasone, we can try other steroids like clobetasol and other Chat Doctor. To confirm the diagnosis get a skin biopsy done. You need to ask this question in dermatology or skin diseases section. I hope I have answered your query. Take care
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This summer, while traveling I experienced swelling in my right leg. Hee in the last month, My right arm and leg swell and I have numbess and tingling. In my arm, it feels like there is no circulation from my fingertips to my elbow. Almost like when it falls asleep?? I do have a blown out vein in my right calf, just below the knee. Hvae had it for over twenty years. I do experience some tingling in my left arm also.
Hi, please provide details like your age sex, habit of smoking alcohol and duration of sitting in the travel u mentioned...are u a diabetic or hypertensive?any previous health related issues.we need to examine you thoroughly and then do necessary investigations if required then we can come to a conclusion.if you are older than fifty it can be because of spine problem or diabetes.even severe anemia can present with these symptoms. So approach a doctor for further workup.
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hi my friend discovered high SGOT & SGPT level during his LFT first time after that he got cautious and quit alcohol and smoking but still during his second test he found his SGOT/PT levels,which dramatically rose upto 54 and 154 in 5 days despite following a very healthy diet.
HelloYour friends finding suggests raised SGPT and GOT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. Increased GOT and SGPT may be related to alcohol intake in your friends case.GOT is non-specific, and it increases in many conditions. Your friend may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers, ultrasound of abdomen. Ia suggest tablet ursodeoxycholic acid 300 mg twice daily for three months. It helps in regeneration of liver cells. He should go for brisk walk and do exercise. It is good that he don't Chat Doctor. He may need few more medicines after full investigation. Get well soon. Take Care
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Hi, I have been on Cipralex for 14 weeks and have been tapering off for two. I have had anxiety/ depression and shaking since a ski accident in March. I am 65 years old and I would like to take a serenity formula a herbal solution. Am also taking 0.5 mg of sublingual Ativan. Can I do this safely.
HiT hanks for using Chat Doctor In case of anxiety or depressive disorder, you need antidepressant as well as benzodiazepine. You should carry on with antidepressant. It would help to control depressive and anxiety symptoms. In case, you want to use herbal product, you can. There is nothing harm in it. There is no interaction between Chat Doctor. You can also try some relaxation exercise that would help to control anxiety symptoms. In case, you need further help, you can ask. Thanks
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Hi my 5 month old and 7 year old were taken to the dr last tuesday for coughing and wheezing they both had same symptoms but the cough has been there forever it seems like but now they both have raspy coughs with flem and the dr said there was wheezing he put them both on a steroid and a inhaler til cough is gone he said it would be about 4 to 5 days ...well the cough is still there and now my 5 month old is running a fever of 101.8 what do I do
Hi...it seems to me like both your kids are down with the same virus and this is causing wheezing, and it is viral associated wheeze. Your pediatrician was right in staring steroid and inhaler. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Paracetamol can be given in the dose of 15Β mg/kg/dose (Maximum ceiling dose 500Β mg per dose) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Regards -
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Had colposcopy last week. Have had severe cramping lower right abdomen and throwing up since 2 am. My right leg went numb at one point for a few minutes. Should I go to er? Slowly getting better since two am but can hardly move and no medicine is helping.
Hi! Good evening. I am Chat Doctor answering your query. Severe cramping of lower right abdomen following a history of colonoscopy calls for a clinical examination of the patient by the treating doctor. Therefore, I would advise you to go the ER to get your self examined physically and also investigated if need be to rule out any intro abdominal problem. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. Wishing you an early recovery. Chat Doctor.
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I have been taking loestrine 24 fe for nearly 5 months and my acne has worsened over time. It is always in the same place (on the sides of my face closer to my chin ). I noticed last month that my acne cleared significantly when I was on my placebo pills for the four days. Is this a good indicator that the birth control is aggravating my acne?
Hi, Thanks for writing in. Acne is a hormonal disorder. Birth control pills can aggravate acne. When untreated or improperly treated acne can cause pigmentation and ugly scars on face. Acne on chin are due to hormonal imbalance. You should apply antibiotic like clindamycin in morning for 2 hours. Darlene should be applied at nighttime. Washing your face with Himalaya need face wash would be helpful. Oral Chat Doctor. Please visit a good dermatologist or physician for proper examination and treatment with prescription
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For the past week Ive been having severe lower abdominal pain which lasts for a fifteen minutes and then goes away. Everytime it comes back it is twice as worse. My whole abdomen region is tender when pressed on and Im not due for my menstrual cycle for three weeks.what is this problem?
HI THANKS FOR POSTING YOUR QUERY ON Chat Doctor .YOUR PAIN ABDOMEN IS MORE LIKELY SUGGESTIVE OF "COLICKY NATURE".THIS COULD ARISE EITHER BECAUSE OF A GALL STONE OR RENAL STONE.BOTH CAN PRODUCE ABDOMINAL TENDERNESS .BOTH HAVE TO BE DIFFERENTIATED SINCE THE TREATMENT ASPECTS VARY.AN ULTRASOUND ABDOMEN WILL BE EXTREMELY HELPFUL IN DIFFERENTIATING THE TWO.GALL STONES ARE MORE LIKELY TO BE TREATED BY SURGERY AND CHOLECYSTECTOMY. KIDNEY STONES CAN BE TREATED BY "ESWL-EXTRA CORPOREAL SHOCK WAVE LITHOGRAPHY" OR BY "PCNL-PERCUTANEOUS NEPHROLITHOTOMY".MEANWHILE YOUR PAIN CAN BE MANAGED BY TAB TRAMADOL. CONSULT AN EXPERT LAPAROSCOPIC SURGEON FOR FURTHER MANAGEMENT.THANK YOU.TAKE CARE.
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I donated a left liver lobe 5 years ago (plus gallbladder removal to better visualize and remove the liver). Initially LFTs were elevated but returned to normal. Now my LFTs are normal but my bilirubin level is mildly elevated...what is the significance of this?
Welcome to Chat Doctor. Thank you for posting your query. I can understand your concern. Elevated bilirubin level without raised Liver enzymes could be due to pancreatitis obstructing the bile duct, or it could be stones in the bile duct which have originated on their own or fatty liver. It is difficult to make a pinpoint diagnosis without actually examining you. I would suggest you to - Take a soft, bland diet for a week.- Get an ultrasound of the abdomen done-Get your amylase and lipase levels revisit a gastroenterologist. He/she can examine you and correlate clinically. Hope this helps. Write back to us. Regards.
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Hi Doctor! How can I remove my melasma spot over cheeks and nose? What is difference between melasma and hyperpigmentation? whould you mind to advice me any effective medicine? i am 45 yeras old man, 166cm height, and used vanten cream for cleaning the black spots. Can I use Fadeout Cream? regards, Sattar
Welcome to Chat Doctor Good dayMelasma is the dark pigmentation on the face around the upper part of cheeks and near the eyes. It is seen commonly associated in pregnant women which usually clears up after they deliver. Hyperpigmentation has many causes. A Dermatologist will help you best. As of now, keep away from sun exposure, wear a sunscreen, eat fresh fruits and vegetables every day, Chat Doctor.
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Hi, My baby is 5weeks old. He have had a slight rash since the first week we both him home but in the last week and a half it has got worst. I have brought him to the Dr several times and they are saying its only baby acne. he has wheezing everytime he drinks his fomula, sneezing alot, stomach aches. he also spits up and vomit sometimes. his rash looks like hives
Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
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I am a Hospice nurse. I have a pt that is post-CVA for several years. She has right side paralysis and aphasia. In the past month, she has had several episodes where her respirations slow down, she loses consciousness, her abdomen gets rigid intermittently, and she only breathes between these. One time she exhibited seizure symptoms. This will last from 12-24 hours, then she goes back to normal for a while, sometimes a couple of days, then it happens again. Is she having TIA s?
Hi, I am Chat Doctor. I have read your question and understand your concerns. Let me try to help you Question : Is she having TIA s? Answer : No. This is more likely to be a seizure Please note that TIA and Seizures are different. TIA is ischemia. That is there is reduced action of neurons due to reduced blood supply. Seizures, on the other hand is increased activity of the neurons. Both are bad, but one is low action and another is high action Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.
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hi sir,my granny is 92 yrs oid and she has recently undergone a surgery for stomach perforation,which later resulted in kidney dysfunctioning but somehow she got thru using powerful antibiotics.Now since yesterday she is not passing urine/stools. Kindly suggest some thing as we cant take her to a hospital at dis age
Hi, welcome to Chat Doctor. Surgery for stomach perforation is high risk surgery especially in old age. It can affect kidney function by multiple ways - low BP, blood loss, medications/painkillers/antibiotics. As per your history, she has not passed urine since yesterday. It is very critical to evaluate for kidney function if patient has not passed urine for more than 6 hours especially after major surgery. Check her S. creatinine, BP and do sonography of abdomen. Maintain adequate HY Chat Doctor. Get you surgeons opinion. Then consult nephrologist, or you can communicate with me also with reports. I think this would be helpful to you. Best wishes. TC.
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I am a generally healthy 66 year old male without any major sicknesses.I feel hunger in a generally healthy and normal way, but most times food tastes bland or downright tasteless.Is this a sickness?By the way, I am retired for the past 10 years and miss the active usefulness of a productive life, although I keep myself busy with subsidiary activities.I do miss the dynamic administrative work I indulged in for a major part of my adult life.My wife is diagnosed with borderline personality disorder which could be stressful to me at times.Could you please give me some feedback?
Hello, Welcome to the forum. I can understand your concern for the symptoms from which you are suffering. It is good to learn that you are aware of your condition and interested to get well. You are unable to detect the taste of food since a few days, this is a medical condition called Alessia. It can be due to some problem in your olfactory organ. Most of the time people suffering from Alessia have associated smell problems. If you are unable to smell your food properly automatically the food will taste bland. You need to be examined by an Otolaryngologies or ENT specialist and get a general clinical examination done to diagnose your problem if any. Maintain a good oral hygiene. Use an antiseptic mouth wash after and before each meal. Change your brush buy a new brush with soft bristles, do not forget to floss your teeth. Get your dental problems treated if any. Be cautious if food tastes bland you will slowly start losing health. Change your lifestyle. Eat what you like. Make food colorful, presentation should be good. Use spices, visit restaurants for a change, visit supermarkets to chose your own food, you can consult a doctor and take some enzymes to trigger your taste and appetite. You should also eat papayas they will help your liver function well and trigger your taste buds. Sugarcane juice is equally good. You should have a few blood tests done to rule out any diseased state of your liver. Liver is the main organ of your body. Take fiber rich food, keep bowels clean. Stay well HY Chat Doctor.
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Dear DoctorI did a ultrasound scanning yesterday & result on my liver was : "A small echogenic lesion in left lobe of liver. Non-specific appearance and may represent a focal fatty liver, haemangioma or tumuor." I has breast cancer 8 years ago and my left breast was removed. My ultrasound scanning on the left chestwall and armpit are all fine. Does the above remark means I have metastatic cancer?
HelloWelcome to Chat Doctor From your report it is difficult to say whether that small lesion in your liver is cancer or not. Since you had breast cancer in the past, the chances of that being cancer is more than in other people. Only definitive way to make diagnosis is fine needle aspiration biopsy. If the lesion is big enough and accessible you can undergo this procedure. Another option is to do serial examination of lesion in routine interval and assess. Unfortunately except needle biopsy there are no other tests which can tell you whether that is cancer or not. Regards
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I am 53years of age. Recently from 1month I have pain in legs. Some times a dislocation like catch occurs in the right side hip. But I have pain in the legs starting from Thighs to toes. I do regular jogging and every sunday climb a toughest track of nearby hill. I was a sports person. can you suggest - the cause and treatment
Hello, It looks from your details that you may be suffering from radiating pain in your lower limb. This type of pain may be most probably due to stretch or compression of sciatic nerve at your hip or at back. I will suggest you following - 1. Avoid climbing to hill for few days.2. Do rest. Keep a pillow under your legs whenever you do the rest.3. Check your posture.4. Avoid any type of forward bending activity. You may wear a lumbosacral corset for few days. If this does not relieve the problem then you should consult to your doctor. In that case he may prescribe an MRI spine to rule out problem. Hope I have answered your query. Let me know if I can assist you further. Take care
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My mom is at the point with her COPD that she has sever lung damage, we just found out she also has a leaky hear valve which she cannot have surgery for due to her lungs........how detrimental is this for her. What are we looking at for life expectancy
Thanks for your question on Chat Doctor. I can understand your concern. COPD is chronic, progressive inflammatory disease of lungs. And in late stages, prognosis is not good. She is also having valvular defect (leak in valves), this makes prognosis even more worse. Life expectancy in this situation is less than 1 year. But with optimal treatment, life expectancy can be increased to 1.5 to 2 years. Optimal treatment includes 1. Long term low dose oxygen therapy for at least 15-16 hours a day. 2. Long acting inhaled bronchodilators and inhaled corticosteroid (ICS). 3. Pulmonary Rehabilitation in the form of deep breathing exercises and Chest physiotherapy. So consult pulmonologist and discuss these optimal treatment options. Hope I have solved your query. I will be happy to help you further. Wishing good health to your mother. Thanks.
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Hello, 2 weeks ago I went to pick up my normal prescription of microgynon 30 and had been given Levest. The pharmacist explained that it was exactly the same pill. Since taking it though i have had spotting and cant quite work out if it is spotting or i have come on my period early (started saturday - 5 days earlier than normal) and have been bleeding one day and then not the next. I am like clockwork on microgynon and am annoyed that i have been made to swop. If it is exactly the same drug why has it effected me like this? Thanks!
HiS potting can occur while starting hormonal pills. Progestin may thin the endometrial lining, which can cause some bleeding initially. A thinner lining helps prevent pregnancy as a fertilized egg cannot implant as effectively. Other potential causes of spotting while on the pill include: Forgetting to take a pill for a day or more. You can finish this pack of largest and again switch to back to microgynon. For the first 7 days of switching, use an extra method of contraception. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor.
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I had an mri done and have a bulging disc at l3-l4, a herniated disc at l4-l5. Lately I have had light headedness, and dizziness. Just started within the past 2 weeks. Happened about 5 times. Would this be related to the lower back issue or something else
HiT hanks for posting your query. No there is no relation between your lumbar disc problem and dizziness. There is something else which is causing this problem. Dizziness can be due to simple causes like low or high BP, low blood sugars, Thyroid problems, inner ear problems, anemia . Dizziness can also be due to serious problems like heart problems or brain problems. I advise you to consult a physician for the evaluation of cause of giddiness. Any clarification feel free to ask. Happy to help.
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I am kallman syndrome patient. I started to take testesterone. and when I planned to get married and have baby, i started taking ChatDoctor injection as prescribed by my endocrinologist. I have noticed that my semen structure changed after starting ChatDoctor. it became thicker, less in quantity and slower in ejavulation. I was told the ChatDoctor injection will be followed later by another injection for the sperm production ! .. my concern is the change in my semen !!!
Hi greetings. You are absolutely right. You have been given Chat Doctor injection which will be followed the FSH.sperm production will start after starting FSH but will take some time. Injections should be continued until sperm production starts and till fertility is achieved. The quality and quantity of semen will change as the hormones start acting on your testicles. Hope my answer helps you. Regards
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Hi. I was proscribed prednisone for bronchitis yesterday, I took 3 tablets around 630pm and just took 2 acetaminophen/codene 300mg/3mg that I was proscribed to take before a bed a few months ago for a knee injury. I hadn t finished the bottle and re injuried my knee yesterday and couldn t sleep tonight. I m sure the prednisone is out of my system by the time I took the other pill. I just want to make sure the two aren t dangerous to take together.
Dear patient both medicines prednisone and acetaminophen can be taken together without any significant interaction and side effects. But do not neglect your knee injury. If pain was so severe to interfere with your sleep at least X-ray of the knee needs to be done in anteroposterior and lateral views. If its normal you don't need to worry. And if its abnormal consider visit to expert orthopedic surgeon nearby you.
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Age:27 Height 5.1 weight 64kg hi , i was trying for baby for 11 months and i have no growth in my follicle (12mm) in current follicle cycle.i was asked to use ovrall g for 3 periods cycle. Doctor says this will suppress the ovulation for 3 months and there will be suddent rebound in follicle development in 4th monthWIll it make my follicle grow?.
Hi, I think taking 3 months of oral g can help in increased response of follicles in next cycle. But you should also get yourself evaluated properly. Do a thyroid profile and prolactin level and an ultrasound done to see uterus and ovaries. It will rule out any thyroid disorder or polycystic ovarian syn Chat Doctor. If follicles are not forming, you can take some medicines like camphene for the growth of your follicles. Talk to your doctor regarding this.
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Hi doctor,I have attached my crossbite image. I would like to know about the treatment or brace that is suitable for me. What is your opinion about alignment? Can Invisible alignment treatment correct my problem? Please explain.
Hi. OPG (orthopantomogram) and lateral cephalogram for complete treatment plan. Anterior crossbite. Revert back with the reports to an orthodontist online.-
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Hi Doc,Im 43yr old female, 54 and 146 pounds.Since 2009 Ive been in and out of the emergency room for palpitations and feelings of irregular heart beats. Ive had EKGS, ECOCARDIO and blood-work. Drs said all test checked out fine. Im waiting for the county hospital to schedule me for a stress test and holter monitor in a couple of months. Ive been a healthy person with no family history of heart problems. I dont understand why Im going through this.Ive also had strange headaches which feels like Cluster headaches, Drs did a scan and found nothing so they said I didnt need an MRI.Thanks,Need insight
Hi, Irregular heart rate could be abnormal beat from a normal part of heart (VPC - Ventricular Premature Contraction) or could be sinus arrhythmia (irregular heart beat due to breathing, which is a normal phenomenon) or could be serious Atrial Fibrillation. To know the exact diagnosis you need an ECG at the time of this irregular heart beat. If ECG is normal, then we put a 24hr ECG monitoring called Holder Monitor which will tell the diagnosis & than the treatment plan accordingly. Stress test is done to rule out coronary disease as a probable cause of this irregular heart rate. So wait for the Holder report. ThanksTake care
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Sir I am suffering from acne problem on my face and back from last one and half years. I have taken allopathic treatment and many power peels. the acne became better till i was taking prescribed antibiotics. But once i stopped the allopathic prescriptions, my face and back is again full of red painful pimples and black acnemarks. Also there is lot of pigmentation, black heads, white heads and dark circles . Yerterday I went for HB test and ESR Test. HB is 11.6 and ESR is 25 mm/hr. Please suggest me what should i do?? I am fed up of treatments and antibiotics.
Hello, Acne usually takes time to settle. I understand that you have tried various modalities of treatment, but stopping everything at the same time will lead to re occurrence. If you do not want to be on oral antibiotics, you can opt for topical treatment. Use a face wash specific for oily skin such as Neutrogena oil free, use clinger in the morning and Derive at night. Do not rub your face and be gentle to your skin. Please meet your dermatologist for follow up. Take Disregards Chat Doctor.
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Hi this is samira sheikh . My problem is that whenever I do any mental work or just think something in free time, it always runs in my mind that I am being pampered by someone and everyone is giving me full attention . It comes to my imagination the scene in which I am the centre of attraction n being pampered.
Hello You have imaginative thinking while doing some work that you are center of attention, and you are being pampered. Such type of thinking occurs continuously. Such type of complaints can be considered as normal if they occur occasionally. But if sucChatDoctorplaints cause significant dysfunction in workplace and personal life then there is need to consult a doctor. It can be due to obsessive compulsive disorder. Imaginative thinking or magical thinking dominate the mind and remain persistent. Consult a Psychiatrist if problem persists. Medicines like antianxiety Chat Doctor. Behavior therapy by a psychologist will help to decrease the thoughts. Thanks, hope this helps you
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my nephrologist says that I have acidosis. I take 2 sodium bicarbonate twice daily. I do not know anything about this condition. my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets twice daily, my creatinine and my nephrologist says that I have acidosis. I take 2 sodium bicarbonate tablets daily; my creatinine and bun are also elevated, can you help me understand acidosis?
Hello, If your creatinine and blood urea are high, your doctor would have told you that your kidney function is reduced. Acid is normally produced in the body by the metabolic processes that sustain us. This is excreted by the kidneys so that the blood is kept at the normal pH. When the kidney function is reduced, the kidneys cannot excrete the acid and acid builds up in the blood and the pH Chat Doctor. If it
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Approximately 5 days ago I had very high tempature 104.9 ans was put on antibiotics. The fever has been broken but I have tremendous pain in my legs and have a very difficult time walking. The doctor is treatingf me for an infection . Any suggestions ? What may be causing this?
Dear friend if you had not done any blood test for that high temperature, do at least once to know the cause of high fever. Although leg pain may be due to that high temperature you suffered, muscular pain from generalized weakness. Analgesic like paracetamol or combination with ibuprofen will relieve the pain. Also take multivitamins with methylcobalamine combination if pain is severe for few days. Hope this answer will be helpful to you. For more queries please don't hesitate to ask. Get well soon.
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dear sirs / madam, i am 30 years old and i married in 2004, but till now no pregenancy has come naturally, my husband have no sperm count, before i gone through ivf processure but it was failed..., after that i have gone for iui 5 times but all are failed. in the meanwhile i have been treated for laproscopic surgery for 2 times with 2 doctors. now my endomatry is thin. can i have a pregenency atleast in IUI cycle with progonova tabs. kindly give me faithble answer
Hi, Progynova tablets contain estrogen, used in your case to encourage the endometrial growth. The first and most important rule in the treatment of infertility is not to meddle too much with your anatomy. The more it is meddled, the less likely are the chances of pregnancy. Given your history, I think you may need ART methods at the hands of an experienced infertility specialist. Please check for such a doctor in your area and take advice. Good luck.
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my mother (who is on coumiden) had a blood draw two weeks ago. within two hours a lump grew in the are and reached the size of a lime. It has since gone down to the size of a ping pong ball and the nurses say this is normal. what caused this and should i be worried?
Hi, Thanks for asking. Based on your query, my opinion is as follows.1. Patients on Coumadin have increased risk of bleeding as they have high INR ratio.2. Increased bleeding possibility leads to hematoma formation, which has now occurred at the time of blood Chat Doctor. 3. It will reduce in two weeks and is normal for patients on Coumadin therapy. Hope it helps. Any further queries, happy to help again.
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i was diagnosed with acute bronchitus ...I have light headness, alot of trouble breathing a little congestion..no cough they did an xray my lungs are clear i am on zpack but feel awful..they sent me for a cat scan to see if blood clot on lungs/came back negative..i am out of breath talking, feel awful i dont feel like i am getting better..what could this be? what do i test?
Thanks for your question on Chat Doctor. I can understand your concern. Yes, possibility of acute bronchitis is more. And to confirm this get done PFT (Pulmonary Function Test). It will not only diagnose bronchitis, but it will also tell you about severity of the disease. Treatment of bronchitis is based on severity only. So get done PFT. You will mostly improve with inhaled bronchodilators (formoterol, albuterol) and inhaled corticosteroid (budesonide or fluticasone). Oral antihistamine and anti-inflammatory Chat Doctor. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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i have back pain, it comes on quickly, no triggers. just suddenly its aching a little, then within a half hour it hurts so bad i can barely walk, im vomiting and crying, i get dizzy because it hurts so bad. the vomiting usually stops within an hour or two, but the pain lasts for days, the only thing that makes it easier to handle is a heating pad, but im burning my skin with it.
Hi, Welcome to Chat Doctor. After going through your query I think You are suffering from acute backache. It may be due to slip disc. Treatment of it is rest and analgesics. Diclofenac three times a day after meals is effective. Sometimes strong analgesic(such as attract three times a day after meals) is required. OMEPRAZOLE 20 MG before meals prevent acidity caused by analgesics. Sometimes vitamin D deficiency is the cause so get your vitamin D checked. If it is low then vitamin D supplementation(On DK 60K weekly with milk) can be taken. To further investigate MRI of the region is advised. I think your query answered. Welcome to any follow-up query
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Hi i notice that for the past few years i randomly will get a huge knot appearing on my forehead. It comes and goes, and id say i get like a couple of knots within a month and there always in the same place. No pain, no redness, just a hard hard lump size of a golfball..
Hi, dairy have gone through your question. I can understand your concern. You may have some soft tissue tumor like lipoma or neurofibroma. Or you may have some cyst or skin adnexal tumor. You should go for biopsy of that lesion. It will give you perfect diagnosis. Then 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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HI, need help!!!First i want to explain what happen to me... near 3 weeks i was suffered with fever. Then i approached local doctor he given some Allopathic and homeopatChatDoctoredicines. in two days the fever come down to normal. But in two my face swelled which can we easily visible by jaws, checks, temple etc. my local doctor said its common your healthy as he suggested to go for urine and blood tested then every thing is normal in reports but found some puss cells in urine.As the checks are swollen i contacted dentist as he suggest to remove the molar tooth which is no longer use full and which is irreparable. he gave some tablets. after taking for three days i didnt see any improvement.Then i approached to a doctor who is a surgeon and professor in osmania university. after his examination he said due to infection through food or water or air it caused u need to observe that and try to stay away from that he gave some tablets which i need to gradually decrease the from 3 - 1 tablets in 3 days. it helped some what.But now still i cant able to swallow the food properly and the swollen face still looks puffy face better than earlier can you please me to whom i can approach so that i can reach the correct person. and what is the reason.I cant able to concentrate even in my work. I hope you can understand my problem..
Hello gone through your query.it may be due to your molar tooth which is infected.it may form an access causing the swelling and fever. Take a proper course of antibiotic like combination of amoxicillin and clavulanic acid. Painkiller for relief and rinse with a God mouthwash. Check it out if the molar can be treated by RCT. In that case u don he to get it removed.i tank this ll surely help. Take disregards:
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Hi, my husband had testicular cancer about 4 years ago and had one testicle removed. The urologist said he would have no trouble in us conceiving. We recently went to a fertility specialist who advised that his sperm count was low (1million) and he has high FSH level. He said there is no way to raise his count or lower his FSH and that we wont be able to conceive naturally . Is any of this true? Is there anything we can do and what are our chances of being able to conceive naturally?
Hello.First, semen test should be repeated. Sometimes there are very low levels by various factors that can lead to an erroneous result. If very low levels are confirmed ;you must know that the Minimum Concentration of sperm in ejaculate must be 20 million / ml. There are treatments to increase sperm concentration but at these levels is very, very difficult. The alternative would be to use assisted reproduction techniques which are becoming more effective. However, request test is repeated. I wish you good health(In case the answer would have been useful please indicate this)
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hi doctor, my daughter is 2 yrs n 7months old. she won t eat, she dont like to eat food.my friend suggested me to give her medicine. i m giving her APTIVIN n PAPYTAZYME SYRUP. so can u pls tell me these both medicine is safe for her or not. and 1 more question is she always suffer from very bad cough, we check with doctor n we have done some tests for that every report is normal than why her cough is not going
preferring milk to food is common in toddlers, and It's important to distinguish a behavioral issue from an organic cause, did you notice that she might not able to eat because she feels pain ? Or it is a preference issue ? If it's a preference, then cut down the milk and make her hungry a little and offer her sweet food first, mixing with that a little vegetables and fruits. don't use conditioning (prize for eating) method, because it will not help .the papytazym is used in cases of suspected herpes and oral pains, if nothing is there don't use it action is an antihistamine which used in Cases of allergy. For the second question : the most common cause of Cough in child Chat Doctor.
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Our 2 year old is complaining that his stomach hurts only tonight, hes had a cold with low grade99.8 fever since Sunday night so weve steamed and vicked and this afternoon hes seemed much better and retemped at 96.8. Should I take him to emergency because he seems very discomforted. Hes getting broken sleep, tossing & turning and whining and crying and I just noticed he covered one of his ears too.
Thanks for asking question. Gone through your question and I understand your concern. You said that you are child is not feeling good, and he is touching his ear with cold and cough. Sometime the infection from cold and cough can go ears, which needs some more specific treatment like antibiotic. I suggest that you should consult emergency for full check up specially ear. Thanks wish you healthy family life
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my fiance woke last night with what looked like a severe sunburn all over him he had very bad diareahha and then got some chills his eyes were red and blood shot and his heart beat very elevated. we had dinner out and this happened about 3 hours after
HI, thanks for using Chat Doctor It is likely that the symptoms are related to an allergic response to some component of the meal used. The diarrhea would have caused increased heart rate because of the fluid loss. He needs to replace the fluids and electrolytes that he lost due to the diarrhea. This can be done with oral rely Chat Doctor. An oral antihistamine may help with the rash and paracetamol with his fever and chills. If his symptoms do not resolve or worsen, it would be best to see his doctor for assessment. I hope this helps
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Hello last week I was in a activity, and I started to have symptom of Flu and I stared drinking a medicine for that.I feel better after that but I keep feeling in my chest like I have broquitis. A few days ago start feeling some pain when I press my chest. Im planning to see a doctor soon. If any recommendation.
Hello dear, thanks for your question on Chat Doctor. I can understand your situation and problem. I advise you to get done chest x-ray to rule out pleurisy (inflammation of pleura). Pleurisy is common after upper respiratory tract infection (URI). And chest pain on pressing can be seen in pleurisy. So better to rule out this by chest x-ray. If chest x-ray is normal then no need to worry much for pleurisy. Avoid pressing chest as this can itself cause pain if force of pressing is more.
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my 12 year daughter is having tics for some time and now they have progressed to facial grimaces with teeth clenched and back arches and stiffening. her ceruloplasmin levels have come at 20.1 and 18.6 in two tests. she has no KF rings in the eye, liver function is normal. doctor has asked to do copper serum test as wel as the 24 hour urine copper test. hile we await he has asked to start her on tab sizodon and arkamine. should we do that before we evn know what she has? first he said tourettes syndrome and now it could be wilson disease. should we not first onfirm what this is first. also her atacks ar so like extreme seizures without any fainting. very stressed
Naturally you will be stressed, because the conditions that your doctor has mentioned are rare inherited disorders ----and the fact that your ceruloplasmin level is within normal range unlikely to be Wilson's disease. If your daughter had tics and stiffening, does she have abnormal sounds and uttering words repeatedly. I suggest that you visit a pediatric neurologist. If it is Tourette syn Chat Doctor. You will have to have a group to manage your children needs.including tick management, behavioral management, social support and so on. Yes you are right, You have to confirm your diagnosis before starting treatment and the management has to be comprehensive and multi faceted instead of single medication therapies.
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Every night while sleeping, both lower legs become numb and painful. I usually get up during the night and sit up for awhile. This has been ongoing for about 1.5 years. Can you suggest the cause or how to alleviate the pain so I can get a better night s rest?
Dear patient numbness in both legs especially at night may be due to nerve compression at the level of lower spine. Rarely it may be due to cervical myeloma thy. I would like to advise X-ray of lumbosacral spine anteroposterior and lateral views to rule out bony abnormalities. Meanwhile, start tab regain x 75 mg one at bedtime for one month. If not relieved MRI of lumbosacral spine with screening of whole spine needs to be done and visit to spine surgeon is recommended.
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after eating tandoori prawns at a restaurant i got burning in the mouth, breath chock ing and big blisters in the tongue and boils on chest which were restored after taking lot of cold water after some hours. THis was my second time of eating prawn, first time it was o.k. What precautions should i take in future?
Hi, Your clinical history is suggestive of food allergy to prawns. These are some of the precautions that you should follow -1. It is best to avoid the food that you are allergic to. Always stay vigilant about the food that can trigger allergic reactions (prawns in your case). Ask questions when eating out to avoid even the traces of allergenic food.2. Do not take any chances however tempting the food could be. Please be aware that severe allergic reactions could be life-threatening.3. Work with a doctor and keep emergency allergy medication with you at all times
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I am a 65 year old healthy diabetic (type 1) and recently had an episode of my foot and ankle feeling like vibrations were coming from the floor up to mid shin. I have some back problems so I took a mild muscle relaxer and the sensation stopped. Is this something I sould be concerned about?
I would like to ask you about your weight and how along have u been suffering f e on backache. And yes the symptoms correlate in a way but I would. Like to be more specific like are u having any numbness or loss of sensation and are you having any radiation of pain from back or hip towards the foot and toes...if yes and you're obese. Then it could be SCIATICA and yes it relieves with rest and muscle relaxant. A few clinical tests will confirm sciatica for you. I advise you to not lift heavy weights, not attempting to sit or get up from floor and use proper posture while working or sitting and physiotherapy.
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Hi Doctor,I am working women but trying to conceive from last 2 years. It has been 2 years 9 months for my marriage. Physically we both are healthy and there are hardly any issues till date expect my husband sperm count being 20 millions with 50 % motile good quality ones. I have gone through 1st IUI with cycle of last month but even that had failed . I am 28 years old and worried about my growing age. Are there any reasons of unexplained infertility. My height is 154 cm and weight is 57 kg. Trying to reduce the weight. I have never taken any contraceptive pills.
Hello No doubt both of you are perfect and healthy. You mentioned that your husband is having sperms count 20 million with 50 % motility. Your height, weight and age all are up to standard for pregnancy. Let me explain about the scientific proof about INFERTILITY, please note down. Studies suggest that normal fertility is associated with SPERM counts of >48 million/mL, WITH A MOTILITY OF >63%, with 12 % exhibiting normal morphology. Whereas FERTILITY is seen with SPERM counts of You didn't use any contraceptive pills, so this is a good thing i.e. no imbalance in hormones. You mentioned that there is 20 million sperms, but please mention total or / mL. Also mention volume of semen. Hope this information will helps. So consult infertility specialist and get his opinion. Good luck.
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My leg always feels numb and now it is starting to give me a really bad sharp pain running up my hip, I had an ultra sound because my doctor wanted to see if i had maybe a blood clot, but nothing...this pain is really interferring with me walking...and sometimes i have to stop because the pain in so sharp
Hi, thank you for providing the brief history of you. A thorough clinical neuromuscular assessment is advised. As you have a sharp shooting pain and numbness you need to undergo a Neuromuscular assessment along with MRI of lumbar spine as this may be due to pinched nerve. Post which taking a physical therapy like therapeutic ultrasound therapy and TENS therapy will help reduce the pain. Later stages exercises will be implemented to improve the stability of the spine and strengthening of the muscle to improve the quality of life. As your symptoms are classical for suspecting the pinched nerve I will recommend undergoing physical therapy in my clinical experience patients with similar complaints are majorly having pinched nerve and respond well to physical therapy. RegardsJay In Chat Doctor.
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hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now,hi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretchehi,my brother is patient of heigh blood pressure and diabetic .now a days he is jobless n lost his 22lac business.now in great depression ,his bp shoots daily,he is using different tablets but in ain,220/100 is his bp .littlebit phsyco,hegoes i feel short breathing while sleeping n my neck muscles r stretched ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now d ,anexiety n taking sleeping pills but all in ain,bp shoots .what should do we now
Hi. I have understood your concerns...your brother has lost lots of money in business, so it is a trigger for his depression and anxiety and when a person is anxious his blood pressure usually shoots to a high level.so first i ll suggest u to consult a psychiatrist and go for psychotherapeutic counselling. I can suggest u medications which u can give him and he'll be improved within 1 to 2 months but after that the medications shut be continued for long duration and shunt be stopped unless any expert advises,..the Chat Doctor. Sertraline [Zoloft 50 mg] once a day at night .increase the dose to 100 mg at night after 15 days.u can go up to 200 mg of sertraline.tablet.clonazepam [Klonopin 0.25 mg thrice a day].if your brother is having excessive sleep then give this
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My mother has been in a nursing home since the middle of September. She has had steady mental deterioration, 5 or six UTI s . She has no teeth, and yet they continue to feed her pizza, potato chips, sandwiches, things she could not chew if she wanted to. She has lost 55 pounds, and looks like a holocaust victim. Am I crazy to assume the care here is less than ideal?
Hi, Welcome to Chat Doctor forum. Make sure who are feeding her, the nursing home people, or your own people. The nursing home people do not have any concern about feeding. If your own people are feeding who are to be blamed. If someone is feeding her, how she is eating them without teeth. If she is taking them, she should gain weight, or someone else is taking them on her name. Anyhow she is in the nursing home for the sake of treatment, the treatment part should be satisfactory. That is what about you should be concerned. Wishing her a quick and complete recovery. Thank you.
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hi i recently had a bartholin abscess and burst itself last Wednesday,it took plus minus 2-3 days to drain,however the pain is gone,but theres severe itching at the moment,can someone please tell me why this is happening,and how long will it take to go away completely thanks
Hello, Welcome to Chat Doctor, Bartholins cyst is formed when a Catholics gland is blocked, causing a fluid-filled cyst to develop. Catholics cyst is not an infection, although it can be caused by an infection, inflammation or physical blockage to the Catholics ducts (tubes which lead from the glands to the vulva). If infection sets in, the result is a Catholics abscess. If the infection is severe or repeated a surgical procedure known as marsupialization may be required to stop further recurrences. It is a benign swelling of the gland, however a biopsy of the removed cyst will help in confirmation. Thank you.
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My 10 month old baby had one spot on his cheek last week that was very red for a day and then got a white center to it and popped about 24 hours after it appeared. I took him to the doctor and they didn t know what caused it, but gave us a prescription antibiotic cream to put on it. Today, my baby woke with another spot on his other cheek and one on his let. Do you think they could be gnat bites? He is outside at daycare for a couple of hours each day. I know that they are NOT mosquito bites.
Hello there, thanks for using Chat Doctor. From what you've described, it seems like your baby has furunculosis or a small abscess. It should settle on its own and if it is very painful, causes fever or large, may require an incision to Chat Doctor. I would advise you to wait and match unless he develops spots around his mouth or under his nose, in which case he will need antibiotics. Another thing to keep in mind is that if he gets fur uncles often, he may have a bug called Staph aureus in his nostrils or armpits and will need a decolonization regimen with mupirocin ointment in both nostrils for 7 days, and a chlorhexidine body wash for 10 days. Hope this helps you.
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My friend has low hemoglobin, 8.7 she needs knee surgery but they will not do it until blood levels go up, she has had both scopes and total body scans she had neurphrytis when she was young, also has a swollen lympy node in her neck, red inflammation in her shoulder for over 6 months has been taking Rx iron for over two months to bring numbers up
Tithe treatment of low hemoglobin level varies greatly. First, the underlying cause of the anemia needs to be identified and corrected. For example, anemia as a result of blood loss from a stomach ulcer should begin with medications to heal the ulcer. Likewise, surgery is often necessary to remove a colon cancer that is causing chronic blood loss and anemia. Sometimes iron supplements will also be needed to correct iron deficiency. In severe anemia, blood transfusions may be necessary. Vitamin B12 injections will be necessary for patients suffering from pernicious anemia or other causes of B12 deficiency. In certain patients with bone marrow disease (or bone marrow damage from chemotherapy) or patients with kidney failure, poetic alpha (Profit, Spoken) may be used to stimulate bone marrow red blood cell production. If a medication is thought to be the culprit, then it should be discontinued under the direction of the prescribing doctor. Regards Chat Doctor.
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My daughter has just been told she has systolic heart disease. She is 49 years old and over weight. She has been told this disease is reversible and I would like to know how, other than to loose weight which is obvious. Also, how long does it take. Thank you.
Hithere is no such entity as systolic heart disease, I think you want to say systolic hypertension by systolic heart disease see there is a categorization of systolic hypertension if it is grade 1 i.e. her BP is between 140 and 159 mm of Hg lifestyle modification can be very useful ask her to do strenuous exercise for at least 45 minutes a day for minimum 6 days a week try to avoid butter and saturated fats and fast food rather try natural vegans diet restrict the amount of salt to 2 to 3 grams a day keep body HY Chat Doctor.
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I have a lump that is semi hard, the size of about 3/4 of a golf ball on my foot right below the bone on the outer or distal side of my foot. It is big and I just noticed it a night or so ago, then I noticed one a little smaller but same consistancy on the top of other foot right below the ankle, . Both feet? smae kind of thing? Should I be worried, I can almost feel a vein or two inside the big lump, not water retention in feet as I have been very familiar with that in past. Elevated it, ised it, and it is not decreasing in size either one of them. What is this, should I worry?
Hi, Dear thanks for the query to Chat Doctor virtual clinic and understood your health concerns of the lump on the foot on both sides in last 2 days time. It seems to be Erythema Nodes and would go on its own in next 3-6 weeks time. I would advise ER Orgho-Surgeons second opinion who would treat it accordingly. Hope this would reply your query to your satisfaction. Write Excellent review and hit thanks if this reply is liked by you and is helpful to you. Welcome for any further query in this regard to Chat Doctor. Have a Good Day. Chat Doctor. N.
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I wondered if it is okay to use Vagisil anti-itch cream on my 5 year old? She has a persistent vaginal itch for at least 3 weeks, have been to doctor, they tested her urine, nothing abnormal. There is no redness, discharge, burning, it s just a very intense itch. Very random but pretty much everyday. Doc had said to try Lotrimin which we did for a few days, no change. Have also tried A&D ointment, Gold Bond powder, ice pack, baths...There has been no change with any soap, detergent, toilet paper, etc. Package says 2 years and up, pharmacist said to ask doc, thought doc had mentioned something about it but can t remember it if was bad or not. Hoped it would help her. Thank you.
Hi, From history it seems that there might be having non-specific itching over the part. Using various anti-itch cream haphazardly is not advisable in child Chat Doctor. It is advisable to consult dermatologist to get expert advice. Common problems when this type of itching is present are,1, having warm infestation where worms coming out and migrate into vagina,2, not having proper local hygiene,3, yeast infection. Consult dermatologist and get examined. Ok and take care.
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Abour a month ago, I had an onset of dry mouth, LOW blood preshe(102?60/100pulse. This has continued. I have talked to my cardiologis in past 2 days. He stopped my 3 heart medicatioms. My blood pressure has slowly climbe to 138 or no heart medication. Please advise.
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain you something and give you my opinion. You should know that when we treat hypertension our goal is to keep mean blood pressure values below 140 / 90 mmHg. A person might have high or lower blood pressure values during physical and emotional stress, so it is mandatory to judge on mean values. If you previously have been diagnosed with hypertension, and you are experiencing lower values the best alternative is to reduce any dosage and not completely stop them. You don't mention the medication names, but in my opinion you should take an appointment with your cardiologist. The previous medication might be reduced in dosage or find the best one adapted for you. Chat Doctor. If I was the treating doctor I will recommend a holder rhythm and pressure monitoring to evaluate your blood pressure values and frequency and then decide the best option for you. Hope I was helpful. Best regards,
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IAM HAVING PAIN IN MY LOWER BACK I FELLED DOWN THREE MONTHS AGO AND I HURT MY KNEE I DID NOT SEE ANY SIGNS THAH IT MAY HAVE BEEN BROKEN BUT IT DID HURT FOR QUITE AWHILE NOW I AM FELLING AN ACHIHG SENSATION DOWN MY THIGH TO MY KNEE ALONG WITH THE BACK PAIN DO YOU THINK THIS MAY BE COMING FRO THE KNEE
Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that your symptoms articular pain, irradiating by a possible disc displacement in your lumbar spine. A knee injury, involving the nerves would not cause pain in the thigh, or even more on your back, but it would cause pain locally or irradiating down the calf. I recommend consulting with a neurologist for a careful physical examination, a lumbar spine x-ray and a nerve conduction study of the lower limbs. A lumbar CT scan may be necessary to examine better your lumbar vertebral column. Meanwhile, I would advise you to have some rest and take some painkillers like acetaminophen or ibuprofen. Hope to have been of help! Best wishes!
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Hi ,My husbad have sever right abdominal pain from past 3 months, ct,endo, colo, entero eveything is normal. but in stool test fectal calprotectin is 600 which suggest an inflammation. but doctor cant find anything in colonoscopy enteroscopy too. but in coloscopy biopsy we had reactive lympth hyperlasmia result is found. which suggest again sum infection is there. can u tell me what will the probablities for this. doctor said no for chrons or ulcerative since in visual ther is no ulcer.
3 months of symptoms of pain in abdomen, normal investigations noted. Reactive lymph hyperplasia can be due to Tuberculosis, typhoid and other specific or non-specific infections. I would also recommend test of barium called Enterocolitis under a fluoroscopy control to see the real time movement of the bowel, any obstruction or motility disorder. This may give an additional clue. If the routine medical treatment is failed to give a relief, you can request for an empirical course of an anti-tubercular treatment after blood tests of Quantifier gold test for tuberculosis and see the results.
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Hi doctor,I am having sensitivity in the upper right tooth. There is no ditch or cavity but I feel the sensitivity while eating sweets. What could be the treatment option for it?
Hi, Welcome to Chat Doctor forum. Sometimes any cavity or decay is not seen clinically but there can be some infection or carious activity going on inside the tooth that can be detected in X-ray or on examination. Considering the symptoms following could be the treatment options. Filling of the tooth if there is some carious activity diagnosed internally. Varnish on the tooth if there is no carious activity seen and there is just wear off of enamel seen. Root canal treatment if carious activity inside the tooth has involved the root.
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I got swollen glands above my penis to the left and right,almost at the same time I got pshoriasas on the soles of my feet and the palm of my hands with severe Rosea..have tried everything to no avail otherwise Iam quite healthy,I did loose a lot of weight as I lost appitide maybe 2 stone,but have regained some of the weight
Hi, The swollen glands are not related to your palmo-plantar psoriasis. Palmo-plantar psoriasis can be well controlled by applying moisturizing creams and keratolytic ointments as topical application after softening the affected part with warm water. Vitamin A and Omega-3 fatty acid supplements will also help for faster relief. Regarding the glands, investigations to rule out possible causes including STD, Tuberculosis, Filariasis etc. have to be carried out. If necessary a Fine needle aspiration biopsy from the gland will help to fix the diagnosis and for further treatment. Get Well soon. Chat Doctor. Morgan
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I am in a lot of pain in my knees and legs, my feet swell. I just got a test back that my C-reactive protein is at 19. I have a full knee replacement on my right knee and a partial on my left. I also get nauseated about everyday at some time or another. My family doctor wants me to go to my orthopedic doctor and can t get into him for a week. Any advice?
Hi, thank-you for providing the brief history of you.a thorough neuromuscular assessment is advised. Also, as you mentioned your creatinine levels are high, are you diabetic? Are you being taking a lot of painkillers? Well, if so, the painkillers need reduction. As the creatinine levels are too high as per me. Also, since you do not have an or tho available, you can visit a physical therapy, who will help you with exercises and ultrasound therapy to reduce pain and swelling. Also, maintain you fluid intake and output. As to help reduce swelling further. In my clinical practice I have seen cases with similar complaints. With physical therapy they respond well and with diet management. RegardsJay In Chat Doctor.
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please help age is 30 years male his weight is 70 kg ,he had skin biopsy which says its pityriasis linchenoides chronica a type of parapsoraisis ....I wanted to know is there a complete treatment of parapsoraisis in ayurvedic medicine or in homeopathy please tell me who is the specialist in this thanks
Hi, Satyriasis lichenoides variants describe scaly dermatomes with necrotic popular that are clinically and histologically different from Para psoriasis. This disease generally are benign and undergo spontaneous resolution but, at times, may have a protected course. Para psoriasis refers to 2 disease processes that are caused by T-Cell- pre-dominant infiltrates in the skin. These disease processes are large plaque para psoriasis and small plaque para psoriasis. AYURVEDIC VIEW, Ayurveda believes that impurities in the blood associated with emotional factors are the cause of the disease. The disease also caused by Citation of DATA and KAPPA DOHA. The vitiated dos has affect the skin and blood tissues. They also influence water element of the affected region on skin. Thus, the skin which is influenced by affected dishes becomes discolored [white or copper] scaly and thin. AYURVEDA suggests PANCHAKARMA for the treatment of para psoriasis. This because detoxification of the body is very essential for the treatment of this. Include more fruits, vegetables in your diet. Avoid animal fats, eggs. Use separate, clean cloths and towel for your use. Applying Aloe vera cream thinly to irritated skin and rubbing lightly.
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I started having major swelling in both hands top & wrists as well as both knees along with severe pain. I have been tested for rumetoid arthrisit and lupus and all blood work has came back normal. My doctor thinks because of seeing the actual swelling with redness and heat that it is rumetoid but she is not sure. The flare ups are happening almost daily and she has started me on medication but it still is not seeming to help or releive the pain or the swelling any idea
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have swelling in hands and wrists along with pain. Well there can be many reasons for symptoms you mention in query like osteoarthritis, rheumatoid arthritis, gout, psoriasis arthritis or septic arthritis. I would suggest you to consult orthopedic surgeon again for proper diagnosis. Doctor may order blood tests or X-rays along with joint aspiration. Doctor may prescribe medicine like allopurinol, anti-inflammatory, methotrexate along with antibiotics and analgesic. For now continue your medicine, apply warm compresses and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes,
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hi... im suffering from upper back pain... last night i have a severe back and stomach pain... im also acidic... by stomach ease up after taking maalox and drink water, however, my back still ache up to this morning... what should i do to ease the pain and what seems to be health problem?
Back pain can be because many reasons. Even a stone can also cause back pain. I think you should consult with a doctor and get your ultrasound and x-rays. Back pain is usually due to our lifestyle issues like wrong method of sitting, bending or Chat Doctor. If every thing is normal for you on x-rays than you can go for physiotherapy. They will teach you how back strengthening exercises. This is good for permanent back pain relief.
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Hi I am a 29 year old female who is has and infection in the root of a tooth and has been on amoxicillian for the last three days. No allergies . But over the last few hours the side of my face that my teeth that need to be taken out on has become slightly swollen, cannot shut eye by itself, almost like the muscles aren t working, there is no numbness or pain and the eye looks fine, vision is fine and the eye follows on it s own when following the tip of a finger left and right. Please help. Could this be a pinched nerve? or a stroke? One side of my face isn t as responsive and its the side that the bad teeth are on.
Hello...your present swelling is because of the infected tooth which you said is to be removed. Amoxicillin is not working on your condition, and you need a more advanced antibiotic and painkillers. This swelling will go gradually, and you need to take some precautions like, do not eat or give pressure on that side. Do not sleep on that side of face else it might increase your swelling. Consult your dental surgeon for change of your medications. It can be possible that if possible Root canal Treatment can also help you combat infection. Chat Doctor.
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My foreskin will not retract over the glans during masturbation as it kind of feels too tight, however last night I lost my virginity and the foreskin retracted inside my girlfriends vagina painlessly without me knowing about it until afterwards when we finished. It is slightly sore today. Is this normal?
HelloThanks for query. You had difficulty in retracting foreskin over glans penis while masturbating, but it was freely retracted when you had intercourse with your girlfriend. This could be mostly due to tight foreskin that was not being retracted while masturbating due to devoid of lubrication However during intercourse female vagina is well lubricated due to vaginal secretion which helps in painless retraction of foreskin over glans penis. The soreness that you have on glans penis can be cured with antibiotics and topical antibiotic ointment Newsprint for 5 days. Do use lubricant jelly like Xylocaine Jelly while having intercourse. This will prevent injury to glans penis and frenulum. Chat Doctor.
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Hello sir my brother was chewing pan masala from last 2-3 years but now he stops doing that but stains of them r there on his teeth that looks really very bad will u plz tell him how to remove those stains naturally....if possible then give some homemade tips.
Thanks for your query, I have gone through your query. The stains cannot be removed naturally. Consult your oral physician and get your teeth cleaned. You have to quit the habit and maintain the oral hygiene. You can use mouth washes. it's better to stop the habit because stains can be removed by cleaning, but if the damage has occurred to the cheek cannot be corrected. I hope my answer will help you. Take care.
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for a couple of weeks Ive been feeling dizzy (light headed), blurry vision, and a little bit nauseaus! I went to urgent care and got checked out and doctor says it could be virtigo and also I might have suffered a anxiety attack? Today I am again feeling very dizzy and now I feel my tongue getting numb and and a weird sensation shooting down my legs? should I go to urgent care again?
Hello! Welcome on Chat Doctor ! Your symptoms could be related to a panic attack, as there is no neurological disorder with sucChatDoctorbination of symptoms. Anyway, if the problem persists, I recommend consulting with an ENT specialist for a physical exam and labyrinthine tests to exclude a possible inner ear disorder. Some blood lab tests are also necessary to exclude any possible metabolic causes, which may mimic this clinical situation : (complete blood count for anemia, thyroid hormone levels for thyroid gland dysfunction, blood electrolytes for possible imbalance). Hope you will find this answer helpful! Best wishes,
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Hi - my stepdad has stage 5-6 dementia , CPOD, emphysema, and lung cancer . He recently was undergoing SBRT for the tumor (stage 1) and after three treatments was in the hospital with pneumonia - two weeks later he seems better - a little unsteady on his feet but doctor says he needs 24/7 babysitting or go to nursing home coz mom can t care for him at home with what he needs. we are confused doesn t seem bad enough for 24/7 - he was on level 2 oxygen and went up to 3, now trying him on 1.5 should he go back for the rest of treatments - it isn t seen as a cure
COPD, Empysema of the lung are chronic diseases and super added with pneumonia, in cancer lung after radiation therapy, I think he is in critical period. To overcome these problems, he needs medical supervision, may not be available in the home. He can shift to home, once his condition is stabilized means he requires only oxygen and able to breath normally on oxygen. Going for further cancer treatment is, in my view, not give any positive results.
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During season changes, i get cough which lasts more than 25 days , smtimes 30 days also, and continuous sneezing, occasional light fever, and once in 10 days i found blood along wth sputum. Xray done, it is normal.Doctors always diagnose it as esinophilia, get the AEC test done and after using medicine again AEC test done, improvement is there. But cough prolongs intensity reduces.and severe sneezing persists. some say it is Allergic Rhinitis, Others Bronchitis, and some say its latent Tuberculosis. Please advise. This problem is continuing fron childhood. i am 38 years old, 68kgs weight. Do u feel my lungs are weak ??
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of persistent cough and fever which is due to chronic lung infection or bronchitis. Your poor immunity of body is exaggerating your condition. Need not worry much. I would suggest you to visit pulmonologist once and get it examined. You should go for pulmonary function tests and x-ray chest as well to check exact level of infection. Start treatment only after proper prescription. Chat Doctor. You need inhaled bronchodilators and antihistamine
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Hi, am 29 years old male. Have following issue after I went appendix surgery in the month of oct 2013. Recently for last 2 weeks experiencing following 1) stools are black. 2) not having feel of complete motion. 3) sometimes pain in testicle and in lower abdomen. Down full abdomen scan. No fault found. Took medicene for testicle pain and abdomen infection but still no go. Pls advise on treatment and medicines.
I am sorry to hear about your pain. First off, having black stools is very worrisome as this commonly is referred to as Elena, or bloody stool (digested blood from your upper Hi tract causes your stool to become black). If this is persistent you need to see your primary care physician immediately for further evaluation. Now I also see you recently had some type of abdominal infection, hopefully you completed your antibiotics for this and have followed up with the prescribing physician. In regard to pain in the lower abdomen and into the testicle following any lower abdominal surgery, the common cause is ilioinguinal or genitofemoral neuralgia (nerve pain). Another possible cause would be an inguinal hernia, which can develop from straining. I would recommend seeing your primary care for a careful physical exam to help differentiate between these two possible causes. I hope you feel better soon.
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I have excess mucus draining down into my throat. It is very thick while sticky stuff that I have to wipe out of my mouth. I have had sinus surgery; been check for allergies; use netty pot; use nasal sprays; had my house checked for mold and nothing seems to help. It is really bad and I have fought this for three years and have had no help. I have taken several sinus medicines.
Sinusies are always affected by allergy even if you get operated they flare again because you have not treated allergies if you want to cure you consult with allergeologist who will be able to fine allergy and that by desensitization therapy till you get treatment you can use Allegra 120 mg morning and spy portion 1/2 SF night with warm water apply Aureomycin h eye ointment in nose band seawater Chat Doctor.
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I was wondering what would be the cause of my symptoms I ve been having for about a week now. I was diagnosed with anxiety , and am currently taking 0.25 Xannex .. I have a doctors appt. tomorrow, but figured I d ask you guys now considering my symptoms feel worse today then any other day. SYMPTOMS : Numbness from my hands to the very top of my arms on both sides. Low Blood Pressure yesterday it was 89/71 and today its 100/73. I feel tired all the time. And this morning I feel nauseous. I work for a pharmaceutical company, and my job is not easy, because I have to use my arms. I am tired on the jobs, and its stressful to me while these symptoms have accrued. Please tell me what I should do?
Hall your symptoms like numbness in hands, low blood pressure, tiredness, nausea and you're feeling that job is stressful point towards anxiety. Is it present only for 1 week, and you were perfectly fine before that or the problem has worsened in the last week? If it is present only for the last i week, there could be some issues worrying you for which you should consult somebody you confide in or else professional help from a psychiatrist. Whatever, this problem should soon be over, and you will be fine. Best wishes
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Hi I have recently gone under several minor procedures to remove a cyst from the shaft of my penis. Now that I am able to have sex I have noticed that my seminal fluid is very liquidy and a light brown color. Should I be worried or is it most likely possible damage to a vein or something of that nature
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Nothing to worry dear. The red color is because of the surgery conducted and hemorrhage because of it. This will go of in some days. Thereafter, you will be having a normal semen. Right now all you have to do is you have to maintain good local hygiene by frequent cleaning. Please take the Chat Doctor. Antibiotics as given by doctors should be continued. I will be happy to answer your further concern on bit.ly/
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This morning i woke up to find that i had wet the bed, this has never happened before, i also have period pains but i,m not due on. A few days ago i woke up and was very dizzy and was stumbling around (like i d had to much to drink) it lasted a few minutes then went, later that same night i was sat in bed and became very dizzy again (i put it down to the heat) but the bedwetting was the final straw, if i ever need the toilet while sleeping i always wake up, and the unine was cold so it must have happened awhile before i woke up, i am quite stressed out at the moment as next month i will be starting i.v.f.
Hello....you had a bed-wetting episode... There can be many reasons for it...first you had a large dose of alcohol as it cause deep sleep and can cause bed-wetting,,,,second you may have just a deep sleep and in due to cold weather you may have done it ,,,in that situation also you need not worry... Third and very important thing to notice is, that is it secondary to any seizure.... As you have mentioned you had episodes of dizziness, and it happened two three times you need to consult regarding it and this matter should be resolved before conceiving as treatment can have negative effect on banyan last it may happen during stressful period in some people. You need to evaluate which one appear most appropriate cause for you and act accordinglyTake care
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I am a 37 year old female, recently been treated for thyroid cancer. I was diagnosed with Polycistic ovaries under 14 years ago. Is there a link between thyroid cancer and ovarian cancer, therefore should I look at getting my ovaries removed. I have 3 daughters, aged 1, 3 and 4.
Hi, Thanks for writing in. It is important to know if the cancer in ovary is metastasis or a primary. It is possible for cancer in one organ to metastasize to another and ovarian metastasis of thyroid cancer has been seen. In this case the thyroid cancer is said to be the primary with ovarian deposit. Rarely two different primary tumors might also arise in the thyroid and ovary and this can be due to some common shared gene mutation. Since your doctor has suggested surgery involving ovary therefore possibility of primary neoplasm might be considered. If the stage is still early then surgery is the best treatment. You might also get serum tumor markers like CA 125 done and then follow up with repeat testing and imaging to make sure that you are cured. Please do not worry.
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My sister was just admitted to the hospital last week. She has a fever of 102 that comes and goes. She had a upset stomach and protien in urine and (excues spelling)belirubin in urine. She has thyroid trouble, a sore liver, has been taking something prescribed for artherise and had a shot for shingles but has a out break recently. the infectious des. dr says he doesnt belives dont that she didnt have shngles. They dont know what is wrong, still having fever, sore liver,sore joints , she also has hot spells. she had a hysterectomy and galblader surgery a few years ago. at this time the only meds she is taking is thyroid med and high blood pressure med.
Hello, Thanks for posting on Chat Doctor, The problem is likely coming from the liver or her gallbladder. She might be having hepatitis or liver abscess. She will need evaluation of her liver (LFT) and an abdominal CT to determine the state of the liver and gallbladder. Furthermore, she will need to see a astrologist who can do a complete evaluation and determine the actual cause of her symptoms. Your sister might require admission. If she is having skin lesions, liver soreness, bilirubin in urine, then her problem is clearly of liver origin. Testing SAT, ALAT, BUN, alkaline phosphatase, amylase, lipase, viral hepatitis (B, C etc.) might be what is needed to be done to determine the cause. Hope this helps
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Hi, Im 24 years old. For the last two days I have had an itchy red pin prick rash all over my face. It is slowly spreading down my neck and is hot to the touch.I had something similar about 2 months ago and my doctor said it was viral so did not prescribe anything. I have not changed my diet or any products I use.I really need something to help calm down this bright red rash that is all over my face and very evident against my pale skin.How can I get rid of this and what could it be?
Hi, It may be acute urticaria. Kindly consult the dermatologist for the perfect diagnosis and proper treatment and perfect treatment. After thorough examination and investigations, he might give treatment. If there is some cause, treatment may be taken for that. Antihistaminics like fexofenadine, steroids in tapering dose.etc. may be taken. Calamine lotion may be applied to soothe the skin. I hope this would help you. Thanks. Chat Doctor.
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Hello Doctor, My mother is 55. She has severe rhe arthirits since 20+ years. She just had acute renal failure 2 wreks ago. Also have high blood sugar, potassium level was also high When tested doctor said have ureasepsis so she had dialysis for 3 days. After 3 days of dialysis when blood tested found urea high in blood around 43. So once again got dialysis done. She is still in ICU. Dont know what to do. Doctors said she needs to come twice a week for dialysis. But before and after dialysis she gets so weak that she cant even open her eyes.Please Help Doctor
She is feeling weak after dialysis because they are removing too much fluid from her body during dialysis. Discuss with your doctor to see if removing less fluid or not removing fluid from her body will prevent her from feeling weak. In disease of kidney caused by painkillers used in rheumatoid arthritis, patient tend to pass a lot of urine compared to other patients and hence many a time only dialysis is required and little or no extra fluid needs to be removed during dialysis. If your mom has pain still discuss with your doctor if she will benefit from steroid and leflunomide. The chance of your mom recovering is high if the creatinine increase is recent. However, for predicting chances of improvement more information is required. Discuss with your doctor if she will need a renal biopsy in the near future. It can predict recovery better than other tests. However, if the kidneys are severely damaged and small biopsy is dangerous and treatment has to done without kidney biopsy. Wishing fast recovery for your mom. Hope the information helps.
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My left jaw is in constant pain. I cannot open my mouth all the way and its impossible to yawn without pain. The pain hurts to swallow and move tongue around mouth. Sometimes it feels so swollen that it effects my speech. My entire left side of face and head hurt with throbbing pain at times. Tender to touch outside of jaw joint near the ear. My teeth are fine. I went to urgent care he said possible infection in gland that makes sylava or TMJ. No ear or sinus infection. On antibiotics for 7 days with no improvement.
Hello, Thanks for your query. One of the most common reasons for jaw pain is stress to the temporomandibular joint, leading to temporomandibular joint disorder, or TMD. The temporomandibular joint is immediately in front of the ear on each side of your head. Visit your dentist and get the treatment accordingly. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care