instruction
stringclasses
1 value
input
stringlengths
0
11.2k
output
stringlengths
58
3.44k
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Dear Doctor , I am getting irregularity in period my age is 30 and also i am trying to get pregnant from 9 month i m trying but not getting result wat measures can i take.
HIFI papaya, Welcome to Chat Doctor. Your period is irregular, and you are trying for pregnancy for 9 months. Pregnancy depends on ovulation and sexual intercourse in correct timing. Avoid stress, tension or anxiety. Do sex in cool environment and in proper position. Also regularize your period with medicine to correct ovulation timing.Otherwise, need to investigate properly to rule out pelvic pathology if any. Also husband semen analysis is very important. Consult with your gynecologist. All the best. For more detailed guideline and suggestion, mail [email protected]
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My son is 20 mth old. He is presently in kerala, India. there is slight emergence if H1N1 cases, plus recently he has been visiting hospital to meet his grandmother who is admitted. does he need to get vaccinated (prophylactically). If so , which one and the dosage n frequency
Hi, welcome to Chat Doctor. Since you are visiting a hospital and winter is coming, i sincerely advice you to give flu vaccine to the child. For first time vaccination of flu, the vaccine is given twice at an interval of 2 months. Thereafter a single dose of vaccine is required every year. Vaccines of flu come by the name of influence or handgrip. I hope this has helped you. Take care. Regards - Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
on the inside of my cheek i have to round white patches which is making me so uncomfortable during meal times and while brushing my mouth. its been there for over a week now. there is also one red sore on the left edge of my tongue opposite to the white patches . I thought it would heal by itself but it doesnt seem. what can I do about it. ( Im 28 and a man.) Thank you.
Thanks for your query, I have gone through your query. The white patch could be because of the chronic irritation by the teeth to the cheek(frictional keratitis or irrational fibrous). Or it can be lichen plans or leukoplakia or candidiasis. The soreness over the tongue could be a traumatic ulcer, or it can be authors ulcer. Consult a good oral physician to rule out these two conditions. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. If it is lichen plans then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. You can also take topical anesthetic and analgesics like Anabel gel for the pain. If it is frictional keratitis or traumatic ulcer you have to treat the cause by reducing the sharp usual edges of the teeth which are causing trauma. I hope my answer will help you, take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had hepatitis A infection in January 2014. My SGPT level went up to 4400 at that time began to came down gradually and it came down to 50. But in last 3 tests it showed figures above 100.My current billurubin level is .7, tryglicerides 70 and SGPT 140.What may be the problem?
HIT hank for asking to ChatDoctorI really appreciate your concern let me tell you that in case of liver infection particularly viral infection the liver enzyme (SGPT) gradually increasing and within few days this reaches to the peak level as seen in your case then this value start declining gradually and then comes to the normal or even sub normal value this is the reactive phenomenon against the infection this is happens in subject having good immune system, have a nice day.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctor,I have hemorrhoids for a few years. My doctor has suggested me a colonoscopy to rule out cancer. Is there any simple test available to rule out colon or rectal cancer? Please mention an opinion regarding stool occult blood test.
Hi. First of all, you get an MRI (magnetic resonance imaging) abdomen done. You can have a presence of mass when you have a colon or rectal cancer. If there is a mass seen, then you can do a colonoscopy. You can also do a CEA (carcinoembryonic antigen) as CEA show an increase in range when you have colon cancer. You can also do a stool DNA test. If the stool DNA test is positive, then you can also do a colonoscopy to confirm the diagnosis.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
am 22 yrs old and i have been having chest pains 4 about a year now and just recently i we to a privet doctor for help and he asked me to take tests for my liver and colestrol levels thn he said they seemed fine.i also had an x-ray done for my heart and he said i was fine.the thing is my chest still hurts and he gave me tablets of Eldervit and i dont know how its surposed to help.
Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are young and your reports are normal, no need to worry about major heart or lung related diseases. In my opinion, you are mostly having stress and anxiety related chest pain. Stress causes gastritis and this can cause chest pain. Avoid hot and spicy food. Avoid junk food. Avoid large meals, instead take frequent small meals. Start proton pump inhibitors and prokinetic Chat Doctor. Don't worry, you will be alright. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a female. 19 yrs old, 5 3 tall and 183 pounds though I don t look it. I have asthma but that s not the issue. I have a problem with my hands. They tremble from time to time, occasionaly I have dropped things. When I try to grip things tight, it s like I am not even trying. Also when I touch cold things, the pain spreads all the way to my elbows. I also have aches in my ankles and knees. I don t know what to do, I m really worried about my hands though.
Hi, There can be many reasons for trembling / tremors of the hands. It can be related to brain disorders (stroke-reduced blood supply, infections, genetic disorders), liver or kidney disorders or hyperthyroidism (increase thyroid hormone). Besides, there can be simple reasons like stress, anxiety, depression or anemia (low hemoglobin). Not only this, tremors can even be Chat Doctor. I feel that first do some lifestyle changes. Reduce the intake of tea and coffee. Try to be relaxed. Go for some relaxation and hand muscle strengthening exercises especially related to your hands. Do get your asthma medications renewed to rule out that they are not responsible for tremors. If still the symptoms persist then you must go for some investigations like complete blood count, CRP, thyroid hormone and sodium, potassium. Take care. Hope I have answered your question. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a lump just below one of my back teeth. It is a solid mass and has been there for about a year. It has recently enlarged and is now sore to the touch. The lump is not at my gum line but below it. You can see and feel it easily on the outside of my jaw. It does not hurt to chew.
Thanks for your query. I have gone through your query. The lump can be a periapical abscess or a cyst, that can occur secondary to tooth infection. This can result in expansion of the bone and produces a marked swelling. Nothing to be panic, consult an oral physician and get a radiograph and confirm the diagnosis. If it is an abscess get the tooth treated with root canal treatment. If it is a cyst then, along with root canal treatment, you have to get the cyst enucleated. Meanwhile, till you consult the oral physician you can take a course of antibiotics like amoxicillin and metronidazole. I hope my answer will help you. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my son aged 2 n half having fever n cough since last one week, doc had suggested to do chest xray pa, report shows evidence of inhomogeneous opacity noted in right lower zone, cbc shows hameglobin 6.8, rbc-3.05, malarial parasite- not seen, sgpt-19. pls help with ur kindl adivce. kalim shaikh
Hi, welcome to Chat Doctor. It seems that your child is having pneumonia. Also, the hemoglobin is less which can lead to severe hypoxia. Please show the child to a pediatrician for the management of the problems. He might also require a blood transfusion depending upon the vital status. He will also require chest physiotherapy, bronchodilators and broad spectrum intravenous antibiotics which can be done in hospital setting. Please take a consultation regarding admission to pediatric care unit. Hope he will get well soon.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a 14 year old girl who still wets the bed ,I have taken her to the doctors and she has had ultrasounds ,xrays and there is nothing wrong all tests came back normal ,She has juvenile arthritis has had it since the age of one I was wondering if there was any advice on what to do about this situation,I know it sounds bad but is she doing it on purpose because she was at aunties house and admitted to laying there and peeing because she was to lazy to get up exact words that were said Please help all other doctors say she will grow out of it but when ?
Hi... Thank you for consulting in Chat Doctor. I have few questions for you -1. Has your daughter stopped bed-wetting at certain age and again started having it2. If so at what age she stopped and when did it started he had never stopped bed-wetting form birth...you can try some behavioral changes which I can elaborate after proper history and interaction with you, but the effect will not be immediate, but it will be permanent. If it's a recurrence after attaining nighttime control, I suggest you see your pediatrician to rule out pathological causes like urinary infections or Voiding dysfunction. 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.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I am 36 years old and I fell very scared and i loose my self confidence. I am suffering this mental disorder from last 12 years. And I consulted many psycatrists at first i feel better after their treatment but after some period there was no response from medicines and injections . Is there any way to be cure. can i gain my confidence back.
Hello. There are many conditions in psychiatry which need more than just medicines, and you may be having one of them. Your depression may be secondary to some personality problem you are facing, and need specific intervention for that. You need specialized therapy, tailor-made for you along with medication to get full benefit. Usually this therapy are expensive and long term. You can not get instantaneous benefit, and you have to follow the advice of therapist religiously. But I'm sure if stick to it, you will be able to come out of it and can feel a confidant person and get in life what you wattage care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a 25 y/o female. I am constantly tired, irratable, nervous. Also I am passing an excessive amount of wind and go to the toilet a lot. I am 5 11 and weight around 9 stone+ Lately i have been getting very bad skin also and dizziness and shorness of breath. I eat quite healthily and exercise and have no medical conditions except Mitral valve prolapse.
His admire you for positive outlook understand your concern about stress and anxiety. Anxiety can lead to many psychological disturbances. It can be due to daily stress, social issues, psychological mildness, or may be biological. Sometimes it depends upon our nature and our capacity to handle stress. You have to do lifestyle modification to handle stress. Regular exercise and meditations. Read about progressive muscle relaxation therapy on internet and do it regularly. Take proper sleep and diet. Do stress-free work and activities, give times to pleasurable activities. This kind of condition can be treated with mild dose of benzodiazepine and mild dose of SSRI, in SSRI mild dose of Escitalopram and paroxetine like Chat Doctor. Get well soon. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
1. Do people with thallassemia ever have symptoms of hallucinations (auditory or visual) or dizziness/disorientation from that disease? 2. Do adults with thallassemia ever get umbilical cord transfusions today, or is it just treated medicinally? I m just writing a script--this is not an emergency.
Hello, I understand your concern. I am Chat Doctor, infectious diseases specialist, answering your query. No, thalassemia never causes hallucinations. There may be some other reason in you that is causing hallucination in you. I suggest you to do your psychiatric evaluation before. Please take full sleep and do yoga and meditation early in your morning. This help reduces your symptoms. I will be happy to answer your further concern, you can ask me on bit.ly/ Chat Doctor. Thank you. ChatDoctorInfectious diseases specialist.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,My baby is 4 days old. He is diagnosed with jaundice. His Jaundice levels were 19.6 and post phototherapy they have come down to 13. The doctor has noticed that the baby has high Hb (22.3). The other vital parameters are like PCV- 63.7, RBC- 6.36, WBC- 11600, and platelets- 2.05. The doctor has suggested blood dilution. Please let us know if blood dilution would solve the issue and if we have to be bothered about any other parameters.
Hello, Welcome to Chat Doctor forum. Your baby\s bilirubin is now in safe range. But as his Hb (hemoglobin) is more this may lead to hemolysis, etc. Dilution of blood means they take out blood and replace with saline. This may lead to dilution. But I think in your case if the baby is active we can wait or do a partial exchange. For more information consult a paediatrician online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 5 year old daughter has been sick with what we thought was the flu since Tuesday. Started with high fever (103*) and Included lots of abdominal pain, nausea and vomiting. Also loss of appetite. Saw the doctor for that and ruled out strep throat (even though she had pus sacks on her tonsils). For the last 4 days shes been experiencing severe burning of her anus...like her stools are very acidic. Even when she isnt passing stools. Also she has been passing light yellow colored stools that are very buoyant. And still, on and off bouts of abdominal pain. Any ideas if this is something more serious than flu stuff? Im a little worried about gallbladder issues.
Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. Your 5-year-old daughter had fever, abdominal pain, nausea, and vomiting, and loss of appetite. She had sacs of pus on her tonsils. She had loose motions as well, and burning in the anus. It appears to be follicular tonsillitis, nausea and vomiting are secondary to the fever, the yellow stools could be due to the fever or the Chat Doctor. Some
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi! im 52 years old male and a smoker for 30 years, it seems like my collar bone has some sort of hard lump, like the bone poked out but no pain, is this might be related to lung cancer or c.a.d (coronary artery disease). please help, thank you so much
Welcome to Chat Doctor .1. Lung cancer is one of the cause for the mass at the collar bone.2. Or any bony lesion arising from the collar bone itself.3. An x-ray chest / picogram initially to evaluate the lesion.4.depending on the involvement CT could be suggested.5. Yes even arteries cause lump, but they are not so hard. (an ultrasound will help in case of soft masses)6. However, get an appointment and see your doctor and do needful investigations. Anything to ask ? Do not hesitate. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My name is Ken Karson, I am an inner city hospital which is often the sight of emergency treatment for IV users. I have a history of using whatever needles I can get o injections and often am not careful about the cleanliness of his skin at injection sights. Some of the symptoms I have experienced are Rapid irregular heart beat marked shortness of breath petechial lesions of the skin conjunctiva and the oral mucosa weight loss back pain night sweats urine abnormalities.
Hello thanks for posting here. Given your history and symptoms, you have high probability of infective endocarditis. It is a disease of the heart valves. IV users are most likely to get right sided infective endocarditis of heart valves because of unsterile methods by which bacteria gain direct access to the heart endocardium. And also, please get your HIV Bag and HCV checked which are transmitted by blood, given your history of iv use. To evaluate infectious endocarditis, you must do a blood culture which is a blood test and a 2 D echo which will demonstrate bacterial growth on the valves of the heart. Take care. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello. I have been having upper mid stomach pain. cramping in lower stomach. i came on my cycle a week earlier (2 weeks ago) was supposed to be on last week. and now i am cramping, pain in the right side of my lower back/bottom area. loss appetite. what could it be?
Thanks for contacting Chat Doctor. You have problem of abdominal pain before metal cycle that is because if more gas accumulation in stomach. More gas problem cause abdominal blowing problem. More fatty food consumption cause abdominal blowing problem. Stress can aggravate a condition. This is all premenstrual symptoms. Intestinal infection may cause abdominal cramps. Dimethicone Chat Doctor. Consent a physician for further diagnosis. I hope my guidance is helpful to you. Take care. Thank you very much.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
are their any side effects or after effects of typhoid? its medication or treatment? i am 33 yrs old lady suffering from typhoid. is coconut water beneficial? 20 days have passed by but still i feel weak and exhausted. are their chances of reoccuerence of this disease/ if yes what precautions should i take?
Hello there, Typhoid does make you weak for some time. Coconut water, bananas are beneficial to get rid of the tiredness. You can also have a diet that includes plenty of fresh fruits and greens and take care of your protein intake. Buttermilk, curd, whey protein can be added to your diet. Avoid oily or heavy food as it will make you more lethargic. Precautions that you can take is always Chat Doctor. Either boiled or filtered. If travelling carry your own water bottle or
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here...I have chest pain that radiates to my right jaw and then to my ear and continues to my right side of head. It last around 10 minutes. I breathe in and out real slow to make it go away. What could this be
Thanks for your question on Chat Doctor. I can understand your concern. Since your chest pain is relieved by slowly breath in and out (relaxation technique), possibility of stress and anxiety related pain is more likely. But better to get done ECG and 2d echo to rule out cardiac chest pain. If these are normal then no need to worry about heart diseases. Avoid stress and tension, be relaxed and calm.Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello I am a 19 year old female . I am finding random swollen sports on my body within the last week. last Friday I woke up to a fairly large swollen pocket I would call it on the upper right side of my back. no pain, no redness nothing. it just looked like a swollen fat lump. this dissappeared in 24 hours. now today I have a smaller same swollen spot on my left front side right under my breast. however this area had some pressure applied to it today during a nursing lab they were palpating. this swelling is not a normal reaction for me so I am hoping someone can tell me what is happening ! thank you !
Hi, After reading your history it appears that you urticaria or hives. This is common problem, and we see so many of cases in normal population. So do not worry about it. There are so many of the aggravating factor and in yourself including day to day factors of environment. You can take Ben Chat Doctor. You can apply calamine lotion over the affected area. Stay away from hot and humid climate and wear cotton clothes.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have now been awake for more than 60 hours. Mostly it s been because of an erratic heartbeat for which I am seeing a cardiologist. I just finished a 14 day ZIO heart monitor test but won t have the results for a week or so. Generally for the past year or so I have been taking .5 Klonopin nightly for anxiety but these past few days have been horrible . I m scared to increase the dose or take something else for fear of interactions but I m more afraid of another sleepless night. How can I get past this?
Hi. I had gone through your query. Klonopin is clonazepam and it is benzodiazepine. It has dual role in both anxiety and insomnia.05 mg to 1 mg dose is advisable in anxiety and 0.5 to 2 mg in sleep problems. Sleep problem has co morbid other psychological illness like stress, depression etc. treatment of it will bring recovery in sleep disturbances also. If you have heart problem then caution require to increase the dose of medicines, so you have to consult psychiatrist for better assistance for your psychological illness. There are other medicines that can be given in sleep problem. So consult and get help. Exercise and mediation can help. Avoid smoking/ alcohol/ soft Chat Doctor. I hope I have answered your query. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I was told my oxygen level was sometimes 85, 89, 92 95. I have not had the low oxygen levels before, and now I am getting some sinus like headaches. I have never had headaches before. I lie down and put ice over my eyes and temple, left side, and it goes away. Is there a small dose oxygen thing I can get to use to see if it helps get reid of the headaches?
Thanks for your question on Chat Doctor. Sinus problem does not cause low oxygenation as sinus help in humidification of air and in speech. Oxygenation is controlled entirely by lungs. So I advise you to rule out lung disease for your low oxygen level. So better to consult pulmonologist and get done chest x-ray and PFT (Pulmonary Function Test) to rule out pulmonary causes. Low oxygen can also cause headache. So search for the cause and start treatment for low oxygen. Consult pulmonologist and discuss all these.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi. I live in Australia and am due to return to the UK arriving Saturday 24 May. My Mother is in hospital there with hyponatremia. The hospital has not yet determined the cause of this - she was admitted on Friday evening. Apparently, the consultant can feel a lump around the neck/thyroid and Mum feels that her throat is constricted. Mum is 83. Do I need to bring forward my travel plans? Thank you Janet
Hi, dairy have gone through your question. I can understand your concern. She may have enlarged thyroid or some enlarged lymph node. SHR should go for thyroid function test and ultrasound neck. It will give you exact diagnosis. If needed go for fine needle aspiration cytology or biopsy. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
it has been about a week now that i have a hard painful lump under my skin under my left armpit. it is about the size of a pea. yesterday i noticed a very small lump on my right boob which is kinda of a blothcy red around it. do you think i shoud go see a doctor?
Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. It could be a benign breast lesion, but the possibility of other breast tumors should always be considered. It could be a fibrous, a fibrotic lesion or other breast tumors. These lesions are best evaluated clinically. Further diagnostic examinations, such as breast ultrasound and mammography, will be requested as needed. this diagnostics also evaluate the axillary area. The lump on your armpit may or may not be related to your breast lesion. Regular breast examination and follow-up with your doctor is highly recommended in these cases. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My blood pressure has increased to 151/104 pulse is 65. I ve taken Azor 5/20 and HCTZ (Hydrochlorothiazide) 12.5 for over a year and blood pressure stayed around 125/82. I developed swelling in my hand and middle finger and the urgent care doctor thought it was Gout and put me on Indomethacin 50mg and told me to stop taking the HCTZ. My lab came back negative for Gout, Uric Acid was 6.9 (normal range), but my blood pressure increased. Should I go to the emergency room?
Hello. Thank you for your question and welcome to Chat Doctor. I carefully read you query. Well, at this moment, I understand, you are on a triple therapy for fighting hypertension. First, the amlodipine, which is a constituent in razor, can cause swelling of limbs, most commonly the ankle area, but there are cases, although rare, that it causes also swelling of the wrist area and fingers. In my experience, I would also suspect a gout diagnosis. But, since the uric acid is within range, then this is excluded. Second, indomethacin is a non-steroidal anti-inflammatory Chat Doctor. At this time, my opinion is that this is just a side effect of indomethacin. However, blood pressure tends to get higher even if on medication, which controlled it in a pastime. I am certainly not saying that this is case. But, if even after two weeks off the indomethacin, you continue to get these blood pressure figures, then I would recommend you to discuss with your general practitioner or your cardiologist, to try to raise the now used medication dosage and/or add another antihypertensive to your therapy, such as a beta-blocker, which also be beneficiary for your heart, by acting on reduction of heart workload - prolonging the heart cycle - promote a better ventricular filling and a larger amount of blood to supply end-organs. I hope I was helpful with my answer. Wish you a good health. Best regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
like a week in a half ago right under my boobs but like the top of my stomach start hurting i never had these pains before i thought i was having a heart attack so i called my sister and described the feeling and she said it was gas so she came and gave me a zantac it made the pain go away but then i start feeling like i had to burp then nothing would come up sometimes it feels like i have to vomit but it hurts when it trys to come up but nothing come up and when i do burp it seems like it relieves a little pressure
DearWelcome to ChatDoctorWe understand your concerns went through your details. There are many possibilities that acidic symptoms create pain across chest. It happens so because the gas accumulated in the stomach area pushes the diaphragm up. The chest cavity is tightly filled with its organs like lungs, heart. So every upward push of the diaphragm congests the chest cavity, and we feel constriction and pain. In all possibilities, your problem could be acidic. Still, you should consult a physician and get your EKG taken and analyzed to be safe. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had a wisdom tooth. ( upper left) and neighbouring molar extracted due to a large absess 8 months ago. I have noticed a swelling in my very upper gum, nasty discharge at the back of my throat and a terrible throbbing pain. It reached the extent I have had 3 sinus infections in the last 2 months and my gum oozes a nasty yellow discharge when I press on the swelling. This would come out where the wisdom tooth was extracted. An oral surgeon told me I was badly infected and had a condition oroantral fistula and drained a lot of pus, told me my sinus was badly affected and the bone was soft due to infection. I am now left stitched and in absolute agony due to see her next week. Is this normal to be so painful, swollen on my left side of face barely able to open my jaw. Again I have been put on a week s course of doxycycline. I haven t felt pain in my mouth like this before. Please advise ? Joe
Thanks for your query. I have gone through your query. As far as the frontal fistula is concerned, the swelling, limited mouth opening and pain is because of the infection secondary to this frontal fistula. Nothing to be panic, consult an oral and maxillofacial surgeon and get it treated surgically. Medicines cannot cure this, medicines are temporary solution. So get it treated surgically. Meanwhile you can take a course of antibiotics like amoxicillin and metronidazole combination (if you are not allergic). I hope I have answered your query. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, we started vegetable juicing about 4 months ago - myself and 3 kids. We are NOT on a juice only diet we are on our regular food diet but just started incorporating about a cup and a half of vegetable only juice everyday. The first 4 1/2 months were fine but all of a sudden after drinking my juice one evening, I started with severe abdominal pain and bloating. I was belching continuously and kept feeling like i would vomit. None of the vegetables were any different than what we normally juice ( a combination of parsley, spinach, cucumbers, capsicum, carrots, beets etc). Also the kids were fine and continue to be till today but I have gotten this every single day for the last 2 weeks. I kept trying because was not convinced it was the juice since it made no sense that I would suddently develop this intolerance so I started eliminating 1 vegetable everynight till I was down to just cucumbers last night and I still suffered the same symptoms! No symptoms eating the whole vegetables even in huge quantities and nothing else has changed. Kids still fine with all vegetables. Im wondering what happened. Any ideas?
Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. F. As you describe your self and 2 kids were taking vegetable juice containing, parsley, spinach, cucumbers, capsicum, carrot, and beets since 4.5 months. You are alone facing abdominal pain, bloating, nausea, in spite of omitting one vegetable per day, but no symptoms to child Chat Doctor. I am not clear whether you have tried without cucumber juice. Anyhow what ever the reason, is omitted the juice completely, if still the problem is continuing after few days, you must be having some problem with your stomach. If that happens I advise you to consult a gastroenterologist for diagnosis and treatment. You may need to have gastrostomy done besides other routine tests for confirmation. Wishing for a quick and complete recovery. Best regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
im 15 years old, and ive never had a regular period but about a year ago i went 4 months without having one .... bieng irregular i didnt give it a second thought..... but now i have been told that this could lead to health problems later and i may not be able to have kids ...... if i dont have a health problem already. im afraid to really speak up about this... but ive always dreamed of having kids. is this something i should worry about? any advice i greatly appreciated
Hello, Irreguler periods on a regular basis is never right but before coming to a conclusion in your case when did your periods start(at what age)as just after for periods starts there will be some irregularity for few months initially after that it should fall in place. Irreguler periods could be due to many causes hormonal problems-P COD, thyroid, underweight etc. Observe your period cycle for few months, see the gap between periods, during periods the duration, flow. If it regularizes then you can relax but if problem persists consult gynecologist . Takecare
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi im 14 and i have small red bumps pn my penis, ive been researching all the possible outcomes of this happening but my problem looks different from others. Its just minor on the head and around the sides but not on the lower bottom of the shaft. Im not sure what the cause is but i had unprotected sex over 6 months ago and its barley starting to happened and if it were stds or anything it would be outrageous right now. Its not really itch but its irratating and embarresing and everytime after i masturbate it gets worse but goes away. What is the cure for this because im scared. I tend to sit on the toilet for 30 minutes to an hour just going on youtube watching videos so im not sure if thats the problem.. Please help
Hello, Since you are only 14 & are sexually active you are suggested to get physically examined by a GP. Get STD tests done to stay on the safer side. If your reports are positive then you will have to take antivirals & antibiotics. Avoid unprotected sex & multiple partners. Take care of your hygiene. Do not scratch, apply HY Chat Doctor. Your treating doctor can take blood samples or tissue sample to detect STI(herpes, genital warts. etc.) infections. Stay away from sex till your having your treatments done. Hope I have answered your query. Let me know if I can assist you further. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I recently went through chemo and radiation for squamous cell carcinoma on the base of my tongue. Treatment ended in November, 2012. My recent CT scan in January showed all clear, although I go for a Pet fusion in May. I have had my Peg tube and Port taken out. I recently had some lab work and it showed the following: Leukocyte Esterase 2+ WBC 6-10 Squamous Epithelial Cells 10-20 White Blood Cell Count 3.6 Urine - cloudy These are the only ones out of range. When I saw the abnormal range on the Squamous Epithelial Cells, I am concerned and wonder if it has anything to do with my recent cancer, is it coming back?? What are your thoughts?
Hi and welcome to Chat Doctor. This has absolutely nothing with your cancer! It means that urine was contaminated by cells from your skin around genitals, and nothing else. Squamous cells are found on skin and Somme mucous membrane. This is usually finding in urine if it is inadequately taken. You have raised WBC which can mean some urinary infection but monoculture should be done too to confirm that. Wish you good health.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had a tetanus shot about 3 days ago and now I have a very sore small lump in my neck near my collar bone, is this normal? The only reason Im concerned is I just had a c-section and Im worried about blood clots. I did not notice this lump before the shot, so I dont think it is a clot but I thought I would check.
Hi, Reviewed your query.Don't worry, as by no means the sore lump near collar bone would occur due to clot after the tetanus shot in the arm. This lump seems mostly due to the general immune reaction with flare up of the lymph node near the collar bone. Still I would advise you to have a check-up from your doctor to get the worry ruled out. Hope this would relive your query satisfactorily. Write excellent review and hit thanks if this has helped to resolve your issue. Welcome again further for any query in this regard. Have a good day. Chat Doctor. N. Senior Surgical Specialist. S. Genl-CVTS
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My Daughter is 17 and is now experiencing painful popping and grinding feeling in her low back. She had an xray and the image according to radiology showed a L5 pars defect. Had an appointment with orthopedic he spent about 10 minutes during the examine said the xray looks nornal did a second xray and normal, told her to start running and doing core exercises for strenghthening. She tried, but to painful. Now she is begininng to miss school because of back pain and we are seeking a second opinion. Are there any specific x rays (flexation) or imaginging we should request.
I suggest you to go ahead with MRI of back (lumbar)spine and check the report in case if there is a severe damage or degeneration going on in spine then take a view with orthopedic doctor and if there is no much problem detected in MRI scan also then I recommend you to visit a physiotherapist. Here with physiotherapy treatment it will help to relax the soft tissues as well as it will also help to reduce pain. Physiotherapist will also suggest for different kind of back exercises like strengthening, stretching twisting, and combinations of all this exercises will again help her to increase the strength and stamina of her back. Here you are also talking about the constipation problem, I suggest asking for regulating her food habits, like have more of vegetables and fruits in her diet. Keep your breakfast good, lunch average and dinner minimum before 8 p.m. Also do regular walking before going to sleep for at least 15 minutes. All this in combination will help her so just ask her to follow and if there is any issue post it again here or talk to your available specialist. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am 8 weeks pregnant and i just went for a 30 minute bike ride last night. when i went to bed i felt fine but i woke up in the middle of the night with throbbing hip pain. it was really bad on my right side but also hurt on my left. Should I be worried about this?
Hello dear, I understand your concern. In my opinion the pain might be due to muscular origin. Any type of physical strain should be avoided in 1st trimester i.e., upto 12 weeks. Due to bike ride there might be muscular cramps or spasm leading to pain. During pregnancy even a small physical strain might lead to muscle pain. Nothing to worry. Avoid physical stress and intercourse. Take Paradox if pain is severe. And take good rest. Observe for 1-2 days and if the pain is increasing or not decreasing then kindly get an ultrasound done to know the well-being of fetus. Avoid stress. Relax. Hope this helps. Best regards....
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello Doctor, I m Hemant. My BP is going high. 6 days back it was 170/120 n now it is going around 150/110 to 130/95. I m preparing for civil services so my routine is to keep sitting on in my study n keep studying. physical activity is normal n m doing workout for 1 hour daily. All the reports regarding my lipid profile, blood serum, urea all r normal. i always hav a headache n not at all able to concentrate on my study. Plz help.
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. We talk about hypertension if we have mean value that exceeds 140 / 90 mmHg. A person might have high value during emotional and physicals trees so It's mandatory to judge on mean values during day and night. There are two types of hypertension : Essential hypertension or idiopathic, meaning that it has not a definite cause and secondary hypertension, meaning that it's a secondary house of it. This is found in younger ages and the cause might be renal, endocrine or any cardiovascular anomaly. Essential hypertension is a chronic disease, and it should be treated all live. High blood pressure values can give you headache, blurred vision, dizziness etc. You don't mention your age but as I explained above it is essential to exclude secondary causes if you are young. As you explain you have already done blood analyze, and they are normal. This is a very good thing. If I was your treating doctor I will recommend even a cardiac echo, an abdominal echo to evaluate renal structure, your urinary catecholamine and a holder pressure monitoring. All these can give a better view of your mean blood pressure values and exclude secondary factors. If the pressure holder monitoring finds mean values above 140 / 90 than you should treat it with medications. Mean wile avoid excessive salt intake I coffee and energy Chat Doctor. Hope I was helpful. Best regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi doctor, i m a married female 27 yrs, my husband was having extra marital affair , which i came to knw last week , rit now i m very tense and thinking of the same again and again, i m mentally very disturb, can u suggest me something (medicine) to control my stress .
HiT hanks for using Chat Doctor I think, you are in adjustment disorder. In that case, you need supportive therapy rather than antidepressant. You should consult a psychologist that would help you. If you feel some depressive symptoms, then you can try some antidepressant like paroxetine or Escitalopram. Better to consult a psychiatrist for proper treatment plan and in case, you need further help, you can ask us. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My brother had a valve replacement 10 years ago and for the last month he has been having the following sympyoms, panic attacks, messed up vision, belching, arm pain sometimes, lower right stomach pain, mid back pain, insomnia. Could this be caused from the valve replacement
Thanks for your question on Chat Doctor. I can understand your concern. No, valve replacement cannot not cause all these symptoms. He had valve replacement 10 years ago. So it is impossible to have these symptoms due to valve replacement. Possibility of stress and anxiety related symptoms is more. So better to consult psychiatrist and get done counselling sessions. Try to identify stressor in his life and start working on its solution. He may need anxiolytic Chat Doctor. Don't worry, with proper treatment and counselling, he will be alright. Hope I have solved your query. I will be happy to help you further. Wishing good health to your brother. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello doctor m 24 year old bachelor, a few days back a lump appeared inside my lower lip wall it is whitish n light jelly like in colour.. though it does not cause any pain but its quite disturbing... m a regular tobacco user until this tiny lump appeared.. m worried please suggest what it may be
Hello, Thanks for your post on Chat Doctor. I carefully read your query and able to find out your point of concern.Don't worries its not a serious issue to get worried. I think it is a muscle, caused due to local trauma. Mucocele are formed by accumulation of mucous from trauma to salivary duct. Usually it is not harmful and spontaneously resolve on their own after a short time, and you can rinse the mouth thoroughly with salt water for two to three times per day for few days to augment the process. If persist for long time then you can go to a dermatologist for laser treatment or surgical excision. I think it will help you. Wish your good health. Regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, my two year old daughter always has one pimple with a white tip somewhere on her body at all times. Once the pimple pops and starts to heal another one shows up somewhere else on her body. She has had them on her face, legs, chest, and butt. This has been going on for about 7 months. There is no other rash or any other symptoms. Any idea what this could be from. Thanks, RC
Dear parents, your baby must be suffering from infantile cane. Infantile acne can be caused because of the sensitivity of the skin to male harmonies like testosterone. It can also be due to other skin conditions like impetigo. Which is a bacterial infection. For infantile acne mild cleanser and if sever topical antibiotic like juridic acid or clindamycin will do. If its impetigo you require oral antibiotics.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Why do my fingers tingle during my sleep and now my fingres HURT so bad i cannot sleep all night. I wake uo and the pain goes away but my hand is tingling and feels tight. And my feet seam to feel swelled up and tingling too. sometimes feels like something is crawling on my feet.
HIT hank for asking to ChatDoctorI really appreciate your concern looking to the history given here I could say that the tingling sensation in your finger could be due to poor posture that could be compressing the never root in cervical region, maintain the good posture and this could around, for the leg problem this is the hallucination, you need to keep the stress level very low, take care and have a nice day.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I m 23, a history of borderline personality disorder , depression an anxiety but think I am fine now. I have noticed a sudden onset of clumsiness. I have always been clumsy but this is quite full on. I threw my water bottle today, not know or even Realising what I had done, I have 2 big scratched across my breast and nipple that I cannot remember doing, I am constantly dropping everything and by beig able to pick it up properly- havi to reach for it a few tea before retrieving it. I also urinated down my leg the other day, not even knowing I was peeing until there was a puddle next to my foot. I feel like an old woman loosing my mind a bit. Am I just not paying attention or could it e more serious?
Hi I think it can be more serious. As you are not aware of it, and you have injuries and history of incontinence, you may be having seizures. Usually such seizure cause behavioral problems, and they do not get diagnosed easily and leads to misdiagnosis. All you need is to consult a psychiatrist and explain all symptoms along with past history. You should be started on treatment soon as these seizures increase the frequency of further seizures. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My father had his R finger removed at first joint approx 1.5 yrs ago (finger nail melanoma). He now has a number of lumps under his skin running up his R arm and on his chest, he also has a number of wart like cluster on his R shoulder. He has had scans of organs and all look ok, what stag of melanoma would he be at?
Hi! Thanks for sharing your fathers' health problem with Chat Doctor! After going through the history and present symptoms, I feel, if I were his treating physician, he should have gone for a needle biopsy or some diagnostic biopsy from the chest or lung lesions as positivity of melanoma cells in the lungs means stage 4. Therefore, the nodules in his body following surgery are likely to be metastatic in nature and I wonder if the scans are really negative in this case! Please see your surgeon ASAP for some biopsy test and confirmation, and also, please revert to us! Regards!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My father is 85 years old. 3 years ago a vertabra fractured due to metastasized prostate cancer ( good news, though, on that - his PSA level has been normal since undergoing hormone shots every six months). Although he can move his lower body he can no longer bear weight has been wheelchair bound and has had an indwelling Foley catheter since the cancer was discovered. He is now, of course, experiencing chronic UTIs and his creatinine level has risen dramatically with the last course of antibiotics (he is developing some resistance to antibiotic treatment). What might be the next steps to control the UTIs without putting his kidneys at elevated risk?
Good Day, and thank you for being with Chat Doctor ! Chronic catheterization is always a major risk factor for a UTI. It would be better to remove the catheter and start clean intermittent catheterization (CIC). This would decrease the risk for infection. Also, there is a BIG difference between bacterial colonization and bacterial infection (UTI). Colonization means that bacteria is in the bladder, catheter and urine bag but does not cause infection and does not warrant treatment while UTI would cause symptoms of urination like suprapubic pain, fever etc. If we always treat the bacteria in colonization then we end up developing multi Chat Doctor. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i dont want to live problems r so overwhelming i cry loads i shake loads i sleep more than anyone i know i dont want to eat i dont get out of bed fr wks at a time i dont go outside oftern my doc gave me sertaline 100ml but i dont feel there working is there anything stronger i can take doc said i have depression and anxiety bn on tabs now since nov shouldnt they be working by now
Hello..... Thanks for your query. I understand your concern with depressive symptoms. Sertraline is a standard antidepressant that is prescribed to alleviate depressive symptoms. However, antidepressants take at least 6 weeks to start acting. Hence, you need to be patient. Many other effective classes of antidepressants like Saris and TCAS are available in addition to psychotherapy (e.g. cognitive behavioral therapy). So please do not lose hope. Regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi Doctor, I have a question regarding my Penis. I sometimes get a burning feeling on the tip of my penis. I also had some dry flaky skin . I went to my Doctor and he came me 30Gm Taro Mupirocin 2% to apply on my penis I was wondering do I have to apply on the outside or the inside of my penis?
HelloBurning sensation with flaky skin from pens is suggestive of infection or inflammation of the pension should apply mupirocin ointment on outside the penis It is to be applied externally you can provide me more information like your age and any history of unprotected sex, I will be able to guide you better In my opinion you should consult a VD specialist for physical examination and a battery of tests to rule out You should maintain good hygiene clean your penis with antiseptic solution and apply mupirocin externallyThanks and regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
As far as I can remember, Ive always enjoyed eggs for breakfast, regardless how they are cooked. I dont know what happened, but, One day, I had an egg sandwich and 15 minutes later, my stomach feels like it was in a vice grip, with every minute passing - the pain got stronger. I thought it was an isolated incident, but the next day - it happened again and again. I even thought of changing what kind of egg I ate (i.e. scrambled, omelette, etc). But it didnt work. Ive tried eating egg beaters, but it happens just the same. I can eat other regular foods, but eggs. After 5 yrs now, I concluded that im allergic to eggs - which baffles me. Is there something else really going on in my stomach that im not aware of that would do this? I read that ulcers could cause these kinds of symptoms. What possibilities could cause this?
Hi. Thanks for your query. The most probable cause of pain in abdomen after eating an egg sandwich are : Now you have developed an intolerance to the egg-protein. Hence, in spite of what type of egg preparation you eat you are going to have the pains and spasm.This is nothing to be baffled about. May people get allergy to different types of proteins like for the fish and nuts. No, ulcers do not cause such symptoms, please do not be under wrong impression. The only treatment is not to have eggs in any form again.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 24 yr. old Daughter began complaining with her head tingling and hurting.. Her arms were doing the same...all started about 2 wks. ago..Yesterday, she had a MRI done at our family doctors office..It showed some type of shadow on her brain...They also did blood tests in which the results will be back in less than 72 hrs...she also complains of being tired alot.. I am a Federal Police Officer and my Wife is a R.N...Right now, neither one of us seem to tough and proffessional...We are worried sick..Any Words of Wisdom Doc?
Hello and welcome to ChatDoctorPresence of tingling and hurting in head along with same complaints in arms suggest a neurological disease. A dark shadow on brain MRI does not convey much. I can only understand that there is some kind of focal (localized) disease process in brain which is responsible for all the symptoms. This disease process seem to involve the nerves supplying the arms. It could be an infective, inflammatory, degenerative, space occupying lesion.i advice you to see a specialist (neurologist) soon. Tiredness can be due to the same disease process or even due to low hemoglobin. Take care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My two year old child developed a painless hard bump slightly above the left temple over a year ago. I have consulted two Paediatricians who have asked me not to worry but simply monitor it. I am still worried! Kindly give me some explanations why this happens and any likely dangers associated with it. Otherwise he is healthy and developing well.
Good afternoon.!! Painless hard bump slightly above the left temple persisting for over a year in your two-year-old child could be a Desmond / any bony swelling / calcified lymph node / enlarged mole. You need to worry only when it increases in size / there is any change in color of swelling / appearance of new swellings etc. So if persisting, it's better to visit pediatric surgeon for further evaluation and management. Thank you, have a nice day.!!!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i am sixteen years old and do not smoke, but i have lived with the effects of secondhand smoke almost my whole life. i weigh between 110--112 pounds and am about five foot to five foot one. i also have slight active asthma due to my history with secondhand smoke
Hello. Thank you for asking at Chat Doctor. I went through your history and understand your concern. I would like to ask you more questions like - Do you have any other allergies? Do you have any nose/sinus problem? Does anyone from your family have asthma? What is the frequency and severity of your asthma symptoms? Are you still having exposure to secondhand smoke? Does your asthma get worse in any particular season? Etc. Your exact requirement of medicines can be decided only after knowing your asthma symptoms. However, from your history, I would like to make suggestions as follows:1. First, I would like to appreciate that you are not smoking.2. Personally I would suggest you to take regular montelukast. If it is not sufficiently controlling asthma symptoms, I would add inhaled corticosteroids.3. I would suggest you to take inhaled albuterol/levosalbutamol when you feel wheezing or shortness breath despite regular medications.4. Please avoid exposure to dusts, smokes and air pollution as much as possible. A diet rich in vitamins, minerals and anti-oxidants (e.g. adequate green leafy vegetables, fruits, sprouts, etc.) will be helpful to you in a long run.5. I would also suggest you regular breathing exercises which may improve your lung capacity.6. I would suggest you to get allergy testing done to identify if you have any allergies. You may be able to avoid the allergens which are causing troubles to you. Hope above measures will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health. Thank you & Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am taking bruprophien and xanax and am having difficulty talking to people and interacting I am angry and abrupt and sarcastic. I get kicked out of all the houses I have stayed in lately.. have been weening off of wellbutrin from 100 mg to 50 mg or less over a year and take .5 xanax to .10 per day What should I ask my phyIC for? new meds? for I need something to calm me down while I go to therapy
Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The symptoms that you have mentioned appear to be personality traits and these are generally not amenable to Chat Doctor. You should get off of buprenorphine, clonazepam and Wellbutrin. If there is still depressive symptoms only then you need to continue antidepressants. For these personality features, you need to have intensive psychodynamic psychotherapy or cognitive behavioral therapy. This therapy is taken by either a psychologist or a psychiatrist in which the therapist identifies impaired cognitions (Thoughts) and try to correct them. They are 15-20 min weekly session and there should be around 8-10 sessions to help you with your illness. These therapies have to be continued for a few months to show its effects. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi my father is on dialysis and doctors suggested him a transplant.. i wish to donate a kidney to him so i had my tests but my cholestrol level is high and my father is a diabetic patient as well .. i would like to know that can i still be a donor or no?
Hi, There are guidelines for live kidney donors to be followed for a successful transplantation to keep the chances of rejection minimum. For those donors with high cholesterol, it IZ said that various forms of dyslipidemia have been associated with decreased kidney function in the general population and with faster rates of progression in those patients who have chronic renal disease. High cholesterol levels or dyslipidemia should be included along with other risk factors in donor risk assessment, but dyslipidemia alone does not exclude kidney donation. You can still donate a kidney to your father after getting a detailed evaluation done by a group of doctors in the transplantation team.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I am 15 years old. I am a female, and I am ppretty healthy. I m really never sick. About a couple months ago, maybe, my chest just started to hurt badly. The pain is in the center of my chest, right between my breasts. The pain radiates to my back, and it kind of numbs my shoulders. It s kind of hard to explain. The pain feels like someone is sitting on top of my chest. It s like I m being squeezed really hard, and it hurts really badly. I have to move around to relieve it, but it only lasts a couple seconds then it s back. It comes and go s at random times, and lasts about 20 minutes. I can breathe, but there s a lot of pressure. Should I see a doctor, or is it normal? Thanks for the help, I appreciate it a lot.
Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). Central chest pain, chest pressure on Breathing etc. are seen in bronchitis. So PFT is must for the diagnosis. If PFT is normal than HERD (gastroesophageal reflux disease) is another possibility. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain, pressure in chest etc. So avoid stress and tension. Start proton pump inhibitors. Don't worry, you will be alright. But first rule out bronchitis. Hope I have solved your query. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 6 year old son says his gums are EXTREMELY itchy. He has been clawing them with his nails until they bleed. (Upper gums only. Around the exact same teeth on both sides. Molars.) I dont believe its gingivitis because he has been to the dentist in the past 6 months and they say he has been doing a wonderful job brushing. Is it just new teetChatDoctoring in and moving around? He has only lost the bottom front teeth so far.
Hi. Thanks for the query. Yes, it can be probably due to erupting permanent teeth as itching and soreness of gums is commonly been when the teeth are about to tear from the gums to erupt. When the erupting teeth are about to break from the gums become inflamed and itchy and creates a deep urge to itch over the area. If the itching is so annoying you can do cool compresses over the itchy gums and can also apply Lidocaine gel for relief.Anti-inflammatory painkillers like Ibuprofen can be advised by a Dentist. Also doing warm saline gargles can relieve. In case if there is still no improvement then you can consult a Pediatric dentist and get evaluated. Hope this helps. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here...Hi I have stand for five to six hours today to do some home related work being 6 week pregnant n got backache..little worried abt it is it safe to stand that much longer..
Hi, If you have always been doing this much work and your pregnancy has been uncomplicated uphill now then it should not be any problem. I would advise you to go for an ultrasound scan to see how the pregnancy is going and if everything is fine or not. A woman can tolerate up to moderate amount of exercise in pregnancy, especially if she is accustomed to it since before pregnancy. If you have any symptoms like bleeding per magnum, abdominal cramps, then it would be wise to rule out threatened abortion, especially since you have backache.Backache could be due to multiple causes. Please get the backache evaluated beforehand. Hope this helps. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
After 30 years with hep c, the liver is completely hard---over the past three months fluid has been drained from the extended abdomen--1st 16 litres, 18litres then 20 litres. Legs with edema. Lack of appetite, sleeping from approx. 4pm for the night, weight loss approx. 50 lbs. What is the prognosis????
Hi, I am so sorry to hear about your condition. It looks like you are currently in decompensated stage of liver cirrhosis ("hard Liver"). You are suffering from classical features of portal hypertension (fluid build up in the belly) and other symptoms of liver failure (poor appetite, weight loss, excessive sleepiness, etc.). The best available treatment for someone at your stage is a liver transplant. It will completely get rid of the fluid build up although regaining your strength and appetite may take a while. But transplant cannot be offered to everyone and depends most on your current performance status (physical fitness, age, other co-morbid conditions like diabetes, heart problems etc.). If it turns out that you are not a transplant candidate, and I presume medications have failed to control the fluid build up, then one of the options to be considered is TIPS. Although it will not reverse the liver failure, it will prevent fluid build up in your belly. Ad Chat Doctor. I suggest you don't give up and explore all therapeutic options available. Please do not hesitate to contact me for any clarifications needed - [email protected]
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi DoctorI am married for a year now. My husband loved a girl in his office and was living life with her for 5 years before getting married. After getting married to me too, he is continuing the relationship and telling me he is just a friend to her now. But he doesnt treat me as wife. He doesnt hav sex with me, scolds me for sitting and eating in his money. I dont work as i did not get work visa, so am dependent on him now. I have seen him doing self pleasing sexual act with his hands. He beat me two days back and sent me out of the house. Now temporarily am at shelter of a public organisation. pls. advice if he is physicically affected plus having sexual disorder too.Thanks
Degree understand your concerns went through your details. I suggest you not to worry much. Some people do have some sexual fantasies and may be your husband is one among them. I do not know your period of married relationship. But even after marriage, if he is not interested in sex with you, and is more interested in masturbation, there could be some sexual misunderstanding. My advice is first, you should to talk to that woman about his sexual habits. don't shy. Then you may see a sexologist for further advise. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i am 50, having bloodpressure 150/100 for the last three years some times normal , some time goup. using regular tablets. develop erectile dysfunction for the past two monhts. give me advice. going briskwalking for the last two months. give me good medicine.
Sir, in spite of lifestyle modifications if you still BP on higher you need to take medication s, maybe previously you were on group of commonly used Chat Doctor. I will suggest you to start within telmisartan 40 mg once a day a see the response after a week, and as needed we will titrate the medication. It would have been more helpful if you had given the name of meds you're already taking, so I could adjust them for you. Regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
respected sir, i got married and compleated 8 months and my wife still not yet pregnant and today we went to consult gynacologist and doctor advise with wife to have nuforce sz kit , is there any side affect by having this tablet , and what is the main purpose of nuforce sz kit
Hi, Nu force SZ kit is combination of medicines to treat infections. But it should be taken by both of you. If wife is cured of infection & husband not, next time you have sex, husband will give fresh infection to wife again. These are single shot medicines, no side effects, except for some gastritis. If these infections are serious they will affect health of Sperms & Uterus, tubes, so chances of pregnancy is low. All the best
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have distionia , right hemi Arm, leg, hand). My hand seems to be closing-I need something to streetch my hand. I have had several gingers broken from falls. I am now going to o.t., but he doesn t seem to know how to handle my problem. Can you suggest something?
Weight-bearing in right alignment is the first and main key of success in dystonia. You should do as much as possible weight-bearing and second most important thing ask your therapist to make you exercise in close kinematic chain And add rotation component in each exercise your upper extremity also should be supported and should b extended in all exercises. Some exercise for examples off in prone lying Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I was just diagnosed with shingles and have a rash on my torso. Just started antivirus medicine this afternoon.I was planning to visit my elderly mother (86) next Saturday but very concerned she may catch this. She thinks she had chickenpox but unsure. Should I cancel?
Hello are a patient of shingles and your mother had chicken pox. Note down this and read carefully. In shingles in the normal host, lesions may remain few and continue to form only for a period of 3 to 5 days. The total duration of disease is generally between 7 and 10 days ; however it may take as long as 2 to 4 weeks for the skin to return to normal. When any patient who had chicken pox may get this disease from infected person (as you may spread this to your mother). Varicella-Zoster virus infections have two types .1 VARICELLA (CHICKENPOX IN CHILD Chat Doctor. 2 Herpes Zoster (shingles in adults). So chickenpox infected person may get infection very rapidly. In my opinion at least you should remain away from your mother for 4 weeks. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I m experiencing a little lump under the skin in my right lower abdomen, It doesn t hurt but i can feel it bulging and it goes away in half a minute to two minutes and occasionally re appears especially after sex. The only time it s done that was when i was pregnant about a year ago (I miscarried) . It s started happening recently again and i might be pregnant. I m 18 5 3 and about 110 lbs
HI, Dear,Thanks for the query to Chat Doctor.1-I have stewed your query in depth.2-IN my opinion, this little lump in rt lower abdomen, is a groin hernia or any one of the varieties of the abdominal hernia?femoral, inguianal?.3-Dear, cause of this lump is existing defect in the abdominal wall, which may have expressed after sex when last pregnant .3-a-Pregnancy,as rightly expressed by you might increase the chances of herniation of abdominal tissue, but in your case -as you had miscarriage thereafter, may not have caused it, supposing that you had early miscarriage,4-REcurrence of reducible swelling does not indicate the pregnancy as it can happen due the weakening or enlargement of the abdominal defect in last 1 yr, but can't rule out as pregnancy, would increase herniation chances by increase in abdominal pressure.5-Hence I would advise you to consult an ER-gynaec doctor who would decide its connection with pregnancy after the clinical check and before that by pregnancy test.6-Treatment for recurring-reducible lump-is Surgeons area, and who would correct the Hernial defect depending on the direct or indirect or femoral hernia.5-Hope this would solve you query to your satisfaction.6-Wellcome for more queries to me On Chat Doctor. Thnks once again for your inquisitive query. Good Day.!!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
MRIs done on both knees. medial meniscus tear on one knee and floating cartalidge on the other. i have an orthopedic surgeon appointment soon but I m trying to get general idea of treatment options and time needed to be off work. i will know more after seeing surgeon but i am just trying to get ideas til then.
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have meniscus tear on knee. A torn meniscus is one of the most common knee injuries. Any activity that causes you to forcefully twist or rotate your knee, especially when putting the pressure of your full weight on it, can lead to a torn meniscus. As your already have MRI. Doctor may recommend physical therapy, which will be very helpful in this case, icing and proper rest. Doctor may prescribe analgesics and anti-inflammatory. In case OD serious injury doctor may recommend surgery. Sometimes possible to repair a torn meniscus. If the tear cant be repaired, the meniscus may be surgically trimmed. Surgery may be done through tiny incisions using an arthroscope. After surgery, you will need to do exercises to optimize knee strength and stability. Hope your concern has been resolved. Get Well Soon. Best Wishes,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi, one of my friend s wife got short temper and so daily quarrel is taking place in their home . She is about 48 or so and little fatty. She does not go out of their home for any mingling with neibours or like that. As a friend am requesting you to advise if anything can be done for this. Thanks
Degree understand your concerns went through your details. Usually anger is due to irritation. Irritation can be due to frustration or disturbance from others. Stress is another factor with which people do become short-tempered. Over and above, a sort of low self-esteem and low self-confidence also triggers anger and aggression. Before advising the method to deal with the client, we would like to know more information about the client. We need to assess the dept of the clients anger. Is it just anger as an emotion is anger disorder? Proper assessment of the client would provide the necessary insight. Emotional anger and aggression can be approached with the help of anger management therapy and slight lifestyle changes with awareness. Anger disorder, most probably, could require treatment with the help of a psychiatrist and psychotherapy. I strongly suggest you to advise your friend to consult a psychologist personal or online. The problem can be cured, for sure. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My wife is six months pregnant. Her Haemglobin level 5 months ago was 9.6 after which she was put on Orofer XT twice a day. Haemoglobin has only reduced since then to current of 8.6 ( 2 days ago). Today she was put on Orofer S intravenous injection. Should more tests be conducted to test root cause of low haemoglobin now or to wait and check if Orofer S helps. Also, Will low haemoglobin cause any issues during pregnancy/ to baby?
Hello dear, I understand your concern. In my opinion there will be demodulation in pregnancy which makes the HE lower. Low HE might cause growth restriction of baby, low liquor etc. The persistence of low HE till the last months of pregnancy causes the complications. As she is in 6th month there is enough time for increasing the HE level. If the HE doesn't increase even after iron injections it might need to work up. So don't worry low HE is routinely found. It gets corrected with iron treatment mostly. Take iron rich diet. Best regards....
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my husband is an veteran who has had agent orange cancer . he is now having problems with his heart (slowing to 52 beats and rare premature artieal contractions). He gets dizzy, has tinkling and numbness in his legs and feels like he is going to pass out. He is also having headaches . A MRI showed he has empty sella. What is that? can agent orange cause this?
HelloThanks for writing to ChatDoctorEmpty sell is a condition in which pituitary gland which is normally present inside sell Turkic is either absent or flattened to such an extent that it is not visible even in MRI. Cause may be anatomical compression due to raised pressure in sell Turkic or secondarily it is destroyed by trauma, radiations, surgery etc. Hope you have understood the term. Take Care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
This is for my father in law Mr. B. K. Majumdar aged 83 yrs old diabetic patient now blood creatinine 4.7 and urea 86 mg /dl has been asked for dialysis by local Mysore doc. Wanted to have an opinion if any alternative is available at your hopital? Whom should we consult? looking for an appointment through phone but not getting through to this dept. A line of advise would be highly appreciatedThanks sourav YYYY@YYYY
Hello, Dialysis is also Known as renal Replacement Therapy. For calculation purpose I am assuming the patients weight to be 60 Kg as it is the reference weight for Male. The formula used in his case is Weight In Kg X (140-Age in Years) divided by Serum Creatinine X 72 which is about 10.11 mL/min in our patient. Now as per the 2005 European Guidelines-1. Dialysis should be initiated when GFR is 2. Before GFR has fallen to 6 mL/min irrespective of symptoms. Diabetic patients may get the benefit from an earlier start, hence your doctor has advised Dialysis. Alternate Options to Hemodialysis (HD) would be Peritoneal Dialysis (PD) and Kidney Transplant. Considering the age Dialysis would be the only available option. Choosing between HD and PD-Continuous ambulatory peritoneal dialysis (CARD) is preferred in young child Chat Doctor. If the patient has some residual kidney functions then you can start him on CARD, and later he can be shifted to Hemodialysis once he becomes an uric (means urine output is less than 100ml/24 hours)Hope this make things easy for you to come to a conclusion.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been on microgynon 30, I have started my 7 day break. I went to the doctors yesterday and was given rigevidon. I was told they are the exact same pill. But I looked at the information leaflet for the Rigevidon, and it says when starting a new pill you must carry on the pill and not have a 7 day break, but i am already on the break. Will this effect me? And could i be at risk of being pregnant?
Hi. Thanks for asking in Chat Doctor. Both Microgynon and Evidon contain 21 active tablets of 30 micro GMS of Ethanol Estradiol and 150 micro grams of Levonorgestrel respectively. A 7-day free period is allowed for the menstrual cycle. All the OCS when you start them for the first time, if you are not under the protection of any other OCP on the previous cycle, should be started on the first day of the menstrual cycle but not otherwise. Since you are already on Microgynon and this 7 day gap is the routine gap left for mensuration, you need not worry. As you do every month you can start Evidon on the usual 8th day after the last pill of Microgynon. I hope this is useful.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i get difficulties in breathing when i inhale fumes and dust and when humidity is very high.what is the possible treatment and the cause.am 57 n i have no treatment
Hiwelcome to Chat Doctor forum Allergic asthma or bronchitis is caused due to allergy to some particular substance as u have mentioned as dust or fumes or anything else. The inhalation of these substances causes narrowing of respiratory passage which causes difficulty in breathing and gradually a persons respiratory system is damaged. So first thing is to prevent this inhalation whenever you're in such environment. By covering mouth and nose. Second most important thing is treatment which is best in Homeopathy. So please consult a physician .take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am married for 6 mnths now.I am 27 yrs old. I did not have much menstrual issues in the past years. But last month i had my 10 days delay in my period and again now it is 16 days now but my period has not yet started. Please help me on this. Is this my pregnancy or any hormonal issues. If this is not pregnancy then will it call cause any problems for my pregnancy later. Currently i m feeling very tired and low in energy. Feeling very pale and drousy all the time. please suggest.
Hello dear, I understand your concern. In my opinion there are different causes for irregular periods like:-1)Thyroid abnormalities.2)Polycystic ovarian disease (POD).3)Overweight or obesity.4)Stress.5)Anemia.etc. So all the above causes should be evaluated by getting done physical examination and necessary investigations. Ultrasound helps to rule out POD, thyroid profile helps to rule out thyroid abnormalities and HE to rule out anemia. If overweight or obesity weight reduction helps in regularization of cycles. Weakness, tiredness and paleness symptoms are suggestive of anemia.HE helps to rule out anemia. Avoid stress if any. Nothing to worry. Once the cause is treated the cycles become regular. Relax. Hope this helps. Best regards.....
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am having what I consider to be a cold and my chest has been congested as well as my nose. Sometimes when I breath it feels like I am breathing in smoke from a fire. So my question is might this be and it has been going on for 4 weeks if this helps.
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having post infectious bronchitis. It is common after viral upper respiratory tract infection (cold). Bronchitis is inflammation of airways. And it gives feeling of hot and warm on inhalation. So better to consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT will also tell you about severity of the disease and treatment of bronchitis is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
why does my heart beat fast at times but it feels like it is barely beating? and sometimes when i walk like at a regular pace it will start to pulse and i can feel it all through my finger tips....? it is almost like a shallow beat...? o yea i have had a ringing in my ears now for about half a year now and it hasnt seemed to have go away....Help!...please. i also have an arachnoid cyst in my head could this be causing any of these abnormalities?
Hello There After going through your medical query I understand your concern and I would like to tell you that heart beat is ever-changing phenomenon depending upon your activity level, stress and physiological changes. Most likely you are facing anxiety which is why rhinitis (ringing in ears) is also there.It's recommended for you to take some anxiolytic for few days to relieve your symptomsHopefully this information will answer your query. Kind Regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, i had hip surgery 12 werks ago and have numbness on the outer.thigh as expected.but i have started getting an occasional pain in the numb area which feels like a sharp prick sensation, could this be that the feeling is starting to come.back. Thank you.
Dear patient Pain and numbness over outer thigh after surgery may be due to 1. Injury to cutaneous nerves during incision for surgery 2. Compression of lateral cutaneous nerve of thigh due to edema post surgery. Depending on the approach taken for hip surgery area of numbness may very. This needs to be investigated with NCV of lateral cutaneous nerve of thigh. You need to consult expert physiotherapist and get yourself tested. Meanwhile, start tab regain plus vitamin B12 combination one at bedtime for 10 days. Please consult expert neurophysician with report. All the best.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, about 20 minutes ago I touched a phone charger that was plugged into the mains and was switched on. It is split and has the wires exposed and I touched the wires with my right hand . I felt the shock in my hand but did not lose consciousness or get a burn . Even though I touched it with my right hand I have discomfort on my left side. My left arm and hand feels weak and heavy. The left side of my chest feels like it has a slight pressure on it. My heart beat is normally in the 70s and 80s but is now ranging from 58 to low 60s. Do I need to go to hospital? Thank you
Hi, Thank you for posting your query.First, I would like to reassure you that your symptoms are not suggestive of severe electric shock, and you are out of danger. There is no need to rush to emergency at this point. However, you need to be evaluated by a doctor, preferably a neurologist and a cardiologist to exclude nerve damage in arms and a cardiac arrhythmia. You would need to do nerve conduction studies and ECG. I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health, Chat Doctor. Ly/
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi,I am 70 year old. I have finding problem inside the tonge.Always two wound comes twin side of tonge. I hd checked so many times.It will correct for some time. after some day it will automatically started with pain.for that I am not able to eat.Plz suggest me what I will do
Hi. Welcome to Chat Doctor . As per your complaint recurring episodes of eruption of ulcers on either side of tongue points towards a condition Recurring Authors Dermatitis or Recurring Authors Ulcers. It can occur due to a few common conditions like tongue injury caused by sharp teeth, Nutritional Deficiency iron, Vitamin B12 and folic acid, stress, immune deficiency conditions like Diabetes, acid reflux etc. You should consult an Oral Physician so that a thorough clinical evaluation can be done to rule out the exact cause and treatment can be planned accordingly. Aa of now for relieving the pain you can apply a numbing gel containing Lidocaine or Choline Salicylate over the sores for relief. Gargle with 1:1solution of milk of magnesia and Ben Chat Doctor. . Soda bicarb solution in water can also be used for gargles. Sucking ice pops and gargle with cold water can also relieve by reducing Inflammation and pain. Hope this information helps.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a 23 year old man with high blood pressure and a high heart rate. I have for the last two years been suffering from frequent urination and very loose stool. I usually have to go once in 45 mins. I recently have lost the sensation of having to urinate alltogether. It is really scaring me. I have infrequent abdominal pain in front of my left hip and lower back pain too. I am 6 feet tall and weigh 350lbs. I have had my blood tested for diabetes and it came back with great blood sugar. I have also had my prostate looked at and it looks fine. My kidneys were checked and they were fine too. The doctors in a hospital and my personal doctor basically said we don t know whats wrong with you . This is very scary and uncomfortable. I can t work anymore because of this and it s gotten so bad that I can t even leave my own home sometimes because I have to go to the bathroom so much... When I go, it s also a good amount of each, not just a dribble. I don t know what else to do but I really would like some help... I don t know where to turn or what to do anymore.
Hello, I would explain that your symptoms could be related to irritable bowel syn Chat Doctor. Anyway, I would recommend performing a brain and spine MRI study in order to exclude any possible neurological disorder that may mimic this clinical situation. In the meantime, I would recommend trying solifenacin to help against urinary emergency. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi i am a 41 yr old female, for past thre months i have had a heavy cold with bad cattarh,headaches, feverish and constantly tired. for the past 3 weeks i have had a hard lump to the back of my head about 1inch in circumfrence , its hard and sore to touch , its on bottom right hand side on the bone
Hi, Thanks for query to My Chat Doctor virtual Clinic And welcome to Chat Doctor services. I studied all details of your query. I understood your health concerns about lump on back of head on right side. Cause of lump in head-Based on facts of your query, it seems that-you could have either Lympadnenitis on right bottom side of the boner, it could be mastitis, as it is a hard lump and sore to touch.-Amongst these 2 possibilities,3 weeks history with hardness of the sore lump on the bone, leads Me to think of the Chronic Mastitis, as you had bad heavy cold with headache/feverish over last 3 months. CT Scan of the Skull would resolve the ambiguity in the diagnosis of your hard lump. Hope this reply would help you in resolving this complex query and anxiety with it. This would help you to plan treatment with your ENT Surgeon, whose Second Opinion is advised before the final treatment. I would appreciate if you hit thanks and write excellent review comments to help needy visiting patients at Chat Doctor. Welcome for any further query in this regard. Good Day!! Chat Doctor. N.M.S. Genl- CUTS. Senior Surgical Specialist.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello ive had a cold for 3 weeks now. although the sore throat and dripping noste has stopped i still have a very tickly cough. Today as im coughing i feel a slight pulling feeling down near my going but almost near my lower abdominal....i have seen my gp and she said sometimes these colds just take ahwile to life...is this right?
Hi. You have a specific problem. You have a pain that has developed after cough of 3 weeks duration. The pain after such an attack in the groin, feeling like pulling down can be due to development of a hernia or enlargement of the preexisting hernia. I would advise you to get the abdomen examined by a General Surgeon to rule out or confirm the diagnosis and get operated if this is a hernia after the coughing has completely settled. In the meantime continue the medicines for your respiratory problems, take steam inhalations, multivitamins, get investigated for routine so that a fitness is achieved for anesthesia and surgery.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi i have a liquid filled lump which fills up with clear liquid at the back of my scrotum , where my boxer shorts are rubbing. it fills up with clear liquid and some blood and I have squeezed a bit of liquid from it about four times. It keeps on coming back..does not hurt except when squeezing the liquid out (like squeezing) a spot or a pimple. What is it?
Hi, scrotum has a lot of glands that secrete sweat and oil like substances. These are secreted via small pores that opens through skin. If I were your treating doctor, then I would suggest1) Need not panic, maintain adequate hygiene, take bath regularly with soap containing antiseptic action.2) keep your undergarments neat and tidy.3) Keep your groin region Chat Doctor. 4) If hazy fluid along with blood tinged comes out, then consult your physician, as this suggest infection. Hope I have answered your question. If you have any further questions I will be happy to help
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi doc, I was admitted to the hospital because of the stomach infection and dehydration and discharged yesterday and while looking to the complete report everything is normal except the report says something about a 4mm calculus seen at lower pole of the left kidney which I came to know is a kidney stone, please advise me through and how dangerous it is.
HelloThanks for query. Your ultrasound Scan has revealed presence of stone of a size of 4 mm in your left kidney. Normally in the majority of cases the stone of a size of 8 mm can pass out through urine. You can expect it to pass down through ureter down in to bladder and then outside through urinary passage. Please ensure to Chat Doctor. Take painkillers whenever you get pain. Be in touch with your family Physician.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here.my 4 year old daughter has to undergo a procedure to check her trachea as she has had croup like cough three time this year. I am nervous....is this a serious condition
Thanks for your question on Chat Doctor. I can understand your concern. Croup like cough is barking type of very loud, irritable cough. It is mostly seen with Tracheal pathologies like Tracheomalacia, Tracheal obstructive lesions like mass or cyst or nodule. So better to get done bronchoscopy for evaluation of Tracheal diseases. If this is normal then no need to worry much. But if any of the above-mentioned disease is found then surgical correction is needed. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello I would just like to know if eating bags of ice cubes are bad for you? I am 38 weeks pregnant and for about 12 weeks now all Ive wanted is ice cubes. I would like to know also if they are not bad for you then why do they make you pee constantly? Or will that be the baby on my bladder?
Hi, Thanks for asking. Eating ice cubes in pregnancy is considered as SRT of compulsive desire of eating ... it hardly affects nutrition of the mother to be. Eating ice cube is known to raise the basal metabolic rate...this may hinder desired rise in maternal bodily changes (like fat reserves . Which in future provide energy while breastfeeding.) So she would need extra nutrition while feeding the baby. Change in maternal metabolic rate does not affect fetal development/weight. Though Chat Doctor. .there are no known changes in maternal or fetal urinary system. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my son has recurrant low grade fevers with lethargy and sometimes nausea. lasts a few days, better for a few days, then sick again. his docter says its back to back virus. I dont believe that. just had blook work done and all labs normal. what is wrong with my son?
Hello, Welcome to Chat Doctor, The history, symptoms and the lab reports suggest me that you may be having flu like symptoms of viral origin. Most of the viral flu are self limiting which will subside by itself with symptomatic treatment. As your son is getting the fever repeatedly inspire of the lab report coming negative it may be a Pyrex of unknown origin. Which requires multiple investigation to rule out all possible cause of fever. I would suggest your son to continue with symptomatic treatment for few more days. If the symptoms are not subsiding then you need to undergo investigations. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
age-32 years,Height-5.8 inchesDear sir,Around 15 years ago, I inserted a thick long needle in my penis, After a certain point it stops, when I try to insert it more, suddenly blood is flowing of my penis continuously. when I hold penis tight for 15 minutes then it stops flowing. There is no problem for 2 years. After two yearswhenever I walk liquid come out from my penis. due to this I cant run. 24 hours I feel that ants are moving at the joining point of two legs below the penis.
Degree understand your concerns went through your details. Whatever the injury must have cause two years earlier, must have cured at that time itself. Now whatever you are feeling could be psychological issues. Regarding the liquid flow, you should consult a urologist, if you think it is really that way. Urinary incontinence needs to be treated. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, about 10 yrs ago I broke my right clavicle. I deal with the occasional shoulder pain due to exercise, sports, and weather. But I just recently felt a small lump above my right clavicle, exactly where I broke it. It hurts and it moves around. Should I be concerned? What could it be? Could it have any connection with a benign tumor removed from my right breast about 13 years ago?
Hi, DEAR,Good Evening, Thanks for the query. I studied it in details and understood your health concerns regarding it. Lump caused on fractured clavicle-10 yrs ago-is a Fibroneuroma ?or Sebaceous Cyst with infection?. X-ray of the clavicle and FNAC Biopsy would fix if it's related to the benign breast lump removed 13 yrs back. Hope this would help you to plan the treatment with your doctor. Wellcome for any further query in this regard. Wishing you good health. Good Night. Chat Doctor. N. From INDIA.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband was hospitalized in Sept for severe epididimytis orchitis, 2 days ago his scrotum started to swell and has turned slightly purplish in color and has a pretty strong odor. He visited his urologist Monday and is on Ceftin twice daily, the swelling is a little worse, no pain though just tender, but the odor and color change are worrying us. The Dr. Said to come back if anything changes. We have an appt tomorrow but the problem is his Dr. Is not very detailed with information regarding this matter, he only told my husband to take the meds and come back if anything changed...
Hi, Welcome to Chat Doctor forum. It appears that it is the recurrence of the epidedemo orchids. The other causes may be the inguinal hernia, torsion of the testis etc. If the color changes to the brown or dark red he should immediately see his doctor to prevent the necrosis. For confirmation, he may need to have MRI of the scrotum which is to be taken immediately when the color changes. Wishing for a quick and complete recovery. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My baby is 2.5 yrs old with 12.5 kgs weight having high fever and cough from last 2 days. I m giving him crocin syrup 7.5 ml in every 6 hrs but fever goes down 100-101F only for 1 hr nd then again goes to 102-104F. My friend advised me to give Meftal-P but i m not sure if it is safe . plz advice on the same and if save what dosage i can give.
Hi... Thank you for consulting in Chat Doctor.PLEASE DO NOT USE METAL OR METONYMIC ACID. 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 of 500Β mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. Meftal-P contains Metonymic acid which is a NSAID. It carries the risk of gastritis and renal problems in the long run. Please do not use Metal. Regards -
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello, I was wondering I am on Accutane and I wanted to Know if I would be able to take Oxylite Pro? Does this affect your liver?
Dear jessicawelcome to Chat Doctor Please Consult with your health care provider before using this product, and especially if you are taking any prescription, over the counter medication, dietary supplement product or if you have any pre-existing medical condition including but not limited to: like high or low blood pressure, cardiac arrhythmia, stroke, heart, liver, kidney or thyroid disease..." Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I am a 55-year-old male. Routine CBC report shows hemoglobin 17.1, hematocrit 51.5, and platelets 255 (up from 201 last year). Should I be concerned about PV?
Hello, Welcome to the ChatDoctor. In polycythemia vera, hemoglobin level is usually more than 17.5, and hematocrit is more than 55. So you need not concern about polycythemia vera. The chance of secondary polycythemia also seems to be very less. So you need not worry about your CBC (complete blood count) result as per my opinion. If you have a history of persistently elevated hemoglobin for a long time, then only further investigation is needed or else do not worry. You can attach your reports to guide you further. I hope I have answered your question.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,For the past three months, I was having a dry cough. I consulted a doctor who advised me Augmentin 625 mg, Grilinctus, Betadine gargle, and steam for five days. That gave me a lot but not full relief. I continued gargle and steam for some more time. Since then, the cough is reducing. But, some amount of mucus remains in my throat. Nothing comes out but keeps giving me a feeling of something there.
Hello, Welcome to Chat Doctor forum. The problem you are suffering is a viral illness that is temporary. You also need to check for any triggers that cause the mucus to increase. If you started with a ChatDoctor. The feeling in your throat may possibly be due to
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My son received celestamine syryp in January 2011 and I still have some. He seems to have a stuffy nose and constant cough at night when he sleeps. He just completed a course of antibiotics 2 weeks ago. Am I able to still use this Celestamine from jan 2011 now end of March?
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query your son have stuffy nose and constant cough which is due to impaired immunity of body and susceptibility of getting infected. Celesta mine syrup which you bought in 2011 you have to check its expiry date. If it is expired then you have to buy a new one rather than using the remained one. You should take steam inhalation as well. You should go to pediatrician once and should go for CT sinuses. Furthermore, you should get X-ray chest done along with pulmonary function tests to find out extent of infection and start treatment. Hope your concern has been resolved. Get Well Soon. Best Wishes,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi my husband is 64 yrs old and nearly 4 yrs ago he was diagnosed with prostate cancer 80% un operateable since then he has had a cancerous polyp removed from his bowel on doing so they found that three of his lymph nodes had carcinoid tumours inside they left two of the lymph nodes as they couldn t be removed one of which was rapped around his main artery after the bowel operation it burst open with an infection with the antibiotics and tramadol he started 3 yrs ago with kidney failure acute and has dialysis three times a week. 2012 he started with bone cancer in his right shoulder and top and middle bottom of his spine this is very painful and he is unable now to use it at all due to pain he has now been given morphine for the pain. The doctors never tell you the truth and me and my husband would love to now the truth about his survival rate as he really needs to know how long he has left so he can make arrangements and go the places he s always wanted to go before it too late please be honest we need someone to be truthful with us now. Your norma weatherill
HiT hanks for your query. It appears that the prostate cancer in your husband has spread to the bones. There are a number of therapies available to control this, like hormonal therapy and denosumab. I am not sure if he has had any of these. If he has received all therapies available and not responded, then the expected lifespan is not good. But prediction of survival cannot be done without a full assessment of the patient. Hope this helps, Regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi.. My daughter is 11 months old and is suffering from fever for the last 2 days. We are giving her 1.25 ml Calpol drops. Fever drops and after taking the medicine and again gets increased after 4-5 hours. Shall we continue Calpol drops? She is having 100.9 now.
Welcome to the ChatDoctorI understand your concerns but don't worry. The most likely reason for fever in this age group is self limiting viral infections. It improves within a few days with symptomatic management. Do, continue cal pol for fever spikes. If the fever persists for more than three days or there is any worsening than do visit a pediatrician for proper clinical examination and definitive treatment. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am very active. Weights, cardio , hit training. I am 45 . Possibly thyroid problem .have no insurance .been sick with severe cough for 4 weeks . My resting heart rate is unusually high for me 88/95 ..I do have mitral valve prolapse ..heavy cycles the last 2x years and weight gain .even with regularly workout
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. You should not worry.I'll try to explain you something and give you my opinion. You should know that normal heart rate ranges between 50-100 beat for minute. When it exceeds 100 beats for minute with normal sinus rhythm we call it sinus tachycardia. Heart frequencies between 80-90 are quite normal during normal activity. Someone might experience sinus tachycardia during an emotional stress, during physical activity and this is also normal. There are also some pathologies like anemia, hyperthyroidism or active infections that might be responsible for sinus tachycardia. So if you have a heavy cycle you have to check your blood for possible anemia. If you have a long history of cough it might be a possible bronchitis that keeps your heart frequency high.Also, it is quite known that people with mitral prolapse might have occasionally rhythm issues. But to decide what is they cause and how to deal with it, if I was the treating doctor I will recommend some examination like an electrocardiogram, a full blood analyze to exclude anemia, hyperthyroidism, active infections.Also, I will recommend a holder rhythm monitoring to see what happens with your rhythm during day and night. Only after this we can judge if it is necessary to treat anything. Hope I was helpful. Wish you good health. Best regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i m unable to open my mouth properly due to chewing tobaco from last 5 years. i gave up my habit since last 3 months. i am also feeling uncomfortable while eating. i can enter only 2 fingers in my mouth.Please tell me how can i overcome this. Thanking youkishore
Chewing tobacco can cause reduced mouth opening (Erasmus) by two effects:1. Oral submucosal fibrosis in which tissue in layer beneath the lining (mucosa) of mouth (oral cavity) gets fibrosis (fixed and hardened due to changes). Although it is a benign condition, but it is quite troublesome as patient cannot open mouth adequately resulting in difficulty eating and speaking.2. Oral cancer which has advanced locally to involve muscles, muscle spaces or joints of mastication (chewing) which are also responsible for mouth opening. In both cases you need to see your dental surgeon who after examination will advise biopsy and CT scan imaging from base of skull to root of neck to get to an exact diagnosis. I hope it helps. Please discuss it with your doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
So back in june I tried shaving my testifular area for the first time. And the next day I was covered in razor bump. Most of them went away withing a couple weeks. However 2 months later 5 or 6 are still present and today one was extremely swollen and filled with puss so I popped it until all the puss was gone and blood came out. It in under my belly button above my penis . I m worried about what is happening. Please help. Ps. I have never had this before until shaving that One time.
Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. Probably your shaving has led to an infection which needs to be treated. You will need antibiotics and anti-inflammatory Chat Doctor. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. You just need to contact me on this below-mentioned link:bit.ly/
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 3 year old daughter woke up with a lump on the side of her neck . it is hard and close to the size of a apple. The other side is slighty enlarged to the size of ping pong ball. She is otherwise well. The Dr checked her and ordered bloodwork and a chest xray. She has had no illiness since January(6 months ago) How concerned should I be
Hi, dairy have gone through your question. I can understand your concern. She may have enlarged lymph node. It can be due to reactive hyperplasia, tuberculosis or lymphoma. She should go for blood test, x-ray chest and fine needle aspiration cytology of lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello I have had right testicle pain for several years now. I have been treated with several different antibiotics with no success. I had surgery on the testicle 2 years ago, I think on the epididemys and the pain went away for awhile and came back. My doctor now suggests I go into the office for a cord block? Can you tell me what this is and does it usually help?
Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. You should get a Doppler of the testis and spermatic cord done. This will identify the vascular causes. Also, you need to wear inner wears which are supporting your testis properly. Cord block may not help your testicular pain as such. Also get a culture and sensitivity done for the sperm to rule out any infection. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I sometimes get a sharp pain in the left side of my chest (heart area), sometimes stronger than other times. Sometimes the pain runs down my left arm strongly and quickly. it has been happening more often as time goes on. I had a heart murmur when i was born but I was told it went away. Could i be developing a problem with my heart as time goes on? I am in fairly good health, not overweight and have no other health problems. I have used stimulants recreationally in the past, could this be contributing to the pain and should I stay away from them in the future?
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should definitely rule out heart diseases first because you had murmured in the past. So get done blood pressure monitoring, ECG, 2d echo and stress test (trade mill test). If all these are normal then no need to worry about heart diseases. Apply warm water pad on affected areas of chest and arm. Avoid movements causing pain. Take simple painkiller like paracetamol or ibuprofen. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I have been having spotting during my past two cycles on an off for days on end. I am not sure if I should be concerned. I have stopped birth control for over one year, and I am trying to conceive from the past two months. I have had a couple of urinary tract infections during these cycles. I am worried that my hormones are out of balance.
Hello, Welcome to Chat Doctor forum. The presence of pinkish-brown spotting in the proliferative phase of your cycle does indicate that you are having inadequate endometrialization possibly due to decreased serum estradiol levels during the phase. Also if the spotting turns darkish brown in the second phase of the cycle, then the level of progesterone is also inadequate which can cause early spotting premises as well. It is suggested that you should get your hormonal profile for day-2 of cycle done and also take to sequential ultrasonographic follicular and endometrial thickness monitoring which would indicate the state of endometrialization due to estrogens and also the correct time of ovulation. This can be corrected by starting estradiol pills in the first half of the cycle followed by progesterone-only pills post ovulation, which shall prevent these bleeding episodes.