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Good evening, I just had an IUI done on monday morning 930am. Sunday morning my RE took blood and u/s revealing the following: right ovary had 4 follicles sizes 10, 11, 10, 14. Left ovary had 2 follicles sizes 11 and 13. Uterine lining 7.4. E2 level 650. sperm count 10 million. I was hyperstimulated in a previous cycle (on varying doses of bravelle), which is why my RE recommended i take the ovidrel shot at 1130am on sunday in preparation for IUI on monday. He did not want to wait another day because of the risk of having too many eggs grow too much. I have been told that my ovaries are rather stubborn...took a while to get my eggs/E2 levels past baseline but when they reach that threshold i appear to blossom, which poses concern for a conservative RE. Within few hours immediately taking ovidrel, i had cramps . The night of my IUI and the day after I felt a full feeling in my uterus (wouldnt necessarily classify this as cramping, perhaps bloating?) My question is....do I actually have a chance of conceiving this cycle? Could I have ovulated within those few hours after taking ovidrel? I am especially concerned because of the size of my follicles and lining thickness. I am going to start taking intravaginal progsterone starting thursday evening. Any advice or input would be greatly appreciated, thank you in advance!
Hi, Thanks for your query. I read your query and understand your concerns. Following is my reply: If you had pain after taking ovitrelle, its probably ovulation. There I chance of pregnancy. But you know there is no 100 % chance in any infertility procedure. Take progesterone tablets as you have mentioned. There is possibility of conception. I hope I answered your query. I will be available for any follow-up queries you have. Chat Doctor.
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I was hit by a car 2 weeks ago. I didn t get any bruises but there was swelling in left hand (below wrist) and left leg s calves. X-ray showed no fracture. Swelling is gone now. But left hand still feels like it is crushed. Can t lift or push anything with it.
Hi, thank-you for providing the brief history of you. As you had a car accident which we call it an RTA - Road Traffic Accident. During RTA there will be a high strain injury to the muscle fibers and that lead to weakness as well. Muscles act by providing the support to the skeletal system and its also acts as protective. This looks like a muscle fiber injury, a deep hurt which has led to weakness in the muscle system. I will advise you to perform some exercises, which are simple to regain the strength of the muscles and tendons wrist and hand should be strong again. This is very common to complain I receive in my clinical practice. Most of them respond well to physical exercise. Regards Jay In Chat Doctor.
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Hi DR. Im 31 years; 74.5 KGS and 1.89 Metres tall. 1st: I had a boil undernetah my tongue that takes 3 to 4 weeks to fully develop and raptures by running iver my toungue. 1nd: I had a tooth ache; upper fornt ringht tooth. 3rd: I had a lyphnode on my neck; left side just behing the ear as well as left cheek just above the cheek bone. thanx
Hello, Your symptoms include signs associated with an infection. The upper tooth could be Chat Doctor. Antibiotics such as amoxicillin can help control an infection. You would need a prescription from your dentist after an evaluation. The upper tooth, if found to be the source, would need dental treatment such as a root canal or an extraction. Temporary pain relief and reduction of inflammation may be helped with anti-inflammatory medications such as acetaminophen and ibuprofen. Your symptoms may be unrelated and you need to add
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Hi Doctor! Im 22 years old, smoking for quite many years now. And I seem to have a receding of hairline appearing recently. Ive had a considerable amount of stress at one point last year and ever since, and I have always been suggestive to stress previously, resulting in constant psychosomatic tension in areas of my back, abdomen, pelvic area and head (inside and on the skin) that has increased since last year. Now I started noticing that my hairline has receded in front, in those corners of the forehead, you know. I associate it with constant tension Ive been experiencing in that area of the head on the surface like skin tension and under the skull too. Is there a chance for it to grow back when I quit smoking and work on reducing the tension?
Hello are 22 years old and are smoking for few years. You have considerable stress and also have receding hair line. Due to stress you developed psychosomatic complaints in back, abdomen, pelvic area and head. Hair loss may be linked to tension, but it has other causes like familial hair loss, male pattern baldness etc. But definitely if you quit smoking and reduce stress and tension. Try relaxation exercises, progressive muscle relaxation exercises, breathing exercises etc. for quick relief. Yoga and meditation will also help. Thanks
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Hello, At the end of lacrosse practice about a week ago i recieved a nasty cross check to my deltoid. The check hit wierd, as it went under my pad. The pain came in right away, couldnt move my arm for the rest of the night. I was surprised to see that that there was a very small bruise , but my whole shoulder hurts to the point where i cannot do simple tasks such as passing the ball. I can slowly move my arm fine, but when i speed things up it stings all over. I have bern icing it every day. I have been on advil only to help with the pain, but is there anything else i can do? Do you know what could be wrong? Any methods of treating it faster? I need to get back on the field asap before try outs are over.
Dear List, I believe you may have suffered a muscle strain, maybe even a partial tear. What the muscle and shoulder desperately needs now is absolute rest in some sort of "sling"! But, it seems you really want to "hit the road" again; which is rather unfortunate. May I suggest you give your body time to heal. There can be another try out. You may also wish to consider the advice of an Orthopedic Surgeon or Clinical Physiotherapist. Best regards.
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Hi, I had a copper coil fitted 2 days a go. I have never been pregnant. At first it was a little sore but not too bad a little pain down my left leg. Yesterday I could walk around and bend no problem. Toda, day 3, I was fine and cleaning the house when suddenly I had sharp pains in my lower left side and really bad pain down my left leg. Is this normal pains for the first few days of copper coil when you ve never had children etc. It was pretty sore getting it put in so maybe it s normal? I ve taken paracetamol and ponstan now so it s getting a bit better, I was literally crying with pain. I ve looked for the threads but I m not sure whether I felt them. Should they be really obvious??
Hello. Thanks for writing to us. The mild intermittent episodic spasmodic pain in the lower abdomen is a normal finding after fitting of the copper coil. This pain will gradually subside in two three weeks. You can have rest and do a hot fomentation for symptomatic relief. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
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Good evening.About 2 months ago, I started to experience a pain in my left arm. It lasts about 30 seconds, and feels like someone is sticking a hot needle in my arm. It s always in the same place (inside upper arm and just below my bicep, but just above where the joint/veins are) These attacks can happen over a dozen times a day, but more noticeable at night, when I m relaxing.I m male aged 45.Thanks Shane.
Hi, Thanks for your query. Due to compression of nerve root in cervical spine there is tingling numbness and pain associated with it. I will advise you to MRI cervical spine for better diagnosis. For these symptoms analgesic and neurotrophic like pregabalin and methylcobalamin medication can be started consulting your doctor. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
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Hi Doctor!I hv been suffering frm Post-natal Anxiety on & off. Hve taken full course of anti depressant (NEXITO) twice in d past 2 yrz. I jus finished last course recently a few weeks back & feel much better now..I m afraid of goin through it all again... Can u plz suggest some everyday precautionz to avoid anxiety? Some daily tips to keep my mind off negative thoughts?
Hello thanks for asking from ChatDoctorA lot of women suffer post-natal blues after birth of baby. It is like mild mood swings in most of the females, but in some individuals it may progress to severe levels and can remain persistent. You have been on Escitalopram (Next) and successfully completed the course, and now you are feeling better. To prevent further recurrence I would advise you to follow lifestyle changes-- First thing is to exercise daily. Daily exercise helps to secrete endorphins which help to reduce mood swings.- Progressive Muscle Relaxation Exercises and Breathing Exercises help to relax individual and ameliorate the need of medicines.- Have diets rich in omega-3 fatty acids like walnuts, hazelnuts, flex seeds, salmon fish, sardine fish etc. Diets rich in proteins and carbs also improve mood on long term.- Have good at least 7 hours sleep.- Practice yoga and meditation, this will decrease negative thoughts. If symptoms become uncontrollable then consult a psychiatrist for treatment. Thanks
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My son is 3 months old today and passes a grey greenish with a bit of yellow poo. I breastfeed him once or twice a day try to do three times, but he would prefer bottle. I took him to dr yesterday for his lungs and she prescribed him an inhaler for possible bronchi virus. The formula i use is nestle good start propiotic. His poos are normaly green sometimes with yellow. Just wondering what cause grey today
Hello thank you for your query. As a breastfeeding specialist sometimes a mother diet has an effect in the color of her milk. You may have eaten something dark green or black that has passed to your milk and then to your baby leaving his stools with this color. If your baby has green stools you should check your nursing time because baby may be Chat Doctor. So keep your baby at the breast as long as you can
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I have chronic back pain which is seriously affecting my quality of life. I have had 3 major surgeries. My entire spine has been fused. I have heard that NEURONTIN is beneficial with this type of pain. My PCP has never mentioned this to me. Would this be beneficial for my pain? Thank you! Judy deGraw
Greetings, Neurontin basically contains Gabapentin. Gabapentin has been considered as an efficient painkiller with problems related to nerve/spine. That being said, the limitation with gabapentin is that works on some individuals and others have no beneficial effect. I can totally understand the back pain and the hindrances it might be causing in your daily activities especially after undergoing 3 surgeries. Hence, I would suggest you to at least have a discussion with you Physician and after clearance, you can consider neurotic. The only major side effect I have noted in my patients is excessive sleepiness for which you can take only half a pill (instead of one) half an hour before bedtime. Hope this Helps.
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for the past few weeks weve been noticing unexplained bruises on the lower part of her right leg. when they seem to be going away they get darker . she now has more bruising and more are appearing on her left leg. shell be 2 in june and I suffered from severe anemia during my pregnancy with her as well as dvt . can any of this be related?
Hello, Thanks for posting your query. Bruises over leg can be due to blood disorders, infection,coagulopathy, vasculitis or autoimmune disease. As you have history of anemia and DVT, then Disseminated Intravascular Coagulation should also be ruled out. You should visit your doctor and get tests like CBC, ESR,PT, APTT, D-dimer,serum fibrinogen, C-reactive protein. Then it will be easier to reach a proper diagnosis. Hope it helps. Take Care!
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I have a problem at night with pulling stuff out like bubble gum and it is a horrible feeling .I do this pretty often. Sometimes when I wake up my tongue feels like sand paper and a little swollen. I looked this morning and there were some black places on it. What do you think? I am actually not pulling nothing out but, it seems like it.
Hi. Thanks for the query. Your symptoms can be probably due to some sort of stress or psychological problems. Sand paper like feeling of tongue along with slight swelling and black spots can be due to mouth breathing habit that can cause Chat Doctor. . So my suggestion is to consult an Oral Physician and once get an oral examination done. If you have mouth breathing habit then you can follow a simple trick by pasting a vertical strip of micropore tape over the closed lips, but do only if you do not find it difficult to breathe through nose. Use a tongue scraper to clean your tongue daily and do warm saline gargles. Hope this helps. Regards.
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I HAVE BEEN TAKING NEXITO 10mg SINCE THE LAST 5 MONTHS. IT REALY HELPED ME. I WAS TRAVELLING AND GOT TO CARRY MY MEDICEN AND HAVE NOT HAD IT SINCE TWO WEEKS. I AM FELLING UNCOMFORTABLE, MY BLOOD PRESSURE HAS RISEN AND IS PRESENTLY WERE HIGH 160/108. PLEASE ADVISE WHETHER I SHOULD CONTINUE WITH NEXITO OR NOT.
Hi, next is not a tablet for blood pressure. Its antidepressants and relieves anxiety. Have u ever checked your blood pressure while being on next. Either symptoms of blood pressure are decrease by next or your blood pressure may be a result of depression and anxiety. My suggestion is since your blood pressure is high you should take medicine for blood pressure line telmisartan 40 or Amlodipine 5 mg once a day. Also low salt diet and regular exercises. Besides low fat, sugar diet. Next you can depend upon on your anxiety status.
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Hi, Dr Samuel Grief,this is the lady that wrote a query on thursday evening-17 April-local time, about her journey through fertility treatments. Please you could check with the above email address,I was told my query has been reviewed.Could not find answers in the chats,perhaps you send mine to my email,my query was a bit lengthy and today is my CD8,I finished my course of 50mg clomid,don t know the next course of treatment. Please Dr.Grief I need answers....been waiting! Thank You. Ijeoma-Nigeria
Hi Lima, i don't. Know detail history in your case please update me about it in terms of age history of thyroid problem, diabetes,hypertension, ashtma, husband semen analysis, any history. Of tube testing done? If I was your treating doctor, and you have already taken tablet closed for 5 days and if you have 30 days cycle you can take injection Chat Doctor 5000 IU on day17,day21 of your cycle and planned relations from day 12 to day21 alternate day.
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I been taking citalopram 20mg about one month. Last Thursday I started having pain in my left arm and shoulder, it feels like muscle spasms. I been taking over the counter pain reliever and using icy hot . The pain hasn t eased up. What should I do now?
Hello! I understand your concern and would explain that the pain is the arm is not a common adverse effect of citalopram. For this reason, I would recommend consulting with your GP for a physical exam and performing some tests to investigate for the possible causes underlying your complaints: -a resting ECG and cardiac enzymes-a shoulder and cervical spine X-ray study-complete blood count, PCR for inflammation- muscular enzyme levels-vitamin D plasma levels and blood electrolytes. You should discuss with your doctor on the above tests. Hope I have answered your query. Let me know if I can assist you further.
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hi about three weeks ago I had a tooth extracted which was infected. the dentist believed it was connected with my sinus cavity.... I have bad teeth and am getting dentures. out of all the teeth being pulled this one developed an absess like bumb right above the socket on my gums its been hurting this whole time the doc put me on a heavy antibiotic but it isnt going away. my dentist cant get me in for a while, and hasnt looked at it what should I do. I have a history of severe tooth infections resulting in hospitialization
Thanks for your query, I have gone through your query. The bump or growth at the site of extraction could be a socket granuloma. Consult an oral maxillofacial surgeon and get a radiograph done to rule out any residual infection and frontal fistula. If there is infection still you need to get it curetted irrigated with Betadine and saline. If there is a socket granuloma, then it has to be removed surgically.I hope my answer will help you, take care.
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Woke up this morning with sever lower back pain, mainly on my lower left side. hurts to turn to my right. sore throat and cough. after eating today now i am burping up foamy stuff. i do have asthma, and using my inhaler alot lately. also take a musinex every day with a over the counter allergy pill. i am 43 - around 125 to 130 lb not sure never weigh myself.
I would like to make you happy with the simple effects of Ayurveda principles for sucChatDoctormon ail.ends, provided you follow these honestly without fear. This is vitiation of Kafka and Data humors in body, which in modern you call body pains and infection of throat etc. Simply Beau water with holy basil leaves if you get and Chat Doctor. With it take 1/2 tsp turmeric powder. If you can't do it please use Tulsa cap (holy basil powder) and Hard
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Hello, I have a two year old daughter who was born with Spinal Bifida and for the last past year she has been in and out of the hospital every other month with bad UTI s, high fevers up to 105.6 and her heart rate ends up going up to 220. about a month ago we were told that she has spinal tethering and fluid on the bottom of her brain pushing on her spinal cord and that she needed to have surgery soon. first they said within a couple weeks now they say they want to wait till the end of next month. well now she is in the hospital again with another UTI and High fever of 103-105 and her heart rate went way up to 220 and had hard time getting fever and heart rate down. We also had to start last month doing a cathider on her every four hours because her reflex doesn t work right and her urine flushes back into her kidneys. My big concern is can them waiting to do the surgery hurt her more or could her keep having these high heart rates and high fevers damage her brain and heart more? should I be worried and go get a second opinion?
Hi sir, thanks for contacting us...first, plz don't be sad... I can understand what stress you would be going through...it's not easy to see our loved ones in so much trouble, n worrying s a part of it... 1. Your baby has spine problems which would be the primary reason for UTI, coz that causes abnormal bladder reflexes, leading to recurrent Otis..... (vicious cycle) actually 2. When ever there is fever, heart rate goes up and It's directly proportional.... Fever of 105 worries me, but jam not so worried the high heart rate now...so next time if you feel your baby is febrile (> 101 *f) I want u to do supportive measures like tepid sponging and paracetamol suppository (per rectal) 200 mg every 8 hrs and aim to KP fever down(high fever can affect the brain and trigger febrile fits, though not affect the heart usually)3. Uti here needs to be treated and so the doctors are right to wait, bcoz these are elective surgeries usually when it presents in this age and a month or so should be ok to wait. 4. High heart rates are worrisome if the child has a primary high rate problems without other associated issues like fever, infection etc.....we call it SVT (supra ventricular tachycardia) because that's the commonest, but your child has fever leading to high heart rate, so there is nothing to worry..., continue your care with same doctor and any further queries get back to us. Regards, Chat Doctor.
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Hi, my name is christine and i am a 48 year old (overweight) women. I have been experiencing a pain on my left side, it does NOT hurt when i breathe, cough or sneeze, it hurts when i move certain ways, but it almost feels like these is something in there. I really don t know how to describe it, it is a really weird pain on the left side, NEXT to my breast under my arm, like my rib cage or somewhere.
Hi, The location and movement of a pain gives clues as to what is going on. There are a surprisingly large number of organs in that area. From the OUTSIDE IN. There are muscles and tendons that go to the limb and shoulder. There is also space for infection (hi Chat Doctor. There are nerves that run out from there. There is the shoulder and collar bone joints and bones. Then there is the lung and pneumonia, tumor even old scar tissue can cause pain. Hope I have answered your query. Let me know if I can assist you further.
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Hi Doctor I had been adviced for follicle scan and i was been scan for three days and then doctor told that the follicle is been ruptured need to have contact the day and next day which was followed and doctor said there are chances of preganancy this month but no luck i have got my periods. Kindly suggest on what could be the reason for not conceiving
Hi, Thanks for writing in to us. The rupture of follicle is a reflection of ovulation which is release of the egg in the female. This is the most fertile time in the menstrual cycle for a woman to conceive. The date of ovulation is usually constant at 14 days before the onset of periods. It is said that a couple should have sex regularly from one day before ovulation and until 4 days after it happens. This will increase the chances of getting pregnant. You must try again during your next cycle, the most fertile days would be staring 14 days from the expected onset of your next periods. There might also be other causes for you not getting pregnant like anti sperm antibodies in your cervix, non deposition of adequate amount of semen in your vagina, abnormal sperm production in your partner and any pelvic infection in you. Please discuss with your gynecologist Hope this helps
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Hi I m actually inquiring about my husbands symptoms. He is 47 years old, hasn t smoked cigarettes for 2 years now, but was a heavy smoker for many years before he quit. He is a heavy beer drinker, probably drinks an average of 12 beers 4 to 6 days a week. He also has extensive dental problems including cavities and gum disease. His symptoms include a bad burning sensation on his tongue when he eats or drinks anything which has persisted for about 2 to 3 weeks now. Today he discovered a lump or bulge in his tongue on the left side. From what I m reading, there is cause for concern about oral cancer .
Hi, from the symptoms you have described and his history of chronic smoking and Chat Doctor. The other symptoms that can help you diagnose the problem are -A red or white patch on the tongue, that will not go away sore throat that does not go away sore spot on the tongue that does not go waylaid when swallowingNumbness in the mouth that will not go awayUnexplained bleeding from the tongue (that is not caused by biting your tongue or other injury)Pain in the ear (rare)Its advisable to meet your doctor and get a BIOS done at the earliest. Take care
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My husband age 70 had a tia 16 years ago - not dx immediately. His MRI shows cerebrovascular disease , small vessel disease and mild cognitive impairment which is thought to be organic and not psychiatric. This is all being dx as old age!! He has also been dx as possible change in behaviour and personality due to fronto subcortical white matter change. I have known him for 47 years. I thought it could be bv/ftd but as his brother has Parkinsons I now wonder if there could be a Parkinson s link.
Hello, Thanks for the query, Let me tell you that in neurology practice, the MRI data must be correlated with clinical findings. It is the clinical data that is of paramount importance rather than MRI data. This MRI findings can be seen in patients with hypertension, diabetes also. So we stress upon the disease that clinically evolves over a time. Further the symptoms that mark the onset of illness is very important in this neurological disorder. Parkinson's disease manifests as tremor, tightness of body, slowness of walking. The classic Parkinson's disease doesn't start with behavioral problem. Even though, the risk of Parkinson's disease in your husband is high due to family history, the current presentation is odd for the same. A possibility of front-temporal or vascular dementia is likelyPlease get evaluated by a local neurologist Hope this classifies
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Hey, my friend cut her radial artery last night. Her dad told me it was on her forearm not her wrist. I have no idea if shes alive or dead Ive tried everything to get hold of her, Im so worried. What are the chances for dying of something like that, how deep would she have to had cut. If not what kind of long term damage could there be? How much blood would she have lost roughly, would that damage her brain? Thank you. :)
Hi, Welcome to Chat Doctor forum. There are so many factors to decide the outcome of the cut of any artery. There are arteries of different sizes, radial artery is small at the wrist, and a bit big at the fore arm. Depending on the size and time lapsed decides the loss of blood, and condition of the patient. After a long time means the loss blood will be more, and the patient will be in coma, and may affect any organ. We can have a book of 1000 pages on this issue. The attending doctor only can decide the present condition. Wishing her a quick and complete recovery. Thank you.
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Gallstone problemsHi! I found out last year that I have gallstones and suffer from acid reflux. The doctor I went to put me on dicyclomine for the acid reflux but nothing for the gallstones.They only bother me once in a blue moon but when they do, it gets pretty bad. What are some things that I can do to prevent being in pain until I can have surgery to get them removed? Are there any over-the-counter meds I can take for the pain? Im 22, about 51, female, and weight about 200 lbs. I take pepogest to help with acid reflux but I need something for the gallstones. I heard you can pass them but as far as I know, I havent passed any yet. What can I do about? Help please?!? Thank you
Hi & Welcome to Chat Doctor. Incomplete data: Duration of your symptoms, lab tests like liver function tests, etc.?1. You need to take a proton pump inhibitor (like Pantoprazole) along with a prokinetic Chat Doctor. A prescription is needed from a GP for the above medications.1. You need to have certain lifestyle modifications like:i. Avoid fatty, spicy vegan and non-vegan foods, alcohol (if you consume)ii. Eat home cooked food, increase the intake of vegetables, fruits, etc.iii. Avoid eating with full stomach rather you eat small frequent meals.iv. Avoid taking rest for 2 hours after meal.v. Have your dinner before 8 pm so that at the time of sleeping your stomach will be empty.vi. Do exercise regularly and reduce your body weight3. You can take OTC medications like Mesenteric acid+Dicyclomine for the symptomatic relief of pain due to gall stones.4. The maximum diameter of bile duct is about 6 mm. So, if you have smaller gallstones (less than 5 mm), they can get flushed and pass through the bile duct into the intestine.5. There are some
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iv just found an immobile boney lump behind my right ear. its appeared in the last 2 hrs there are no breaks to the skin and iv had no trauma. its sore to touch and iv had a few white head spots on my scalp over the past few days. the lup appears to be totally different and unrelated.
HI, Dear,Thanks for your query to Chat Doctor virtual Clinic. I studied your query in all the details put forth by you. I understood your health concerns painful sore hard bony post auricular lump on right side. Cause about painful sore lump, which is hard immobile behind ear-The facts of your query indicates that you have white acne or keratitis with white heads in the scalp / or could be psoriasis white scales. As the lump is noticed in last 2 hours with sore white head spots, White Anne / or Acne with blocked white sebum, due to hair folliculitis of subacute type, seems to be the possibility in your case. To rule out Lupus would need Er dermatologists opinion, as I don't think it to be lupus. Due to ambiguity in your complaints, to rule out if it could be normal mastoid bone also, Second opinion from ER Surgeon is advisable in your case.Hence, I would definitely advise you to get Second Opinion from Er Surgeon simultaneously, to avoid further complications of missed diagnosis. So don't forget to take Second opinion from ER Surgeon. Hope this reply would satisfy your query and would resolve the worry with it. If you feel satisfied with this reply, dont forget to hit thanks and write excellent review comments, which would improve my rating for new needy visitors to Chat Doctor. Welcome for any further query in this regard to Chat Doctor. Have a good day. With Chat Doctor. N.M.S. Genl-CVTS, Senior Surgical Specialist
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hello doc.Im Gigi 51 yrs old previously i have ptb but the doctor told me that it was cured already 7 yrs ago every time i go to his clinic he told me i have a pneumonia after en x-ray result even though i told him that i spit w/ blood last monday i go to his clinic agin for a medical check up and he prescribed me cefuruxime kefstar i bought 9 pcs only and switch to another brand of cefuruxime Axetil after 4 days i spit mucus w/ blood as for now im suffering severe backpain what should i do thank you so much doc
Hello Gigi ! Coughing up blood with sputum (hemoptysis) is a red flag sign . Meaning to say it definitely needs Medical attention. Considering you have had TB in the past there are many possibilities for your present episodes of hemoptysis. It could be a bacterial infection or relapse of TB or post TB bronchiectasis (abnormal permanent dilation of your airways at few places which happens when they get damaged due to your past TB). Take a course of antibiotic as prescribed by your physician, Consult with your physician and discuss taking Chat Doctor. While sleeping, Lie on the side which was previously affected by TB and be on complete bed rest. Once your hemoptysis gets controlled go for sputum examination to check for TB bacilli, chest x-ray and if needed HRCT thorax (to pick up bronchiectasis which can sometimes be not evident on x-ray). Since u mentioned severe back pain, vascular abnormalities concerning the descending aorta (the major blood vessel carrying blood from the heart)needs to be also considered Treatment is to be decided based on the cause for your hemoptysis. Do review with your physician and get the necessary investigations done.
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ME and my girlfriend had sex twice last night. The first time we used a condom and i ejaculated in to the condom. Then i put my boxers back on but did not properly clean up. About an hour later i pentrated her again but this time without a condom. I did not ejaculate this time but she did and i was just wondering could she get pregnent because i ejaculated early that night and then pentrated her again an hour later but did not ejaculate this time?
Hello, Thank you for your query Yes it is possible, but chances are slim. There may still be live sperm within the urethra which could lead to pregnancy. If her period is delayed, please ask her to take a home pregnancy test. I suggest that you use contraception everything you have intercourse to prevent unwanted pregnancy and complications. Hope this helps. Please let me know if there is anything else I can help you with. Wish you good health
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recently Dx with leukemia, from bone marrow, apparently long standing(4-6 years) and stable, asymptomatic, high platelettes, trisomy 15, need iron suppliment, hip-bones very hard, (dense) doc had difficult time taking bone biopsy) unmarried male , age 68, wt 150 height 5 7 ( 2 shorter than a few years ago), asthmatic, (rarely after age 21) , moderate smoker, sever bipolar disorder..otherwise no chronic disease,, generally no health issues) (except) always tired, very tired , getting tireder, very heat sensitive 7 years, (now live in new mexico desert, ( almost 30 years grave yard shift work, ) . . my doctor gave me no prognosis, except stable , neeb somewhat better prognosis please or where to get info. loren bennett
Hi, dairy have gone through your question. I can understand your concern. You have leukemia diagnosed from bone marrow biopsy. Prognosis of leukemia depends on type of leukemia, stage of leukemia, blast percentage, other co morbid condition and many other factors. Moreover, you have asthma and severe bipolar disorder. So please send me your bone marrow biopsy report so that I can help you further. Hope I have answered your question. If you have any doubts then feel free to ask me. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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hi. my age is 29, i have phimosis (Tight Foreskin). can you please tell me the treatment and how much time it will take and wht is the cost and how soon i will able to have sex with my partner as i m getting married in next 3 months. Please mail me at YYYY@YYYY I will be thankful to you.
HelloThanks for query. The only best treatment option for Mitosis is to get circumcised. This is a simple surgery done under local anesthesia as about patient procedure and offers permanent cure and helps to have enjoyable sex for rest of the life. It will cost you roughly 7-10 thousand Indian Rupees. It takes 3 weeks for complete healing of the wound. You can have routine satisfactory sexual life after getting married after 3 months. Chat Doctor.
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My brother is suffering from cough since last two years. He has been given the spray which reduces the cough for 5 minutes & again it starts. He is an engineering student studying in Chennai India & his treatment is happening in Apolo Main hospital Chennai. Please advice
Hello and thank you for your question. There are many causes for chronic cough. The first thing that needs to happen is for his doctors to determine the cause of his cough. If it is allergies and antihistamine may help. If it is reflux then an antacid may help. If it is smoking he must quit. If it is from a medication then the medication must be stopped or changed. Good luck and I hope he gets some relief soon.
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Last week ankle felt weak. No big deal sprain them every year. so I babied it bit so I wouldn t sprain it and be no crutches. Yesterday {Feb 2nd} woke up put my foot on the floor and thought i would go through the roof.My left foot , started on the bottom of foot. Now ankle, calf and calf has a lump on it as of this morning. it feels a little better once i can stand or put pressure on it. This stinks because its the first time in more then 25 years I have no benefits. Left foot a little swollen,hot inside not really to touch.A little red. I am over weight 47 years old. Have had a few weird sinking moments in the past 6-7 mo. One minute fine next on the floor but the last one was before thanksgiving..Blood pressure is always low. Never had anything else wrong. Haven t been as active as usual either. Just tired all the time.
Hello I have studied your case. As per your history and symptoms possibility of cellulitis can be considered. Consulting your doctor infection /cellulitis can be confirmed, antibiotic can be started according to examination. If required you may need to do blood investigation for prognosis and recovery. Take precaution to avoid spread of infection. Vitamin B12 is important in the maintenance of health and normal functioning of the nerve tissue. You can increase B12 level by taking meat and fish, or you can take In methylcobalamine. You need weight reduction and blood sugar checking. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care
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my father is a regular smoker for more than 40 years and now his age is about 65, he had been coughing for the past few weeks now, when we did a executive check up and scan, it is diagonosed that cysts has been formed in his lungs, i dont know what to do now, can u help me
Hello Thank you for trusting Chat Doctor Dear before discussing the treatment we have to know basic information or at least chest X-ray or CT chest report. Many causes for cysts in the lungs example :hydrated cyst, honey combing, Cystic bronchiectasis, pneumonitis pneumonia, Staphylococcus infection, Langerhans cell histiocytosis, progress, etc. So depending on the cause treatment may vary, I think I answered to your question if you have more questions please feel free to ask.
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Sometimes I stop hearing everything around me...i can t understand them and can t hear myself talking or make sense of it..when that happens i hear voices..scary voices...it makes me so scares i panic, cover my ears, crawl into a small space and scream...is something wrong with me?
Degree understand your concerns went through your details. I suggest you not to worry much. If the symptoms you gave here are true to the best of your knowledge, you may need psychiatric intervention for paranoid schizophrenia. You are possibly having illusions. Please understand, timely diagnosis and treatment can cure your problem. 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.
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What is it when you have a child and she has little tiny red dots above her lips and she says they dont bother her what can it be. She just got it this morning i believe she drank orange gatorade and idk if that was the case she never drinks it or could it be something serious?
Thank you for posting your question. Red dots on the skin could be due to a variety of reasons, one of them as you correctly mentioned could be allergy to citrus Chat Doctor. However, other causes like viral rash, irritant dermatitis due to application of irritant substance on skin(cream/powder), removal of upper lip hair or allergy to any other agent (ingested/applied) should also be considered. If the rash is not very severe and not progressing, then watchful waiting could be done. At the most some antihistamines a like certain and local calamine lotion could be used. However, if the rash is found to be increasing or if associated symptoms are seen, then a medical consultation is advised. If you have any more doubts regarding the case, kindly write back.
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How soon can you tell If you are having an ectopic pregnancy?I am having pain in my lower right side & slight pain in my lower left side. It hurts when I pee, but not like a urinary tract infection... it almost feels as if I am pushing something? it hurts. I feel like I need to throw up, but never do. It feels like I might have hemmorids as well.
Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. I understand your concern. Ectopic pregnancy is usually diagnosed when you miss your periods and have positive urine pregnancy test but on ultrasound you don't see any sign of pregnancy in uterus. The pain you are describing seems to be because of a stone in ureter or anywhere on urinary tract. I would advise you to get an ultrasound and a urine routine done to rule out stones and UTI. If you have any further query you may write to us again. Stay Healthy
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I used take stalopam plus and stalopam 5. for 4 yrs or so....,for the last 5 months stopped taking it...,,now the feel good factor has vanished from my life...I dont like anything....also just 3 months back my sister in law died who was like my mother....this death has aggravate the situation further...joy has vanished from the family..,I always wonder why this happened with us.....I can do all normal activities but there is no happiness in mind...always I am sad....I am 38...,help..
Welcome to Chat Doctor ! I have gone through your question and from my clinical experience I can say that you appear to have recurrent depressive disorder. In past, you used to keep good with slalom plus, and slalom 5. Had I been treating you, I would advise that you should start with slalom once again along with some clonazepam 0.5 mg for some time to help you sleep. Later, after may be two weeks or so, you may stop clonazepam and continue with slalom. You may need to increase slalom up to 15 - 20 mg to get a sufficient response this time as there had been a major stressful life event, death of close one. The death, along with the sudden stopping of medicine had precipitated this current episode in your case. All these symptoms of lack of interest, feeling low, lack of energy signify depression. You can start the medicine but try to get in touch with your psychiatrist for long term benefit. Hope you get well soon! Feel free to ask more question.
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Hi,Just had a comprehensive metabolic panel done at quest diagnostics and I am a little concerned about my overnight fasting glucose reading of 119. I am a type II diabetic. The Quest report states that 119 hemoglobin reading was out of range, but my internist did not mention anything during my office visit. Should I be concerned?Thank you in advance for your help. John.
Hi, dairy have gone through your question. I can understand your concern. Your fasting blood glucose levels are in borderline. It should be below 100. You should consult your doctor and set the dosage of your Chat Doctor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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I just noticed my gums under my front teeth have very red spots in between the teeth. It is all across the front, approximately 6 teeth. It runs from almost bottom of gum line to up almost in between each tooth.However, pink gum seperates each redened area. Upper gums normal. No other symptoms as if yet.
Hello, thank you for sharing your problem with Chat Doctor. When there is starting of inflammation of the gums it appears like this only as you are describing, so it can be the infection only because of which the gums are red. The cause of inflammation only in the front teeth can be because of crowding of teeth or sometimes it happens in mouth breathers also. I will advise you to visit a dental clinic and get it checked. Ok Take Care.
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Dr. I lost so many hair after typhoid.. now my hair have become thin and dry. My hair were very soft and silky. But now i can see that i have very less hair on my head. I have lost around 30-40% of my hair. Please help me out and tell me whether hair lost due to typhoid will regrow or not?
My DearWelcome to Chat Doctor ! I have noted your details and concerns and hope that following measures will prove very useful to you as most of the patients that I see with similar complaints:Your problem seems to be a condition called Halogen Effluvium which is a diffuse thinning and reduced density of hairs sometimes after a fever or other illnesses. These hairs generally revert to normal as the time elapses. Several patients have reported hastened recovery after taking Biotin 10 mg daily. In your case, I would additionally recommend that take good care of your hairs by frequent brushing, avoiding vigorous message, occasional shampooing, and having a right mixture of dietary products. I am sure you will get relieved soon from the condition. Best wishes
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Hi this is simran I m married for past 7 years and have a lovely son of 5 yrs In the last five years I had conceived more than 4 times n took Mt pills complete dosage always First time I consulted a gynae After that took it on my own but from last year I m trying for another baby n I convinced in month of March 2013 but had to abort in April after consulting a doctor due to non growthThen I waited till August n then I planned n conceived in Sep 2013 but again I had some stress issues n suddenly got bleeding on 20th OctMy all test n ultrasoumd reports r good Sometimes I feel pain in lower abdamon n Feel a weak uterus. Sometimes I feel uterus moving if I walk fastPlease tell me Are these sides effects of mt pillsI want another baby but my husband is worried not to go through that unwanted abortion againPlease suggest me what vitamins or minerals to take to improve uterus health n for pregnancy.
Hi, It is true that frequent induction of an abortion in whatever way creates an irritability in the uterus in that it is unable to retain any pregnancy for a longer time. In the present scenario, you should ideally wait for some time before trying to conceive again as your uterus seem to be very irritable. Please consult a specialist in high risk pregnancies for further evaluation and help. After your uterus seems to have settled, say in about a couple of months, you can try once again and with appropriate precautions taken soon after and before conception. Hope this helps.
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Hello doctor,My right eye occasionally gets swollen. I do not have any pain, itchiness or watery eyes. But this comes like once in every three months or four months. It would be there only for one day and gets better later. I initially assumed it to be because of body heat since I get this only for one day. It was very difficult to get an appointment with a doctor on that day to show my eyes. However, I continue to have this problem. I researched on the internet (because it is highly impossible to meet a medical practitioner here) and I understood that the cause might be because my right eye tear duct is getting blocked, although it is my assumption as the place between my nose and right eye corner gets swollen. A day or two before the swelling starts my right eye gets a bit teary and I feel like rubbing the right eye often. It would be nice if you could advise what could be the reason for this and whether I should immediately consult a practitioner here.
Hi. From what you have told about your condition and the photos of yours, I suspect you may be having a benign disease called blepharochalasis. It is quite frequent in your age group and follows the same pattern of on and off swelling of eyelids just like you have told. There are as of now no good tests to confirm this condition nor any proven treatment measures for this. However, I would advise you to avoid stress and being too emotional at times as these are known to cause attacks of blepharochalasis. Apart from blepharochalasis, a few other conditions can cause a similar swelling, these are as follows: I would advise you to see the doctor if: For more information consult an eye care ophthalmologist online Take care.
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my mother (63) had pain in abdominal on 26th march.we hospitlized her for a week.according dr she has gallstone which has been not seen in ultrasound and ctscan test. but her tlc testis 0000.now after 15 days her ultrasound report result is collapsed gallbladder .dr suggested for gallbladder removal and her tlc rate is 8000 .pls help me?
Hi Thanks for posting your query The term "contracted gallbladder" can refer to two different situations. The first occurs following a meal or after maneuvers that cause the muscle of the gallbladder to contract, for example, ingestion of fat or injection intravenously of the hormone that is responsible for causing the gallbladder to contract. In either case, the gallbladder empties, becomes smaller, and is said to be contracted. This is the normal situation. The second situation is when the gallbladder is diseased, specifically when there has been inflammation, for example, due to gallstones, that has resulted in scarring of the gallbladder. Scarring causes the gallbladder to become smaller, for example, contracted, and the gallbladder no longer functions normally. The "contraction" in the latter situation is clearly different from the "contraction" in the first. Is she having any symptoms now ? If no I recommended wait for some time reevaluate her and then decide for surgery? Calculus Cholecystitis is known and can be treated by surgery and by conservative treatment Hope this helps Am available for any followup queries there are no further doubts, do accept this reply and rate it Wishing Your Mother A Speedy Recovery
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I had multiple staph infections on my hands after a bout with an upper respiratory infection. Now I have a phlebitis in my upper arm on my bicep it is now going farther down my arm. It would also be important to note that the staph infections were all on finger joints. I was able to keep them drained but there was one on a knuckle and the last time I drained it it felt like it went down deeper than the others. Now the index finger is swelled at the bottom were there was no cut. Does this sound like I need to get antibiotics to fix this issue. Thank you for your time! And any help is appreciated!
Hello, While an occasional infection is inevitable and not a cause for concern, recurrent bouts of various infections should definitely be investigated. In my opinion, you should undergo some tests like Blood sugar test, to make sure you are not diabetic and a complete blood count with your white cell counts and differential counts, to see if there is a problem with your immune system. Additionally, if you are on long term steroid therapy, you could also be prone to infections. Hope I have answered your query. Let me know if I can assist you further.
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i have white colored tiny vein like looking things in my mouth, a few under my tongue too. Does not hurt unless I eat spicy food? kinda burns? and a few small canker sores. On back left side inside of mouth I get a blood blister every now and then, but I noticed on that area its a little irritated or red???
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have white colored lines in mouth this white line can be line Alba, lichen plans, and don't worry this white lines hurts on spicy food, so it can be lichen plans it is seen due to stress, immune dysregulation. For this you can take ointment Tess buccal paste local application two - three times a day. One Capsule Antioxidant twice daily for 15 days. One Capsule vitamin A once daily for 15 days. Consult dentist for oral examination and oral prophylaxis. Hope this will help you.
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I m a 31 male, in great shape. I was working out this morning and noticed a subtle pain underneath my left chest area, seemingly originating under the left breastplate. Almost directly underneath my left nipple, and on the left side of the left pectoral muscle. Though it feels like the pain is coming from underneath the rib cage a bit. Now I did take a pre-workout stimulant before the workout, but I have done this in the past and have never experienced this kind of issue. Not sure if that rules it out, but wanted to put it out there. The pain is dull and has come and gone throughout the day. It wasn t debilitating, nor did it prevent me from doing anything today. To be honest I really only noticed it when I was sitting down watching TV. I don t have a shortness of breath or any of the other symptoms of heart related issues (so I believe). But I was a bit frightened by it and figured I would check on here. FYI, yesterday I did work out my chest, and the pain did not increase during the cardio portion of my workout this morning. Any help is appreciated.
Thanks for your question on Chat Doctor. By your detailed history I think you are having musculoskeletal pain. But as a rule any left sided chest pain should be evaluated for cardiac cause first. So I advise you to get done ECG first to rule out cardiac cause. If this is normal than no need to worry. This is musculoskeletal pain only. Try to follow these.1. Avoid strenuous exercise. 2. Avoid heavy weight lifting. 3. Avoid bad posture during sleep.4. Take good painkillers and muscle relaxant. 5. Wear chest belt for minimal mobilization of affected part.6. Apply warm water pad to affected area.
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I ve been experiencing a smelly order from my vagina sort of a musky smell and it started to go away and then I had sex with my partner and the next day my vagina felt very irritated. I took a shower to clean it and everything and it didn t go away it s a burning intense itching feeling all over my vulva (I think that s correct) Its so intense I can t stand it . It s been like his for about week. My partner has a foot nail fungus and I remember him messing with his feet around the same time this happened. a few day ago he said his testicles started having a tingling sensation and I brought up maybe he got jock itch from his feet. Then I thought maybe that s what is happening to me. I do handle his dirty socks as well.. is this possible? Please help!!
Hi, Thanks for posting in Chat Doctor. I understand your concern. Foul vaginal odor and itching in vagina are symptoms suggestive of yeast infection, which could have been caused due to poor genital hygiene. Kindly do the following to overcome the same. 1. Cleanse the area with mild antiseptic solution like Salon twice daily. 2. Apply antifungal vaginal pessary or cream containing medication like fluconazole or fluconazole. 3. Take Tablet. Levocetirizine once a day to counter itching. 4. Wear loose fitting undergarments preferably made of cotton. 5. Abstain from sexual activities till the symptoms subside completely. Maintain good personal hygiene. Gradually, you should be able to overcome the symptoms and be back to normal. Hope the information provided would be helpful. All the best. Chat Doctor. S., MBBS., MD.
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Hi, I hate school.Not the education but the institution;that big place with many stupid people I have to deal with over and over again.Going to highschool is HELL for. I just can t do it anymore.I m depresive and tired and there s too much pressure.I think I may have social anxiety?I read about this but I m not sure.All I can say is,I feel so lonely.BUT somehow is better to be on my own.I can t stand people / classmates /teachers.I hate everything and everyone ,I even hate the people I love(does it make any sense?).I hate myself.I don t know how to deal with my life anymore.
Hello. Thanks for writing to us. What you are going through right now seems to be a behavioral disorder. You need to attend a few sessions with your psychotherapist for some behavioral therapy. The symptoms will improve gradually with proper medicines. I hope this information has been both informative and helpful for you. You can consult me again directly through my profile URL http://bit.ly/ Chat Doctor.
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i have had swollen glands the past 3 days, just yesterday i got the chills out of nowhere and they havent gone away.I woke up multiple times in my sleep with sweats. My body aches and i have a slight headache that wont subside and my glands are bigger than ever.
Hi I did review your concern. Such constellation of problems can be seen in chronic infections like tuberculosis, chronic viral infections or unwanted growth like bone marrow or lymphoid disorders would recommend a tissue diagnosis of your enlarged glands, in form a biopsy or a fine needle aspiration cytology(FNAC). It will help us find the further management options in your case. A proper treatment then will ensure healthy life ahead.I wish this yellowish you all the Bethany you for choosing Chat Doctor.
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Hi..I M 39 yr old...got to know in 2003 that i have hypertention...taking medicine regularly...presntly taking Amloz 5mg daily...but its not helpfull to controlling my high BP...most of the time its 130/90...or 140/90....i do exercises daily...sud i stopped zyming...please guide me.
Hi, Thanks for writing to Chat Doctor. The most recent guideline recommends normal BP up to 140/90 and as your BP stays at around 130-140 and around 90 after taking medicines then it is acceptable. There is a need to monitor, and just cant allow it to go beyond this. Exercise is good(moderate intensity)Reduce salt intake. Take fresh seasonal fruits. Quit all addictions, if any. Hope this helped. Do let us know.
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i m 13 and everytime i stand my left knee pops and its sore all the time and is embarrising please help, i m 5 7 or 5 8 and 160 pounds and i ve had two hip surgerys about a year ago....because i had a s.c.f.e slipped capitol femoral eppyfisis because i fell directly on my knee cap
Hello, As this sounds to me the weakness of the muscles of the hip and the knee. Usually, due to the weakness of the muscles, the joints become little unstable leading to popping sounds etc. Doing simple static exercises for the hip and thigh muscles will help have recovery from the same. Exercise includes - static gluteus, static adductors, static abductors, static qua Chat Doctor. Will provide benefit. Hope I have answered your query. Let me know if I can assist you further. Take care Jay In
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I had a left spontaneous pneumothorax two months ago, pain on the left side continues and as of a week ago my right side has started to hurt. I have a (tolerable) sharp pain in my right side and my two of my ribs are look as if they are caving in. I have never noticed this before and I dont know if I had it in the past. I have not hurt myself or been in an accident. I do not have shortness of breath, or extreme back pain as I did with my first SP. Should I be concerned?
Thanks for your question on Chat Doctor. I can understand your concern. Yes, you should definitely concern about these symptoms of back pain and shortness of breath. You already had spontaneous pneumothorax 2 months back. Pneumothorax can be Recurrent. So you're all present symptoms can be due to pneumothorax. Hence, consult pulmonologist and get done clinical examination of respiratory system and chest x-ray. Don't wait at home as pneumothorax if untreated can be life-threatening. So get done chest x-ray to rule out pneumothorax. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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HiA few small liver haemangiomas were found incidentally on an ultrasound scan a couple of years ago. I have no pain or anything. Recent routine blood tests shows my ALT to be 65. In the past it has varied from 27 to 47 to 36 and now 65. is this anything to worry about. My other LFT are normal (bilirubin,alk phos & albumin). My cholesterol is a little high at 5.9.??
Hi there, liver hematomas are common benign tumors of the liver and most often are incidental findings. They are asymptomatic but sometime may cause hemorrhages. If you are a female then one of the causes cited are use of OCS and discontinuing them and using other form of contraception would be recommended. Isolated raised ALT need not be a matter of concern, and please do a follow-up after few weeks. If you nave no other complains then you may just leave it along with aperiodic checkup of liver function tests and ultrasound just to monitor the activity. Otherwise, you can lead a healthy trouble free life. Try cutting down on fatty food and undertake some form of cardio exercises to check the cholesterol level, or you can visit your physician and let him prescribe some pills for cholesterol control. Take care.
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Hi, I have had groin pain that shoots down to my knee.. It happens more when I make sudden moves or at night. it also is discolored in that area. six months ago I had blood clots that are no longer there in my left groin. I have had ultrasounds done and they can t find anything. The pain is terrible, please help!
Hi, .as mentioned by you the pain radiates of on the groin to the knee you should perform two diagnostic tests to check it out. One is Ultrasound of the abdomen - to check any systemic pathology which is leading to the referred pain. Two is the MRI of the lumbar spine - to see if any nerve impingement is there. Based on that he next rehabilitation plan can be implemented. RegardsJay In Chat Doctor.
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hai, my son (11yrs) tested mantoux test postive (28mm) , his chest xray and liver test was done which had no sign of tuberculosis. he is not gaining any weight , at present weight 35 kgs, he had primary complex when he was four years old. can you advise me
Hi,35 kg for an 11-year-old boy is pretty normal, nothing to worry. As he had received TB treatment in the past, a positive Manitou test alone need not be taken as significant, provided he don't have symptoms like recurrent fever, anorexia, weight loss or chronic cough. Just give him a healthy diet, that includes enough green leafy vegetables, fruits, pulses, nuts and dairy products. Also let him engage in regular physical exercise / play 40-45 minutes a day. Hope I have answered your question. Let me know if I can assist you further.
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My 88 yr old wife, post stroke on 01/09/2018 is being given trazodone in a rehab facility. her evening or resting hours are filled with insomnia, anxious behavior, restlessness , confusion, thus not much solid sleep. She is also on a blood thinner and has afib,a valvue issue and CHF. I believe this is not a good match, she then is weaker, not connecting the dots and very drowsy most of the day. What do you think of this as a sleep aide
Elderly patients are more likely to suffer from chronic insomnia characterized by difficulty maintaining sleep than difficulty initiating sleep. Management of insomnia in these patients requires very careful evaluation and exclusion of an underlying medical or psychiatric condition. Nonpharmacologic interventions in elderly patients, especially use of behavioral therapy, have demonstrated some successor can discuss newer medications with psychiatrists Regards
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Yes My grandaughter had a C section 14 monts ago .there is places in her c section that keep coming apart .at first when it happened it had green liquid coming out.her Doctor told her to put peroxide on it she is still hurting really bad and now there is green liquid coming out of one of her breast .she has been to the E R last friday .back to another Doctor on monday and back to the Doctor who did the C.section .wednesday .they have not told her why she is cramping and hurting so bad she is very tired exausted better word for it she has blotting .
Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you to do culture and sensitivity from the discharge. As you are speaking green discharge I suspect it is a Pseudocodes aeruginosa which gives same color. Once you have sensitivity report you can take the treatment accordingly. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you.
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Hello doctor,I am 18 years old. Nowadays I observe that I am losing my hair on the head and getting ball head. Is there any precaution to be followed? Kindly help.
Hello, Welcome to Chat Doctor forum. 1. There are a lot of causes for hair loss including stress, lack of proper nutrition, scalp infection including dan ChatDoctor. 2. For routine, you should wash your scalp daily. 3. Do not apply hair oil as it can increase dan
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hi, I am a 25 year old woman and I am concerned that my hair is falling out too much. I always had thick hair. I recently noticed that my hair drops a lot in the shower and when I am casually running my hands through my hair. I also noticed my scalp has been itchy. could this be alapesha?
Hello, thanks for posting in Chat Doctor. In general there is loss of 100 hairs per day which is considered as normal. Excess of that leads to halogen effluvium which in which significant amount of hair is lost. Many internal conditions have to be ruled out to control it. Following investigations are advice for hair fall:1.CBP2.SERUM FERRITIN3.SERUM IT B12 AND IT D34.THYROID PROFILEItching of scalp occurs in Dan Chat Doctor. Use an antigen
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My Dr. gave me a script for Norco 5-325MG Tab, take 1 tab twice daily as needed. This is for my back pain. Just wanted to no more about dosage. Can I take more than above subscribed? Will happen? I wish I could get a permanent fix for my back! Im 48 & I need a job, but my back worries me! Look forward to hearing from you! Thanks! Kathy
Hello, I have studied your case. Excessive dose will lead to sedation. Dose increasing will not fix your problem permanently. Medication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. Some exercises which can be done after pain has reduced include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for further guidance. He may start TENS, or ultrasound which is helpful in your case. Hope this helps. Wish you a speedy recovery. Take care
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recently diagnosed with osteoporosis. -2.6. had calcium oxalate stones removed years back that s why i ve never taken calcium supplements. taking eltroxin lifetime maintenance since toxic thyroid surgery 40 plus years ago. what to do? should i see an endocrinologist? is it true thyroid and osteo medications are not good together? had cortisone injection on planter fascitis on right heel 3 years ago,is this caused by osteo?
Hi, Yes, it is not advisable to take thyroid and osteoporosis medications together. To ensure adequate absorption for the intestines Elton should always be taken on an empty stomach 2 hours before breakfast. If taken along with osteoporosis medications, Elton absorption will be reduced thus lowering its therapeutic usefulness. Hence, osteoporosis medication should be taken 3-4 hours after Elton. Plantar fasciitis is one of the most common causes of heel pain due to inflammation of a thick band of tissue that runs across the bottom of the foot and connects your heel bone to your toes (plantar fascia). It is not caused by osteoporosis. Hope I have answered your query. Let me know if I can assist you further.
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I had left shoulder pain which spreads throughout left hand since two years.Ihad many ECG and even TMT but could not found any positive report.Is it survical pain? my heart beat sometimes skkiped which makes me afraid.I have diabetis and high blood pressure also.I takes medicines regularily.Please suggest me what should I do?
HAI.normal ECG and TMT shows u don't have a cardiac problem. U can have problem of cervical spondylitis or cervical disc problem like compression or prolapse more on the left side, due to which your problem has more radiating pain on the left side. These things can aggravate more due to hypertension and diabetes. Pis check out with a MRI cervical spine and shoulder joint, Irregular pulse rate can be due to the same reason or due to hidden thyroid problems also.pls continue with regular medications can start with pregabalin/gabapentin added with methylcobalamine. Take care. Good luck
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hey im 14 and i have this sharp pain in my chest everytime i breath to a certain point. i think that its precordial catch syndrome although i dont think its meant to last 2 days. Is there any possible way that i could get rid of this without any pain? and yes i have been to the doctor and she said im perfectly healthy so i dont know what the hell is wrong with me.. pleasee helppp !!
Thanks for your question on Chat Doctor. I can understand your concern. Since your doctor is denying any serious illness for your chest pain, no need to worry about major heart or lung related diseases. Possibility of musculoskeletal pain is more. So better to follow these steps for symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid movements causing pain. 3. Avoid bad postures in sleep. 4. Take painkiller like ibuprofen. 5. Apply warm water pad on affected areas. Don't worry, you will be alright with all these in 5 - 7 days. If not improving in 1 week then get done chest x-ray to rule out internal lung pathology. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Hi,My name is Katie. My gums are really swollen and red and I also have an extremely bad sore throat. My gums have never been this swollen before. I thought at first it could be gingivitis, but Ive never had any trouble with my teeth at all (no cavities or anything). Could the sore throat possibly be affecting the gums because of a bacterial infection?
Hello and Welcome to Chat Doctor, Thanks for writing to us. I suggest the following treatment options currently: 1) For pain relief, anti-inflammatory, fever reducing medications (acetaminophen, ibuprofen) will help you. 2) For soreness relief you can have salt water gargles (gargle with XXXIX warm salt water-one forth teaspoon of salt would be enough in half a cup of water) several times a day, lozenges and warm liquids. Gargling with warm water mixed with dissolvable aspirin can give additional benefits. 3) Avoid Acidic Chat Doctor. 4) Consume plenty of water and good fruits and vegetables. Hope this helps you. Wishing you good health... Regards.
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hi! this is Qamer here.. Mai i ask a question ?Q. My cousin has the problem in Knees, swelling, high pain by which could not stand up, could not walk but some time. we got check up from our local high profile doctors from here in (Islamabad) Pakistan . Different doctors shows different diseases. Now the position is so critical because due to eating high potency medicine and pain killer tablets his stomach and kidneys are highly effected and we have no other way to rescue him. please if u can help us then we would be highly thankful to you. RegardsQamer Abbas
Dear patient there are many reasons for knee pain depending on age. We should confirm diagnosis and best investigation for knee pathology is MRI of the knee. If pain is in both knees likely pathology is inflammatory arthritis in young age and osteoarthritis in elderly age. Blood tests like Serum RA factors to rule out rheumatoid arthritis. MRI should be done from radiology center nearby you. I am not prescribing any medicine as you told you are already taking many of them. Please follow up with reports
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Hello, my mother is aged about 55. she had previously complaints of fatigue in neck, thigh portion and which use to perish after taking pain killers. she recently had fatigue in her neck. after taking medicine prescribed by a doctor, she felt good. now all of a sudden she feels tired after a walking 50 mtrs only. and she feels numb on her leg portion and below her chest since last 5 days. shown to a doctor, and taking medicine, but no symptoms of recovery. her blood report is all good.
Hello, Numbness in the body, especially in chest area after exertion (walking), is commonly seen with heart diseases. So better to 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. Sometimes vitamin D 3 and vitamin B12 deficiency can also cause similar symptoms. So get done levels of vitamin B 12 and vitamin D 3. She may need supplements if Deficiency is there. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I often experience chest pain. Usually comes from doing normal everyday things..walking up stairs, getting dressed. I also experience a fluttering feeling under my left breast.Lasts for about a second then again then again. I am a 22 yr old otherwise healthy female. I have spent the weekend wearing a heart monitor and I am awaiting results but I am just really curious as to what it could be.
Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I will try to explain something and give you my opinion. This fluttering sensation has to do with some electrical issues in the heart. The electrical issues might be different. It might be a simple sinus tachycardia meaning that your heart is beating over 100 beats for minute, and you feel your heart fluttering. It might be a different arrhythmia, like atrial fibrillation when your heart runs in a chaotic way. I don't think it is your case. Or the fluttering sensation might be what we call an extra-sistolik beat, that is a premature heart contraction during its normal rhythm.These is quite normal in young people with normal hearts. All these rhythm issues might give flutter sensation, chest discomfort or pain, anxiety, difficulties in breathing deeply. The cause might be different from simple emotional stress to excessive coffee consumption, alcohol. It is important to avoid them during this time. The other cause might be pathologies like anemia, hyperthyroidism, cardiac anomalies. So, if I was your treating doctor I would do the same that your doctors has already done, a rhythm holder monitoring. It will give a fool view of your rhythm tendency and show what are these fluttering sensations. I will also recommend a blood check up and your thyroid hormones. After this we can better judge what to do. Hope I was helpful. Best regards.
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I have a oblong lump in the crease of my thigh at the bikini line! It is not painful but had gotten bigger over the past couple months. It is approximately 3 long by 1/2 wide. I have had a sonogram in which shows no border. Been to the gynecologist who had no idea what it might be, she seemed concerned while examining it so sent me to a surgeon who is not able to see me for two months. Any idea what it could be. There is no change in skin color. It is deep under the skin. Never mind I ll check web MD for symptoms I can t afford 15
Hi, dairy have gone through your question. I can understand your concern. You may have some enlarged inguinal lymph node or soft tissue mass. You should go for fine needle aspiration cytology. It will give you perfect cause. Then you should take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
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I have Wegeners. Last Rituxan infusion Jan 2013 and Prednisone free since Nov 2013. I was taking Plaquenil and the occasional Diclofenac and have weaned off those completely as well. It has been about a month medication free and I am having a flare. My doctor is on vacation and I m not sure what to do. Severe joint aches in back, knee and elbow as well as increased inflammation in right ear. Prednisone? If so how much. Also do I start taking Plaquenil again...it will take a while to get back into my system. If I take prednisone without a maintenance drug in my system will my body be reliant upon it?
Hi, thank you for providing the brief history of you. As you being suffering with Wegener, and taken steroids as well, for which now you are again having pain and aches, so you want to restart the medication. Well, self-medication is never advised as if complications happen one can never be sure off. Also, steroids for longer run will not be a choice of any physician due to the future side effects and the troubles if taken in excess dosage. As you have the joint aches, pain, backache, knee pain, elbow pain, etc. I will advise you to undergo physical therapy. As per the pathology of the Wegener, one needs to make the control of the symptoms with little medication and more of the physical therapy like - exercises. In my clinical practice most patients with Wegener are misdiagnosed with RA and only on a later stage they come for a conclusion of Wegener. We recommend them to try physical therapy and the majority of them has a good outcome score. Since the pain can be controlled without more of the medication than it should be tried out. RegardsJay In Chat Doctor.
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Sir i am suffering from rh. Arthritis and i am getting treatement from last 1and half years..the medicines are methotrexate .hydrochloroquine sulphate...how long this treatment shall be continued...there is some improvement in my condition.. Regards
Hello, As medicine therapy will help to reduce the joint inflammation and also help to keep the condition under the control. But the process of the condition might lead to joint pains, stiffness, reduced joint range of motion, muscle weakness etc. I will advise starting physiotherapy along with the medicine, so the body becomes more controlled, strong and stable joints. The exercises will help to reduce the joint compression occurring due to muscle weakness and thereby avoid the pain and inflammation. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
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my son is having a uteroscopy for a mass in the ureter. Kidney stones have been ruled out ( he did have blood in the urine and pain in his Right side). can a doctor know if it is cancer or does he have to wait for the biopsy? The doctor mentioned Transitional cell cancer. My son is 32 and 62
Hi, dairy have gone through your question. I can understand your concern. If he has mass in ureter with bleeding and no any stones then there is high chance of transitional cell carcinoma. However, confirmed diagnosis can be given only after biopsy and histopathological examination. So go for biopsy and plan accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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I have been having right side abdominal pain all day that been getting worse. it seems to be the worst when I push to the left of my hip bone (my left looking down) and up a little bit it also is in my back in the same area. Now what concerning me most is when i sit down the pain gets worse.
Hi! Good evening. I am Chat Doctor answering your query. Even though it needs a clinical examination of your abdomen to arrive at a tentative diagnosis, from the history alone of your symptoms, this seems to be an inflammatory condition of the intro abdominal organs and if it is on the right side, appendix and gall bladder top the list. If I were your doctor, I would advise you for a complete blood count, a stool test for ova and cyst, a urine routine and microscopic test, and an ultrasound of the abdomen to rule out such and other related conditions so that appropriate treatment could be planned. Till then, you could go for an anti-spasmodic along with a proton pump inhibitor Chat Doctor. I hope this information would help you in discussing with your family physician/treating doctor in further management of your problem. Please do not hesitate to ask in case of any further doubts. Thanks for choosing Chat Doctor to clear doubts on your health problems. I wish you an early recovery. Chat Doctor.
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Hello..i just want to ask about this medine tanofovir viread. The doctor prescribed this med to my mother because she has a liver problem. When we bought the medicine I read its label and information and it says it has a serious side effects which can even cause more serious liver problem. And once you started taking this drug you should not stop taking it..Should i let my mother take this med? Thank you for your answer.
Hi, I had gone through your question and understand your concern for your mother. I think you are talking of TENOFOVIR (brand name - Vi read). She is probably suffering from chronic hepatitis due to hepatitis B virus infection. Yes it has adverse effects. The most common side effects associated with tenofovir include nausea, vomiting, diarrhea, and Athenian. Less frequent side effects include hepatotoxicity, abdominal pain, and flatulence. Do not worry. It would have been great had I examined your mother on my own. Your doctor must have prescribed it after examining her and after considering the benefits and adverse effects. These antiviral Chat Doctor. I would suggest you to stick to the doctors' advice. If there are unbearable adverse effects, talk to your doctor. He/she can examine her and correlate clinically. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your moms good health.
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i have been treated with bronchitis before .. i am fine when i doing my regular routine but when i get too excited ,or if the weather is cold or when i am running or do work out i find it difficult to breathe due to which i cannot continue my activities and i have to calm down to get back to normal . can i find a soution ?
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out chronic bronchitis in your case. So better to consult pulmonologist and get done PFT (Pulmonary Function Test).PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You may need to need inhaled bronchodilators (formoterol or albuterol) for longer duration. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Im on ChatDoctor diet and I my heart seems to be beating harder with little quivers here and there. I dont have high blood pressure and its not beating to fast. I was taking potassium and stopped yesterday didnt seem to help. Is there anything I can do to change this? Dont want to stop diet Im obese and will continue.
Hello, Heart beats more than 100 per minute is called Tachycardia and this condition needs treatment if there is persistent tachycardia on rest. In your case, you did not mention the duration and how much rate of beats. If you are suffering from long duration or heart beat more than 100 per minute in resting along with any symptoms like palpitation, anxiety, sweating then better you get an ECG done meanwhile you can start Tab Metoprolol 25 mg once a day. Thank You
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Today on my commute home I was talking on the phone with my father when I got a rush to the head unlike anything I have ever had. I have a history of anxiety but this was not anxiety. It felt like my blood pressure skyrocketed or something. I felt immediate pressure behind my left eye and felt like a nose bleed was coming. I also had slight numbness in my right forearm. I thought I was going to die which triggered my fight or flight. I stepped on the gas thinking that I was headed for the fire station. By the time I got to town all symptoms had subsided except some slight dizziness. I went home to relax. I had to use the bathroom and saw stars while on the toilet. Feel okay now. I am afraid it it will happen again. Have had rushes like this before and figured it was anxiety related. Today s event was terriying. Im overweight. 6 0 300lbs. 31 years old. No significant health history other than anxiety. Any suggestions?
Hello! Welcome on Chat Doctor ! Your symptoms could be related to blood pressure spikes. Anxiety can also trigger this situation. If these episodes keep repeating, I would recommend consulting with your GP for a physical check up and some tests: - a chest X-ray study-complete blood count-kidney and liver function tests-fasting glucose-thyroid hormone levels. A close monitoring of your blood pressure is necessary too. A Holder for blood pressure may be needed. Hope you will find this answer helpful! Kind regards,
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Hi, The other night I had a severe, painful squeezing sensation in my chest while I was laying down in bed. This lasted for several minutes. Now, I feel a sort of warm, liquid sensation that is somewhat difficult to describe. Ive been feeling incredibly fatigued lately as well.Im not quite sure what to do with this. Im hesitant to go to the ER because it would be embarrassing to be told its just stress and to waste peoples time like that... however, it was pretty scary and this current sensation is very strange.
Hi, thanks for using health CAE magic. You should go to ER to rule out the physical causes of your symptoms. Once it is clear that is because of the stress, you should do two things.1) be happy that is because of stress only and not because of any physical problems2) consult psychiatrist for the stress management and detailed evaluation. Your psychiatrist may prescribe anti-depressant or antianxiety Chat Doctor. Avoid use of excessive coffin, nicotine or alcohol which may in turn, increase anxiety. I hope you will be FNE soon. Thanks
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HelloI am experiencing a ppain and a hard lump in my left beast since the past month.My mammography reports and ultrasound suggest features appear consistent with fibroadenosis left breast.Kindly let me know if I am at a risk of cancer or how should this be treated
HI. Just to sedate your worries. Cancers are never painful in the beginning stage. Fibroadenosis is never to get transformed into cancer. The best way to get disease diagnosed is FNAC- fine needle aspiration cytology / Biopsy. Biopsy is of few types, and you decide which one you want to undergo;Part of the lump removed from the most suspicious area. OR- the whole lump is removed - you get two benefits-1-The painful disease is removed, and you get rid of the disease forever.2- Your Pathologist gets the whole lump - so that he can declare for sure whether you have got a cancer or not. THE ONLY problem is a scar and may be volumetric reduction in size. So it is up to you to decide. Most important is histological diagnosis. Te only sure way to know Theo diagnosis.
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My neice suffers from extreme crying spells. She believes she is being beaten by her father or sibling. She is convinced that there are welts on her arms and legs and that she has a black eye. There are no signs of physical abuse. She has been on some form of antidepressant . I dont know what. I am concerned for her. Her father died several months ago and her boyfriend broke up with her a couple of months ago after a 2 year relationship. What could she be suffering from?F.L.
Hello, All the symptoms you have quoted indicate depression disease for which she is taking treatment. Since she is having black eye, I suggest doing cold compress as this condition resolves on its own even without treatment. It takes at least 3 - 4 weeks till it subsides completely. Regarding the underlying depression disease, please do consult a psychiatrist for diagnosis and treatment. THANK YOU
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I hurt my rib last Saturday. It still hurts. I have iced it and taken OTC meds, but it doesn t seem to help. I feel the doctors can t do much for a fractured or bruised rib, but my cousin says I should go. I am pretty sure they are going to tell me to continue what I was doing. I probably slowed down the healing due to I was helping my office move to another office last week (this was after my injury)
Thank you for your query....as because you still have not recovered, you should do the following go for an X-ray chest AP view complete bed rest for 3-4 day stake ibuprofen 400 tabs twice daily after food, omeprazole 20 tabs once daily before Food can continue cold compress visit a doctor with the reports.you should have not risked the movements you did with your injury and that might have caused some delay in healing as u fear....do as advised, and it will help your healing process...hope that was helpful....
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I was recently switched from bystolic to metoprolol tartrate due to a flux in insurance and reduced cost. Used to control blood pressure which has been benign ... now there is a flux with the m.t. they increased dose from 12.5 bid to 25 bid.... Is there an adjustment period? Should I be concerned?
Hi, I have gone through your question. I can understand your concern. But there is an adjustment period to set the dose of antihypertensive. Or switch from one group to othercgroup. You need to check it for some time to set the dosage. So no need to worry. Once your blood pressure become stable with some dose. It will be fixed. Then also you should go for checking your blood pressure monthly according to your doctors' advice. So just follow the Chat Doctor. And go for regular check up. Hope I have answered your question, if you have any further questions or queries you can ask me for that. I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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I am 20 years old a college girl.i have been treated for last 4 years from a phycratist but no improvement seen.he prescribed same medicines all the time.i tried to kill myself several time,one time I was admit to hospital for swalling 120 sleeping peels.after that I try to marooned in pond,cut my hands many time to just hurm myself.i can t sleep properly.i don t get consontrate in studies,I have no interest on study I just fad up with all my experience in life.i have no friend because everyone thought if they say me something I will do something wrong.my parents are not so co-operative.my elder sister lives in Mysore for work,she didn t want talk to me much.now I just have one thing in mind that I have to kill myself anyhow.
Hello, It is good you tried seeking psychiatric help. From what I can understand from your history is that you have been impulsive, felt empty all the time, not able to maintain relationship for a long time, people who were good at 1 time turned out to be bitter to you. You need to go for a personality evaluation and counselling. With this you will be able to handle situations calmly. Hope I have answered your query. Let me know if I can assist you further.
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I had my wisdom teeth on my right side removed 5 days ago. My lymph node was swollen after and over the last few days has gotten worse . It is very hard and uncomfortable. I started another dose of antibiotics today. I had taken some before the extractions were done because my lower tooth had an infection already. I dont think I have dry socket. I followed all the post procedure, but there is no clot in the lower socket. Could this be because my infection went away and was still lingering? I m just really swollen still.
Hi. Welcome to Chat Doctor . As per your complaint the swollen lymph nodes can be secondary to infection as you had infection wisdom tooth, and it is not due to extraction, but it is a Reactionary Lymphadenopathy caused due to infection. But as there is no clot in the extraction socket there is a possibility that the clot has dislodged and the pain commonly initiates after 5 to 6 days after clot dislodgement, and it can also be a cause of lymphadenopathy, and you should immediately consult your dentist and get evaluated and if there is Chat Doctor.
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Hill good morning doc I m recently stay in Kuwait I m married my husband always complain about he s back closer to he s waist right side is hurt and he s pump and he s two foot ,during early in the morning he can t walk while he step on the floor is hurt ist atritis doc or kedney
Dear friend I understood your concern, see your husband may be obese a little. So weight of his body may shift in. Wrong pattern, so pain may develop. He needs to do exercise daily without fail. And reason of foot or heel pain when gets up in morning will be same. Over weight so first needs to decrease weight. Then do everyday yoga Panama to make body relax and muscle strong. Go to physiotherapy doctor he will guide you more. I hope you satisfied with my answer.
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Hello doctor,Last night and today I have been experiencing a sharp pain just left of the sternum which is not deep, seemingly on top of the rib where it joins the sternum. It lasts a second or two but may repeat several times before stopping in five minutes or so. I went out in the garden today to dig a bit and wearing my HR monitor (I have got health anxiety, anxiety disorder as well as depression). As I was digging, the pain started hurting with each heartbeat. I looked at my monitor and it read 138 bpm. I am 70 years old and have been on medication (Benzodiazepines) for over 50 years for panic attacks and general anxiety. Two years ago I felt similar pain but not to this extent. I went to ER but nothing was found (the doctor said it could be costochondritis but definitely not my heart). I get bloodwork quarterly and everything was fine except cholesterol which was 235. I tried a statin but the muscle pain was too great. In my EKG I have RBBB or LAFB which 14 years back after a stress test I was told that I was probably born with it. I had gone to see the cardiologist then because of getting skipped beats and GERD he told me to ignore them. Last time I had an EKG was in the ER for six months when I had a weird pain in back and side. They checked out heart anyway and said it was fine. Probably just a colicky gallbladder. I have had stones for more than 20 years and had no surgery. So I hesitate to go to the ER again. My local doctor just closed. HR is still 88 while lying down right now. Usually, my resting heart rate is under 67. Currently, I am on Lorazepam 2 mg, Prevacid 15 mg and baby Aspirin.
Hello. I have gone through your history and it does not appear to be an ischemic pain. Ischemic pain will not be sharp and so short lasting. So the possibilities are costochon ChatDoctor. Do you get an increase in pain on application of pressure at the same site, if yes it supports the diagnosis of costochon Take care.
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Dear Sir, I am 27 yrs old,i have gastric problem for the last 4 years. But for the last two years i am suffering with same problem along with lower back pain. This pain runs through my entire left leg. For this back pain problem i have gone to many hospitals and they have taken some X-RAYS also.Finally they said there is no problem. Recently some people said that due to gastric problem also we get back pain. Even i feel to go for letrine 5 or 6 times a day from last one year.Can you pls tell me what is my actual problem? And how to get rid of the back pain.... it has been troubling me a lot.
Hi, Looking to the history it seems that there might be having chronic gastrointestinal infection giving recurrent gastric problem. Lower back pain might be due to radiating pain or due to lack of physical exercises. Go for one course of Ofloxacililn, tinidazole combination medicine for 5 days. Go for regular physical exercises like running, swimming, walking etc. Avoid taking junk food. Ok and take care.
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Recently i carried out a health check which includes cholestral, thyoroid, Complete hemogram, Diabetic, Liver function, Kidney tests etc.in Complete hemogram i found 3 unusual things.1. Red cell distribution width is 15.1fL ( limit is 11.5-14.5)2. Platelets distribution width is 17.3% ( range is 10.0)3. Mean Platelet volume is 10.8% ( range is 5-7)platelts are 151000 per micro litre which seems ok.i m 33yr male from India. reports remarks was: alert!!! Giant platelets.Am i All rite or i need to c a doc soon..plzz advice me.regardsPunit Srivastava
Hello and welcome to Chat Doctor, The interpretation of your test report is as follows:The platelet count is within normal limits. However, the size of the platelets is increased thus creating variably sized platelets on the peripheral blood smear. This suggests that there is some abnormality in the platelet production in the bone marrow. This type of platelet abnormality is common with Chat Doctor. In case there is any history of
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Hi my name is Mariana. I m taking fentanyl patch 50 mcg. I have been using it for like 2 months. I think this is giving me nausea and constipation . I am taking xeloda for my cancer treatment 2 weeks on and one week off the xeloda. On the week I m off i still think its the patch that makes me feel nausea and vomit . Cause that week I m off the chemo I still vomit so the only thing I m using is the fentanyl patch. I was using the 75 mcg but then 1 week ago I lowered it to 50 because I m afraid to just stop it once and I will feel the withdrawals. How can I get off the fentanyl patcChatDoctorpletely. Oh the patch I used it for my aching back and shoulders. I took Ondansetron 8 mg but still don t help. So I stopped taking it cause when I did I actually vomited as well. So I stopped taking it. I have the feeling the patch is causing the nausea but I m afraid of the withdrawals symptoms if I suddenly stop. What can I do, I want get off the patch.
Dear, I have not understood what type of malignancy you are suffering from yes these morphine analogues in the form of fentanyl patch does give the feeling of nausea and vomiting in a very sensitive patient. You can get rid of it by reducing the dose and substituting it with tramadol under the advice of your physician. If your malignancy is under control so must be your body pain as we. In such case you can do away with fentanyl and there will be no with Chat Doctor. Truly,
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Hi I have a number of about 4 to 6 masses in my lower pevic area. They are hard to the touch but when I press on them I feel discomfort but no pain. It is like I am pressing down on a marble kind of object in my lower stomach , it goes down into the stomach but does not go down in size (so in other words it feels hard to me and not full of air). I also feel the masses when I lay down on my back to try and feel them at a laying down stance. What do you think it is, is it something I really need to worry right now about. What is a anerisum in a mass in the lower stomach about, my friend thinks she is a doctor and tells me I could have cancer or something. Please help, thanks. -Mariann 27years old
Tithe swellings that you are palpating are Lipomas, swelling arising from fat cells. It is neither Cancer nor Aneurysm. You get one of the swelling removed by your surgeon and send it for histopathological examination(Biopsy). It will confirm the diagnosis. Nothing to worry you come back with biopsy report, i will clarify further. If it is lipoma, there is no medical treatment. Wish you good healthRegards
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Ive been having pain in the right upper quadrant, its a stabbing pain that goes into my pain, up to the right shoulder & at times takes my breath away. Ive been having this constant pain/nausea for 10 weeks now and all tests are saying negative. I did have the HIDA scan done but for whatever reason, it did NOT include the percentage of function of the gallbladder. Ive had GB attacks before and it feels like the same exact pain, however, no one seems to listen to me. I just recently had an endoscopy also that does not show any ulcers or obstructions. I am still saying its the GB, what do you think????
Hello, Welcome to Chat Doctor. In my opinion, it may not be gall bladder, because if your HIDE is normal, you should not be in doubts about its result. After going through your question, Gastroesophageal reflux disorder seems very strong possibility. My advice to my patients would have been to take pantoprazole and comparison combination for two weeks without interruption. Bland, and full of fiber diet, with plenty of oral fluids. If constipated take mild laxative. If you are already on some medication for some other ailment, make sure they are not contributing to your problem. Please do inform us on outcome of your case. Good luck.
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My husband has a chronic rash and itching. He s been to 4 dermatologists who treat it with creames that work for a few days and then the itching and rash starts again. It first started in the groin area and was treated for fungal rash. But now over the years has moved to the outside of his upper arms, his waist area, chest, arm pits and back of calves??? Should he be seeing another doctor besides a dermatologist? He did suffer with ITP about 15 years ago and had his spleen removed???
Hi, Thanks for writing to us. From the description it seems either he could be having fungal infection known as Tina or eczema. The treatment in both these conditions vary. Tina requires antifungal treatment while eczema requires steroid creams and emollients. It is better to consult a qualified dermatologist to get the diagnosis confirmed and treatment be started. It does not seem to be related to his previous episode of ITP. Hope that helped. Take care
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Hello doctor,My mother\s hemoglobin is 5 g/dL. Her feet and face are swollen, what do I do?
Hi,Welcome to ChatDoctor. Hemoglobin of 5 g% is very low and an indication for blood transfusion. As you are saying her face is swollen, she might be landing into a heart failure. There are multiple causes of severe anemia. She requires admission and evaluation. Consult a general medicine physician online for further guidance
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Hi I took plan b about 5 days ago and everything was fine up until 3 days ago when I started having symptoms like a uti. Painful to use the restroom, blood in urine, lower back hurts. Ive never experienced a uti and I have never taken the plan b. Did plan be cause a uti?
Hello dairy understand your concernPlan B pill contain high progesterone. It causes relaxation of smooth muscle of the urinary tract and cause urinary stasis and ureter dilation in some case. So plan B pill could be a reason of the UTI. I would suggest consulting the primary care physician and undergo urine tests to confirm the UTI. Doctor will give following advices for UTI:Tablet nitrozoilumTablet pygidium, syrup vital Chat Doctor.
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Hello,I ovulated on the 25th of May. An ovulation calculator estimated that I was most fertile May 22-27. I had unprotected sex on the 27th, early morning hours and took 2 next choice pills (at the same time) about 9 hours later. What are the chances of pregnancy resulting? Thanks.
Hi there, I have understood your concern. I will suggest you the best possible treatment options. As you might be aware that in a woman with regular cycles day 10 to 20 of the cycle is the most fertile period of cycle. If you have history of unprotected sex act in the fertile period, then You Stand chance to get pregnant. But, as you have mentioned that you have taken the emergency contraceptive pills within 24 to 72 hours of unprotected sex act. Usually in such situation these pills work to prevent the pregnancy in most of the cases. So you need not worry. Please wait for your expected date of cycle. Or You will get with Chat Doctor. I hope this answer helps you. Thanks.
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hello doctor, Ive pcod and im taking krimson-35 and glyciphaze for last 1.6 years. recently I moved to another doctor and she suggested to stop those tablets and gave me some test to be done. after those test I found that my blood pressure is 130/90 and fasting sugar level 102 and vision problem. is these symptoms are related to pcod or anything else What kind of precations should I take?
Hello paymaster reading your medical details I want to inform you that both your Blood pressure and sugar levels are within the normal recommended limits. Kindly describe what sort of vision problem you are having? Yes Pod patients are prone to develop diabetes so need to keep your self active by doing daily exercises and keeping your weight under control, avoid eating junk food and stop smoking completely if you do. Good luck
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Want to take the bs and apple cider vinegar for my digestion but read on the site some place that someone posted, that you could also take the combination for asthma which I have. She posted she had tried it for asthma and it got worse due to the sulfur content in the vinegar. If you are sulfur sensitive could this ( which I am) help or hurt your asthma? I started yesterday to take it for my digestion and so far dont think it has effected my asthma.
Hi, The sulfur content of vinegar can aggravate the symptoms of whom is allergic to the sulfur. If you are not allergic to sulfur, and so far, nothing worrisome or no effect on asthma is seen; then, should not be worried about. Please bear in mind that if you start noticing any symptom of allergic reaction, stop using it immediately and ask for medical help. Can take extra dose of your medication of asthma in this case. Hope it was of help! Chat Doctor.
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Hi, four nights ago, I was playing with a friends pet puppy. The puppy playfully bit my finger which resulted in a small scratch with very little blood oozing out. Most online suggestions point to waiting for 10-14 days before going for the anti-rabies shot. The dog seems to be fine as of today. What would you advise?
Hello, Welcome to Chat Doctor, Rabies is a disease which is transmitted by the dog, which is 100% fatal, but it is 100% preventable by proper and adequate treatment. As you have been scratched by your friends pet puppy. As there was a bleeding from the site of bite it is categorized into Cat III bite according to WHO categories, and it is necessary to take both the active and passive immunization with Antirabies vaccine and Antirabies serum respectively. You have to take both antirabies vaccine and antirabies serum, You have to receive all the doses of antirabies vaccine on days 0, 3, 7, 14 and 28 (If the puppy is healthy after three doses of vaccine, you can discontinue the antirabies vaccine) and antirabies serum (Rabies immunoglobulin) on day 0 in and around the wound. In addition to this you should take In TT and antibiotic like tab Augmenting for 5 days. Thank you.
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I have had an almost cold for 10 days now. It started with my nose occasionally running from nothing though not being blocked and a pain below my eyes. Since then I cough up an occasional bit of phlegm but my neck is hot, my head is tired, I have a hot back, nexk and sometimes chest and a lightness or ache in my arms and legs. It feels like the start of a cold but never turns into one and I m being lethargic and tired all the time yet not being visibly ill to others
HI, thanks for using Chat Doctor The common cold can sometimes last up to 2 weeks. Symptoms of fatigue can persist even after the other cold symptoms have resolved. There are over the counter medications that would be able to help you with the pain, nasal congestion, coughing, fever. Paracetamol would help with pain and fever, ibuprofen can also be used instead or along with this if the paracetamol on its own is not effective. There are oral and topical decongestants (e.g. normal saline or striving). If the cough is wet then you need to consider the use of a bucolic to break up the mucus. Examples are Mucomyst, bipolar, guiafenesinRest and using enough fluids are also important. I hope this helps
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good evening sir,my daughter,31 yrs,suffering from skin allergy.since 3 months.at times in d evening or night red rsshes appear ,after her dad (eye spec.)gives cetrizine1/2 tabs c feels relieved.after blood test 3 days back eosinophillia 21 % found.now she is taking banocide anaaad antiallergy ointment,little relieved.help.SANJU
Hello San, Thank you for asking at Chat Doctor. I went through your daughters history and would like to make following suggestions for her:1. I would agree with her current treatment with Genocide.2. In addition, I usually suggest my such patients regular montelukast-levocetirizine in morning and HY Chat Doctor. 3. I usually prescribe my such patients' lotion like calamine over the itchy areas/rash.4. As she has complaints for 3 months, I would also suggest her investigations like complete blood counts with ESR, CRP, stool and urine examination.5. Sometimes intestinal worms can cause such allergies, so I would suggest her a course of anti-parasite
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Hello Doctor, My Mother-In-Law has been diagnosed with non cardiac chest pain and a small blockage, she had high cholestrol some time before. She is taking some medicines as recomended from a Cardiac Specialist. Can you explain what is non cardiac chest pain and what is the treatment and causes of the problems she is having. Thank you
Cannot say in your particular case, but generally, non-cardiac pain is pain from something other than the heart. Anything in the vicinity can hurt for many reasons. Mostly, it's the muscles of the chest and muscle pain medicine over the counter like acetaminophen is often helpful. It can be lung irritation in a minor lung infection that usually goes away on its own. It can be esophageal or stomach irritation and an antacid will lower it in a few minutes s but other medicines are often needed long term, and it often stays if it is gastrointestinal in origin.
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13 year old girl with pain on right side of abdomen has had ct scan in November 2012 which showed only mild hepatomegaly ,, small amt of fluid in the pelvis . Ultrasound two weeks ago found nothing but slightly enlarged liver, small amount of free fluid adjacent to the right ovary, pancreas head was not visualized because of bowel gas. Pain is every day and some days with great severity. Ate a fatty dinner tonight, fast food and is having a lot of pain in the area. What do I do next???
Hi and welcome to Chat Doctor. Thank you for the query. In her age common cause of abdominal pain is gynecological disorders, so this is the first thing to rule out. Fluid in pelvic may indicate pelvic infection or ovarian cysts. The best way to evaluate this is to do laparoscopy so if pain persists it should be done. The possible causes are hepatitis or gastritis and more detailed work up should be done to detect exact problem. Wish you good health. Regards