instruction
stringclasses
1 value
input
stringlengths
0
11.2k
output
stringlengths
58
3.44k
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I recently had a nuclear stress test (age 61, had light headed feelings one evening), all turned out normal except have RBBB as detected on treadmill part of the test while exercising. Had slightly elevated blood pressure for first time in my life as well. I have pectus excavatum (funnel chest) not surgically corrected (well they tried in 1953, 4yrs old, but not successful). I was told "normal" and sent home, but should I be seeing a cardiologist about all this?
HelloThanks for posting at Chat Doctor. I have gone through your description. A nuclear stress test is very sensitive in detecting blockages in the heart. Changes in the ECG during a treadmill test are considered significant. Nuclear stress test also checks the contractility of the heart during the change of rhythm to RBBB. Since you have said that it was reported normal I suppose you had a rate dependent RBBB. So there is nothing to worry about this. If you and a plain stress test I would have suggested you to see a cardiologist. But since this was a nuclear stress test which WPA normal, you need not see a cardiologist now. Wishing you good healthRegards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My name is Ellen and I have an enlarged liver. I am going to get blood tests today and next week or so will have an ultrasound done. My question is, is there something I can use to bind my side u?. I can sit back in a recliner or lay in bed and I am given great relief but I cant live this way.
Hi thanks for contacting Chat Doctor... You are having enlarged liver .... You have to take care about avoiding direct pressure over liver area .... Rest done and strenuous work avoided to decrease morbidity ... Investigate with following .....-Peripheral smear blood examination -relic count -GOT and SCOTUS -Serum bilirubin -Urine urobilinogen and bilirubin etc....Then if needed Bag and anti HCV done if history suggestive ...... According to cause treatment guided. ... Above investigation will help in rule out hemolytic anemia , hepatocellular or obstructive jaundice like causes .... In your case as history not classic I suggested above investigation otherwise you can minimize above test according to history and your physical examination... Hope your concern solved. ....
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my stomach has been bothering me lately my primary DR. has me on omeprazole 20mg Iv I have been taking that for years. I seen Him yesterday And he Told me to take 300mgs. of Ranitidine at bed time and pepto bismol 15 mins. before meals.I am on dialysis 3 times a week And lost a kidney to cancer last year do i have anything to wory about with thenew meds.
Hi. You are suffering from acid peptic disease. As your doctor has suggested you can take those medications. Since you are already on dialysis and your kidneys have been removed, these Chat Doctor. These medications are quite safe. Omeprazole, rant ac, bismuth are all excreted principally by kidney s and now dialysis will do that job. They are not harmful to liver. However, consult your nephrologist.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have Pain in lower part of the feet when I walk it pains a lot. I bought cushion shoes and sandals but still walking is painful and uncomfortable. Also knees gets very still after sitting and it become difficult to stand after sitting. I am 60 years old.
Hi, Thanks for your query. From your symptoms, it seems that you are suffering from plantar fasciitis. It happens due to inflammation of the plantar fascia. It hurts the most with the first few steps in the morning because the plantar fascia is tight and has not stretched out yet, and throughout the day it loosens up. The best thing you can do is when you wake up in the morning, before getting out of bed and taking a step, give yourself a little foot rub. There are many things you can try to help your foot get better:Give your feet a rest. Cut back on activities that make your feet hurt. Try not to walk or run on hard surfaces. Use shoes with good arch support and a cushioned sole. Do toe stretches, calf stretches and towel stretches several times a day, especially when you first get up in the morning. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Can low iron cause a woman, 69, to feel as though she is going to pass out? I can feel this problem coming on perhaps 15 minutes before it gets to the point I can t get up to walk, have clammy skin, feeling fatique. After lying down about 15 minutes, the symptoms go away. I have went to the hospital after such happenings, this is the 4th in 5 years, and they find nothing wrong at the time. Can the iron level increase within hours?
Hi, Thanks for asking. Based on your clinical history and query, my opinion is as follows:1. Low iron leads to anemia, which can cause weakness. It's due to reduced oxygenation. The same reduced oxygenation can make you to pass out.2. Due to these symptoms, neural system activation takes place (sympathetic system) leading to excessive sweating, which can cause clammy skin.3. Iron is not only important in blood, it performs, various metabolic activities in various cells. Injectables or iron infusions can help improve sooner. Nutritional supplements and diet rich in iron is needed for maintenance. Hope it helps. Any further queries, happy to help again.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi my friend had a seziure 2 weeks ago. He never had one before. The Drs. think it was from medication. Now he is experincing short term memory loss, change in personality, and cant remember information. He will be following up with his drs this week. They say he was fine after the sezuire and there was noyhing to be concerned about.
Hi, Thank you for posting your query. The first seizure in your friend needs to be investigated, to find out the underlying cause of his seizure. Identification and treatment of the underlying cause could prevent the recurrence of seizure in the future. Evaluation would include doing a brain scan (CT or MRI of brain), electroencephalography (EEG), blood tests (sugar, calcium, sodium, etc.) and screening for toxic substances or Chat Doctor. If his MRI or EEG shows any abnormality, then, long term anti-epileptic
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello Doctor, I banged myself on to a electric pole while driving on a scooter, by hitting straight on my left side so as that my left face, chicks left of forehead had immediate swelling.Jaws were shaken, mouth not opening properly. I am taking antibiotics, do u think i need to got for more evaluations
Hello, As you had a direct impact on the facial bones I think a CT scan is a must to see if any fracture has occurred. Any ignored fracture can land up into long term pain and aches. Also, any soft tissue damage which has occurred cannot be seen from outside so needs to use the scanning machines to understand the pathology better. I think if you get a physical examination and opinions in person will be of benefit. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Feel like Im being bitten all the time by invisible bugs. No bite marks, rashes or itching. Dermatologist told me I had Parasitic Delusion. I have no evidence of a parasite, but I know what I feel is real. My friend is experiencing the same thing, Symptoms are a little different tho. Am scared to death I have parasites on me and in my home. I dont want to spread it around. Not sure I absolutely the derma. since the bites are so very real to me. What is your opinion.
Hello. Welcome to Chat Doctor ... first I would like to know more details of your symptoms: your age, sex, since how long you are feeling like this, any diurnal variation, have you got skin lesions on itching site due to excessive itching, apart from itching are you feeling any somatic pains - bugs underlying skin localize to any specific body part etc... After getting your answers, I would decide regarding your illness. If I found delusional parasites, then I would like to start provide 2 mg tablet in night dose. I would like to increase dosage according to response. Pimozide 4 mg to 6 mg gives excellent response in such conditions. Best regards & thanks...
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here...im pregnent by 4 monts when i went for chek up HBsag reactive found by 13.53% plz suggest me wht shd be my precation for me and wht shd be do for my upcoming child plz help....
Hi, you have bag positive, but it does not mean that you are infected at present. You should go for complete liver function test as well ash hepatitis b profile like he HBC etc. Then take treatment accordingly. Because many times bag is positive due to past infection or vaccination. And to prevent the spread hep hepatitis b yo your child you should take all the precautions like go for vaccine and go for Asian etc. Consult your doctor and take treatment accordingly. Thanks for using Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello,my name is meher,age 28 from london.I am very upset about my penis cause its only 3.5" when its strong & also very thin.Sex duration is also very low,4-5minutes.For that no girl want stay with me.I am very very upset.How can i increase my penis without any side effect.Plese give me proper advice.Its the question of my life.Thank you.
Hi, Much Research says the average length of a flaccid penis is 3.61 inches, while the average length of an erect penis is 5.16 inches. Few studies recommended flaccid penis length of less than 1.6 inches or an erect penis of less than 3 inches should be considered for treatment. Surgical (liposuction around their pubic bone, Skin Graft), Inflatable penile prosthetics are helpful if size less than 3Β inch. Share your penis size when flaccid and erect. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. R. Raveen
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, My father is 70yrs old and was recently admitted in hospital witChatDoctorplaints of low sodium (120). He was then discharged in a few days once his sodium levels were 132. But he was depressed and had delusions. Consulted a Neuro and he said he is having mild dementia/alzhimers. He initially gave aricept, nexito plus and vit b12 tablets for a week...nothing improved
Hello, dementia is a chronic condition that impairs the functional capacity of the patient, causing memory loss and other deficits as the disease progresses. I can't - obviously - explain your fathers condition without having examined him but I'm sure the neurologist is more than capable to handle such situations. After dementia becomes evident, you can't expect a great improvement, and you can't expect him to get back to normal. The Chat Doctor. Despite that, you should discuss how he's going with the neurologist. The neurologist should re-assess your father and perhaps modify his treatment regimen. Kind Regards!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi my daughter is 8 months old since 20 days she is suffering from cold n cough,now she is hospitalized n suffering from typhoid for 6 days,we r getting discharged today.my question is how many days will she take to be normal,n wht can i do to relief her chest congestion?
Hi, If your baby is getting discharge than she must be clinically fine, then only doctors are discharge your baby. Secondly about chest congestion, you have to keep room temperature within normal and comfortable range. And you can give Nebulization for chest congestion or use Picks cream on his chest and throat to relief the congestion. Wishing a healthy life to your baby. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello! I ve had vertigo symptoms lasting a month now, and my prescribed Meclizine has not had much effect. I stopped taking it maybe a week ago and now my poop has turned bright green. Other minor symptoms include ringing in ears, vomiting under stress, random but few hot flashes, and increased soreness in my back, around the shoulder blades and from my neck all the way down. I went to my doctor to address the vertigo and anxiety but she gave me Meclizine and instructed me toapply Epley s maneuver. I ccan t afford to see any more doctors... help!
If meclizine is not working for your vertigo ... I think you should start Betahistidine ... usually comes Dundee brand name Serb ... 8Β mg twice daily ... if still doesn't work, u can increase the dose up to 16Β mg twice daily .... the type of disease you're describing are symptoms of either BPV ...benign positional vertigo, or Miners disease ... I recommend an ENT specialist consultation for your condition.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello doctor.i m a 25 years male.my question is that i do masturbation once in a week and due to that my erection is not straight as it was before.so and during masturbation my sperms come out fast so i cant enjoy the same.Pls tell me what can i do for it?
Degree understand your concerns went through your details. Masturbation is normal, natural and cannot be a direct reason for any health related issues if it is within moderation. You are masturbating only once in a week. That is quite OK. You may even increase the frequency to thrice a week if you feel so. Slightly bend penis also is normal and there is no health issues with that. You must understand slightly bend penis will give you more pleasure than a straight penis during sexual vaginal intercourse. Nothing to worry on that issue. Premature ejaculation during masturbation is also normal. This problem will vanish once you get married. You may consult a psychologist for counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi I have high level of enzymes in my liver and am always dehydrated, I also have low levels of ferretin in my body and recently have started to become dizzy, confused, fatigued and increasingly tired. My GP has arranged for ultrasounds and a visit with gastrogenitus specialist. What do you think this could be??? My hepatitis tests have come back negative which is one good thing.
Hi thanks for asking question. Your serum ferritin levels are low, so you can have anemia. Low HE that is anemia can lead such symptoms. So correct your anemia with ferrous sulfate tablet. Maintain your HY Chat Doctor. Take enough nutrition with more fruits. As far as liver enzymes concerned then in your case no hepatitis present. Do you have done USG??? Because fatty liver simply can elevate liver enzymes. If no liver problem present then let me know you do you have any heart problem??? Because if you have hypertension induce or other caused heart disease then it might be possible organ not getting enough oxygenated blood. In heart problems also liver enzymes can be elevated. So if present treated accordingly. Do you have any muscle problem??? Myositis or muscular trauma can lead elevated enzymes. Repeat your liver enzymes after few days. I hope my suggestion will helpful to you. Regards;
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I have been married a year ago and trying for a baby with no success. I weigh 89 kg and my height is 157 cm. My periods are regular. We got checked. The doctor said no problem with my ovulation and no problem with my partner too. I have been taking Siphene and Letroz for the past four months. What could be my problem? This cycle I am having Malai Vembadi Thailam in morning.
Hi, Welcome to Chat Doctor forum. In order to conceive you should have good quality egg and sperms and good fallopian tubes. The first step will be weight reduction, testing hormones and fallopian tubes. If everything is normal then you should plan for a baby. For more information consult an obstetrician and gynaecologist online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Dear doctor my father is 70 year old having stone on his left Kidney. as per DTPA test shows his left kindney not working (only 2% working) can we goahead for removal of kidney or just to remove the stone his right kidney working normal. by pass sugery also done 8 year back. kindly suggest
HelloThanks for query. Your father has been detected to have non-functioning Left kidney which is confirmed on DTPA scan. In view of his Rt kidney functioning normally and left one is it being non-functioning the left kidney is the source of infection and there is high risk of getting repeated infection.Hence, it is always advisable to remove the diseased kidney. Removing only the stone and leaving the kidney in body will not serve any purpose. Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My dads Psa jumped from 580 to 1100 in a month. He has prostate cancer and it is now in his rib cage and pelvis. He is on lukrin and has already had one round of chemo. He was told by the oncologist that his only hope is a different chemo which does not cause hair loss. he was also told that without this chemo he would only live 3 months. he is exceptionally tired....Can we have hope in this last chemo and would radioation work?
Hi, dairy have gone through your question. I can understand your concern. Your father has prostate cancer, and it is spread in rib cage and pelvis. It is stage 4 cancer. Surgery will not helpful at this stage. Only treatment options are chemotherapy and radiotherapy. He can use different chemotherapy regimen. But ultimate prognosis is poor. Life expectancy is not good. Consult your doctor and plan 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.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
im having abdominal pain on both sides more on the left. pain comes when laying down and standing up after sitting for 10 mins or more. i had a ultra sound because i thought it was my ovaries and the tech stated my bowels are all over the place she could bearly see my ovaries. im waiting to see the gastrolgist. sometimes i feel like im going to pass out. im dizzy at times.
Hello, Thanks for the query to Chat Doctor. Forum. If I would your treating doctor for this pain on both side of abdomen, I would come up with these possibilities, This includes.1 Renal stone, as you stated in your query that pain is on both side and aggravated during standing. Usually stone in anyone or both kidneys develops such type of symptoms. Diagnosis can be confirmed by M R I of both kidneys, if ultrasound didn't find anything.2 Ovarian cyst, usually this causes pain on both flanks. Diagnosis can be confirmed by ultrasound of both ovaries by another tech.3 Amoebic colitis is one of the most foremost reason of pain in both side. Diagnosis can be confirmed by physical examination by a physician. As in amoebic colitis usually intestine palpated. In my opinion deal according to above-mentioned causes. First consult a gynecologist and get his opinion. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
It s my first time using birth control pills and I got the set of pills (Lutera 28 day pill) about two months ago. The nurse told me to start the Sunday (which my period was supposed to come that Sunday or Monday). But for some reason my period hasn t come and it s been 9 weeks! (I m a virgin so I can t be pregnant). I finally got it today and I m not sure when to start it. Today is a tuesday, and I have finals this week I don t want to take the pill today because I don t know how my body will react. 1. So should I start this coming Sunday, or can i take it any time between today and and the day my period ends? 2. When I start my first pill, should I start with the hormone pill (white) or inactive (pink) pill? 3. I will be going on a week long family trip in the summer (July) so when should I take my pills to plan a missed period during that time according to the trip? 4. I would prefer my periods to come during the week like mon-friday. how should I know what day to take it? Please help. Thanks!
First of all boys begin with the active pills. There's nothing magic about starting on Sunday is just a convenient starting time. Certainly if you are not sexually active you can begin your pills any time you wish in your cycle. You should be on the pills two weeks before initiating sexual activity if you wish to wait pregnancy. It may take several months for you to figure out your normal cycle on the pill. You may have spotting or breakthrough bleeding. Hopefully by July things will settle down, and you will know how things are going to go. You can always skip some all the placebo pills to manipulate the start of your period. There is no medical reason you have to bleed every month.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been diagnosed with hyperthyroidism but after regular blood work I was taken off medication & told to get bloodwork every 3 to 6 month. I had bloodwork done 4 months ago & everything was fine. I noticed lately that my ankles are swollen. Is this possibly anything to do with it?
Hi, thank-you for providing the brief history. As you had hyperthyroidism in the past and now having trouble with swelling I feel it is due to increased level of thyroid hormone and due to this there is a change in the normal cellular mechanism. Swelling is one of the commonest problem in the patients with hyperthyroidism and recheck of the blood is advised. Treatment will include the medication to reduce the thyroid levels and swelling for symptomatic relief. You may be asked to perform physical therapy to improve the metabolism and also strengthen in the muscles. Cardiorespiratory endurance training will help improve the vascular system and avoid the swelling of the ankles. In my clinical practice most cases with hyperthyroidism are having complaints with Swelling of ankles and with thorough clinical examination and a combination of medication and physical therapy helps reduce the swelling and also improve the metabolism. Regards. Jay In Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i had a mirena coil fitted 2 wks ago was hospitalised with low pelvic pain , scan showed coil was fitted low and had free fluid in uterus , was on iv antibiotics overnight then sent home. ive since been in pain still but have sneezed and had a popping sensation and pain increases, popping has happened twice this week, pain is quite bad now but have no blood loss
The symptoms that you describe are not usually associated with the IRENA IUD. Occasionally an infection might occur at the time of insertion, and it sounds like you were treated for that possibility when you had the antibiotics. It is possible that you are still in pain due to infection if the infection didn't respond to the antibiotics. That could've happened if you had an unusual or resistant organism causing the infection. I would imagine that they did cultures, and if this was the case then they should find it in the results and then thy would know which antibiotics to use. We now know that infections can be treated even without needing to remove the IUD. If they can't identify another organism, and the problem still doesn't improve, you will need to discuss with you doctor if the IUD should be removed anyway, or maybe they can identify another cause of the pain that is not associated with the IUD. I hope this helps, please let me know if you have any more questions,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My wifes back left molar has a huge cavity and is scheduled to be removed on the 13th. She is in so much pain that she hasnt been able to eat for the last three days. shes tryed useing orajel, Vikeden, and over the counter pain killers with no relief is there anything she might be able to do to help her with this?
Thanks for using Chat Doctor. Read your query. Yes, tooth pain can be too bothersome. Pain could be due to the tooth getting involved deeply in the pulp, leading to access formation. I would advise you to advance the date of visiting the dentist, so that he can put her on antibiotics like Amoxicillin along with the painkiller. This will provide relief to her. Extraction can be followed after that. Do salt water gargling. Do not apply hot bag externally. Hope this was helpful. Thanks and regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,My circumcision surgery was done before a month. The swelling and surrounding area seem to improve until last month. In the mid of last month when I was cleaning the area, I noticed it starting to burn around the bottom swelling area. During those couple of days, I saw the swelling lightly increase. It is now late and have not seen any drop of swelling and worried that this would never heal. Also, my tip area has some light swelling which has not changed for the past eight weeks (it was pretty bad for the first two weeks).My erection last month did not hurt, but now when I get erections, I have some discomfort due to the dryness or redness. I saw my doctor last week who did the surgery, which he did not say much. I am attaching photos on how it looked last month and how it looks now. The picture with the stitches is what it was last month. If you can help me answer the questions below, that will be great since I am stressing out. Is it normal to see this type of swelling behavior?Is it normal to have swelling around the tip? Is this expected healing based on my current photos and healthy to see swelling for three months? I started having a burning sensation which is on and off after I cleaned the area, I am assuming this is just from the irritation that I caused? When I elevate my penis when I get out of the shower, the glands and swelling area look white or tan like it is almost healed, and I see a slight decrease in swelling, is this a good sign? Can I have swelling for this great cause any long term complications or there is nothing I should be worried about? My Glands looked dry and slight red and cracked. Is applying sensitive lotion safe to this area and will it help heal?
Hello. 1. Yes, it is reasonable to have this much swelling, which will resolve over time 2. Yes, it is usually expected to heal. 3. Yes, the burning sensation is due to irritation. 4. The appearance of tan following shower has nothing to do with healing. This is due to moisture following the shower. 5. The swelling is unlikely to cause any long term complications. 6. The cracks in the skin are due to ChatDoctor. However, you need to take the opinion of a dermatologist (skin specialist) if there is no improvement in six weeks. I hope I have answered all your queries. Please get back to me if you have any more questions.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
94 y/o male ef 35% with hypotention. history of cad, 1st degree heat block and chf and a heart attack . My question is with the placement of ICD if the ef% increased would the hypotention improve?I have decreased energy, dizziness, tired all the time and bouts with depression. I still live at home by myself and still drive but in the last six moths I have noticed a decline in how I feel unable to do the normal things I like to do. My heart doctors has suggested the placement of a pacemaker to increase my quality of live. Would this improve the dizziness and weak tired feelings.
Hello, Cardiac resynchronization therapy (CRT) significantly improves functional status, exercise duration, left ventricular (LV) ejection fraction, death from progressive congestive heart failure (CHF), and hospitalization for CHF in patients with moderate-to-severe CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more. Studies have shown that ICD therapy significantly reduced all-cause mortality by 33% in patients with class II or III CHF, an abnormal LV ejection fraction, and a QRS duration on the electrocardiogram of 120 msec or more. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am becoming very sick my symptoms are many. stomach pain bloating gas cronic fatique dizziness nausa constipation itchy skin allergies ashma cronic inflamation in small and large intestens leakygut fever joint pain vaginal an rectal itching yeast infections chills muscle cramps stomach burning stomac and tenter and painful to the touch
Hello, Welcome to Chat Doctor, You have got a very vague symptom, you need to undergo physical examination and laboratory investigations to find out the pathology leading to all these symptoms. For constipation, the cause should be found out and can be treated by adopting healthy eating habits and dietary modifications. For dizziness, you need to check your blood pressure and blood sugar levels to find out the cause. For fungal infections you can apply topical antifungal creams over the itchy area, which will reduces the symptoms. I would suggest you to consult your doctor for your vague symptoms, and you should be thoroughly evaluated to find out the reasons for your symptoms. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Ive currently got lower abdomen/back pain sited around the kidney area which is being investigated for potential kidney stones, but surgeon thinks that unlikely as there are no markers in my urine samples. Ive also got a light tingling in my right side extremities - hands, arm, leg - on the far right side. Might these be connected?
Hi, As long as the surgeon has excluded it based on the lab tests, there is no worry for kidney stones. To my judgement it might be related to any spinal cord problem that can press the nerves nearby. I suggest consulting a neurologist and do the x-ray of the spinal cord lumbar level to see what's happening. I'd suggest checking your blood pressure and blood sugar levels and to Chat Doctor. Hope this helps!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been feeling not myself for a while and I had one of the ER guys at my moms office take my blood pressure. I am a 35 year old female that weighs about 214. I was sitting while he took my blood pressure and he got the same result for both arms. 128 over 100. How bad is that and what is the next step that I need to take in order to treat this?
Hi I have understood your query well. According to your blood pressure u only have increased diastolic blood pressure. 128 which is systolic is normal. U can start doing exercise and loose weight plus decrease intake of sodium containing food like salt, bakery items, packed food, junk food, cold Chat Doctor. Try this for a month and then again measure your Blood pressure it will come down. If not visit your treating physician he might start you on antihypertensive. currently the best treatment is lifestyle changes and exercise as mentioned above. I hope I have ad
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband had mersa in his elbow/ wrist and lower back. He has been on antibiotic several time and the infection seems to keep coming back. He has had several surgeries. He feels great and looks great but his numbers will not come down. Could something else be causing his blood numbers to stay up?
Certainly one has to get rid of colonization of staphylococcus on their body,,,until n unless they get rid of colonization, antibiotics will not be sufficient,,,,Body colonization has be eradicated with Chlorine wash for 21 days nasal colonization with Mupirocin 10 mg ointment,,,these areas are prime for MRSA,that's the obvious, body colonization leads to recurrence of infections...take care of Chin Chat Doctor. ...
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Sudden itchy bump on right hand while at work. Next day woke up with another bump right next to it. Over the course of a few days, new bumps will randomly appear on my arms, neck, lower back. And today, they have appesred on my shins. They are either single bumps, or maybe two or three in a straight line. Very tiny and clear. Once one bump goes away, it seems like a new bump appears elsewhere. No changes in diet, detergents, hygiene products, ect. Although we do use wood heat, but this has never been a problem before. Took cipro for uti a month ago. Currently take one 50mg tramadol a day(since 2008). I work at a hospital and was afraid i contacted scabies . Spoke with er doctor who said it is in no way scabies, but looks like some sort of bug bite or allegy. Was prescribed lindane , but will not use it! When these bumps appear, it is very sudden. With a sting/intense itch sensation. Itching will last a few moments, then fade for a few hours to days. No bed bugs or other insects that i am aware of are present.
Hello, Scabies is very unlikely and the symptoms you describe are against scabies and therefore no need for lineage. This is acute urticaria and occurs due to histamine release that is occasionally triggered by infections such as UTI, pneumonia etc. and (also scabies incidentally) but the histamine continues even after the treatment for the infection is completed. The UTI may have triggered the urticaria in your case and am not sure why you need the tramadol. Opiate analgesics can worsen urticaria control, so please ensure this is not the case. Long-acting nonsedating antihistamines for 3 months is the treatment and up to twice daily is standard treatment.80% of urticaria is non-allergic. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
bp hi im a 23 year old male 5 8 10st 10 a day smoker and recently my blood pressure has been high and abnormal i was taking dicloflex for a knee problem but stopped and im having the same problems so ive decided to monotor more regular can u help???
Hi There is no relation between dicloflex and blood pressure, moreover dicloflex is not a good medicine to be used as a long term painkiller. You need to do blood pressure charting thrice a day in the morning, evening and night. For your knee problem you need to get an X-ray done to know about the exact cause for the pain. Take care. Hope I have answered your question. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Sir, I have swelling and pain in my scrotoum. I consulted a physician and he advised me to take Movon-sp (Two tablet daily). I observed that after 3-4 days, swelling of scrotum is subsidized even became smaller than other scrotum but pain remain continue. Please advise What this symptom shows and what should I do now?
Hello, Your symptoms point towards Orchids like testicular inflammation. For that, you have been prescribed a non-steroid anti-inflammatory Chat Doctor. You can be prescribed antibiotic course as well for seven days. After five to seven days of pain continues than urine routine microscopic examination and USG local part should be done for further work up. Hope I have answered your query. Let me know if I can assist you further. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I am a 58-year-old man and I had a CBC with differential 10 days ago. I donate blood about every two months. I have been taking daily Metamucil for about three months and testosterone shots. My level is 930. All other tests are quite normal except HDL cholesterol which is low. I stopped drinking alcohol three months ago and anion gap was 6. I am on 12.5 mg of Atenolol, Amlodipine 10 mg, Irbesartan 300 mg once per day for hypertension. My BP is 123/76.I had flu-like symptoms at first with no congestion two weeks ago. I have bad joint and muscle aches. That went away. Now, I have fatigue, slight shortness of breath with numb hands and feet at night in bed. I have experienced symptoms of fatigue, slight shortness of breath at rest, hands falling asleep when I wake up at night. Even though the RBC is normal, do you think that the lab test below indicates iron deficiency anemia?The results of the CBC are as follows:WBC\t3.47 K/uL 4.00 - 12.00 K/uL\tLRBC\t5.70 mil/uL 4.50 - 6.00 mil/uL Hgb\t12.8 g/dL 14.0 - 18.0 g/dL\tLHct\t42.1 % 40 - 54 % MCV\t73.9 fL 80 - 98 fL\tLMCH\t22.5 pg 27 - 33 pg\tLMCHC\t30.4 g/dL 32 - 37 g/dL\tLRDW\t15.1 % 11.5 - 15.0 %\tHPlt\t183 K/uL 150 - 450 K/uL Differential type\tAutomated Abs neuts\t1.86 K/uL 1.80 - 7.80 K/uL Abs immature grans\t0.00 K/uL\t0.00 - 0.05 K/uL Abs lymphs\t1.12 K/uL 0.80 - 3.30 K/uL Abs monos\t0.37 K/uL 0.10 - 1.00 K/uL Abs eos\t0.09 K/uL 0.00 - 0.40 K/uL Abs basos\t0.03 K/uL 0.00 - 0.20 K/uL Neuts\t53.5 % Immature grans\t0.0 %\t0.0 - 0.6 % Lymphs\t32.3 % Monos\t10.7 % Eos\t2.6 % Basos\t0.9 %
Hello, Welcome to Chat Doctor forum. From these test results, you appear to have microcytosis and hypochromia of the red blood cells. This is most commonly seen in iron deficiency anemia. I would suggest you take iron and folic acid tablets thrice daily after meals for at least a month. As for the numbness of hands and feet, this could be a sign of vitamin B12 deficiency. Are you a vegetarian? If so then this could be a reason for the numbness. The other symptoms that you have described are consistent with iron deficiency. I would also advise you to not donate blood until your blood iron levels and ferritin stores are normalized. For more information consult a hematologist online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
imloosing strenght in both my arms and my legs to the point of almost no strengtht at al i am 49 years old and work hard every day but ts almost to the point of loosing my job from not being able to perform my duties what could be happening to my body
Hi, It seems you are suffering from some neurological disorder. Sometimes due to fewer levels of some neurotransmitters' weakness of limbs with shaking occurs. Do visit neurophysician for specialized care. Many conditions may be kept under check if diagnosed early. Please do contact back once you had taken the euro physician opinion as in physiotherapy graded and tailor made exercise plan may work wonders for improving the quality of life. Hope you find the answer useful. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
After I ve done everything to lower my blood pressure: lost weight, eat low fat, low sodium, exercise 1 to 2 hrs 5 days a week what else can I do. I do have some stress w my husband who was dx with Parkinson s last year. Is there was inevitable process to hypertension? I m 67 5 4 weigh 143 lbs.
Thanks for your question on Chat Doctor. I can understand your concern. Stress management is the cornerstone in controlling hypertension. Since you are having stressful life, we should first control your stress to achieve blood pressure control. So better to consult psychiatrist and get done counselling sessions. Discuss your problems with him and FID out the solution. You may need anxiolytic Chat Doctor. Counselling sessions and anxiolytic
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, My father is suffering from DVT and before 2 days his INR was 1.14, so doctor changed his medicine form Acitrom 3 mg to 2mg and for your kind information before 5 days his INR was 6.31 So is it the right dose is he taking right now or should he consult doctor again?
Hello. Thank you for using Chat Doctor. I carefully read your concern. Acenocoumarol is an oral anticoagulant, which takes effect on the body after 48-72 hours. Therefore, the opposite is also true - if you discontinue it, you should wait 48-72 hours for the effect to wear off. Now, every time that INR goes off the range, various methods and dosages can be used to maintain it within range, depending on how high or how low it is. In this scenario, I would recommend a more often measurement of the INR, and consulting the doctor for the dosage of acenocoumarol, on a daily basis, until a more equilibrated dosage can be instituted. I hope I was helpful. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have severe pain around my axillary artery . Could this be a blood clot ?I have a good cholesterol rate, blood pressure under control, yet every time I get into a warm shower, I have severe pain around my axillary artery . Could this be a blood clot?
Hello and welcome to Chat Doctor, Pain in the maxilla can be due to many causes. In case there is suspicion of a blood clot formation, you can get Doppler study to know the status of blood vessels in the maxilla. In case the pain is due to clot formation, appropriate treatment can be instituted to resolve the clot. Other causes of pain in the maxilla include musculoskeletal pain. Clinical examination will determine the cause of the pain. Thanks and take care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my baby is 2.7 months, last 4 days back some antibiotic is given for cold and fever,inbetween last 2 days back he started with loose motion with greenish colour with more water, another doctor suggested to top tablets and given econorm, 5 doses are completed but condition not improved and not incresed, what to do further
Hi... Thank you for consulting in Chat Doctor. It seems your kid is having antibiotic associated diarrhea. Once it starts it will take 3-5 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My brother just came from the hospital. He called and read to me from his AVSAVS that he has Stage IV Gastric Lymphoma. How many stages are there and he has a Hx of GIB, my mind isnt working as well as Id like, what is that GIB? Can he live long with this prognosis or do I need to start thinking on funeral arrangements.
HIT hank for asking to ChatDoctorEntire prognosis of disease is depends upon the histopathological report, if biopsy taken, more over the other organ should be examined for metastatic process instead of staging, certain stage or even last stage can halt naturally, and the natural remission may be started, be a very much optimistic instead of thinking in negative way, every thing will be alright, have good day
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a large slice/cut on my chest. It goes from my upper left brest area diagonally down all the way to my right pelvic area. The wound is about 2 feet long in length and the depth of the cut varys. At the worst part theres about a 12 inch area thats probably a quarter inch deep and spread apart by about a half inch. Ive been doing my best to keep the wound clean but i cant seem to keep it from infection. I also havnt eaten in about 4 days and i have been sleeping very spiradically for the last week. My biggest worry is that i have been hallucinating over the last 2-3 days, can anything ive described cause me to have hallucinations?
Hi there ~ I understand your situation as much as you describe, however you need to see a doctor immediately since this is something that needs to be looked at. I hope you walk into the nearest emergency room and see a doctor. You may have hallucinations due to having infection of your blood that has spread to your brain. I hope you understand, also I have the faintest idea as to why you have not eaten for 4 days or the cut or the sleep issues. If you see a doctor in the emergency room please be frank about what happened, even if it was abuse. Take care and have a good day!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
A male has a hard swollen abdomen , it s been going on for quite a while and the hospital had found nothing. there is no pain but he can feel a kind of ball thing in his belly. a couple of months ago he couldn t eat for a week because even without eating his belly swelled up a lot (i.e he couldn t zip up his trousers) i was thinking about IBS but that would show in the colonoscopy wouldn t it? the person in aged between 15-30 years old.
Hi, This is possible in some conditions. He might have absolute constipation which can give rise to fullness of abdomen and hard fecal mass may feel like lump in abdomen. If more fat deposited in abdomen, there is bulging of abdomen. Avoid constipation, take light purgative daily at night. Take more green vegetables and salads. If more fat in the abdomen, reduce weight, do leg raising exercise daily.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Im 19. I have been struggling with (what I just discovered to be) HOCD for a while, and Ive been with my girlfriend even longer. The thing about it is, is that throughout this struggle, its been so hot and cold. It seems like it reverses every other week - one week its really bothering me, the next its like nothing ever changed and Im happy as can be with my girlfriend. Would seeing a therapist get me over the hump and back to normal for good?
Hi, thanks for the query. What do you mean by HOLD? Do you mean to suggest you have obsessive compulsive disorder with predominantly sexual or blasphemous obsessions? Some Psychologists tend to call this type of OCD as HOLD; though as per available literature; this is also OCD. Can I know the exact nature of your symptoms? OCD is a waxing & waning illness with origins usually in adolescence or early adulthood. Usual symptoms are obsessions which are recurrent intrusive anxiety provoking thoughts, impulses or images which are recognized as originating from ones own mind by the subject. Obsessions frequently lead to compulsions which are repetitive acts or rituals done to avert anxiety arising due to obsessions. Obsessions can be of dust, dirt, contamination, sexual, blasphemous etc. OCD is treated by Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have pericoronitis but three days in my face is still swelling and theres been no improvement in pain. I cant swallow properly or open my mouth properly. How long do I wait b fire going back to the dentist/ doctor? Im in agony and my face is huge
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint Peritonitis is inflammation gum flap around wisdom tooth and can lead to severe pain, restricted mouth opening and swelling. As it is just 3 days you need to take the medication for at least a week. But in case if you are not taking any medications like antibiotics and painkillers then you need to consult a dentist and get evaluated and get an x-ray done. Along with medication you will be advised to do cool compresses over the swelling, take soft meals and do warm saline gargle. Avoid food accumulation in that area... In case of no importance or recurring episodes' extraction of the wisdom tooth is advisable. Hope this information helps. Thanks and regards. Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
CT SCAN STUDY REVEALS. IMAGING FEATURES SUGGESTIVE OF MULTIFOCAL PRIMARY MALIGNANT NEOPLASTIC PROCESS INVOLVING THE LIVER PARENCHYMA-MULTIFOCAL HCC (HEPATO CELLULAR CARCINOMA) SEEMS MOST LIKELY. BACKGROUND CHANGES OF LIVER CIRRHOSIS ARE SEEN. GALL BLADDER EXHIBITS HIGH DENSITY SLUDGE TINY CALCULI,MILD PROSTATOMEGALY WITH DETRUSOR HYPERTROPHY AND SMAL VENTRAL UMBILICAL HERNIA ARE SEEN.ALPHA FETO PROTEAIN = 338.84 , 564.51 , 636.32 HOW CAN WE BRING DOWN ALPHA FETO PROTEIN LEVELS?
Hi, Alpha photo protein (AFP) is a substance produced by the liver, normally in very small amounts. But the levels go up in cases of heat cellular cancer (HCC). The CT report is suggestive of HCC and is probably the reason why the AFP levels are high. The term multi focal HCC suggests there are more than one lesion in the liver. The most curative form of therapy for HCC is surgery. But given that there is background cirrhosis of the liver, this might not be feasible in your patient. The best treatment in this scenario would be a Liver transplant (provided the ChatDoctoreet certain criteria). This would not only get rid of all the cancer, but also replace the cirrhotic liver with a new healthy liver. If a liver transplant is not feasible, either because of patient factors (age, other health conditions, cost) or because of extensive disease, then other choices for treatment include radio frequency ablation of the cancer, Trans cutaneous chemo- embolization (RACE - where the blood supply to the tumor is selectively cut off) or per cutaneous injection of alcohol into the lesions. Once the cancer gets treated, the AFP levels will spontaneously decrease and then the levels can be used to monitor for recurrence of cancer. Hope this helps, and please do not hesitate to contact me for further details - [email protected]
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am currently under the care of a psychiatrist who has retired, and am having a long wait period before I am able to see a doctor. I was prescribed Zoloft at 200mg for Anxiety and Panic, but it has lost efficacy. I was wondering whether I could try another medication while I wait for an appointment.
Hi, There are many medications for anxiety other than Zoloft. But as a psychiatrist, I would not advise you to try any medications on your own. Since I don't have many details about your illness, I won't be able to suggest any alternative. However, it is important for you to understand that you should not stop Zoloft suddenly. It needs to be gradually tapered down to avoid any chances of discontinuation syn Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi I am 31 yrs old and trying for pergnancy for past 1 yr but still not. My husband s sperm count is on the burder as per the doc and my doc suggested me to take Duphaston tab for next 3 month. My periods is very regular and last up to 3 days. My weight is 57 kg and height is 5.2 ft. I grow some achne over my face during period and left lower stomach cramp sometime during period I had done all my blood test done and all came fine as per doc and no thyroed and I am perfectly healthy. But I am a working lady having lots of work pressue. Please suggest me to get pegnent soon.
Hello thanks for your query. Please consult an Infertility specialist first. Have basic hormonal tests done. Have a cycle of follicular monitoring to check if your ovulation is alright. Your husband should consult an Chat Doctor. Sometimes, if the semen count does not improve, GUI (intrauterine insemination) or CSI (intro cytoplasmic sperm injection) might be required. Also, the patency of fallopian tubes also should be checked. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
how long does an i-pill take action, say i had sex with my wife on thursday the 23th of may, will the pill still be effective if we had unprotected sex after four days from the date of consumption of the first pill, if not then for how many days does the pill takes its action?
Hi, I have gone through your question. I pill, or the emergency contraceptive pill has its action in preventing only that pregnancy which can occur by the last intercourse episode. It does not have contraceptive effect for the next unprotected intercourse. You need to take a repeat course of I pill for this act. I would suggest you to use regular contraception, as repeated I pill intake have side effects and have increased failure rate. Hope you found the answer helpful. Wishing you good health.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi I had a rootcanal in the morning I woke up with a lot of pain and than I felt numbness on my lower right side lip chin and teeth went to hospital because if severe pain I was givin injection and narcotic pain killers second day went to dentist he took the filling out pain got better still numb oral surgeon took a ct he said showed nothing went back to dentist he put filling he pain again he took it out and cleared the whole tooth was referred to a nerve specialist what can I do whats going on 2 months passed by still numb
Hi, thanks for your query. There are several issues that can cause your lip, chin, or jaw to be numb after a root canal procedure. The first is that, in the process of filling the space normally taken up by your tooth pulp, the dentist has used too much filling material. Doing this sometimes results in the material penetrating to the main sensory nerve and chemically burning it. It is very common for overfill in rear teeth to cause lip and chin numbness. Once infection is present from perforation, however, medications may work, but if the problem gets bad enough, extraction might become necessary for you, just as it is with infection from under filling. Visit endodontist for this. Hope this is helpful.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello there!Ive just got my blood tests results today and it turns out that my GOT is 55, and GLT is 99. Im 33, and i never felt my liver...I eat pretty healthy, and drink about 3 times per week wine (1-2 glasses) The rest looks like is into normal ranges...shall I be concerned?
Hi. Thanks for posting query at Chat Doctor. Usually ALT or AST values/ liver enzyme higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Alcohol ingestion and obesity are common causes of fatty liver disease. The slight elevated values in your case maybe due to alcohol consumption.you're advised to quit or keep the consumption as low as possible. Hope to answer your concern regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been very tired the last couple months, I experienced weight gain, I get these discomforts on the right side of my rib cage. For the last week I have been waking up with a headache. A few months ago I was having a lot of debilitating muscle spams on back on the same side as where I keep having discomfort. What is going on with me?
Hello there I have read through your question and would like to tell you that sudden weight gain can be a sign of Hypothyroidism. I would advise you to get a thyroid profile done. Regarding the right sided discomfort and occasional pain, it can be a sign of cholecystitis. A USG abdomen will help to diagnose it. I hope that answers your question. If you have any further questions please feel free to write. Thank you for choosing Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i was kicked in the balls 5 days ago. no pain at all till about 4 days later. slightly uncomfortable but no discolour or visible bruising. balls arent really tender. sort of just a dull ache. ive done the reflex test and my scrotum is still reacting. testes both seem to be laying in the same direction. Is this small pain just part of getting over the trauma or could it be torsion?
Hi, It may be just trauma to the scrotum affecting less to the testis. So, do not worry. It is not torsion of testis which is a very painful condition. You may consult the surgeon for the perfect diagnosis and proper treatment. Investigations like sonography of the scrotum may be done. Analgesic like Broken might reduce the pain. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
had decompresion surg on L4 and L5 in dec...then infection 10 days later not merca they cut me open cleaned it out 8 days in hospital 6 weeks at home iv bage now 4 months later still crazy pain in back legs calfs ...fingers toes knees im 43 male and active also did 8 weeks physcal theropey ready to move on will this pain get better or will it be with me for life...my dr says im doing good and it will take a year to get better no mri or cat scan or xrays sence infection i wonder what kind of damage i have giving me all this pain i run heavy equetment for a living and need to go back to work
Hi! Thank you for writing to their are chances that some neuromuscular pain is because of neuropathy, I would suggest a neurologist consultation. If I were to treat, I'd like to see a new MRI and neurophysiologist tests done, An EMG study as well and advice for blood sugar tests., if its neuropathy then pregabalin, methycobalamin, vitamin B1+B6+B12 injections would be preferred. Please consult your doctor and if he agrees, proceed for further evaluation as suggestedThanking you Best wishes Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
31 yr M ,generally healthy, hace had a swollen cluster of lymphnodes on the left side of my neck. They have been that way for years now, Dr not really concerned since bloodwork is consistent with no elevated white count. Recently my scalp has broken out in what seems like foliculites and those lymph nodes have become even larger, easily visible when I turn my head to the right. At what point should I be concerned?
Hi.LN cluster for years - growing with scalp infection. In the first place I would advise you to get the scalp infection and that in the lymph nodes(LN) cleared with appropriate antibiotics under Doctors supervision and Prescription. Once this is settled you may go for FNAC- fine needle aspiration cytology of the lymph nodes. I'd this is inconclusive please go for excision of the lymph nodes for a proper biopsy report. Blood picture alone has no role in diagnosis of LN. Proper diagnosis is important as many diseases like tuberculosis can be dormant for years.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have just received test results for fertility. I am having trouble understanding the results? It says: Volume 3.50count per ml 34.20#total count 119.70motility (rapid prog) % 7Motility (slowly prog) % 15Motility (non prog) 3Motility (immotile) % 75Abnormal Forms % 80please could you help me understand this?
Hai, i will help you understand. Your semen report indicates motility problem(Asthenozoospermia) and morphological problem with sperm. Regarding Motility - active rapid progression sperm -more than 50%(yours- 7%--less than normal)more number of immobile sperm (75%) indicates Asthenozoospermia which means decrease in sperm motility. Regrading morphology of sperm - you got 80% abnormal forms of sperm Like (double head, fused head, double tailed etc.) which will not lead to a healthy fertility.50 to 60 % normal forms of Sperm cell should be there. Your total count is normal.(20 -200million)volume is also normal - (2-7ml)as of whole your report indicates infertility, consult an infertility specialist to rule out cause for your condition and treatment. Thank you Hope I answered your query.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
the past 2 weeks Ive been extremely disoriented and dizzy. Ive also been getting this tingling sensation in my fingers, lips and left leg. but not a numb feeling. it happens at random moments when Im standing still or moving around. am i just tired and stressed? should i be worried?
Hello thanks for asking from ChatDoctorTingling sensation in fingers, feelings of disorientation (or brain fog), dizziness etc. symptoms can occur due to a number of reasons in a healthy male-- First possibility is some nutritional deficiency. Low hemoglobin levels or anemia is one of common reason for such symptoms along with tiredness. Low vitamin B12 levels can cause dizziness and tingling in fingers and nerves. I would advise you to get your He, Vitamin B12 levels checked to rule out these possibilities.- Hyperthyroid state can also cause such symptoms. You have to get your thyroid levels checked to rule out these symptoms.- Other possible cause can be due to anxiety or depression. In severe anxiety symptoms like dizziness, stress, tingling in fingers and lips can be seen. I would advise you to consult a good neuropsychiatric for proper evaluation and treatment. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
blocks in back i have arthritis in my lower back.i was going to a pain clinic and they were giving me 12 shots at a time in my lower back along my spine..now another dr says i need both hips replaced..can the blocks do that damage to my hips? and now i have nerve damage in both legs.
Hi, If you have severe enough arthritic degeneration to affect the lower spinal column then, there is a good chance that the hips will also be involved by the same process. The shots will not have caused your hips to deteriorate rather the same arthritic process. The nerve damage you perceive to be in your legs most likely is due to the same arthritis affecting the lower spine which is compressing lumbar nerve roots L4 and possibly L5. That's where the problem likely resides. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I just had an MRI which showed "mild chronic small vessel ischemic changes in the periventricular and subcortical white matter of both cerebral hemispheres". I am 47, height/weight proportionate, low blood pressure and heart rate, lab work is normal. I exercise regularly. Symptoms are left facial numbness, headache and pain/constriction in left hand, arm.Is this a normal finding for someone may age. Do the MRI findings explain my symptoms?
Hi, the symptoms left facial numbness, headache, pain and constriction of the left hand and arm. The M.R.I. showing the ischemic changes in both the hemispheres, so the symptoms may not be solely due to the M.R.I. changes, or to some extent related due to the deeper changes. But definitely not related to the age. I advise you to consult a neurologist for diagnosis, as he is authorized to look after and have full knowledge about these cases. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I was recently treated with 2 weeks of Augmentin for a sinus infection, double ear infections and bronchitis. While I feel much better, I still have a slightly productive cough. Do I need more antibiotics or will this eventually get better on its own?
Hello took Augmenting (amoxicillin+clavulanic) and responded very well. Now, only there is productive cough. Since you didn't mention the color of phlegm, so very difficult to say type of infection present or just due to allergy. Since you have taken full course of antibiotics, so no need of any antibiotics. Only simple anti-allergic Chat Doctor. Also take some cough syrup like aerosol +chlorpheniramine male at+terbutalin 4-5 days. So get a prescription from a physician and get his help. Hot coffee and steam inhalation also help.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi doctor, on my 12th day my RO was 24mm my LO was msf and EM was 9mm.my doctor game me a decapeptyl 1ml shot. now how long will it take to rupture and ovolution and when should i have intercourse with my husband also my ultrasound is after 48 hrs plz help
Hallow Dear, Decapeptyl is a gonadotropin-releasing hormone agonist (GRH agonist). By causing constant stimulation of the pituitary, it decreases pituitary secretion of gonadotropin luteinizing hormone (LH) and follicle stimulating hormone (FSH). LH is a hormone which causes the egg release from the follicle in the ovary. What you need at this stage is a stimulation for ovulation which is given by Chat Doctor injections. Now what you can do is monitor the ovulation by ultrasonography every day. Utilize the day when you find the egg released; it may happen any day now. Please understand that the life of ovum after ovulation is 24 hours while the sperms are active for 72 hours. Therefore, you can have your intercourse daily from today onwards in the hope of ovulation in next 24-48 hours. If this cycle you do not conceive, please observe the following instructions:1. The egg which is released when the follicle is between 18 mm to 21 mm of size is the healthy egg and has got maximum chance of successful pregnancy. When the follicle starts becoming larger before ovulation, the quality of the egg for successful pregnancy is not good. 2. Therefore, when the follicle ID 18 mm size, get In. Chat Doctor 5000 units to effect the ovulation. Usually within 24 hours after this injection the ovulation takes place. Hence, you may even have intercourse before you take the injection. 3. The lining of the uterus (endometrium) is most conducive for successful implantation of fertilized ovum (blastocyst) when its thickness is between 9 mm and 13 mm. I hope this helps you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Have gone to chiropractor for 13 visits for nerve in neck down to shoulder.Now I can barely walk do to nerve pain in hips and thighs.Have neuopraty and can barely walk with assistance of canes. Who do I need to see and what do you think? Take metformin and other pills- 68 years old
Hello! Welcome on Chat Doctor! I understand your concern and would recommend consulting with a neurologist for a careful physical exam and some tests: - a new nerve conduction study- HbA1C levels to make the proper adjustments to antidiabetic therapy, in case this test is altered. Further tests may be needed to investigate for other possible causes of neuropathy. You should know that polyneuropathy is a common complication of diabetes. It is necessary to treat well diabetes in order to stop the progression of the disease. Physiotherapy is also helpful. Hope you will find this answer helpful! Best wishes,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here...HI I am having feeling of breathlessness for the past 6 months. I took a Chest X-ray and the doctor said it was fine. Worse, these are sporadic and normally occur for a period of 1-2 hours. It normally occurs when I am doing my daily activities but never when I am running / playing ? Please suggest some remedy
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should first rule out bronchitis in your case. So consult pulmonologist and get done clinical examination of respiratory system and 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 will need inhaled bronchodilators (formoterol or albuterol) and inhaled corticosteroid (ICS) (budesonide or fluticasone).Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had MRSA pneaumonia in 2008, my lungs have never been the same. I suffer w breathing now. Don t know if it s fungus from the vakamycine r all the other mycine s they had me on for 17 days, or scar tissue. Is there any suggestions I can use naturally to be able to breathe again? The only prescription I am on is symbicort, & I only use it once a day!! I hate meds!! HELP!!!
Thanks for your question on Chat Doctor. I can understand your situation and problem. I advise you to consult pulmonologist and get done1. CT thorax2. PUT (pulmonary function test). Past history of pneumonia can cause fibrosis in lung due to healing. It can also cause post infectious bronchitis. So CT thorax is needed to rule out fibrosis. And PFT is needed to rule out bronchitis. In both cases Symbicort is useful. But you should take it twice daily as its effect lasts for 10-12 hours. So twice a day dosing is needed. You should also enroll in pulmonary rehabilitation center where chest physiotherapy and deep breathing exercise are done. Also take adult pulmonary vaccines like pneumococcal and influenza to prevent future lung infections. So consult pulmonologist and discuss all these.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
lately my stomach feels and looks fine in the morning but as the day progresses (especially right before bedtime) it gets bigger and i feel very bloated to the point that it is uncomfortable. And no, I have not been eating big meals and my diet has not changed. Should I be worried?
You have not mentioned your bowel habit which is very important in such cases. Maybe it is time to change your diet pattern if not diet itself. Take small frequent meals, & lots of water. Make your evening diet smaller than others. Take tab pantoprazole with comparison empty stomach in the morning to start with may take twice daily if things do not improve. If constipated take mild laxative once a while. You can also add digestive enzyme tablets or syrup after meals. If things does not improve see a doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello sir i m a Engineering student and was considered bright in school.Now in college i have internet facility all day.I started watching porn and masturbating.It has been Two years now.I.My performance has been deterioratingand i cant explain to my parents as to why .Please suggest some ways so that i can overcome this bad habit as this is killing me i am losing my hair and weight and i cant recall things (memory loss)
Hi there ~I understand your concern. The urge to masturbate is normal. However, if you are doing it excessively and wasting time and energy on this process, I recommend that you change your schedule. It would be beneficial to have a roommate as well to make sure that you are sticking to your schedule. Losing hair and weight are not symptoms of overly masturbating, but not taking care of yourself. Again, sticking to a schedule will help. I hope this helps with you memory and recall as well. Consult a psychiatrist if things are not getting better. I hope this helps. Take care and have a lovely day!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am 39year old woman, in good health, with an average BMI. After tummy tuck surgery 2 months ago, I seem to be getting pea-sized fibrosis under the skin at the scar location - most likely where the sutures were. At other locations one or two sutures are protruding through the skin. I am concerned about the pea-sized lumps because they formed on a previous umbilical hernia operation, and were permanent. They were removed during the abdominoplasty but now I am getting new ones. The lumps are not painful, but can be seen/felt through my skin. Is there any treatment to eliminate the lumps permanently?
Hi, Dear,Thanks for the query to Chat Doctor. I studied your problem in depth and I understood your concerns. Cause and plan of Treatment-In my opinion on the given data, you seem to have F.B.(Foreign Body)reactions to the knots used, parts of which being left in the body, is causing all these pea-sized lumps at the tummy tuck surgery you had recently. It could be permanently removed only after corrective surgery of the tummy tuck wound scar and so you need to consult ER Surgeon for this treatment. So I would advise you to consult an ER Surgeon. Hope this would resolve your issues. Act fast. So keep cool and Consult your ER Surgeon, if need be, who would treat it accordingly. So don't build up wrong concepts and create more psychic complications in you which would increase risks and costs to you, but just ask a query to Chat Doctor and be comfortable to resolve your health issues. Welcome for any more query in this regard to Chat Doctor. Write good reviews and Click thanks if you feel satisfied with my advice. Have a Good Day. Chat Doctor. N.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My son had a reconstructive surgery on friday 12 4, he is a childhood cancer survivor since 1999. He took clindamycin liquid form starting friday night, developed a rash on sunday, 12 6 stopped taking it. started on cephalezin on Monday. He is not worse but very very itchy and uncomfortable. Rash is not lumpy as was on sunday, he is just very red on chest and back. Does it have to take its course or should we be worried? Kim
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that your son has an allergic reaction to Clindamycin that has led to rash over his chest and back and as it is just redness and no other symptoms you need not worry as the rash will gradually subside. You can continue giving him Cephalexin and do not worry about the rash. In case if it is itchy you can apply a steroid ointment over the rash. You can also give him Ben Chat Doctor. . You can also do cool compresses over the rash for soothing the skin. Calamine lotion can also be applied. Give him plenty of water as it will help in faster excretion of allergen out of his body. Hope this information helps. Thanks and regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I m a 43 yr old woman, BMI 36. I ve been feeling very tired for about 2 months. Last week I was diagnosed with multiple pulomary emboli. I also was found, on examination, to have an enlarged spleen. The last couple of days my stomach has become really bloated (more than usual) Can you tell me what this indicates please?
Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having morbid obesity. And so possibility of dyslipidemia is high in your case. After the age of 40 years (perimenopause), women are at increased risk of thromboembolism. So your weight and age are causative factors for multiple Pulmonary embolic and splenomegaly. Treatment of this is weight reduction and anti coagulant therapy with warfarin or Coumadin. These anti coagulant Chat Doctor. And this gastritis is likely cause for your bloating of stomach. So better to take proton pump inhibitors (antacid) in the morning on empty stomach. Avoid hot and spicy food. Avoid large meals, instead take frequent small meals. Go for walk after meals. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi Doctor , I have asthma from child hood one of the doctor suggested me to use, Euphomin Syrup and i get better when i use it, but the problem is the syrup has caffeine, and i have a doubt i got addicted to this drug, my height is 5.7 weight: 60 and i do excerise every day. When ever i use this syrup my hands are shivering , i need your suggestion
Thanks for your query. My search on Euphoria syrup shows that it is a combination of many medicines including some natural ingredients. Shivering can be caused by caffeine, along with other ingredients of the syrup. Again, natural ingredients can have unknown side effects too. There are other medicines that can take care of your condition and do not have the side effects mentioned by you. My suggestion would be to discuss the options with a physician and get a new prescription. Hope I answered your query. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Do teeth fall asleep ? Everyone has had a foot or an arm fall asleep at one time or another. I mostly understand the physiology of this dynamic. However, I swear that this has happened to my dentition twice in the last few weeks. On both occasions, it has happened before I fell asleep while I was listening to music in bed while waiting to dose off. I have ruled out bruxism and occlusal trauma. My jawbone was in a relaxed position, slightly open, with my tongue buffering both the mandibular and maxillary dentition. After being focused on the music for 15-30 minutes, I noticed a slight numbness or softness in my teeth (especially the molars and premolars) in all four quandrants. When I gently closed my teeth, jaw I noticed a diminished tactile sensation. It was a milder sensation that a foot falling asleep. There was no accompanying stinging sensation. Also, there was no mobility of any teeth. I finally regained normal feeling, sensation within about 10-15 minutes. I have no known health issues. I am somewhat overweight (190 lbs./5ft.8in.) with normal blood glucose levels. 38-year-old caucasian male.
Hi, Sometimes there is numbness of teeth if the teeth have been abraded due to bruise or acidity leading to dissolution of enamel from the tooth and mild chronic irritation to identical tubules and nerves. Please notice if you gym more, with heavy weights leading to clenching or are stressed as they are the factors leading to the same. I know you have ruled out bruise but many a time it is night bruise which you may not notice while sleeping and as is involuntary you may not even notice during daily activities such as Chat Doctor. I would recommend you to visit a dentist to rule it out and to see clinically if anything else is the cause. Regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Yes hi I am a 53 year old woman and for the past two weeks I have been having pain inbetween my shoulder blades. the doctor gave me two shots and medicine for pain and it isnt getting better just worse. I am now having pain in the front of my left chest. The doctor thinks i have a pinch nerve but i think it is my heart
Hello, I have studied your case. Due to compression of cervical spine nerve root there can be pain in shoulder radiating to chest will advise you clinical examination and accordingly investigation like MRI cervical spine or shoulder will help. For these symptoms neurotrophic medication like pregabalin can be added consulting your doctor. Till time, avoid lifting weights. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give you relief. I will advise checking your it B12 and it D3 level as low levels can cause increased muscle and nerve damage. 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.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been in incredible pain for the last two weeks with severe back pain. So severe, that i have been vomitingor retching during severe attacks. Today, after another visit to the hospital, i have been told that i have developed a bone spur on one of my vertebrae. The doctor told me that they dont operate due to the high risk involved. Is there anything that i can try naturally to assist. they have put me on Endone, Mobic & panadol & said that i will more than likely be on these for the rest of my life.
Hi thanks for the query. I would like to see reports if any like scans or x-rays. Most of the time routine back pain could be treated with exercises and proper back care. If the reports or normal I would suggest you some exercises to your back. Depending on the seriousness of the problem clinically and on the reports I could suggest you something called lumbar epidural injection for your pain. Thanking you Chat Doctor. Moran Krishna
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,What is the stigma around mental health? Why it is there? How can people help break the stigma around mental health and what advice do you have for people who want help but stigma is keeping them from getting it?
Hello. Stigma for mental illnesses is as old as civilization itself. Persons having mental illnesses were considered as evil. Mental illnesses were thought to be due to past life sins. A person having any kind of mental illness whether neurotic or psychotic was considered as "mental" or "crazy" or "lunatic". Progressively these all resulted in failure to acknowledge the mental illness and individuals develop thinking that what others would think if they consult a psychiatrist. Stigma is there because of cultural beliefs. Even in western countries, people have hesitation in consulting a psychiatrist. What will others think about me? People will make fun of me if I consult a psychiatrist, psychiatric medicines will make me emotionally numb, I will become dependent on medicines, etc., are the reasons there is a stigma for mental illnesses. Psycho-education is the most important method to break stigma. Awareness in public about mental illnesses, acknowledgment by celebrities that they too suffer mental issues are the factors that can help to break the stigma. Making people believe that mental illnesses are like any other medical illnesses, and these occur because of change in neuro-transmitters also help in reducing stigma.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my family doctor just told me I have renal failure stage3. I have blood work about every 6. Months why did he not know something was not just right? do you think I need to get another opioi about my condition? I just. Can not understand why he had not caught my problem and about 6 months ago I had blood work done and was sent in the mail my blood work was all good.
HIT hank for asking to ChatDoctorI can understand your problem, this is very common belief that why doctor is not able to detect this initially or in the beginning ? Actually this would not be possible because after certain pathology some fix reactions start taking place and effect of these comes in blood later on and that can only be detected after this phase, so it is possible that doctor might not found anything wrong at that time, because renal pathology might not be there, hope this information helps you have good day.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I inhaled bleach fumes from a spa chlorine 45ppm with one big inhale and burnt my lungs . Went to ER and they let me breathe a saline solution and it felt better but has been 24 hrs now and my lungs are tight. How long does it take for lungs to heal after exposure like this?
Thanks for your question on Chat Doctor. I can understand your concern. You are having inhalation lung injury. This type of injury commonly causes inflammatory reaction in airways and bronchitis. These cause tightness in chest. Treatment requires avoidance of fumes, breathing of fresh air and plenty of fluids orally. It takes almost 1 week for complete recovery. But if you still feel chest tightness even after 1 week or develop wheezing or breathlessness than you will need inhaled bronchodilators, inhaled corticosteroid (ICS), antihistamines and anti-inflammatory Chat Doctor. So wait for 1 week, you will mostly improve. Hope I have solved your query. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my child is 2 months old now. when he was new born screen the result was positive in G6PD. he was required for another test. the G6PD confirmatory. the result was ** 0.40 U/g Hb. my childs pedia is out of town right now. so i dont have an idea right now what this result mean. thank you very much and i hope you could help me to lessen my worries.
G6PD enzyme deficiency is a hereditary condition seen mostly in boys, as it is passed from the mother to her sons. Normally, this condition is completely harmless. However, when a child with this problem ingests certain medicines or foods, the lack of the enzyme on his red blood cells causes the cells to burst open and cause anemia and jaundice. With such an episode, he may need to be hospitalized, and even given blood if too much of the red cells have got destroyed. The complete list of Chat Doctor. Just type "
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? I am feeling a sore swollen gnawing discomfort in my upper left abdomen? I am taking Pariet for gastritis but dont recall this feeling..not pain just uncomfortable and think it woke me up last night
Hi. The swollen, soreness and discomfort in the upper abdomen on the left side can be due to the problems of the colon / left kidney / Pancreatitis problems. To confirm I would advise you the following.:Get X-ray of the abdomen in the standing position. Ultrasonography will help us the most for diagnosis of Pancreatitis or left kidney problem like HY Chat Doctor. Relevant blood, urine and stool tests as per the clinical diagnosis after examination by a Surgeon will help to have a proper diagnosis. Colonoscopy may be needed. The treatment will depend upon the diagnosis hence made.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,My 13 year old son has periods of dizziness (around one minute or less) and fainting since one month. He also has wheezing and coughing since seven months.
Hello. Firstly, I would like to let you know that the dizziness your son is undergoing could be due to a number of reasons. I would like to brief on the concern. For now, I suggest: Do not worry, your son will be fine. Do not take stress, it is nothing dangerous. For more information consult a family physician online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello sir am 25 year old.last one year i met serious allergy as well as some troubles in my nose while breathing. 4mths before i was consulted one ENT specialist, he told you have heavy sinus affection imediately you have to surgery your sinus.but that time i was trained in chandigarh..i want to meet a good ent specialist in trichy.can you pls suggest specialists in trichy?also suggest pls which is best either herbal side or medicine?
Hello. Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms in more details like - do you have sneezing, running nose, nose congestion, fever, headaches, breathing problems, facial pain, loss of smell, etc.2. Were I treating you, I would prescribe you a 10-14 day course of an antibiotic plus daily montelukast and levoceitirizine. I would also suggest you daily steam inhalation.3. I would suggest you allergy testing which will help you identify the substances you may be allergic to and also to know how to avoid exposure to them.4. Furthermore, I cannot name specialist according to terms & conditions of Chat Doctor. Sorry for that.5. As you have asked about herbal or medicine, in my opinion, you should combine both. The most important concern should be identified what exactly you have and also the cause of what you have. Allergy testing and an ENT consultation will help you to know what exactly you have. Once diagnosis is confirmed, you can manage yourself with appropriate medications (allopathic or herbal) as both have their own pros and cons. Combining both will reduce duration of your treatment and also minimize side effects, provided both the allopathic and herbal doctors are co-operative to each other. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you a quick recovery and the best of the health. Thank you & Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Does under going knee surgery affect sperm count, motility and morphology? Especially if they are low already? My husband and I have been trying to conceive another child for 16 months. He has meniscus surgery on the 2nd and we will be seeing a fertility specialist on the 9th to talk about ivf with icsi. I was wondering if the surgery would affect his sperm even more.
Hello and welcome to Chat Doctor. Thanks for your query. Having a knee surgery will not affect the fertility or impact the sperm count, motility or morphology. Most meniscal repair surgeries are done arthroscopically i.e. under local or spinal anesthesia. Even if done under general anesthesia, the surgical procedure or the anesthesia is unlikely to affect a persons' fertility. So, you don't have to worry much about the impact of surgery on your husbands' fertility. You can go ahead with the fertility treatment as planned. Wish you all the best.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi....I am on Acitrom 4mg because of mechanical Aorta Valve. Does consumption of raw onion interfere with the effects of Acitrom? Please advise. Thanks Since I am a vegetarian, please advise what food should I avoid. Thanks again YYYY@YYYY
Hi, Citron is an anti-clotting (blood thinner) medication commonly prescribed to prevent and treat thromboembolic diseases such as venous thrombosis, pulmonary embolism, atrial fibrillation and patients on artificial heart valves. Citron helps prevent blood clots or keeps a clot from getting bigger by decreasing the levels of vitamin K. Whereas vitamin K helps make your blood clot when you are bleeding. Increased intake vitamin K in the diet decreases the blood-thinning action of Citron. Thus, vitamin K and Citron work against each other in your body. So, you must avoid foods which are rich in vitamin K such as green leafy vegetables-spinach, turnip greens, collards, mustard greens, parsley, and green leaf lettuce. Vegetables such as brussels sprouts, broccoli, cauliflower, cabbage, raw onions and garlic also contain good amount of vitamin K. Certain Chat Doctor. Avoid or consume only small amounts of cranberry juice and alcohol while on Citron. While eating small amounts of foods that are rich in vitamin K should not cause a problem, avoid consuming large amounts of certain foods or
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctor,Currently, I am 14 weeks pregnant with my second baby. I am attaching my NT and double marker report for your reference. I have a 5-year-old son and no abortion in the past. I have conceived naturally both times. My doctor has asked me to do either NIPT or CVS and I am not sure if I really need to do any. She has asked me to take Ecospirin 150 immediately if not doing CVS else start after CVS.I have some queries. Do I really need to go for either NIPT or CVS? Or I can forgo these tests? Should I take Ecospirin 150 as my previous pregnancy did not have any complications and at present also I am in good condition with no health issues (also I don\t drink and smoke)? Are there any issues with my beta HCG and Papp-a value? Do you see any other concerns in my report? Please reply.
Hi, Welcome to Chat Doctor forum. I have seen the report. (attachment removed to protect patient identity). Now every laboratory has its own calculation methods to come to a risk ratio after the test. b-HCG and PAPP-A levels are also different at different times of pregnancy and also has some effects of weight and age on it. This is a genetic screening test. And we do this test to find out what is the risk of this pregnancy having a congenital abnormal baby. (Specifically Down's, Edward, Turner, and Patau syn ChatDoctor. This risk ratio has cut off values. Means trisomy 21 (Down's) has a risk ratio of 1:365 in your case and cut off is 1:250. Now with this report, we are calculating the risk of having a baby with Down's syn
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
i was punched in the chest area above my left breast, but below the clavicle. No bruising, but tender to touch, and hurts when I laugh, cough and sneeze. It happened 4 days ago. is it probably just bruised internally, or am I still at risk for a collapsed lung or pneumothorax?
Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having blunt chest trauma. And following are the possible complications of blunt chest trauma which can cause pain on coughing and laughing. 1. Rib fracture.2. Pulmonary contusions. 3. Pneumothorax4. Muscular injury. So get done chest x-ray to rule out all these possible complications. If chest x-ray is normal then no need to worry about pulmonary contusions and pneumothorax. Your ARD having mostly muscular injury. So try to follow these steps for better symptomatic relief. 1. Avoid strenuous exercise. 2. Avoid heavyweight lifting3. Start painkiller and muscle relaxant. 4. Apply warm water pad on affected site. Don't worry, you will be alright.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have constant neck pain located about 5 oclock. There is constant pressure from the middle of my neck passed my hair line, with no relief. There is a lump that has double in size about 2 1/2 fingers since July now. I get spot headaches in the same place on the top of my head that only last a minute or less. I waken with chest pain and a strange feeling through the back of chest up to throat now it comes throughout the day. It s been over a year that I have had exstreme stiffness,and loss of movement.
Hello, With such symptoms, I shall advise you to consult to your doctor and get an MRI investigation. Your problem can be related with swelling which can be either vascular or soft tissue mass. This may compress surrounding structures and can lead to your problem. Till then, you may take a mild analgesic like acetaminophen for relief. Hope I have answered your question. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi doctor. Anytime I expose to road traffic and pollution on roads(dust). I feel very tired, results in blocked nose, headache, feel like eating hot food, feel very tired and at times feel exhausted and feels like might collapse. When this happens I feel very week and have no energy to do anything else. Please suggest what could be the cause and possible remedies.thank yoiu
You are suffering with Allergy. Your treatment options include the following - 1st - Avoid dust and pollution as much as possible.2nd - Check whether there is any triggering factor in your diet.3rd - reduce stress in life.4th - Follow some Mind relaxation techniques.5th - Get yourself thoroughly investigated by your doctor who may be able to evaluate to what you are actually allergic.6th - follow your doctors advise with regular followups - Homeopathy can to certain extent alleviate all your symptoms and bring back normalcy in life.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a friend who has been on a drinking binge for the last 2 days, at least. Yesterday he says he did a bunch of cocaine- amount unknown. He was in a fight today (I know this sounds awful) and showed up to my house. Hes now complaining of 4/10 right upper quadrant pain, but it looks like its more than that. Vital signs are OK- BP 130/84. HR slightly elevated. One episode of N&V- no blood.Any thoughts?
Welcome to the Chat Doctor Here history of trauma present.... Hence, it could be trauma induced muscular strain pain.... But internal bleed or organ injury also has to be rule out... For that examination and x-ray and USG like investigation done needed EKG done Ibuprofen prescribed for five days Hot compress helpful and avoid strenuous work up Take care Consult pulmonologist for examination without delay with keeping my answer in mind
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi Doctor, My son is 3.5 years old. A month back one night, he suffered a bad asthma attack (with 60 breaths per minute) and we had go rush him to ER here in Chennai. We being first time parents didnt realise that a cough and cold could be so serious until he started having really heavy breaths. So far we had taken only body temperature increase, seriously. We still feel ashamed and sorry for taking him to the ER at the last minute. We dont want him to suffer like that again for sure. He was on nebs and ok within 24 hours and discharged within 48 hours. The docs mentioned that this could maybe be an allergy to something. He is an active child, we cannot cut him off from totally off from few triggers like dust, pollen etc as he daily plays for atleast 1 hour outside. But we have cut off all cold products from his diet. My question is again he has got chest congestion 45 days after the first time, but breathing so far is only 20 breaths per minute. His coughs sound heavy with phelgm in his chest. I know that this is the time to act. The docs told to use saline water for treating blocked nose. However to use levolin kit for low respiratory congestion. My big question is I have been avoiding the usage of levolin kit unnecessarily (or rather I naively I feel it is best this way). When the congestion becomes heavy, which is evident by the way he coughs, I have now started using this low respiratory medication. When best should I use this spray. Should I start when he starts coughing itself. Heavy Chest congestion seems to occur to him after few days (3 to 4 days) of what seems like dry cough. During this time we do give him saline solution to clear his blocked nose. Kindly advice when to start using lower respiratory medication. Thanks a lot. Regards, Shyam Jebadev Moses Worried Father
Thanks for consulting in Healthcare, your child has Bronchial asthma, mixed, mild form. It's some style of life.1. Hypoallergenic diet without oranges, honey, chocolate, strawberries,nuts, seafood, judge, tomato. Eat better cucumber, potato, cauliflower, kadu, vegetables soup, Apple,banana2. Use hypoallergenic child soup-Jonson baby3. Hypoallergenic environment- pillow without feathers, washing floor every day, buy ionization for cleaning air in his room4. Use nebulizer, when he has attack res pirate albuterol, then after 15 min-corticosteroid-pulmicort, Flaticon or other. He should receive nebulizer therapy 3 months at least, if he is well, you can decrease dose but don't stop5. Give him aerosol 30 mg 1 tab 2 times for making his sputum like as water, and he will easily cough it6. Antihistamines-cetirizine 1 tab 1 time 14 days7. Absorbent -charcoal 3 tabs for night 5Β days for absorption allergens from GIT8. Hepatoprotector- LIV 52 1 tab 2 times after 15Β min before meal for cleaning liver 1 month9. Check his stool culture and do bacteriological analysis from rhynofarynx, because usually bad flora, like as St. Aureus can cause asthma, then if he has you should give antistaphilococcal bacteriophage 20ml 2 times 10 days10. For improving his intestinal flora you give similar 1 cap 1 months can give this courses gradually Recovery soon Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi dear DoctorMy little boy of 7 years old is having a long term constipation problem. Though, we have attended many medic centers and seeing different doctors, but the problem still exist. Stomach scan and other examinations have been done for him and all doctors say he has no problem, but he still couldnt dispose before 10 to 15 days. Your advice is highly appreciated
Constipation is very distressing thing for parents and child. We can treat constipation with following measures1.change dietary habits like stop milk, give leafy vegetables, one fruit a day, give much water 2.give him enema with tectonic enema which remove impacted stools. 3.give spy Revolut /guilty/cephalic start at 10ml at night if still not have smooth stool u can increase dose accordingly. Do not stop Chat Doctor. 4.give him spy position which contain multivitamin and some amount of laxative. 5.in view of chronic constipation got for thyroid screening. 6.give him toilet training7.watch for anal fissures some time it precipitated constipation
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a 56 year old female, recently diagnosed with a low functioning gallbladder. I had an attack in the middle of the night about four weeks ago which resulted in an emergency room visit. They ran all the necessary tests to rule out heart involvement and suspected a gallbladder issue. Since then, I have had an ultra sound and a HIda scan. The ultra sound showed sludge in the gallbladder and the HIda scan confirmed low function at 20 percent. My symptoms include an intermittent dull ache in the upper abdomen, but mostly gastrointestinal issues. I am not overweight, adhere to a healthy, low fat diet, due to a heart disease history in my family. I dont smoke or drink alcohol, and make an effort to exercise regularly. My question is related to symptoms that may appear to be unrelated. I have had a chronic cough for several years now. Already have had a work up done to try to diagnose the problem. The results of a pulmonary function test showed that I have mild restrictive obstruction disease. Those symptoms seem to have worsened with my gallbladder problems. Now, finally my question. Could there be a link between my chronic coughing and the low functioning gallbladder Ive been diagnosed with? Is surgery indicated?
Hello! Thank you for the query. There is no direct connection between gallbladder problem and lungs problem. But there is a great connection between gastric problems and asthma disease. You need to know that acid reflux disease is very often associated with an asthma. So it is possible that your abdominal pain which is thought to be from your gallbladder, can be caused by stomach disease. Stomach diseases usually give upper middle abdominal pain. It usually appears 1-2 hours after a meal. Nausea and vomiting can be also present. Acid reflux disease can lead to peptic ulcers. That is why, before any surgery, I suggest you to have gastrostomy performed and stomach condition checked. During this test, Helicobacter Pylori infection will be also checked and if present, antibiotics are necessary. If the gastrostomy will be negative, then you can decide to have gallbladder removal. In a meanwhile please avoid fatty foods, spicy foods, fried foods, alcohol, coffee. Hope this will help. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I ve been having this pain in my abdomen for three months now. I ve gone to the emergency room a number of times and they couldn t find anything wrong except my white cell count is really high. This past week I ve been having this pain through out my whole midsection that gets worse with each passing day and this morning I started having this white/yellow discharge with an order. What could it possibly be?
Hi. Thanks for your query. You have got pain in abdomen for the last 3 months and the Doctors in the ER could find only raised white cell counts. You have started white yellow discharge today only, hence may not be related directly to it. Since you have visited ER so many times, I would advise you the following:Get a reference for the Gastroenterologist. Get investigated:CT scan of the abdomen, Upper GI and colonoscopyThis will help you to get a probable diagnosis and a plan for treatment.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello doctorMy mother is diagnoised with liver cancer age:75, her abdomen is swollen & legs are swollen. Feel lot of painshe is been given patches of diclo to relieve pain, but not of much help a medicine ultracet is given twice a day. Her apetite is too low does not eat, sometimes have liquid juices
I assume by your description that you are not considering taking any treatment for her cancer. I would suggest that you reconsider. There are new tablet therapies available for advanced incurable liver cancer that can be easily tolerated by most people with minimal side effects and that relieve a lot of the symptoms of the cancer like pain and loss of appetite. Sorafenib is the name of the Chat Doctor. For the pain, you can take Jurassic Patches 25Β mg/50Β mg. These patches are pasted on any non-hairy area of the body and have to be changed every 3 days. The appetite is unlikely to improve without any anti-cancer treatment.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Good evening Doctor,My Sister, who is 18 years old she had a sevear back pain excatly where the hip curve start, she used to do skiping regularly when she was 8 years. Now whenever she try to get up straight or by side she gets sevear pain on back with "tak" noice.last year i took her to some doctors, after massage she was fine. but now again she experiance the same pain with noice.please suggest me which doctors would be fine and what excatly the problem is.SincerelyMansur
HiT hank you for asking ChatDoctorI have gone through your query. Problems like osteocyte Chat Doctor. You should get a physical examination with an orthopedic followed by an X-ray of Lumbosacral spine. For such cases in my patients I treat with NSAIDs like diclofenac muscle relaxants like thiocolchicoside and neurotrophic. I also send them for muscle strengthening exercises and physiotherapy along with this. Massage is helpful also. Avoid lifting heavy weights. Hope this may help you. Let me know if you have any further query.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi im a 31 year old male, and for the last few years I have gradually started to feel tireder and tireder I every now and then have a heart issue were my heart seems to go really fast for a few seconds and then back to normal this is normally when laying on my back in bed. Its the tiredness that has got me down the most as I always seem irritable and dont get on with people as I used too I sometimes have a terrible memory short term is the worst if you could help me with any of these that would b great. I used to be so healthy now im falling apart. many thanks, Richard
Hi Richard You have many symptoms like 1. Low energy(I have gradually started to feel tireder and tireder), 2. Decreased interest in enjoyable activities (don't get on with people as I used too) 3. Short memory which at your age might be due to decreased concentration and attention All these symptoms suggest you might be suffering from depression treatment of depression-SSRI (Escitalopram, sertraline ...etc.) psychotherapy please consult psychiatrist/psychologist Hope this clarifies Regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have taken a statin, losartan and aspirin for 20 years due to a silent myocardial infarction my ECG showed in the early 1990s. I have now been prescribed bisoprolol 1.25mg after visiting local hospital for cardiac check. What are the possible side effects of losartan and bisoprolol.
Hi, Losartan is an angiotensin receptor blocker commonly prescribed to treat high blood pressure. Its common side effects include low blood pressure, high blood potassium levels, and sometimes Chat Doctor. Bisoprolol is a heart-selective beta blocker commonly prescribe to treat high blood pressure and other conditions. Its common side effects include low heart beats, cold and clammy extremities, fatigue, erectile dysfunction, difficulty in breathing in susceptible individuals, and disturbed sleep. Hope I have answered your question. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
after 6 moths of my post mitral valve repair mg surgeon advise me to stop concore 2.5mg but now after 1 year of pmvp i feel again the palpitation...should i start it again?im 42 yrsl.old female.155cm in length..61.5kgs. and what is the best time to take concore 2.5mg?thank you so much.
Surgery for mitral valve prolapse is to prevent any mitral valve regurgitation it does not prevent palpitations you should be in touch with a cardiologist and establish if your partitions are significant or life-threatening only then you should take some medication otherwise you should not worry and also get yourself off any anxiety any treatment for palpitations if it does not cause any CVs complications is not recommended then they may cause more complications thank you
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,My 4-year-old boy is suffering from cold and cough. His symptoms are,1) Choked nose (not running).2) Time to time heavy coughing,3) No temperature.Suffering from last three days. Started with light cold, but today heavy voice and frequent coughing.
Hello. It is a common cold due to viral infection, but as you have said that cough is increased now so it may be normal or it may be complications. The common complications are viral pneumonia (self-limiting), and another one is croup. The second one is having problems and characterized by a sick looking child and barking cough. If your child is not sick looking and breathing is normal and no fever, you need to apply nasaoclear ChatDoctor. It will subside by the time. If he is sick looking and fever is increased breathing, then you need to visit your nearest physician. Then we need to give antibiotics. You can ask specifically if needed. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
For the past 3 days Ive been feeling increasingly dizzy and feeling like im about too pass out if i dont stop. Ive also been feeling rather down and emotional, my heart rate has also been faster than normal. My ears have also started too feel unusual today. What is causing this?
Hi, I read your query and can understand what you might be going through. Your symptoms can be manifestation of anxiety and depression. It is advisable that you consult a psychiatrist regarding your symptoms. Medications like selective serotonin reuptake inhibitors can be effective in your condition. Since the medications take some time to act, initially benzodiazepines for short term can take care of the symptoms. Hope this information was helpful. Best wishes.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have an infection in my lower left leg. I was treated in the ER three days ago and was given IV antibiotics. I am currently taking doxycycline and keflex as prescribed. Can I transmit anything I have through sexual contact with my pregnant girlfriend?
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. No, if you have local infection at the leg only, you will never transmits it to your pregnant girlfriend. But if you have systemic infection and the infection of leg occurs because of that systemic illness than you might be infected your girlfriend. You should wear condom while doing sex, as it can prevent the transmission of infection. Please maintain local level cleanliness as it can be also important in maintaining the infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I shower with my 6 year old daughter sometimes; it s just easier on busy morning. I have high risk hpv and after washing myself down there, I wash her afterwards. Any risk in transmission?? I m so worried, I can t even sleep. I no longer shower with her due to the fear. And will be forever cautious after being reminded about my results at a recent Pap smear. My pap is normal but hpv is detected. I was diagnosed in 2005 and had a leep done during that time.
Hello, Welcome to Chat Doctor, I had gone through your history and understand your concern. Genital human papillomavirus (also called HPV) is the most common sexually transmitted infection (STI). There is no certain way to tell who will develop health problems from HPV and who will not. A person can still have HPV, even if years have passed since he has had sexual contact with an infected person. In your case also the man with whom you had sex, wife of him has died of disease caused by HPV.HPV infections (90%) go away by themselves within two years. But, sometimes, HPV infections will persist and can cause a variety of serious health problems like Genital warts Cervical cancer and genital cancer. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I ve was in an auto accident about back in April where I was at a complete stop and someone struck the rear of my vehicle going about 30 miles per hour. I know I ve had swelling and pain in my lower back and have been taking Ibuprofen and Neproxan to help that (no.. I didn t go the the ER or see a doctor but lower back pain is common with this type of injury and a few months earlier I hurt my lower back where the Dr said that there was swelling in that area). That has helped me to move around and function. My question is, would the pain cause phantom pain on my left side around my hip (not hip.. a little higher) area? You know where you put your hands on your hips but your hands are above the hip.. right there is so uncomfortable that it hurts to roll over or turn. What do you think (besides going to see a Doctor). :)
Hi, thank you for providing the brief history of you. As you mentioned you faced an accident and after which you are having a pain in the hip. As reading your history, I can understand that you were hit from behind, and then you had a fall. Now to understand this mechanism, you need to understand some physics here. As when you are hit from behind, your body is not prepared to take the force applied on it. Also, due to the hit from the back, the body has gone into extension in the spine level and later on fallen down. So there might be chances of soft tissue injury which needs an assessment. Also, an MRI of the lumbar spine is advised. I agree to you, that most RTA will have back pain, and all are not serious, but without examining deciding on a general term is a baseless understanding. Taking self-medication is also not advised, as if the injury is big you may be trying to reduce the pain, but the other factors of the soft tissue injury will be present and may get worsen as well. I will advise to get your spine assessed, as spine is an important segment in the human body and needs a real attention. Also to understand that, due to any injury now, the later disadvantages are present. After all it's totally your call and you can decide better. RegardsJay In Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Dear doc , I am having a stomach ache since 1 yr . I went to my local doc , and done a endoscopy with biopsy . The result come that I am having multiple ulcers in duodenal region. It was treated with rabeprazole for 2 months but my stomach pain got increased. After that I consulted to another doc and for 1 month I took 5ml of sparacid with some other pills. Now I am having a permanent pain in upper right as well as whole left which is I am unable to resist. I am taking no medicines now, and need a advise which could be helpful in my case. Name: Milind Age:19 yrs Gender : male
Dear Mil ind, ulcer disease is a chronic disease which goes through different phases and each of these phases has specific treatment. First every patient with ulcer need to change his nutrition and lifestyle. This means you need to avoid stress (one of factors that increase incidence of ulcers) and specific food and Chat Doctor. But it seems like you've already developed a serious type of ulcers, you are pretty young, and it must be definitely treated in a right way. So second Line of Defense are medications. We usually use 3 of them (proton pump inhibitors, antacids and Ca channel locators). Omeprazole is proton pump inhibitor and one of most useful