instruction
stringclasses 1
value | input
stringlengths 0
11.2k
| output
stringlengths 58
3.44k
|
---|---|---|
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I will be having prostate TURP surgery in five weeks. My Urologist has recommended daily Finasteride four weeks before to reduce bleeding during the surgery then stop. I am worried that Finasteride has been linked to prostate cancer. Is this true? Is there an alternative medication to reduce blood loss? I know the Finasteride is just for four weeks, but I am still concerned. Is there any research on short term use? | Hello, Welcome to Chat Doctor forum. Before I begin, let me assure you that there is no evidence that Finasteride causes malignancy when used for short term such as four weeks. As such, both Finasteride and Dutasteride can be used for reducing the vascularity of the prostate. Dutasteride is a good alternative. But Finasteride has better action in reducing vascularity in the short term. In short, let me assure you, there is hardly any chance of malignancy by using either Finasteride or Dutasteride. Do not worry, be positive and wish you a very uneventful and successful recovery, post-surgery. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have these tiny little sesame seed like bumps under the skin of my penis and ball sack I think they might be hair follicles but no hair is directly above any of them they have been there ever since I can remember and I have managed to pierce one through the skin before, they don t cause any discomfort or rash in anyway.just curious as to what they are. | Hi they are most likely Sebaceous cysts which are. The commonest lesions in that area. They are collection of secretion of sebaceous glands called Sebum. They do not usually lead to any problems and don't usually require removal unless desired by patient due to cosmetic reasons or in the rare chance that they get infected. So do not worry they are not going to hurt you. But don't pop them or pierce them. If you don't like them then see a Surgeon and get them removed by a small operation. Take care. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I had taken the medicine for stopping the hair falll from Dr. Batra s regular for 1 year. I had stopped the same for last 6 month, but now my hair are started falling. What to do to stop the same. I am still using the sampoo being prescribed from the clinic. Please suggest... | Hello, welcome I explain all about hair fall point wise 1. In male An Chat Doctor. It is a hormonal and genetic.2. Poor nutrition, poor lifestyle, poor sleep, stress and environment are the main cause of hair fall in female.3. Blood loss due to menstruation is also one important cause of less hemoglobin which leads to hair fall.4. Straightening, re bonding etc. also weaken the root and cause hair fall5. Due to hairstyle in which hair is kept tight also cause hair fall later6. Long term disease, cancer, fever, thyroid, etc. later cause hair maltreatment.1. Check Blood, hemoglobin, if less than take iron, folic acid tablets2. Take multivitamins daily3. Take proper sleep, good nutrition4. Rule out diabetes, thyroid, etc5. For an |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | So, my question is...After being kicked in the nose in a upward and inward motion there is swelling along the bridge. No blood out of nostril and or down the throat, no discoloration yet, and moderate pain as well as headache while resting and severe pain when laughing, not crooked, some difficulty breathing possibly from swelling, I think that s all. Anyway, at what point is it necessary to see a doctor and is there anything I should be looking for or doing at this point? | Hello, I can understand your concern. The swelling on the nose bridge after an injury indicates towards possibility of a fractured nasal bone or cartilage. I would advise not to wait and go to an ENT specialist or oral and maxillofacial surgeon who can examine the area physically, take an x-ray and can look for any fractures or cracks in the area. Based on the x-ray examination, any treatment can be decided. If you are in pain right now, you can take an Acetaminophen 500 mg or Ibuprofen 400 mg that is available over-the-counter. You can take 3 tablets a day, if needed. In addition, do not rub any gel, cream or lotion and refrain from heat application until you see a doctor. You can apply ice over the area to have reduction in swelling. I hope this information helps you. Thank you for choosing Chat Doctor. I wish you feel better soon. Best, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am traveling by bus. I was fine whej i got on the bus. Fine after 2 different layovers. Then on the 3rd layover I stood to walk and my ankle hurts. BADLY and is swollen. I did nothing to twist irt or land on it wrong or any thing. The pain is 77/10. And the swelling is significant. | Hi. Sorry to hear about your ankle pain... I would suggest you to have a good check to rule out gouty arthritis.like.serum urea...uric acid. Meanwhile. I recommend you to kindly dolor of icing on your ankle. Frequently. Keep your ankle wrapped with a compression sleeve or bandage...Don't bear weight on the swollen ankle... you can use crutches... Take rest and give your ankle it's time to heal... You can have Anti-inflammatory tabs prescribed to you previously by your GP.... If you have one... You can meet a rheumatologist to rule out and proper care for your issue. Hope this is helpful for you... Kindly revert in case you need any further clarification.... |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had a TKR on 12-8-11 on my left knee . I had extreme swelling of the leg from mid-thigh all the way to my foot from the beginning. I did everything I was told to do, but the swelling is still there, though not nearly like it was. I have had what I thought was fluid on my knee since shortly after the surgery, but I was told the swelling would go down. I went in for the yearly checkup and was told the swelling could be scar tissue . When I disagreed with the doctor, he said that it was fluid that needed to be drained. He aspirated it, sent the synovial fluid to the lab, and told me there was no infection, but that he suspected rheumatoid arthritis . I went to a rheumatologist who told me there was no RA, but very possibly I was experiencing an allergic reaction to the components of the implant. I was not given any information at all about the implant that I received. I called the OS and was told that they don t even keep that info in my file there at their office, and the MA, I felt, proceeded to send me on the proverbial wild goose chase. I suspect, after doing a lot of research, that I could be having a reaction to the metal. How do I find out exactly what implant was used in my knee? If I need to have another TKR, do I dare use the same doctor? What about insurance? I have been made to feel that I just haven t worked hard enough to get this knee in shape, etc.... I can t even walk very far because of the popping in the knee. It doesn t really hurt, but it is so uncomfortable and causes me to walk differently and makes my back hurt. It s a domino affect. When I ve mentioned that, I was told that when the knee sets itself or when the swelling goes away that the popping would stop. I just do not know what to do next. Any advice will be considered. I am very depressed and confused and upset and frustrated!!! Thanks! | Hi there ~ Your being upset, confused, depressed and frustrated is understandable. The surgery that was expected to make your life better did not actually turn out to be so. However, you need to look the life before and after surgery. You describe everything after surgery and how your knee should have been and how you should have walked, etc., However, you do not mention what you expectations were and how your life or your problem knee was before surgery. It is very possible to feel depressed, however you need to reconcile with the fact that the surgery and the consequent improvement is gradual, and it should have been alluded to by your surgeon. I feel like you might need to be seen in personal consultation by a psychiatrist or a counselor. I hope you feel better and that this helped. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i have one year without any medical control for my braces (for same problems) i took them of but my dentist didnt give me any retainer he said come after one month im scared that my teeth will move ...but maybe not bcs i had the braces one year without xontroling and they maybe had done the role of the retainer ?????? | Thanks for your query, I have gone through your query. The function of the braces is to move the teeth and align them properly. The function of retainers is to maintain the moved teeth in position. If the braces are in a fixed and inactive state, that can act like a retainer. But it is better to wear retainers after removing the braces, if not the teeth will move back to its previous position. I hope my answer will help you, take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I fell off my mountain bike and landed quite hard on a rock that bruised my upper thigh. I also have small bruise just blow my pelvic bone. The thigh bruise is especially painful when I bend my leg. I can t pull my bruised leg toward my chest. I iced it and took some ibuprofen. I feels a bit unstable going down stairs. | Hello, I have studied your case, Due to blunt injury there can be hematoma collection. The bleeding that occurs result in hematoma collection. Over a period of time, as hematoma resolves it cause local skin symptoms around the hematoma. Continue ice application, and thrombhophobe ointment may help and take rest. You can do x-ray to see for fracture, giving supportive splint will give early recovery. If required you may need to do blood investigation for prognosis and recovery. Take precaution to avoid infection around hematoma. 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¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I need a new hip in my polio hip but I am afraid since I broke the femur in this same leg a long time ago and they had to take part of my other hip bone to lay around the break since the polio bone won t grow on it s own or that is what the Dr. said. I also grow scar tissue fast and have not had one good surgery because of this. The pain is very bad but don t want to do anything to my hip if the bones won t grow on their own. | Hithank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. Since you require a hip replacement as per the or tho I feel you should go ahead as in today's time of advance science things are perfect and recovery is outstanding. Even the procedure what your or tho says is correct, by using a bone graft technique healing can be improved. In my clinical practice I have come across a polio patient who has undergone THR and is successful. Surgery was successful and patient is able to walk as well. Regards. Jay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i just did an albuterol treatment for my asthma and my left hand is tingling is this something i should be worried about? im used to the normal jitters afterwards but this is new. also i havent had my advair for the past 4 days so ive taken my inhaler about 60 times. (i had 136 puffs 4 days ago now only 90) | Hello, Welcome to Chat Doctor, As you are a known case of chronic asthma, for which you are on albuterol and adverse (fluticasone/albuterol) which are used to prevent asthma attacks and to treat COPD. Albuterol is used to treat or prevent bronchospasm in people with reversible obstructive airway disease. Similar to any Chat Doctor. It is known to cause tremor and nervousness, but the tingling sensation is not its side effects. You should be thoroughly examined for the causes of your symptoms, the nerve supplying that area may be having some injury, the it deficiency can also lead to this problem. So I suggest you to consult your doctor who is treating you and inform him regarding the medicines which you are on and the symptoms. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi doctor i am male 23years old i have a problem that every time i have some suger based food like chocolate, cake or any sweet dishes,not even sweet on my tea. i used to get mouth ulcer. i have referred many doctors but nothing was successful please help me to bring a solution | Hi, Welcome to Chat Doctor, I have gone through your query. The ulcers in the mouth could be because of recurrent authors dermatitis or recurrent herpetic ulcers that occurs most often secondary to stress. Consult an oral physician and get it ruled out. If it is authors ulcer you can take topical anesthetic and analgesics like Anabel gel. Apply 3-before food and topical steroid like triamcinolone acetone 0.1% after food. If it is herpetic ulcers you can take topical anesthetic and analgesics like Anabel gel. Consult oral physician or ENT specialist. I hope my answer will help you, take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello .... i am 24 year of age .... i used to have very good erection 2 years ago ... but now erection is very weak.... i tried sex with my gf but could not get strong erection.... Also i am facing acute back pain.... I took viagra 50 mg without doctor advice while having sex with my gf and it was good sex then..... but i want permanent solution | Hi, You may be suffering from erectile dysfunction may be due to anxiety or depression or lack of interest in a single partner or due to porn-induced erectile dysfunction. Avoid spicy food, alcohol consumption, smoking and caffeine Chat Doctor. Do regular exercise and yoga. Taking self-medication is too dangerous. Please consult your doctor, he will examine and treat you accordingly. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | good evening !! i am radha n i am 20 years old..i had my period last month 6th n i dint get the cycle in this month ..i had sex in between i.e on 17th ..i am doubting it pregnancy ...but i am not finding ny symptoms of pregnancy ..wat should i do further now ..can i get ny suggetion | Dear Rad ha, You had your last period on 6th and sex on 17th. There is a possibility of pregnancy. The egg is released 14 days prior to next period. The egg has life of 24 hours and the sperms are active for 72 hours. Hence, a period of about one week around the day of egg release is a fertile period; which in your case would be between 18 and 26. So your sex on borderline. Since you have missed period, you have the following options to detect the pregnancy:1. 8-10 days after missed period, get pregnancy test done on overnight morning first urine sample. Done earlier, these tests may give false negative results.2. You may opt for Beta Chat Doctor test which can give you reliable diagnosis of pregnancy even few days before missing a period. If you are pregnant and this is unwanted pregnancy, you may opt for medical termination of pregnancy. Tab. Mifepristone followed after 24-48 hours by Tab. Bisoprolol can terminate the pregnancy safely and successfully up to 9 weeks of gestation. These are not over the counter medicines. You have to buy them only with Obstetricians prescription and take them under observation. 7 days after consuming the last pill, please report to the Obstetrician for follow up. Completion of abortion can be ascertained by ultrasonography. Since these medicines cause developmental abnormalities in the baby, pregnancy should not be continued in case of failure of these medicines; pregnancy should be terminated by surgical evacuation of the uterus. I hope this helps you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am getting drop by drop bleeding from the anus due to internal piles after passing motions in the morning. What should I do? | Hello, Welcome to Chat Doctor forum. I would suggest the following at this point in time. Consult your specialist doctor, discuss with him or her and with their consent take the medicines. This is going to help you a lot. For more information consult a medical gastroenterologist online |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | For the last hour, I noticed my tongue feeling wierd on the left side. Haven t bitten it or anything. So, it was bugging me so I looked in the mirror and it has like a reddish bruise -- but it doesn t hurt. Appears to only affect the top side of my tongue. | With such presentations in my clinic - I come up with these possibilities:Soreness of tongue (Glossies) is often caused by nutritional deficiencies and may be painless or cause discomfort. Glossies usually responds well to treatment if the cause is identified and corrected with multivitamin tablets or vitamin B complex tablets. For reducing the pain you could use glycerin. Iron-deficiency anemia is another cause of soreness and is mainly caused by blood loss, such as may occur during menses or gastrointestinal hemorrhage. Multivitamin tablets can help. Bacterial, viral or fungal infections can cause glossies so if any infection with layer of white patch is found on the tongue that means the tongue is infected and should be treated with antibiotics. If it was oral candidiasis(white patch) common in asthma patients - Statin : swish and swallow should be done. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My father-in=law has beeb suffering from prostrate acncer for 10 years and up until late last year it was controlled. Now it has been discovered that the cancer has spread to his spine in several places. He has already undergone radiotherapy on two occasions but still suffers with acute pain in his back and now down his legs and around his ribcage. He was told yesterday that his spine is crumbling and an operation is not possible. I am looking for answers to the consequences as I feel he does not ask the appropriate questions when he is with the surgeon/consultant. This could be because he does not wish to know but as a close relation I want to know. | Hello dear. Your father is suffering from stage 4 prostate cancer. At this stage surgery cannot be done for prostate. However, he requires either surgical removal of testes or medical management for inactivation of testosterone produced by the testes. Then he will be requiring chemotherapy and hormonal therapy as a part of treatment. He also requires bone strengthening agents 9 bisphosphonates) Hope that solves your query. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My son has a big bump on gum on top of his front tooth . It s grown even bigger today and shows a little white dot. My son is 3 with no teeth lost yet but his teeth are rotting. What is this? I went ahead and try to push in it. Gross it was gushing liquid. Put some dental relief on it. It looks better but it s still big! U think the surgery to take it out is necessary? It s going cost me $2000 with my insurance. That s alot. | Hello and thank you for your questions. The bump you are describing is an abscess. You need to have your child brought in to a dental clinic to have the infection removed via extraction of the teeth or root canal therapy and possible antibiotic therapy. Are you brushing and flossing your children teeth? His oral health today will affect his oral health tomorrow. You may be putting him to bed with other fluids besides water. Water should be the only thing that a child goes to bed with. Anything else will rot their teeth (baby bottle rot). If your dentist is costing you $2000.00 on top of insurance coverage for a tooth extraction, I highly recommend getting a consult by another dentist. This sounds extremely high. Do not sit on this problem with your child. Since his condition and age, not seeking immediate attention can be considered child neglect and state services can get involved. Best wishes! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have elevated optic disc with blurred edges only in the left eye, that was discovered on routine eye examination. I have developed headaches in the last few weeks. If this was papilledema would it be bilateral? | Hello, Welcome to Chat Doctor forum. Papilloedema is always bilateral. It is due to increased pressure in the brain. If it is unilateral, it is called papillitis, that is due to underlying inflammation. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I m watching a baby 17months old that has canker sore, swollen bleeding gums. What can I do to make her feel better. Mom told me to but salt on a wet towel and rub it in her mouth but it look like that would hurt. Is there something else less painful I could do? Thanks | Hello, I can understand your concern. It seems that the oral cavity is not cleaned of the baby while bathing her. Before the teeth erupt into oral cavity, the oral cavity and gums should be cleaned gently with a clean cotton cloth. After the eruption of teeth, tooth brushing two times a day should be done and appointment should be made with a dentist every 6 months for examination of the oral cavity of the child Chat Doctor. Right now, to make her feel better, you can apply local Endocrine gel (McCoppin) over the sores and painful areas in the mouth. This gel can be applied 3-4 times in a day. In addition, for the sore bleeding gums, plaque attached to the teeth and making gums inflamed can be the reason. To resolve bleeding gums, an appointment with the dentist or periodontist should be made for ultrasonic scaling of the child. I hope this information helps you. Thank you for choosing Chat Doctor. Take care. Best, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Since 2007 I have been underoing homeo medicine for hysnophilia and aso titier -positive diseases. Recently when my blood tested absag-positive. abseag-negative, abcab-positive, my ultra sound scan report normal study. My wife and children are hbsag-negetive. There is any changes the medicine used to ASO titier and hysnophilia turned the false postive of hbsag ? What my stage. Explain the blood test result of hbcab P.value ( 0.011)? | HelloWelcome to Chat Doctor Hepatitis B test results has the following interpretations. HbsAg and IGM anti Bag positive denotes recent hepatitis B infection. HbsAg and Egg anti Bag positive denotes chronic Hepatitis B infection. Only Bag positive denotes carrier state. Having virus but no disease. HbeAg positive shows infectivity of infection. Anti Bag positive shows protection against infection. Have a Healthful Day. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have had green and brown poop with blood dripping in the toilet and on the toilet paper after the first wipe. But not on the second. Should I be very concerned? It has been like this for three days. | Hi, Welcome to Chat Doctor forum. I have gone through your case and can well understand your genuine health concern. As you are having bleeding per rectum, you should get evaluated properly. Bleeding in the proximal part of the gastrointestinal tract can cause brown colored stools. There are many causes of rectal bleeding like piles, a fissure in the anus, bleeding in the intestine, rectal ulcer, rectal polyp, etc. I suggest you consult a surgeon. You need proper examination and colonscopy or simoidoscopy. You can follow the mentioned instructions. ChatDoctor. Take a diet rich in fibers like vegetables, salads, etc. Avoid oily, fatty and spicy food. You may need a stool routine and occult blood examination. Hemorrhoids, rectal polyp or rectal ulcer. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | after successfully tube test and egg formulation i am facing secondary infertility .After sperm count test my husband count is on border line but he done two months course to imorove count .We do not understand the problem .kindly guide us.Age of my husband me 35 years .I have nine years old girl. | Hi, thanks for query. What I understand by secondary infertility means you already had one child and having difficulty in getting another. In medical terms this is known as secondary infertility. Once you are pregnant the major causes of infertility are ruled out. This time the cause could be some hormonal imbalance, bad semen quality, some uterine problem etc. Please discuss this with your doctor and get your thyroid checked. He will suggest some investigation to see for ovulation and other things. If everything is normal you can still conceive with low sperm count with the help of assisted techniques. Wishing you all the best. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi,I am 17 and I have been getting frequent yeast infections lately since the summer. My doctor says that the reason my first yeast infection occurred was because I was on doxcycline acne medicine. I went off the medicine, but still got yeast infections months later. My mom said that she always gets frequent yeast infections and that its probably in my genes but Im not sure. Im scared. Last year, I had oral sex with a guy, but I dont think he came. Shortly after that, I had gotten strep throat and an abscess under my armpit that my doctor had to drain. I am really scared and freaking out because I read on the over the counter yeast infection medication, that frequent yeast infections could mean that I might have HIV. I am scared that maybe the oral sex from last year gave me HIV, and that maybe the strep throat I had and abscess under my armpit I had shortly afterward I had oral sex with that guy were early symptoms of HIV. I currently have been dating my boyfriend now for almost a year and we have unprotected sex all of the time, and he is clean. He got checked. I know I most likely dont have HIV, but I really need to make sure from you because Im really scared and freaking myself out and wont be able to get an HIV test anytime soon. Please help, ASAP! Thank you ! | Hello, Welcome to Chat Doctor, As you are having fungal infection for which you have visited your doctor and got some treatment. The affected region is more prone for fungal infection, as it is a normal commensal of this area which is kept under control by the helpful organisms, whenever there is a change in the environment either by the change in the temp, other infection or poor hygiene will invoke the growth of fungus and produces the symptoms. For your condition I would like to suggest1. Keep the area clean and Chat Doctor. 2. Topical antifungal cream like ketaconazole3. Single oral dose of Rifleman 150Β mg. These measures will help you to control the infection and makes you comfortable. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i found a knot under my left breast just above my rib cage, about an inch from mid line. i noticed it one week ago, it is tender at times and had an ultrasound done, approx .7 cm is all the girl said, dr. said it does have a blood supply- does that mean it has a high change to be malignant and what type of cancer could be in this area? | 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 fibroadenomas as it's a tender breast lump. Your age is not mentioned.Hence, Please check out with your ER Surgeon who would treat it accordingly.FNAC under USG guidance would fix the diagnosis. Till then don't worry. So don't build up wrong concepts and self-medicate your self which would increase risks and costs to you.Instead, 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¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | blood pressure im 21 i recently started taking atenolol because my blood pressure was high for three days in a row i honestly believe it as anxiety my blood presdure has been 90 over sixty since i started so my doctor told me to cut my 50mg to 25mg my bp lowering my does has caused me to have some mild chest pain and my bp moniter says my heart beat is irregular what should i do checked my bp now it was 127 over 50 | Thanks for your question on Chat Doctor. I can understand your concern. Yes, stress and anxiety can cause hypertension. In fact these are the biggest risk factors for hypertension in young age. Atenolol is beta blocker. It can not cause chest pain or arrhythmia. In fact, it is given in some arrhythmia. In your case, stress management is very important to control blood pressure and arrhythmia. So better to consult psychiatrist and get done counselling sessions. You may need anxiolytic Chat Doctor. For arrhythmia, get done ECG, 2d echo and Holder monitoring (24 hour continuous monitoring of ECG). On the basis of reports, you will need anti arrhythmia |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi. Im abheesh. 19 years old boy. Due to sexual excitement i had made sex with my girl friend. Inorder to avoid pregnancy, i released my penis just before ejaculation.. But my friends are saying that, it.s too risky. So i gave her contraceptive pill within 24 hours. Now im little tensed about unwanted pregnancy. Is there any possibility remaining for that.? Help me.. Is that releasing technique effective to prevent pregnancy? | Hi, I think there is very little chance of pregnancy as you have taken two measures for that. Even then if you have doubt. If she doesn't get her periods on time, get a urine pregnancy test done at home. If negative, no need to worry. If positive, consult a doctor if you don't want pregnancy. Hope I have answered your question. If you have any other query I will be happy to help. Regards Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Sir, My nephew is 4 years old. He is suffering in blood cancer . we treated him for two months ( Chemotherapy ) from PIMS Islamabad Pakistan. And we also give him homeopathic treatment. The child recover soon. than we stop elopathic treatment and continuous homeopathic treatment. After 8 to 9 months the decease come back with sever condition. Then doctor refuse the treatment and said their is now treatment in Pakistan. | Hi, I can not comment on homeopathic treatment. You have not mentioned the type of cancer he's suffering from. At this age common diagnosis is acute lymphoblastic leukemia. Anyway there are other possibilities also. Long duration chemotherapy with occasional brain radiotherapy are the options. You have discontinued the treatment now your chemo regime has to be changed. Consult with your hematologist. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi i am a 33 years old and i have been feeling bad all day. I ignored it and continued the day and early afternoon i got a headache and took tylenol and it didn t help. I am feeling worst right now and i have naseau and a headache. I took my pulse it is 48 with oxygination of 94%. I also some have some chest discomfort, should i be alarmed? | Hello, Would explain that this heart rate and blood oxygenation or quite normal. Coming to this point, I would recommend taking Tylenol or ibuprofen and an antacid. A viral infection may mimic this clinical situation. If this situation persists, I would recommend consulting with your GP for a physical exam and some tests: a resting ECG, complete blood count, PCR, ESR. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I am suffering from shoulder and neck pain causing from bilateral cervical ribs. I am taking medicine like pain killers and muscle relaxing. I want to know Can I get rid off permanently from the problem causing the cervical ribs? I used to have physical exercise like pushups, sit ups ets. Will all the exercises permanently forbiddden for me? | Hi, As what I see is that your cervical ribs are leading to problems with your upper limbs a lot. There is a solution for the cervical ribs is that to get it artificially removed. As this ribs cause compression the nerves, to be precise the brachial plexus which is one of the important branch for the nerves which supplies the upper limbs. The decision has to be taken only after the physical examination and considering other factors that is it really needed to remove it or not to touch it. Coming the therapy part, a lot of painkillers in the long run can rotten the kidneys leading to increased creatine levels which can not be of help and a matter of worry, so avoiding too many painkillers will be advised. Use hot water fermentation if it is helping you reduce the pain. You even need to figure out the muscles which need attention as there might be possibilities that some weaker muscles will be aggravating the pain as they might change the posture and leads to nerve compression. A good physical therapist should be of use to examine and advice a good exercise prescription. Please feel free to contact me with some more detailed history. For time being avoid too many push-ups. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I recently had an infected tooth and couldnt get in to see the dentist for two days. My bottom right lip and cheek began getting numb....I ended up having a root canal which went fine. I still have numbness and swelling in my lip and gum area. I have been on Clindamycin 300 mg over a week and have began a second round plus received an injection of an antibiotic in my hip to clear up any infections which may be lingering. Im getting concerned this is lasting too long especially since Im taking antibotics. Any suggestions | Thanks for your query, I have gone through your query. The reason for swelling could be because of the persistent infection or its relative feeling of swelling secondary to the numbness. The numbness in the lip and chin could be because of the trauma to the nerve during injection of the local anesthesia, or it can be because of pressure caused by any cyst or tumor on the nerve ending. Clindamycin will clear the infection, but it will not solve the numbness problem. You can take nerve regenerating Chat Doctor. But you have to rule out the cause of numbness so consult your oral physician and get a radiograph done. I hope my answer will help you. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have an anal fissure, internal hemorrhoid, SRUS, and constipation. One year ago, I was suffering from a hard stool that was difficult to pass. I went to a gastroenterologist, who did a colonoscopy and found that I had an anal fissure and internal hemorrhoid. He prescribed Sitcom Forte, Eldicet, Velgut, and Pankreoflat. He also gave me Sucralcoat Ano cream. However, every night I was in too much pain. So, early this year, I decided to consult an Ayurveda doctor who gave me some Kashayams and tablets. However, my pain did not subside. I used to evacuate the stools using my fingers. That eliminated the stools, but there was so much mucus released and extreme pain after motion. Two months ago, I went to a GP who gave me some antibiotics and painkillers for five days. During this time, I was always sleepy. I took leave from work and was always tired and fatigued. Earlier this month, I went to another GI specialist who did a sigmoidoscopy and said that it is SRUS. He said that I should not finger evacuate the stools and gave me liquid paraffin and LoX cream. Now, my current situation is that it has been three days and I am very constipated and fatigued. The pain has subsided a little. However, I am not passing stools as I used to before. After I drink water or eat something, I get a vomiting sensation. I get anxiety and panic attacks as I am scared about my condition and do not know which doctor I should consult and what I should do. Is this condition serious and life-long? Will I ever be cured? Please advise on the correct medications (allopathy or ayurveda), lifestyle changes and other things to take care. | Hello. I have gone through the files uploaded by you. (attachment removed to protect patient identity). Hope your queries have been cleared. Good luck. For more information consult a medical gastroenterologist online Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Im 21 years old, it started happening after a few months after I gave birth I get shortness of breath, dizziness, sweating, body feels hot but I feel cold, shivering, feeling faint, hearing is muffled, tight chest, blurry vision, fast heartbeat and feels like choking, I drink water and its hard to swallow but it help stops me from blacking out when I know its going to happen its happened to me 6 times in the past 2 years they just happen suddenly I dont know what triggers it and it lasts up to 20 minutes. | Hello these symptoms mentioned by you in the query may be due to these possibilities, these include:1 Anemia, diagnosis can be confirmed by blood examination for hemoglobin level.2 Allergic bronchitis, patient develop wheezing due to bronchoconstriction 9 shortness of breath).3 Tension or anxiety. This is also a main cause of such symptoms. As you mentioned that you gave a birth to a child and thereafter develop these symptoms. On the other side, you mentioned that all these symptoms are from 2 years, so this shows that these symptoms may be due to anxiety or tension. So deal as mentioned above and consult a physician and get his opinion. Good luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I felt a lump at the top of my stomache about a week ago. I have had severe nausea for 3 days with vomiting today. I have only eaten a slice of dry toast and drank about 20 oz of Sprite over the past 3 days. I called my pcp on Fri last week, but could not get in till tomorrow, Wed. | Hi, understood your query facts. With a lump on top of your stomach with 1 week history, if you have 3 days nausea/omitting, You should consult your ER Surgeon and get hospitalized for further treatment, as things are serious. You seem to have-Obstructed Epigastric Herniation wait for your PCP till tomorrow. Keep Nil By Mouth. Get the USG of the lump in stomach. If it's not reducible, Surgeon would plan emergency Hernia repair for reduction of the obstructed Epigastric Hernial Contents. This reply would help you to plan treatment with your ER Surgeon urgently and immediately. Keep updated and Contact with a Followup Premium question to ME if need be. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. Welcome with any other further query in this regard. Good Day!! Chat Doctor. S. Genl-CVT |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Gud evening Doctors, I am already married for 15 yrs. but sad to say til now I cant bare a child due to my hormonal imbalance. My ob gave me duphaston for my menstruation to be maintained monthly since I have an irregular mestruation and polycystic ovaries. I really wanted to become pregnant please help me. What should I do? | Hi, Thanks for writing to Chat Doctor. Get your thyroid profile, FSH and LH and prolactin levels checked. Correct them accordingly. Since It's so long for your marriage. I suggest you to discuss with your doctor regarding use of ovulation inducing Chat Doctor. This will help multiple follicles to mature and rupture. You need to monitor your follicle growth. Get your tubal patency done and go for GUI. Here healthy sperms are selected and placed in uterus. This increases chances of pregnancy. You can try 4 to 5 cycles of GUI before proceeding further. You should get your husband semen analysis before starting your procedure. Hope I have been helpful. Regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | HI, I went to get on a rocking chair to water my plant and the rocker moved, i went to catch myself from falling on my face, my arm went way way forward and stretched the crap out of, hurt like hell, and is now hot pink with a side of purple, different shades and swollen i did not go to the doctor yet it happened on tuesday 2 days ago | Hi.noted history of swollen arm and trauma. It is best if you consult with a doctor, preferably an orthopedic or a general surgeon, for physical examination and clinical evaluation, especially if the swelling and pain are persistent. If it's just an inflammatory reaction, the swelling will eventually subside in a few days time. Fractures must also be ruled-out. Diagnostics, such as X-ray, will be requested for further investigation. Management (medical and/or surgical if indications are found) will be directed accordingly. Cold compress and pain relievers may help alleviate the symptoms for now. Hope this helps. Good day!!~ Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I was told by my physician I have a growth on my hip that looks like it is actually eating at my kidney. Ive had the left Side pain for a long time but in just the last two weeks it has gotten so severe I cant hardly take the pain. I dont take opiates so ibuprophen and acetaminophen isnt working so well. Have any thoughts. | Hi, Thanks for writing in to us. You should be more concerned about the growth and its treatment than the pain relieving medication. The root cause of your pain lies in the possible growth. You must first get your growth evaluated and treated after detailed clinical workup. Painkiller medications will be given to you after clinical evaluation, starting with the less powerful ones. Please talk to your doctor informing them of the intensity of pain you are having, and they may give you opiates after consideration. Always take ibuprofen and acetaminophen in recommended doses and after food. Hope this helps |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I get muscle cramps in my sides from my behind my breast on each side down each side. Recently I started walking and that s when my cramps started. I got them in my legs also but they were manage able. I stopped walking the last two days and they have stopped. I don t get it. | Hi, thank you for providing the brief history of you. A thorough musculoskeletal assessment is advised. As you have started walking, due to the improper way of walking there is excessive consumption of the energy and by which there will be a possibility of the cramps. Also, when walking is performed in the initial stages, one needs to start the slow walking and gradually progress to moderate and then high speed. Besides, before going for a walking performing a slow warm-up should help you, as this is the common complaint most walkers I have seen. Start with slow pace walking after a small warm-up. RegardsJay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Good evening. I have been having stomach problems since March and Ive been on Topamax since February.My symptoms are a burning sensation that goes around my waistline or is centralized to my lower right back or right side of my abdomen. I had a colonoscopy yesterday and I am waiting for the results of that.Im wondering if Topamax is causing my issue. I never had this problem before starting it. | Hi welcome to Chat Doctor forum. Thanks for choosing Chat Doctor. Forum. You have got some stomach problems, since March, burning sensation around the waist line, lower right back, or right side of abdomen. Report of colonoscopy is awaiting. You earth using tokamak since February. Tokamak is operative used for epilepsy, it has a side effect related to the right abdominal pain and backache, But we should not get it confirmed. The causes of right lower abdomen and back pain are Urinary tract infection, stone in the urinary tract, appendicitis, etc. I advise you to consult a surgeon for diagnosis and treatment. A how colonoscopy is done you may need to have U.S.scanning, besides other routine tests for confirmation. If all tests are negative we can confirm the side effect of the Chat Doctor. If it is confirmed to be the side effect it should be stopped slowly by tapering the dose and another anti-epileptic should be started. Wishing for a quick and complete recovery. Best wishes. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi i had typhoid two years before. got treated.now i have 9month old son and i have temperature 99 degree C from last two days specially at night , having oily mouth, body pain , head ache, hot flashes and weakness.my weight is 53 KG and my height is 5feet one inches and my age is 31. am a lactating mother. should i go for typhe dot test. | Thanks to ChatDoctorI can understand your concern being lactating mother, you need to undergo investigations like CBP.ESR, WIDAL and MP tests .which indicate cause of fever normally but try to wane slowly the lactation for your child typhoid may repeat after 1st attack use paracetamol, antibiotic like definite o200mg for 5 days.normally it will subside .don't worry if persistent fever please check the investigations and consult your family doctor or Chat Doctor, DON'T WORRY |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My grandson is suffering from toothing and has loose motion one doctor has suggested ofm suspension n there is different opinion that it is not to be given my grand is 1year7 month old loose motion is not in control kindly pls advice that the above medicine can be given to him | Hi...loose motions form soothing come because the kids of this age keep everything in the mouth and this is cause for viral diarrhea. Stop OF - it is an antibiotic. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics like OF 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¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My mother is 62 years ,recently admitted for fever and found that she is infected with pnemontiss, during her treatment they took echo carido gram and found that she is having 25MM OSTIUM SECUNDUM ASD with LT( RT shunt-DILATED RA/RV)she is taking storvars and deplat from last three years, suggest us what kind of treatment she must undergo... | Hi, This is Chat Doctor. This is pretty big hole & needs to be closed. But closing will depend on pulmonary pressures. Please send a detailed report of echo. As the chambers of heart are already dilated(RA & RV), she needs closure of this shunt. This closure(if feasible) can be done through a simple procedure & do not need major surgery. So it's better to go to a cardiologist early for further treatment, otherwise if the shunt changes direction (Rt to Lt) than her symptoms will increase. Also, it will become difficult to close the hole. Regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi, im male 37 years old and i assume i have mumps as i have two huge lumps by the jaw which started on the right side and then now the left side has grown almost the same. I had fever for a few days and today the 4th day, i check for temperature and its 36.8 normal so i was wondering if i can shower? reason im asking is i heard rumours if i shower, it will spread to the testicles and get it swollen as well. | Hi sir. First you should know that mumps is caused by viral infection, and it is self limited disease .for diagnosis of mumps we depend mainly on clinical symptoms and signs such as mild fever, pain, headache, fatigue, loss of appetite...symptoms vary between person and another...we don't do laboratory test except when we want to exclude other causes...as I said it is self limited .few days you will be fine and will have long last immunity....2nd part of your question about the shower I would like to tell you take shower when you want .don't carry about that ...that rumors you heard about testicles affected by mumps not because of shower...there may be some complication of mumps cause inflammation of testis.shower will not affect that......don't carry ....take care of your health...and thank you for contacting us |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My young adult daughter has fluid and pain I the right upper quadrant of her abdominal area. Just out from her ribs. She has pain in that area, her eyes look weird some have asked if she is high while others have said they look yellow, her urine has a horrible Oder, she is very fatigued and she is very emotional not like normal. She also has Elhers Danlous the Tenacsin X factor type. | Hi. Thanks for your query. Abdominal pain - fatigue - yellow eyes - foul smelling urine in your daughter along with emotional upsets and Elders Heinous the Teaching X factor type. The EDS to a certain extent can cause these symptoms. The possibilities are : Jaundice due to hemolysis or hepatitis giving all the symptoms. I would advise Her the following:Get investigated Blood : Liver function, hemosiderin levels, kidney function and routine Doctrine : routine, microscopy, Bile salts and pigmentsUltrasonography of the abdomen, MRCPConsult the Hematologist for clinical evaluation, physical examination and investigations for further treatment. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had Breast Cancer. Treatment was a, Zoladex for 4 months then a right breast mastectomy, a course of 5 chemotherapy sessions and the 3 weeks of daily radio therapy. I am now taking Tamoxifin . I am getting a lot of pain in my right side by my stomach under the breast area round to my back. Imentioned it to the consultant at the hospital .they seem to not be bothered about it but , I have had it since I woke up from the operation 18 months ago. What can it be that is causing me so much pain and stopping me from sleeping. | Thanks for your question on Chat Doctor. . Radiotherapy can damage normal structures like skin, nerves etc. besides tumor mass. So it is routine complication of radiotherapy, to have pain at therapy site. It is due to damage to nerves. So start vitamin B 12 and zinc to decrease this pain. Both of these are needed to regenerate nerves and improve nerve function and reduce pain. You can also try Transdermal patch of fentanyl. This is very good at controlling post radiotherapy pain. Its effect lasts up to 72 hours. So you can try these. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Sir, I am 28year old men asthama pesent, My weight is 90kg, whenever I start exercise such as running, cycling, I have get a asthama attack. When I use arocart inhelar before exercise then I have not get a asthama attack.I want to known useing arocart inhelar before exercise is good for health without any side effect?Please suggest meThanking you | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to know more about your asthma like - do you get asthma attack at times other than exercise? If yes, how frequently and how severe are they? Do you have any other allergies like nose allergies, food allergies, etc.? At present, I would like to make suggestions for you as follows:1. Regarding side effects of Airport, it contains two Chat Doctor. Common side effects of albuterol are tremors, feeling of heart beats, rapid heart beats, etc. Beclomethasone is a corticosteroid in inhaled form. Although it is safe as it directly acts in lung. Common side effects of inhaled form are throat irritation, local infection in throat, change in voice, etc. With long term use in high dose, it can cause side effects caused by other steroids - typical obesity, hypertension, diabetes, cataract, gastritis, etc.2. In my opinion, if you are not experiencing any of the side effects described above, it can be considered safe to use the inhaler for you.3. Were I treating you, I would suggest you allergy testing which will help you identify the substances causing symptoms to you and also to know how to avoid them. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms over a long time.4. I would also suggest you weight reduction as obesity significantly can contribute to asthma symptoms. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Thank you & Regards. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am on birth control and recently visited my doctor to have my blood pressure checked, she said it was a bit high for someone my age (i am 23), so I have to go back on Friday to have it checked again. I did get myself a little worked up about the check up and have a few glasses of wine the night before so that may have increased my BP. im not sure, what will happen if my blood pressure is still high? Will i have to come off the pill | Hello, It is true that a birth control pill may elevate the blood pressure mildly as it contains hormone(s). More than that it is the anxiety of the impending examination which would have raised the blood pressure. This is sometimes referred to as white coat hypertension. Wine in moderate amounts may only reduce the blood pressure as it dilates blood vessels. So be relaxed and then your blood pressure will not shoot up. It is unlikely that you require to come off the pill. You may contact me if you have further queries. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor I have a couple of kidney stones that seen to bother me now. This week I have felt as though I wanted to vomit. I have chills and pain in my lower back, but no fevers. I also have pain when I urinated that is mild with no blood. Should I hold off until my appointment in two weeks or does this need to be an ER visit. Thanks | Hi, Thanks for writing to Chat Doctor. I can understand your concern. Some of the symptoms you are giving could be because of urinary tract infection. One of such symptoms is pain in the back and pain while urinating. Even though you do not have fever you should be investigated after a physical examination. I suggest you should consult ER and get investigated. A urine routine examination and culture will identify if there is any urinary tract infection. Continue to ask further queries as required. Hope this helps. Take care. Chat Doctor. D.(Pediatrics)Associate Professor of Pediatrics |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi Doctor,My wife has problem of Hemifacial Spasm which was started in 5 yrs, ago ,We show Neorology Doctors ,and thy dont have any solution unless high dose of steroids OR Regular Botulin injection, it give only temporary reliefonly. Doctor can you suggest a treatment in Homeopathy for a permenent solution, waiting your replyVery hopefully | Hi I had gone through your query and understand your concerns.-there are several medicines are available for Bells PALSY to treat permanently on the basis of-causation-location-sensation-modality and -concomitants some important remedies like CAUSTIC, Sulfur, NUX VOICE, MAG PROS etc. Consult your local homeopathic physician for correct diagnosis of the case and remedy to fit her complaints I hope this is helpful for you, thank you |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | why does it feel like my penis is dripping and always need to go. Had urine testing, swab, and blood work all neg. Was on pills for yeast infection and abx just to make sure. there is no other problems no discharge or anything??? My doc says the abx would of looked after any acute proprosits | Greetings. Since you had taken treatment for yeast infection, there could be associated bacterial infection. I suggest you to consult a urologist and get yourself examined. Sometimes PROSTATES can cause these symptoms and may not show in urine test. Urologist will do a per rectal examination and collect the secretions for analysis.Accordingly, you may have to take medicines for 3 weeks and your partner may also need treatment. Hope my answer helps you. Regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am suffering from abdominal pain from past 3 months | Hello and welcome to Chat Doctor, Abdominal pain can occur due to enlargement, inflammation or any other disease process of any abdominal organ. An ultrasound of the abdomen is required to look for status of the organs in the abdomen. Further investigations will be decided by the result of ultrasound. Consult a surgeon for clinical assessment and relevant investigations. Thanks and take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have dry itchy patches on my legs that have small bumps that have clear fluid when scratched. After scratching they become bloody sores. I used a steroid cream and it made it inflamed and spread. Only thing that seems to ease the itching and pain is athetes foot cream but it makes my skin so dry then the itching starts and then the cycle repeats | Thanks for posting your query to Chat Doctor. As I understand it could be an infection. First I suggest you to go for microscopic examination of fluid and skin scrapping from itchy area. It will guide us about causative agent of disease, either it could be fungal or bacterial or mixed. Avoid steroid containing cream as it can enhance fungal infection. After final diagnosis I will suggest you correct management. Hope it will help you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello , I woke up today with a severe cheek pain, then I realized that flesh has come over my wisdom tooth! the wisdom tooth was visible till few days back but now its partially covered with flesh. Do I need to see a dentist? what should I do? Will I need a surgery or something?? Awaiting you reply. Thank you. Regards | Hello there.... Flesh that covers your wisdom tooth is called the periodontal flap....any inflammation to the flap would result in Peritonitis... As and when you occlude this flap comes between your upper and lower tooth and owing to the repeated friction it enlarges in size...that leads to small pocket between the flap and the tooth underneath, resulting in accumulation of food beneath the flap...this would result in abscess if left untreated.... Pain your experiencing is because of the inflammation... There are two ways of handling it- Operculectomy- procedure done under local anesthesia, where the flap around the tooth is excised, and the tooth is retained... But there are all chances for the flap to regrow resulting in the same symptoms you are experiencing now... This is now outdated...for a permanent solution get your wisdom tooth removed... Consult an Oral and Maxillofacial surgeon for the procedure... |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | In October 2013 I had a syncope episode. Went to GP who did an ECG and found I have a left bundle branch block. Went to ED where MI and PE were excluded.Referred to cardiologist .Had holster monitoring, stress test, Ecco cardio gram. Found to be fit on stress test. Holster monitor confirmed arrhythmia sand LBB. Eccocardiogram did not anything unusual ( so I was told). Have been told to go back in 6 months . My general health is good. I was drinking 2 to 3 standard drinks 4 nights a week. Have now ceased alcohol altogether. I m within a healthy BMI range and I exercise regularly. Family history - brother had an MI at aged 30 due to a blocked artery. Ok now. Family history of diabetes type 2 and I had gestational diabetes with first baby at age 40. I don t feel satisfied with information I have been given. Not sure what further questions to ask or whether I should ask for further investigations. Can you comment? | Hello Madam, I understand your concern. You have so far received standard tests for screening heart disorders. The LBBB has to be treated, since you have significant risk factors for heart disease in your case.-Family history of MI in brother.-Family history of type 2 DM.-H/o Gestational diabetes. This can make you prone to early onset DM. Patients with LBBB require complete cardiac evaluation, and those with LBBB and syncope or near-syncope may require a pacemaker. Probable causes of LBBB in your case are either an occluded coronary artery or intrinsic disease of the conduction system. Since Holder ECG is normal, primary conduction disorders can be reasonably ruled out. To screen for blocking coronaries, I strongly recommend Coronary angiogram-CAG and highlight the need for temporary or permanent pacemaker implantation. Check with your cardiologist if he shares a similar opinion. Post your further queries if any, Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I served in the US Marines during operation desert storm and returned with a leg rash that looks like small pimples that are recurring. If popped, they take about a month to heal. They are about 1mm in diameter and will produce a small elongated white mass when squeezed. The discharge is solid about 3/4mm long and .25mm in diameter and tapered to a point on 1 end. 3/4 of the way down its length, is a small protrusion. Whats odd to me is all of the discharges are identical. | Hello, Thanks for the query to Chat Doctor. Forum. As physical examination of rash (wound) and white substance (larvae) is very important so, if, possible upload pictures of wound with larva. May be due to, River blindness (cholera volumes), guinea worm, creeping eruption (ancylostoma Brazilian), Leishmania Tropicana. Scrapping tests and stool examination are very important. Consult a physician and get in his opinion. Good luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi im a 23 year old girl..i hav had scoliosis and kyphosis since i was a child..i had a 120 degree curve..i walked normally had no lung problems.. i had a surgery 6 months ago and woke up to find i can feel or move my both legs...by time my left leg recovered its activity but i can t sense heat or cold as to my right leg it took almost 2 months for me to be able to move it slightly..that s when it became spastic almost inhibiting any movement..nowafter 6 months i am walking on canadian cannes with a anti drop foot equipment for my right ankle cz i cant bend it..also i cant bend my knee the dr 1st said something about compression of nerves and brown sequard but was almost sure i was going to get back normal i seriously regret this surgery especialy because i was able to walk and hav a normal life more or less but had it mainly bcz of very bad appearance and now i cant walk or move easily i just want to get an opinion from you if i see a neurologist can he help me in any way.. or is there any second surgery that i need to hav that can make me better thanks | With your history, your doctor seems to be right. The recovery depends on the severity of nerve damage. I think your doctor must have done MRI once you had complained of mentioned symptoms. it's basically an expectant management. Any sort of intervention can do little. Though you can always go for second opinion anytime as I can't see your MRI. BUT NO MATTER WHAT, A POSITIVE ATTITUDE DOES A LOT GOOD at TURNING AWAY THESE TIMES. TC.:) |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My doctor told me what kind, and said its because of my cartledge is wearing downgrade in my knees, but I think she also said something like acl, the wrong initials, can u help me and also my hands all of a sudden crap and stay stuck and totally stiff and it s painful what s that? Thank you, XXXX | Hello, ACL is an acronym for anterior cruciate ligament, a structure in the knee. So, probably the doctor suspects that you may have injured this ligament. As for the stiff and stuck fingers, if this is only in the morning and lasts less than 30 minutes, it may be related to osteoarthritis (similar to what is happening in your knees with the cartilage being worn off). If the stiffness is longer than 30 minutes and especially if your fingers are swollen, hot or red, this may be rheumatoid arthritis, and you should see your doctor soon to have the proper tests and treatment. I hope this answers your query. I remain at your disposal in case further medical assistance is needed. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been having the simular problem my circumvallate papillae & Foliate papillae hveboth swollen for over a year. I was told it was thrush and have been treated three times for thrush have been tested three time for herpes(HSV), siphis,HPV, cancer,liver ,kidneys, HIV i had her test everything all negitive results my doctor said my immune system is low though. I have rinsed with salt water sucked on pieces of garlic, probiotics, vinagar i have tried everything i could!! they well not go away! I smoke about 10 smokes a day i drink coffee constantly with international delight creamers and have noticed that by the second cup my throat starts to hurt or feel irritated of i drink coffee with just milk and sugar it doesnt seem to bother me at all. when i brush my tongue there are little white pieces or tabs of skin on my tongue after. before i brush everyday my tongue has a film some is yellow brownish from smoking and where my circumvallate papillae is where it looks thrush like. I also think the are ulcers in my throat it seem like it my tonsils that hurt and if i stop drinking coffe and switch to jucie pop or water my throat doesnt bother me at all.Its just not going away. I also have had issues with my skin breakout everywhere that according to my doctor may be gluten but it is mostly my lower legs,face(nose),back of upper arms and hips these are bumps dry skin, blood blisters some heal in two day others stay for months i hive when i use expholiating stuff or anything oil of olay(posion) causes me to hive.and it all seem to be some thing to do with my folicals i think. anyway my doctor sent me to a dermy for my skin and she gave me six months precription of NU-DOXYCYCLINE Yes this is the same thing they use for some stds for you that want to jump the gun i well repeat have been tested 3 times in the past year not to mention once a year every year before that. and have had the same partner for the past year who also has nothing cause he was at the doctor about two weeks ago and my last appointment was just this past january. Anyway the NU-DOXYCYCLINE seems to be clearing the skin issues and seemed like it was clearing what is happening in my mouth but it has been a month im on my second month of the meds and it seems like its healing my mouth too but really slowly. i am going back to my doctor agian soon see if she thinks i need more oral thrush meds don t know what else to do I also have noticed fruits like peaches pinnapples and strawberries tend cause me to feel like i am sweating in my t zone mostly right between the eyes where my nose meets up at the forehead don t know if this is connected. | Hello Dear. First you reduce smoking and also the number of beverages per day. Brush twice daily. Eat a lot of citrus fruits which are rich in it c like oranges, Red peppers, Brussels sprouts, Broccoli, Strawberries, Grapefruit, Guava. In addition to it, you can apply candid mouth paint inside your mouth around the sore areas three times a day. Avoid Chat Doctor. Sweating around the T zone may not be anything related. May be just a normal phenomenon. Kindly follow these things till you meet your doctor. Hope I have answered your question. Feel free to contact me if you have any more questions. I'll be glad to help you. All the besting warm regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi my 15yr old daughter says her chest feels heavy and her head hurts, her temp. is 98.2 and her blood pressure is 107/62 pulse reate is 83, she says her heart feels like it is raceing her weight is 116lbs is this normal blood pressure and pulse rate? | Hi, Blood pressure is a bit low. But normal. Pulse rate is not high and again normal. It appears she has palpitations. At this age it might be due to anxiety or anemia. You can get her hemoglobin checked and if low, iron, B12 and folic acid treatment can be treated as necessary. Good nutrition is essential. Ask her to take salt rich diet and plenty if fluids. Because of abnormal diet, poor nutrition can cause anemia. If you have any further queries, happy to help again. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi my son is 13 months old running, he started walking from 2 months back, we can notice he is not walking normal as other child. He has a distinct space between his two legs when he walks, i gues it is slightly bowed, his legs are not straight. Since i massage his legs with johnson baby oil everyday, i do not know it will hlep him to straightened his legs in future.Plz answer ...we are worried | DearWelcome to ChatDoctorWe understand your concerns went through your details. In the initial stages of children walking development period, because of the body weight, the legs do bend a little outwards and that is natural. As I already suggested, this is due to the body weight. Leg bones and muscles needs to be strengthened in order to carry the body weight. The more your child walks, the muscles and bones become strengthened. For confirmation of the facts, you may consult a child specialist. Continue massaging the whole body especially hands and legs with coconut oil, which has more penetrative and lubricating effect. If you still need my assistance in this regard, please use this link. http://goo.gl/aYW2pR. Please remember to describe the whole problem with full detail. Hope this answers your query. Please feel free to post follow-up queries. Available for further clarifications. Good luck. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,My HSG test report is as follows. Impression: Contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side. Clinical correlation is suggested for further management. What does this mean? | Hi. I have read and understood your problem. (attachment removed to protect patient identity) However, I would like you to answer a few questions so that I can help you better. Did you get a pelvic ultrasound scan done? Your HSG report says tubes visualized and no dilatation seen, this is good. But the second part mentions contrast spill into the peritoneal cavity was not visualized on the left side, however faintly probably seen on the right side, this may indicate a block in the tubes at their outer end. If there is block of the tubes at their outer end, then hy ChatDoctor. Alternatively, a laparoscopy and fimbriolysis may open it. Blocked tubes are usually caused by Pelvic Inflammatory Disease (PID) due to infection with chlamydia, tuberculosis, and other microbes and also by endometriosis, a condition where there is a collection of menstrual type blood around the uterus, ovaries, and tubes. If you can send me the image, I can comment better. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello, I have stage 4pressure wounds on my buttox and also now have ostiomolitis in my hip bone where one of the wounds are..I ve been this way since 2010 and seems like no one can help me. I m bed bound now and suffer from a lot of pain. I ve giving up on trying to live a normal life Noe or some what normal life. Please help me anyone in any state any where. | Hi, thank-you for providing the brief history. As you have osteomyelitis this may be due to either infection or may be due to inflammation of the bone marrow. A thorough clinical examination and some blood routine tests needs to be performed and understand the possible cause. If the infection has reached the bone than may be with the proper understanding of the pathology may be a THR can help. Also, an IV antibiotic for helping reduce the inflammation and infections should help further. A Dedicated team of rehabilitation needs to be approached for further management. If the team performs uniformly than your problem can be resolved. In my practical experience the approach is made uniformly with the help of the team members and coordination. Most patients respond well and healing is expected sooner. Regards Jay In Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello doctor i m a 18 year old girl.i have been getting depressed a lot since i entered college. because i feel alone people barely talks to me and this makes me feel more sad,and sometimes i even cry for no reason,i feel really depressed i feel lonely my family barely talks me, because of that i always tend to get angry at them.my life is a mess my grades are dropping people scold me alot and i get really scared and more sad...i dont even have many friends... | HI, thanks for using Chat Doctor It sounds as though you may have depressed mood disorder. This is diagnosed if a person has at least 5 of the following for at least 2 weeks: depressed mood, loss of interest in activities, fatigue, change in appetite with weight loss or weight gain, difficulty sleeping though some persons have hypersomnia, difficulty concentrating, feeling guilty, suicidal ideas. Depression is a serious condition that can impact all aspects of life. You need to consider visiting your doctor for an assessment as soon as you can. Management involves counselling and the use of medication for a period of time. I hope this helps |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a haviness in my chest that comes and goes for about 4 days now with shortness of breath. I went to the er to be checked. My blood work and xrays came back normal. No blood clots were found which I was afraid of at first because of the sharp pains that I ve been experiencing in my legs which I know could be a possible sign of DVT. So just today I started feeling a warm sensation in my chest as well. What is causing this? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of bronchitis is high in your case. So better to get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. It will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. You may need inhaled bronchodilators, inhaled corticosteroid and antihistamine Chat Doctor. So first diagnose yourself and then start appropriate treatment. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I just want to check that i don t have measles before i go to uni today. I have this rash started 3 days ago but its not really a rash its not itchy or raised just red dots. I have recently been to toowoomba where there is an outbreak of the measles at the moment. Started wednesday morning I woke up with it around my legs and lower stomach and today its progressed up my stomach to my armpits lightly. | Hello, Thank you for your contact to Chat Doctor. I understand your concern. If I am your doctor I suggest you that measles require visual examination to get diagnose, if you can provide image to me, I can help you. You can get tested for measles by ELISA test, if it gives you positive tester than you have to take antibiotics for prevention of secondary infection and paracetamol for prevention of fever. Measles is self limiting and will be clear by itself. I will be happy to answer your further concerned can contact me. Chat Doctor. Infectious disease specialist. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a small hard painless lump in front of the shoulder outside of the armpit, never had any bad medical history at all! clean bill of health . now age 51 57 155 lbs. I have had this for at least ten years when I had a muscle tear in back shoulder blade from working out. it developed after all that, X-rays showed no tendon problems and I recouped in a couple of weeks. Just curious if this is a dropped muscle? thanks Vito | Hi, Dear,Good Morning from India. Thanks for your query to Chat Doctor Virtual Clinic.-I studied your query in depth. I understood your concerns.-In my opinion-you may be suffering from-post muscle injury-Healed Fibrosis Hematoma.-From the facts given from your query, I feel your lump is fibrosis hematoma ? Or could be post-hit-benign-myoma ? Or could be benign lipoma? Or a normal acromioclavicular prominence of the shoulder.-Clinical examination from Surgeon would fix for worry.-IF still worried, FNAC Biopsy would fix the worry-Hope this would help you to discuss with your doctor on your visit. Wellcome to Chat Doctor again for any more queries. Have a Good day. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi!I had a temporary filling done 6 months ago, and last week a piece from my molar tooth just broke, so I went to the dentist who just removed the old temp filling and did a new one(the dentist said that he used a new filling method that is done with gel). The problem is that after the filling I noticed a gap between my molar tooth and gum. Isnt that a sign of periodontitis and shouldnt my dentist have diagnosed that? How should it be treated? | Hello, Thanks for consulting Chat Doctor, Read your query, as you have gap between molar tooth and gum this can be due to periodontal problem may be due to recession or due to bone loss there is gap between teeth is there, there is nothing to be worried I will suggest you to consult oral surgeon (Periodontist) and go for examination of gums and tooth if needed, go for IOWA X-ray of tooth to evaluate the bone loss in between tooth and go for its treatment. In meantime maintain proper oral hygiene, do warm saline rinses, brush your teeth twice daily. Hope it will help you. Wishing you good health. Regards, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi myself ramcharan suffering from kidney stones since 2011.I had preliminary checkup from a dr. confirmed that small kidney stones. no harm & risk as of nowbut recently it got developed a low pain in right abdomen suspecting same issuecould you please suggest any good nephrologist in hyderabad so that i can take an appointment for consultationThanksRAMCHRAN | Lower abdominal pain on right side can be due to appendicitis, kidney stone/ureteric stone. You need a Urologist, not nephrologist for the treatment of kidney stones. Before that, please get an ultrasound abdomen and confirm the diagnosis. If there are stones, consult urologist or else consult a surgeonThere are many corporate hospitals in Hyderabad where urologists are available. Consult one of Jewish you good healthRegards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Sir my period had started on second jan and ended on eleventh jan than on 15th jan doctor had provided me duphaston for seventeen days I have eaten that medicine my next period started on 29th jan as iam a fibriod patient but its only few drops now doctor has given me folinz for 60 dy want to is there chance of getting pregnant | Hi, I guess your concern is about getting pregnant after spotting of taking Duphastone and in spite of having fibroid. Right my straight forward answer is - YES. THERE are CHANCES OF GETTING PREGNANT. Firstly, I want to tell you that in case of fibroid usually there is excessive or prolong bleeding during menses as you had. For that your treating doctor gave you duphastone for 17 days to regulate the menses, which is usually given. Spotting usually occurs after this medication. Its no big deal. Secondly, let us discuss you fibroid. Fibroid have a role in infertility but its depends on its size, number, its position in uterus. You didn't give information regarding this, so It's difficult for me to comment on this. With above information you can try out my suggestions:1. Try to do coitus during fertile period (its from 10th to 16th day of sense cycle), during this period ovum is rupture and fertilization occurs when sperm meet the ovum. So try to do more coitus during this period.2. Usually spotting occurs after stopping the Duphastone. So KEEP PATIENCE.3. If you are in hurry then visit nearby infertility specialist. He/she can help you. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a 17yr old daughter with persistent lower backpain. Her recent xrays say - There is loss of normal cervical lordosis, loss of normal thoracic kyphosis, lumbar scoliosis concave to the right, loss of normal lumbar lordosis. There is a Grade 1 anterolisthesis of L5 on S1 with associated L5 pars defects & disc space narrowing at L5/S1. The last statement is a condition that was diagnosed when she was 9yrs. However the other comments were not on her previous xrays. What are our treatment options? | Dear caring pantless of cervical lordosis means straightening of cervical spine and loss of lumbar lordosis means straightening of lumbar spine. Normally spine is curved in all regions with cervical (neck) and lumbar (lower)back curved anteriorly. This curvature is lost due to muscle spasm. Thoracic spine is curved posterity. Listless is forward displacement of one vertebra on other, here L5 on s1. Pars defect means defect in posterior arch of vertebra. Scoliosis is lateral bending of spine. Since she is 17 years old this can be treated with brace. U should take visit ti spine surgeon and get examined. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My teenage daughter brought to my attention last week a foul odor coming from her face. It was certainly a foul odor that smelled like rotten cheese. She washed her face over and over again. The salt water from the ocean seemed to help and we didnt notice the odor again until today. I did notice that she had developed what appears to be a white lump on her cheek a few months back. Its not a pimple since nothing had come out, so I was assuming its a cyst. Do you think the foul odor is coming from this cyst. I purposely smelled her check in the location of this bump and surely its come from this lump. | Dear, Thanks for the query to Chat Doctor. I studied your query and understood your health concerns. Remedy and cause-of your problem-In my opinion your daughters lump is Acne-with pus discharge. Bad smell is from the anaerobic infection she had.-lately after few months of its cure-NOW your daughter has a Sebaceous Cyst-developed in the same boil, which was incompletely treated then. I would ask you to consult ER surgeon. I suggest you following -Treatment -a-Consult Er Surgeonb-Tab-Nsaidsc-If no relief I would advise Surgical Excision of the face lump. Revert to your doctor on this advise-who would help you. This would help you to resolve your query. Welcome for any further query in this regard. Write review ASAP, with strong recommendations for Me and Chat Doctor to benefit old and new patients. Have a good day. With Chat Doctor. N. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i am a 20 year male, virgin , i dont smoke or drink , i have noticed from a week , unusual very small bumps inside my foreskin ,on right side,just behind the glans , in my penis, its painless , its skin colored, im uncircumcised and currently i am under medication for lung infection . plz help | Hi dear, Welcome to Chat Doctor. I understand your problem. You have folliculitis.my opinion is that, 1.don't squeeze or scratch the lesion. 2.maintain good hygiene. 3.apply fusiform ointment twice daily over the area for 7 days.4.take analgesics like diclofenac tablets twice daily for 7 days. 5.take lecvocetrizine tablets twice daily for 7 days if you have itching. Thank you. Hope my answer will help you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello, i have a sister that passed away that she had a small lump behind her right ear that started it. and it went big like a samll ball on the side of her back and right side of her neck doctor said it was cancer i went home before she died and ask her what started it. She normally had bad sinus for years and one day she felt a small like pimple on the right side of the back of her ears. i am pretty scared cause i tooked the benardryl 1 and halp pills and i felt some kind of pressure on the back of my ears. so after few days my allergy attact again so i took the same amount of benadryl tablet. and that night it woke me up that the back of my right ear was really hurting and next day i felt a small pimple size and this is the 2nd day and feeling that it is a little bit bigger than yesterday. Is there anything i have to worry about it? thank you so much... | Hi, dairy have gone through your question. I can understand your concern. You have postauricular lymph node. It is mostly due to reactive lymph node enlargement due to some infection. You should take a course of antibiotics. If you don't get respond to the treatment then biopsy diagnosis is advised. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had a chest infection 5 weeks ago where I had a course of antibiotics. I ve had a slight cough ever since not through the night only every now and again of a day. If I have any coffe or cereal with milk I m worse! Do you think I still have a slight infection or my airways are still touchy? If I breathe in a gust of cold air conditioning this will make me cough! Today I feel like I have dust in my chest. | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion you are having post infectious bronchitis. It is common after pneumonia due to inflammatory process. So better to consult pulmonologist and get done1. Repeat chest x ray2. PUT (pulmonary function test)Repeat chest x-ray is needed to rule out worsening of infection.PFT is needed to rule out bronchitis. It will also tell you about severity of the bronchitis. And treatment is based on severity only. So PFT is must. So consult pulmonologist, first diagnose yourself and then start appropriate treatment. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am 31 weeks pregnant and have just been very sick. I have been a little sick every other day for about ten minutes but never this late at night (2300 hours). Also, normally the sick is white/yellow but this was brown and some of it was black. I am also itching and shivery. Is this normal? Thank you Wendy | Hi there, It looks like you are having an infection and the cause of which has to be determined urgently. This is because in the final weeks of pregnancy a fever with infection could harm the pregnancy and the baby. Also, these infections are more difficult to treat. Please contact a doctor immediately, if required get admitted and get tests, blood tests, urine tests and ultrasound for the baby done immediately.Also, antibiotics will need to be started. Do not neglect these symptoms as this could be serious. Get help. Regards. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My mother has Afib and has been hospitalized 3 times in the last 6 months. Fluid in lung - had to be drained- diagnosed with Pluercy but they cannot find what is causing it. She has been doing great for three weeks and though she does not sound like she has any fluid in the chest or lungs she is experiencing sudden serious pain after taking one of her breathing treatments. She lives at home by herself and house a nurse come in 3 days a week to take vital, etc. She also has some swelling in her lower legs, feet and ankles. Temp is 99.8 and BP was 124 over 88. and heart rate was 85. Can you tell me what could be happening? | Hello and welcome, She is highly likely having congestive heart failure (CHF). CHF is a clinical syn Chat Doctor. From atrial fibrillation. Variety of heart diseases can cause CHF such as atrial fibrillation, hypertension etc. Leg swelling is typical for CHF and patients also develop pleural effusions. She should have initially brained natriuretic peptide level (BNP) obtained. Increased BNP shows fluid overload. Certain medications (e.g. calcium channel blocker) may also cause leg swelling, and increased BNP excludes medication side effects. Transthoracic echocardiogram should be performed to distinguish systolic vs diastolic dysfunction, evaluate structural changes and heart performance. Treatment depends on the pathological condition of the heart which caused CHF. Overall treatment includes beta blockers, diuretics and ACE inhibitors. I hope the above information will be helpful for you. Please, feel free to ask me if there is anything else you need to know. Thank you, Malik Among MD |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I HAVE HAD SEVERAL TIAS BEFORE THE AGE OF 40 AND JUST RECENTLY I HAD DIFFICULTIES ORGANSIZING MY THOUGHTS AND THEN TRYINGTO SAYING WHAT WAS IN MY BRAIN HAPPENED APRIL 15 AND THEN THE NEXT DAY WHEN I ANSWERED THE PHONE WERE I VOLUNTEERED IT HAPPENED AGAIN; I COULD NOT SAY GOOD AFTERNOON SHIRLEY SPEAKING HOW MAY I HELP YOU. ANY SUGGESTIONS WHAT I WAS EXPERIENCING? | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. Q1 : ANY SUGGESTIONS WHAT I WAS EXPERIENCING? A1 : This is probably Multi Infarct DementiaFurther Course of Treatment depends on Clinical Examination, Funds Examination, MUSE, Radiological Evaluation. Please Consult a neurosurgeon in person Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Respected doctor,My grandfather is suffering from last stage throat cancer. Due to his age chemo and radiation are not being performed on him. The cancerous lump has been removed along with his food pipe n voice box, but the cancer returned and he was prescribed medicines which have a very heavy dose. Currently the lump has gotten very big and past two days he has been throwing up a lot of blood. Are there any home remedies we can do to help him at least eat normally and make the pain bearable | Hi and welcome to Chat Doctor. Thank you for your query. I am sorry about your grandfather and this serious disease. Unfortunately it is very hard to make his life easier now. This is mechanic obstruction and if surgery can't be helpful any more then nothing can. You can just give him easier liquid food in small meals 5-6 times per days. If he becomes completely unable to eat then gastrostomy should be made as last option. Everything else is just palliative care for his pain, mental condition and infection prevention. Wish you good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor, I am 22 weeks pregnant and have some concerns: 1] Can sonography every month cause any harm to my baby? 2] My father in law had fits when he was a child although with time it was supressed, my husband and I am perfectly healthy and so are my parents and my mother in law. Should I be concerned of any birth defect for my baby? Thanks for your reply in advance. | Hi, No sonography every month will not cause harm to the baby especially after the 5th month. Initially there were a few concerns that repeated sonography in first few months can affect, but no substantial scientific evidence has come to show that it can affect. So it is safe, but not advised unless there is an indication for it. Since both you and your partner are fine, it is very unlikely that your baby will have any birth defects, especially if the 20-week scan has been normal. Hope this helps. Regards. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello Doctor! We are a marrier couple for last 15 months and have been trying for a child for last 5 -6 months seriously. Last month my wife had severe pain during the periods and also had some lumpy blod clots coming out. We seen a doctor who suggested some test and she detected a small cyst . Also suggested some medicines along with Lupigest 200 which was asked to be put through her Vagina . We follwed the same and have also had intercourse during the time span suggested by the doctor. My wife last month cycle was on 16.01.2012 (january) and was due around 14 - 16 th of this month (February 2012) but she did not had the period. We thought it could be a good news for us. As we planned to see a doctor this week, just today 29.02.2012 the period started. I am shattered to hear the same and dont know what is causing this. can you please advise? Thanks. | Hi there. I have read and understood your problem. It appears that your wife is suffering from heavy bleeding with irregular periods as well which can explain why she did not have her period on time as before. The Lupines is a hormone which should regularize her cycles in a few weeks so that her cycles will be back to normal and may attempt to get pregnant again. Do not lose hope and be distraught. There are many causes for the heavy bleeding, some of which are due to hormonal disturbances in which case Lupines should be of adequate benefit. Once the cycles are regular again, her Doctor will encourage both of you to conceive again. I hope I have answered your query. I will be available to answer your follow-up queries. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have an ALT (SGPT) of 61, but my other Lever function tests are within normal ranges. Should I be concerned, or is my old physician right that it is no big deal? He is significantly older and seeming dismissive in general since I don t look sick. | Thanks for posting your concern on Chat Doctor! I appreciate your concern towards the high ALT (SGPT) level. Age, gender, problem for which ALT is advised, and its duration, alcohol intake if any are not mentioned. Normal Adult Range for ALT : 0 - 48 U/Therefore, ALT in your case is slightly elevated. So, as your old physician suggested you need not have to worry about it. You need to have some lifestyle modifications to reduce the level of ALT. Daily physical exercise, eat healthy balanced diet preferably fresh fruits and vegetables which contain several anti-oxidants that help in reducing the ALT, AVOID ALCOHOL if any, avoid fatty vegan and non-vegan meals, fast junk foods, take plenty of oral fluids. INSA Allah, in due course of time your ALT will be normal. Wishing you best of your health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | IM 28 and have suffered with chest pain for the last 5 yearsdoctors tell me its astma.the pain is just right of my heart but feels like opening of my right lung when it started it used to feel wet and warm sensation and pain further into the lung. But now its just a dull pain i never cough due to it but can squeeze flem from the lung. It feels like i only every breathe from my left lung these days. And now ive the dull chest feeling is in the right hand side of my throat where a gland is. Which feels hard and makes it feel like my throats is closing and i struggle to get comfortable in on the sofa or in bed i can lie on my back as the feeling happens straight away leaning back in the sofa is the same any ideas surley this cant b astma | Thanks for your question on Chat Doctor. I can understand your concern. Chest pain with breathlessness are commonly seen in asthma and heart disease. Get a chest x-ray, ECG and Echo done if they are normal, no need to worry about heart disease. Also consult pulmonologist and get done clinical examination of respiratory system and PFT (Pulmonary Function Test). PFT is needed for the diagnosis of asthma. It will also tell you about severity of the disease and treatment is based on severity only. You may need inhaled bronchodilators and inhaled corticosteroid (ICS). Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi...I had high grade fever for On 8,9 May followed by heavy rash on all body on 13,14 and15 may. Swelling in my ankles throughout and on 21st my knee joints have been paining. Investigations revealed insufficient Vit D and raised ESR. Calcium and tests for RA are negative. Dr has prescribed T Saaz twice daily after food for 2 weeks.My question is that I have been surfing the net and everywhere it is written that T Saaz is given for RA. Is it okay for me to continue with the medicine as I don t hv RA. According to the dr it was some viral with joint pains and the pains are aggravated coz of low levels of Vit D. Please advise! | Hello, I have studied your case with diligence. When such patients come to our hospital I advise them blood test like CCP, HLA B27. Rheumatoid arthritis may involve small joints and early morning stiffness in joints, do you have sucChatDoctorplain? Ankylosing spondylitis typically involve spine and hips with other large joint also. There is reduced chest function in this disease. Stiffness in spine is increased do you have such stiffness in spine? It may be seronegative spindle arthropathy with RA test negative. NSAIDs, Awards (disease-modifying anti-rheumatic Chat Doctor. These include methotrexate and sulfasalazine. Corticosteroid injections for severe pain and inflammation in a specific joint.TNF-a inhibitors, a newer class of biologic medication. 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¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my brother is 52 yeaars old. ex alcoholic with scelorcis of the liver.he has not had a drink for 10 years. he suffers severe dhiorea snd stomach pain,vomiting, lack of appetite. he keeps pigeons dogs and a parrot. enquiring about yersenia psuedo tuberculocis. as our father died from pulmonary disease. tuberculocis being the uderlyig cause | Hi, Welcome to Chat Doctor forum. Now your brother has diarrhea, stomach pain, vomiting, and lack of appetite. These are the symptoms of G.I. infection, usually called the food poisoning, due to some bacterial or viral infection of the food consumed. I advise you to consult a physician for diagnosis and treatment. I usually prescribe to my patient with such symptoms ofloxacin, ornidazole, omeprazole, risperidone, dicyclomine HY Chat Doctor. These symptoms may not have any relation with the tuberculosis, due to the animals. Wishing for a quick and complete recovery. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I get pain in knee ,whenever I travel long distance , I will make sure to do exercises everyday during morning times, but I need to travel about 2 kms every day to my office . Please let me know how to get rid of knee pain, I am able to walk after travelling 2 hours, but while getting down from vehicle I fell my knee is very rigid | Hello I have studied your case. According to your symptoms and findings there is osteoarthritis of your knee. You can start cartilage protecting medication like Chen Chat Doctor. Take analgesic like Aceproxyvon and add tab methylcobalamine 1500mcg daily consulting your doctor. Physiotherapy like ultrasound and tens will help, along with knee exercisesLife style changes will help in reducing pain which include, ACTIVITY MODIFICATION -It is important to maintain as much activity and joint motion as possible, but impact activities will aggravate arthritis. Running and jumping will often accelerate cartilage loss from the joint. The key is to focus on low impact activities, such as swimming or cycling. USING CANES: Assistive devices can make it easier to go about your day without stressing your painful joint. A cane may take weight off your knee or hip as you walk. Carry the cane in the hand opposite the leg that hurts. VISCOSUPPLEMENTATION: Hyaluronic acid injections given into the joint (especially large joints like knee joint) in prescribed dosages will give good short term pain relief in arthritic joints ranging from 1-2 years. You need to consult orthopedic surgeon for taking it. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you are satisfied with answer do not forget to give rating to this answer. Wishing you good health. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My father is 83-year-old and has a long history of various ailments, including dementia. He had suffered a massive heart attack when he was 39 year. He was doing fine with medication but in last seven years he had many strokes damaging his brain. Of late he has become very violent and also hallucinate a lot. He was taking Zapiz earlier to control his anxiety. Please advise which is the best antipsychotic drug for him. | Hi, Based on your history, it seems that your father had previous heart attack (CAD), followed by repeated brain stroke (CVA), which have led to multi infarct dementia in your father which is producing all these psychotic symptoms. Another reason of psychosis (hallucination) can be due to involvement of certain lobes of brain (temporal, frontal lobe), it can be also a seizure phenomenon(autonomic seizures)if symptoms are episodic. Consult neurologist and psychiatrist for evaluation and management. Being a cardiac patient antipsychotic of choice in his case is Aquitaine to start 25Β mg twice daily then titrate to maximum dose Regards Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | they are side by side on each side of his ribs.... I read online that it could be a sign of leukemia for children! He is learning to walk in is using your Walker I thought maybe the Walker band did something and it could be a minor brain doesn t look like a blue bruise it s more of a tan color bruise with the red ring around it! Can you please help tellif this is something I need to worry about | Hi... Thank you for consulting in Chat Doctor. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. I am asking this so that our team can help you in a more efficient and scientific way than out of imagination. Hope my answer was helpful for you. I am happy to help any time. Wish your kid good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have just been diagnosed with Stage 3 endometrial uterine cancer--I had a tubal ligation in 1977 therefore my ovarian pathology was negative as was the harvested pelvic lymph nodes. However my gyn- oncologist said the path report showed that the initial tumor had penetrated 3/4 s of the uterine wall & from the time of my diagnostic D&C to my complete hysterectomy it had spread to the top of the cervix & was found in the lymph channels--this is my question What or where are these lymph channels--I am a retired nurse but cannot find a reference on line for uterine lymph channels? Thank you. | Hi thanks for your question. Being a nurse I am sure you would be well versed with anatomy of uterus. Different parts of uterus are Chat Doctor. There are three main groups of lymph nodes in pelvic cavity. Illiac group, inguinal group and aortic group of lymph nodes. Lymphatic from funds and upper part of body goes to aortic and superficial inguinal group of lymph node. Lower part of body goes to external William and from cervix goes to external and internal William and partly to sacral. Lymph node. Lymphatic channel are small channel which |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello doctor, i am 24 years old and am currently 6 weeks pregnant... please suggest some diet so that me and my baby remain healthy.. also i have been feeling very weak since the past 2 weeks.. i feel like sleeping every 3 hours... what should i do to overcome this excessive fatigue... i am not able to concentrate on work due to this.. please help. | Hello dear, I understand your concern. In my opinion the weakness and tiredness is a usual finding to be seen in pregnancy. But the reasons like low HE i.e., anaemia, low blood sugars like hypoglycemia etc. So I suggest you to get the HE and blood sugars done to rule out anemia and hypoglycemia. Nothing to worry as hypoglycemia might be a routine finding seen in pregnancy due to continuous supply of glucose to the fetus. So you need to take 3 meals and 2 snacks per day to prevent low sugars. Also rule out anemia and take iron rich diet and iron supplements. Healthy nutritional diet is advisable in pregnancy like vegetables, fruits,iron rich diet like green leafy vegetables, dates,waggery, liver,figs etc. Calcium rich diet like milk and milk products. High protein diet like meat, egg etc. Practice antenatal exercises or walking daily. Nothing to worry it will subside. Have a happy pregnancy. Hope this helps. Best regards.... |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi im 15 years old and for a about a week now or so ive been haveing trouble breathing at times like a tight air passage, dizzynessheadaches, and occasional white dots flying around where ever i look. im wondering what it might by but i think it may be high blood pressure? | Thanks for your question on Chat Doctor. I can understand your concern. Possibility of stress and anxiety related symptoms is more likely. But better to first rule out heart diseases for your symptoms. So get done blood pressure monitoring, ECG and 2d echo. If all these are normal then no need to worry for hypertension or other heart diseases. Consult psychiatrist and get done counselling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. Don't worry, you will be alright with all these. Avoid stress and tension, be relaxed and calm. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Three Mondays ago, I had an appendectomy . My appendix was only inflamed so it was a relatively simple process of them doing a laproscopic (sp?) surgery. Today, a friend who didn t know that I had the appendectomy jokingly punched me multiple times where two of the three incisions were, one in the belly button and the one to the left of it. Should I be concerned if I am starting to feel sick? | HiT hanks for posting your query don't think it is of much concerned. You will worry much and consult doctor if the followings are present - 1. Constant persisting pain over that area2. Discharge from the incision Stein these cases you should consult your surgeon and USG scan if needed should also be done. As already 3 weeks have already passed I think the punch will not cause much damage.Meanwhile, you should continue post-op antibiotics, Chat Doctor. You should also do some abdominal muscle wall strengthening exercises. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi Doctor, I have doubt regarding the masturbating. I have gone through multiple articles but fail to understand. I do Masturbating daily at least once my age is 30 years still not married. I want to know will this be risky if i do MB daily Regards, Vicky | In normal condition there is no harm with masturbation. Masturbation is just kind of safe sex where you enjoy sexual activity with your own body. If you over practice it is may have few deleterious effects. For a 30-year person, try not to exceed it beyond 5-7 times per week. This is also advice not to use extra force while masturbating. If your frequency is much more than this and if it hurting you, you can contact me for counselling and reduce the harmful effects. Thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Age: 23 Height: 6ft.1in. weight: 150lbs Hi, I am in India for past two and a half months and am afraid that I might be infected with worms. I read online about Zentel which can cure the infection. Should I consult a doctor before taking the medicine? Is there any side effects to taking Zentel? If I can take it, then how many days and how much do I need to take to get rid of the infection? | Hi, thanks for sharing your health concern with team Chat Doctor! As per your description, I would like to advise you to take this medicine ALBENDAZOLE 400 mg at bedtime as a single dose by chewing only but before that you need to do a stool examination because there might be some more infections/pathology also! It is a safe Chat Doctor. Please feel free to write to us if any more queries or with the reports / follow-up... Wishing you the best health! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi in the past 8 months I am having some problems its that I feel some pain in my chest and when I take a deep breath it hurts sometimes also after having a meal I feel bad in my chest and while I move I feel a sharp pain in my chest.However when I smoke weed it gets worst and I feel pain at the same time I feel bad in my chest when I take a deep breath.Even after waking up from the morning my chest hurts and feel bad plz suggest me what should I do.Thanks | Thanks for your question on Chat Doctor. I can understand your situation and problem. In my opinion your chest pain is related to smoking only. We need to first rule out early bronchitis in you. Because early bronchitis can cause similar kind of chest pain on deep breathing and smoking. So consult pulmonologist and get done PFT (pulmonary function test) to rule out bronchitis. Your chest pain after meals can be due to HERD (gastroesophageal reflux disease). Smoking is the biggest risk factor for HERD. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms. So in your case first priority should be given to smoking cessation. It is not a good habit. So better to quit as soon as possible. And consult pulmonologist and discuss all these, start appropriate treatment. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a friend that takes: carvidolol, furosimide k-dur, niphipine calcitrol, creator,novalog, LevimerShe takes nothing with food a d usually eats hours after taking meds. She has kidney disease, acid reflux, getting ready for surgery next week, lost a significant amount of weight in about 2.5 monthsDiabetic, hypertension etc. Advice for her | Hello, Thanks for the query. If a person has uncontrolled blood glucose (hyperglycemia), then, a considerable amount of glucose is lost from the urine as kidneys are not able to reabsorb it. Persistent loss of blood glucose through urine does lead to weight loss as well as persistent weakness and tired feeling. Since she has chronic kidney disease, which also is a possible complication of diabetes only and hypertension which again contributes to kidney disease. In such situation it is very essential for her to achieve a greater level of glucose control. That will help in controlling kidney problem. Even for better outcome of the surgery strict glucose control is absolutely necessary. Off course during surgery and post -operative for a short period she will be on Insulin for better glucose control. But later again strict glucose control is a must. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | sir iam from kuwait for the past 12 years iam here but iam from kerala my marriage did on 2009 december my wife recently came in kuwait for 3 month visit visa when i was trying to sex with her my penis is not errecting we are very worry my age is 35 wife age is 25 sir we need one baby please advice me | HelloThanks for writing to ChatDoctorTrue erectile dysfunction is unlikely in your age. Your problem may be due to stress or overexcited stage. You should try to be calm and before penetration spend sufficient time in foreplay. This is very important in intercourse. You should avoid stressful situation.Don't take alcohol or cigarettes if you take these things. If symptoms persists then you need proper evaluation. Hope I have answered your query. Take Care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Amenorrhea Hi. I am 23 years old,160cm and 48 kg. My last menstrual period was on 24th january and i have always been very regular with my periods. My periods usually last for 4-5 days with a 32 day cycle. This months i had sex around 5 th february. My projected period date is 24th feb but its already past 3 days the projected date. I still havent got my periods. Am having breast tenderness and all the PMS symptoms but am still scared i could be pregnant because i had sex on the 5th that is the first day of the fertikle period. I even did a pregnancy test which turned out to be negative. I am scared because i always have had regular periods. | Hi, Thanks for the query. I understand your concern. If you have a regular 32 days menstrual cycle. Your estimated ovulation day was(14 days prior to menstrual date. Which would be 26thof FEB. ) 10th of February. That makes your fertile days froth to 13th Feb. (3 days before & 2 days after the ovulation.) as sperms can survive for 3 days after ejaculation & ovum can be viable for at the most 36 hours after ovulation.) From this science. You don't have pregnancy chance with sex on PTH of Feb. But if you have period ranging from 30-32 days.then yes, you do have a chance of pregnancy. Pregnancy confirmation can be by- - blood Chat Doctor testing around expected day of menses - Home (urine) pregnancy test after 8 days delay in periods. - USG scan.after 5 weeks pregnancy. Delay/ stoppage of periods can be due to Pregnancy/ anxiety, stress/ physical stress, illness/ hormonal imbalance. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had a large lump in a vein on my calf (size of golf ball & very sore to touch),It appeared within a few hours, then when i awoke in the morning, the lump had disapeared & developed into a giant bruise (size of a a hand)This has happened on 3 occasions now - without tramua to the area, over the course of 6 months, I am a 32 year old female, 510, 79 kgs Please advise? | Hello! Thank you for the query. Such lump has appeared due to blood clot in the vein or due to vein burst. Blood clot usually causes the area hard and tender. It appears in the place where varicose vein is usually present. Vein burst lump is less painful and not very hard. Both issues indicate chronic veins insufficiency. This condition can lead to veins thrombosis which in some cases can be life-threatening. That is why I suggest you to have Doppler's veins ultrasound done and consult a surgeon. In a meanwhile, to prevent such situation, you should wear compression stockings. Hope this will help. Regards. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I am suffering from someone sort of reaction or irratation on my scrotum it could be the new soap I used or I recently shaved the hair under my penis which I rarely do. It is not dry down there but extremely itchy at certain times especially at night. any help? | Hello dear, The symptoms as mentioned in your post suggest that you might be having chemical dermatitis (due to the new soap) or fungal infection (Tina) in the scrotal region. Management includes:1. Keeping the area Chat Doctor. 2. Antihistamine preparations like cetirizine to reduce the itching sensation & provide symptomatic relief.3. Application of topical antifungal cream like Clotrimazole to tackle the causative organism. If symptoms still persist or aggravate further, then it will be better to consult a Dermatologist & get a proper examination done to find out the actual cause. So that appropriate management steps could be taken. Also avoid wearing tight undergarments & trousers...as it will cause sweating & predispose to fungal infections. Wishing you a Good Health. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | For the last three weeks on my left side in my back up high then it runs down my arm and my arm falls asleep I have severe pain. what have I done? and what can I do to help the pain? I have no insurance! my friend has rubbed it to the point im sore the next day. it feels good while shes rubbing it! | Hi there. This seems to be a case of nerve root irritation in the back along with muscle spasm. Kindly get a X-ray of the back done and get it evaluated by an orthopedic. Start with tablet XXXX twice daily, Tab XXXX SR 75 once daily + local heat massage and Origin gel application. Take this for 5 days. If no relief occurs then you will have to get an MRI done. Short course steroids under strict doctor supervision will help. Good luck |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Dear sir;I am from Kerala..I am in 25 now..I have done my graduation in B.TecChatDoctorputer Science and Engineering .But currently I have backpapers.And after that I have done MBA in as correspondance.Till in +1 I was one of the top scorers in the school.I used to participate in dance,music,sports,writing and other competitions.When I was in school one of my friend told me..I am a very talented person...having skills at all the levels...studying,singing,dancing,drawing,sports and other extra curricular activities . I know I am a person with great grasping power....My parents also felt very proud of me..In +1 I was awarded as the class topper..Eveyone felt vry happy..I also thanked God for giving me such a wonderful life with very lucky days.I used to teach my friends who are weak in studies..Actually I found my success through their happiness and satisfaction..My expectations in life flew higher..I confidently believed great heights are waiting for me... Days gone..One day when I studied with one of my friend suddenly I was distracted with the shadow of my pen felt on paper.I tried a lot..but Iwas not able to concentrate back in studies.We were doing Maths...I was afraid...I dont know what is happening ..I am not able to concentrate in my writing..as days gone I stopped writing and tried to concentrate in my reading..again I am getting distracted...now it is with the sounds...sound of fan,beetles,motor,machines,fridge,crows sound(birds and animals),vehicles..etc like something is compelling to search sounds to get distracted from studies..I didnt understand what it is?I told my parents..They also felt afraid.+2 exam was coming..Everyone is with great expectations..However I wrote exams..I was sure that I will not pass for even a single subject ,because in the exam hall fan is running in its maximum speed,many sounds are distracting my concentration..Moreover I cant write a single sentence perfectly dut to the shadow...but with Gods grace I passed ..After knowing the result not even a single teacher talked with me..I cant blame them.and myself..We consulted one famous neurologist here..He referred to a psychiatrist..and without getting any result we consulted several doctors..and finally I was shocked understanding the reality..I am having OCD.But my hope was it can be cured easily within months and can be the old evershining person as before..Thtaswhy I joined enginnering, because I was that much aware of my abilities.For 4 years I had taken medicines for ocd continuously..But problem of the sound and shadow remained as before.Intensity sometimes reduces but cocentration problem was very big..But one thing when I had under treatment there was no tensions with me..always happy whatever the situation is...I was carrying large number of backpapers at at that time..As per my old character I wouldhave come across suicide going through these kind of academic failures..I was not at all sad..After 4 years parents planned for marrige..in between I have gone through an affair..But fortunately came out of it suddenly..After B.Tech I had a crush with one of my best friend..He too loved me a lot.He knew everything about me..about my disease.and all..But my family is against it because of caste problem..so we are moving as friends itself..Now my condition is very worse..Now my whole life is flowing in OCD..I feel guilt of my intrusive thoughts..I cant speak properly thinking how tongue is twisting very fast as our wish..sound and shadow problems are still there.Guilty problem is one of my present big problem..not only that very very very bad thoughts that even cant told to a doctor...sometimes feel to call bad words to people..sometimes dont feel to step down in the stop while I am in bus..lot of thoughts and behaviours are disturbing my life daily..I have forgotten the days I smiled from the mind..Now What my rule is to whomever I speak I shold tell my whole life story..otherwise I feel guilt..my relatives dont know about my disease and not everyone know about backpapers..but I feel guilt in hiding it..and I used to tell sometimes when I am not able to control..and my parents are in very depressed stage due to my behaviour..They dont know what to do..Now I am consulting one good psychologist..Doctor said,it isbetter not to take the medicine thinking about the side effects.I was in good shape in my study time... .Now I became very fat after having the treatment..My thoughts are disturbibg me very much..With great confidence I am trying to jump out of it..but not able to do so..I am not able to control myself..When disturbed with these thoughts my character is changing...my whole talents are breaking daily due to my unwantd thoughts.......plese reply me...I hopefully beleive that you will read this and give me a reply for my following questions... 1)Will my disease cured forver?..I want to live as before.within this age I suffered a lot from the age of 16...I am scared of my future..2)Is there any surgery for this disease to be cured completely?3)why it is happening?What is its root cause?4)Will I be able to marry?5)Should I prefer to marry a person who knows abut it?will anyone marry after knowing it?Here in Kerala broad minded people are very rare..6)I heard it is a genetic disease..After marriage will it affect next generation?I dont have the ability to see another one too who is suffering from the same because of me..7)Should I start the medication once more?should it be continued for the whole life through?8)What are the best medicines preferebaly used presently?9)will I be able to succeed in my future?will I be able to live without medicines and with my confidence..that I tried a lot..but..not able to control..10)Is it a severe psychiatric disorder? Thanking You Chithranjali.G | Degree understand your concerns went through your details. I suggest you not to worry much. OCD is a mental disorder of course, but that is not severe one. The cure to the OCD lies on your attitude towards the disorder and working with your psychologist and psychiatrist. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Cognitive Behavior Therapy is one way to ad Chat Doctor. In any case you should learn to ignore those obsessive thoughts, which is possible only if you distract yourself. Play games, write, read, do what ever, be busy. Slowly being busy becomes a habit. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.