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I am experiencing PACs. A few years ago I started having them, then the went away, then came back for a few days once each month. About 2 months ago I started Zoloft, a month after that I started having PACs morning and night and occasionally throughout the day. Is the Zoloft the cause of the increased PACs?
Hello and thank you for using Chat Doctor. I carefully read your question and I totally understand your concern. But you should not worry. These premature beats have to do with some electrical issues in the heart. Some electrical impulses that generate in a part of the heart different from normal sinus rhythm cause a premature heart contraction that you feel like a skipped beat, because it's not a normal one. This extra-sistolik beats generally are followed by a pause till the next normal heart contraction. If these are not frequent, in Young and normal heart, it is nothing to worry about. There are different factors that might cause this skipped beats like emotional stress, excessive coffee consumption, coca-cola or energy Chat Doctor. As you explain you have experienced this premature beats even before taking Zoloft. So my opinion is that Zoloft is not the cause of your palpitations. In general, it helps to treat anxiety problems that do cause extra-systolic beats. Only in a small category of people Zoloft might have a side effect to increase heart beats, but it is not your case, as it has happened before. Pathology like anemia or hyperthyroidism might be other causes of premature contractions. So, if I was your treating doctor I would say that you have nothing to worry if this happens once a wile, its normal. But if they begin to bother you and interfere in your live we can decide to do some examinations like a blood analyze, your thyroid hormones, an electrocardiogram, echocardiography and of course a holder rhythm monitoring to have a full view of your rhythm and the extra-sistolik beat frequencies. Onliest than we can decide what we should do and if it is necessary to stop Zoloft. Hope I was helpful. Best regards.
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HiI have had pain in the left side of my face for a week now. I have been to my dentist who put me on a 5 day course of Amoxicillin 500. I feel quite sick and periodically feel as if I have a temperature. Today the pain is just in front of the ear in the top jaw. Also my head feels really fuddled.Any ideas?Linda
Hello, thank you for consulting with Chat Doctor. As you are mentioning that you have pain on the left side of the jaw in front of the ear, then there can be two possibilities for it-First is there can be any infected tooth in the upper jaw which is causing this problem. -Second is maybe your joint of jaws (Temporomandibular joint) of left side is creating the problem the problem is of tooth the dentist must treat the tooth as only antibiotic will not solve the problem. And if the problem is arising from your joint then antibiotic have no role in it, as it will be relieved by some muscle relaxant. But for both the conditions you should visit your dentist again and get it confirmed with detailed examination with x-ray of the tooth and joint, Hope it will help you.
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I m 33 year old. Recently i had a severe stomach pain & was admitted in d hospital. There i underwent an ultra sound scanning. Doctor told me that my prostate is enlarged. 27cc & also i have fattel liver. What is d cause of it & why it came at this early age & what is d remedy. I m not alcoholist. No problem in urinating, etc. Plz help me. Dr. Sumitt plz give me d answer. Do I need to wait?
Hi, How are you? My name is Chat Doctor. I am a Liver and pancreas specialist and I hope to answer your question today. Fatty liver can be caused by excessive alcohol intake (Alcoholic SEATO hepatitis, ASH) or due to excessive fatty food intake and sedentary lifestyle (Non-alcoholic SEATO hepatitis, NASH). ASH is usually the beginning stages of alcohol induced liver damage and is completely reversible if the patient refrains from alcohol. NASH is being much more commonly diagnosed currently owing to poor dietary habits and sedentary lifestyles of people. High caloric intake, high fatty food intake and poor exercise regimens lead to deposition of fat goblets in the liver tissue leading to fatty liver (which shows up as increased echo texture on USG). This is also completely reversible in the initial stages if caloric intake is limited and exercise regimens are adhered to. If left unchecked, patients usually become obese, diabetic and in final stages may lead to cirrhosis of the liver which will necessitate a liver transplant. I would suggest a healthy diet and exercise regimen. Although there is no time limit on when to get a repeat scan, I would suggest one, once you have succeeded in losing some weight. Hope this helped and hope you start to feel better. Please do not hesitate to contact me for further details. Have a great day.
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Hello, I am writing because I have had diahrea like symptoms for about a year. My liver enzymes were slightly up and last year I had an Ultrasound of the abdomen , whicChatDoctore back normal. What is the chances I might have advanced liver disease? I used to drink quite often. I am 28 years old and have had about 5 years of excessive drinking.
Your chances of having advanced liver disease are low, if I call advanced liver disease "cirrhosis". However, you may have some scarring in your liver which might be irreversible depending on the degree of inflammation you have had throughout the years, secondary to your alcohol intake or other reasons (such as viral hepatitis, medications, etc.). You should get follow up liver enzymes and liver synthetic function tests (such as albumin, coagulation tests, etc.), platelet count (the platelet count goes down when there is portal hypertension or scarring in your liver) and these would reflect how is your liver working. Talk to a gastroenterologist or hepatologist for further information. Hope that helped.
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I am 51 yrs old. I have an egg sized lump located in my lower back close to my spine. My doctor says it s a lipoma and nothing to worry about. Sometimes it hurts and cannot sit in a hard back chair as it puts pressure on it, otherwise it does not hurt. Should I be worried?
Hi, dairy have gone through your question. I can understand your concern. You may have soft tissue tumor like lipoma, neurofibroma, dermatofibroma or some other tumor. You should go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Surgical excision is the treatment of choice for most of the soft tissue tumor. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have any doubts then contact me at bit.ly/ Chat Doctor. Thanks for using Chat Doctor. Wish you a very good health.
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My blood pressure is at 107/66 is that too low? Earlier today at my dr appointment it was 90/67. What is too low? I feel fine other then being a little tired. At what point do you worry? I thought maybe it was because I drank a 24 oz redbull. So now i m drinking lots of water to hydrate.
Hi, dear. I have gone through your question. I can understand your concern. Your blood pressure is low. But we can't day its too low ad you don't have any symptoms. You should remain alert. If you feel any sign of fainting or black out then you should consult your physician and take treatment. You should Chat Doctor. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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i have been diagnosed with coeliac artery compression after a ct scan for an other issue. at present i have virtually no symptoms except for a severe pain low in my stomach every few weeks which goes away after half an hour lying down. i have also been told i have marfanoid features. i would like to know how to prevent any future problems which may present in time to come
Hi, The cause should be determined for the stenosis of celiac artery. There are multiple after knowing the cause. If the patient is symptoms like severe abdominal pain even intermittently then he should be treated before bowel necrosis and damage occurs which may lead to multiple complications. So please get back with full diagnosis, so we can discuss the issue in better manner. Otherwise, treatment is needed. Hope I have answered your query. Let me know if I can assist you further.
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my 18 month old son has a little blister on his lip and it s white, looks like there s pus. the other day, that part of his lip was swollen when he hit a door, but it went down already until today it was a bit swollen again with a white skin on top. what should i do?
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have symptoms of pus filled blister on lip which are pointing towards to condition an allergic reaction or infection. The allergic reaction can occur due to various reasons like food allergy, allergy from toothpaste or other dental product or excessive exposure to sun. Infection can be bacterial or viral. Need not worry. I would suggest you to take over the counter antihistamine Chat Doctor.
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Hello Sir, Hope u r doing good. Sir, I am planning for baby since June13 but I am not getting result. I consulted doctor.She advised for fertile 50 mg tablet to take on 5th day of my period. but unfortunately I didnot get this tablet till my 6th day. can I take from 7th day onwards to get the result or I should try from next month??
Hello dairy understand your concernFertile tablet will help to maintain fertility by inducing the ovulation. Clomid should be started on day 3 to 5 of your cycle and continue to take it at the same time every day for 5 days. You will likely be started on a low dose of Closed, such as 50 mg a day. This is to reduce the likelihood of developing cysts, side effects, and multiple pregnancies. If you miss the pill then take as early as possible. So I would suggest to start from the next cycle form day 3 or 5 for better effect. After taking pill must to sex on the ovulatory cycle to increase the chance of conceive. Avoid stress, take healthy diet, Chat Doctor. Hope this may help noncontact Chat Doctor for further health query Best regards
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I have heart palipitations and an increased heart rate at night once I lay down to go to sleep. They happen throughout the night and even wake me from sleep. Do you any idea what could be causing this? Heart desease does not run in my family and Ive never really had heart issues.
Hello! Welcome and thank you for asking on Chat Doctor! I understand your concern and would explain that your symptoms may be related to anxiety or autonomic dysfunction related to nightmares. Coming to this point, I would recommend performing a careful physical examination and some tests:-resting ECG and cardiac ultrasound-chest X-ray study-blood lab tests (complete blood count, thyroid hormone levels, blood electrolytes, kidney and liver function tests, etc.) to exclude other causes of increased heart rate. An ambulatory 24-48 hours ECG monitoring would be necessary to examine your heart rhythm trends during day and night and exclude possible cardiac arrhythmia. You should discuss on the above issues with your attending physician. Hope you will find this answer helpful! Best regards!
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Is surgery advisable for a patient of 80 years with the following medical report. Microscopic appearance the geographical sections show fragment of glottic tissues comprising of tumour tissues necrotic fragment and bacterial colonies. The tumour is composed of a typical squamous cell with hyperchromatic nuclei and foci of keratinisation. Impression moderately differentiated squamous cell carcinoma of the Glottis.
Hi, Thanks for writing in. Cancer is a condition which can be completely cured if detected early. If the person is having an early stage disease then surgery might help in complete cure and recovery. With recent advances in surgery, the risk due to surgery in cancer treatment is less and in expert hands good result might be achieved. A CT scan of the cancer area is required and if it is in stage 1 or 2 then surgery is possible if it is stage 3 or 4 then chemotherapy and radiation therapy are more suitable. The tumor is a type of skin cancer which is called squamous cell carcinoma and there are fast-growing cells as mentioned. Some parts of the cancer also have dead cells and this means that the cancer is destructive. If doctors have given an option to go for surgery then please proceed with treatment after discussing fitness for surgery with your doctor. Please do not worry.
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i have some chest pain for a couple of days, and it s exactly where my heart is. also, i can feel my heart pounding when i put my hand to the chest, strong as if i put my fingers to the vain,,, what can cause this? i don t have any fever nor tachycardia... no pain anywhere else, and normal breathing,
Thanks for your question on Chat Doctor. I can understand your problem and situation. In my opinion, we should first rule out cardiac cause for your chest pain and chest pounding. So get done1. ECG2. 2d photo rule out cardiac cause. If both are normal than no need to worry much for cardiac cause. Get done CBC and thyroid profile to rule out anemia and thyroid diseases. As both can cause chest pain and chest pounding. If both are negative than probably you are having anxiety and related symptoms mostly. So avoid stress and tension. Be relax and calm.
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my kid is 3 months old and he is having cold from a week and having light and today he had a yellow mile vomting,and vomiting immeadiately after having milk.. so can anyone help me what is happening? My wife feeded ORS to the baby as how milk is feeded? so can you suggest ways to get cure for cold and vomits
Thanks for putting up your query at Chat Doctor. I understand the cause of your concern. You have not mentioned whether your child is on exclusive breastfeeding. If that is the case, continue breastfeeding rather than using ORS as the former is better. In case formula feeds are being given, you may give ORS alongside. If the baby is vomiting or not feeding well, it might indicate an infection. You have not mentioned the weight of the baby. The baby may be given Coastal Suspension (1Β mg/ml) 4ml thrice daily, but I would recommend you to consult a pediatrician to find out the exact dose required for your child. Please take the child to a pediatrician who would be in a better position to investigate and find out. I hope that helps. Feel free to revert with further queries if any.
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Hello, I had a pea sized lump on my collar bone that wasn t painful but movable. suddenly it seemed to scab and surface and looks black...I tried to pop it but it looks like a black ball under the skin and there was no way I could ve. What is this? Should I get it looked at?
Hi! This is a common clinical problem in the patients visiting my office day-to-day; therefore many people would be happy and benefited to read your post; thanks! I must explain the possibility in this case as follows:lump on collar bone: lipoma, lymph nodes, neurofibroma, hematoma, cyst, abscess, lymphangioma. Painless lump : all possibilities as above mobile lump: as above except abscess oozing lump: cyst, abscess, lymphangiomalump turned black: recent hemorrhage; therefore a benign cyst only! Only a simple needle biopsy could confirm that this is nothing but a sebaceous cyst; therefore see a surgeon for confirmation and excision which is the best therapy for it!regards,
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I m 48yrs male, my platelette count remains between70000 to 85000, also suffering from gastritis for last 2yrs with sour stomachfor which ihave been taking pantoprozole,rabprozoe& levosulpride.Ihave recently been also diagonosed mild hepatospleenomegaly with nolmal LFT, so plz advice me.
Hello, Welcome to Chat Doctor. Your mild hepatosplenomegaly may be due to gastritis or other infections. Your platelets are also low which leads to gastrointestinal infections. First please consult your physician for ultrasonography to find out actual cause of the disease. Ask him for low platelets also. If you are alcoholic, then completely stop it. Hope this will help you. Thanks for contacting. Take care...
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sir i am sufring from a toothache due to a cavity and right now i am not in a condiotion to go for Rct due to my exams , i will be going for it a month later . i visited a dentist at ma university and told him that i am having pain in the same tooth. he gave zenflox -oz . is it rite for my problem
Hello, Welcome Thanks for consulting Chat Doctor, I have gone through your query, as you have toothache due to caries don't worry as you are asking for medicine yes it is correct for you and for pain you can take painkiller like one tablet Eugenic plus twice daily for one week Do warm saline gargle two - three times a day Consult dentist after your exams and go for Treatment Root canal. Hope this will help you.
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My son is 5, and I just noticed very small, flat red spots around his groin and his leg - do not appear to itch and not fading when pressed. Not very many & fairly spaced out (between 15-20). He had some kind of stomach bug on Saturday and still has very loose stools - not sure if related.
Welcome to the ChatDoctorAs per your description, it seems your child has petechial. These are very small bleeds under the skin which do not blanch on pressure. Petechiae found anywhere on the body could be a sign of a bleeding problem or a serious infection. If you suspect this, it's always better to visit your physician. They may ask you to go for a complete blood count and peripheral smear examination and sepsis work up. For further information on this, do contact us.
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. I am type 2 diabetic and gave my self a shot before bed. Woke up with a blister on my lower stomach right side. Felt it sore in the middle of night. Went in to urgent care and Docter lanced it. He burned my skin. Since than I have returned 3 times. It seemed to be healing but now it is purple around and cheesy looking in the middle. I have been swimming the last cole days.
Hi, Perhaps the skin there has got infected. Central yellowish looking floor and surrounding redness are signs of it. Uncontrolled diabetes predisposes to skin and soft tissue infections. I suggest you to use an OTC topical antibiotic, e.g., either Newsprint Ointment or Mupirocin 2% ointment, twice daily for a few days. In addition, I suggest you to take an oral antibiotic e.g., either Amoxicillin or Cephalexin, thrice daily for a week. Hope I have answered your query. Let me know if I can assist you further.
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Sir i m 26 yrs old male.i have been masterbating since 12 yrs.now i feel my semen has losen its quality & perfectness.after a little excitement it comes out & often in sleeping i lose my semen sir plz hlp me.giv me ans to my mail YYYY@YYYY .
Hi welcome to Chat Doctor. I have gone through your question. As you are 26 and masturbating since 12 years is absolutely no reason to worry. Is absolutely normal. Ejaculate early is called premature ejaculation. Is also not a medically abnormal. Lost semen at night sometimes it happens normally. So no need to worry regarding anything. Hope I answered your question. Would be happy to help you further. Take care.
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today I have had pain that comes and goes and is short and dull and it is in my heart. I have no shortness of breath or other symptoms. I have had a sore throat and lung pain all on one side as well. My doctor gave me nasal spray but no xrays ive been on for one week for the same symptoms.
Thanks for your question on Chat Doctor. I can understand your concern. Possibility of musculoskeletal pain is more likely in your case. But better to get done ECG to rule out heart diseases because you are having left sided chest pain. If ECG is normal then no need to worry about heart diseases. Apply warm water pad on affected areas of chest. Take simple painkiller like paracetamol or ibuprofen. Avoid movements causing pain. Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
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Sir, I Mrs Rakhi Sanjay Sharma,am 40 Year old Lady & my Husband is also of the same age.For the last 4 years, we are married and I have not succeeded in getting pregnant. My husband has very poor sperm count & sperm motility rate is said to be very poor. I too had problem of fibrous growth in my vagina . The fibrous growth was however removed by operation in last year by Dr. Naina Patel of Anand Gujarat. My Gyna Specialist Mrs. Naina Patel of Anand in Gujarat ,had administered lot of drugs to my husband for 3 months but there was no change in results.My Husband was administered with certain drugs to improve upon his sperm count & motility rate . On finding no change, I was asked to go for IUI .or IVF . During last month meeting,I was told that I can t have issue from my husband sperm and was advised to go for Donor sperm.Some of the Doctor has advised my husband to take medicine of Heyforte Plus to improve upon sperm count and motility of sperm. We both are running out of time very fast for in reproducing age. We seek your advise please . My Name is Rakhi Sanjay Sharma. our em address are YYYY@YYYY , YYYY@YYYY YYYY@YYYY
Hello state, Welcome to the forum. Due to changed lifestyle stress, tensions and pollution there are many couples suffering from the same problem. Do not lose heart. Every individual is made for a different purpose. We treat it is only God who heals and gives. If you want your husband can take the medicine to increase sperm count. Since he already had been under treatment just give him a month gap. Let him get stress-free and relax. There are many other reasons for low sperm count like excessive smoking or alcohol intake in the past, some nutritional deficiencies, stress, accidents, obesity, genetic cause, etc. You will be amazed to know that some couples who are clinically fine are also at times not able to conceive. It is all in the hands of God. Some men feel very week, some complain of dizziness, some get hypertensive yet others irritant as they start taking the medicines to increase the sperm count. A husband should be given high protein diet, energy giving food like legumes, beans, eggs, red meat, dairy products, nuts, fruits, veggies, berries so that the medicine works well and brings the desired results. The medicine may take 4-6 months to show results. It is better to maintain abstinence while the husband is under treatment. To be able to conceive the spermatozoa should be at least 20 million/ml, 75% should be alive, talent 50% active, 30% normal. There is no harm in trying donor systems as confidentiality is maintained and results are positive. Acceptance and mental preparation depends upon both the husband and wife else it may ruin life. You can try visiting Holy places, Nagapatnam and many other places if you are a believer. Have a nice day, take care.
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Hello doctor,I have anxiety for the last five months. Recently, I had an echocardiogram, it says grade 1 diastolic dysfunction of the left ventricle with E/A ratio 0.7. Rest other parameters of the echo are fine. Sometimes my diastolic BP goes to 90 due to anxiety. Can you please tell what is this dysfunction? Will it cause future issues and will it go away if I get rid of my anxiety and BP? My ECG is found to be normal.
Hello, Welcome to Chat Doctor forum. Diastolic dysfunction in the echo is, in fact, abnormal function of the left ventricle during relaxation phase that is diastole (attachment removed to protect patient identity). It occurs when left ventricle muscle is hypertrophied due to increased blood pressure. Grade 1 is the initial phase, but do not worry it is reversible. Control blood pressure and it will be fine within a few months. No need to repeat echo but controlling BP is essential. According to the latest guidelines, optimal BP is <120/<80 mmHg. To reduce BP avoid anxiety, avoid smoking (if you smoke), avoid alcohol or any other form of addiction (if you are addicted), reduce salt intake in the diet, avoid junk foods, oily foods, ghee, etc. Do regular exercise, maintain a healthy weight.
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Hi, My age is 26 and weight is 54. I am having rheumatic heart disease. My question is that should i go for valva balloon or should i go for mitral valva. Another question if i am getting preganant now than would my baby be safe also my delivery OR If i am doing operation above any of this in August 2011 can i concive baby after the operation immediately after 2/3 months. Pls waiting for ur precious answer.
Hello Miami have read the details provided by you and I understand your concern for starting your family. Making a right treatment decision for Rheumatic heart disease patient is a multidisciplinary approach taking into consideration History, physical examination and some tests like ECHOCARDIOGRAPHY. After echo, we can be sure how much severe is the disease and what treatment option will suit the best. So I would like to advise you to consult a cardiologist personally, get an echocardiography done, and then the right plan will be decided. After treatment a three to six months wait before conceiving is usually advised. Wish you all the best
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i am 48 years of age who has no kid but trying to conceive via IUI I did in Sept. 2016 but used primolute depot as ordered by my gynecologist when I started spotting. since then I av done pregnancy three time but negative and I am not menstrurating. what should I do though I was given primolut n twice by same doctor along side with caps. Eviol and clomid tab but still not menstration.
Hi, If in spite of Primal N, which is a Progestational medicine, you are not getting with Chat Doctor. Blood examination of FSH, LH, AMH, Estrogen and Progesterone can inform you whether you have reached menopause or not. If you have attained menopause, there is no logic in trying for pregnancy now. You may think of adaptation of a child in stead. I hope this helps you. Let me know if I can assist you further.
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Hi, I m 28 yrs Old. In 2005 I was having a pain in my chest for which my family doctor suggested me that I was suffering my tuberculosis & diagnosed me for 1.5 yrs. Later when I didnt got well, I tested my body reports in Bombay Hospital for which doctors suggested me that I m not having tuberculosis but bcoz of wrong treatment now I m suffering from bronchititis. Kindly suggest me how to get treated with it without using any inhaler ? Currently, I m not taking any medicines but sufering from cough ? Does this effects sexual Life as I m getting married ?
Thanks for your question on Chat Doctor. I can understand your concern. Bronchitis is inflammation of airways. And best treatment for this is inhaled treatment. Inhaled treatment reaches lungs directly, so onset of action is fast. It acts on lungs only, so systemic side effects are minimal. Hence, it is better to take inhaled treatment as compare to oral treatment for bronchitis. And if untreated, this bronchitis can gradually worsen over period of time. It can cause coughing, expectoration, breathlessness on exertion, weakness etc. Sexual activity is considered as heavy exertion. So untreated bronchitis can also interfere with your sexual activity. So better to treat bronchitis by inhaled bronchodilator and inhaled corticosteroids (ICS). Don't worry, you will be alright with all these. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks
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i am 23 yrs old weight 64 kg height 6 feet , i have itching around my private parts nd on stomach , i feel like smthng is crawling in my stomach nd inside my body , also i m underweight according to my height ,does not feel hungry , always feels lazyi think i have huge worms in side my body plz do help me
Hi, Welcome to Chat Doctor. I am suspecting fungal infection of the groin which is caused by fungi called dermatophytes. This infection is treatable by antifungal Chat Doctor. I suggest you get in touch with a skin doctor and get a prescription for the same. If you suspect parasitic infection, then you can get a stool sample tested for eggs and cysts which will rule out parasitic infection. Thanks.
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I got a lower left tooth extracted 5 days ago. Everything has been fine but I have notice since the day of extraction that part of my gum is pushed outward toward my cheek and lip. When I look further you can see something hard and white pushing it out. I dont know if it is a bone or part of tooth that didnt come out. I know the dentist broke my tooth in half when pulling it but afterwards seeing the tooth it looked as if everything was there. Just wondering if it will heal on its own or if I need to go back to get it checked out.
Hello and Welcome to Chat Doctor, Thanks for writing to us.It's your dentists' obligation to help you throughout your extractions healing process. So, if you prefer, you might request that they evaluate and treat your situation."b"Providing this type of treatment is usually quite easy for your dentist. After all, they'll be able to visualize the situation better than you and, of course, they have more experience and the proper tools. In some instances, they may feel that they must "numb you up" before they can remove the protruding fragment. And, in more involved cases, the removal process might include some type of minor surgical procedure (such as incising the gum tissue and reflecting it back, so the fragment can be visualized and accessed more easily). Hope this helps you. Wishing you good health... Regards.
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I had my upper cheek and gum fused after a dental implant failed and gum didn t heal properly. Last august cut was made to separate the fusion and two weeks ago a dental hybrid was placed in my mouth. My right side feels great but my left side (formerly fused) feels constantly irritated (almost like frost-bite). How long does it take for complete recovery from fusion related incision? Is there anything I can do to get rid off this irritation besides taking lysine (i also suffer from chronic oral herpes )?
It's a very unusual condition: fusion of gum & cheek post implant failure. How are the cheeks related to dental implants! It seems the implant was either not placed by a specialist or the patient didn't follow the post-operative instructions & the implant got infected. I think due to long-standing infection or complex infection, your cheek muscle fibers are fibrosis. Take multivitamins plus lycopene for faster healing & recovery. Eat tomatoes which contain lycopene. If infection is there proper antibiotics and anti-inflammatory Chat Doctor. Consult a good dentist. Get well soon.
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Dear Dr. I am suffering from cold and cough for the past 4-5 months. I have taken some medicine such as livocet , mlivocet etc.. but it did not help. Recently i have done the blood test at pathology lab. The report shows the high range of Eosinophilia count i.e 8 %. Please let me know what to do.
Thanks for your question on Chat Doctor. I can understand your concern. Eosinophils are one of the white blood cell (ABCs). It is usually seen in very low percentage like 1-2 %. Higher percentage suggest allergic disease. Other conditions like Chat Doctor. But in your case possibility of allergic etiology is more. You are also having cough and cold since 4-5 months. And not improving with routine medicines. So possibility of allergic cough is more in your case. You need to start combination of antihistamine and anti-allergic
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Hello Doctor, I have cough from previous 4-5 years...test reports for cough were normal..bt in "complete hemogram report", the value of "eosinophils" is 15.7% whose reference range is 0-6& "mean corpuscular volume", "platelet distribution width" & "mean platelet volume" is also increased. & "mean corp. hemo. conc." is decreased..what is my actual problem is???& what is the solution???
Hi, Thanks for writing to Chat Doctor.15.7% eosinophils (Eosinophilic) indicate allergic conditions and cough suggests eosinophilic bronchitis caused due to allergic or parasitic infections. Kindly consult a physician regarding antiallergic medications like ;Mast cell stabilizers - sodium cromoglycate, montelukastantihistamines- cetrizinekindly get an x-ray of the chest and Immunoglobulin levels checked for further treatment. If there is parasitic infection, the parasite causing the disease has to be treated. Regards Chat Doctor.
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i have PCOD and i took krimson 35 for 3 months.Later doctor gave me a ovalution tablets and on 11 days of my period i took scan and my scan report says myometrial echoes appears.Both the ovaries shows multiple peripherals follicles with central echogenic stroma.No free fluids ub clu-de-sac.No Dominant follicles in both the ovaries.Will i be pregnant?
Hi! In POD the ovaries have multiple follicles and there is a difficulty in having a mature follicle, so you have to induce your ovulation. In this way, the doctor controls your cycle from outside as you have an irregular and long cycle. If you were my patient, I would start giving you Clomped Citrate, which is a pill used to induce ovulation. These tablets start with low doses and then are giving rising doses according to the follicle growth.
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Hello doctor,My 8-year-old daughter throws fits about everything, always speaks negative, says the meanest things possible, is unhappy 98 % of the time, never says anything positive, will be in a good mood then suddenly flip out, if she cannot find something she flips out. The list goes on and on. I am completely heartbroken for her, watching her and have tried nearly everything thinking it was nothing more than a child that had been given the world but I realize it is much deeper than that.
Hello, Welcome to Chat Doctor forum. I can understand your situation in trying to deal with your daughter\s behaviour. Is her behaviour the same everywhere? What do the teachers say? Does she interact well with her friends? It will help to know whether her behavioral issues are limited to home or present at school as well? A detailed assessment including developmental history will be needed to formulate the reasons behind her behavior. It needs to be clarified whether this is a behavioral issue or whether there is an underlying emotional problem manifesting as oppositional behavior. Discuss with her school teacher first. Explore whether she can see a psychologist based at school, if available. If problems are significant and persistent, it is advisable to consult a child psychologist or child psychiatrist near your place for a comprehensive assessment and manage accordingly. Continue with clear and consistent boundaries. Parenting in this situation can be difficult and exhausting but consistency is the key. Get support from your partner, grandparents as applicable. Most chil ChatDoctor. Getting appropriate support will help to make the situation better. Take care.
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Hi Doctor, I am a male of 32 years old. I have elevated liver enzymes for already some time (seen in the blood tests for more than 2 years ago and still present). The doctor at the hospital wants to do a liver biopsy if these elevations remain (By now ALT was around 200). He wanted me to lose weight, and then take a blood test again. I lost some weight and started to do more exercise, and the liver enzymes dropped. (ALT : around 100 u/L) Also I felt better and some symptoms disappeared. However I should take a new blood test after some time again which I did not do because I am rather afraid of this biopsy and wanted to see if I could improve my situation by living healthy and do some exercise. I also had an ultrasound, were all seemed normal. No signs of cholostasis (I think this is blockage of gallbladder ducts) However, lately I again get symptoms that indicate that something is wrong. Those symptoms are sometimes mild pressure at the right side of the abdomen, just under the lower ribs, as if something is blocked or inflamed. Sometimes I feel also a bit dizzy, and not clear in the head. Another thing is a bit darkened skin under the eyes. And a general feeling of not feeling very well. Another symptom is that I have often (dark) green stools, which are fluffy, or thin. I can give you also the results of the latest blood test. I was also tested for hepatitis at my normal physician, where it showed negative, but I don t know if this could be still the case. I would like to get some opinion or advice concerning what disease I might have, what to do about it and what the risks are of liver biopsy. I don t have an alcohol problem, I drink very little since already 2 years. I weigh around 86 kg and measure 1m81. Thanks in advance Jonathan Smets Results latest blood test: Bilirubine total : 0,60 mg/dl Bilirubine direct: 0,21 mg/dl Bilirubine indirect : 0,39 mg/dl AST : 39,0 IU/l ALT: 110 IU/l Gamma-GT: 138 IU/l LDH : 384 IU/l Lipase: 44 IU/l Kidneys: Ureum: 38 mg/dl Creatinine: 1,21 mg/dl GFR: 60 ml/min Total Protein: 7,6 g/dl CRP (inflamm. / auto-immune ) : 0,11 mg/dl Lipides: Triglycerides 81 mg/dl Total cholesterol 194 mg/dl HDL-cholesterol 78 mg/dl LDL-cholesterol 99 mg/dl Ratio Tot. HDL chol. 2.48 mg/dl Results for hematology were normal
HIT hank for asking to ChatDoctorI really appreciate your concern, in my opinion if you do not have any symptoms which are directly related with your elevated enzymes then why to worry about this, whatever symptoms that you have described here are just because of your worry about your nonspecific elevated enzyme and nothing else and not the disease, just forget it state living happily no need to worry about elevated enzyme until it does not give you any trouble, hope this information helps you have good day.
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I am a 45 year old female and have RA, a knee that has little cartilage and ortho arthritis for 2 years (not the knee I am about to explain) so I have a high tolerance for pain. I fell on my knee earlier today and it hurt when I fell; however, it was manageable pain until 2 hours later. There is a little swelling but now I cannot bend my knee without extreme pain and it is throbbing even when I am not moving. What kind of injury does this sound like and should I go to ER (my insurance is horrible so it will cost me a lot of money) or is it okay to ride it out and see?
Hello, Your knee injury needs detailed examination by orthopedic surgeon to rule out fracture and ligament injury. As such in rheumatoid arthritis bones are weak and joints are stiff which are more prone to injury. I would like to do X-ray of the involved knee anteroposterior and lateral views to rule out bony injury. Meanwhile, start tab Attract twice a day for pain relief. Keep leg immobilized in long knee extension brace. Hope I have answered your query. Let me know if I can assist you further.
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pls help us on this below issue.1. Exact location is in the uterus not in ovaries2. size is very small. while scanning they had shown to my wife dots and was also told that is too small and can be cured by if you can loose your weight. she is taking tables for 3. In July her periods was delayed by 20 days and went to doctor. only at this time she had taken the scan and was adviced to take tablets(for periods and doctor told to her if you took this tables then only you will get periods every month). i want to check if there are some natural cures. or what she has to do next. will this affect me in getting concieved? we have 5 yrs daughter, looking for 2nd child and her weight is 64 before 57
Hi thanks for your question. She has already given birth to one child and looking for the second. This is called as secondary infertility. Uterus cannot become small to such an extent after one pregnancy that it cannot hold fetus of second pregnancy. Obesity (more weight) does not directly interfere with fertility, however if obesity is due to some primary because it can cause infertility, like hypothyroidism. If she has adequate height, 67 kg is not over weight not to talk of obesity. Your wife has already given birth to one child; she should be able to conceive again unless she has developed some other cause of infertility. I would suggest you to consult a gynecologist who may be able to evaluate her for secondary infertility and may treat her depending upon the cause. Hope this answers your question
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Hi, I have had Sjogrens Syndrome for about 33yrs. I am now 63, female. For the last few yrs I have experienced missed heart beats which often happen as I m falling asleep, which cause me to wake suddenly, gasping for breath and recently coughing . I also have a first degree heart block. Should I have these episodes investigated. They are very alarming when they occur! Thank you.
Hi, Yes any disorder which presents as missed heart beats and or gasping etc. must be investigated. Abnormal rhythms in the heart are called arrhythmia which may be detected using tests such as ECG. Abnormal rhythms may be dangerous if not detected. You also require a cardiac evaluation with tests such as Echocardiogram etc. Imaging of the chest with CT scanning is also necessary to detect any lung or chest problems. I presume that you may be taking medications for your heart block so any symptoms that make you uncomfortable require investigation and consultation with a cardiologist. I presume that your blood pressure is ok. You may also get a complete blood count done. Both lung and heart conditions have to be ruled out with the symptoms that you have described.
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I am 40 year old male 96 kg, 184cm tall. R And of average fitness . I have a history of asthma which I take a prevention for and I have haemochromatosis. I normally have. Blood taken 4 times a. Year but have not had any taken for 1. Year. 4 weeks ago I started to developed really. Bad. Achne on my back. 4 pimples and lots white craps. I squeeze. Them and they go away but more will. Appear in different spots. Why would I suddenly get them. ? Thanks YYYY@YYYY
Your body immunity decreases as the age increases. As age increases the immune system goes down eventually even if you are on medicines your initial allergies will be rising or the other systems are involved like skin, stomach or bones acne is also turnout of allergieDont use greedy and oily footstep using all routine oils almonds coconut walnut groundnut soyaApply olive and use love for cooking Take DOI 100 MGM BD or 2 week apply clindamycin gel twice a day on affected part scan also apply histocalamine once a dado for long time along WTH other medicines you are taking for asthma
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good evening sir/mamI am 24 year old female. and my ESR level is 46mm ,i also suffer from fever ,back pain and coughing .. I am worried about high ESR.. please suggest me what are possible actions to overcome this problem and please tell me the reason of this problem.
Thanks for your question on Chat Doctor. I can understand your situation and problem. ESR (erythrocyte sedimentation rate) is marker of infection and inflammation. So possibility of infection is more in your case because of high ESR. You are also having cough, fever and back pain. All these favor possibility of lung Infection (pneumonia) more. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. Chest x-ray. Chest x-ray is must for the diagnosis of lung Infection. You may need antibiotics, antihistamines and anti-inflammatory Chat Doctor. Once your infection is controlled, your symptoms will go away and ESR will also come to normal. So get done chest x-ray to rule out lung infection. Hope I have solved your query. Wish you good health. Thanks.
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I ll be as brief as possible. Basically I m wondering if my rapidly decaying teeth I was informed of 30+ yrs ago would have any connection to the myxoma (benign) that was discovered growing (and removed in 2014) in my left atrium. When it was confirmed I d had a minor stroke , ER Dr. said there was evidence of older ones as well but couldn t tell from how far back. I had absolutely no idea. It ts still doesn t seem real.
Hi.... Welcome to Chat Doctor. You have problem of decay tooth that may be because of poor oral hygiene... more prone to infection. Lack of saliva also lead to more decay tooth. Food lodgment or more sweet consumption also lead to this type of symptoms. Consult a dentist for oral examination and treatment plan. If tooth decay not treat than it progress and involve full tooth sometimes access or bony infection. Better to treat a decay tooth in initial stage. In decay tooth filling or act or extraction that one treatment plan...all treatment depend on tooth situation... I hope this will help you. Get well soon. Thank you. Chat Doctor.
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Ok so my front two teeth are DEAD they have been that way since I can remember. I have noticed these bumps on my gums above those teeth. They looked like pimples so I popped them and green chunks, yellow puss, and then blood came out. I know this is not normal but my question is what should I do?? Is it because those teeth r dead
Hello, Thanks for your query. As you provided the detail, it seems that there is infection in that teeth area. But the detail you provided is not clear, recantly whether there is any trauma in that area or not. Any ways, please visit an endodontist as soon as possible and go for thorough examination including x-rays of concerned teeth. You need root canal treatment in those teeth. Nothing to get worried. Take Care. Chat Doctor.
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Hi..my mother underwent a lung biopsy two days back.I had opened up the wound yesterday and applied undiluted savlon only on around the wound area and not on the wound.Today I found water filled small blisters. I tried to burst few blisters and water came out. So I got scared and put some calo soft lotion on the surrounding area.. And covered it with dry gauze. I hope its not serious.Please help..
Thanks for your question on Chat Doctor. In my opinion you should immediately consult treating doctor. Because your mother is having Surgical Site Infection (SSI). It is skin infection seen at the site of infection. It is mostly due to poor post-operative wound care. Fluid containing blisters are suggestive of SSI only. So your mother needs thorough cleaning of wound and proper aseptic Chat Doctor. For all these consult treating doctor.
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Hello, I have mild diffused fatty infiltration of liver and my total bilirubin count is 2.9 mg/dl (conjugated 1.6 and unconjugated 1.3) with SGPT 160 IU/L and SGOT 132 IU/L. I also have moderate splenomegaly. My stomach is always bloated and often suffer from stomach upset. I weigh 45kg. My doctor suggested silybon 140 mg tablet BDAC, Roles 20 mg befor breakfast and cobadex czs one tablet daily. Can these be safely taken.
HelloFatty liver is a reversible condition. It is due to deposition of fat within the liver cells. It may be due to many reasons like obesity, sedentary lifestyle, altered lipid profile, hepatitis etc. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, altered lipid profile, medicines,autoimmune causes etc. It may be related to hepatitis in your case as bilirubin level is also increased.GOT is non-specific, and it increases in many conditions. Moderate splenomegaly may be due to many reasons, it needs evaluation. You have been prescribed right medicines. You can take it safely. I also suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Get well soon. Take Care Chat Doctor.
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my husband woke up yesterday morning and could not put his right foot on the floor the pain was so bad. He had been crushing drink cans with his heal the night before, and dose that everyday. Today his heal, ankle and just above his ankle on the back part of his right leg is a little swollen and very red. I felt of it to see if it felt hot but it dose not really feel like it has a fever. What do you think this may be?
The symptoms are most likely due to an overuse with an overload of the heel tissue and the Achilles tendon right behind the heel at its insertion. The treatment suggested at first for this would be to use an ice pack for 10 minutes 4 times a day with an anti-inflammatory agent which he is used to(,i.e. not allergic to) for 3 days and if it remain inflamed then consult your GP.However, before beginning this treatment as advised above make sure that there is no wound or cuts or gash is there on the skin surface due to the sharp edge of the can.
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Hi i am mr.sharif age-32,height-1.70 meter. I am carring Hbs+ last six years. I stopped taking madecine from last two years. i lost my all perscription.so i have to need your suggesion to remove or control this virous.
Hello Mr. Sharif ;Welcome to Chat Doctor Many people carry HBS+ & can maintain proper health with a controlled diet & lifestyle.Nowadays, even treatment is available to control & trails are on of new Chat Doctor. As you lost the prescription I would advise you to contact & consult your doctor again & he will prescribe the required medicines for you.online consultation will not help as you left medicine 2 yrs ago, so it will be better to get physically examined;if required to be investigated then you can be treated by your doctor. Thanks
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Hello doctor,I am 37 years old. My random blood sugar level is 227 today, but I had a sweet tea 15 to 20 minutes before getting the test. Should I test it again? Can I still control my diabetes or does it have no treatment?
Hello. I went through your post. You have not mentioned whether you are on any treatment for your diabetes. However, I would suggest a few things. Regards. For more information consult an internal medicine physician online Take care.
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I have asthma but lately have had a hard time breathing and a rattle that even coughing stuff up which is very little, it wont go away. I have a stabbing in my left shoulder blade and sometimes feel in in front. I believe this is occurring from so much coughing. I also had broncitus a few years back when I was diagnosed with asthma. Is it the weather causing all the problems?
Welcome to Chat Doctor. There are always some triggering factor and most likely dust, pollen and seasonal changes. You have to be more careful during seasonal change. Also try to avoid dust, smoky area. Cover your face with helmet or handkerchief on two-wheeler. You have to take anti-allergic like levocetrizine, montelucast with ambrosial during asthmatic episodes. Start bronchodilators like terbutalin, doxaphylline according to severity. During severe episodes take inhalation therapy with nebulizer. Rota caps with micronized dose of steroid with bronchodilators is more helpful. Keep in touch with your doctor. Inhalation therapy is now days more helpful and recommended than oral treatment.
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hello recently i visited a patient in the hospice hospital floor. I was told to wear gloves and to enter the room. the patient was dying of cancer. my concern was they did not require a mouth cover can any harm bcause to my health because she was living her last moments and i was near her breath.
Hi, Thanks for writing in. You were safe during your visit to the hospice to meet the patient. Cancer patients who are taking chemotherapy have a low immunity, and they are prone to developing infections which normal people will not get. Even some normal bacteria and fungus present in you might cause serious infection to those having cancer. Transmission of infection from a dying patient through air never happens. Most infections are transmitted by touch and therefore, to minimize the infection transmission rate from you to the patient and other patients, wearing a glove was considered important. Please do not worry.
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I woke up with a pain under by left breast,that hurts when i take a deep breath. I had a massage this weekend on Saturday, and she did lot of work on my back, particularly my upper left shoulder area. Is there any connection? Some say it may be related to exercise but I did not go to they gym tho weekend,so I worry that a it can be something more serious. I am a 60 year old woman and healthy weight, no medications.
To check the seriousness of your problem just stretch your hand out stretch for the same side keeping hand above shoulder level and if it does not pain then don't worry. But if you feel tenderness more over the beast region even after 2Β days than I suggest visiting your gynecologist doctor once. And exercise or massage on back can not cause this kind of pain. But do check once with cardiologist too if there is a breathing difficulty or pain in chest deep. Hope you have got your answer. Take care
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I am a 64 diabetic male without any symptoms of heart disease, I had a vascular screening, showing no evidence of plaque blockages, I am awaiting the results of a nuclear stress tests, should I worry? Is there a correlation between carotid blockages and coronary blockages?
Hello Diabetes is a major risk factor for coronary heart disease as it promotes atherosclerotic changes throughout the body vasculature but again if your control on diabetes is good that risk comes down to minimum. So I would suggest you to maintain a healthy life style and DO NOT INDULGE IN SMOKING (if you do). Now answering your question: No there is no obvious relationship among the two but as it is due to atherosclerosis blockage can coexist in both up to some extent. Good Luck
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My husband went to his dentist & he saw white patches in his mouth which he said may be an autoimmune problem. Looking for a doctor in DE, NJ or PA that will holistically treat him. Only looking for a natural health care provider to treat him holistically to find out exactly what is the cause.
Thanks for your query, I have gone through your query. The white patch in the mouth can be because of many reasons like autoimmune disorders like lichen plans, Memphis. The other cause can be a leukoplakia, frictional keratitis, candidiasis etc. Nothing to be panic, consult a good oral physician and get it evaluated and once the diagnosis is confirmed, we can treat accordingly. If it is candidiasis then you have to take topical antifungal like candid mouth paint. If it is leukoplakia, you have to stop the habit of smoking and take antioxidants like capsule lycopene. If it is lichen plans then you have to take topical steroids like triamcinolone acetone (0.1%) 4-5times daily for 1 week. I hope my answer will help you, take care.
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I m concerned that I have appendicitis. My symptoms are excruciating cramps in the middle of my lower abdomen. The pain is in my lower back as well. I have nausea that comes and goes, I have not thrown up, but I feel as though i could. I m on the fourth day of my period with an extremely light flow, and my periods usually last no more than 5 days. I have never had cramps this late in my period. I took Aleve about an hour ago. The pain has subsided now for the first time in 3 hours. Can you advise on whether or not emergency care is necessary?
HI, thanks for using Chat Doctor Appendicitis would normally present with pain in the right lower abdomen. It would be associated with fever, loss of appetite, vomiting. The diagnosis of appendicitis would require examination of your abdomen looking for certain signs of this infection. The fact your pains are in the middle of your local abdomen, and you are present having your period would more likely point to this being a cause of your pain. If you remain unsure, you can visit your doctor for an evaluation. I hope this helps
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Hi, I had a kidney transplant 6 years ago and keep in good health. I struggle to do sit ups due to the various operations I have had over the years. I was wondering if it was safe to use a Slendertone Belt? This belt send electric shocks to the stomach muscles and supposedly replicates the work situps do.
Hello and welcome to Chat Doctor. As a Urologist, ill not advise you to use slender tone belt. This purely from kidney transplant point of view. There are so many exercises you can do, to remain in good shape, without using belts. You can do stretches and bends, which are not causing any pressure over the graft in the pelvic area. A belt causing abdominal pressure with ?electric shocks, is certainly not one for you. Play it safe. Wait till some others have used it and certified it to be safe for your use. Cycling is a permitted exercise in your case. Keep healthy. Chat Doctor. Manga.
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I am 32 year old male. I am suffering from asthama by last 2 year. I am taking inhalor regularly after consulting to my physician, but now I feel congestion in my chest and also there is no permanant relief from asthama. Please advice me what I can do OR where I can get proper treatment? Thank you.
HI, thanks for using Chat Doctor If the asthma is not controlled, you may need to look at your asthma triggers and also consider whether the medication dose needs adjusting. There are different triggers for asthma, if you can control your triggers it may help to control your asthma. Triggers could be exercise (would need to use inhaler before), reflux, sinus problems, allergies, common cold, strong emotion. Your medication may also need to be adjusted. This can be done with your GP or pulmonologist (doctor who specializes in lung diseases). I hope this helps
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HiI had my top molar exactracted under local it had curly roots and took the dentist 20 mins to completeCouple of hours later I was sitting at home and began to get cold and clammy sweat while I was feeling hot I felt like I was going to throw up and I had that rushing sound in my ears like I was going to pass out... Normal? The length and trauma of removal caused greater reaction?
Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your complaint it seems that either you have got Septicemia following the tooth extraction which is due to bacteria entering the blood in case if your molar was infected leading to increase in body temperature and other symptoms that you experienced. In case if it is not the case there can be allergic reaction to the medicines [antibiotics and painkillers] that the dentist might have given you following extraction. You should consult your dentist and get evaluated and in case if there is septicemia antibiotics has to be taken along with Tylenol to get relieved. In case if it is allergic reaction change of the medicine will help. Hope this information helps. Thanks and regards. Chat Doctor. .
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Hello, the first day of my last period was 30 March 2015. I am 4 days late and haven t had any period pains. I get dizzy at work and my tummy is bloated without cramps. When can I take a pregnancy test? Do you think I m pregnant. I m not on any pills or injection. Thanks
Hi there, I have understood your concern. I will suggest you the best possible treatment options. Only dizziness and bloating can not be directly related to pregnancy. Yes, if you have history of regular cycles and now if you have missed your periods, then please get mornings first sample of urine tested for pregnancy. In case of doubt blood beta Chat Doctor test and USG will be of help. I hope this answer helps you. Thanks.
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I am female aged 41, 1.70m tall and weight 96Kg. I have breast cancer and have just finished chemotherapy. I was given 3 x 3wk cycles of docetaxal and a trial drug called artemis and then 3 x 3wk cycles of FEC, with one of those weeks with the artemis trial drug. I am due to have a lumpectomy in a couple of weeks, which I should have had earlier this month, but a CT scan showed that I developed a blood clot in my right lung during chemotherapy. I am on the blood thinner enoxaparin sodium. Earlier this week, I noticed a lump on my head which was not there before, and I have also been getting headaches. The lump is not sensitive to touch although the top of my head has been tender since I lost all of my hair around the 5 cycle, which is now growing back. Is this something that I should go back to my cancer health care nurse/oncologist about or is it just a lump with normal headaches given what I have been through recently?
Hi, dairy have gone through your question. I can understand your concern. You have breast cancer with lump on head. It can be Desmond cyst, skin adnexal tumor or lipoma. However, possibility of metastatic carcinoma from breast is also there. So you should go for fine needle aspiration cytology or biopsy of that lump first. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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i have severe back problems.i have arthrits,and it touches my spinal cord.it can be very painful.is oxycodone what i need to be taken.they just switched me to that i cannot pay for you to give me the answer.I will continue my research.I was hoping for your help.Sorry to have wasted your time.
Hello, I have studied your case. Due to compression of this nerve root there can be pain in your back. I will advise you to do MRI spinor these symptoms analgesic and neurotrophic medication can be started. Till time, avoid lifting weights, Sit with support to back. You can consult physiotherapist for help. Physiotherapy like ultrasound and inferential therapy will give quick relief. I will advise checking your it B12 and it D3 level. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care.
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I had a ct scan of abdominal and pelvic area cause I had pain on lower right side of abdomen. Thought it might have been appenditcitis. Dr. Said ct scan was fine but it showed I have pelvic phleboliths. I also have several kidney stones too. What do I do?
Hi, Thanks for writing in. For kidney stones. It is important to know the number and size of the kidney stones. Any obstruction to the passage of urine by the kidney stones is also to be known. Treatment depends on the number, size and any obstruction that is happening. Consulting the urologist with your report once will help in knowing which treatment is most suitable for you. In general, people with kidney stones are asked to Chat Doctor. Please reduce foods containing oxalate like non veg, vegetables like spinach, tomato, cauliflower, brinjals, nuts and almonds. Avoid holding urine for long intervals. For phlebolithsNothing needs to be done for phlebitis. They are areas of calcium deposition within veins. This will not cause any additional health risks and are commonly seen in the elderly. No treatment is required. Please do not worry.
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Hi I m 35 weeks n 5 days pregnant and i have been on heroin my whole pregnancy today is my first day clean will they find out when i have my baby even if i was prescribed 5-325 hydrocodone in the end of October im also guna start Subutex as soon as my 24 hours is up i was prescribed them back in July iplan on taking 12mg today and 2mg less till I m down to zero this will be my first baby and I m native American so cps can t take my baby unless they notify the tribes cps
Hi there, I have understood your concern and I will suggest you the best possible treatment options. First do not panic. I would like to congratulate you for getting yourself treated with dead diction medications. Your concern about detection of heroin in urine and subsequent consequences of babies taking are absolutely right. In my opinion, once you stop taking heroin actively, it takes 3 to 5 days to clear it from urine. After 10 days it is definitely out of your body systems and is not detected in the urine. So if you continue with the abstinence and your current line of treatment, it shouldn't be a problem. Please seek support from your counselor regularly. Continue with Folic acid and vitamin B 12 and Iron, Calcium and protein supplements regularly. Take care. Meditate regularly. Think positive. Things will be fine in the due course of time. May God bless you with a bundle of Joy. Thanks.
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I have a boil under my right breast . I have seen a Doctor at a urgent care. He cannot tell me what it is? He has gave me 2 different anti-biotics. It will not stop draining and its been almost a month.Now he says he does not know what it is. He wants me to see a breast specialists. It does not sound right that he sent a culture to the lab and the only thing he ruled out was MRSA. Should I get a second opinion fro another doctor or see someone that specializes in infections.
Thank you for you question. I am Chat Doctor. Boils or abscesses are usually a collection of dead or dying white blood cells and bacteria. They are formed as the white blood cells of the body try to fight a bacteria infection and normally should subside after good incision and Chat Doctor. However, a persistent breast boil may be an early sign of a potentially dangerous underlying condition like breast cancer. I would advise you to consult a gynecologist as fast as possible, so the breast is examined, and necessary tests are carried out and proper medications prescribed. However, other underlying conditions can make an abscess
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My blood pressure goes up sometimes not to high its only like 135/93 but my face and neck will turn red. And my chest will hurt sometimes and my leafy arm. My head hurts sometimes and the top of my neck on the leafy side hurts to. I am on 12 mg of suboxone. What should I do?
Hi, dairy have gone through your question. I can understand your concern. Your blood pressure is not too high. But your symptoms are alerting. If you feel chest pain and pain in left arm then you should urgently consult your physician. You should go for ECG. Just consult your physician once you need to set the dose of antihypertensive. Go for it. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health.
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Dear Dr.Rangadhar Greetings My mother has a genetic disease, which has risen polycystic kidney toxins in the body do you have a cure for this disease, please tell us because the toxins in the body increases and lost a lot of kidney function Creatine 7. R Urea 120 Thank you saleh
Dear sir/madam, she is in renal failure. There is no cure for polycystic kidney disease. Only options for the renal failure will be dialysis and kidney transplant(depending on her health profile). Her creatinine is high. Needs further work up also, to see are there any precipitating factors which are worsening renal function and if any correctable ones are there then her renal function might improve. Better consult nephrologists at the earliest. Hope u find this informative.
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I m about 18 weeks pregnant. I recenty had a amniocentesis in which the chromosomes results showed extra material on the chromosome 4. My husband and I had to give blood, the doctors said is either one of us carrier the trait it would be considered inherited from the parents. If neither one of us show the trait, should I be concered, and what health condition (disorders) could my baby have?
Hello and welcome to Chat Doctor. I am assuming that by "extra material in chromosome 4" you mean trisomy of chromosome 4. Please clarify it from your doctor. Trisomy chromosome 4 is a rare disorder. The baby may have structural deformity, cardiac malformations and mental retardation of varying degrees. If you and your partner both are carriers then chances of recurrence in future pregnancy is higher.in my opinion you should discuss this matter with your doctor about the possible effects to the fetus and decide prudently. Please write back if you have any more questions.
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my son aged 1 yr 1 mth had high fever last thursday and was admitted to the hospital on the friday, reaching almost 40 temperature. His fever fully recovered on sunday, in which he was then allowed to be discharged from the hospital. today - monday, at home, his body begins to rash with tiny red spot on his cheeks and chest, and some at his stomach. it does not itch because my son does not scratch the red spots at all. and he has no fever. any idea what this might be? or this is normal for toddlers after high fever?
Hi... Thank you for consulting in Chat Doctor. It could be any viral erythematous illness. But as you quote them as red spots after fever - the possibility is any other trivial viral exanthem. I suggest you use calamine lotion as its giving results along with oral antiallergic like HY Chat Doctor. Hope my answer was helpful for you. I am happy to help any time. Further clarifications and consultations on Chat Doctor are welcome. If you do not have any clarifications, you can close the discussion and rate the answer. Wish your kid good health.
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dear sir/mamyesterday i got up from sleep and i got sudden pain in my lower abdominal region at back side,i tink near my kidney,dont knw exactly in kidney or not,it was paining very badlly and till 1 hr i was waiting so that the pain would vainish but it didnt,i went to doc ,he told me to get tested for blood,urine n sonography,can you please tell me wat could be the reason behind my pain?im very much worried as doc said it could be a kidney infection or stone.please suggest me precautions
HI, thanks for using Chat Doctor It is possible that infection or stone may be the cause of the pain. Urinary tract infections would normally have other symptoms such as frequency of urination, discomfort on urination, change in the color or odor of the urine. If you do not have any of these added symptoms then infection is not likely and the pain may be due to a stone. The ultrasound would be able to determine if a stone is present. The treatment of kidney stones involve the use of pain medication and a lot of fluid. If the stone is small then it would pass on its own. If it is too large and medical intervention would be needed. I hope this helps
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I am 61 years old 165 cm weight 61 kg Indian vegetarian , non smoking non drinking alchohal underwent throat cancer surgery Buccal Mucosa in May 2008 , taken chemotherapy + Radiation also suffering from dry mouth can i take Miraqule capsules pls adv any other medicine for dry mouth. at present no medications thanks Hari Lulla
Hi, Thanks for writing in. Miraqule capsule contains Coenzyme Q10 and other supplements which help in general health of the patient. It is recommended for every one and improves the general health by providing micronutrients. The remedy for Chat Doctor. The cause for reduced salivation is the side effect due to surgery, chemotherapy and radiation therapy. The radiation given to the area affected by cancer has affected the salivary glands, and therefore you are experiencing reduced salivation and
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3 years ago i fractured a lower vertebre in my back. Roughly 3-4 months ago i started having numbness and tingling on my left side. In the last two months it has gotten worse. Now a single day doesn t go by with out severe tingling in right side. As I type this my right arm is almost completley numb. I have consulted my primary care doctor and he just prescribes me pain meds and that s it. What I am asking is, is this serious or should I just ignore it and deal with like I have been
Hello Dear, and thanks for the query have to find out the cause of the tingling and numbness. In my opinion you should get your MRI scan of spine done to rule out any nerve compress at the root of the nerve that is causing the problem. As you have a history of fracture 3 years ago you have more possibility of nerve compression than the normal person. But it doesn't means you have, we have to check it by MRI scan. The line of treatment depends on the clinical examination and report of scan. With both the findings we have to select whether medication with exercise and physiotherapy is needed or we have to go for a surgery. Your treating doctor or spine surgeon can help you better. Hope I have answered your query. Best Wishes
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Hello, I have been diagnosed with a slow working gallbladder . Just 2 days ago I had a full feeling before dinner but ate anyway, fried chicken. About 12 30 am I woke with a feeling of food in my chest. I eventually vomited. Then the next day just felt lethargic and had the URQ pain, it was also sort of in the middle of my chest (behind my breastbone) along with heartburn. That lasted the whole day, and in the middle of the night I started diarrhea. That lasted most of that day. Diarrhea and vomiting have subsided. Still have some pain in my back in the ribcage (right side). If I see my Dr now that the worst is over what will happen?
Hi.noted history of gallbladder condition. Is it secondary to an obstruction like a gallstone or polyp? These are the common pathologies that could cause your epigastric and right upper qua Chat Doctor. It is best if you consult with a doctor, preferably a gastroenterologist or a general surgeon, for physical examination and clinical evaluation. Diagnostics (such as ultrasound, liver function tests, bilirubin, etc.) and management (medical and/or surgical if indications are found) will be directed accordingly. If it is indeed of gallstone in origin, definitive treatment is cholecystectomy or surgical removal of the gallbladder, which could be done laparoscopically (gold standard) or through open technique. Low fat diet is also recommended. Hope this helps. Good day!!~
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Above my right knee (outer area) won t stop twitching. Especially when im still for a few seconds, the twitching gets really fast. It did this yesterday but only a few time. Now it wht stop unless I stand up and apply constant pressure on my leg or am constantly moving. What do I do?
Hi, Thanks for your query. It seems that you have muscle twitches or articulations over knee. These are small, local, involuntary muscle contraction and relaxation visible under the skin arising from the spontaneous discharge of a bundle of skeletal muscle fibers. You might consult your doctor who can order 1. A few blood tests including thyroid function tests, 2. Serum electrolytes including Serum calcium and potassium levels. 3. Serum B12 levels In case the above tests are normal further testing can be done including - nerve conduction studies, Electromyography, etc. These tests might help to diagnose any underlying neurological issues. I do hope that you have found something helpful, and I will be glad to answer any further query. Take care
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My husband and I have been trying to conceive since Sept 2012. My past period started on 1/2/13. We had sex once a day from 1/8-1/16. On 1/17 I had severe cramping-which I don t recall ever experienced in the middle of my cycle (only during my period). Then today (21st) I noticed a puddle of slightly white/clear discharge on my underwear. I thought maybe this discharge was a sign that I am currently ovulating...took ovulation predictor test-came back negative. What do you think this discharge is?
HelloThanks for writing to us with your health concern. See, the ovulation predictor kit is not always 100 % reliable. Also, the discharge increases AFTER ovulation. It is at its peak just before your period is due. That could be one reason you got a negative test. You had ALREADY ovulated. However, you are still in the clear since you were sexually active during the requisite time. Being sexually active well past your expected ovulatory dates will also increase chances of pregnancy. Another possibility is conditions like POD which are keeping you from normal ovulationTake care.
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Hi my name is Pauline am 59years old have had 8 lots surgery on my spine have now got stimulator in spine but have alot pain in my right foot its nerve pain very servere cant put up with it much longer but i really dont want any more surgery had cupping done but nothing lasts live on medication what do u advise for me to do thanku
Hi Ms PaulineThank you for your question to Chat Doctor. Spinal cord stimulator is implanted for pain control when no structural or treatable cause for pain can be detected. It would be helpful to know the findings in your recent MRI if you have had one. Revision spine surgery can be technically quite challenging due to scarring as you have had so many surgeries already. However, surgery is not the only option. Here are your options1 Visiting a pain specialist so that a formal pain management protocol can be charted out. I am sure you might have visited the specialist in the past or already seeing one but since you don't want surgery (whether it is needed depends on imaging and correlation with your symptoms) this will be the mainstay of managing the pain.2 Epidural injections and selective nerve root blocks can be tried depending upon MRI picture but again will be challenging due to a lot of scarring.3 Medications like pregabalin and gabapentin help to keep nerve related pain under control. Hope this is helpful. Wish you the best.
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I have been having knee issues for the past 2 months. I have gotten it checked by a doctor who said it was just tender after only doing a physical examination, and did everything they said I should but it has only gotten worse. I find it hard to walk up stairs, walk without frequent stops to rest my leg, and to do anything really. I am worried as it has been nonstop pain for almost 2 months.
Hi, I am sorry for the current health issues you are going through. Having knee pain might be due to arthritis or after having a history of trauma locally. As the pain is going on for 2 months, then, I advise discussing it further with orthopedist about running X-ray of knee to evaluate any possible damage. For the moment, I can advise to:- take oral painkillers- apply analgesic cream locally-take fish oil and multivitamin supplementation- try to put your knee at rest, avoid walking or standing up for long periods-apply warm compresses (some of my patients have found relief by applying warmed coarse salt wrapped with a clothing locally)- physiotherapy can also be of greater help. Discuss it further with your orthopedist! Wish fast recovery! Chat Doctor.
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Hi doctor,I am a 60 year old female. I weigh 70 kg and my height is 5 feet. I am a known diabetic and hypertensive and on regular medications. I have been suffering with dry cough, fever and chest pain. When I cough my chest pain gets worse. I am unable to take deep breath, because if I inhale deeply then the chest pain increases. I have completely no appetite from last 25 days. I am feeling weak. Due to my illness I have visited at our local hospital. I have told every health issues to the doctor and he suggested me to do an x-ray of chest PA view and multiple blood tests. I am attaching the reports for your reference. After the tests I visited the doctor again and he said everything is alright. But there is a little infection. And he suggested me few antibiotics namely Azithromycin with Ofloxacin SR tablets for 5 days, a vitamin syrup named fortified vitamin B-complex, L-lysine, Zinc syrup, cough syrup Grilinctus and few more tablets. For past four days, I am taking all the medicine, but I am not getting well. Moreover my chest pain has increased and I am having stomach upset and going to washroom frequently. I have some doubts in my x-ray report. Because x-ray of healthy lungs should be clear, but there is some white appearance in x-ray. Can you please check the reports again including blood test reports? Tell me if there is anything wrong. Also give me a detailed answer in regard to my health condition. Thank you in advance.
Hello, Welcome to Chat Doctor forum. I have read through your query in detail and gone through your reports (attachment removed to protect patient identity). Please find my observations below.
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Hi there, I am a 35 year old female (36 in March), and my husband and I have been trying for a baby for the last 2 years. I have a 10 year old son from my previous marriage and ovulate monthly (have only missed two periods over the two years). My husband went for a sperm test whicChatDoctore back as 6%. Would sperm washing be our best way forward? Regards Melanie
Welcome to Chat Doctor. I have gone through your question.6% sperm test dent clear the picture of semen analysis. Sperm washing advised when you want to go for GUI intrauterine insemination. I would advise going for ultrasound color Doppler scan of scrotum to rule out varicocele, to see testes vascularity. Scan and consult a urologist. Hope I answered your question. Would be happy to help you further. Take care.
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Hi doctor,I had a left femur midshaft fracture while playing in a garden. It was a displaced fracture. So I underwent ORIF. A titanium rod was inserted before 57 days. Can I walk like before without limping and when? And there is no sensation in the upper thigh. Why?
Hi, Welcome to Chat Doctor forum. Since you are 15 years old, there are good chances that you will be able to walk soon because chil ChatDoctor. It has been more than six weeks so I think you can start putting partial weight on that limb. But before that, I would like to have a look at your current X-ray. Sometimes, there may be an injury to the nerve known as the lateral cutaneous nerve of the thigh. Most of the time, it will recover on its own. You can take Vitamin B12 supplements. For more information consult an orthopaedician and traumatologist online
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Hi Doctor...I am 28 years woman..I have a problem of sneezing i sneez alot due to little change in weather my right nose is blocked not clear...doctor said its a sinus problem due to which i sneez alot..MY question is we are planning a baby if i got pregnant does it effect my child??
Hi Dear, Welcome to Chat Doctor. Well the symptoms you mention in query are due to sinusitis (as you also mention) . Sinusitis is infection in the sinuses in which winning if the sinus become inflamed and produce mucus. As you mention that you are planning for a child. I would suggest you to first consult ENT specialist for proper treatment of sinusitis, because it may not affect your baby directly but as infection will lower your immunity hence also lower the immunity of child and baby become disease prone. Sometimes the infection spread to blood and through blood it may transfer in to your baby and cause problem. So it is better to go for proper treatment. Doctor may prescribe antibiotics (amoxicillin) for at least 10 days, decongestants and anti histamines. Hope your concern has been resolved. Best wishes,
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I am a 60 yr old male 5 10 205lbs. During a dental procedure, I moved my tongue and my dentist caught it with his drill. He put in dissolvable stitches (under my tongue, close to a vein . It has been 48 hrs and some stitches have come out. There is no bleeding, but there is some pus and I feel like I can see my vein through the open slit. what should I do?
Hi Shadow, this is unfortunate that your tongue got into the Chat Doctor. It is good that he sutured it immediately. See normally we use non nylon MERRILL suture in such situation, which we remove in 6-7 days time period. As 48 hrs have passed, the primary healing of the area is finished. But, you had written that some pus is there, please don't ignore it as it is a danger area, infection from here can spread very fast to the neck region and take a shape of Ludwig angina, which can be fatal. I don't want to scare you but I want you should visit to your dentist immediately and take proper treatment for it. Thanks,
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I ve been suffering from lower back pain right side for years and at the same time my right thigh above the knee feels like it s burning and numb at the same time. 27 years ago I broke my back in a motorcycle accident but that was my t-12 which doesn t seem to bother me. I did however have a bone graft from the posterior iliac crest. Can t seem to get anywhere with doctors so doing my own research. Any ideas would be helpful.
Hello dear well all the best for your research hope I may satisfy your query the pain and numbness you're describing on the thigh aspect above the knee the involved spine segments is L1 L2 L3 and what you earlier suffered in the accident was t12 these levels are lower adjacent to it only now it may Also be a neuritis of lateral cutaneous nerve of thigh also which also has the name Neuralgia parenthetical hope you are satisfied if not get in touch with me for further details
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Hi my right eye is irritated (has been very red for about 5 hours) and is watering a lot especially when looking at things that are bright/white (my vision isn t affected apart from when i am blinking to clear my eye of excess water). My left nostril is also blocked now and I seem to be developing symptons such as sneezing . It only occured about 5 hours ago but I seem to be getting worse quickly. I plan to sleep now and see if it goes away. What would you recommend?
Hello and welcome to Chat Doctor. Thank you for your query. Although a sudden onset does indicate a hypersensitivity reaction, we will have to rule out an infection as well. A hypersensitivity reaction can be treated with anti-histamine medications, and will give you rapid relief. I understand your symptoms are limiting and exhaustive, thus I recommend you visit a doctor to get yourself examined and rule out/diagnose an infection. Treatment for both conditions is easy and provides quick relief. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications. I would gladly help you. Best wishes.
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I am a 56 year old male with a lump in my right breast. I have a mammogram scheduled for December 1 and I m just starting to get scared. I already fight lupus which is most of the time women and now this. I am a manly man but starting to worry that God may have decided to play some tricks on my body!
Hello, thanks for asking on Chat Doctor. Any lump or swelling on the body should be evaluated. Simple procedures are mammography in your case and a fine needle aspiration cytology. In FNAC a fine needle is passed into the swelling, some of its constituent cells are broken and aspirated. Then smears are prepared on slides of this aspirated material, stained and examined under a microscope. Mostly a diagnosis can be made benign or malignant on FNAC. Further course of action depends upon diagnosis. Thanks.
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I have been trying to cut back on some of my medications -- because I have been having an increasingly high liver enzyme count. I have Narcolepsy w/ Cataplexy, so I do have to take lots of medications, therefore my Doctor has me do bloodwork every three months. But, then I started having increased pain in my abdomen, vomiting bile, upset stomach, and severe burning! After many tests - they found that I have gall bladder polyps / not stones! And my liver is swollen and is probably the reason for all the pain (right side, under my breast area, sometimes radiating to my back, under my shoulder blade.) I have been taking atenolol for years now...for mitral valve prolapse with regurg,(but I ve cut back on it this week, since I ran out...can that affect nothing significantly?) I had stopped taking Diazide for a while -- because I kept becoming too dehydrated / and passed out! But I have that under control now -- drinking tons of water! And I also take AdderAl for Narcolepsy. I take Synthroid for hypothyroidism. I recently started taking proton is for the stomach pain and acid, as well as Carafate for the burning (just took my last one)! I had an upper gi -- they found H-Pylori, I took all the strong medications to treat it & completed the course! I it helped for about 2-3 days, and as soon as I had something acidic to drink, the pin started all over again! I also have ulcers, which have been bleeding from time to time (throwing up blood & in bowel movements). My urine and bowel movements are very yellow...I guess from all the bike! For about three months I was throwing up bile every day...and about 2-3 weeks of non stop vomiting...no matter what I ate or drank! I have been taking atenolol for years now...for mitral valve prolapse with regurg..., but I ve been out of it for about a week, so should I start it back up...or just wait? Additionally, I have had severe head trauma in the past from all of my falls / accidents / injuries -- from the narcolepsy! I m concerned -- because I seem to be falling allot more than normal lately -- and I keep injuring myself! Last year I broke 4 vertebra in my back (rising my horse), I fell they a porch the other day, and have bruises everywhere & think I broke my toe! Then two days later, while working in my closet, I went to turn / after being on a ladder, and fell, catching my big toe on the other foot - and I m sure I broke it as well! What the heck is up with all of this!???? Plus, I m having in going headaches every day (I ve had migraines in the past too). What do you think of all of the confusing issues / meds / symptoms / etc? Thank you for your response! Glenda Hunter James DOB 5/7/55
Hello! Welcome to Chat Doctor ! Better you have to take Ayurvedic medicine which are safe. I will suggest you take : 1) Tab Magnitude Vat 2 tablets, 3 times. It cures your liver and gall bladder problem.2) Tab Gokshuradi Juggle 2 tablets, 2 times daily for hypothyroidism and swelling.3) Tab Arjuna Vat 2 tablets, 3 times a day for heart and blood pressure problems. Thank you for contacting us. Hope this clarifies your concerns. Take care
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Sir I am 40years old,It has been three month since my hemmorhoid surgery. My surgeon said it was one of the worst cases he sever seen.I was able to return to work a few days after the surgery. when I noticed some leakage, blood then, eating fruits, vegetables, drinking a lot of water, prune juice, eating dried prunes, acidic fruits
Hello, Make sure that you should not strain while passing stools. Include more fruits and vegetables in your diet as the fiber content in it will help for softening the stools. Avoid red meat and oily foods. If there are signs of infection, local antibiotics can be applied after consulting your surgeon. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
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I am a 48 yo woman who has not felt right for 6 weeks. I have a blotchy rash that started mainly on my face and has spread down my neck and on my arms. It comes and goes and seems to be worse in the afternoons and evenings. I also have nausea and lightheadedness.
Hello, Thank you for posting on Chat Doctor. The condition you have referred to is called Urticaria or hives. It's an allergic manifestation of skin, where an allergen leads to release of certain substances from your blood, leading to itchy skin rash and swelling over soft tissues. Its proper management requires thorough history, clinical and laboratory work-up. You may have to go for specific tests like patch test, food prick test, IGE antibody levels etc. As for treatment part, best would be the avoidance of allergen as far as possible. Try to eliminate possible triggering foods from diet. I would also advise you various antihistamines for long duration(at least 3 months) with or without oral corticosteroids. For non-responding cases there are many other Chat Doctor. Hope this will help you in resolving your query. Thank you
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My son is 26months old,he understands everything u tell him to do,I do send him to get me water,phone,my dress,my bag etc and he delivers perfectely well,but the problem is I do not understand a word when he communicates to me.He cannot pronounce words not even mummy or daddy.What do I do? I am so worried
Hi....looks like he's having moderate language delay. Suggestions - 1. He needs hearing evaluation.2. We need to check if he has Tongue tie.3. If he's watching TV or video games or tablet more than 1 hour per day, it needs to be restricted.4. Encourage him to sing rhymes starting from words by continuous positive stimulation.5. GE needs complete evaluation by a developmental pediatrician. Regards - Do. Samantha
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hi my name is devi. my age is 29 i had a one year baby feeding.weight 62, height 5.2 .From last few weeks i have a pain in my upper abdomen after eating.. HB,sugar test are normal & again went for upper abdomen test there impression shows Mild hepatomegaly with grade 1 fatty infiltration(otherwise normal sonogram of upper abdomen )..i am a vegetarian and no other bad habits.please suggest me how to overcome with this.i m soo worried..
HelloThanks for writing to ChatDoctorAccording to your USG reports, You have grade 1 fatty liver, and it is due to mild deposition of fat within the liver cells which causes bright echo texture of liver and due to this liver is mildly enlarged in size. It is reversible condition, and it can be reversed by diet modification, medicines and increasing physical activity. You should avoid saturated fat, fried and junk foods. You should also do walking and exercises. You also need few investigations like routine hologram, LFT,Lipid profile, RFT and RBS. Get well soon. Take Care Chat Doctor.
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my father recently had undergone stent angioplasty in main artery LAD which was blocked completely. Now his one of the tooth need extraction due to excessive pain as what the dental surgeon asked for. he is on blood thinners (ecosprin) antiplatelets etc. Kindly advise me what I should go for...I m a little bid worried
Thanks for your query, I have gone through your query. The extraction can be done if Bleeding time, clotting time and INR(international normalized ratio) is normal. If there is any increase in the above said test values, then extraction cannot be done till it comes to normal. Before extraction, consult your cardiac physician and get a consent and opinion to proceed with extraction. If the INR is normal then, there is no need to stop the esprit. I hope my answer will help you, take care.
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My Urtrasound result reads: KIDNEY: Normal size on both sides but there is decreased cortical echo texture on the right side as well as poor cortico-medullary differentiation. No calculus, no mass and no hydronephoris. The lefty kidney is normal. Dr. what is the meaning of decreased cortical echo texture and poor cortico-medullary differentiation?
Hello, Kidney has 2 distinct parts- 1. Cortex2. Medulla. These are well separated in a person who is normal. Amongst some patients who may have the onset of the renal disease, this differentiation is lost. If this ultrasound is suggestive of the said changes, I would recommend meeting a nephrologist as soon as possible for further evaluation and advice. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor, Planetologist
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hi I am angelia castro ihave had surgery on May 15th 2014 and every joint seems to hurt the drs are telling me to walk to strengthen my back muscles but I just don t have any energy or desire to do this I want to but then don t do it because my knees hurt so bad
Here I would like to know which surgery you have undergone?. Since the information is not available to let me tell you about your other issues. You have told you have pain in all joints as well in spine and there is a weakness too.These symptom shows you have calcium and vitamin D deficiency, or it can be related to rheumatoid arthritis also. I suggest to talk to your or tho and physio and then start taking medication after doing proper check on bone mineral density test along with blood test for calcium, vitamin D and rheumatoid factor. Here one more thing I suggest is all ladies should take calcium once they cross the age of 35-40 and since it's going to be life long it's better to have it from natural supplement brand to avoid any side effects. Now once you start with this along with protein powder for muscle strength I am sure you will be able to do physio also properly for further exercises and rehabilitation. Suppose if your rheumatoid report comes positive then take suggestion on medication with doctor but also consult a dietician for anti-inflammatory diet because this too helps a lot in pain relief. Also use hot and cold pack when ever it pains a lot but prepare your self mentally and keep doing exercises for rehabilitation. I am sure this will help you if you follow the suggestion properly. Take care.
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I have aches in my upper arm on both arms swollen wrists and fingers swollen with a bulge on the outside of each wrist fingers are stiff and sore. knuckles ache Worse in the morning I can not even lift my arms over my head in the morning. movement gets a bit better as day goes on but constant pain and ache and I am scared
Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have upper arm aches along with swollen wrists and fingers. Well there can be many reasons for symptoms you mention in query like sudden impacts, arthritis, rheumatoid arthritis, carpal tunnel syn Chat Doctor. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order CT scan, MRI along with physical examination, urine test. Doctor may recommend surgical removal or may prescribe antibiotics, allopurinol along with anti-inflammatory. Doctor may also recommend physical therapy. For now apply warm compresses and take ibuprofen or acetaminophen for pain. Do not lift heavy object with arm and give proper rest to your arm. Doctor may fix the abnormality by plaster, splint or bandage in case of fracture . Hope your concern has been resolved. Get Well Soon. Best Wishes,
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i HAVE A PEA SIZE LUMP UNDER MY ARM PIT BUT IN BETWEEN THE PIT AND THE BREAST. MY GRANDMOTHER HAD BREAST CANCER IN HER 30S SO I AM SCARED. IT FEELS HARD BUT MUSHES AND IT IS NOT PAINFUL UNLESS I TOUCH IT ALOT. I TRACKED THROUGH MY CYCLE BUT IT IS STILL THERE AND I AM GETTING READY TO START AGAIN SO IT HAS BEEN HERE A MONTH
Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be hi Chat Doctor. These lesions usually occur on the underarm, especially after shaving or plucking and/or usage of deodorants with strong chemical contents. Hair follicles get infected. Inflammation and subsequent abscess formation occur. Medical (proper antibiotic regimen) and surgical (excision or incision and
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Hello, I hope you can help me.I had an MRI which revealed I have a herniated disk at L5 causing nerve pain down my right leg. I had a nerve root injection at the end of August which was meant to relieve inflammation and allow my disk to heal. Unfortunately it only gave me a few days relief and the pain is back. I am due to have a lumbar steroid epidural in 1 months time but have just found out I am 5 weeks pregnant. I have not yet informed the chronic pain clinic through which I am being treated, I believe the injection I am booked in to have in 1 months time will be done under intensive imaging. My query is- is it safe for me to still go ahead with the injection (I need to inform the clinic) will they still perform the lumbar epidural (I will be 9 weeks pregnant when it is due to take place). Also, is it likely I will be able to go through to full term with pregnancy? Thank you in advance for any help you can give me.
Hi, thanks for writing to Chat Doctor. It is not recommended or advisable to get exposed to radiation (in any form) during the first trimester of pregnancy (during first 3 months). This is because "Organogenesis" (formation of body parts) occurs in the fetus during the first 3 months. If you are exposed to radiation during this period, there is likely possibility that the fetus may develop congenital abnormalities. There is no purity or guarantee that a lumbar epidural steroid will provide you relief throughout your term of pregnancy. Hope this information is helpful. Good day
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I fell through a roof today and hit my lower middle right side of my back on a beam. I felt very winded at first but this passed after a while. It hurts to laugh or cough a bit and turning to my right hurts. there is a large red area developing where I hit the beam and laying on my back seems to relieve the pain. I dont think ribs are broken but perhaps bruised? Deep deep breathing in can cause discomfort
Hi, You will have sustained bruising to your muscles and ribs in the area. You may break a rib, but this would be impossible to know unless you had an x-ray. I suggest paracetamol and ibuprofen for the pain. Rest if possible. Take some deep breaths every hour to ensure there is good ventilation of your lungs. Your pain should improve over the next few days. Even if you have broken a rib, the treatment would be the same. I hope you feel better soon. Chat Doctor.
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I had kidney stone removal and insertion of a stent 48 hours ago. I ve had minimal discomfort until tonight. After my shower I noticed blood when wiping and am experiencing severe pain in the stent area. I ve also begun to feel an almost constant need to urinate. I m wondering if a trip to the ER is called for or, if this is normal and I should contact my doctor during office hours.
Hello and welcome to Chat Doctor. As a Urologist, let me assure you, that the pain keeps decreasing each day. If the pain is very severe, you should go and get a painkiller injection in ER. Usually, after stent placement, an analgesic is prescribed for a few days. When the stent moves in bladder, one feels the urge to pass urine. Also, in some people, bleeding may occur with stent movement, especially, if the stone was large, and present for some time, before treatment. If you've any other doubt, you may contact me by name. Wish you well.
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Hi my son is nine and the last couple days he s said his butt itches,when I had him pull his pants so I could see what the problem was,like did he get any flea bites,his grandma has 4 cats.It s red and alittle welter from him itching so much.I put A&d ointment on it but it still itches.He s having problems sleeping.He said it doesn t hurt just itches.It s all on and around his anal region.What is it? I m keeping him home from school cause it s so uncomfortable for him and he can t itch his butt all the time in school.I ve also told him to try not to itch it with fingernails cause I know that had made it worse.
Dear parent, itching around the anal region and that too more in night disturbing his sleep might be because of worm infestation. Some worms particularly come out during night causing itching.It's better to deform the child and use an antihistamines like cetirizine for 1Β week. Please wash his undergarments in hot water for 2 weeks. Cut his nails too. All the family members should take a deforming tablet too and cut your nails.
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Dear Dr. I was sufferring from Viral Hepatitis A since June 2012. The level of Billirubin had gone up to 44 over one and half months. Then some complications in the protien levels shown as well as some haemolysis ( Haemoglobin went up to 7). Doctor did endoscopy to assertain any verices, it was absent. He told me it is acute hepatic failure. since October the levels start decreasing. In January, the readings were total Billiburin 1.25, Albumin 4.0, A/G= 0.8, SGOT 46, SGPT 89. Hg 12.2, In the Ferbuary end reading is Billirubin 1.6, Albumin 4.2, A/G 1.4, SGOT 63, SGPT 57, Hg 12.8. These two readings are from two different laboratories. My energy levels are quite fine (not exerting heavily though). Does the enlarged billirubin level is alarming? My email id is YYYY@YYYY . Kindly reply,
Dear pairajesh007,I am looking at the January and February lab results, and they do not look alarming. Even though the enzymes are still elevated slightly, they will continue to improve. Bilirubin level 1.25 -1.6 again is not very high. You might probably have a slightly higher indirect bilirubin than direct which indicates a slight hemolysis. But your Hemoglobin levels are O.K. Keep eating a good high protein diet, take a grouper B-Complex Vitamin along with 1000 mg. of Vital supplement. I am sure you will be back to normal soon. Hepatitis-A does not go into a chronic phase. I wish you well.
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Doctor I had problem regarding my foreskin . Generally my skin is over my penis & when I am not in stage of erection i was able to move it back but last month i got infection and cracks on it which later i treated with some soap and cream . right now i am unable to move my skin back and unable it to clean with water which i generally do while bathing. I am feeling little itchy inside it. I am practicing it to move back it is not so and feeling uncomfortable while sitting and relaxing
This is a condition of inflammation of foreskin, as per your explanation. Possible causes can be contact with any allergens, fungal or bacterial infection etc. It is very important to diagnose the problem exactly. Sometimes if you have this issue, using of soap and other creams can aggravate the issue. It is advisable you contact a dermatologist and get treated as soon as possible, and if it is due to any allergy (some people will even have latex allergy), avoid the contact with such allergens, and if this particular problem started after a sexual intercourse with a particular person, inform that person also to get treated. TC
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I have a fever of 101 and am experiencing intense achiness all over. It started the night before last with a headache and pain in my neck and I progressively got achy all over. I just cant do anything to feel better or make myself comfortable. What could this be and if you know when could over it?
Hello, Your symptoms are suggestive of most probably viral fever. Fever and body ache are the most common symptoms of viral fever. It will take a week for your body to develop to fight against this infection. Till then I would suggest you to take tablet paracetamol-3 times a day. Chat Doctor. Eat well. If your symptoms doesn't subside with this. I would suggest you to undergo blood examination. Hope you are happy with the answer. Thank you
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Hi My dad had the following symptoms chest pains, fatigue and tiredness and both his arms hurt. His Cholesterol and BP are normal but he is taking meds for them. He also has heartburn/gerd and is taking meds for that. and he is taking penicillin for a bacteria in his stomach. Can this be signs of a heartattack or is the combinations of all the meds irritating his heartburn?
Hi there! I totally understand your concern for your father and commend you for looking out for him. Usually, the signs and symptoms of a heart attack is a crushing chest pain (patients will often say that they feel like an elephant is sitting on their chest). If he has constant chest pain, a heart attack is possible, but less likely. I'm not sure what bacteria he has, but taking penicillin for a stomach infection is unusual. The only stomach infection that I am aware of that is treated by antibiotics is H. Pylori, and that is treated by a combination of antibiotics (and penicillin is not one of them). Antibiotics tend to alter the flora of our GI tract (There are natural bacteria that live in the GI tract, and taking antibiotics can also kill the good bacteria). I would ask the doctor who prescribed the antibiotic what exactly he is trying to treat (penicillin is a very unusual choice for GI infections, period). I would also get him an EKG, which would check for any abnormalities going on with his heart. Furthermore, I certainly do think that his medications could be playing a role. I'd recommend revisiting his medications and going over potential side effects with his doctor, especially the penicillin. I hope this helps. Feel free to contact me if you have any further questions. Thanks!
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When I yawn, my legs tingling nearly to pain or collapsing. I have this pinching feeling in my lower back also. I ve taken an MRI and have been told that they see nothing at all. I also have fibromyalgia But these pains are nothing like my usual pains. Please help
Hi I understand your concerns believe the best treatment for you would be pregabalin tablets as lyrics 150Β mg per day bid. Always take the medication at same times each day, one in morning and other in evening. I am sure this pain will feel much less after 1-2 weeks course. However, it is better to take this medication under your local doctors guidance. Also, daily exercise and healthy sleeping habits will help you in overcoming your problem hope this yellowish you all the great health ahead in life.
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My husband is a PD patient. Been on it for ten months. Had a cortisone shot in his knee last week. Has had complications with high blood sugar, diarrhea, dizzy and weakness. His dialysis is not working as well, lower UF. Have called his nurse, told to increase strength of dialysis fluids, helped at first but now back to low numbers with continued afore mentioned problems.
Hi and thanks for the query, I am afraid a patient with problems with dialysis malfunction needs to be treated with utmost care. Considering he is a PD patient, with a high blood sugar, certainly not well controlled blood glucose, this again increases the risk of aggravating the kidney disease and other metabolic conditions. A combination of these two pathologies non their own could be very detrimental. Cortisone, a steroid especially when given in a diabetic and patient with chronic kidney disease, the patient has to be carefully monitored. I strongly suggest you consult a nephrologist or book an appointment with a nephrologist and take your husband to the emergency room for reevaluation and initial management. Thanks and best regards, Bain LE, MD.