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ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have total alopecia areata. Is there any kind of natural herbs that I can take to heal my immune system? Should I see a nutritionist for help? I was diagnosed at 9 and had treatments throughout my elementary and jr high school. I went totally bald at 20 after I got married. I am now 51 and would like to see if it could be reversed at this time. Thanks for your opinion. | Hello Welcome to Chat Doctor As alopecia errata is an autoimmune condition, and it is a condition that causes a persons' hair to fall out.I'd advise you should see a dermatologist and follow what treatment he recommends, meanwhile you can try:1. Rosemary, which is a useful hair tonic and conditioner2. Green tea (Amelia kinesis), 2 cups per day, and saw palmetto (Serena repent), 100 mg twice a day3. Good home remedy for alopecia using Onion: Round patches of baldness appear on the scalp when hair fall off in bunches. Onion juice should be rubbed into such bald patches regularly for some time. It will help the hair to grow again. I guess this should suffice, if you have any more questions, you can write back to me, or you can close the discussion and rate me. |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, I am a 27+ old male. I have been hbsag, Hbeag +ve since past 5 years. I have been monitoring the blood samples for every 6 months. But there has been no changes. My last viral load was 15000 IU. Now I have been suffering with cough and cold since past 2 weeks continously. this morning i was splitting the flum out. I got bloob in it. Please let me know if this is a serious pro-state of HBEAG and i need to be hospitalized immidiately? | Hi.thanks for posting query at Chat Doctor.Bag can not be completely eradicated in a patient suffering from Herb.however, complications maybe prevented if proper medication is taken and proper diet plan is followed. Treatment is advised IF high values of liver enzymes AND high viral Load on a PCR. If HBV DNA count in PCR are not high, Liver enzymes should be monitored regularly while Herb markers maybe checked every 6 to 12 months. Hope to answer your concern. Wish you good n sound health. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have eye pain in left side eye, minor or weird feel in the left side or have mild pressure on side of the eye. It is nearly there for the past four days. It is very awkward. Please help. Is it a sign of concern or anything else? | Hi, Welcome to Chat Doctor forum. There are different causes of mild pain in the eye. It may be due to some foreign body or decrease to increased intraocular pressure in the eye. Some times people with sinusitis feel heaviness in the back of the eye. As your vision is same there is no emergency but if the pain is persistent or worsening you should consult an eye specialist for a complete eye exam to diagnose the exact cause of pain. |
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ηζθΏ°εηι«εΈει‘γ | Hi I have a BP at 140/100 and after medication for 2 weeks it has now reduced to 120/80 ithe BP has been high for the last one year.now does that mean im supposed to be on medication daily and is there a way the BP can normalise because I dont want to use drugs daily. thankyou | Hello and thank you for using Chat Doctor. I carefully read your question and I understand your concern. I must tell you that hypertension is a chronic disease. This means that it should be treated always. In our daily practice, when we want to treat hypertension we begin with lifestyle modifications. A person with hypertension should avoid salt, alcohol, caffeine products because they all rise blood pressure. It is advisable a low fat diet and a little exercise training, just walking for 30-40 minutes. This for the beginning than we pass to medical treatment. If you have now normal blood pressure values it is because of your treatment. This does not mean that you should stop the medication because if you do sow, pressure values will rise again and might become problematic. So, it is a very good think that you have stabilized values now, you should continue this way. My opinion as cardiologist is that you should continue your treatment always and make occasionally check ups to monitor the dosage of your medication during time. The Chat Doctor. Hope I was helpful. Wish you good health. Best regards. |
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ηζθΏ°εηι«εΈει‘γ | Hi i pricked my thumb with a needle after using the needle on my little cousin it was a hormone injectionim just woundering will it harm me only a little blood came out i put it under water straight away then used an anti wipe on it just to make sure | Hello, if your cousin suffers from infectious hepatitis or HIV then there is a risk of contracting them. If your cousin is otherwise healthy, you don't have to fear too much. You did well to clean the area well. That was all you could do. And local infection is not likely to occur unless your hand was dirty or contaminated. You can contact me, if you'd like further information or clarifications. Kind Regards! |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I had sex on the 4th day of periods and took i-pill after 69th hour. Is there any chance to get pregnant? | Hello. There are no chances of pregnancy as you had sex on the 4th day of your cycle and you were in your safe period when ovulation would not have taken place and hence no chances of conception or fertilization. Moreover you have taken an i-pill as well within 72 hours so it is like double protection. You may experience some spotting and bleeding as with ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | I am 37 years old, female , and have had a dull ache in the upper left side of my back for about 5 days. At times it makes me feel slightly nausea . I have had blood work and an EKG in the last month due to a fainting episode and they botChatDoctore back fine. I am not sure if I should head back to my doctor or wait it out a few more days. | Hi, Thanks for posting your query. Do you have difficulty in breathing/ cough/ chest pain? Do you have pain aggravation after eating meals? Do you have acidic belching/ abdominal heaviness? You pain location suggest some kind of chest pathology while association with vomiting suggests gastric problem. You should consult with internal medicine specialist and should go for thorough check up. You should go for chest x-ray, endoscopy, serum amylase along with liver function test. You should take proton pump inhibitors along with prokinetics for improvement of symptoms. Take care, |
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ηζθΏ°εηι«εΈει‘γ | Hi, may I answer your health queries right now ? Please type your query here...dear sir, i am 6 weeks pregnant with occassional green discharge streaked with blood which i belive is from my cervical erosion. the problem is i lost my last baby at 20 weeks due to chorioamnionits with strep b, staphaureus, ecoli colonisation on the high vaginal swab and on the placenta post mortem. I continue to be a strep b carrier and am terrified that this green cervicla erosion discharge is the perfect medium for a repeat episode of chrioamnionitis. my obsterician says statistically i am no more at risk than the next woman despite my history and that he will treat the strep b at 14 weeks although it will probably recolinise itself within weeks of treatment. Is there any thing more that can be done? I wish i had , had the erosion cauterised prior to pregnancy although it didnt affect my first pregnancy at all and i have a healthy 3.5 year old daughter. any advise would be greatly appreciated, | Hello, I have gone through your query and understood your concern. It is very unfortunate to have lost the pregnancy. Your obstetrician is the better judge in this matter though I would suggest a vaginal and cervical swab along with urinalysis to detect the cause of this discharge. Vaginal applications may be used with caution if needed though oral treatment is not prescribed for fungal or Trichomoniases infections at this stage of pregnancy. Your past infection need not necessarily recur. Yet, you should be watchful. Please maintain proper genital hygiene and avoid intercourse. Chat Doctor. Hope this helps. |
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ηζθΏ°εηι«εΈει‘γ | I have increased urination regularly. Ive been getting nauseous and throwing up randomly for a few weeks now. And today i got heat flash and i was dizzy but also cold and clammy all while having diarrhea, lower stomach pain and throwing up. Lasted maybe twenty minutes. I took a pregnancy test and it came up negative so im not pregnant. | Hi.Thanks for your query. Read and understood your concerns. Noted your history which is suggestive of mixed infection of the urinary tract as well as intestinal tract. Most of the medicines are equally effective in both the infections like oflaxacin or definite. Consult your Doctor for clinical evaluation, examination and undertaking tests of urine, stool and ultrasonography of the abdomen to start with. Special investigation will be needed only if the initial medical management fails. |
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ηζθΏ°εηι«εΈει‘γ | my dad is an 82 year old, asian male, w/ history of cardiomyopathy, hypertention and borderline diabetes. He has ICD implanted on October 2006.He was seen recently for his complaint of bilateral edema and pain on his feet. Though the swelling does not occur at the same time. He s been experiencing the pain and swelling since August of 2010. The swelling and pain is alternating on each feet. He shows elevation on his uric acid level and responds on Naproxen. Due to his other medical condition, the provider has concern on putting him on Naproxen for a long period of time. His most recent lab results performed on 12/21/10 shows the following: Glucose: 114, Bun : 30, Creatinine 2.0, eGFR- other : 34, eGFR African American : 41, Calcium : 9.4, Total Protein : 8.6, Albumin : 3.7, Bilirubin, Total : 0.7 Alakaline Phosphatase : 121, AST : 23, ALT : 42, Sodium : 140, Potassium : 3.9, Chloride : 104, CO2: 28, Cholesterol : 137, Triglyceride : 214, HDL : 34, LDL (Calculated) :60, Cholesterol: HDL Ratio: 4.0, LDL:HdL Ratio: 1.76, VLDL (Calculate) 43, Abs. Monocyte: 0.6, Abs. Eosinophil : 0.2, Abs. Basophil : 0.0, PSA, Free: 0.29, PSA Total : 0.63, PSA, Free% Calc : 46, Free T4 : 1.56, TSH : 1.27, WBC Count: 7.4, RBC Count : 4.59, Hemoglobin : 14.2, Hematocrit : 41.5, MCV : 90, MCH : 90, MCHC : 34.2, RDW: 13.2, Platelet Count: 210, Diff Type : automated, Neutrophil: 60, Lymphocytes: 28, Monocyte: 9, Eosinophil: 3, Basophil: 0, aba. Neutrophil : 4.4, Aba. Lymphocite: 2.1. An X-ray of his bilateral ankle taken on 12/21/10 shows moderate degenerative change. Three views of each ankle were obtained for a total of six views. Bony mineralization is normal. No fracture or acute osseous abnormality is evident. The joint spaces are well maintained with minor osteophyte formation. He is presently scheduled for his ICD battery replacement on February 4, 2011. Today, I ll take him for the following lab works: Renal Panel, 24-hr Urine Protein and Creatine and Hba1c. The patient is currently taking the following medication: Micardis 40mg once a day, Coreg 6.25 Twice a day, Furosemide 80mg Twice a day, Theragran-M once a day, Zocor 40mg once daily, Singulair 10mg once daily. I am his daughter and I am the one responsible for his health care. Thank you very much for your time. I need your guidance. I have concern about his stability prior to his scheduled procedure. I know that it is a n out-patient procedure. However, I cannot afford to overlook any other possible medical condition. I look forward to your reply. | Hi, Swelling in the foot in a patient with cardiomyopathy and low heart function is generally because of fluid overload which gets accumulated in the dependent part of the body. I can see that she has an abnormal and deranged kidney test (creatinine). She might be having low urine output causing deranged kidney tests and swelling in the foot. You should increase the dose of Furosemide in her. She can 80Β mg thrice a day is urine output is low. She also needs to restrict the total fluid intake to around 1 liter/day. Get her ICD battery replaced as planned as it is important for her to prevent sudden cardiac arrest. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my mom s blood pressure over the last hour has been very low, mostly the bottom number. the last reading was 145 over 64 but was as low as 51 on the bottom number. her question is should she take her blood pressure medicine as normal. She s kinda worried it may make it drop in the night too low. | Hi Welcome to Chat Doctor. I understand your query and concern. Yes she certainly needs to continue her blood pressure medications. Low number of the denominator need not be worry at the moment. All she need is good HY Chat Doctor. Reduction of daily salt intake to less than 6 gm/day will help. Monitor the blood pressure daily over 2 weeks to adjust adequate dosage. I advise you to have a baseline 2D echo and ECG on semi-annual basis for better cardiac assessment. Consult an expert cardiologist for further help. Post your further queries if any. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Im a 42 year old Male, I recently was diagnoised with a UTI, after a 2 weeks of antibiotics, i still have a buring sensation in my penis and it continues to throb all day. I went back to the Doctor and they said it could possibly be a prostate infection, and gave me 4 extra days of antibiotics, i seemed to be getting better but now after two weeks the burning is back | Hi, It seems that you might be having some chronic infection in your urinary tract or prostate. As antibiotic has poor action there might be having bacteria resistant to this medicine. Go for urine check up and culture sensitivity test. This will give specific bacteria causing this infection and specific antibiotic medicine working against these bacteria. After report go for antibiotic medicine course for long time to get permanent cure. Take plenty of water to flush out infection. Ok and take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi. First of all sorry if my english is not so good, for i am portuguese. My problem is this i have bradycardia and i am not fit, it was detected in an ekg, however my doctor says everything is fine with me. Sometimes i feel dizzy, my head hurts in one side, i nauseated and i get pale. And i also have anxiety, in matter of fact, sometimes i get the feeling i am about to lose consciousness or about to die. Please help me. I have done a lot of tests but my doctor always say i am fine. | Hi, For some people bradycardia is normal, as their heart rate is always slow, and their organism used to work under that heart rate. If you have bradycardia always it means it is your normal heart rate. If your heart rate slows down only when you feel dizzy, then your symptoms are associated with bradycardia. You should check your heart rate when you feel well and during your symptoms. If the difference is not much, most probably your symptoms are related to anxiety or panic attacks. If the difference is big, then your symptoms are caused by bradycardia. Hope I could help nourishing you good health In case of further questions don't hesitate to ask |
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ηζθΏ°εηι«εΈει‘γ | Hi I am unable to make it to the hospital today and i am so nervous about this that I need at least some type of an answer now. I noticed today while in the shower that I have a hard lump on the inside of my buttcheek. Its not painful, however, when you touch it, it becomes sensitive. I am sexually active and I am so hoping that it is not genitial herpes. I was looking online and I saw something about when you have a change in bowel movements your blood vessels can pop or something like that. I have been constipated for the past couple of days... | Welcome to Chat Doctor. 1. The history and anatomical location suggest the possible cause could be hair follicular infection with collection within, next possibility is sebaceous collection due to ductal blockage.2. Other possible cause since you have mentioned the constipation - if it's arising from the anus / anal region the possibilities of hemorrhoids can be thought of.3. In any way I would recommend to not squeeze or scratch the area as it will complicate, maintain local hygiene, clean area with antiseptic liquid and soft clothing which do no cause any rubbing effect on the lump.4.However it needs to be examined - if infective nature needs a course of antibiotics, in sebaceous nature needs monitoring, hemorrhoids needs finer diet, more of water will help (avoid junk and spice, fat foods).5.SO I would suggest get an appointment and get examined and treated accordingly. Good luck. Hope I have answered your query,anything to ask do not hesitate to ask.http://doctor.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello my 5 year old grand daughter has a rash on her face near her mouth and on her lips that smells foul. She also has a rash above her vagina. She had what seemed like a cold from wednesday that lasted till saturday. Taken her to a doctor tomorrow is there anything I can do now to help the itch? | Hi, I am Chat Doctor. If otherwise baby is active, accepting feed., passing urine you need not worry much. You can give antihistamine medicine like cetirizine for itching, and locally calamine lotion can be applied for symptomatic relief. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Take care |
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ηζθΏ°εηι«εΈει‘γ | our son has fecal matter coming out of belly button. We have had a water leak in our house & Ins co just ruined everything & toxic molds came to black mold, penicillum aspirigillus, stachyboctrus, etc chaetomium & he has had sooo much stress from this, we have all been in terrible living conditions in h different hotels he is in one & we are in another & in transition for housing & need to get our dog. Every day has been a struggle to daily laundry & every second. He has juvenile Diabetes, but takes very good care of it, although under these circumstances, is really under severe attack. Please inform us. thank you shouldn t he go to e.r.??? | Hi I did understand your concern. Fecal matter coming from belly button is due to nickels fistula that represents a congenital anomaly that attaches intestine to belly button. You can consult any pediatric surgeon and an elective operation can be done in some time. Meanwhile please keep the area clean around his belly button, so he has no infection. I hope this helps. Let me know if you have any more questions or concerns. Wish you healthy and happy life ahead. |
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ηζθΏ°εηι«εΈει‘γ | I have a son that is 27 years old and has social anxiety and depression. He is on the bridge assistance program so he can see a doctor, but cant pay for his meds because he is unable to work. How can I get the meds he needs? I cant afford to pay for them. | Degree understand your concerns went through your details. I suggest you not to worry much. First you must investigate the case to fully confirm that your son is having social anxiety and depression. For that you need to consult a clinical psychologist, who will run some tests to determine. Proper diagnosis is required to start proper treatment. According to the depth and breadth of the case, clinical psychology has so many psychotherapeutic techniques as curative. These methods are totally safe and have a good research background. A trained clinical psychologist should be able to administer these methods. Therefore, please consult a clinical psychologist. Please be limited to the symptoms when you talk to him. Never exaggerate. Find more at www.psychocure.webs.comHope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | hello doc., i am 25 yrs f., and i m married 6 months, after marriage my periods are irregular and i ve consulted about this and found that there is a pcos, and using metformin for the past 1 month, and this month also my periods is getting late and my doctor advised me to take registron, after a home pregnancy test, today i ve taken the HPT and the result was negative. and i ve taken the registron tablet this morning, i am trying to get pregnant, can you suggest me to get pregnant soon apart from the other issues. | Hello dairy understand your concerns cause hormonal imbalance, an ovulation that cause infertility. First you have to regularize the period by usingProgesterone pill like progesterone or crimson 35Metformin and camphene citrate can be used to induce the ovulation. You can also add FSH analogue to increase the fertility have to use treatment for at least 6 months to increase the chance of the pregnancy. Reduce 10-12 % weight if you are obese. Chat Doctor. Avoid excessive sweet and take small frequent meal rather than large meal. Hope this may help noncontact Chat Doctor for further health query Best regards |
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ηζθΏ°εηι«εΈει‘γ | I am 33 years old man. I have non alcoholic fatty liver. My ALT increased 72 to 225. All reports are normal lipid profile is normal hepatitis is negative but alt increased day by day. What treatment should be applied to control ALT permanently. Can fatty liver become normal again and reverse? My liver is a mild enlarged in size. What is the best treatment for fatty liver to control ALT permanently. Plz tell me in detail. I will be thankful to you. | Hi I can understand your concern... You have fatty liver.... With proper lifestyle habits yes fatty liver can be reverted .....it takes 6 to 8 months to revert fully.... Following are some good advise regarding your case.Lose weight if overweight. Cutt off oil in cooking. Tranfat foods avoided like cheese, burger, pizza, meat, baked pastries etc.... Refined food avoided. Fruits more. Sunflower, canola like good oil is to be used. Avoid alcohol....Instead of refined sugar honey can be used. Regular exercise done .... In lunch and inner include salad made of carrot, tomato and green leafy vegUdiliv tablet can be taken .... Hope your concern solved... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello. I have a lump in my left armpit. It doesnt hurt. I was told, by a dr who didnt really look, that it was probably just a swollen lymph node because at the time I had a double ear infection and it would go away; however, that infection was almost a year ago, the lump has actually gotten slightly bigger. I do have a family history of breast cancer. I wanted to know if this is something I should be concerned about. I know its not the most common place to find breast cancer, but it still is a little unsettling. | Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* The long-standing maxilla lymph node must be evaluated for the cause as - chronic inflammation - tuberculosis - secondary involvement from malignancy at other site - others.* Must get excision biopsy of the same to cure and diagnose pathology. Hope this clears your doubt . Wishing you fine recovery. Welcome for any further assistance. Regards take care. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I had been taking Trazodone 400 mg and Luvox for depression. My doctor prescribed Prednisone 10 mg two tablets daily for 10 days for a cough. However, since taking Prednisone, my insomnia had worsened dramatically. I stopped taking Prednisone after 10 days, but my insomnia had not improved. Is insomnia a permanent side effect of Prednisone? | Hello. It is a well-known fact that Prednisone causes insomnia, but it is not permanent. It may take a few days to return to a normal sleep pattern as the sleep cycle is disturbed. Try to follow good sleep hygiene. If still unable to sleep after a few days then sleep promoting natural medicine like Melatonin can be tried or any other medication to restore your sleep pattern can be used after discussing it with your psychiatrist. Insomnia is not a permanent side effect of Prednisone. I hope your concern is answered. |
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ηζθΏ°εηι«εΈει‘γ | My husband has been prescribed with zeptol cr 200 twice a day by a psychiatrist an year back which he is consuming daily. Can you tell me , what can be the disease like.. sometimes he says he has extreme stress, sometimes says he has fragile ego, sometimes says he has personality B type .. i never get to confirm exactly what problem does he have. Since 3 months he has also left home behaving extremly aggressive most of the time.I want to know .. what could be the probable purpose of his treatment. | Hi and thanks for questions. Zeptol is mainly a mood stabilizer with antiepileptic. Your husband have any mood symptoms like aggression, high talk, talkativeness, excessive expenditure, or cluster b symptoms in which feeling loneliness, black and white phenomenon, small aggressive episode, in all these symptoms we prescribed septal. In starting due to Chat Doctor. If it persists for long time than consult a psychiatrist.thanks |
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ηζθΏ°εηι«εΈει‘γ | I am in generalized pain especially on exertion pain in upper limbs pain radiating down one leg from lower back area rtf side becoming worse at night also back ache I had disc surgery 4 months ago c5c6 replaced and pain since in upper limbs and rtf side of back Mir shows c4 narrow but surgeon doesnt want to operate says he think having muscle spasms any ideas what could be problem I m having difficulty sleeping with pain | You have not mentioned your age which is very important in case of back pain. But as history suggests you are an active working women I will advise you to take painkiller like kilos or biozobid-plus 8-12 hourly for your back pain only when it is worse enough or disturbing your daily work. Apart from this you can take some calcium supplement like tab shall once daily preferably in afternoon. You can do some physiotherapy exercises after an expert opinion of physiotherapist. I will also advise you to sleep on plain surface for some time as it is very helpful in case of back pain. Thank You |
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ηζθΏ°εηι«εΈει‘γ | I have I have an 18 year old son that suffered a traumatic Brian injury when he was 23 months old. He suffers from ADHD symptoms as well as being unable to control his impulsivity and emotions he also has problems with his executive function and has a cognitive disorder. All this means he is hyper active and can t contol his impulses or his emotions. Traditional medications do not help much. Would medical marijuana use help him ? | Dear, We understand your concerns went through your details. It is proven that in medicinal doses marijuana can be used to help cognitive disorder. Your psychiatrist or neurologist will be able to give you the perfect guideline. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute detail possible. Hope this answers your query. Further clarifications are welcome. Good luck. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Good evening I have question. Regarding 42 y/o female previously healthy presented with history of chest pain pin prick in nature mainly with deep breathing she gave history of URTI 4 days back for which she received klaccid and ibuprofen on examination she was tachycardic pulse 127/ min regular afebrile chest clear and heart s1s2 normal no murmur ECG sinus tachycardia WBC 4.9 kidney profile normal troponin was slightly elevated 0.4 then repeated 0.33 after one day troponin repeated and still high 0.33 D-dimer was 173 so what would explain her persistently high troponin level??? Although pul.embolism renal failure septicemia all are excluded | Hello, pericarditis is another potential cause of troponin elevation. It can be diagnosed with an ultrasound scan of the heart (echo). The ECG may have signs of pericarditis, but they may be lacking sometimes. The pain with deep breaths also fits with pericarditis. Check with your cardiologist if you've done an echo already. You can contact me again, if you'd like any clarification or further information. Kind Regards! |
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ηζθΏ°εηι«εΈει‘γ | hello sir .. my sister age 23 married suffering from lower back pain . i have taken the X-ray from the hospital and the Impression is shown in that is Loss of normal curvature of the spine - mostly due to para-spinal muscle spasm .... Sir plz tell me is it so serious and what treatment should be given to this disease...? | Hi. Welcome to Chat Doctor According to your X-ray report it looks like the right diagnosis, as age is 23 years only. In this age loss of normal curvature is not decorative process, so don't worry. Due to heavy exercise or weight lifting para spinal muscles get hurt and spasm. Just take muscle relaxant tablets like MySpace or consult your physician and take rest. If she has chronic pain for long duration then we can think for investigation like MRI spine. Thanking you. |
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ηζθΏ°εηι«εΈει‘γ | Ihave a lump over my left rib (lower) and stomach tenderness. It seems to be aggravated when i eat, and have more pain after. I have noticed reduced lump size over the last couple of days, but every day a new symptom develops. Today, sharp back pain, with bruising tenderness along side my lower spine(parallel to the spine). | Hi, Dear,thanks for query to Chat Doctor, from you for your lump on left rib with stomach tenderness, with variation in size for last few days, with new symptoms. Now you have back pain with tender and bruising of the spine.1-I studied your query in depth.2-In my opinion, this left rib bump with stomach tenderness around, appears to be -Cold abscess-with TB spine, because you have changing new symptoms every day and now with spine tenderness and bruising .3-I would advise X-ray spine, CBC, ESR, and Chester to confirm if any evidence of active or old TB of lung or of the TB-spine.4-You need to take it up seriously and take second opinion of ER-specialist of or tho, Surgeon doctor and take the needful treatment according to the advice of your doctor.5-Hope you got the answer you needed.6-Wellcome for more query to Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,My mother is 45 years old. She got a hole in teeth and she is complaining of a toothache for three days and from yesterday, she developed swelling on the right half of the face. Is this any sort of emergency? | Hello, Welcome to Chat Doctor forum. After going through your query and image sent by you (attachment removed to protect patient identity), this seems to be a case of severe infection inside the right tooth. Tooth decay has resulted in infection in the innermost part of the tooth called pulp that contains nerves and blood vessels. Deep dental caries. Intraoral periapical radiograph (X- ray). Acute periapical abscess or buccal space infection. Acute exacerbation of chronic periapical abscess. 1. Treatment can be planned after analyzing the X-ray.2. To reduce pain and swelling, antibiotics and anti-inflammatory ChatDoctor. 3. If infection beneath the root is not in excess, then root canal treatment can be done.4. In case of excessive pus and infection, pus |
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ηζθΏ°εηι«εΈει‘γ | I have coughed up blood twice in the last month. Swollen right eye that goes into my cheek and sometimes my top lip. Then the next day it will b just my bottom lip. Now today it was my tongue and throat. This swelling happens in a matter of minutes. Right ear is also hurting today. And my lower jaw is aching. Chest is tight and my body feels like it is moving up and down when I am sitting still. Please help because my doctor isn t very helpful.... | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are mostly having angioedema and allergic bronchitis. Your symptoms like sudden onset swelling of eyes, lips, tongue, throat etc. is characteristic of angioedema. It is acute allergic reaction. Blood in coughing suggest hemoptysis. And it is seen in allergic bronchitis, lung infection etc. So possibility of allergic disease is more in your case. But better to get done chest x-ray to rule out lung infection. You need antihistamine and anti-allergic Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am 50 years old, female & have external hemorrhoids. I have been using Faktu ointment the past weeks & has expereinced a burning sensation in the anal area for about 5 hours after defecation. Is there Any natural medication fror hemorrhoids? Should I stop using Faktu? | Hi there. Thanks for writing in. A good diet the best treatment for hemorrhoids. A diet rich in high-fiber foods and low in processed foods is essential. Increasing fluid intake to six to eight 250ml glasses a day also is important. Warm site baths are also helpful: Sit in about three inches of warm water for 15 minutes, several times a day, especially after a bowel movement. This helps reduce the swelling in the area and relaxes spasm of the sphincter muscle. Include a lot of bananas, fruits, salads, green leafy vegetables. Raisins soaked in water will also help in good bowel movements. The main aim is to prevent constipation, which is the main culprit for worsening of hemorrhoids. Hope my answer was helpful to you. |
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ηζθΏ°εηι«εΈει‘γ | Hello, I have a son 2 years old with periventricular leukomalacia . Among others affected his vision . He has taken stramonium 12 ch for one month now and he will continue for another one. It seems that his perception is doing better but his limps and eyes seem to be detuned. So can I give him cicuta virosa together with stramonium? | PVL is sequel of hypoxic/ischemic insult to brain during birth and I disagree with the improvement you had noticed after using strontium - the process of delayed myelinization in your child seems non-progressive and has tendency to improve in course of time, by itself, little by little although not totally. Moreover, data is relatively a poisonous substance and I had seen in India doctors prescribe in higher doses to patients which we neurologists strongly disagree. A regular physiotherapy witChatDoctorbined occupational therapy program is all that is needed and don't ever go for non-scientific ways of treatment which are not yet proved to be beneficial. |
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ηζθΏ°εηι«εΈει‘γ | Hi. I am 59 years old and overweight. I have been a choker for 20 years. most time on spit. Always daytime. I dont panic, but lately the breathing is harder to get again. I drink a lot but not straight water. Not soda either, tea, ice tea. any ideas | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, we should rule out obstructive sleep apnea (OSA) and bronchitis in your case. You are overweight and having choking history. So OSA is likely. Breathing difficulty is commonly seen with bronchitis. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test) for bronchitis 3. Sleep study for OSA. You may need inhaled bronchodilator and inhaled corticosteroids for bronchitis. For OSA, you will have to lose weight and start CPAP (continuous positive Airway Pressure) machine at night in sleep. Don't worry, you will be alright. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Hi ! I am a 40 year old lady with a history of lymphedemea {sp?) and cellulitis in my feet and legs, I have rexcntly been treated at a local vein and vascular clinic. They have been wrapping my legs in compressions until I can get compression stockings, On my right leg I am having pain with burning and stinging sensations. The area this is occurring in has been red and dark colored for sometime, I was wondering what is causing the pain and burning sensations | Hi, I value your concern regarding the symptoms. I have gone through your symptoms, and in my opinion swelling causes pressure on nerves leading to pain and numbness. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing you good health. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. |
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ηζθΏ°εηι«εΈει‘γ | ive had a yeast infection for 12 days. i tryd monistat 1 and cause major pain and didnt work. then i went to the gyn and she gave me Fluconazole which seems to not be really working. This is my 1st infection and the only thing ive been doing different is im on a high protein diet and i take oxyelite pro. could this be the cause of the infection? Also i am expected to start my monthly cycle next week could that be a reason for it taking too long to clear? | Hiwelcome to ChatDoctori can understand your concernTreatment for candidiasis be managed with either topical antifungal agents or a single dose of oral fluconazole. A single dose of oral fluconazole (150 mg) in acute episodes of Vaginal candidiasis. In chronic patients, the recommended regimen includes fluconazole 150 mg every other day for 3 doses, followed by weekly fluconazole 150-200 mg for 6 months. If you are taking fluconazole for 12 days, just wait and watch.Don't worry. Your high protein diet nothing to do with yeast infection. Your periodic cycles and yest infection are not related to each other take care thank you |
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ηζθΏ°εηι«εΈει‘γ | i undergone pneumonia treatment in hospital for 3 days by taking antibiotics (IV). After discharge i am getting more back pain and chest tighten pain. If I use hifenac-mr it is giving immediate relief, can i continue it, if so please give dosage. i am 36 old and female | Dear patient It seems you have got back stiffness due to rest. Since you were under treatment for pneumonia in hospital you must be on rest which might lead to muscle stiffness and pain. You need physiotherapy with back extension and back strengthening exercises and do hot water fomentation for your back. If you are feeling better with higher Mr you can continue it. Dosage is twice a day for 5 days. All the best |
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ηζθΏ°εηι«εΈει‘γ | I ve been experiencing bouts of severe abdominal pain over the past 7 months and admitted to the hospital four times. I ve been given different diagnoses of diverticulitis , irritable bowel , typhlitis and colities. The pain initially presented on my right side and also intermittently included back pain. The stomach pain on a scale of 1-10 is usually 7-8. I ve had an ultrasound, a abdominal CT scan with and without contrast, an EGD, a HIDA scan and most recently a colonoscopy and I m scheduled for a CT scan with and without contrast with a pancreatic window. My History: 49 year old African American female, 5 2 , 220lbs (lost 30 pounds in the last 6 months). I currently take cardizem cd 120mg, losartan 50mg, ferrous sulfate 325 twice a day, protonix 40mg, singulair at night and just finished 500mg of levoquin after my last hospital stay July 21-23. I had H Pylori back in 1989, had my gall bladder removed in 2006, had ovarian masses/tumors removed in 2008 along with a complete historectomy. I also have a mass and cysts on my right kidney (which I was informed was perfectly harmless--been there since 2008). My last 2 hospital stays were because of hypertension, heart palpitations, tightness in my chest, headaches, sweats, pains in the left arm, lightheaded/dizziness. Tests showed a normal EKG, but some tachycardia. The EGD showed a hiatal hernia and a growth that was sent out for a biopsy. Lab reports showed among other things, anemia. The ct scan showed typhlitis , whatever that is. The colonoscopy showed stenotic ileocecal valve. The doctors have come to a concensus...they don t know what it is. Here are the majority of the pieces of the puzzle, any light you can shed would be greatly appreciated. | Hi MEANS, Welcome to Chat Doctor ! Your problem is really very complex. So many possible causes are there. Two of your medicines need to be switched, Singular needs to be stopped you can take other inhalations anti-asthmatic which are equally effective, You are taking excessive doses of iron- I would suggest 100Β mg thrice a day after meals, which is most tolerated dose. You might have post-surgical bands which result in intermittent obstruction and pain, that is more so a case if you are totally well in between the episodes. Another prominent possibilities is tuberculosis of abdomen. If your problem does not get resolved soon please review with your gastro-surgeon, and possibly you would need an exploratory laparotomy for a diagnosis and intraoperative intervention if possible. You need a physical examination by your physician and get baseline investigations like Chest X-Ray, Electrocardiogram, Complete Blood Counts, Renal Function Test, Liver Function Test, Fasting and Postprandial Blood Sugar, Thyroid Profile, Lipid Profile, Ultrasound Abdomen, Urine Compete Examination. This work up is expected to detect the underlying problem, so a definite treatment could be started. I hope this advice would be helpful for you. Still if you have any queries or doubts, please write me back, I would be happy to solve them. Wish you a great health! |
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ηζθΏ°εηι«εΈει‘γ | I had a tooth pulled 6 days ago. 3 days ago my ear started hurting and it hurts really bad where the tooth was pulled. The hole has a patch on each side that looks white, almost like a blister down in hole, and up to the top of hole, to the gum line. Any ideas wha this is? | Thanks for your query, I have gone through your query, nothing to worry the pain in the ear region could be because of the strain on the jaw joint that usually occurs when you open your mouth for long time during removal of the tooth...the blister kind of thing what you are observing could be the clot in the healing socket...do warm saline gargling and maintain oral hygiene.this will heal in another 5 days.take analgesics for pain.take soft diet and don't open your mouth too wide....I hope my answer will help you take care, ... |
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ηζθΏ°εηι«εΈει‘γ | Hi I have noticed a sizeable but painless lump on my right calf muscle, I have been suffering a lot with restless legs lately and put it down to my recent pregnancy but now I have noticed this lump and I feel generally tired and just not myself? Any ideas what this could be? I am 29, 5 7 and 12 and a half stone, I smoke and have used the contraceptive pill since I was 15. | Hi, dear You have lump on calf muscle. It can be ganglion cyst or some soft tissue tumor. You should go for ultrasound study to know exact location and origin of lump. If needed go for fine needle aspiration cytology or biopsy of that lump. It will give you exact diagnosis. Then you should take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi, My girlfriend and i were making out and getting reaally hot and then we reached a point where we wanted to feel our genitals rub against eachother. So i first i wiped the precum off my dick and started to rub it on her vagina (no penetration was done) my dick in no way went inside, we only did it for about 30 seconds when i felt my dick slide on the slippery part (sorry not sure what its called but that part of her vagina is always wet, i immediately took it away from her vagina. question is, could it be possible that even after i wiped the precum, more precum developed during the act? and could she get pregnant from this? please answer ASAP. kindaa Freakin out. | Dear user, welcome to Chat Doctor. Occurrence of pregnancy depends on many factors, most important of which is if there was ovulation at that time or not. Anyway it is possible to happen so if you do not want this to happen your girlfriend should use the emergency contraceptive pills as soon as possible. Its effect decreases as time passes by. The sure sign that pregnancy did not happen is when menstruation occurs or when a pregnancy test is negative at the time of menstruation. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | i am a 21 year old girl....i seem to be tired a lot and moody. i feel quick to get irritated especially by people i am close to. in fact anger/ sadness are the only emotions i show. it gets really bad the week before and the week of my period. maybe this is normal but i just want to feel happy and have more energy to enjoy life. help! | Hi, You seem to be manifesting symptoms of depression. Feeling low, sad and irritable, getting tired easily are all symptoms of underlying depressive episode. Worsening of symptoms before and during menstruation occurs commonly in depression and can be associated with premenstrual tension. I would suggest that you should consult a psychiatrist for initiating treatment. Medications like Escitalopram or sertraline would be highly beneficial for you. In addition, you should start exercising daily. It will help you feel better and relax. I do hope that I was able to answer your query. Wish you all the best. |
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ηζθΏ°εηι«εΈει‘γ | my wife took the birth contole tri-spentec for almost a year and stoped taking it nearly 3 months ago and we have been trying to concieve for 2 months now our first child concieved on the first try is this a sign of infertility or is it normal after coming off berth controle | Hi, Thanks for writing to Chat Doctor. After stopping of birth control pills it takes average 6 months for body to adjust and become normal. Some may take more and some less. Because whole one year body is getting signal not to become pregnant.It's not a sign of infertility. I suggest you to try for 6 months if didn't conceive then consult sync. If your wife cycles are not regular then you may consult doctor now itself. But even cycles take time to become regular. Hope I have been helpful. Regards |
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ηζθΏ°εηι«εΈει‘γ | Hi, my name is Jessica. I have recently gotten a yeast infection. I am taking medication for it. I have been searching around online and have found that it could be a sign of pregnancy... is that true? I dont have any money, sorry for wasting your time. Goodbye | Hello, Welcome to Chat Doctor, No fungal infection is not a sign of pregnancy, it is a sign of poor hygiene. The fungus is the normal comedians of the genitals, which will be kept under control by the helpful bacteria. Whenever there is an imbalance in the genital environment these fungus gets activated, and it will produce its symptoms. The genital are prone for this because the fungus will persist for longer duration of time in the moist and humid regions like genitals. As you are having fungal infection, it should be properly treated with topical antifungal cream and maintaining good personal hygiene. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | My period went off about 2 weeks ago and like i had sex last Friday and like yesterday and today I have been really tired and my back has been killing me and my stomach has been cramping like crazy i cant lay on my stomach because it hurts i feel like bloated and the cramping is hurting real bad like im about to be on my period again.. Idk what it is Could you tell me... Could it be Pregnancy?..What have I done..Nothing yet because i am not sure what to do i was going to try and take a test next Friday I guess | Hello! Welcome to Chat Doctor. You haven't mentioned fever, if any. This can be musculoskeletal pain or due to stone in urinary tract. As the severity suggests & back pain is also there, it is more likely stone related pain. Stone in ureter (tubes connecting kidney & urinary bladder) causes obstruction to urine outflow from kidney to urinary bladder. Smooth muscles in ureter contract excessively to overcome this obstruction by stone & cause severe colicky pain. Temporary treatment to relieve pain includes smooth muscle relaxants & painkillers like Chat Doctor. Many such patients come in my clinic to whom I advise ultrasound abdomen & pelvis, X-ray PUB, renal function tests, urine routine. Treatment is done accordingly. Consult your doctor for medicines. Hope this information is useful. Wish you healthy life. Thanks. Regards. |
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ηζθΏ°εηι«εΈει‘γ | Yes I had my gallbladder removed ten years ago. I recently developed jaundice due to stones obstruction in the main biliary duct. Stones were removed via ERCP. However I was told that I should have a choleduodenonostomy in case I develop more stones in the future. Is this possible? | Hi, How are you? My name is Chat Doctor. I am a surgical gastroenterologist and I hope to answer your question today. I am sorry you are having these symptoms. But by the sound of it, You seem to have gotten all the stones cleared from the bile duct. The question is, did the stones affect the bile duct in any way? Long-standing stones usually cause infection and later lead to narrowing or "stricture" formation in the bile duct. This will cause problems, esp if you end up forming more stones in the bile duct and these will not be able to pass down into the intestine. But if your bile duct is healthy, I do not see a reason for prophylactic Surgical intervention of any kind. If the ERCP was straight forward, then I would advise you for a repeat ERCP later (In case you should develop more stones). In my personal opinion a prophylactic Choledocho duodenostomy would be a bit of an "overkill" esp if the bile duct is normal. Hope this helps you and hope you start to feel better. Please do not hesitate to write back for any further clarifications. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I had an infection in my penis like fungal. Please provide the medicine to cure that skin. | Hi. This looks more like herpes genitalis (attachment removed to protect patient identity). Can you please send details like: These details will help us come to the correct diagnosis and start treatment. For more information consult a dermatologist online |
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ηζθΏ°εηι«εΈει‘γ | hi ,im 21 and i recently noticed two lumps in both my breasts just under the skin , my doctor told me its bilateral fibroadnosis and the lumps move when touched , my doctor told me not to worry but im still worried , what is this disease in simple terms and does it cause cancer ? | Hi. Fortunately such lumps never cause a cancer. So no worries, please. IF the lumps are round and move easily under the skin and are painless-they are fibroadenomas- can not cause cancer. It the lumps are diffuse, ill-defined and cause pain prior to periods, they are fibroadenomas. These also Do NOT cause cancer. But cause pain and discomfort. If you still have doubts - you can go for a simple test of FNAC - fine needle aspiration cytology for confirmation or get them removed. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I had sex and took a pill after two days. Again in a gap of three days had sex and took an I-pill. 10 days later, I had periods, and after that, I have not bled since then. I took three home pregnancy tests which showed negative. What could be the reason? I am on regular Thyronorm 62.5 for hypothyroidism. I had ovarian cyst four years back, which was treated with medicines. | Hi, Welcome to Chat Doctor forum. One thing is clear that the pregnancy test is negative. Also, you took the pill well in time and also got the with ChatDoctor. We will have to investigate the reason for not getting periods. Get an ultrasound pelvis done. There can be ovarian cyst again as they tend to recur. Also, I suggest you take progesterone tablet like Me |
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ηζθΏ°εηι«εΈει‘γ | hello, i am rey and am 19 years old, and i know for sure that i have retrograde ejaculation . my prostate its huge, i have extremely small testicles and when i urine sperm comes out. sometimes when i ejaculate no semen comes out even though i am reaching the orgasm . i have lower back pain, i honestly think i have fluid stuck in my penis because when i touch my prostate up and down, i can here a squeaky sound. please be honest to me am scare to death. | HelloThanks for your query, based on the facts that you have posted it appears that you have varied symptoms and doubts mostly due to anxiety.1)Retrograde ejaculation can be confirmed only on urine examination immediately after ejaculation It will reveal presence of sperm in given sample2) One can not feel his prostate by self-examination it has to be confirmed by digital rectal examination by a qualified Chat Doctor. 4) urine does not contain sperms what you think as a semen is a pre-cum secreted by Bulb Urethral Glands located in urethra. Do not worry consult qualified Urologist or Psychiatrist for counselling. |
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ηζθΏ°εηι«εΈει‘γ | Dear Dr. Vasudevan Sir, I am R Venkataraman working in DOEACC Centre, NIT Campus Post, Calicut. I am a psycho patient and was admitted at your clinic on Oct 5 2009. I am having the same problem even now. I was dischrged on 15/10/2009 and the very next day early morning i had to go to my native place were my parents are staying. i came back after one month. The counselling was not done. i am unable to concentrate on my work. please advice me what to do. My problem is very worse. I Feel like to commit suicide. (Though i have not attempted so far) RegadsVenkataraman | His had gone through your query. Lack of concentration and suicidal thought may indicate underlying depression. Low mood with loss of interest in activities are other features to diagnose depression. Stress and anxiety can lead to such emotional upset and can affect your daily routines. You have to go for proper consultation and evaluation about your mood/thought process. It can be treated with multi modality approach like medicines, psychotherapy, counseling and behavior therapy. Medicines like SSRI and other antidepressant will be useful. So consult psychiatrist and get better assistance. Still have query then feel free to ask. You can ask me directly on http://doctor.ChatDoctor .com/doctors/ Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My friend has white blood cell count. What causes this. He is under doctors care. Had 3 options to cure this. Blood transfer, bone marrow transplant or do nothing for awhile. They don t seem to know what is causing the low white blood count. Ellen Kay Dirks bone marrow transplant Blood transfusion or not do anything for awhile. | HI Thanks for posting your query. ABCs are produced in the bone marrow. Low ABCs could be due to some problem in the bone marrow or problems outside bone marrow which suppress bone marrow to produce WBC. So it is essential to know what is the problem exactly. I would advise you to upload the reports of test done on your friend so that I can advise better. If a Bone marrow biopsy is not done then better get it's done. The treatment depends on the cause of problem. Any clarification feel free to ask. Happy to answer. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I have a bad cavity on my lower tooth . It will most likely have to be extracted, however just a few minutes ago, I see that the area of my gum under the tooth is red and part of my lip and chin is getting numb. Is it possible I may have an abcess or an infected tooth? I have taken acetomenaphin for the pain , but it has not helped. I have a dental appt in the morning. In the meantime, what can I do to ease the pain? | Hello, cavity in the teeth should be restored immediately, if there is sensitivity to hot and cold, then it is easy to restore normally, and if there is pain in the cavity, then this will go to RCT followed by crowning. And if you observe numbness and redness in the area near this tooth, then it means there is periapical infection and may be there is periodontal abscess as well. So I will advise you to go for a dentist check up. And radiograph can show the best results in this situation. Medication will be given to you by the dentist. Regards. |
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ηζθΏ°εηι«εΈει‘γ | for some reason i know it has to do with allergys but only one side of my face is like sick i guess you can say and the other there is nothing wrong with it my nostril is just running and running its just really clear liquid and my eye waters up at the same time i keep getting a slight pressure between my nose and eye while this is happening what good medice should i take i took two diffrent ones and those didnt work | Hello Isabel, You are suffering from rhinitis/rhinosinusitis and that is why you feel the pressure between the nose and eyes. A CT Paranasal sinuses will help in determining the extent of the sinus problem. Nasal steroid sprays with the correct technique (use) will help along with long acting antihistamines. But you definitely need to get either skin prick tests or specific IGE blood test to determine what your allergies are - whether house dust mite, or animal dander or molds etc. Specific avoidance of the trigger also helps and would also determine the need for specific immunotherapy if you fail medical management. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | hii have both the tubes blocked. My fertilty splectist said its because of tuberculosis treatment in which i have taken medicine ti cure tuberculosis.I have taken IVF treatment and blessed with one son.Now for second one I dont want to go for the same IVF .Now my query is there in other way for pregnancy other than IVF. | HelloThanks for your query. Normally, tubal block is an irreversible process.Sometimes, tubercular adhesions and pathology regresses to a great extent after the complete course of treatment. If you had one pregnancy through IVF, chances are high that you would need another attempt at IVF. You could go for a repeat laparoscopy to diagnose whether the fallopian tubes are patent or not. If the tubes are still blocked, you would be advised repeat IVF again. Be positive and go along with the medical opinionated care. |
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ηζθΏ°εηι«εΈει‘γ | i donot have a good mental relation with my wife. i cannot satisfy her physically,ejaculation doesnot take place with her.but seeing holding my my lady of my choice who had been my crush in school ejaculation immediately took place.is ejaculation psychological? | Hello misunderstand your concerns think you have delayed ejaculation. It is broadly due to psychological cause or medical cause (diabetes, obesity, enlarged prostate, smoking, alcohol, hypertension). I think your problem is due to psychological mainly relation problem. You should have to consult the psychiatric and need the treatment like active cognitive behavioral therapy, talk to your partner about your problem. After resolving psychiatric problem following advice will helpful: engage more in foreplay before sex, use condoms with lidocaine jelly, make romantic environment, after evaluation you can use sildenafil plus paroxetine 30 minutes before sex Hope this may help you Best regards |
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ηζθΏ°εηι«εΈει‘γ | I have just started getting my back adjusted by a corrective chiropractor. now my feet started swelling my ankles, and legs. it s like the toxins are leased into my bloodstream again but can t get out. and I m miserable. my feet are inflamed. this is my 2nd week going. | Hi, First It's sad to know what you had been going through lately. Based on the history you have shared, it isn't because of toxins etc., but you need to have worked up for causes of tissue edema including liver and kidney functions as well as heart echocardiogram. Urinalysis to rule out protein loss should also be done. Doppler's ultrasound of lower limbs may also be needed to see any signs of blood flow obstruction. Diuretics may also be needed to decrease the swelling. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi im a 23 year old lady... lately i have been experiencing mild headaches and i thouht it was my sinuses that the other day i got an instant fever but it was bad felt like a hot flush after. today my hands feel weak and a bit shaky. and at time i feel very cold and sometimes when i eat i feel like throwing up. | Hello there, I am Chat Doctor. It may be confined to the sinuses called sinusitis and may also with pharyngitis. Your associated symptoms like fever and headache supportive to that. You need to take decongestant along with any painkiller for 5 days. And along with you take tablet azithromycin or any equivalent antibiotic for 5 days according to your physicians advise. This is look like bacterial infection, so antibiotic is needed. Usually in viral more than one system involvement is seen, which is not here, so it is mostly a bacterial. Take rest and eat healthy diet for few days. Avoid any cooled |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a 37-years-old female. My weight is 68 kg with the height 5\6". There was a sudden numbness in the right arm starting at the shoulder, traveling to the palm. The numbness began while sleeping and triggered again while trying to sleep again. I experience a strange heaviness while awake. Tried applying a pain relief ointment but no effect. Please help. | Hello, Welcome to Chat Doctor forum. Numbness may be due to compression of the nerve while keeping the hand under head in flexion. In this position ulnar nerve may compress at elbow or radial nerve in radial ridge or median nerve compression in carpal tunnel syn ChatDoctor. Hypothyroidism, anemia or electrolyte imbalance or peripheral neuropthy or diabetes patients are more prone for numbness. So do not keep tha hand under your head. Use tablet Methylcobalamin regularly. If there is no improvement please consult your physician he will examine and treat you accordingly. |
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ηζθΏ°εηι«εΈει‘γ | I have epilepsy, I take Topamax twice a day, I also have diabetes. I get so tired during the day I fall asleep sitting up about 2-3pm. My diabetes is well under control. A1cs are 5-6. I have them tested about every 3 months. I do have seizures if I get upset or stressed or if I exercise. I have thyroid problems which makes my weight heavy. I do not eat much which is not good for my diabetes. Is there a better diet for me I should be eating? | Hi and thank you so much for this query. I am so sorry to hear about this diabetes and epilepsy. I have a strong feeling that your hypothyroidism is not well managed. This is because despite decreased food intake, you still complain of weight gain. Also, your fatigue is suggestive of symptoms of hypothyroidism. If your treatment has not been evaluated, I will suggest you get the TSH measured to see how well you are doing on treatment. At least, you know stress and getting upset would provoke seizure, try to stay clear of these provoking factors to spare yourself repeated seizure episodes. I understand it is not easy but then, it is worth it if you want a better quality of life. I hope this ad Chat Doctor. Thank you so much for patronizing our services, and please do feel free to ask for follow-up clarifications and information if need be. I wish you the best of health. |
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ηζθΏ°εηι«εΈει‘γ | My baby has had bumps all over his body for almost 2 weeks his dr said it is probably dry skin so I tried Vaseline she said if that doesn t work try switchin detergents and that isn t helping now they are even on his little bottom ands his temp is 100.6 what is going on? | Hi... I sympathize with the kid and understand your concern. The trick of the management is keeping the skin moist and never allowing it to be Chat Doctor. For this oil massage and lotions like Hiatus will help. Regarding cure options - eczema is a sort of allergy...allergies can only be controlled and can never be cured. But usually kids grow out of it...that is as the age progresses, they become better starting from 6 months. 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. Regards - |
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ηζθΏ°εηι«εΈει‘γ | I take microgynon 30 3 weeks at a time and then break for a week and always get a period during this break. I took the pill for around 5 weeks without a break and now that Ive taken a break from it Ive not experienced a withdrawal bleed and Im getting very worried. Could you offer me an explanation? Ive taken one test and it was negative. Just want to know whats going on with my body, Ive been taking the pill almost 3 years with no problems like this. | HI, thanks for using Chat Doctor Microgynon is a commonly used oral contraceptive. There is a form of oral contraception where essentially it is taken for 3 months so that these women have only 4 periods a year. It is likely that the prolonged use of the medication resulted in the delay you are experiencing. Though it is understandably alarming to you, it is a result of a slight hormonal imbalance and your period will return. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Hiiiiiiimy age is 24 nd i m a male.my hairs are falling at a rapid rate.i had consulted 2 a dermatologist in CMC VELLORE.She asked me 2 use MINTOP FORTE 5%.i had used it 4r more dn 2 yrs bt i didnt got any result instead i had lost more hairs.i m vry sad, can anybody help me or giv me suggestions which r really helpfull.wt abt HAIR TRANSPLANTATION. | Hi, As per your query you have symptoms of hair fall which can occur due to stress, improper hygiene, fungal infection and could be due to hormonal changes. Need not worry, I would suggest you start with the application of Indian gooseberries. Avoid excessive use of shampoos rich in chemicals. Take finasteride preparations as well. You should consult dermatologist once for proper examination. The doctor may order skin patch test, blood test, allergic test and physical examination and may prescribe supplements like Omega-3 minoxidil spray, and vitamin E. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Will my 40 year old cousin ever recover from severe brain damage due to cardiac arrest which stopped heart for 20mins? Was told by neurologist that there wont be any changes and will be like a vegetable and might be put into nursing home or 50% live. His wife is 7months pregnant and they also have 7 year old daughter. | Hello! Welcome on Chat Doctor! I understand your concern and would explain that this is a serious medical condition. I agree with his neurologist on the fact that the prognosis is really reserved in this clinical situation. The chances of recovery are very scarce. But they are not zero. It depends on the degree of brain damage. A functional MRI would help determine the residual function of his brain. The EEG too. Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | Hi I am 13 years old. Female. I weight 4.5 Stone (63lbs) My BMI is 12.3. I have been suffering from nausea 24/7 for a little over 1 month. I have not vomited and have not for 6 years. I have severe emtophobia, so it makes it worse. I am Celiac and i think i may also be anemic. I am suffering from lack of sleep as the feeling of nausea keeps me awake. I am not eating very well currently, as it makes me feel more nauseated. The sight and smell of food makes me worse... Please help me...What could this be? | Hi, dear. I have gone through your question. I can understand your concern. You may have some liver disease or kidney disease. It causes cause and vomiting. You should go for complete liver function test and renal function test. Also go for complete blood count and peripherals smear examination for your anemia. Then take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor. I am 20 year old boy. i am having a habit of hand practicing. I had married before year. i am really week while having sex with my partner. i discharge in 3-5 min. I am really worried. since the age of 14 i am doing hand practicing. Please help me. I am staying n UAE. I want to quote hand practicing but cant do it as it had become my habit. please let me know what should i do. | HelloThanks for your query, based on the facts that you have posted it appears that you are facing problems related to your sexual potency and think it to be due to masturbation that you have been doing since last 6 years.First there is myth in a mind of common man that excessive masturbation is the reason of all sexual problems But I would like to state that it has been discussed in scientific forums all over the world and proved scientifically that masturbation does not have any negative effect on any organ or system in the body. All the problems that you are facing now are mind related and due to anxiety. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking.5) Get yourself involved in some activities like reading, listening to music or sports so that you will not get free time to masturbate. Do not worry with this treatment this issue will get resolved within 4-5 months. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | tek me the way to avoid pimples ? and black marks ? | Acne is a chronic problem that usually occurs during the adolescent years. It should be properly treated under the guidance of a dermatologist to avoid permanent scarring. The treatment options include oral antibiotics and topical creams like benzoyl peroxide and retinoids. Wash your face regularly with a gentle cleanser or a medicated cleanser containing salicylic acid. Take plenty of fruits and fresh salads and lots of water. One of the good remedy to keep pimples at bay is using a retinoid or Darlene gel at night. These gels cause slight Chat Doctor. Besides, these creams are very good routine skin care creams. And prevent premature aging of skin |
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ηζθΏ°εηι«εΈει‘γ | OTH lungs are clear. The pulmonary vascular pattern is within normal limits. The cardiac shadow is not enlarged. The aort is segmentally calcified. Spurs line the margins of the thoracic vertebrae. The diaphragm, lateral costophrenic suici and the rest of the bony thorax are unremarkable. Impression Atherosclerotic aorta Degenerative osseous changes | Hello, I have gone through the x-ray report you have mentioned. First no need to worry about any lung diseases because this is normal. Calcification in the aorta is common after the age of 50 years. This is not pathological. So, no need to worry about the calcified atherosclerotic area in the aorta. Get done lipid profile, and if it is altered, then you may need the lipid-lowering Chat Doctor. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | Hey, every night for the last couple of months i havent been getting to sleep because ive been having panick attacks, and then earlier tonight, i was having one and i ended up fainting and ended up shaking and thought i was gonna loose control. During the days i was fine, but then for the last week ive had unexplained bruising, really bad pains in the middle of my stomach and really bad chest pains and heart pains in the middle of the day and then ive been having really bad pains in my legs. I just want to know what it could be? | Degree understand your concerns went through your details. I suggest you not to worry much. I can understand your plight. But you should understand that normally panic attacks are due to some anxiety disorders. Understanding anxiety and managing anxiety in relation to the panic attacks are the proper cure. I suggest you to consult a psychologist and work with him for relief. Cognitive Behavior Therapy is best suited. You can start with these first steps:TEP 1 - Practice Deep and full breathing whenever possibles 2 - Chat Doctor. Step 3 - A Tomato a day keeps anxiety at basted 4 - Exercise regularlyStart these and follow strictly. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | HI, had to take my 6 year old son to after hours clinic because fever went to 104.5. He has been running 103 the last few nights and threw up one of those nights. They tested his urine and said it was really high in ketones and noticed some protein. She said have him drink plenty of liquid as he must be dehydrated. He is 45 lbs. and is always sick. It used to be every other month, now he is sick every other week. HIs father was diagnosed with Diabetes at age 8 and has taken insulin shots ever since. We tested his white and red bloods cells and platlets and that came back fine. Last time his sugar was tested it was normal. We are just worried because of him being so sickly. Please help! Thank you. | Hi, But by what you say I feel that your son is having recurrent viral illness. This need not be attributed to the Type 1 Diabetes his father is having. I will explain to you how a viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4 to 7 days. So do not worry about duration if the kid is active. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | recently told I had plaque thinning the arteries in my brain. can you give me good links that will tell me what this means, what caused it and how it can be fixed? I would like to know the good, bad and ugly.I have a multitude of medical conditions and would like to know if this is due to any of those conditions. thanks. | Hi, Thank you for posting your query. I think what you mean is atherosclerosis, where the arteries supplying blood to the brain get narrowed and may result in stroke due to ischemia (lack of blood flow). The treatment includes aspirin and stain use. The common risk factors for the same include high BP, sugar, cholesterol and smoking. Controlling these risk factors would stop the disease progression and prevent the strokes. Best wishes, Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | 5yr old son, neurocysticercosis, single cyst, less than a centimetre is on steroid ( omnacortil) albandazole & eptoin syrup. Omnacortil & albandazole given for28 days. Eptoin still giving. My query is - 1. When he will b back to his normal shape, has put on 3-4 kgs. 2. Side effects of all the above mentioned medicines. 3. Cyst will be dead by now after 28 days of medication? Will it dissolve or leave scar? 4. Future prevention for the child. 5. When MRI to be done after 6 weeks or later? 6. Upto how long medicines should b given for further prevention? Chances of coming seizure after medication? | Hiweight is due to omnicortil and option but will go away after three months of leaving the 2 medscalcified cyst will remain but will shrine typically administer antiepileptic therapy for six to twelve months after radiographic resolution of active parasitic infection, followed by a trial off of antiepileptic therapy. Recurrent seizures should prompt reinitiation of chronic antiepileptic therapy. Patients with parenchymal or subarachnoid neurocysticercosis should undergo intermittent radiographic surveillance to evaluate for resolution of the cysticerci and development of calcifications. Imaging may be performed one to two months and six months following treatment. The frequency of subsequent imaging should be individualized; once lesions have resolved followup imaging is less useful. Imaging should be repeated prior to discontinuing anti-epileptic Chat Doctor. New, worsening, or persistent symptoms should prompt evaluation. Antiparasitic therapy should be considered for patients with growing cysts off therapy. An alternative approach may include serial antigen-detection assays |
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ηζθΏ°εηι«εΈει‘γ | I am 36 year old female. I have a boil under my right arm for almost 15 years now. I take homeopathy medicine. Once doctors have taken contents from inside by actually operating it, without removing the whole thing and found that it does not contain any cancerours cells or anything dangerous. they left it untreated. The boil when active gives puss discharge and pain also. homeopathy helps to subside the pain and stop the pus. but gain after sometime this happens and agin i take homeopathy medicine. This doctor tells me that this is sinus or fistulla and it is not harmful. This will not be cured and will remain. I am 5ft 4 inches and 62 kgs. can anybody suggest what this is i am having? | Thanks for your question on Chat Doctor. I can understand your situation and problem. You are having chronic skin infection with discharging sinus. It is not seen commonly. But common in diabetic patients and patients witChatDoctorpromised immune system. So better to first get done sugar level and immunoglobulin levels to rule out these conditions. Also get done ultrasound examination of local part. You need complete surgical resection of infected area and antibiotic therapy for at least 1 month. Avoid too much moisture and keep proper hygiene of maxilla. Don't worry, you will be alright. |
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ηζθΏ°εηι«εΈει‘γ | sir....my 6 months old son has loose stools since 2 weeks. i breastfeed him n my Dr.has asked 2 stop breast feeding....anything wrong in breastfeeding him when he has loose stools.he was prescribed prugo and c tax -o along with siloderm to apply on the affected area.but as this didnt help i got a second opinion and have strted with nor-metrogyl and metrogyl gel for application...will this help.he also has temperature.can i give him calpol paediatric syrup...what dosage has to be given?he is 7.2gms weight | Hi... Thank you for consulting in Chat Doctor. It seems your kid is having viral diarrhea. Once it starts it will take 5-7 days to completely get better. Unless the kids having low urine output or very dull or excessively sleepy or blood in motion or green bilious vomiting...you need not worry. There is no need to use antibiotics unless there is blood in the motion. Antibiotics (LIKE TAX/ NORMETROGYL) might worsen if unnecessarily used causing antibiotic associated diarrhea. I suggest you use zinc supplements (Z&D Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Yes, I am looking at having a replacement lt knee as serve real surgeries years ago and a failed ACL replacement using part of my patella also. I have for the most part been making do with strengthening what I have for the past 10-12yrs in the hope I could get close to 60 yrs of age before having this op. I have reached 50yrs old and now find I suffer far more pain and swelling and the. Time has come. I fear that the artificial replacement may wear out and want this op to be something that will last me out. I have been recommended to a Mr Reinhart Wuttke from myGP. I have looked. Him up this morning on line and an not find him listed under the Australian Orthopedic register. Aos.org.au. Can you please offer me some clarification. | Hi, thank you for providing the brief history of you. As you had an ACL reconstruction, and now again the pain is bothering you, for which you want to undergo TKR, I will have a personal recommendation of not undergoing TKR so soon as you can still recover better with physical therapy. TKR might help you ease of pain but the kinematic of the joint will be different and major activities might have to be restricted due to certain factors post TKR. Also, in my clinical practice I still prefer to avoid TKR for knee injuries. As long as the natural joint is saved it is always recommended to have one. My patients respond well to physical therapy. RegardsJay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Dear Sir, I am Nilkanth Pancholi (Male) age 39yrs. from Ahmedabad, Gujarat and doing job in purchase dept. of a pvt. ltd. co. I am suffering from PAH (Pulmonary Artrial Hypertension)since last 6 yrs. First my family doctor once checking me while fever, told that there is some murmur noice in your heart and advise me for check up. At that time before around 6 yrs I was been informed about PAH. I was given Sildenafil (Penegra) drug and I took it for 5 months. Then after I did not took any drug for 4 yrs. Thenafter I visited again doctor and it measured near 100. I was given Bosentan (Lupibose) drug and I took it for 10 to 12 months. Thenafter I m not taking any drug since now. These days if i walks fast or goes up even on first floor I breaths faster. I feel tired and feels to seat for a while. Even I lift some weight my breathing starts faster.Sir, please advise me what should I do, what is the available treatment for this or what should I take care of. Pl. advise me. Thanking you,Best RegardsNilkanth Pancholi | Hello Ninth, First the cause of pulmonary hypertension should Evaluate and specific treatment for the same would be most effective. If it's found to be idiopathic or primary (without any cause), a High heart catheterization (Talk to your Cardiologist) for the same would help determine vasodilator reactivity. Lastly it's not wise to stop medication, rather the pulmonary pressure described by you, a combination of both sildenafila and Bosnian should be considered. Fine titration by your doctor is the best way forward. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I brush my teeth every day and still cannot get my breath fresh. It comes from my throat. I have tried everything. Can you tell me what to do? | Hi. This is the age when you will be having new teeth erupting which causes gum swellings and accumulation of plaque (deposits) on teeth which might cause the bad breath. The other thing is any cavities, if present, cause bad breath as well. Any gastro problem such as GERD (gastroesophageal reflux disease) may also cause this. People who skip breakfast also suffer from this. So, in this way, there are many reasons for bad breath. First, we need to identify the cause so that we can come to a proper treatment plan. Just visit your dentist and get the solution soon. For more information consult a dentist online |
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ηζθΏ°εηι«εΈει‘γ | Hi! Please I need to know what s the illness if I feel like a cut of a knife next to my liver? After an MRI, they found that in have a liver steatosis.. I tried to lose weight, but I couldn t until now (I Menander from 3 years) my weight is still the same and the pain comes and goes when I eat too much. Thanks in advance | Hi, No need to panic, as Liver stenosis is not a serious condition. It is called Fatty liver and is seen in radiological investigations in most of the normal patients. The problem happens only if the liver is inflamed as it can progress to a condition called cirrhosis. But, this usually happens in alcoholics. In your case as you say it is mostly due to the over weight. I suggest you to undergo Bariatric surgery, after consulting a Bariatric surgeon. It gives promising long term results in weight reduction when compared to liposuction. Your weight will be Chat Doctor. Hope this might help! |
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ηζθΏ°εηι«εΈει‘γ | my question is, about a month ago my friends and I were bench pressing weights. a few days later my right shoulder felt a little more sore. different than muscle soreness. every since then my should discomfort has turned to more of joint pain and at times very painful. what is your opinion is the cause, and what step should I take next? and I thought this was a free web site I will try another | Hi Hope this message finds you in good health. I have gone through your query in detail and understand your concern. You may have strained a muscle in shoulder causing the pain.it may be a simple sprain, or a tear.take analgesics, anti-inflammatory tablets. If unrelieved, get n MRI done Hope your query has been answeredNothing to worry about, You should eventually get back to normal. Get back to me for any FOLLOW-UP QUERIES anytime. Kind Chat Doctor. .(MBBS, MS,MCH) |
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ηζθΏ°εηι«εΈει‘γ | Hi. I feel like I have a cloud resting inside the center of my chest. It is a very uncomfortable feeling and when any pressie is applied to my upper back (even a massage) I feel like the cloud is being squished and it becomes much harder to breath. It also seems to be causing a very dry cough. Not like a normal cough I get when I have a cold but rather a cough that is trying to get out but cant. Any suggestions? Warm regards,Grainne | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of either bronchitis or lower respiratory tract infection (LETI) is more. So better to consult pulmonologist and get done clinical examination of respiratory system, chest x-ray and PFT (Pulmonary Function Test). Chest x-ray is needed to rule out lung infection. PFT is needed to rule out bronchitis. If all of the above are normal than no need to worry about major illness. Stress and anxiety can cause similar symptoms and feeling. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright. Hope I have solved your query. Wish you good health. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | hello sir My mother just had an X ray for chest since she had cough for past 3 days and the report was as following X-RAY CHEST PA View Bilateral increased bronchovascular markings with bilar vascular prominence - broncitic changes with hilar congestion Both CP angles free Cardia normal Bilateral hemi diaphragm normal Although the cough has ow reduced to just 15%, what does the report suggest? She is taking Dolo 650 for fever and Clavam 625 | Thanks for your question on Chat Doctor. In my opinion you should not worry much for her x-ray report as it is normal. Blood follows gravity. So lower parts of lungs are having more blood supply. And blood is more radio opaque than surrounding air. So vessels of lower part, having more blood appear prominent on chest x-ray. So x-ray reporting of prominent Bronchi vascular markings are seen. Lung hill is having all major vessels supplying lung. So it is also appearing more prominent. So no need to worry about this report as it is normal. |
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ηζθΏ°εηι«εΈει‘γ | My 3 year old son was peeing this morning and the toilet seat fell on the tip of his penis. It is bruised but he seems to be fine. He hasn t complained when he goes to the bathroom and we were only able to put a cream on it. Should we take him to get examined? | Hi...if the kid is not complaining anything, there is no urgency. But I would like to give an opinion after a seeing an image if possible. Skin conditions are best diagnosed only after seeing directly. I suggest you to upload photographs of the same on this website, so that I can guide you scientifically. 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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ηζθΏ°εηι«εΈει‘γ | About 3 years ago I was stabbed in the back 3 times. I had a collapsed lung that was fixed & treated. I am now having alot of back pain everyday three years later. I have no insurance and I was wondering if I splurge for a doctor, what tests would likley be done to determine the source of my pain? Would I likley be prescribed painkillers? If so, what? | Hello, I don't think your Collapsed lung is causing back pain after 3 years. In my opinion, you must be having some lumber spine related pathology for your back pain. So, it is better to consult orthopedic doctor and get done clinical examination of back. You will need chest x-ray, x-ray and MRI of lumber spine. You may also need painkillers like ibuprofen, diclofenac or acetaminophen. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My son got married last December, and lives with his wife and mother in law. Hes very unhappy living there but financially cant afford to move out. Ever since he got married hes been losing lot of weight and has bad moods. He says the wife and mother in law are not good cooks and he doesnt eat healthy food. I am very worried about my son. He was never this skinny and looking very sickly. He used to use Marijuana when teenager but not anymore? I sometimes wonder whether hes using other stuff to ease his pain or frustration or if hes suffering depression? Please help me because I dont know how to approach this matter? Thank you | Degree understand your concerns went through your details. I suggest you not to worry much. I do not think food is the only reason behind his behavior. Secondly calling this behavior as depression may not be right because this could be just dissatisfaction. I suggest you talk to your son with all your love and compassion. Or else, take him to a psychological counselor and counselor should help you. The reasons behind the behavior should be analyzed and accurate treatment method to be suggested. Understanding family and its intricacies is the trick. Your son should change, but it might take some time, and he might need your assistance as well as his wife. For more psychotherapy techniques, You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | prominent ovaries with bilateral follicles. this could be consistene with polycystic ovaries in the proper clinical settign. nabothian cyst. Right obary measures 4.8X2.2X2.2 cm with colume of 12cc. there are scattered follicles. the parges measures 9 mm and has some layering debris within | Hello Findings suggests polycystic ovarian disease(POD).POD has typical appearance in USG, and it is indicated by increase ovarian size, hyperechoic stoma and necklace appearance of cysts arranged in periphery.POD should be confirmed by clinical correlation and biochemical markers like hormonal assay for POD.POD is a curable disease, and mostly it is treated by medicines. Surgical intervention is required in very few cases. Nabothian cysts in cervix are incidental finding and it doesn't require any treatment. Hope I have answered your query. Take Care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi .. Ive had back pain for a number of years.. But more so the last 2yrs Ive had chiropractic , accupuntre , and phisio !! I take diclofenac and paracetamol .. For the last 4 weeks Ive had lower back pain again I had a fall and then a week later I missed my footing and jarred my back Im ok to get around but 3 times I went to drive the car its pulled my back causing me to have pain , weakness in my legs and it affects my neck ! Im booked in for phisio tomorrow !! | Long duration of backache aggravated by injury with weakness in limb, and you have tried many things. Still you are not having relief. You should go see a spine specialist or at least an orthopedic surgeon. They might give you medication, rest /exercise, and most important THE DIAGNOSIS. Further definitive treatment is only possible if there is confirmed diagnosis till then supportive treatment is the answer. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I suffer from severe constipation for the past three years. I have undergone cervical spine surgery before two years back. Post surgery constipation problem still got worsened. Presently, I am taking Baclofen 5 mg three times a day for the spasticity in legs. Please help. | Hi. The first option for treating constipation is starting with Sennosides tablets. Take two tablets every night. If there is no improvement in two days, you can take two tablets for every 12 hours. This medication can be taken for now and on. Sometimes you may need more fiber to make bulks in the stools. Psyllium Plantago is a natural laxative, and it helps for maintaining an adequate amount of fiber. You can take one tablespoon in a glass of water every morning and then ChatDoctor. You should take at least 1.5 liters of pure water every day. You can add milk of magnesia 15 to 25 ml for every eight hours until the stool gets soft. It has to be taken when there is bad constipation once in a while (two to three days for every ten days). |
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ηζθΏ°εηι«εΈει‘γ | hello, I am Bala (name changed) from Kottayam.I am 2/female.Now I have 30 teeth.I am getting my 3rd molar or wisdom tooth in the right lower jaw,not yet in left side.Some of my neighbors say that if i get a molar tooth growing alone(without the other one growing) it would finally get decay.I have some decay in my 2nd molars. How can I get rid of decay and will my new tooth also get decayed?How can i make my teeth white? | Hi, A wisdom tooth usually erupts within 18-25 years of age. You are now 30 which is a delayed eruption. A X-ray of the tooth should be taken to determine the actual position of the tooth. If there is lack of space or the tooth is tilted it will be impacted in the bone. A dentist can determine it and would suggest you to get the tooth removed surgically. The decayed teeth have be restored at the earliest, and you should start using a fluoride mouth rinse (Pros four) once daily. Avoid sugary snacks in between meals. Brush your teeth twice daily. Change your tooth brush once in 3 months. Scaling of teeth should be done once in 6 months. Visit your dentist once in 6 months to rule out any problems. |
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ηζθΏ°εηι«εΈει‘γ | I keep getting an electric shock type pain in my left shoulder radiates up to my neck and down to my elbow sometimes. I have Osteo arthritis generally could this be the cause. It isn;t constant but when it happens it is excruciating for about 2 seconds ( I am guessing) | Hello, I read carefully your query and understand your concern. Yes, the symptoms can be related to osteoarthritis. I suggest using anti-inflammatory medications such as Acetaminophen to relieve the symptoms. I also suggest using Voltaren gel for local application and ice compresses for relieve. Hope my answer was helpful. If you have further queries feel free to contact me again. Kind regards! Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My doctor ordered an ultra sound for both breasts after my mammogram showed density in my right breast and a nodule in my left breast. I am 80 years old and went through surgery for uterine cancer and subsequently chemo in 2010. I didn t finish my chemo at the oncologist s suggestion as it was doing a lot of damage to other parts of my body. I worked until my 80th birthday and retired, not because I wanted to but because my health just wouldn t let me continue. I just don t know if I can handle having cancer again. What percentage of dense breasts and nodules are cancer? | Thanks for your question on Chat Doctor. In my opinion, high possibility of cancerous nodules. Reasons for this1. Known case of uterine cancer2. Not completed chemotherapy as advised by oncophysician.3. Old age is the risk factor for spread in breast. So I advise you to get done biopsy of the nodules and rule out malignancy. So first get done ultrasound and then guided biopsy is required in your case to rule out malignant breast nodules. |
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ηζθΏ°εηι«εΈει‘γ | Hi, lately I ve been concerned about my health. I started to experience a bout of loss of appetite which cause me to only drink cola and apple juice and eat potatoes and ice cream because I couldn t force myself to swallow anything else. Then I started getting other symptoms which worsened over time - moderate nausea, vomiting acid, headaches, stomachaches, inability to sleep at night, weakness of muscles and prickling feelings in them, dizziness, constant irritability , bouts of crying, laughing or raging without reason, sensitivity to sounds, light and smells, feeling tired, restlessness and jerking in sleep. My parents dismiss my complaints. I have almost null food intake, take a lot of drugs ( anti - epileptic drugs mainly) and I have confirmed hypothyroidism . and from the bloodwork it seems, a mild anemia . I suspect some mineral deficiency because I really have no clue as to what disease can it be. Please help? Amari | Hello and welcome to Chat Doctor, As you have mentioned that you have confirmed hypothyroidism, it is app rant from your history that the levels of T3 and T4 have decreased. Get the blood levels of TSH, T3 and T4. In case there is evidence of hypothyroidism (high TSH and low T3 & T4), hormonal replacement needs to be done. Hypothyroidism is characterized by decreased appetite, lethargy, weight gain, depressive thoughts, menstrual irregularities, anemia, body pains, weakness, etc.The symptoms that you have mentioned are quite suggestive of hypothyroidism. Thyroxine will help to correct the hormonal deficiency. Consult your physician for thyroid function tests and treatment. Thanks and take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have severe pain in my jaw (opening wide) my lower jaw all along the bone to my chin (and in my teeth) as well as up my jaw into my ear (all on the right side).. this started after I had a deep cavity filled 8 weeks ago. It has gotten progressively worse and the only other dentist I can see isnt available until July. What might it be? What would you suggest I do? Only advil and intense heat help the pain. Cold makes it severely worse. | Hi, thank-you for providing the brief history of you. As you have a safer jaw bone pain, and also you had deep cavity filled. You need a thorough cranial nerve assessment and an x-ray or CT of the jaw. Since the pain has worsened post cavity filling, you need to get examined. As most times there is not much issue but if the ear also is paining may be a nerve inflammation will be present. For which you need a dentist to check up in person.Also, due to the inflammation of the nerve there will be sensory issues leading to here and there of the symptoms and may need an attention. If you have an opportunity to consult your dentist kindly go ahead and do not worry much. With the grace of God everything will be alright. RegardsJay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have had recurring lower back pain for about 2weeks. I initially experienced it when I slept in a bed away from home so assumed it was just the bed. However, since then, the symptoms have continued, initially fairly constant so took Advil and applied heat....with some relief. However, the discomfort does not feel like the typical muscle spasms I have experienced in the past. At times, it seems more pronounced on the left side. At times, it disappears all together. But it recurs at nite after I have bee sleeping for a few hours and it is difficult to find a comfortable position. Abdominal discomfort accompanies it at times as does a boating feeling. I also feel more tired than usual. | Hi and welcome to ChatDoctorBased on the description of symptoms, I think it is Postural back pain owing to the odd position adopted while sleeping. Any muscle in the body will tend to go into spasm (tightness) if it is held in one particular position for a given period of time. So, I suggest you to avoid sleeping positions which produces pain. As you rightly said, hot shower always helps as the heat produces relaxation in the muscles. If your pain is intolerable, use oral muscle relaxants and massage painkiller creams over the affected regions. An MRI scan may be needed to rule out any underlying pathology that is producing pain. I do hope that you have found something helpful and informative, and I will be glad to answer any further query. Take care. |
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ηζθΏ°εηι«εΈει‘γ | can a molar decay and fall out? I had a tooth extracted that had already had a partial root canal. My dentist realized he could not save it and pulled it. The molar tooth behind it is chipped and in bad shape, but dosnt hurt. Since i have had the other one pulled it has been sore. (not like a toothache, more like spacers before braces) It is wiggling and loose, and seems like it is coming out little by little? Is it possible for it to just fall out? | Thanks for using Chat Doctor. Read your query. Yes, it is possible for a tooth to fall out. Since the adjacent tooth is missing, the tooth starts to move as it has more space created, thus begins to get loose, eventually falling out. I would suggest you to visit your dentist and check it. Get it extracted. Replace the missing teeth, if not the opposite jaw will start to cause problem. If pain you can take ibuprofen(if you are not allergic to any medicine). Hope this was useful. Thanks and regards. |
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ηζθΏ°εηι«εΈει‘γ | I live in Key West FL and several of my friends are experiencing the following issues: fatigue, lack of focus, forgetfulness, body aches, trouble sleeping and short tempered. We don t know if this is due to possible Spring plants blooming causing an allergic type symptoms. | HI, thanks for using Chat Doctor Allergies can cause a range of symptoms but are not normally associated with the symptoms mentioned. He should be assessed by his doctor. This would include a physical and psychological assessment. Included in the physical assessment he may need a complete blood count and thyroid function test since anemia and hypothyroidism can cause fatigue and problems concentrating. A psychological assessment may also be included because of the mood change. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | hi, My name is surekha. I am a resident of Bangalore.I have spina bifida. In Nov 2011 I underwent a surger for the excision of the 5th metatarsal. I need a footwear that will keep my leg protected from repeated ulcers. Can you please suggest where can i have it done | Hello, It's a very individualized situation. About 10% of people used to have some spina bifida but in the vast majority, it was just a money abnormality that did NOT do anything and did not expose much of the spine. It can be so bad as to cause congenital paraplegia. This is rare. You'd have to see how much of the spine is affected both in extent and depth. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my liver function test all parameter normal except pt -79 ,ot-120 , usg says mild fatty liver ... taken atorva -5mg for last 3 years .. drinks very less... sugar recently little higher , started med and now for last 15 days under control....age -48 height 177 cm wt. 77kg | Hi thanks for contacting Chat Doctor... Noted you have fatty liver that is stenosis in which fat accumulate in hepatocytes. It is reversible condition. It will take few months for complete clearance.... For that follow below advise..... Take low fat diet. Use very less oil in cooking and use only sunflower like good oil. Regular exercise need. Refine food avoided.... Fruits more... In lunch and dinner take salad of carrot, spinach, cucumber etc.... Avoid alcohol... Non veg, pizza, meat, cheese etc. like trans fat food avoided.... Udiliv tablet can be taken.... Take care... Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Iam in 35th of pregnancy anabout from 2 weeks ago I fear ocasional hot feeling in my face and my head. Also I had rupture of amniotic membrane about 1 month ago, but at present time amniotic fluid is enough . My answer is that these hot feeling with sweating can contribute to infecion of amniotic fluid. | HI, I understand your concern. Hot feeling & sweating can not cause amniotic fluid infection. Actually amniotic fluid infection (which might have started at rupture of amniotic membrane you had) can cause feverishness & sweating. But that also has other signs of infection like fever/pains/ leaking with foul smell. You should get examined by a gynecologist to find possibility of infection & management accordingly. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | Name vinoth, age 31 ,started sexual life at the age of 16 with mastrubation then had sex with ladies and girls at times achieved 2 ejaculation without break and many strokes ,3 yrs back married having sex daily ,but now not at times nt able to penetrate at least 7 or 8 times starts ejaculating so used stop snd start technique in whicvh can do 3 stroke and have to stop if i do 4 th or 5 th stroke it ill ejaculate like that prolonged ,is there any medication without side effects to prolonge ejaculation | HelloThanks for query. Based on the facts that you have posted you seem to be facing problem of Premature Ejaculation The premature ejaculation is very common sexual problem that many people are suffering from In absence of major health issue the cause premature ejaculation is due to what is called as performance anxiety. Following measure will help you to boost up your confidence and getting good erection and delay ejaculation. 1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning. 2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc 3)Take anti oxidants like Almonds 5-6 everyday4) Avoid alcohol and smoking. Taking Sildenafil (Viagra) or Calls and Paroxetine as on demand will help to get good hard sustainable erection and to have enjoyable sex and to delay ejaculation. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, what cause allergies? I am allergic to Eggs. I ate something with eggs in it my stomach started feeling weird and my legs started shaking. Is that normal? My throat starts closing up and my body starts itching when am stung by a bee. When I eat raw onions my throat starts itching. Pineapple makes me vomit. What should I do if I eat pineapple or onions by accident? | Hi, Food allergy occurs when our natural body defense overreacts to exposure of particular substance, treating it as an invader and releasing chemicals to defend against it. Food allergies can lead to mild reactions to life-threatening conditions with symptoms such as low blood pressure, breathing difficulty and dizziness. If something like that happens rush to the nearest hospital. What you need to do:1. Avoid consuming the food that may be causing problems.2. Consult an Allergist for your treatment plan. The only management option for allergies is to avoid consumption of food that may be causing problems. There is hope for new treatment plans which includes consuming small amounts of food allergens and gradually increasing amount. In this new experimental approach a few cases were benefited, but this is only possible under doctors observation, treating at home can lead to serious problems. Consult an Allergist to choose a treatment plan for you. Hope this helps. Stay healthy. |
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ηζθΏ°εηι«εΈει‘γ | Im taking losartan potassium (50 mg). Im 34 years old. My pressure has been high for over a year maybe two. I didnt tell my doctor I think its because I drink everyday . Ive been drinking alcohol since I was 12. I dont believe I have liver damage yet. I was to embarassed to confess this problem. How long do I have to take this medication? I havent taken a drink since I started the drug. Is this hypertension curable? | Hello, Excessive alcohol can cause increase in the blood pressure, and moderation in the same would help to overall improve your health. I am happy that you have been able to abstain from it since on medication, do continue the same and be strong-willed about leaving alcohol. The medication losartan is appropriate to control the blood pressure for time being. If you achieve ideal weight, consider 45 mins of aerobic exercise daily and cut salt in your diet to less than 2-3 GMS a day, there is a fair chance that your blood pressure problem will be reversed. Let me know if any further clarification needed, and I would be happy to help. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I am a mortgage loan officer and sit at a computer for 8-10 hours per day. I am having pain in my neck with muscle tightness and strain as well as pain in my shoulder joint and tingling and numbness in my arm and hand. (I have been diagnosed with carpal tunnel as well) This is all on my right side and that is the side that I use for my mouse and hold that position for a long period of time daily. Any suggestions on pain relief as not working on the computer this many hours is not an option. | Hi there Thanks for your question. Working on the computer for long periods, over years can lead repetitive strain injury with pain pattern similar to what you have. The kind of posture you adopt while working on the computer predicts the pattern of pain. I suggest you to go through websites detailing what is known as Ergonomics for working on computer. You will find images and instructions all across the web on correct posture for your neck, eye level, monitor level, wrist position and so on. You should take a break every half an hour while working on the monitor. Stretch your muscles, take a stroll and come back to work. Once you start religiously following this, I sure you will have some meaningful pain relief. If the pain still persists at the end of a month, you should go ahead with physiotherapy with neck muscle strengthening and X-rays if required. Hope this helps. All the best. Regards. Chat Doctor. |
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