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ηζθΏ°εηι«εΈει‘γ | Why does my blood tend to clot quickly? I went to take a test and the nurse was injecting something into my vein. When she found the vein and pulled the vhamber back blood came in and then she lost it. Within minutes the blood that was already in the syringe clogged the needle and she had to take it out. Is that normal? Sincerely, Kelly | Hello and welcome to Chat Doctor, While blood is being taken out from any blood vessel, it is important to transfer blood in appropriate anti-coagulant to prevent its clotting. However, when the time elapsed between taking out blood in syringe and transferring it to appropriate container with anti-coagulant is long enough, the blood will clot. Blood will clot if it does not contact with an anti-coagulant within time. Thus, clotting of blood is not an abnormality. However, if the clotting time is increased or decreased then it is an abnormality. You can get bleeding and clotting time to assess the functioning of coagulation system. Thanks and take care Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | hi. its been 2 days since i have finished my 5 day period cycle. I ve been getting lower abdominal pain and lower back pain that comes and goes. what is that caused by? and is that normal | Hi, Yes it could sometimes happen due to severe menstrual cramps. Not to worry, you can take any of the over the counter analgesics for this. But if the pain becomes severe and if there is any associated Abnormal Vaginal bleeding, you should be seeing your Gynecologist so that she can examine you and rule out the exact cause. It is the spasmodic type of pain whicChatDoctores and goes. Apply heat pads several times a day and get adequate rest. Wish you Good Health, Take Care. |
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ηζθΏ°εηι«εΈει‘γ | My medical aid has rejected a claim for a incisional hernia, stating that the 3 previous operations were the problem and that these procedures were not covered by medical aid. The first procedure was 25 years ago it was a gastric bypass at age 15, I had no problems until 5 years ago and a doctor convinced me that if I dont change the JIB procedure to a RNY that my life expectancy will be shortened by 20 years but I was very healthy and BMI of 20, he lied to the medical company and they paid for a gastrectomy, I started gaining weight and went to go see another doctor for advise and he just wanted to operate, he said that the previous doctor made a mess, I trusted this doctor and had to pay out of my own pocket because of my low BMI but didnt want to gain all the weight back and he reassured me that I would look fantastic. But this was not the case, this operation only made me gain more weight and I had constant pain. When I went back several times to show him the stomach is pertruding when i lift my neck his reply was that his does the same. What am I to do? I also have Sarcoidosis and Lupus anti-coagulant anti-bodies. I am in a lot of pain and eating less and less due to the embarresment of my stomach swelling out all the time. Please help! | Hi. Thanks for your query. The causes of swelling of the abdomen can be :-Intestinal infection-Intestinal obstruction-Ascitis.-Tumors / Gastrointestinal Cancers -Ovarian or other cysts. Your history of multiple surgeries for weight reduction have their own complications of intestinal obstructions. Get Enterosclysis - Barium studies to know the exact problems and to get the proper solutions. Change of the diet and addition of the supplements as per the advice of the Dietitian would help you. |
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ηζθΏ°εηι«εΈει‘γ | Hi this is akshaya 26 years old. Got married before 3 Years. I have PCOD Problem taking OBIMET 500 MG. getting Regular periods for more than a year. this month discontinued OBIMET and Taken OVACARE AND FOLIC ACID TABLET ovulation not happened and not ruptured till 20th. Doctor adviced me to continue with OBIMET and folic acid Tablet. After 2 Months she will give some Tablets to STimulate. Actually want to know whether will i get preganant | Hi, I think you can get pregnant. You have to take medicines like camphene for the growth of your follicles and track your follicles' growth by repeated ultrasound and when your follicles is more than 17 to 18 mm, take injection for rupturing the follicles. Be in contact with your husband for 2 to 3 days after injection. Take progesterone for next 2 weeks. Do a urine pregnancy test at home after that. You can try like that for 3 to 6 months. Hope I have answered your question. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Sir, I am 42 years age wght 68 kg..did my semen analysis test...it shows 21.2 million/ml and shows 65% of spermatozoa are morphologically normal and actively motility rate gets down from 40%(after 30 mins.) to 30%(after 120 mins.), whereas corresponding non- motile increases from 50%(after 30 mins.) to 60%(after 120 mins.). With this report kindly tell can I able to become a father | Welcome to Chat Doctor There is problem in motility of sperm. Other values appear satisfactory. You need to consult your Doctor regarding this and medicine may be given for this treatment. Avoid using tight underwear, using laptop on lap, going near hot objects. Wear loose underwear. Eat plenty of fresh fruits and green leafy vegetables for antioxidant effect which will help in sperm motility. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am 26 years of age married for two years with no kids. I have a cystic structure on my left ovary 7.5 cm x 5.5 cm. Before I had a tubular cystic structure on my right ovary 6.5 cm x 5.5 cm which is gone by itself. I just wanted to know what kind of operation is done for this cystic structure and after removal will I be able to get pregnant and the doctors told me that my baby bag is twisted (facing the other side) and the chance of getting pregnant is 15 % lower than the normal ladies. Is it correct? And how it can be corrected? | Hello. As the CA 125 (coelomic epithelial antigen) levels are normal, the cyst is likely to be a simple ovarian cyst. A cyst of size more than 4 cm if symptomatic can be removed with laparoscopy. But if asymptomatic then a trial of low dose oc (oral contraceptive) pills can be given for two cycles to allow natural resolution of the cyst. Secondly, retroverted uterus as in your case has reduced chances of conception, but with the change of position during intercourse that can be overcome. For infertility management, it is important to learn your hormonal status and regularity of your menstrual cycle. Please follow up with details. Regards. For more information consult an obstetrician and gynaecologist online |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor, I am a 16 year old that does alot of contemporary dance and ballet. I have been having extreme aching pains in my knees and everytime I move my knees they crunch and click. This has been happening from over a year and gets progressively worse- It is very painful and would love it to stop! What is wrong with my knees? | Hello, I can understand your concern. If you had said that you have danced all your life and having such symptoms, I would have diagnosed osteoarthritis, a degenerative bone disease that degenerates the joint causing friction between bones while movement and causes pain and clicking sounds. However, 16 years is a pretty young age to have this disease. It is possible that you are not balancing well on two knees or the knees are deficient tin strength. I would advise you to visit an orthopedic surgeon once and get an x-ray of the knees so that any bone deformity or problem can be ruled out. If he does not find anything, then you can visit a physiotherapist or chiropractor to work on possible balance or strength problem. I hope this answer helps you. Thank you for choosing Chat Doctor. I hope you can ace pain-free soon! Best, |
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ηζθΏ°εηι«εΈει‘γ | Hello. I m 9 weeks pregnant. Since a couple of days everything I take, I doesn t stay inside and I vomit. My doctor has prescribed me to take duphaston daily. But as soon as I take it with water it gets out through vomit. Can I take this tablet with apple juce? Or with milk? | Hello, Some women experience more than expected vomiting during first trimester of pregnancy. But it can be and should be controlled by medicines. Please seek prescription support from your treating doctor for antiemetic like Dopamine with Vitamin B6, to be taken 30 minutes before food. You can continue taking it till 14 weeks of pregnancy. If needed Capsule containing Pantoprazole and Risperidone can be taken if you still get vomiting after Dopamine. Secondly, I will suggest you to opt for a healthy diet and regular exercise regimen. Have small frequent meals. Do not eat hot, spicy, deep-fried foods, bakery products; as they are known to induce acidity. Do not remain empty stomach more than 4 hours. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | If you have broken vain in your legs and thigh which is very bad until it causes a lot of sharp pain running up and down your thigh and poor circulation where the legs is loosing it skin color and the skin feel ruff like alligator skin would that cause for amputation if not taken care of in the long run. | Hi, A broken vein (varicose veins) leads to poor lower limb circulation that will affect your bones, muscles and each and every aspect of the limb as per your history. I would suggest you to get treated immediately to prevent further complications. Amputation is only in very severe condition that have developed big ulcers that won't heal over time. Treatment generally includes self-help like elevating legs above heart level, ankle toe movements thought the day compression stockings laser treatment foam chemotherapy. Again I would like to say nothing to worry about as of now, but you need to take treatment to prevent further complications. Hope you find this helpful. Let me know if I can assist you further. Jenis Bhagavan |
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ηζθΏ°εηι«εΈει‘γ | I am Shuhana Sultana (Nila). I am 27 years old, height- 5 .1 , weight- 53kg. Recently Doctor find out my Kidney disease. My creatine level= 9.5, Hemoglobin=6.4, non diabetic, non jaundice . But cardio Vasculous, Vomitine Tendencies and sometimes water affacted by body. Urine not so accountable and dialysis stage is over come first time . now i am the patient of National Kidney Hospital of Bangladesh at Dhaka. What is the better sugession in India and where and how many cost be needed for my preparation. Please send your comments as early as possible . | Hi Nile;welcome to Chat Doctor You are suffering from renal failure and the treatment is either dialysis or transplant. In India also treatment will remain the same but according to our country law transplant can be done only if the donor is a blood relative of the patient;and as for dialysis it is done in most major hospitals in all major cities. Regarding the cost of treatment it can be known by contacting the hospital authorities where you want to or decide to get treated. Thanks |
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ηζθΏ°εηι«εΈει‘γ | having many episodes of severe chest pains, nausea, clammy yet all tests come back normal. i have a pacemaker, utonomic failure and orthostatic hypotension. my chest continues to give me severe pains...what could it be? also heart attacks with no damage, can they have all tests come back normal? | Hi thanks for asking question. Here at few possibilities in your case.1. You have put pacemaker. So first for chest pain heart condition has to be ruled out. You have not mentioned which tests are done. ECG, echocardiography and serum troponin estimation will be helpful to you for rule out cardiac condition.2. If heart problem not present then simple muscular pain might be the cause by heavyweight lift, exercise, excess coughing or bad sleep posture.simple analgesic will be helpful.3. If fever, cough like symptoms present respiratory causes ruled out like simple viral infection or pneumonitis like condition. Chest x-ray could be useful .4. The chest pain may be because of lastly referred pain if history of acid reflux present. I hope my suggestion will be helpful to you. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | I have been experiencing recurring BV and yeast infections for the last 3 months. My doctor says my PH is off due to cycle because that s always when it occurs. I was put on 7 day dose of Flagyl pills followed by twice weekly gel for 4 months. After second dose and third I have been noticing dime size clumps of wet paper looking yeast (I assume). Very little itching on outside and no discomfort or other discharge. Is this common and since I have 3 1/2 months of gel to go, should I be on Diflucan long term? This is all very frustrating! | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. There is need for confirmation of the present diagnosis. I advise you should do Grams staining from the discharge. Grams staining can confirm the diagnosis whether it is bacterial, yeast or other infections. Bacterial vaginosis is bacterial infections and requires a Doxycycline and metronidazole combination. While in fungal infections requires fluconazole tablet. There are some vaginal tablets available, which requires to be inserted in the vagina. This acts locally, and cab help treat the infections. Please maintain good local hygiene. Avoid sexual intercourse or can do protected intercourse. If the male partner have the same infections as both requires the same concurrent treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi sir.. I am having 2 month baby.i dont find sufficient milk for my baby.i am using lactare tablet 1 in the morning and 1 in the evening.please let me know how many months can i use those pills.and also about the dosage and does it has any side effects. thanks in advance. | Hectare tablets can be used once or twice a day for up to 2 to 3 months. But the following measures should also be done. Tablet alone cannot increase milk production. Eat at least one serving of leafy green vegetables in a day. Include foods like ghee, pomegranate, carrots, barley, cumin seeds, garlic, apricots and oatmeal on your meal. Massage the breasts for a while before feeding every time...this is supposed to increase the milk flow. Feed your baby well, atleast once every 2 hours. The more you feed more will be the milk produced. Feed for longer so that your baby gets enough of fore milk and hind milk which is richer in fat.Don't take any stress and tension. Sleep when the baby sleeps. Eat well and feed your baby well. Hope I have answered your query. Let me know if I can assist you further. Regards Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I have recently found out I have a nodule in my lung and 4+ cysts in my thyroid gland. I have been sent for a PET scan, the results of which have shown the lung nodule to be benign. I have lost my daughter to cancer and my father has just been diagnosed with bowel cancer so as a family we have been referred to the genetics board. Is it possible that this nodule may turn cancerous in the future? | Hello thanks for posting here. I have gone through your history and I do understand your concern. As you said, the PET CT shoes that it has no FDG uptake and hence called a being one, however it still needs investigation. The cause for the nodule should be evaluated as it may be as a result of infection including TB (Tuberculosis) or due to an autoimmune process in which the body attacks its own cells. So a biopsy of the nodule should be done wither under CT guidance or by bronchoscopy whichever makes the nodule well accessible. Biopsy should be able to identify if it's an infective process or autoimmune process and also BR able to identify the cells and rule out malignancy. After biopsy if you get no answers, then you should not worry and follow up the nodule for increase in size by chest x-ray or CT every 3 months to see the doubling time of the nodule. In the meanwhile please continue your genetics evaluation. |
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ηζθΏ°εηι«εΈει‘γ | I am an O.T. working with a 2year old girl dx with VACTERL...can you tell me what the eye problems are with this...I am wondering if she has some visual/ perceptual challenges as she is unable to place single puzzle pieces correctly...are there peripheral field deficits or convergence problems? | There are no specific described eye problems. Her vision will depend on the integrity of her eye structure. Hence, that should be checked out first. Does she have, for example, a cataract, or a retinal problem? Structure problems lead to function problems. Remember that! Of course, sometimes, especially when it comes to the brain and eye, the structure may be totally normal. Only way to make certain is by further tests and referral to her ophthalmologist. |
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ηζθΏ°εηι«εΈει‘γ | I have been ill since the end of December, firstly with sinusitis, which did not clear, then a chest infection, which still have. I have taken three courses of antibiotics. My tongue has a very thick coating, in spite of brushing it and most food and drink taste awful. What can I do about it? | Hello, Welcome to Chat Doctor, The symptoms and your treatment history suggests me that you may be having some remote infection which is causing all these symptoms. As your symptoms are persisting even after taking three courses of antibiotics, I would suggest you to undergo chest X-ray, complete blood picture and the blood culture and sputum culture. The aforementioned investigations help us find out the reason for your symptoms, and then we can proceed with the treatment. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I did my blood test. The hemoglobin is astonishingly low at 4.1. I did ferritin test and B12 test and the results are attached. Blood transfusion was done - one bottle. The hemoglobin increase to 5.5, but again reduced to 5.1. I have a fever on and off. What problem do I have? I am feeling very weak. How long will the treatment go on? | Hello. Your hemoglobin level is very low. In low hemoglobin state, the oxygen-carrying capacity of blood is affected and so weakness and other symptoms occur. You need to be given blood transfusion or iron injections. But, your ferritin level is high. So hemolytic anemia has to be ruled out first. For low B12 level, cyanocobalamin injections are to be given once a week for eight weeks. You need further investigations with peripheral smear examination report, serum LDH, serum bilirubin estimation, etc. Consult a nearby physician for physical examination and accordingly discuss your treatment plan. Hope this will help you. For more information consult a hematologist online Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi my baby has had jaundice from third day to just over a month. She was born very pale like my other daughters. With jaundice she became very yellow starting from nose,then eyes, gums tongue and all over her body. She has fully recovered from jaundice without any phototherapy. But however has gone very dark after her jaundice, although we can see skin is not as dark as early days jaundice. Is she going to get her original skin colour back? And if so how long will it take? She is now two months and looks very different to when she was born. Everyone always asks is it the same baby they saw in the early days after birth :( | Hello and Welcome to Ask A Doctor service. I have reviewed your query and here is my advice. Looks like a case of prolonged jaundice. Need to investigate the child further whether it is conjugated or conjugated jaundice. Based on this investigation further course of management can be planned. Suggest liver function test, CBP, USG abdomen, thyroid profile, and CRP levels. Further course to be planned based on reports. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | hi.my name is suzette, 26 yrs old.i have history of tubercolosis 6 yrs ago.i work in uae for 4 yrs, now i transfer for the new employer.i failed with my medical the reason why im here now in phillipines,i want to back again in uae my problem is my lungs, i dont feel any symptoms of tubercolosis,my only problem is the scar that im carrying now,is there any chance to remove this scar?Do you know any hospital in bulacan who have doctor who is specialist on pulmonary deseas?because i went to st. lukes hospital they are asking me to make some sputum test but its to far frm me to bring that sputum in hour..i hope u can help me to my problem..thank you very much | Hello and thank you for asking in Chat Doctor. I can understand your concern and I find it right. In my opinion in your case the most important thing is that you have to do that sputum test to be sure that you are not contagious anymore which means that you are not ill. For the scar in the lungs I do not think that there is anything to do, but this is not so important. For free moving you have to be sputum negative for Tuberculosis. So I wish you good health. Thank you Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My 29 year old son fell off a lorry and strained is calf muscle yesterday.. It swelled instantly and was very painful . He did go to A&E they said it was pulled muscles... Today i have notice the leg that is swollen leg is very cold from knee down its still very painful is the coldness normal | Hello, I have studied your case. As per your history there is possibility of soft tissue injury in knee and leg muscle spasm. Most commonly meniscus injury occurs. As per your symptoms you need to do physiotherapy and knee exercises to improve range of motion. If pain persist then you may need to do MRI to see for any functional defect. Small meniscus tear can be managed conservatively with physiotherapy with USG and TENS. Meniscus injury can be managed by arthroscopic repair, and same day you can go home. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | sir in my younger age upto 5 years i was very fair but when i grow up my skin tone get darker and darker now its fully dark because i was suffered from astma problem soi ontook many heavy dose drugs,is it affect our skin tone,how should i get rid of this ,i am a male and ia m 28 years old,my native is trich now i am in chennai,very hot places,i stuied in pony near sea shore for 4 years is that salty air also affects skin,please offer me a solution,i feel very guilty,when i seeing my earlier stage photos no one accepting me,please help....... | Hello, Thank you for posting on Chat Doctor. Complexion of any person is having two components; constitutive, one which is predetermined by genetics and racial factors and usually cannot be changed with any treatment. The other component is due to external agents like environmental exposure, sunlight, use of any cosmetics etc. and is amenable to treatment. You can get a series of chemical peels, which actually remove the upper dead layers of skin and stimulate regeneration of collagen and thus newer layers of skin. Many options are available in chemical peels depending on the requirement and skin type. (Glycol peel, retinol peel, cocktail peel etc.)Also, chemical peeling can be preceded by a simple procedure called microdermabrasion or commonly known as skin polishing to augment the results. Also, at home you can try using cream containing comic acid, betray Chat Doctor. Always use broad spectrum sunscreen before going out in sun. Use a plain moisturizer like detail DAM on daily basis for healthy and HY |
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ηζθΏ°εηι«εΈει‘γ | Hi doctors, i had some queries for my baby. Actually when my baby was born she was very fair.And now she has become very dark. When i consulted with child specialist he told me that it is because of dry skin, so he asked me to apply emoderm oinment all over the body and use pears soap for bath. he also told me to stop oil massage. After doing all this still my baby is getting dark day by day. Doctor is also telling me that it is fungul disease. Will you please help me out with this problem. My baby is 5 months old now | Although environmental factors like sunlight and UV rays have a role to play in determining the color of an individual, genetics plays a very important role in this regard. The skin color does not express itself properly at birth. So it is not unusual for a newborn to look fair. Even the present color might not be the final color of skin of your child. Although fungal infection is possible, it seems less likely. Oil does not get absorbed through the skin and hence your doctor has asked you to avoid it. |
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ηζθΏ°εηι«εΈει‘γ | Ive had malaise for about 2 months. Had swollen gums and ear pain. Had teeth cleaned. Helped a bit. 2 weeks later had salivary gland infection prescribed Amox-clay 850mg 3 days after finishing medicine a new infection ear and throat swollen glands now on mew antibiotic cefdinir. Getting frustrated. Is this all related? | Hello, Ear pain is due to ear infection and as it is happening again it can be due to the lingering infection or recurring ear infection. Ear infection can also cause throat infection as ear and throat are related to each other via ear canal or Eustachian tube. So, my suggestion is to consult an otorhinolaryngology and get evaluated. An ear examination should be done to rule out the cause of recurring infection. For now, continue the antibiotic and can also use antibiotic ear Chat Doctor. You should also start massaging the gums with chlorohexidine gel to reduce gum infection. Do warm saline gargles. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I had arthroscopic shoulder surgery 3 weeks ago. Had complicatins from the scalene block including a paralyzed diaphragm, vocal cords and swollen eyes and was hospitalized for 4 days. Last night, I noticed an area between my collar bone and base of neck that feels like fluid. Called the doctors office and since I was going to PT today, they asked me to have the therapist check it. The therapist said it felt like fluid but it is not an area where fluid normally is. Could this also be associated with the scalene block? | Dear patient During scalene block fluid is injected between collar bone and neck to anesthetist nerves for surgery. That fluid contains anesthetic Chat Doctor. This fluid gets absorbed into blood within one or two weeks and swelling disappears. Fluid used during arthroscopic surgery accumulates below collar bone, and it also goes away with time. Sometimes fluid may take longer time to disappear. If swelling is only concern I would advise you to undergo ultrasound of neck to confirm diagnosis. You can wait for one more week to reduce swelling. If even after that swelling remains please consult your operating surgeon. Hope this is useful. |
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ηζθΏ°εηι«εΈει‘γ | Hi. I have a problem with my sister.. since i was a kid, she used to eat uncooked rice . it s like an addiction . right now, she s having a problem in her gall bladder .. the doctor said that according to the xray result, he saw a crystal parts in her gall bladder and he thought that it s the raw rice.. we don t know how to prevent this kind of an addiction.. can you help me about this? thanks. | Hi there. It appears to be that your sister is habituated to consuming raw rice. This can be prevented by firstly avoiding raw rice lying around in the house. Give her cooked rice well flavored so that she may forget about raw rice. She may try alternative like chewing gum or licorice sticks as their consistency may engage her curiosity similar to the experience with raw rice. Usually gall bladder showing crystals indicate growth of possible gall bladder stones. Do get her blood tested for cholesterol. Rice does not show as crystal as it would be digested in the stomach by acids. If the technique does not work, kindly do approach a Psychiatrist and Behavior therapist who will be able to evaluate her and decide proper management of this problem. |
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ηζθΏ°εηι«εΈει‘γ | I got stung by a bee on the weekend and because of my excessive scratching, I developed a skin rash/infection. I am on 2 antibiotics: bactrim DS, and keflex. Its only been 1 day taking the meds and the area is still extremely itchy. I have not scratched it, just a tap here and there. There is now a swollen ring around the area. The area is all red and remains red. Im worried about the ring of small bumps around the area. Is this a part of healing? Or is this a new development? | Hello, Thank you for posting on Chat Doctor. Insect bites are usually pretty easy to treat unless secondary infection sets in. I would suggest you consult a dermatologist, who would suggest you short course of oral antibiotics and analgesics. Oral corticosteroids may be added as required. Apply a cream containing mupirocin for 3 days followed by a cream containing clobetasol and juridic acid twice a day over affected areas for at least 5 days. Take antihistamines for itching as required. Hope your queries are resolved and wish you best of health. Kindly spare some time to rate my answer and Chat Doctor. Com/v3/__http://doctor. ChatDoctor .com/doctors/ |
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ηζθΏ°εηι«εΈει‘γ | hi, i was wondering if you could help me on a question, i have irregular periods approx (32) days the first day of my last period was on the 2nd november me and my partner has had sex everyday as i am trying to concieve and i havent had my period since, it was due approx on the 4th december i have taken 3 pregnancy test which are all negative, ive recently had check ups for stds and came back all clear i was just wondering if i could be pregnant or not, please help many thanks. | Hello, and I hope I can help you today. If you have had three negative pregnancy tests, you are not currently pregnant. You do have a history of irregular cycles, so you may just need to wait a bit for your cycle to come. The stress and anxiety about trying to conceive can even delay your cycle. So- try to relax and just keep trying. Having intercourse every other day is actually more effective than every day, because it helps to maximize the sperm count in each ejaculate. If you do not menstruate for a while, I recommend doing a pregnancy test every two weeks. If you miss your menses for more than 3 months and are not pregnant, I would see a GUN doctor for evaluation.80 percent of couples will conceive within one year. So try to relax and give it some time! I hope I was able to answer your question today and that my advice was helpful. Best wishes, |
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ηζθΏ°εηι«εΈει‘γ | hi sir,my baby is born at32 weeks on 28/02/2011 his apgar score came with in 5 minutes n doctor said that it was ok .nd keep in PICU .but now he is complaining of breath holding n on c pep with support of other medi..eg aminophylinampiciline100mg, KCL,CALCIUM GLUCONATE etc ??IS TREATMENTOK | Hello dear!your baby was born premature and so the treatment includes antibiotic for possible infection, aminophylline for apnea of prematurity and fluids including Potassium and calcium that are normally required in a neonate who is admitted in ICU. Cpap OS continuous positive airway pressure to help the preterm babies breath if they have RDS. So the treatment is appropriate. Hope it will answer your question :-)Wishing your child a speedy recovery and sound health. |
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ηζθΏ°εηι«εΈει‘γ | I am experiencing chronic pain in my knees and elbows. I have never had this before. It is almost debilitating when I bend down and try to right myself. My knees hurt so bad and I have a hard time standing up. The pain seems to be constant even though it doesn t keep me from walking around during the day when I m at work. It s near crippling when I have been asleep and need to use the bathroom. My legs almost don t work. | Hello! I read your question and understand your concern. In my opinion your symptoms may be caused by a hematological problem. I would like to know your age. The morning freezing is a common feature in many hematological disorders like rheumatoid arthritis. I would recommend you to consult with a hematologist, have a good physical examination, a full blood work, blood tests for inflammation like fibrinogen, PCR, sedimentation and rheumatoid factor. Further tests may be necessary to establish the cause of your symptoms and the appropriate treatment. Hope to have been of help! Greetings! |
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ηζθΏ°εηι«εΈει‘γ | my 8 month old baby girl has been diagnosed with a fluid problem in her ears which is impacting her hearing. We are waiting for an ENT appointment (in 4 months!!). She always has her tongue hanging out of her open mouth. I mean always!!! is this at all related? what can this be a sign of? | The tongue hanging out means that the mouth is too small to contain the tongue or the tongue is larger than normal ---both ways they there can be some obstruction in her throat formation that can cause obstructed breathing in the airway of the throat called nasophaynx and this can cause blocks to flow of air.Let's say there is a small tube connecting the throat to middle ear, called Eustachian tube, this fills up with fluid and this causes fluid and pain in middle ear called serous Otis media. Please check up with pediatric emergency , earlier appointment, use normal saline nasal Chat Doctor. Earlier the better -----yes the entire face and oral cavity are related. |
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ηζθΏ°εηι«εΈει‘γ | Hi, I had an accident 10 months ago and broke my fibula and ankle, surgery was done, screw inserted in the ankle and plate in the fibula. Last X Ray showed broken ankle bone to be healed fully and fibula almost healed. Though the swelling has reduced considerably on the fibula side,but the muscles have concentrated on one area on side of the plate and not uniformly spread.They form a small ball shape at the end of the day. Also on the skin on the top of muscles feel dry and is less sensitive compared to other less and also numb. Any insight into this? | Hello Post surgery stiffness in common you may need physiotherapy and CPM machine mobilization. Physiotherapy will help you. You may have good relief with physiotherapy like IT [Inferential therapy] and TENS[Transcutaneous electrostimulation] along with ultrasound. So if possible you can start that. Take diet rich in calcium, vit D and B12. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Hi my son is 7 years old , yesterday afternoon he started saying stomach ache and wanted aircon on, by the bed he had 37.3 tem, and i gave him panadol . didnt sleep well due to stomach pain. Early morning around 2.30am he vomited. Now he is sleeping feeling a bit feverish. Monday only we went outside for shopping and had food from out side (subway). Please let me know what is going on with him. | Hi, Fever of a 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 a viral illness and it doesn't require antibiotics at all. Once the viral fever comes it will there for 4-7 days. So do not worry about the duration if the kid is active. Paracetamol can be given in the dose of 15Β mg/kg/dose (maximum ceiling dose of 500Β mg) every 4-6th hourly that too only if fever is more than 100F. I suggest not using combination medicines for fever, especially with Paracetamol. 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 | Hello Doc,i have a simple question, my wife is pregnant and she is about week 20+4 days, the baby and the mother are in a very healthy shape, but the doctor asked her to come back after 2.5 weeks for an internal test! and ive heard that this kind of tests take place during the final stages, so is that normal or not? | Hi dear, I have gone through your question and understand your concerns. Internal examination or pelvic examination is not done before37 weeks of pregnancy in an uncomplicated pregnancy. However, in certain conditions, like preterm labor, vaginal infection, it may be required a bit early. I will suggest you to discuss with your doctor the need and reason of this test. Hope you found the answer helpful. Wishing you good health. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | Hi, my lungs hurt, I m coughing, I m having sleeping apnea, my vagina hurts along with lower back and lower belly, and after I pee pink liquid comes out, it s been happening for 3 months now and I m also really depressed my brother wants to send me to a therapy . I m 16 turning 17, I am active, Female, I have asthma , and operated my lips twice due inflammation . please help. | Hi, you have asthama-must be coughing a lot, bringing about strain to your whole body, including lower abdomen & pelvis. The pain may be attributed to that. Are you sexually active? If so are you pregnant? -in that case you need to visit a sync get treatment. As far as asthma is concerned,nowadays there are wonderful Chat Doctor. Please consult an asthma specialist, get thoroughly examined, to have proper advice of treatment. Along with treatment,lifestyle changes including regular respiratory exercises. Light physical work-outs, avoiding allergens, regular healthy diet without allergens will make you perfectly normal. Thanks, |
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ηζθΏ°εηι«εΈει‘γ | I am 23 old female ..doctor,while brushing day before I saw blood in my spit ..someone said it may be due to acidity but today again the same thing happened .. what can be the reason doctor ..??? and as far as my health is concerned I am perfectly fine | Hi. Welcome to Chat Doctor . I have gone through your query and can understand your concerns. As per your query blood in spit on brushing can be due to causes like gum infection and inflammation leading to Gingivitis. As you brush your teeth the gums gets stimulated leading to bleeding. This can be the most common cause. If it was due acidity then it can be associated with other symptoms like heartburn. I would therefore suggest you to consult an Oral Physician and get evaluated, and a thorough clinical evaluation can help. In case of gum infection Scaling of teeth followed by gum paint application can help. Do warm saline gargles. Hope this information helps. Thanks and regards. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | last 2 weeks I have mild (tolerable) pin pricking pain below my toe ( not the heel part) on both my feet. I stand 5-6 hours a day at work and it does not help. I am not diabetic and I am 60 years old,male. No other symptoms. I had 2 robaxin 5oo mg left from my back pain (2 years ago) and I took 250 mg twice a day for 2 days and for 3-4 days I did not have any pain at all????? | Hi, Thanks for providing the brief history of YouScience you mentioned your symptoms you have, and you have to stand for 5-6 hours a day, also you tried self-medication which didn't work. What it looks like to me is the nerve getting irritated at the lower spine region for which you are feeling these symptoms of pin pricking. And also you had the back pain issue in the past as well which is making me think this. Since the symptoms are not too big and tolerable for you, I think you can be fine with some exercises for which you can meet a physical therapist and learn from him. Or either you can do some exercises for strengthening the core and the spinal muscles. By this the symptoms should stop. Also, whenever the smallest things start from the spine, one should keep continuing the core strengthening and spine strengthening exercises for long term to avoid major injuries. Feel free for anymore queriesRegardsJay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | my feet have been getting swollen,pain,cold my ankles at times feet feel tired sometimes my legs this started maybe in august had a miscarriage in November.its getting worse ihave hypothyroidism.my sister thinks my feet are alittle purple.im on my feet a lot 5am until maybe 3pm work 7days a week..changed shoes to dansko they worked for a week and now its back.what is wrong with me I have to work.and I do have flat feet | Dear Friend. Hi, I am Chat Doctor, I have read your query in detail, I understand your concern. Hypothyroidism can cause swelling over the feet. I am more concerned about the purple rash, you have. I would like to see the photograph of the rash. Since you had an abortion, now a rash, it might be a Vasculitis. I am not saying it is, I am just putting a cause that is coming to my mind reading your query. This is my personal opinion based on details available here. If you still have any query you may please ask me. Stay Healthy. Chat Doctor, MD |
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ηζθΏ°εηι«εΈει‘γ | What actually causes cold urticaria? I stay in an air conditioned room and usually nothing happens. But when Im exposed to cold stimuli for a long time or if its really too cold, my hands swell up and become puffy and itchy. Is there a way to stop this besides covering up? Im 16, female and I have had this allergy since I was little. | Hello, Welcome to Chat Doctor, The history and symptoms suggests me that you may be having the Maynard phenomenon. It is a condition in which there is excessive reduced blood flow in response to cold or emotional stress. It is a hyperactivation of the sympathetic nervous system causing extreme vasoconstriction of the peripheral blood vessels, leading to tissue hypoxia and producing these symptoms. This can be managed by avoiding triggers such as cold, keeping a warm body temperature and avoiding smoking including passive smoking. Chat Doctor. Thank you. |
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ηζθΏ°εηι«εΈει‘γ | I was diagnosed with copd about a year ago. No one ever mentioned anything about exascerbation. I am 75 years old and am the sole caregiver for my 87 year old husband who has dementia. All of our family live in far off states. I caught a mild chest cold that hung on and on. My doctor prescribed an antibiotic. Three days later (naturally on a Sunday) I could not breathe, my chest rattled and wheezed and I paniced. Was in the hospital for a week and am home now. But I m afraid to do anything that might cause a recurrence. My lung specialist is out of town for a few more weeks and the doctor in the hospital was a family practicianer - I don t think he knew quite what to do. We have very little money. I will continue with whatever medicare will help pay for. Thx. But you could at tell us up front that there is a cost and an only one time response. | Thanks for your question on Chat Doctor. I can understand your problem and situation. COPD is chronic obstructive pulmonary disease. It is progressive illness. We need to control the progression of it as we can not cure it. Following are the treatment modalities for better symptomatic control and prevention of exacerbation.1. Avoidance of smoking if you are having this habit. This is the most important step.2. Start inhaled bronchodilators and inhaled corticosteroid (ICS).3. Enroll yourself in pulmonary rehabilitation where chest physiotherapy and deep breathing exercise are done.4. Vaccinate yourself with adult respiratory vaccines like influenza and pneumococcal vaccines to prevent future lung infection. So consult pulmonologist and discuss all these for prevention of exacerbation and better symptomatic relief. |
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ηζθΏ°εηι«εΈει‘γ | Respected Sir, Iam 54 m. Recently I have done my blod test.lipid and liver function . lipd profile are normal value . My sgpt is 95 and sgot is 56 now. I wanted to know is it normal , If not pl suggest me what steps I have to do . Regards Mohan | Hi and welcome to Chat Doctor. Thank you for your query. I am Chat Doctor, I understand your concerns and I will try to help you as much as I can.AST (GOT) and ALT (SGPT) are reasonably sensitive indicators of liver damage or injury from different types of diseases or conditions, and collectively they are termed liver tests or liver blood tests. So the next step is to look for certain liver damage and most common case is fatty liver disease. It should be confirmed by ultrasound. Other causes are viral hepatitisβs cirrhosis, medications, alcohol intake or autoimmune diseases. To verify exact cause, US, bilirubin levels and tumor markers should be additional done Then appropriate treatment can be started. I hope I have answered you query. If you have any further questions you can contact us in every time. Kindly regards. Wish you a good health. |
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ηζθΏ°εηι«εΈει‘γ | I went to the Dr. yesterday and was told I have shingles. They started Thurs and looked like insect bites. The next day there were even more and itched really bad. Finally on Sunday I went to a Doc in the Box and she said I had very early shingles. They are on my right side of my back and a smaller patch on my left hip. I am taking Valacyclovir 3 times a day. They itch really bad but no pain. No blisters, just red bumps in clusters. Do you think this is shingles? Ice packs help with the itching and I have put a cream on them that helps some. | Dear user...sincerely I want to tell u that what your doctor said is true......shingles symptoms matches your words and confirmed by clinical examination ...it is just reactivation of varicella zoster virus.....in the past u were infected with varicella zoster and now when you are stressed reactivation occur .it appears as shingles in certain area of the body .no worry about it just reassurance.... we prefer to administer the vaccine as your antibodies decreased with time . You should discuss with your doctor about vaccination as the vaccine is good for u ...take care of your health wish you healthy life |
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ηζθΏ°εηι«εΈει‘γ | hi i have a question. i woke up after only being asleep for about an hour with sever lower abdominal/ pelvic pains. im not sure if i should go in right away or wait a little while to see if it gets better? i talked to a nurse line already some of the questions they asked.. pregnant? no scale 1-10? 8 stand on your toes then to your heels? it hurts to stand straight. fever/chills? i feel warm but i also just got out of bed a little while ago, chills no. diarrhea? no any advice would be great thanks! | Hello, Thanks for writing in. Since you got lower abdominal pains as soon as you woke up from your sleep, please do not panic. Lower abdomen pain can be due to many causes ranging from normal occurrence during periods, inadequate or skipped meals, ectopic pregnancy, infection to neoplasms. Please do pregnancy test at home if you want to confirm pregnancy. Ultrasound abdomen can be done to evaluate pain later if necessary. Hope it helps. |
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ηζθΏ°εηι«εΈει‘γ | my son who is six years old has blood streaked sputum for about 5-6 times today .He is on constant nebulization with duolin,levolin and budecort for past 20 days .Few weaks earlier he was advent forte and crocin due to sore throat and fever.He also has enlarged adenoids ..right noe he iis not having fever From delhi we have come to tour in mysore ...kindly suggest effective medicine for him | Blood streaked sputum or hemoptysis could be a sign of pneumonia or tuberculosis. The cause needs thorough evaluation as well as follows up. He is already on antibiotic (advent forte) and so the response to it needs to be monitored. The medicines that you are giving along, are proper. Give steam inhalation alongside. Further treatment can only be suggested after proper examination and investigations. Antitubercular medications would be required only if the test reports indicate tuberculosis. |
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ηζθΏ°εηι«εΈει‘γ | My husband had his vasectonia 7 years ago. Since then he had a lot of inflammation and pain. Urologists Epedirmitis always diagnosed as epidermidis and sometimes epidermis with blood in the urine. What kind of treatment exists to remove epedirmitis forever? Can they do a reversal of his vasectomy?Thank you, | HelloThanks for query. Your husband has undergone vasectomy 7 ears back and since then facing problem of severe pain in genitals and have been diagnosed to have Epididymitis. This is known as Post Vasectomy Pain Syn Chat Doctor. The epidermises of vasectomized men are often swollen and distended from back pressure effects. This leads to either Congestive Epididymitis or formation of sperm granuloma which is the cause for pain. Looking at the severity and chronic nature of pain and discomfort medicines do not offer much help to resolve the issue, The only best option is to undergo surgery of Vasectomy Reversal. This helps to give relieve from pain for forever. |
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ηζθΏ°εηι«εΈει‘γ | Hey my eyes hurt, my skin and body feels fragile, my eyesHurt when i turn them, and burns at times, ive been voughing with mucus. I have bronchitis and live in carpeted house, i also have really bad allergies. Should i be worried? What meds should i take? Ive been deinking vick and zyrtec | Thanks for your question on Chat Doctor. I can understand your situation and problem. Since you are having severe allergies, you're all symptoms are suggestive of allergic etiology only. The best treatment of allergy is identification of allergen and if possible complete avoidance of it. You are living in carpeted house. And carpet fur is common allergen. So if possible remove the carpets. Avoid dust, animal contact, pollen exposure etc. Antihistamine Chat Doctor. Anti-allergic |
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ηζθΏ°εηι«εΈει‘γ | I am a teenager and i have been feeling kind of depressed for a while, so i took some online tests and they said i have a high chance of having dysthymia. I read some articles about it and it seems to describe almost exactly how i feel. All of the stuff online says i should be getting help, but i really dont think its that big of a deal. Im not suicidal or anything, and i really dont want to make my family pay for any medicine or therapy. Its not like its totally ruining my life, im just feeling kinda down. Should i go to my school guidence counselor, or just kinda see how things play out? Our health class is doing depression screening in about a month, so if anything is really wrong they will find out and tell me what to do i guess. I just dont know if this is serious enough to make a big deal out of it. I know my parents would either think im making a big deal out of nothing or they would overreact and get super upset.Any advice? | Hi, You are a teenager, and the hormonal changes you are normally experiencing (involuntary) do play a role in your mood changes. It is perfectly normal to get those feelings: sometimes hopeful, some others hopeless. However, keep in mind that this is a transitory period due to hormonal changes. You should cheer up and enjoy your life. You have no reason to get into depression, although you might be feeling down. Go out and walk or run or swim; in other words, do some physical activity that could help you "explode" in order to get out all the negative impulses inside you. Being physically active, socialized and following a healthy diet will help you overcome your teenage mood changes:)Hope it helped! |
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ηζθΏ°εηι«εΈει‘γ | Sir, I have been diagnosed with sarcoidosis with erythema nodosum symptom and have been taking omnacortil for last six months and stablised at 7.5 mg a day. This is the third relapse of sarcoidosis in three years and that is my doctor has advised 7.5 mg for another 6 months. Do you suggest to use an air purifier in my bed room to avoid another relapse? | Hi Dear ! I have gone through your question and I understand your concerns would say that an air purifier will help your air in the room to clear from "allergens and other contaminants. Especially CO2. These may irritate your lungs and cause pulmonary problems with inflammation. The result is good to have the air clean and avoid other inflammation. But about if they will help you to avoid totally a new relapse, that is not sure.Because Acidosis is "Your immune system causing the disease (Lymphocytes)" and the cause why your system do that is not clear yet. The relapse of Acidosis may be caused cause of low doses of cortisone this often happens after you stop the medication for a time or when we low the dosage (from acute dosage to maintenance dose 7.5Β mg). To avoid that if I were you treating doctor if you have another relays I would consider starting a new Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | HelloDear doctor, is it possible to infect someone in such a situation: I squeezed somebodys pimple and insignificant amount of blood certainly got under my nail. Then in few minutes I was biting my nails and picking in nose. I didnt wash my hands previously. Is it dengerous? | What you have described is an unhygienic practice. While it is unlikely that you may have infected yourself, you should certainly avoid such practices of other reasons:1. Biting nails is aesthetically unpleasant;2. Nose picking can cause epistaxis (bleeding from the nose).3. Remote possibility of infection. Handwashing after touching a potentially infected site is a very good practice and should be followed. |
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ηζθΏ°εηι«εΈει‘γ | I am 27 years old. Kick-started the habit of Running on flat ground 3 days ago? Running at a stretch for 10 minutes, till my lungs can no longer hold it. How much can this habit be linked to Knee joint problems and Sudden cardiac death? Will my stamina increase progressively (i mean, longer than 10 minutes)? | Hello rearward welcome to Chat Doctor.come have evaluated your query thoroughly.* Difficulty in breathing is due to lungs capacity level of oxygenation Chat Doctor. * Running properly on flat ground do not arise knee joint problems.* Sudden cardiac death comes in picture when you go on running beyond and beyond the limits of your body's capacity.* Your stamina can increase progressively provided you do it rhythmically along with other deep breathing exercises, YOGA, managing vitals with balanced nutritious diet, HY |
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ηζθΏ°εηι«εΈει‘γ | Hello,I was under treatment for Jaundice couple of months back. Billurubin was 21 or something. Last month the reports came normal. Please advice if,01. I can eat the normal food ( oily, bit spicy, home made stuff etc.)02. I can eat out side ( at restaurants )03. I can eat non-vegJust to add I was a daily drinker when this was diagnosed. Currently I stopped drinking completely. ThanksRgds,Swaps | Dear Friend. Welcome to Chat Doctor. I am Chat Doctor. We need to find the cause of jaundice. This seems more of Viral Hepatitis. I would advise you to follow:1. Viral Markers2. Liver function test (Complete)3. Ultrasound Abdomen.I would advise you to take high carboy Chat Doctor. This is my best advice for you with the available details, if you have any further query, please ask. Stay HealthyChatDoctor, MD |
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ηζθΏ°εηι«εΈει‘γ | I am a generally healthy male age 67. I have had low oxygen saturation rates averaging the high 80 s to 90. Because of an abnormal CT scan which showed some spiculated scarring and mild bronchiectasis. I had a number of tests. I had a normal pulmonary function test. I had a sleep test that showed mild sleep apnea with some hypopneas more prevalent. I do not have COPD, obstructive sleep apnea or other serious conditions of which I am aware. I will do a repeat CT Scan soon because I did not want an invasive bronchoscopy. I sleep with oxygen and do not use it during the day. I do not, and did not, feel tired or sleepy during the day. I am concerned about a cause for this low O2 saturation rate as I would like to sleep without O2 and travel for business, etc. without carrying around or needing to arrange for O2. I have lived at 7000 feet for 40 years. Thanks for any insights. | Thanks for your question on Chat Doctor. I can understand your situation and problem. By your history and description, possibility of Pulmonary hypertension is more. Your CT is suggestive of scarring and bronchiectasis. You are also having mild sleep apnea. Both these conditions can cause Pulmonary hypertension (PH). You are also living at high altitude. This is known risk factor for PH. So in my opinion, you should get done ECG and 2d echo for the diagnosis of PH. Treatment of PH is low dose diuretics and tadalafil, Bosnian etc. 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 | Dear Doctors,My grandpa has been unconscious for almost 8 days and the hospital at my city in Israel have made all the tests required to see what s going on with him. Unfortunately, all the reports were saying that he s alright and nothing is wrong with him. Today they had checked his liver and they discovered that he has ammonia and it s 900 and the doctor said it suppose to be 90 .. so can you please help me and tell me what can we do to wake him up and find a good cure for him ? | Hi, Incomplete data like his age, any associated medical illness, liver disease, liver function tests, ultrasound, etc. not mentioned. I appreciate your concern for your grandpa who seems to be suffering from coma due to liver failure. The treating doctors in your hospital will try to find out the cause of your grandpas' coma like infection or bleeding. They will try to eliminate ammonia from the intestine because it can contribute to coma by using Lactulose - a laxative which it decreases the amount of ammonia that is absorbed by the body and antibiotics such as Rifaximin which can reduce the number of bacteria that form ammonia during digestion. With treatment, hepatic coma is frequently reversible. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | My husband has elevated Hemoglobin 18.5 Hematocrit 55.3 MCV 102.3 MCH 34.3 RDW 16.1 and monocytes 15.3 ALL LEVELS ARE HIGH , he has also had circular hair loss the size of a small orange . He has seen a Dermatologist who ran the above tests and is now sending him to his PCP for answers as he ruled out skin issues and his ANA screen was negative Please advise | Hi Welcome to ChatDoctorI have gone through your query regarding high hemoglobin Which may cause many health problems or may be caused by other problems as cancer,, bone marrow disorders, blood doping, living at a high altitude, and inappropriate use of the Chat Doctor. The normal level of hemoglobin in blood is 14-18 mg/DL for men which is not very high. The RDW and MCV levels can both be increased if there is too little vitamin B12 or folic acid (a type of vitamin) in the body People with PV have abnormally high hemoglobin and are at risk for a stroke High hemoglobin levels in the blood are caused by . The RDW and MCV levels can both be increased if there is too little vitamin B12 or folic acid (a type of vitamin) in the body even bigger mistake would be for balding people to take iron supplements on their own. Unless you have iron deficiency --diagnosed by a doctor -- iron supplements can lead to a very dangerous condition from iron overload. Hair Loss May Be a Symptom of Serious Illness A sensitive way to check total body iron stores is to measure the amount of ferritin in the blood. Ferritin is a protein that plays an important role in iron storage. As a general rule, the less ferritin in the blood, the less iron a body has stored up. People prone to develop even hereditary hair loss, if their iron levels are low, it accelerates that process. We think It's because the hair follicles grow so much, they require a lot of ironBaldness is very common occurrence in old people, but nowadays, many young people, even in their 20s, suffer from it, due to present stressful lifestyle and inadequate nutrition in the diet of people some home remedies to control hairless -Take a balanced diet including all essential nutrients in natural form fiber, fruit green veges, OND supplements full of antioxidants ginger, garlic, lemon juice, aloe vera juice30 ML + AMLA juice 2 Spoons, almonds, nuts, a lot of water . Take 4 parts bhangra, 3 parts Catalans, 5 parts dashamoola, and mix all with goat milk. This home remedy when taken orally cures hair loss and promotes hair growth. You can |
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ηζθΏ°εηι«εΈει‘γ | I am 21 years old. I have recently been put on a nebulizer 3 times a day and a rescue inhaler and also a steroid inhaler. My throat is feeling very tight and Im a getting very light headed. The dr said I have uncontroled cronic asthma like 3 months ago. I have gotten so bad sometimes that I have actually passed out. I am not feeling good at all right now and my husband is at work. Help? | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. If you are not feeling well at present, I would suggest you to use nebulizer and inhaler as instructed by your doctor. For example, rescue inhalers (those to be taken at time of emergency like levoalbutamol or albuterol etc.). If rescue inhalers/nebulizers do not improve your symptoms, I would suggest you to contact your doctor and get examined by him/her.2. As you have chronic uncontrolled asthma, regular use of steroid inhalers is very important for you. Please do not discontinue/decrease the dose without instructions by your doctor.3. I usually prescribe my such patients' montelukast in addition to inhalers.4. I would suggest you allergy testing for common air-borne allergens such as house dust mites, molds, pollen, insect proteins, animal dander, etc. This will help you identify the substances causing allergies to you as well as to know the measures to avoid them.5. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms and hence gradually reduce medicine requirements.6. In general, I would suggest you to avoid exposure to dusts, smokes and air pollution as much as possible.7. Regular breathing exercises and nutrition rich in minerals & vitamins will also help you in a long run by improving your lung capacity and immunity respectively. Hope above suggestions will be helpful to you. Should you have any further query, please feel free to ask at Chat Doctor. Wish you the best of the health ahead. Thank you & Regards. |
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ηζθΏ°εηι«εΈει‘γ | I am a medical student..and i am 20 years old. my problem is caring so much about my heart beats...i put my hand on my chest so many times all over the day....i feel like.. a little bit psychic person by doing that much...i also..keep watching my pulse ...so many times too....frankly..i am afraid from death : (...and..i think about it...so..to be sure i am still in life..i watch my pulse : (...i am soo sad about my self...and i dont know what to do..i worry to much..may be...i dont know...please..what should i do ?..thanks sir | Hello welcome to Chat Doctor According to the information provided by you that you are checking your pulse repeatedly to make sure that you are alive.......it points to the fact that u might have some sort of Obsessive and compulsive behavior..... a kind of anxiety disorder But you need not be worried ..... Consult a psychiatrist nearby so that he can guide you better regarding management of your problem..... and I am sure you will be fine... Good luck Thanks |
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ηζθΏ°εηι«εΈει‘γ | I am 29 years old, weighing 78 kg. Its been 3 years since I had my first born and now wish to plan for a second child. Ive suffered from Tuberculoma of the brain in the past and its been 1 year since Ive complete treatment. Is it too early to plan for another child. I fear becuase of 1. My curent weight and how it will affect the foetus 2. The intesnse treatment I was on and if theres any residue in my body that might affect the foetus.Any advice/suggestions/help will be much appreciated.Thanks, Doll | Hi, Since it's been almost a year since you have been treated, the past tuberculous will not affect your pregnancy. Your weight at 78 kg is more, but I would like to know your height as well. Excess weight prior to pregnancy can cause problems, such as gestational diabetes, hypertension in pregnancy. There is also increased risk of miscarriage and fetal problems. The baby may be large which can cause more chances of cesarean, and also bleeding after birth. So, depending on your BMI calculated with weight/(Height)2, I would advise weight loss before embarking on the pregnancy. Hope this helps. Regards. |
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ηζθΏ°εηι«εΈει‘γ | I have had an upper respiratory infection for 2 weeks and my left is has an ear infection. It doesnt hurt i jist cant hear out of it at all. I need to know how to fix it so i can hear again. I saw the doctor just the other day and was prescribed amoxicillin for my upper respiratory infection but it s done nothing for my ear infection. What should I do? | Hello, You may need to be reviewed; there are some bacteria that cause ear infections that do not respond to typical antibiotics. You may need to give an alternative course of medication. In addition, you may need antihistamine/decongestant combination. There may be a change in the pressure of the ear, which is causing the decreased hearing. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have been told I have thyroid cancer on Friday? I am terrified? is there anything I can do until I see the endocrinologist? will I need surgery or chemo? I am 47 yrs old and have gained 16 lbs in 2 mo? I have been a health nut for 25yrs and always in awesome shape, eat right, etc... why do I have this? | Hi and welcome to Chat Doctor, thank you for your query. First thyroid cancer isn't related to some risk factors that you re mentioning. It is mostly genetically determined and anyone can be affected. It is hard to say the optimal treatment method since it depends on tumor type and size. But in most cases it can be cured by chemotherapy while surgery is occasionally indicated. Wish you good health. Regards.0 |
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ηζθΏ°εηι«εΈει‘γ | Hi doctor,My wife has a normal regular menstrual cycle and her age is 35. I am attaching the estradiol (E2) hormone report of my wife. The blood serum sample was taken on the 23rd day of her menstrual cycle. The estradiol (E2) level is 179.48 pg/mL. We have been married since 3 years and have a 2 year old son. Actually, she has faced the problem of vaginal dryness lately. As it could be due to lower levels of estradiol or perimenopausal symptoms, so we got the estradiol level check done. Although, the report has a reference range, we do not know if this level of the corresponding day is optimal or not. Please advice on this. Kindly let us know regarding the estradiol levels in a healthy woman. | Hello, Welcome to Chat Doctor forum. There are two major types of estrogen, the female sex hormone. They are estradiol and estrone. In younger woman, the first one is in abundant quantity and the second one is in less. And near menopause, the level just reverses. It means there is more production of estrone at menopause. The normal estradiol level in the second half in perimenopausal age varies between 39 to 300 pg/mL and it varies from different times of cycle. A level below 30 is definitely about menopause. Now, her level is within normal limit. Vaginal ChatDoctor. I suggest you to measure the level of FSH (follicle stimulating hormone) to determine her menopausal status. However, at this estradiol level, she should not be advised for hormone replacement now. You may be benefited by the application of some gel or cream during intercourse. |
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ηζθΏ°εηι«εΈει‘γ | I am a 63 year old woman who has been dealing with extreme stress over the past few years. Suicide of an abusive spouse. Loss of home due to his suicide and debts resulting in my personal bankruptcy. Alienation from children and loss of income due to an injury I suffered in 2007. Only grandchild was born a Downs baby with many health issues she will have to face with multiple surgeries and supportive care. I have no health insurance at the present time and am having a difficult time with fatigue . I have gained almost sixty pounds over the past two years. I also have lower right side abdominal pain and a tugging sensation in that area. I get muscle cramping in that area when I bend over. There is a history of a sluggish bile duct but I have not had an attack for seven years. Appendix was removed many years ago. Hysterectomy at age 40. I had a gastric bypass ten years ago and lost a 100 pounds and felt very well and full of energy. Now I am so tired that it is sometime an effort to walk to the car. I try to exercise but pain makes this hard. Go to the gym and do strength training and walk a bit. I try to watch my diet but get very depressed and food has always been a source of comfort. I am recently remarried to a wonderful supportive man and we will have health insurance in a few months. I have problems sleeping and worry that I might have some serious illness as cancer runs in my family. My main problems are extreme fatigue, weight gain and lower abdominal pain. It feels as if I am slowly drowning. | Hi, Thanks for writing in. Your symptoms are suggestive of depression rather than any other illness. Cancer would typically cause weight loss than weight gain. Comfort eating, difficulty sleeping, fatigue all point towards depression. Since you have been through so much, I would suggest you give yourself some time. Slowly, things would start looking up once you decide that things are changing and for the better. The pain in the abdomen is likely to be muscular, and your excessive weight could be contributing to it. I would also suggest you see your general physician for an evaluation of the depression. At the end, Chat Doctor. Hope this helpsRegards |
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ηζθΏ°εηι«εΈει‘γ | Tightness back of my chest(upper back). Feels like muscles are tight in my chest. Left neck pain with lump along the veins. Head pain. Anxiety. Fatigue. Pain under rib cage. Tightness in left chest(around heart). Bloating. Indigestion. Muscles pain. Heart result was normal. | Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you are mostly having HERD (gastroesophageal reflux disease). It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause chest tightness, bloating, indigestion and burning epigastric pain. For his swelling in neck, ultrasound examination of neck is needed. Because neck swelling is mostly due to enlarged lymph node. For better symptomatic relief in HERD, follow these lifestyle modifications. 1. Avoid stress and tension. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Start proton pump inhibitors and prokinetic Chat Doctor. 4. Go for walk after meals. 5. Keep 2-3 pillows under head in the bed to prevent reflux. Since these |
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ηζθΏ°εηι«εΈει‘γ | I am 55 & diagnoses with colorectal cancer in December 2010 (sigmoid by pathology, but surgeon called it rectal). I was stopped after 7 cycles of FOLFOX 7 (neutropenia, fever, anemia). I only received 3 weeks of 5FU during radiation, because of severe diarrhea. I was put on medrol dose pack on June 3 (when radiation stopped), but continue with severe diarrhea, weight loss, and severe abdominal pain and cramping ( despite GI muscle relaxants). What can I do? | Hi, Thanks for writing in. Colon is another name of large bowel and rectum is terminal end of colon. Therefore, colon and rectal cancer is dealt similarly and called colorectal cancer. Surgery is the first treatment choice depending on the disease location and spread. For cancer that is limited to the affected are in large bowel then surgery is first done. After this chemotherapy and radiation therapy is advised. Some people might develop adverse effect to cancer medicine and then other agents can be used. Colorectal cancer patients must follow up with their doctors regularly, and you must also do that. About half the patients of colorectal cancer might develop lesions in liver, lungs, abdomen and brain. Therefore, getting ultrasound scan abdomen and CT scan is most important for you as recommended by your doctor. There is also a serum blood marker called CEA and this tells the chance of spread to liver if it increases in amount. This can be known through a simple blood test. Please do not worry. |
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ηζθΏ°εηι«εΈει‘γ | i have just been told due to recent blood test done due to bruising just appearing anywhere on my body for no reason and for getting stronger joint pains to the point where i can not pick up a cup or kettle or even an empty plate on bad days n having more then i usually have headaches n tiredness shall i go on anyway my gp is sending me to a consultant for further tests but my query is my mother had lupus she got it in her mid 50,s i am 49, sorry i keep going of the point what i want to know is is it inhedertary | Hi, I had gone through your question and understand your concerns. As per your information, Lupus is an autoimmune disease, yes fatigue and skin rashes are one of the symptoms of lupus but it's not necessary because mysterious bruising can have many reasons as iron deficiency anemia, rheumatoid arthritis, diabetes etc. Genetic factors increase the tendency of developing autoimmune diseases such as lupus, rheumatoid arthritis, and autoimmune thyroid disorders are more common among relatives of people with lupus than the general population. I will recommend you for a further detailed checkup. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us and voting. I will be happy to answer your questions. |
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ηζθΏ°εηι«εΈει‘γ | Why does husband have saggy balls that hang low and can t seem to last long when having sex? Seems like he gets off within 5 minutes and he claims he can t or don t know how to last longer, even though I ve told him some techniques to try but still says he can t and/or don t know how. His balls aren t full and firm either like my ex s were. Also have been trying to conceive for a long time and have not had any success, what is going on??? How to know if he is even ejaculating sperm and not just semen/fluid, what is the difference. Healthy sperm should be white or more yellowish??? Really need some help please...... | HelloThanks for query. The scrotal sac differs from person to person and has no relation to conception. The problem of premature ejaculation and less libido are most of the time mind related and due to what is called as performance anxiety. Following measure will help you to boost up his 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. He may take Sidewall (Viagra)as on demand to have sustainable erection to have enjoyable sex. As regards conception get his semen analysis done to rule out any abnormality. Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My husband has had severe pain on his left side stomach area that wraps around his back. We have tried tylenol, warmcompresses and even vicodin and he is getting no relief. We saw an urgent care doc this am and he said it was muscle strain. I think that would have been relieved with the vicodin. Should I insist he go to the emergency room? | Hello, If I were your treating doctor for this case of severe pain on the left side which is referring to the back, the possibilities may be, 1 Any urinary tract system stone which may present such sharp pain radiating to back. For this purpose you need to get ultrasound abdomen and kidney area. 2 May be acute pancreatitis as it may cause upper left abdominal pain worsen when bending over or sitting. Pancreatic enzyme like serum amylase & lipase should be measured to rule out pancreatic cause. 3 May be due to acute gastritis or hyper acidity, if food ate 2-4 hours before this pain as greasy, spicy food. So consider this point also and get an upper endoscopy for confirmation. Consult a physician and take treatment. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | I alongwith my son aged about 10 years reside at Ranikhet in district Almora(Uttarakhand). My son has problem with his nose. He easily gets cold and always contiues to drag sometimes phlegm and sometimes dry air upwards through nose for the last three /four years. I shall be highly obliged if you could please advise me about the line of curative treatment so as to get rid of this problem. Thanks. | Hello, I understand your concern. I am Chat Doctor, Infectious diseases specialists, responding to you.These is the common viral infections. It does not require any treatment except symptomatic treatment. This includes chlorpheniramine male ate for blocked nose and running nose, paracetamol for fever, you can also do medicine gargle as and when required whenever you feel its viral infections. I will be glad to answer your further query. Thank you for your contact to Chat Doctor. Wish you the best health. Thank you, ChatDoctor. |
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ηζθΏ°εηι«εΈει‘γ | Since March 2012 I have had pains in my left leg. It began just below my left knee. Then my left inner thigh began to spasm off and on until it was always there. Then I began to feel pins and needles in my left foot from the ankle to the toes. Now I am always in pain somewhere in my leg. It never goes away. | Hithank-you for providing the brief history of you. As you are facing the symptoms which I feel should be connected to the pinching of the nerve root in the lumbar spine. Undergoing an MRI is the lumbar spine will help assist with the soft tissue status.I'll recommend you to undergo physical therapy like - Therapeutic ultrasound therapy and TENS therapy for reduction in pain. Also exercises like core stability, spine Strengthening, pelvic floor Strengthening and lower limbs Strengthening should give you better results.in my clinical practice such cases are diagnosed mostly with pinched nerve and respond well to physical therapy regards Jay In Chat Doctor. |
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ηζθΏ°εηι«εΈει‘γ | My sister has pain in her leg, just below the knee, anterior/medial location, for a week. Now she is c/o pain in that leg if she takes a deep breath or coughs. Went to doctor Wednesday, blood work and x-ray done, no frx. Doctor said no clot but didn t do venous Doppler. She had greatly increased her activity by doing painting and trying to jog the past week. | For pain in leg here first you need to check either its at knee level or at calf muscle level. If it's close to calf muscle level then check with squiring calf muscle belly and if it pains then it can be related to vascularity it issues of lower limb and Doppler test is needed. But if this is negative then it may be only over use injury. Now if pain is only at knee level then again need to check with few physical tests. As a conservative treatment management you can use hot and cold pack at pain full area with rest for few days and avoiding any activity which pains. But if it does not give pain relief then visit a good physio and orthopedic who can check with physical test and evaluate the problem as well guide you with treatment and exercise program. Follow the advice, and I am sure it will be useful. Take care |
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ηζθΏ°εηι«εΈει‘γ | hi im a 32 year old male and have recently noticed white stuff under my foreskin and is a little smelly. I do tend to itch alot and im worried because im wanting to start a family this year and with this condition im finding it hard to tell my wife and put off having sexual intercourse. Please can you help | Hello, The Yellowish/whitish substance is called Sega. Sega is a combination of shed skin cells, skin oils, urine, sperm cells and moisture. It occurs in both male and female genital organs. In females, it collects around the clitoris and in males, Sega can collect under the foreskin. There is no evidence that Sega causes penile cancer, but its presence over a long period of time may irritate and inflame the penis, which may increase the risk of cancer. It may also make it harder to see very early cancers. Clean the area beneath your foreskin daily twice after pulling your foreskin back. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. V. Anand, Psychologist |
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ηζθΏ°εηι«εΈει‘γ | I was water skiiing, fell, and bent my back backwards really hard when I hit the waves. There is now a bump on my lower spine that hurts a little when Im exercising. Ive had it x-rayed and the doctors say there is nothing wrong, but the bump wasnt there before the accident. | Hello! Welcome on Chat Doctor! Regarding your concern, I would like to explain that the bump is related to soft tissue injury (muscles, ligaments and subcutaneous tissue), caused by the trauma you have had. But, as long as your spine X-Ray study has resulted normal, and you have no numbness in the lower limbs or difficulty with walking, there is nothing to worry about. You should just be patients, because it will take some time for the bump to resolve spontaneously. Hope you will find this answer helpful! Wishing all the best, |
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ηζθΏ°εηι«εΈει‘γ | After having appendicitis and having them removed successfully I have been having really aggressive night sweats around my neck, chest and back of my head. Although I am 61 yrs old I am reasonably fit. I dont have a temperature through the day and my wound is healing without any infection. Is there any axplanation. Thank You, Gordon | Hi. The night sweats after surgery for Appendicitis is suggestive of occult infection. You have to get the Blood tests and urine tests to see for the signs of infection like raised WBC and UTI. Look for thrombophlebitis, Deep Vein Thrombosis in the calf muscles. Ultrasonography to see if there is a collection in the abdomen as due to antibiotic coverage one may not get the true picture of the infection. I would advise change of the antibiotic also. |
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ηζθΏ°εηι«εΈει‘γ | My grandson ate some sugar free pudding yesterday and within hours was cramping and suffering from diaharia. Could he be allergic to milk products? He couldnt take regular milk as a baby, but soy. My grandson is 2 yrs old and weigh 27 lbs, otherwise he is healthy. Thanks | Hi, thanks for using Chat Doctor The reaction can be due to : (1) gastroenteritis - infection induced after using the pudding. This would be more likely if other persons who also used it, were sick as well(2)intolerance or an allergic reaction to the foodie he uses other milk products with no problem then it may be some other aspect of the pudding that caused the reaction. If no other persons who used the same pudding are unwell then it is unlikely infection, and you would need to consider the other option. It is possible to assess for allergies by testing at your doctor's office. I hope this helps |
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ηζθΏ°εηι«εΈει‘γ | Last night I had a panic attack, this isn t my first one and I know in a few days I ll feel back to myself. But I was also diagnosed with cold induced urticaria today and started taking a CVS brand of zyrtec which left me feeling a little out of it, with senses hightened and muscles tense. I also get a pain in the back right of my head sometimes, almost every day, it doesn t last long but it scares me to think it may be a symptom of an underlying problem for my panick attacks and cold urticaria. Please let me know if I should be worried and what it could be because I don t have the money or insurance to keep visiting doctors and emergency rooms. Thank you | Hello! I carefully passed through your question and would explain that cold induced urticaria is a known disorder in allergic diseases. Regarding your headache, it could be related to tension type headache, which is caused by anxiety and physical stress. Cervical column chronic degeneration scan lead to headaches in this region. From the other hand, Zyrtec can cause similar adverse effects (headaches, Chat Doctor. In my opinion you have nothing to worry about. I would recommend performing some additional tests:- complete blood count for anemia-thyroid hormone levels- a cervical column X-ray studio should also try to manage better your anxiety. I would advise you to consult with a specialist of this field. Hope you will find this answer helpful! Kind regards, |
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ηζθΏ°εηι«εΈει‘γ | Have fractured my left leg little finger. i am on cast since last 4 weeks . Doctor said need to take x ray after 4 weeks and then cut the plaster. Can u please let me know how much time it takes usually to heel and precautions to be taken after removal of cast | Hello, Thanks for writing to us, I have studied your case with diligence. This may take 4 to 6 weeks for recovery. Physiotherapy like ultrasound and TENS will help in early healing. Exercises advised to you will help in early healing and reducing swelling. You can continue use supportive splint or brace. If still swelling remains persistent and numbness increases then we may need to further investigate like CT scan. Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Wishing you good health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | hi,I am 23 years old.i have been suffering from acne since 5 yrs,but still cant over come tem.right now em using medimix soap, cetaphill cleansing lotion and benzoyl peroxide cream for acne.my mensural cycle is of 1 n hlf or 2 mnths..i found this as one my reason for acne..n also because my blood is not purified.plz suggest me a syrup which can purify my blood.Also plz suggest me a day or night cream for fairer skin which can b used for a long time and without side effect..can i use himalaya herbal fairness cream instead? | **1. Acne at your age is physiological [since this is the age of Pitta] in Ayurveda which is concerned with Acne outbursts, and also Pathological because of Hormonal imbalance as well as Pelvic problem, so in the best interest first get a gynecologist checkup [pelvic examination] along with necessary Investigations [Thyroid Profile, Hemoglobin, Ultrasonography, Estrogen-Progesterone ratio]2. Avoid : oily, spicy, fried, and left over food, too much exposure to heat, Chat Doctor. Take old barley, wheat, brown rice, green vegetables, boiled and filtered water to |
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ηζθΏ°εηι«εΈει‘γ | Hi Doctor, My sister has sudden stroke like symtoms, she is 35 years old. she can t lift right hand and difficulty in walking.. face is good. not distorted. our nuerosurgeon suggested a MRI scan . seems everything normal in MRI scan. I am suspecting that it may be some thing related to cervical spondylosis or stenosic. could you please suggest. | Hi welcome to Chat Doctor forum. Your 35 years old sister has difficulty in lifting the right hand, and difficulty in walking. Probably you haven't shown the MRI to the neurosurgeon. There will be so many things which are not shown in MRI. The doctor has to co relate the symptoms to the findings, If no findings he may ask to repeat in different planes. In cervical spondylosis, the restricted movement of the arm will be there, but no effect on the walking will be there. And there will be so many things which are not relevant INRI of brain, like arthritis of shoulder, and hip, or some other metabolic diseases. You follow your neurologists advise and let him treat her in a systematic manner. Besides I advise you some diet recommendations as avoid taking potato, other tubers, tomato, egg, chicken, and seafoods, till she gets relief. Wishing her a quick recovery, and thanks for calling. |
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ηζθΏ°εηι«εΈει‘γ | I get the equivalent of a Charlie Horse directly in between my breasts/sternum sometimes when Ibend over (i.e., to pick something up even if light in weight). It literally lasts a minute or two and I have to concentrate on relaxing in order for it to go away. It definitely is not my esophagus, stomach, heart burn or other. I feels like a muscle tensing up, but I don t know my own anatomy to say what it is. I m 40-years-old and it s been occurring for about a year. I haven t had any sort of injury...please advise, thank you. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have painful spasms or cramps in between breasts/sternum. Well the symptoms you mention in query can occur due to certain reasons like angina, acid reflux or muscle spasm (as you mention in query) . I would suggest you to consult orthopedic surgeon for proper examination. Doctor may order x-ray along with physical examination. Doctor may prescribe novel MR along with vitamin supplement for quick healing and recommend physical therapy. Doctor may also refer you to gastroenterologist for acid reflux or cardiologist for angina. For now apply warm compresses several times a day, avoid lifting heavy object and take ibuprofen or acetaminophen for pain. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
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ηζθΏ°εηι«εΈει‘γ | Hi i am a 24 year healthy female. i have had chest and pack pain on and off for a week now. was really bad last night when i lay down. went to doctor this morning and ecg and chest xray was clear. Still have bad chest and back pain like someone is sitting in my chest. | Hi Dear !! Thanks for your query to Chat Doctor. Read and reviewed your query and health concerns. My opinion-IN the given situation, You seem to be having-either- HERD with feel of someone sitting in chest/ and or/ Acute Bronchitis with back / chest pains. Bronchospam with acute bronchitis is giving compression feel in chest. As Chest X-ray and ECG is normal-Cardiac pains are ruled out. Rule out other causes of chest pain and back pain, after check up and investigation before treatment is taken. Dos suggested-Consult Family and if need be- Surgeon doctor. Rule out causes of HERD with acid reflux causing chest and back pains. Hope this would help you to plan further of this complex illness of yours. If need be, update any health issue 24 x 7 by a direct question to ME, at following Chat Doctor link-http://doctor.Chat Doctor .com/Funnel?page=askDoctorDirectly&docId=70229 Dear, if satisfied, Dont forget to close this query with YOUR pleasing feedback comments to rate this reply and service, to boost the morale of incoming Emergency patients like YOU, at Chat Doctor services. If you want to update more details and ask more update queries, You are most Welcome herewith !! Good Day!! Wishing Good Healthy Life in time to come!! Chat Doctor. N. Senior Surgical Specialist M.S. Genl-CVTS |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor my ten months old baby has some infection and admitted to the hospital .but last Wednesday she was discharged the doctor was gave some antibiotics to have but now she is watery loose motion nine to ten times I am not feed her any solid I am only feed her lots of water and milk but she feel very weak and not stop the motion what can I do please help me doctor | Hello, Some antibiotics like Amoxicillin can cause diarrhea. Give ORS solution to your baby. If she is not vomiting, then probably she would not need intravenous fluids. Limit milk and feed more semisolid cereals. Milk can aggravate diarrhea. Add probiotic sachets like Reformer. Make sure baby is not having a fever, abdominal pain, bloody stools, or baby is becoming lethargic. Under such circumstances, you will need to admit baby. Hope I have answered your query. Let me know if I can assist you further. |
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ηζθΏ°εηι«εΈει‘γ | I have been extremely exhausted the past two weeks. totally out of my routine. I dont have any cold symptoms but i have a had a tight chest for about a week now and it hurts to breathe in deep just yesterday i woke up with the same feeling in my chest but i have a pain right behind my rib cage on the left side. i am dizzy and nauseas and sometimes feel like whatever i swallow is stuck at the back of my throat | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of HERD (gastroesophageal reflux disease) is more. HERD is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause symptoms of burning, nausea, chest pain, chest tightness etc. So better to follow these steps for symptomatic relief. 1. Avoid hot and spicy food. 2. Avoid large meals, instead take frequent small meals. 3. Avoid stress and tension. 4. Take proton pump inhibitor like pantoprazole. 5. Quit smoking and Alcohol if you have these habits. 6. Keep 2-3 pillows under head in the bed to prevent reflux. Don't worry, you will be alright. 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 | I sneezed and now have a sore chest. Its not a sharp pain, more of a soreness. Between the neck and the above the breast. It hurts to cough and take a deep breathe. But other than that it doesnt hurt to move around. What do you think it could be thats making it sore? | Hello dear, thanks for your question on Chat Doctor. Pleurisy (inflammation of pleura) can cause soreness in chest after sneezing and coughing. Pneumonia, tuberculosis and pleural effusion etc. are common causes for pleurisy. So better to consult pulmonologist and get done1. Clinical examination of respiratory system. 2. Chest x-ray. If chest x-ray is normal then no need to worry much. You might be having muscular pain. So better to start painkiller and muscle relaxant. Apply warm water pad on affected site. Don't worry, you will be alright. |
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ηζθΏ°εηι«εΈει‘γ | Dear Dr. My Son has Glanzmanns Thromboaesthnia, a few days back he has caught cold with a bit of runny nose , is it advisable to give him Anti Histamine like cetrzine Hydrochloride[Relent, Alreid], as it might cause nose bleed also, Please suggest any other anti allergic which do not cause nose bleed. Regards Ankur | Hello Anger, You have asked quite a difficult yet pertinent question. The Glib/Ilia def is functional, and can affect platelet function, and as far as studies are concerned with platelet and antihistamines it is usually a decrease in number (though rare). Fexofenadine is a long acting 2nd generation antihistamine and the SPC of fexofenadine does not mention any such platelet problem. You are advised to discuss with your Hematologist if still in doubt. Thanks. |
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ηζθΏ°εηι«εΈει‘γ | wat are the side effects of using asthalin inhaler. I am a 31 yr old woman. i had bronchitis frm 7 to 12 yrs n tat time i used d inhaler wit the spacer. after 12 yrs i didnt hv asthama bt again after pregnancy it has come up. my child is 3 n half yrs nw n i suffer frm breathlessness only during monsoon or a little later. m alergic to dust n strong odours. I use the inhaler rarely but during breathlesness i need to use it again and again. i dont hv any coughing during my breathlessness. my condition is Cold followed Breathlessness. | Thanks for your query. There are very negligible side effects of using Stalin inhaler, since it is required very small amount via inhalation and produce maximum local effect with less systemic side effect. The following side effects like tachycardia(rapid heart beat), tremor,headache etc. may develop occasionally. But please do not worry about them. If I were the treating physician, I would advise you to :>avoid triggers like dust and unpleasant odor as possible>Stalin inhaler as required>Steroid inhaler during monsoon to control attack. Hope this answers you. If you have additional questions, please write us feeling comfortable. Wish you good health. |
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ηζθΏ°εηι«εΈει‘γ | I was on the pill called YAZ i was on it for 3 months, I missed about 1 week and i had unprotected sex in that week. I started spotting so i stopped taking my pill and the bleeding stopped however i am still bleeding very few days, Is there any chance i am preggz? or has the pill confused my body? I am having pains in my back, legs and belly my belly is tender to touch. Please advise me. Thankyou | Hello misunderstand your concern. Pregnanacy may be possible, but chance is very less. For safer side confirm the pregnancy by Pregnancy kit 7-10 days after missed period. Or better to do Blood Chat Doctor level or USG that is very sensitive. Another reasons may be side effects of contraceptive pills like:Intermenstrual spotting, Nausea, Breast tenderness, Irregular periods, nausea, headaches or weight change, Headache, Malaise, weaknessWeight gain, Mood changes, Decreased libido, leg swelling and painAdvice:Take tablet metal saps three times a day for 2-3 days or when rainfall this side effects will decrease after regular use of pills as body get adapatedTake healthy devoid excessive stress, alcohol, salt and caffeine. Do regular exercise. Use safer sex practice and maintain hygiene after and before sex. If persists, you can use other contraceptive methods like condoms Hope this may help you. Best regards |
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ηζθΏ°εηι«εΈει‘γ | here goes I dont think theres anyone that can help but here goes when I was 9 in 1984 my mom noticed a lump on thein left back she took me to several dr who said the poped it its fatty ect finally my mom took me to a local general sergeon who opened me up and found I had vascular hemagiomas he removed the 3 biggest ones and left the little ones in because they are very hard to remove and you start to bleedout I had 3 pregnacys in 2003 I was having so much pressure in my left flank that general sur opened me up cut the tumor I started to bleedout so he sewed it back together and closed saying I have never seen anything like it he sent me to a vascular specialist that sent me to a plastic sergeon he sent me to a chest surgeon that was going to remove my ribs but they didnt see it the way it was got radiation and now in pain no one to go to | Hello, It is sad to know that you are having Haemangioma on your back, and it has been operated in your past period, but as far I know It is inoperable and can't be removed completely.Nowadays haemangioma can be operated by Vascular Surgeons, so it is my advice to you to consult an experience vascular surgeon to be get operated if it is under such operable condition. Further here is my advice to take some analgesics if you feel pain like as Diclofenac sod+paracetamol SOS, and consult your local surgeon for any bleeding from your disease. Good Luck and take care. |
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ηζθΏ°εηι«εΈει‘γ | When my daughter was 10 years old (she is now 41) she had an I.V.Pyelogram which showed that she had an extra calyx on one of her kidneys. The test was done because she was showing protein (I believe or possibly albumen - dont remember) on her blood test. Now that she is much older she is having back pain. She had a MRI which showed mild degeneration but nothing serious. Her Dr. suggested P.T. which she just recently completed after many weeks of therapy. Her back pain has not gotten better and her Orthopedic Dr. suggested she see an internist. Could this extra calyx somehow be causing some kidney problem and back pain? | Welcome to ChatDoctorAfter going through your query I concluded that you there are having chronic backache. I Don't think extra calyx can because of chronic backache. Important cause of chronic backache is vitamin D3 deficiency, so you can get your vitamin D3 level and if low you can take its supplements. Vitamin B and C with be helpful in recovery. You can discuss with your Doctor about it. Hope your query get answered. If you have any further questions then don't hesitate to writing to us. I will be happy to help you. You can also write to me directly on below link:https://www.bit.ly/ask Chat Doctor. Take care. |
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ηζθΏ°εηι«εΈει‘γ | Ok, I will give this a shot. When I go into my sons room the plastic cart and a few plastic bins he has in his room smell like they a rotting, It is the most awful smell I have ever smelled. But here is the catch I am the only one in the house that is smelling it. I have taken out a few other plastic things from his room and the smell went away but now it is back and the other plastic stuff is starting to smell the same way. Over the past 5 or so years my sensitivity to smell has been increasing. But this plastic thing is getting to be ridiculous and driving me crazy. My son has a lot of allergy issues and I am not sure if it is effecting him the way it is me. He says he does not smell anything. Do you have any advice? | Hello dear, The symptoms as mentioned in your post suggest that you might be having Dyslexia. It can be due to:1. Your olfactory system (deals with the sensation of smell) is appreciating an odor when it is not present in the environment.2. Your olfactory system has become more sensitive to an odor that doesn't bother other people. The causes of altered smell can be attributed to:1. Some medications like metronidazole2. Exposure to certain chemical3. Common cold or sinus infection4. Migraine5. Depression, anxiety, etc. A proper examination of the nose & throat will be helpful in clinching the diagnosis. So, it will be better to consult an ENT specialist & get a proper physical examination done to rule out any organic lesion or any other cause in nose or throat. So that appropriate management steps could be taken. There is nothing to worry, you will be fine. Wishing you a Good Health. Take care. |
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ηζθΏ°εηι«εΈει‘γ | hello doc my 11 years neice is having some problem is started about 20 days ago she complains of dil ghabrana and started crying and sobbing all of a sudden and was shaking , now from last 10 days its got worst when she is lying on bed she screams *mar daloongi* and throws hands and feet kind of fit, hard to control | Hi, Welcome to Chat Doctor, I am sorry to hear about your child. The symptoms you mentioned in your child can be a medical abnormality but considering the age of your child and the description you gave, it could be something other than a seizure. Before even diagnosing what the problem is, she should be taken to a pediatrician and also a neurologist to rule out medical problems which might need an EEG and a Ct scan of brain. At your end, I would suggest you try to talk to her and fins out that something which is scaring her and what exactly your child feels is trying to kill her. A lot of talking in private with your daughter might make things clearer. Happy to clear any further doubts. Take care. |
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ηζθΏ°εηι«εΈει‘γ | i have suffered burning feeling in my stomach and the feeling will travel around to my lower back. i have suffered this symptom for some weeks. i have had blood tests to evaluate if there are any liver and kidney problems, the test results indicated there was no problems in that area. I have also suffered from a stitch feeling in my side however this does not happen all the time. | Hi ! Little information on your dietary and bowel habits might have helped me on opening better on your problem. If you are a frequent eater from outside and that too fast and fried food, you have to avoid it. Also, pleas avoid taking any aerated and alcoholic beverages, and smoking if you do. Take more of roughage and enough liquids in your diet. For the time being you can go for a proton pump inhibitor and a prokinetic agent along with a probiotic. In case you have got frequent bowel movements with altered consistency of the stool, then you should consult your family physician who may advise you some antibiotics for the same. Wishing you an early recovery. |
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ηζθΏ°εηι«εΈει‘γ | I have just suffered bulging discs in my cervical spine at the c5/6 and c6/7. Having lots of nerve pain through my neck, right shoulder and arm. Cannot sleep. Do you have any suggestions to help. I have just started taking neurotin in the last 24 hours. Not helping so far. Movement feels the best, but they have suggested not using my arm much. I use a manual wheelchair due to a 27 yr old spinal injury at the T12 area. So, need to use it some. Laying or sittjng still causes more shooting pain. I am looking to see if there is something I can do naturally to help me sleep and to lessen the pain. Thank you. | Hi, I had gone through your question and understand your concerns. In my opinion you may add some muscle relaxants and steroid intramuscular injections and some anticonvulsant that helps you sleep easier with lesser pain attacks. Neck exercises like extension, retraction, shoulder retraction, and isometric hold are highly suggestive in such cases. You may ask your neurosurgeon for further evaluation to recommend you the required dosing according to your condition. Sometimes a surgical solution is better especially after 6 months of treatment by physiotherapy and medications. Spinal surgeons can remove just the protruding portion of the disk. Rarely, however, the entire disk must be removed. In these cases, the vertebrae may need to be fused together with metal hardware to provide spinal stability. Rarely, your surgeon may suggest the implantation of an artificial disk. Please click on THANK YOU and consider a 5-star rating with some positive feedback if the information was helpful. Hope the above information helps you. Any further clarifications feel free to ask. |
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ηζθΏ°εηι«εΈει‘γ | My 21 years old son was prescribed Dextroamphetamine in December 2013. Earlier he was one monthe on Adderal and about 3 months on Vyvanse. He developed severe psychosis. He believed that he had scabies and then scabies turned into nanobots implanted by government. He was not sleeping or eating or eating for three days. He was taking baths every two hours using the dish detergent "to kill the nanobots". I believe that he was also using boiling water causing skin damage. He has been in the hospital since Thursday. I wonder how long the symptoms will last and if the drug induced psychosis is curable? | Degree understand your concerns went through your details. I suggest you not to worry much. Your sons condition is obsessive compulsive disorder induces psychoses. The medicines given are good, and he should be back to normalcy within 6 months if all the conditions including rehabilitation is taken care of. It also depends on the surrounds of the hospital where he is treated. Chronic condition may be cleared within a week or so but to come back to normalcy takes time. Be patient and act according to the advises of your psychiatrist. Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe some psychotherapy techniques which should help you cure your condition. Hope this answers your query. Available for further clarifications. Good luck. |
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ηζθΏ°εηι«εΈει‘γ | Hello. My husband is a liver transplant patient and last week we went in because he had shortness of breathe - they treated it with pain meds - then basically told us his colon was inflamed, now he has a slight abdominal pain, lower right side and chills - NO fever... | Hi. Thanks for your query. Read the history about your husband and understood the problems. Liver transplant patients need a careful treatment. Shortness of the breath could have been investigated for possible Pneumonia, asthma, allergy or so, which you have not mentioned anything about. I wonder how the pain medicines could have helped. If the colon is inflamed, he needs more careful investigations and treatment as all the things absorbed by the large bowel - the colon will be filtered by the liver and may cause damage to the transplanted liver. I would advise you the following:Take your husband to the Liver Transplant Center. Get colonoscopy and investigations of the blood, stool and urine-the liver, kidney function. Further treatment will be as per the findings and will be specific for the cause. |
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ηζθΏ°εηι«εΈει‘γ | My ribs on my left side have been sore for 2 or 3 weeks. I primarily feel the sorness when I cough or sneeze. I recently had a cold and I went to my PCP and complained of the same sore left ribs. He had an x-ray performed but it revealed nothing. My lungs and heart were fine. He thought it might be pneumonia but I checked out okay. Still, I have no explanation for sore ribs. I dont work-out and have done nothing to injury them. My doctor presribed medication for acid reflux (ranitidine). What could be causing me to have sore ribs? | Thanks for your question on Chat Doctor. I can understand your concern. By your history and description, possibility of musculoskeletal cause like Costco Chat Doctor. It is inflammation of rib cartilage. Do following things for better symptomatic relief. 1. Avoid heavyweight lifting and strenuous exercise. 2. Avoid bad postures in sleep. 3. Avoid movements causing pain. 4. Start painkiller and muscle relaxant |
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ηζθΏ°εηι«εΈει‘γ | 4 month old baby girl diagnosis Duplex of the left kidney. At 7 months old we rushed to hospital with fever and after Blood, urine, e-ray,and ultrasound tests we were diagnosed with a UTI. The ultrasound was foggy so a month later after infection subsided we had another ultrasound which shows Left Kidney Duplex. She has been on Septra since the first hospital visit. We are now being referred AGAIN by my family doctor for further testing. She hasnt had any other episodes and seems like she is thriving as well as any other healthy baby. I guess my question is a). In clear terms, what could I expect as far as any complications or other problems that could arise other than future UTI s. And, will she ALWAYS have to be on an antibiotic??? | Hi... I have just read through your query. Coming to your questions directly - 1. Duplex system means I understand that it is IFID collecting dust or duplex of renal pelvis which could be a normal finding in many kids. We need to worry we only if there is Mexico ureteric Reflux (OUR). In other terms the urine which has to come down from the Kidneys might sometimes revert and flow upwards from the urinary bladder to the Kidneys. This requires daily antibiotic therapy, but duplex system of the renal pelvis does not require antibiotics. 2. If OUR are found out after doing maturating cystourethrogram (MCU) then the kid needs to be on daily antibiotics for at least 2 years of age. If MCU test is normal then antibiotics can be stopped immediately. Regards - |
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ηζθΏ°εηι«εΈει‘γ | i ejaculate very early with in minute,we want child,is it satify to get pregnent my wife. DOes pre ejaculation affect pregnancy .also semen comes immediately out of vagina after sex. | Hi;welcome to Chat Doctor Premature ejaculation is more of a mental hurdle than a physical problem. It is a problem that comes on due to mental stress;tiredness;work pressure;depression;to name a few. See whether you have any of this.Also, to increase the time you can do keels exercise (ask doctor near you to explain it) to strengthen pelvic muscles or start & stop method ;where in you need to stop before ejaculation & after the desire of ejaculation subsides again restart sex. Try these methods to increase the timings also do more foreplay before doing intercourse and as you said it will help satisfy your wife. The second part is to get pregnant;if the semen analysis shows good amount of motile sperms (more than or equal to 50 %) then there should be no problem to get pregnant if your wives reports are normal which a GAEC doctor will examine & tell. Hope this answer helps to guide you properly. Thanks |
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ηζθΏ°εηι«εΈει‘γ | Two days ago, I started my day with nausea and some abdominal pain . By the end of the day, my abdominal pain was so bad, I was barely able to walk. My stomach hurt to move, and pain would radiate to my sides and back . The next morning , pain was not much , but it would cramp with movement such as bending down . Today I felt as if my lower right side of back was a bit swollen. Could something be wrong?! Thanks, Laura | HI. When the pain in abdomen increases on moving, bending and radiate to back and lateral aspect indicates that you had intraperitoneal infection, may be needing urgent investigations and treatment. The causes are peritonitis, which can be caused by appendicitis with rupture, ovarian twisting, volumes, perforation of the stomach or intestinal ulcer. I would advise you admission to the hospital, urgent X-ray of the abdomen in standing position to see whether there is perforation- gas under the diaphragm sign; ultrasonography and relevant blood, urine tests. You may need urgent Exploratory Laparoscopy or Laparotomy to treat the cause if the Clinical correlation with investigations suggest so, or medical line of management to start with. |
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ηζθΏ°εηι«εΈει‘γ | Hello doctor,I want to know that whether my kid has a tongue tie or not. My kid will be 3 years old after two months and he is still not speaking properly other than papa, mama, and OK words. | Hi. The frenulum is a normal structure. It is only that when it attaches close to the tip, it causes problems with tongue rolling. Ask your child to protrude the tongue. If it causes buckling of the tip, it is tongue tie. And see if he is able to slip undersurface of the tongue tip underneath his upper teeth. |
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ηζθΏ°εηι«εΈει‘γ | I had ACDF 2 years ago at C5 level .... I am now having pain and an MRI shows immediate rostral to the segment a central slightly right sided osteophytic disc ridge flattening the ventral and right anterolateral aspect of the cervical spinal cord . impression on MRI says Interval ACDF with cervjcal decompressionmildprgressive progressive degenerative spondylitic change immediately rostal to the fused segment above ..... Is this something to worry about ? | Hi, I am Chat Doctor. I have read your question with care and understand your concerns about the New MRI. Let me try to help you From what you have written "right sided osteophytic disc ridge flattening the ventral and right anterolateral aspect of the cervical spinal cord" is a cause of concern. I would request you to consult your neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care. |
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ηζθΏ°εηι«εΈει‘γ | A person put a lot of pressure on the medial ( once ) and lateral ( twice ) patella of each knee. This caused me a lot of pain at the time and the pain continues. Pain is the worse upon standing from a sitting position. The pain shoots to a level 8. what did this person do to cause all of this? | Dear Sir/Madam have gone through your query and read your symptoms. In my opinion, you have hurt your cartilage of the joint, due to the pressure, Take analgesics, and some rest for 2 to 3 days and see if it resolves, if it does, it's ok and if it doesn't than you may need and X-Ray and MRI of the joint to see what damage has been done. I hope that answers your query. If you want any more clarification, contact me back. |
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ηζθΏ°εηι«εΈει‘γ | i woke up this morning with a large purple mark on the side of my big toe n directly under it is a gooshy lump and its tender when i extend my foot it causes pain i did not bang it at all also to the foot in question i had 9 surgeries due to a doctors mistake doing a bunion ectomy i have had several nueromas but this is an area which i normally dont have any abnormal things happening but i do walk alot on that side of the foot due to the exstwnsive surgeries on the oppposite side.also my calf feels very uncomfortable ive had a weird feeling in my knee and also ankle pain. please help im very unsure what to do and very concerned because of the already existing condition of my foot | Hi, Dear,Welcome to Chat Doctor. Based on the facts of your query, You seem to suffer from-Excessive-Friction Melanonychia with Purple Sublingual Hematoma of Big Toe, caused from ill-fitting Shoes causing extra pressure on this side of the foot-This excessive friction on the foot in question is due to the compromised other side foot, for which You underwent 9 surgeries. This has caused extra stress of the knee / calf and ankle muscles, giving fatigue pain. Remedy-Do as follows--X-ray of the Big Toe and plantar arch of the affected foot/ Blood Tests-Second opinion from Podiatrist or ortho-Surgeon for assessment of the cause of this purple gushy Lump of the Big toe.-Under Antibiotic and painkiller Chat Doctor. -Don't worry if you follow above steps urgently. Hope this reply would help you to plan further treatment with your doctors. Contact with a Followup Premium question to ME. Will appreciate your Hitting thanks and writing excellent review comments to help needy patients like you. suggests Good Day!! |
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