instruction
stringclasses 1
value | input
stringlengths 0
11.2k
| output
stringlengths 58
3.44k
|
|---|---|---|
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello my 4 yr old daughter wakes up crying and also crys during the day due to knee/leg pain.she has had no injuries or fractures,ithis has been going on for at least 6 months.i thought it might have been growning pains but now its chronic.i need advice?? thankyou | Welcome to the ChatDoctorI completely understand your concerns but don't worry. This type of pains can be due to vitamin D and calcium deficiency or due to arthritis such as juvenile rheumatoid arthritis. I would recommend you to go for a proper clinical examination by orthopedic surgeon. He may advise for X-Ray of involved joints, complete blood count, ESR, CRP, ANA, RA factor, 25OH D3, and calcium levels. You may upload the reports for my reference as well. This will help me to guide you in the best possible way. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been getting pain in my abdoman and back and have had an ultrasound today, i noticed that the person taking the ultra sound spent alot of time in my right rib area and whn I looked at the screen I saw what appeared to be a red dot on my liver or pancrease, I am scared to go back to the dr as i am not sure what news i can expect, hel please? | Hi, thank you for posting. Severe abdominal pain causes are different. From what you refer I think that you have gallbladder problems. Gallbladder is affected by different infection(bacterial and parasitic) that causes a gallbladder bulge. Gallbladder blockage causes severe abdominal and back pain, nausea. The second cause is gallstone. These causes are treatable and you don't have to worry. To diagnose your problem you need:-Abdominal ultrasound(that you've done).-Abdominal Ct scan.-Fiber optic gastrointestinal endoscopy.-Blood test, blood sediment rate.-Liver function test. You should contact a gastroenterologist. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello nice people,please iam living in hell since almost one year,help me please,since one year i had a risk with a woman,i gave her oral sex ,i tested after that risk for 6 months anti HCV and it came back negative,i repeated the same test after 3 more weeks and it came back the same,can i move on and forget everything? | Hi there, you can stop worrying and live your life to the full. Is it hepatitis C that you are worried about or is it something else? Usually reconversion takes place by 6-8 weeks after exposure, and you would test positive for the infection after that so as the episode occurred a year ago, and you have tested negative on two occasions it is unlikely for you to have got infected during that episode. In the future you would like to be a little more careful and spare yourself this mental trauma. For now, you can be rest assured that you are fine if you have not tested positive on two tests even after a year of exposure. For the future take care! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Good day doctors, I workout regularly, looking forward for gains now. So I thought I ll run a testosterone enanthate cycle ( 250 mg x 2/week for 8 weeks) + provironum.but I m worried about dht and estrogen. Kindly advice on what to take to keep these two at bay while I run the cycle | Hi, Note the much larger elevation of blood DHT with transdermal testosterone administration compared to injected testosterone. Studies have shown that supplementation of 5-Alpha Reductase inhibitors to reduce the DHT levels may lead to not much use unless you're suffering from prostate hypertrophy or malignancy. So don't worry about it. But take care, and please take the above medication under your doctors' guidance. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i am 40 years of age. i have been bittten by a housekeeping dog in my right foot toes.But there is no bite mark.I have already taken 4 antirabies injection on various dates.Like on 0,3,7,14 days from the bite.Is there any dietary procedure for this.In these days i dont let anyone to eat with me.Should i take another injection on 21st day of the bite.biplab Mohantyorissaindia | Thanks for asking to Chat Doctor. I understand your concern. Brief Answer:No specific diet restrictions or procedures needed.Also, you don't need injection on 21st day. Detailed Answer:In my opinion, there is no need of any particular dietary restriction or procedure to be followed with modern vaccines available now except to limit heavy alcohol consumption, which may cause agitation, palpitations mimic rabies symptoms psychologically. If the bitten dog remains healthy for a period of 10 days, you may avoid further post-exposure prophylaxis. Anyway if I was your physician, would advise taking the 5th injection on 28th day. Hope I have answered your question. If any further queries, wish to answer you |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been prescribed Prednisone to hel with severe ankle pain. I have been following the doctor s instructions except, since the pain went away very quickly, after 5 days I tested the prednisone. I stopped the one dose each morning on Friday morning. 8 oclock that night I got dizzy, weak and dis coordinated. Not so much that I could not continue my activities. I have heard that Prednisone is a steroid and should be avoided. Any response to all this? I can t afford you. Sorry | Hello, Yes, it's true that Prednisone is a steroid. However, due to its potent anti-inflammatory action, we do prescribe in cases of severe arthritis as in your case when the benefits outcome the side effects. So please do follow your doctors recommendations and do not change dose on your own or do not stop medicine abruptly on your own without tempering as directed by your doctor. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My MOTHER IS 102 YEARS OF AGE AND IN UNUSUALLY GOD HELTH BUT she curently has bronchitis. She is taking Levofloxacin 500 mg 1 table daily and is on her 4th day of 7 pills. (Generic for Levaquin) Also Benzonatate 200 mg two tablets per day. I did Not give her the Benzonatate today. WE LIVE in California. lAST NIGHT she said her head hurt and then she like had a spasm from shoulder up. 5 times. She has some now. What should I do. I am very worried. | Hello, Levofloxacin and Benzoate can not cause chest pain, headache and muscular spasm. So we should definitely search for another cause for it. Since she is above Hun Chat Doctor. So better to take her to the doctor and get done blood pressure monitoring, ECG, 2d echo. If all these are normal, then no need to worry about heart diseases. Simple musculoskeletal pain can be the cause. So give her painkiller like paracetamol or ibuprofen. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello I am 20 years old and the other night in bed I woke up suffering severe chills. Since then my skin mainly on my back is very sensitive/sore and is getting worse. Also my eyes have become very sensitive to light and hurt. Do you have any ideas? Its very debilitating. | As per your explanation here, you have symptoms like soreness in back, as well your eye is sensitive with light. From both this symptom it is difficult to diagnose and guide you. I suggest visiting eye specialist for your eye problem and get your eye examine properly as well do treatment as per the suggestion of eye doctor. For sourness in your back you can use cold pack. But this can help only to control symptoms. If the soreness comes back then you need to visit again either orthopedic to check the spinal issues or else you need to visit dermatologist for examination of your affected area skin. And take treatment as per the evaluation. Till the time you visit doctor for proper examination and evaluation. I suggest if you have fever along with chills and sore back. Do symptomatic treatment like have medication (painkiller with anti-inflammatory) for fever. If fever is not there then you can also use cold pack on your back to reduce soreness at soft tissue level. Here I have given you generalize guideline since the symptom is not enough to diagnose and suggest the specific treatment. But I am sure if you follow all above guideline you will improve also. And do check with specialist at least once. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have had facial psoriasis for about 3 weeks now, my doctors prescribed a topical ointment mixture of Mometasone Furoate Ointment USP, 0.1%,and Mufirocin 20%. Now i am seeing some water blisters on different parts of my body. Is that because of the ointment or is from something else | Hi, I can understand your concern for bulbous lesions on various parts of the body. You applied mometasone cream on face for psoriasis. Kindly consult the dermatologist for the perfect diagnosis and proper treatment. Psoriasis on face is not common. Kindly have perfect diagnosis. Mometasone does not cause bulbous lesions. So the bulbous lesions may be the due to something else. It may be bulbous impetigo. After thorough diagnosis you may be treated properly. Thanks. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a slow growing lump on my inner wrist. It seems to be fluid filled, is not painful, and when I shine a bright led light through it, the resultant color is a yellow hue; it is not opaque. It seem to be unrelated to any acne, as there seem to be no loci of a potential skin opening. It has grown significantly over the last year, though doesnt seem to interfere with the use of the hand. What should I do about it? | Hi, dairy have gone through your question. I can understand your concern. You have lump in inner side of wrist, and it is fluid filled. No opening on skin. You're all description favor either ganglion cyst or some other benign cyst. You should go for ultrasound study once to know exact site and location. Complete excision is the treatment of choice. Consult your doctor and take treatment accordingly. Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using Chat Doctor. Wish you a very good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Respected Sir During, Scanning of my abdomen, it is found that, I am having Exophytic Cyst in Upper pole of Right kidney and Grade I Prostatomegaly . I am getting occassionally pain in that area. Is there any treatment for controlling the growth of its size. | Hi, Thanks for writing in to us. It is important to know the size of the exophytic cyst in your right kidney. Very often, a cyst or two may be seen in the elderly, and they measure up to 3 cm in size. Beyond 3 cm size, it is important to know the appearance and internal contents of the cyst. Exophytic cysts usually do not cause any difficulty when small. Only if they are more than 8 - 10 cm in diameter and are causing significant pressure effects, then a surgical treatment can be thought of. Medicines do not treat kidney cysts in any way. The Grade I prostatomegaly must be discussed with symptoms of any urinary retention. You can also get PSA levels done for better analysis. Medicines are given to treat grade I prostate enlargement and this helps most people. Please avoid Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi my girlfriend is suffering from bright red rasied rashs that are in a number of areas on her body. The rash began on her face and have spread to her abdomen, back, neck, breast and chest. She is also suffering with a stiff neck, lower back pain, headache and a burning sensation on her face. She also says she feels as if both her arms are heavy and dead. Swelling has also been noticed on her face. Do you have any idea what this could be? | first it is necessary to know the exact age of your girlfriend. Then let me know whether she was ill due to some ailment recently. Was she hospitalized for the ailment. Are her menstrual cycles regular?is she asthmatic?does she suffer from any other skin problem?is she allergic to any artificial ornaments which females use as accessories?it is necessary to know her past medication history if she HS suffered from some ailment etc. If all these details are provided then it will be feasible to diagnose what she is exactly suffering from. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have an ear infection and sinus infection, I am taking antibiotic and decongestant, but I have recently noticed when blowing my nose to relieve the yellow confession the mucus has a strong pungent musty odor? Is there anything I should be doing differently? | Hi, welcome to Chat Doctor forum. Sinus infection causes thick yellow foul smelling mucus to accumulate in the sinus cavity. Since it is thick, it usually will not come out. But, when we treat it with antibiotics and bucolic agents, it begins to loosen, and comes out on blowing. You need not worry. Just continue your Chat Doctor. It will resolve slowly. Frequent steam inhalation through nose will help in loosening the mucus. Avoid cold/dusty atmosphere. I hope you will find this information useful. Thank you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had a tooth extraction performed a week ago, it appeared to be healing as I expected. I just had a large brownish bad smelling lump pop out of it, i felt an instant relief of pressure (not that I was aware of this sensation until now) but now the extraction site is sensitive and a throbbing sensation is there. What has happened? | Hello and thank you for your question. What you had pop out was either the blood clot that had formed when you had the tooth extracted or old food debris. This is the same way the other parts of your body shed a scab. This one happened to be in your mouth. You are experiencing the sensitivity and throbbing because now you have raw tissue exposed to the outside environment. This is a normal part of healing. I would suggest rinsing your mouth out with warm salt water to help keeping the area clean and reduce the swelling. 10oz warm water, 1/2 tsp salt swish and spit 4-6 times a day especially after eating. Also, you can take NSAIDs such as ibuprofen, at this point I would take 600Β mg every 6 hours as needed for pain. If the pain continues or gets worse, go into your dentist to be evaluated for infection formation. Best wishes and good health |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my face skin is rough with black spot..and it squeez very often...also have pimples ..how can i get a fresh healthy and smooth skin? | Hi, I'm happy to help you and will try my best to answer your query, If you are a teenager then black spots and pimples will decrease gradually, usually they result from hormonal imbalance, but you need to take care to prevent permanent spots on your face, for that you first need to stop squeezing this will cause spots. Chat Doctor. You can apply local Erato ointment or use antibiotics tab erythromycin twice daily for 5 days. Use antibiotic soap like CNIL or lover soap. Hope my advice will help you. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had back surgery last December 18, 2012 and was diagnosed with a enlarged S1 root nerve the surgeon went in to remove what appeared on a Mylogram and MRI a cyst but found out when he got in there that it was an enlarged root nerve he did not remove it because of the fear of leaving me with no feeling in certain parts of my legs and feet. He said he just made space for the root nerve in hope that it was just inflamed and would help if not my next option would be Mayo Clinic... well here it is May and all my pain has returned, just looking for some additional options. Thank You. | Hi, Thank you for posting your query. Since six months have passed since the surgery, it would be preferable to repeat an MRI scan of the spine with contrast to evaluate the enlarged nerve root at this point of time. The treatment options would depend on the MRI findings. As of now, you could take pregabalin or gabapentin capsules for pain relief. Please get back if you require any additional information. Best wishes, Chat Doctor. Ly/ |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My 2 year old has been crying and wanting her nappy off. I got her urine checked thinking it might be a uti and it came back clear. I noticed when we got home she appeared to be itchy. She is slightly red and white cream could it be thrush? She was sick once could it make he sick? She has no temperature. | Welcome to the ChatDoctorI have gone through your question and understand your concerns. Don't worry. It seems that your daughter has either nappy rash or pin worm infestation. Both the conditions can be easily managed at home. Give her a dose of Albendazole for deforming. Also, follow the following measure to help her in nappy rash if present:-regularly change damp diapers.- keep the area clean and air Chat Doctor. - apply ointments having statin/ clotrimazole with antibiotic such as Rash free. Once the rash improves, use very thin layer of petroleum jelly to avoid any further infections in the future. Hopefully this will be helpful. I would be happy to help you in any further questions. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i am very lethargic and weak in the morning until about 2pm in the day, im being treated for b12 deficiency and stomach ulcers , only begin to get energy in the evening. have had blood tests done and diabitics all normal, have this tingling sensation in my fingers mostly left but sometimes both sides have been in hospital as got very bad panic attacks have been under serious stress the last 6 months lost a baby at 20 weeks missed miscarriage had to deliver it in hospital my son had a serious hand injury my other son fell on stairs and fractured his hand in two places and my husband left me to top it off and send me divorce papers , struggling financially, my family are not supportive as i married an indian man at a registry office without their consent and got married alone without them knowing about it they are racist anyway cannot turn to them for support as their attitude is you made your bed now you can lie in it am stuck in a rut have no motivation to do anything because of these panic attacks im getting im with my 3 kids aged 11, 8 and 5 and have no adult company, it seems to be the same thing day in day out , am trying to be positive and am trying to snap out of this its as if somebody or some thing has put a spell on my body please help thanks aine | Hi...you have many reasons to be in a state where you are currently ,,,,but it's not the end, and you have to come out of it. What you can do is consultant psychiatrist get started on antidepressants as they may lift your mood. As you have mentioned you had panic attacks and got admitted for the same, you can consult the doctor there only.once your mood get better, start trying to come out of your problem one by one, not all together.Don't hesitate to ask for help from your near or dear ones....and don't feel bad if they refuse as you are already aware that they may not help, but in this way you may get someone who can help. Start to get busy once you get your energy back as it will further motivate you to come out of task your husband to take care of child Chat Doctor. Use legal methods if he does not listen to you. Make list of your problems and deal one by one based on your priority. Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello,I am a 20 year old boy having epigastric pain only early in the morning before going to the toilet. I also have a complaint of sticky stools, lower back pain and loss of appetite.What would be the cause for my problems? Is it curable? Is it due to sexually transmitted diseases? Because,unfortunately, I did homosexual anal sex before two years.If it is amoebiasis due to homosexual anal sex, can it be cured permanently? Is there any special treatment in ayurveda for that? | Hi, Welcome to Chat Doctor forum. Before advising any treatment, I would like to know the following: Following are the possibilities according to your complaints: You should be careful about the cleanliness during your sexual life. Revert back to an ayurveda specialist online for further follow up |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i feel head pain sometimes.Then I go to the neuro medicine doctor.The doctor advised me to perform city scan of brain.accordingly i carried out the cityscan test where mild celebral atrophy was detected and prescribed medicine accordingly. my question is this major problem? Is it curable by medicine? | HelloSign cerebral cortical atrophy is an irreversible condition and this condition itself doesn't require any treatment. Generally this is age related finding and atrophic changes are seen in every person with aging. However, atrophic changes may be seen early in many conditions like post meningitis, alcoholism,post trauma etc. This condition only need symptomatic treatment and underlying should be treated in there is any such factor. Get well soon. Take Care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi Doctor, My baby is 10 Months + old .. He was having cough and cold since past 2 days but his behaviour was normal and taking proper food. Yesterday, we took him to paediatrician for check up just for safe side. She has checked him thoroughly & informed us that his chest is clear and seems little infection in throat. she has also asked us about some symptoms i.e. vomiting, block nose or running nose, meal behaviour etc. At that time he was only having sometime block nose or running nose depending upon day or night time with very mild cough. Doctor has prescribed few medicines Clamp (salt amoxicillin etc) , T-minic & Tixylix (we were giving him before) and nasal drops Nasikind-P. But after starting the medicines his condition is getting worst. He is not taking feed and throwing out whatever he is taking. His nose is still blocked and running as well, now he is not having feed, not taking proper feed because his nose is fully blocked. He vomits when he get cough (Mucous) and also having fever above 100 celcius. We are very worried please suggest something. We are finding our self culprit that Why we took him to doctor? | Child Chat Doctor. The chest is generally clear in such conditions but may often be complicated by secondary bacterial infections. In apprehension for the same, your doctor had prescribed the antibiotics, although it was not essential. Since you have started giving it, you should complete the full course of 5 days. But please understand that such viral infections take 5-7 days to recover irrespective of use of antibiotics. So you would have to be patient. Dominic as well as Tiflis are cough suppressants. I would not prefer them. You should rather give some expectorant like Relent SYR. Which will ease the situation by diluting the cough which needs to come out. Asking P is right to be given for blocked nose. If not relieved, you may use Position |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I am a 22 year old female and for the last couple of months have experienced a tightness in my chest which gets worse when I lie down. When it first started I went to the doctors and hospital and they did blood work and xrays and everything came back fine. Im healthy other than that and exercise 5 days a week. Please help.Thanks,Laura | Hi thanks for contacting Chat Doctor.... According to history and by your normal report it can be concluded that you can have simple functional musculoskeletal pain .... Follow below advise.... Take rest for few days ... If you're exercising for few days avoid heavy weight lifting exercise. ... Avoid movement that increase pain... Simple analgesic can take SOS ... Hot pads can be applied.... While sleeping assume good posture .... Strenous work restricted.... If not improving in few days consult pulmonologist for it ... Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am experiencimng pain in both of my feet,....bottoms,top, toes, ankles and heels. I am not a diabetic. However, I was diagnosed with Lupus about 20 years ago and am in remission. I was told that Lupus can cause hairline fractures in one s feet. The pain is intense after I walk daily or on my feet for awhile. I am fairly activate and have been retired a year and don t want to stop walking daily . Would liketo begin working out a my local sport club, but my ankles feel as though they will break and my heels hurt awfully. I had spine surgery 11/2014 and am doing excellently. Had pain in feet before then but thought would stop agter spine surgery. HELP | Hello, Cannot say in your particular case, but generally, diabetic neuropathy is in the tissue and nerves and the fractures are in the bone. The neuropathy has a different type, location, timing than fracture. Obviously, the medications are different from nerve pills for nerves and anti-inflammatories for fracture. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello, I have issues with my stomach right now. Last night after I came home from work I ate a hamburger that one of my family members made. Right after I started having these severe abdominal pains. It hurts to sit down. Hurts to stretch . Hurts to even breath. Then right after I feel like I have to throw up. It feels good when I hold breath for a few seconds. And now I m at work, and its just making the pain even worse. I took tums thinking it would help. It didn t even touch the pain. Please help me. I don t know what else to do to get rid of the pain. : ( | Such severe intensity stomach pain is not very usual in isolated stomach infection. In stomach infection the pain is colicky in nature, it is not a constant one. Was there any such episodes of pain abdomen and vomiting in the past as well? Suggestions: Oral anti-spasmodic analgesic tablets to relieve the pain as required. Oral proton pump inhibitors like pantoprazole- risperidone combination: once before breakfast, to relieve heartburn and gastritis. I would suggest oral antibiotics only in case of stomach infection after clinical examination In case This does not help, get a couple of investigations done :1. Complete blood count2. Serum amylase, serum lipase3. Liver function test4. Ultrasound abdomen These investigations would help to rule out any underlying intra-abdominal pathology such as acute pancreatitis or cholecystitis. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, My mother was takne to hospital with breathing difficulties last week. She had water in her lungs. They also did an angiogram, and there are three blocked arteries. 98%,99%, 80%. (i think she also had a heart attack). They cannot do angioplasty stenting because of multiple blockages in places where arteries forks too. They had a meeting, and a surgeon is willing to do heart bypass surgery. Now she has had a stroke previously 12 years ago, which has left her with left sided weakness. They also say her heart is running at 27% rather than the normal 55%. Is heart bypass surgery safe for her to do? Thank you. | Hello thanks for posting here. I have gone through your description. She has critical heart disease involving the three arteries if the heart. And since her pumping function has Chat Doctor. So once blocked arteries in the heart are diagnosed, there are two methods to open it. Angioplasty and bypass surgery. As your doctor has advice angioplasty cannot be done because of triple vessel disease and also involving the arteries where they bifurcate. So surgery is the only option in her. Surgery with a low pumping function is definitely riskier than one with a normal function. But here you have to assess the risk versus benefits. If you don't do the surgery then you are not treating the cause. Her quality of life will be poor, she will get tired easily, and she stands the probability of having further heart attacks also which will further decrease the function. Going ahead with the surgery will improve quality of life, she can do her day-to-day activities, travel etc. however despite surgery pumping function will not increase more than 35%. But the risks of heart attacks is evaded. Another thing that should be considered is how mobile she is. As you said she has left sided weakness. If she is bed bound and requires help for her day-to-day activities, then a surgery would be more of a suffering to her. A CABG surgery has a good outcome and patients usually do well for 12-15 years. Nowadays with advanced technologies and approaches, heart surgery risks have come down a lot. I personally have seen patients with 25-30% do well with CABG. So my advice is it will be worthwhile to take a call for CABG. (only if she is ambulatory, and you want to increase quality of her life)wishing her good healthRegards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi... Im a 32 year old male. I did notice I feel pain on the left side of my chest after masturbation. This started as a mere pain that goes away after a few mins but recently it now feels like angina type of pain. I dont feel this pain whenever I exercise but after I masturbate 2 to 3times, the pain kicks in. Ive seen a doctor and I currently take clopidogrel. However I used to take omerprazol when I had ulcer but not anymore. Now its just clopidogrelCould you advise please | Hi, You have been prescribed Clopidogrel which is an antiplatelet medication to reduce the risk of heart attack and stroke. Since you are having repetition of angina like chest pains, you are suggested to visit ER and get all LFT (lipid function tests), CBC, ECG, Echocardiography, stress test and other investigations done to rule out any developing coronary artery disease. Get treated. In the meantime avoid alcohol and addictions, avoid stress/strain or any anxiety. Take homemade food cooked in minimum oil. Lead a healthy lifestyle. Take care. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello doctor, Ive taked a medicament 6years ago, it was curacne wich causes me Mental disorder , at the start 3 first years and specialy first year ive been hearing voice i like had 2 brains one is normal and the other is paranoid and been living in hell, with my paranoia , then it comes the suicidial Ideas I couldn t talk to no one because i was suspicious of everything even my Self, the reason i Didnt commit suicide thought, its because of my Religion beliefs and that the one who suicide goes straight to hell, ok, after three years and after i started praying and letting out in my prayers I kinda felt better, the hallucation were kind of gone, and everything but the paranoia i m still stuck with paranoii suspicious about others motive (even thought there is no reason to) when i m in a cafe for exemple and went to the toilet i m afraid someone puts something in my cafe deadly or whatever, Its just not good, The point is after a years of research throught internet, I m pretty sure i had all the symptoms for Schizophrenic Paranoia but with time it got less and i was left when Paranoid Mentality disorder I heared that Atypical antipsychotics are good, but they are mostly not used for Paranoid mentality disorder Sorry for tapping too much, anyway and for orthographe faults, thanks in advance | Hello....... You require a thorough psychiatrist assessment and observation over a few follow-up visits to ascertain the nature of psychotic disorder you suffer from. It could be schizophrenia or a persistent delusional disorder or even a personality disorder with a quasi-psychotic breakdown. Atypical anti-psychotics after careful assessment and discussion of side effect profile might be beneficial in your case. Regards. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | For the past year I have been having heart palpitations along with other symptoms. I will list them now. -Heart Palpitations all day -Numbness in Arms every morning -Occasional, BAD Vertigo episodes (2-4 times a week) -Flash of light in just my right eye -Painful zit like sores on both legs inner thigh -Weakness of Grip in both hands -Pain in my left wrist and I occasionally cant push my thumb and index fingers together without it hurting a lot (this happens sometimes) I went to the doctor and wore a holter monitor and was told it was benign pvcs and it might be anxiety...but I felt something more serious was wrong. I got a 2nd opinion and got blood work done, and was told I tested postive and negatove for lyme disease. The test that determines if I have it now was negative, and the test that determines if ive ever had it was positive. I had never been diagnosed with lyme...so I may have had it for a while...not sure. Anyway, I took antiobiotics for a month and after 3 weeks on them my palpitations disappeared along with the weird zits on my thighs. I felt a little better and had joint pain still ..but not having the palpitations was a relief. I finished my dosage and about 3 weeks after I stopped...my palpitations came right back full force and the painful small boil/zits came back. I feel like all of these symptoms are related to one another...I dont know what I could have. Please, if theres anybody who can ask me a series of questions to help solve my lifes mystery id be forever grateful. Has anyone had identical symptoms? Or have any doctors on here dealt with similar cases? Im truly desperate. I appreciate you taking the time out of your life to read this. Thank you! | Hello! Thank you for asking on Chat Doctor! I understand your concern and would like to explain that Lyme disease is a chronic disease, which can affect many systems of organs, including the heart, muscles, skin, central and peripheral nervous system etc.. Based on your symptomatology, the fact that you symptoms disappeared while on antibiotic therapy and reappeared, means that this is a chronic infection. Have you been tested for both antigens and antibodies of Lyme disease or only just antibodies? Sometimes the antigens can persist in the blood for years, indicating a chronic infection, even though the antibodies don't show this. I would recommend consulting with an infectious disease specialist for further tests for Lyme disease. An ambulatory 24-48 hour monitoring is necessary to examine your heart rhythm, for possible cardiac arrhythmia. If you were my patient, I would continue the treatment with antibiotics, as it seems that this resistant bacteria is still causing disturbances on your body organ function. Hope to have been helpful! Best wishes, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I m 14 and I m sexually active, but I went 7 months without sex, and I received a hand job, then the shaft of my penis starting getting a rash and got a cut on it, it s red and spread to my balls, it has bumps and it hurts.. I don t think it s an std but you never know, it s been two months now and it s only gotten worse. My balls are red and have bumbs and do does my shaft, and my penis did but they disappeared, I m uncircumcised if that helps. It s only on the skin, nothing is on the head of my penis, I m scared to go to the doctor. And puss come out of my balls and shaft and it s yellow, please help me. Thank you. | Howell come to ChatDoctorThis could be allergic reaction with some infection if I would be treating physician then I would have treated this condition with Provide Iodine ointment, if this does not improve then this can be tried with oral medication and Tab Ofloxacin 400 mg twice in day for two days, Tab Levocetrizine 10 mg three times in day for one week, hope this information helps, have a nice day. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | sir sice last 5 months i m having chest pain,but in the ECG AND ECHO,TMT TEST ,,all these tests were found normal,,but still i m having pain.and since last 2 months i am also having vertigo problem and pain in my head at a particular point and i m unable to cocentrate on my work and having twiching in my muscles all over my body.....pls help me | Thanks for your question on Chat Doctor. I can understand your concern. Since your extensive cardiac work up is normal, no need to worry about heart related causes. By your history and description, in my opinion, you are mostly having stress related symptoms. Stress can cause chest tightness, pressure and chest pain due to HERD (gastroesophageal reflux disease). Stress is also a cause for tension headache and vertigo. So better to consult psychiatrist and get done counseling sessions. Try to identify stressor in your life and start working on its solution. You may need anxiolytic Chat Doctor. So avoid stress and tension. Be relax and calm. Don't worry, you will be alright. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I got punched a wall about 36 hours ago. I went to the about 12 hours ago, and they said they saw no fracture and it was likely a contusion. My hand is more swollen now than it was, and my fingers are turning black, could there be a fracture that wasn t seen or is it just a bruise? | Hello, Usually when walls are punched the 5th metacarpal breaks (the bone in your hand right before your pinky, also called a boxers fracture). If you have this you will find that is really painful if you squeeze your hand right under your pinky knuckle. Its possible they could have missed this on X-ray. If it doesn't get better within the next week I would have them take repeat X-rays, because sometimes repeat X-rays can show the fracture once it matures more. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello im not sick no fever of flu<i have a wheeze and coughing is extremely painfull in my chest and burns, the coughing is uncontrollable and my voice is slightly damperd, no sore throat. what is it and what can i do?can i wait it out or shoul i see a doc immediatly. kind regards Liezl | Hi thanks for contacting Chat Doctor... You have not mentioned your cough is Chat Doctor. ... Here you are complaining wheezing and chest pain also.... You have to consult pulmonologist for examination especially auscultation ... If rhonchi heard then bronchoconstriction present .... Cause should be searched for it.... Chest x-ray and spirometry needed.... There is possibility of bronchitis or asthma like condition or COPD... Spirometry also helpful in assessing severity of disease.... If needed theophylline like bronchodilator given... If cough |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had the very last tooth on my left side on the bottom extracted yesterday. I now have like a white, gooey looking substance over it. I ate mashed potatoes last night and some ice cream so I cant tell if its food or what. I have no pain and Ive done salt water rinse today but the white substance is still there | Hi Dear, Welcome to Chat Doctor. UNDERSTANDING YOUR CONCERN. As per your query white stuff over tooth extraction area is nothing to be panicked about. Its normal healing process of tooth and its sign of rapid healing. This white stuff is a healing barrier, or you can say a protective coating for further bone healing and development. I would suggest you not to scratch this white stuffed area either with tongue or any instrument as then it will cause very pain and a condition called Chat Doctor. Then you have to visit dentist. Keep doing warm saline gargles and eat soft food through extraction side. Hope your concern has been resolved. Get well soon. Best Wishes, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. I am 33 weeks pregnant with twins.. on bed rest as a precaution..had no complications yet except for once hospitalized at 28 weeks for contractions due to dehydration. Anyway, I noticed in the past week my hands & feet swelling more, not too drastic..but one hand looks blue compared to the other with bigger veins for some reason, especially in the evening. Is this normal or should I head to the doctor? | Hi dear, I have gone through your question and understand your concerns. Edema and swelling in the limbs can be due to excessive intravenous fluids you might have received, or due to pre-eclampsia. Prominent veins are likely due to increased blood flow, which is normal in pregnancy. I will suggest you to consult an ORGAN specialist to get properly examined, get your blood pressure checked and take appropriate treatment. Hope you found the answer helpful. Wishing you good health. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a 54-year-old woman. Around four to five months, I have been experiencing heavy hair fall in the frontal and lateral region. Since the past one year, I am also experiencing thyroid conditions (hypothyroid 6.40) along with stress and menopause (menopause onset was seven months before). I can notice new hair follicles but very less in number compared to hair fall (more than 100 at times).I have taken multivitamin tablets for a month. Now, I am taking menopause tablets. I have been applying onion, aloe vera, and ginger oil for the past two to three months. Also, I am consuming yogurt, milk, dry fruits. Kindly suggest some measures to arrest the hair fall and initiate hair growth. Also, suggest dietary restrictions and additions if any. I am a housewife and mainly do household chores, though nothing significant. | Hello, Welcome to Chat Doctor forum. I understand your concern. Thyroid issues and stress causes hair to fall. Please send me images of your scalp to assess your hair loss better and help you accordingly. Meanwhile, you can start using this. Kindly consult your doctor to discuss and take the treatment with consent. 1. Anaboom anti-hair fall serum on the scalp once a day. 2. Tablet Keraglo Eva once a day. 3. Keraglo-AD shampoo thrice a week apply on the hair for 10 mins and wash off. Also, get the following tests done 1. Hemoglobin. 2. Serum ferritin. 3. Vitamin D levels. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i cant sleep at night . i sleep only at day . if i happen to sleep at night i don t have a good day. my day gets rough and boring. i have many things to think about. i feel like the whole world is aganist me | Hello and welcome to Chat Doctor. Thanks for your query. You seem to be suffering from a circadian rhythm sleep disorder where the bodies biological clock works out of synchronization with the natural sleep-wake cycle. Please consult a psychiatrist for a detailed psychological assessment and further treatment. There are effective treatment options - in the form of medication or behavioral therapy which will help you overcome your problems. Wish you all the best. - |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I was taking Livalo for about 3 months and stopped about 3 weeks ago because of severe joint pain in my feet where the toes meet the foot. It s hard to walk now. I was told that I should be taking glucosamine with condroitin so I started taking Osto Bi Flex twice a day 10 days ago. It seems to help but I also take a Extra Strength Tylenol (500mg) every morning. Now that I ve stopped taking the Livalo and started taking the glucosamine, will the pain eventually go away? | Doubtful. The structures that are at the base of the toes are muscles, joints, and bones. These get irritated. There can be fractures, this is far less common. BUT if you have irrigation of muscle joints and tendons, these would get better over weeks BUT only if the area is not continually injured. If you dot know a particular time when they were injured, then mostly likely they will keep being injured by what you are usually doing and not heal up. Changing the stress on them might need physical therapy. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello, I was just notified by my sister that my mother s doctor just informed her that my mother who is in rehab now but was recently in the hospital, has airbourne MRSA which is contagious. Should I see my doctor to be on the safe side to make sure I m not infected? | Hello, Thank you for your contact to Chat Doctor. I understand your health concern, if I am your doctor I suggest you that if you and your mother is sharing the garments, clothes and bedsheets than you are a prone member of developing the MRSA. It never transfers inherently. I will be happy to answer all your future concern. Thank you, ChatDoctorInfectious disease specialist. Wish you the best health at Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am a 52yr old female i havean under active thyroid , fatty live , overactive bladder, cervical arthritis with a trapped nerve , b12 deficiency, restless leg syndrome and some years ago i had an aneurysm in the right side of my head .recently i have been in great pain with the bone in my left arm blood test last week revealed the my esr was very high could this have to do with any of the above .THANK YOU | Hi.understood your concern. First, thyroid hormone is a very important hormone involved in various functions in the body. Decreased levels of thyroid hormone may lead to obesity which may intern result in the development of many diseases such as fatty liver disease and arthritis. Secondly, B12 deficient may lead to neuropathy. High ESR indicates that you're suffering from a chronic disease. you're advised to visit treating physician at earliest and take advise. Thyroid hormone and B12 supplements maybe ingested immediately, though dosage should be advised by the treating physician hope to answer your concern. Regards Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had sex the day before yesterday with a guy, and it started to hurt alot and since then i have had a little bit of abdominal pain, and tonight i had sex again with him and it hurt really bad i had to tell him to stop. It hurts a little to sit down, and walk, and if i push on my lower stomach it hurts, i dont know what it wrong and i really dont want to go to a doctor unless it is necessary | Hi. Thanks for your query and an elucidated history. This is called Dyspareunia meaning painful sex or pain during sex. The causes are as follows:PID, Pelvic inflammatory disease/SalpingitisOvarian cyst, torsionPsycho-somaticI would advise in such a patient the following:Ask the Gynecologist to have an internal examination by doing per-vaginal examination, this can elicit many a thing. Urgent ultrasonography, per abdomen and per-vaginal. Routine examination of the blood, urine and stool. The final diagnosis hence made will help us to get a proper line of medical or surgical treatment. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My husband is 46 years old. We are very active and try to be healthy for the most part. About a month ago he was complaining of a knot in his upper right shoulder. I had tried to message it out and even got him into a deep tissue masseuse. He said it hurt worse after he went to the deep tissue. It has grown tolerable for him but, now we have noticed that his right side of his upper body is visually weaker than his left. I am concerned even though he jokes about it. I can feel the knot and it is not going away. It feels like a guitar string strung tight. Can you tell me what might be going on. | Dear, the most concern I feel in your history is of the fact that there is getting weaker than the left, these are signs of neurological involvement, and the knot that your feel might be some tumor, But nothing can be said about the nature of swelling unless we get a biopsy done, sometimes the tumor might be of neural origin, thus causing pain on deep palpation. The first is to get an MRI done, to see the type of tissue, and this will be followed by biopsy to ascertain the cause of tissue causing such problems hope I made your mind clear on the issue discussed, Thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am a male, 20yrs, 75kg and 5.5 ft. Having consistent fever, 102 to 103.5 degrees F. LFT shows SGOT-364, SGPT-507. Gamma GT-188,Total Bilirubin-1.7, Conjugated Bilirubin-1.1,Unconjugated Bilirubin-0.6,Urine colour is chocolate brown.Am I having some type of Hepatitis? | Hi dear thanks for asking question. Yes your liver enzymes are increased... You should consult doctor..... First here hepatocellular jaundice by viral hepatitis has to be ruled out.... Alcohol and prolong Chat Doctor. . . As your urine is brown color hemolytic jaundice should rule out by serum LDH, urine urobilinigen, relic count etc ... Rest your liver by taking less fatty diet. Take papaya like fruits more.... Licorice with honey good herbal remedy... Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been using propysalic n.f ointment over my hand sincethe past oneyear.iam highly allergic to use of detergentsand this ointment is not giving total protection.psoratic eczema is reappearing again and again.I am also feeling a palpitation often.whats the alternative/ | Hello. Thank you for writing to us at Chat Doctor Psoriasis patches involving palms and soles is not going to interfere with day to day activities but also issuing and cracking would make hand movement painful. Frequent use of moisturizers, softens thick scaly plaques and help seal cracks and fissures. Apart from moisturizers, potent topical steroid creams e.g. clobetasol propionate 0.05% with or without salicylic acid, are specific treatment for thick scaly psoriasis patches involving palms. You have already been using it. However, topical treatment alone may not be effective in alleviating the problem completely and moreover topical treatment modalities may take time to produce noticeable improvement in the patches. In my view, Oral Methotrexate is an option for psoriasis patches involving palms. Though this Chat Doctor. It is a prescription |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Two years ago I had a brain aneurysm clipping surgery. For the past few weeks I have had this strange smell similiar to a plastic/chemical scent in my nose and my mouth. Does this mean anything? Could thi be related to the brain surgery I had?My e-mail is YYYY@YYYY | Hi, Welcome to Chat Doctor .com I am Chat Doctor. Mariano Into Bruno Mascaras. I have gone through your query with diligence and would like you to know that I am here to help you. This strange smell similar to a plastic/chemical scent in my nose and my mouth are suggestive of temporal lobe dysfunction and with history of aneurysms, you need to take it seriously and immediately consult your neurosurgeon. Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | my 2 year baby boy is suffering from urinal problem. his urine test report shows 40-50 pus cells, acidic in nature & bacteria ++++. But he no fever. Actually doctor told us about the probability of his operation as his skin on the urinal point is not going backward.Another doctor told us to conduct the urine routine examination once again before starting any treatment. At the moment he is suffering from loose motions, i don t know might be because of infection. please guide us?? | Hello, I AGREE with opinion of second urine report. As for the fibrosis, i.e. the penis tip being small, many boys have it, and we can try a cream called mometasone application for 14 days, to increase the size of hole. If that fails we may still wait and watch. Kindly Urine R/M as well as Urine C/S test before taking any step furtherDisclaimer:This provisional advice provided by me stands subject to the actual examination of reports/image and is based entirely on inputs provided to me. It should be correlated with clinical findings |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | 2 yr old grandson ran into his 4 yr old sister making him fall backward onto hardwood floor . He began crying and vomiting. There was no apparent swelling. After 20 min or so began playing and seemed ok. Since then he appeared normal but apparently has virus per pediatrician and is running slight fever. Does this appear normal reaction | Hi... I don't think fever is related to the trivial head injury he has sustained. If he is acting normal - you need not worry. I will suggest you danger signs of head injury -1. Vomiting continuously2. Seizures3. Watery of bloody discharge from ears and nose4. Unconsciousness5. Altered sensorial or behavior. If none of them are present, I don't think you should worry about his trivial head injury. Regards - |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,My penis skin end has got tiny cuts around and it is not healing for more than one month. Please help. | Hello. You need to apply the following things: Clean with Betadine solution twice a day. Apply Candid-B ointment twice a day. Take tablet Kineto Forte 15 mg once a day for ten days. Update your condition after ten days. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My 3 year old daughter has had a fever ranging from 101-103.9F for 4 days. I took her to the doctor yesterday and he checked her throat, chest and ears and saw no infection. They also checked her for the flu and it came back negative. Tonight she developed a blotchy, thread like rash on her extremities. Should I take her to the ER? I ve been keeping her fever down by alternating between acetaminophen and ibuprofen. It is now 102.5F with medication. | Hi, Thank you for asking question on Chat Doctor. Tepid sponging along with paracetamol 15 mg/kg body weight every 4-6 hourly depending on the necessity for control of fever. The rash on the legs may be due to capillary dilatation. Please feel free to ask any more queries if required hope this answer will serve your purpose. Take care Chat Doctor. V. Subrahmanyam MD;Disassociate professor of pediatrics |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi iv been experiencing some things I see as unusual, I am sexually active and on the contraceptive pill ava30ed but have been experiencing some irregularities with my menstrual cycle, during the week I was taking the placebo sugar pill I didnt experience bleeding at all only a small amount of dark brown dicsharge, and now being the week after the placebo pill I am experiencing constant thick stringy black odorless discharge and I am not sure what this means | Hello, and I hope I can help you today. Low-dose oral contraceptives sometimes produce the side effect of what is called breakthrough bleeding... Which means bleeding when you're not supposed to have your period. When blood travels very slowly through your genital tract, it mixes with your vaginal discharge and frequently turns brown or blackish. Breakthrough bleeding is most common in either the first three months of pill use, or after being on the pill for very long time, or if you miss a pill, or if your schedule changes or if you're under a lot of stress. This is not a symptom of anything being wrong, or of your contraceptive not working, however it can be bothersome. If you do take your pill close to the same time every day and didn't miss any, and you continue to have breakthrough bleeding, you might want to discuss with your healthcare provider the possibility of changing to another brand of contraceptive. So in summary, there is nothing to worry about from the dark discharge you are experiencing or not bleeding during your actual pill free week. If this continues, you may want to consider changing to a different brand of birth control, as increasing your estrogen dose can sometimes help with breakthrough bleeding. I hope I was able to adequately answer your question today, and that my advice was helpful. Best wishes, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I know I have social anxiety disorders. not because some or a dr. has told me so but I pretty sure I know how I fell in certain situations around people or public events. I m 46 years old and I have live a pretty well life on my own but always hiding behind my true emotional problems and seems like the older I get the harder my feelings are . but I need serious help with my disorder now and wish I didn t but don t know what to do about it. I m married, with no children but suicidal thoughts have always been there but seem be to more now, but only because it doesn t seem to matter at age any more, is there real treatment out there that doesnt cost an arm and a leg that won t discourage me from seeking advice. I do have insurance | Dear serve understand your concerns went through your details. Social anxiety disorder is a chronic mental health condition in which social interactions cause irrational anxiety. For people with social anxiety disorder, everyday social interactions cause irrational anxiety, fear, self-consciousness and embarrassment. Symptoms may include excessive fear of situations in which one may be judged, worry about embarrassment or humiliation or concern about offending someone. Talk therapy or psychotherapy and antidepressants can help increase confidence and improve ability to interact with others. I suggest online psychotherapy and counseling. If you require more of my help in this aspect, please use this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. Hope this answers your query. Available for further clarifications. Good luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello Dr., I am 37 week pregnant and this is my first pregnancy. I m having pain in my back and lower, i had discussed with my dr.,but they suggest me if your pain will increase in that case we will delivery, but my pain didnt increase in between 2-3 days.and now they gave me medicines to stop pain but no more effect after taking medicines. This time i am in pain but not able to understand is this my delivery time or not. | Hello, I had gone through the case and found that normally back pain occurs during late pregnancy due to enlargement of uterine size. If pain is unbearable and also contracting pain in lower abdomen or any kind of leakage like fluid or blood then immediate go to your doctor because this is delivery phase. But you must wait if none symptom is present. Do the deep breathing relaxing exercise. It will be good for the fetus also. Hope my answer will be effective for you. Thanks & Take care |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi doctor,I am a 63-year-old female. I started getting flashes in the right eye a couple of days ago, and now have a floater in the shape of the flashes. I was not too worried. But today flashes have started up again in the same area. Given the pandemic, eye doctors are only open for emergency care, and I really do not want to get exposed. At what point is this situation an emergency?I am currently on estrogen patch, Sertraline, and Nexium. | Hello, Welcome to Chat Doctor forum. Flashes can signify many conditions affecting the inner layers of the eye starting with the vitreous (the gel structure pressing down the retina - in high myopes it is usually dissociated) where floaters are usually located. If you have high blood pressure or diabetes, elements of blood can form in that space and start floating (floaters). The way to detect if it is in the vitreous is to look sideways and if the floater follows the motion of the eye (slowly in the same direction) then it is in the vitreous and does not require quick intervention. If the distortion is in the same position in whatever direction you look then we are talking about the retina and retinal detachment which should be urgently excluded. If you are seeing a halo around the source of light then your eye pressure might be increased and requires urgent attention. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Six weeks ago I encountered been fever and vomiting. It settled In my lungs. I have doctored for six weeks, I have a cough that only subsides with steroids. Have had 3 rounds of z-pacs 3 rounds of steroids. Now on a regimen of inhalers and still using beathing machine and cough pills and allergra. Now I am told that they think I have allergies and asthsma. I am going In for a pulmonary test and an asthma test. I am never sick. Also my liver enzymes are slightly elevated. Is my condition going to be permanent? and how does a perfectly healthy individual damage their lungs this badly with one lung infection. Or is something else going on in my body? | THESE ARE ALLERGIES WHICH MIGHT HAVE TRIGGERED DUE TO MEDICINES USED IN PAST FOR VOMITING TO CLEAR YOU HAVE TO CORRELATE ACCORDINGLY AND TREAT ALLERGIES TO CURE PERMANENTLY GET PROPER TESTSDIAGNOS AND TREAT ALLERGIES BECAUSE ALLERGIES CAN BE TREATED IF YOU KNOW CAUSEUNTIL THEN TAKE MONTELUKAST 10 MG BRONCHODILATOR SVP AND CODEINE +CPM COMBINATION SVP AQT NIGHT PLUS ANTACID LIQUID SIT WILL FEEL YOU BETTER |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i have had a lump in my lower left rib area with pain upon touch for about 15 years , now ive noticed its started to get larger and i have been catching every cold or virus that goes around, which is unusual for me. Any ideas? I have had some lower back pain at the same time | Hi.it is best if you consult with a doctor, preferably a general surgeon, for medical and physical examination. Based from your description, it could be a cyst (a sebaceous or a gelatinous type), a fibrous or a lipoma. These lesions can occur anywhere in the body and have the tendency to recur. Management (medical and surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My periods are always quite regular , last month got the periods three days earlier that is on 4th Feb ,and later on march first had unprotected sex...took a pregnancy tests has periods were delayed , once or twice vomited , also had nausea feeling , headaches ,tests twice were negative but 20th march got my periods ..still feel the same ....is there are any chances i am pregnant ..or is it any other health issue..since i have never had periods delay so long .... | Hello, Here, you need to undergo one blood test for beta-ChatDoctor to rule out product of conception or miscarriage. TVS scan gives some additional information. Other reasons of irregular period are stress/ anxiety, hormonal imbalance, pelvic infection, over wt, irregular diet pattern, uterine pathology etc. Consult with your gynecologist for proper examination & relevant investigations. Take suggestive measures accordingly. Practice safe sex in the future. Good luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I stood up from my desk and had a sharp pain in my back on my right side. I have rubbed my back, and can move it as usual. I have urinated several times today with no discoloration or any change from normal. I don t have a fever, chills, or feel sick. | Hi, thanks for posting your concern in the Chat Doctor. A sharp back pain while standing may more likely be due to mechanical pull to para spinal muscles. This may also be due to PIED, but that is less likely. Regarding urogenital symptoms, you have only increased frequency of urination. This may or may not be due to urinary tract infection. UTI may produce back pain. However, that pain is usually dull aching and persistent, except for the condition when one has a ureteric stone. But, increased frequency may also occur in normal individuals in the absence of any infection. I think you should consult your local urologist for further evaluation. You should have the following tests done-Complete blood count, urea, creatinineUrine for routine examinationXray LS Spine- app/lat USG KFOR the time being please have plenty of oral fluid. Avoid prolonged sitting or carrying heavy weight. Performed abdominal muscles strengthening exercise. You may need antibiotics, if you are having UTI. For any further questions, please write back to me. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | m21...jst before doing sex(when my partner touches my penis and rubs it to make erect) or just starting i ejaculate and i dont have control over it....my penis size is good but the erecton occurs does not depend on whether i am doing sex or not..sometimes it does not get erect during sex time..i dont try sex due to this reason now...plz help what to do... | HelloThanks for your query, based on the facts that you have posted it appears that you have problem of Erectile Dysfunction and early ejaculation even without penetration of vagina. This is mostly due to anxiety and common during early period of sexual life, There is nothing to be worried about it, it will get resolve over a period of time. Following measure will help you to boost up your confidence and getting good erection. And delay ejaculation.1) Practice regular exercise for 45 minutes followed by meditation for 1/2 an hour in the morning.2) Take high protein diet rich in vegetables and fruits and vitamin A, C,D, E.and Zinc3)Take anti oxidants like Almonds 5-6 every day.4) Avoid alcohol and smoking. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi. i am circumcised at the age of 4year. i have noticed hard lumps under the skin from one year ,i was getting no trouble from this but now from 15 days at one point of lump its paining little bit......please reply whats the problem and whats the cure for the samee | HelloThanks for query. Based on the fact that you have posted the hard lump that you have on the shaft of penis since one year is Sebaceous Cyst. The scrotal skin is rich in sebaceous glands and hence prone to get more sebaceous cyst due to accumulation of sebum beneath the skin. Normally it fades away without treatment however it needs to be treated if increase in size or get infected. Consult qualified General Surgeon for clinical evaluation and further treatment. If needed it may need to get excised in Toto (Completely along with the sac) Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi! I have a friend who is a mother of 2 & had been physically abused by her mum since she was a baby. This friend has been pulling her hair (literally) from her head, brows, lashes & has anger outbursts, is suspicious, fears her husband will leave her etc. She was prescribed Citanew 10mg, Tryptinol 25mg for a week & then 50 mg after that & Tab Dosik 1.5mg. She says that she is not functional now & is always sleepy. Is there something that can be done for her without the meds or should there be other help along with the meds? | Hi there, thanks for asking. Pulling hair from the head and eyebrow is called trichotillomania, and it is often accompanied by anger bursts as you mentioned. Cit anew and Disk are good medications for such a condition which are commonly prescribed by doctors. I am sure that her doctor has prescribed Krypton for a special reason. In most of the time it can cause sleepiness during the day, since it remains in the body for long hours. She can talk about this issue with her doctor and she may decrease or discontinue Krypton to see if her sleepiness is improved. Her condition may become quite satisfactory after several weeks with just Cit anew and Disk. The response time for trichotillomania (pulling hair) and its related symptoms is longer than depression and is almost like the time needed for obsessive compulsive disorder (about eight weeks). I wish the best health for her. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi my name is Gilbert and i m 29 years old 174cmand 70 kgs i m an atheltic guy4 times per week i go to the gym evreything was normal until i had a weakness in my body and i did blood test and my doctor said that i have gilbert syndrome like my name :).he prescripted to me to take vitamin pills called simepar(contains silymarine,VIT B1,B2,B6,B12..)and from a month until now i m having a very healthy diet foods and a lot of fruits and vegetables but the symptoms is not over yet i cannot drive my car or go to my work ..my question is how many days can be last this syndrome? | The Gilbert syn Chat Doctor. It's the lack of a specific enzyme in your liver which causes some liver tests to increase. People don't suffer, the only thing you must see is yellow sclera (yellow eyes instead of the normal white) especially after some alcohol. Or some medications can cause this. But you should not worry, millions of people have this. So just enjoy life and keep up your healthy life. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Please help! I noticed today that my 5 year old has a painful lump in her armpit. She was complaining that it hurts just recently. Both her armpit feel feverish. Should I take her to the emergency room now? I m worried, because it s never happened before. She feels as though she has a fever. Please help me, I m really worried now. I would really appreciate it if you reply back as soon as possible! | Hi...am happy to reply your question. By the history given by you, child may have folliculitis in the arm. Child requires antibiotic. If child is not allergic to penicillin, you can give the following Chat Doctor. Amoxacillin-clavulunic acid 50Β mg/kg/day in 3 divided doses for 5days.2. Syp Paracetamol (1ml=125mg) 15Β mg/kg/dose 8th hourly for pain and fever wish rapid recovery to your child. If you agree with my suggestions kindly rate me. Regards- |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello maam/sir, I m mae, 25 years old. i got a cavity in my wisdom tooth(which i got 2 months back) and it pains a lot..a doctor suggested me to get it removed.please suggest me what to do.Also 6-7 months back one of my tooth got cavity and i gt it remove..i dont eat too much of sugar and i brush twice daily then why i gt cavities so often..!!!!! | With regard to your query, extraction of wisdom tooth will be considered under certain conditions like when the tooth is impacted, unrestorable, causing pressure on the adjacent tooth, causing misalignment of teeth in the arch are the common reasons so in your case may be your cavity is unrestorable so only advised extraction. Not only sugar will cause cavities there are many other reasons like decreased secretion of saliva, food impaction provided with spaces between the teeth, eating lot of sticky foods like chocolates etc. I would suggest you to gargle your mouth after every meal in fact what ever you eat and check it out. I think in your case it is unrestorable with irreversible pulpits so only considered for extraction. For further treatment you a visit your dentist. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | what disease can be the cause of low back pain that comes with noisy rumbling stomach, constipation alternating with diarrhea, rash under tip of penis, itchy anus, internal heat, stubborn rashes on the shoulder and on the buttocks . My age is 32 years, weight 77 kg. | It is a clear case of pitta vitiation which manifests all these symptoms of irritation - internal or external. If I had been your physician, I had asked you to straightway take Ayurveda's Avipattikar Khorana mixed with KamΔncha NASA in indicated ratio and take. Externally by bathing with fullers earth and apply Marichyadi oil (it stains fabrics) once may take you out of trouble very safely and without bad effects. Need capsules from Himalaya co. will have enhanced action. Any Ayurveda doctor will guide you for this. If you are not satisfied in four weeks, you have the option to resort to toxic multiple Chat Doctor. Hope it enlightens you. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi. I strained a muscle in my ribs two weeks ago. I went to the emergency room the day it happened. They took x-ray and said its not broken. at the time it happened I felt a pop and noticed a small lump. I do feel alot better but far from perfect. The lump is still there and it still bothers me. I have been feeling the same results for the past 5 days like its not getting any better. Its a really hard lump. Can it be torn so badly that I will need surgery to repair? I am going to get an mri next week. What will the mri show? | Hi.based from your description, it could possibly be a fibrotic reaction secondary to the trauma you had. Its like scarring process of your tissue, only on the inside. A consult with a doctor is best for clinical evaluation. Diagnostics such as x-ray, MRI, will help rule-out the presence of fractures, soft tissue swelling or mass. Management (medical and/or surgical) will be directed accordingly. Hope this helps. Good day!!~ Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I started getting itching in the area between testicles and anus . No rash , no dryness. The itching seems to be from deep inside, than on the skin. Scratching the skin doesn t help, so need to pinch the area to get some relief. It typically is worse during night. Now, over the last 4 weeks, I started itching all over my body, including my palms and soles. It gets worse if I get into any warm place - like a car parked in sun or taking a hot shower. There would be a little bit of rash, along with the itching, which disappears in minutes. Not sure if the two conditions are related. What s the best course of action? | Hi itching in between testicles and anus can be fungal infection which is due to uncleanliness or due to excessive moisture over the area. The itching all over the body can be acute urticaria which is due to allergens like food. Water or insect stings or Chat Doctor. First one is treated with Atari 25 mg at night. Terbinafine 250 mg daily once and application of define ointment whereas second one is treated with Atari 25 mg at night and Alaskan in the morning |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I am a 16-year-old male. I have tonsils. What is the treatment for it without surgery? Homeopathy is required. | Hello. I am guessing you are having repeated episodes of tonsillitis, where you have been given antibiotics. Maybe your doctor has suggested surgery. There are some effective Homeopathic remedies for tonsillitis. You can take: 1. Baryta Carbonica, 6x dosage, if you have chronic enlargement of your tonsils. 2. Belladonna, 30c dosage, if the tonsils are extremely red and there is a lot of inflammation with fever. 3. Mercurius Vivus, 30c dosage, where there are pus and foul-smelling breath. Try the one that matches your symptoms best. Take a dose every hour of your chosen remedy, and if there is an improvement, give another dose, up to four doses. It would be helpful if you consult a Homeopath in your area, who could look at your tonsils and help you to find the best remedy. For the prevention and treatment of tonsillitis, you can take a naturopathic remedy called Berberis Formula by Genestra, which you can likely order through your local health food store or order online. It prevents and treats bacterial infections. At the first sign of tonsillitis, take two capsules, twice a day until the infection is gone. I use this very successfully with my own chil ChatDoctor. Or, if you cannot easily access this medicine, you can take Goldenseal tincture, (in |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, I was resting for a stress fracture on my foot. I walked today after my foot being wrapped for 12 days. I feel pain in bottom of foot (ball) Did not ask dr. enough questions. He took x-ray. Can bottom (ball) be stress fracture? In the beginning foot was swollen. | Hello, If there is fracture in the foot then you need to walk with a weight-bearing cast. Just wrapping in compression bandage will not go to be useful. So meet with your doctor and asked about it. If there is any fracture then you should also take regular calcium and vitamin D3 to make your healing faster. I hope this answer will be useful for you. Let me know if there is any other follow-up questions. Thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My father is a patient of Tuborculosis Meningitis, and his treatment is going fine from last 2 and a half month. But recently he is suffering from mild fever and a bacteria called staphylococcus aureus was also found in his femoral blood sample. Currently he is on anti tb drugs along with corticosteriods, antibiotic, anti convulsant drugs. Linezolid (TDS 600mg) is also started for staphylococcus bacteria but still his body temp is hovering around 100 degree Fahrenheit. Please help me, all his reports are almost normal except for some minor problems like enlarged prostate. | Hello and welcome to ChatDoctorI have read your query hope this will epitaph AUREUS bacteria is a gram positive bacteria and is a common pathogen involved in a variety of infections...NINEFOLD is an excellent antibiotic for treating staph. Even its resistant strains. You didn't mention for how long your father has been using this antibiotic. I would advise you to currently continue with these antibiotics.Meanwhile, do regular temperature charting and repeat complete BLOOD COUNTS after 7 days and discuss with your PHYSICIAN.thanks Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I had a kidney infection about 2 months ago, I was vomiting and felt very unwell but took antibiotics for a week and then felt better. About two weeks after this the symtoms (besides vomiting) came back. I sent off a urine sample and took another weeks worth of antibiotics however when I got the results back there was no sign of an infection. I am now still getting symptoms, such as nausea, stomach pains and I am bleeding from where I pee, not as a result of my period. I am not having symptoms such as pain when I pee but I didnt have that symptom when I first had a kidney infection. Please help, what could be wrong with me? Im finding it very difficult to eat and need advice! | Hello, Thanks for the query to H.CM. Forum. From last two months you are having nausea, stomach pain, bleeding in urine. Treatment took for renal infection. In my opinion these may be due to .1 Chronic renal failure, diagnosis can be confirmed by ultrasound and M R I of both kidneys as all symptoms are an indication of renal involvement. 2 Stone or calculus may be in the kidneys, diagnosis can be confirmed by ultrasound of kidney. In my opinion as you were a patient of renal infection, which don't treated completely. This recurrent infection causes bad impact over kidneys, so consult a urologist and get his opinion. Good luck, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My implanon was inserted October 2010. It expired October 2013. It hasnt been taken out. I havent had a period since January 2014. I had sex February 14, 2014. Period still hasnt come. Juat started having lower abdominal cramps March 6, 2014. Does an expired Implanon delay your period? | Hello and thanks for choosing Chat Doctor, I am Chat Doctor a consultant gynecologist and I will be helping you in your queries. Implant if kept UN removed may delay periods or cause irregular periods as small amount of hormones may be released from it for a few more days to months. However, these are not effective in preventing pregnancy. So if you have not used any other contraceptive there is a likelihood of pregnancy. If you were in my clinic, I would first get a pregnancy test done to rule out pregnancy before attributing the delay to implant. Hope this was helpful. Thanks for using Chat Doctor. Have a good day. ChatDoctor BagdeConsultant Obstetrics and Gynecology |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | HI Im Roberto Dela Pena of Philippines,My problem is i have a small left kidney,it was found during my first medical test which KUB is mandatory,the doctor found out that my left kidney is small it was 2007 ago,can you explain me about this situation because everytime when i conduct a medical exam for work abroad they always found thesame result small left kidney,but i did not experience any trouble in my left side body part,can you explain me about this one,here is my e-mail add: robertodela YYYY@YYYY , Thank very much,more power to all of you.. | Hi Thanks for your query. Uni-lateral small kidney is usually acquired after a disease affecting it. In your case, you may correlate with your past medical history. In such a case the other kidney enlarges to compensate for the function. Thus, the person has no problems from it. Sometimes it is present since birth. Then it is called as congenital hyperplasia. The pelvocalyceal system is small and usually pacified in intravenous biography. Again compensatory hypertrophy of the contralateral kidney happens. Associated anomalies of kidney are present. You may watch for symptoms of urinary tract infection and other kidney disorders as it may affect the function of the other kidney. Take care. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My sister in law is Elderly Primi gravida.At 34+3 weeks BPD corresponds 28weeks,ac+30 weeksFL +33weeks.She has bicornuate uterus.Scan at 20 weeks ---all parameters were corresponding.Discrepancy in BPD was detected at aroud 29-30 weeks.She is not aPIH or Diabetic | HIT hanks for using Chat Doctor In borderline personality, the treatment of choice is psychotherapy in form of DBT. In pregnancy, for personality, there is no need to give any medication, it would harm baby. Better to consult a psychologist for therapy and that would help to control her personality issues. In case, she needs any medications, that you can consult a psychiatrist for proper medication. Thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My 5 year old daughter hasn t been feeling well since Monday. She threw up Monday morning, 4 times, had no other symptoms. An hour after throwing up, she had a fever of 103. I took her to the doctor and she was tested for strep. She tested negative for strep and was told it was a virus. She had a fever from Monday thru Wed. She was given Motrin every 6 hours to help with the fever. She went to school today, Thursday. Teacher told me she was very tired all day. She came home from school and complained she didn t feel well and threw up 4 times. The throw up is clear in color with little red specs. She doesn t have a fever after throwing up. What should my next step be? | Hi.... I understand your concern. By what you say I feel that your child is going through a viral illness too. Your doctor is probably right. I will explain to you how the viral illness behaves so that you can be more confident. Fever of few days without any localizing signs could as well a viral illness. Usually rather than fever, what is more important is the activity of the child, in between 2 fever episodes on the same day. If the kid is active and playing around when there is no fever, it is probably viral illness and it doesn't require antibiotics at all. Once viral fever comes it will there for 4-7 days. So do not worry about duration if the kid is active. Regards - |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi... im 19 years old weight 58kg s height 5 6 i have a small lump on the right side of my lower neck. it does not hurt. its been there for a few months now. my motions are not normal for the past one month. ive stopped eating outside and only eat home cooked meals. but nothing is helping. also my stomach aches, but its not severe. i also have a hard lump on the left side of my head...i asked a doctor about that and he said there is nothing to worry about... but it hurts when i put even a little pressure on it..... my stomach also hurts for about 10 minuter afer i eat especially in the morning... i also get tired very fast... especially when i walk up 3 flights of stairs... | Hi, Good Evening. This is Chat Doctor. -I studied your query in depth and Understood your health concerns.-Accordingly on the facts given by you-Treatment I would suggest is as follows-a-Your general health is run down due to the multiple systemic symptoms and hence I would Suggest you to consult a Surgeon and Physician whose team work would be needed for proper treat planning and early recovery.b-For the small lump on right of neck-which appear to be-Chronic infected lymphadenitis-I would advise you to have FNAC-Biopsy to fix its cause. If its TB-anti-tb treatment took care of it-as you are 19 only.c-For the IBS with herd?-symptoms-stool exam and OGD would fix its cause and would be treated accordingly by the Surgeon morning stomach pains suggest gastric Ulcers-post-meal and needs Proton pump inhibitors to control it along with treatment for infective causal factors for the gastric ulcers.you have multiple symptoms, by which you get tired very faste-Beside this to avoid any further missery-follow normal bland diet with banana shakes 2 times a day, with home food practices/ avoid outside food and get full treatment with your doctors for next 2-3 myths at-least, here on-wards, as yours is a complex health issue, and you need to be serious about it on the lines suggested herewith. Wishing you healthy living and early recovery of this query. Wellcome for more queries till you get the satisfied. Thanks for your query to Chat Doctor Clinic. Have a Good Day...!! |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | the entire lower limb of my leg has blistering rash that itches and burns and they pop and ooze straw colored fluid, I have no allergies history and I have chronic edema of unknown cause. They heal over with a orange-brown color and r flat. Ten days now - non-responsive to prednisone or co-trimoxazole 2 480gm tabs twice per day, skin swabs taken but it seems to be taking ages for a diagnosis - no improvement - feel tired - had mouth ulcers too but they have gone now - no-longer on meds - no fever or temp - any ideas | Hi there, your history is sketchy, but you need to find the cause for the edema of your legs. Edema can be caused due to many causes but the most common ones being anemia, kidney disorder, hypothyroidism, postural or in any generalized infection. You are already being treated for infection. You need to get a routine blood exam done to rule out anemia or a malnourished state, get a thyroid function test done, get a kidney profile done and if all seems normal then you may try using pneumatic socks to take or the postural edema. If you are in a job where you have to sit for a long time in one place with your leg suspended then you could try keeping it in an elevated condition from time to time and also taking small walks in between every 2 hrs. You could try some passive exercises from sitting position like stretching your hamstrings or alternatively contracting and stretching your ankle joint to exercise your calf muscle. Hope these are helpful tips .take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi, Broke my rt ankle, both bones - have a screw up the bottom of lg bone & plate & screws on the smaller bone. It s been 3 wks, cast off a wk ago & in a lg air boot. Last several days the bk of ankle tightens and whole ankle feels as if it s being squeezed. I ve iced and elevated but can t stop this horrible squeezing feeling. Is it from the swelling? Feels like my foot is freezing up & dipped in cement. I m bk at work & elevate leg on my desk or on a box under the desk. It doesn t look any more swelled than it has been, but this squeezing-crushing feeling is driving me nuts. I try to keep moving the toes & rotating the ankle as my doctor has asked but the squeezing feeling is like freaking me out. Is this normal with the healing process? | Hello, The excess pain feeling is not normal after 4 weeks. If there is swelling and pain after 4 weeks at your operated ankle then you should consult to your doctor and get evaluated for infection or dystrophy. Keeping the leg elevated is good for you. Meanwhile, you should avoid bearing weight and should take support. You may have ibuprofen for relief from pain. Hope I have answered your question. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have had a patch of irratated, extremly itchy, flaky dry skin underneath each nipple on each of my breasts. this has been for about 3-4 weeks, and symptoms have gotten worse to a point where i cannot fall asleep because the dry skin is itching so much. i cant scratch, because it hurts to do so. Ive tried lotions, baby powder, hot and cold showers, and nothing seems to work. | Hi, Welcome and thanks for posting your query to Chat Doctor. After reading your query there are the best possibility appears to be of "Scabies" infection caused by mite especially causing night itching as is experienced by you. Though there are other areas of involvement too, such as finger webspaces, abdomen and genital areas but to begin with, it starts at one place as in your case around nipple area. The mite is not visible, but we experience the nocturnal itching only which is so worse at night that the patient is not able to sleep. It can be very well treated with anti-scabies treatment. Do anybody else in family or surrounding have night itching - if yes then should also be treated for the same, otherwise can recur back form that source. You can meet a dermatologist who can guide you for the best of possibility of the problem and give you treatment for the same. Do not try to scratch the area as can lead to secondary infection. Wish you good health. Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a friend who has been diagnosed of being Hepatitis B positive. He has just had his profile taken and these are the results: HbsAg with titer-ECLIA method - 8,905; Anti Hbs-ECLIA - 2.0; HbeAg - 0.140; Anti Hbe (reverse) - 0.003; Anti Hbc IgM - 0.047; Anti Hbc IgG (reverse) - 0.444 Please interpret them and what can he do to prevent these results from progressing. | Hi, Thank you asking ChatDoctorHbsAg 8,905 show that he is carrier of hepatic virus B.the other exams show that he has not acute hepatitis B, but may be is chronic hepatitis B.to show if it is chronic hepatitis B, how active is the virus he should perform some other tests like ALT, AST transaminase, bilirubin direct and indirect, HBV-DNA, abdominal ultrasound. After that he should consult a Castro hepatologist to decide if he has chronic hepatitis B, and if he should start anti-viral treatment. All the best Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | i want to pierce my nose under local anesthesia can it be done in a hospital, if so then can u pls suggest a hospital in coimbatore? | You can just go to anybody, tattoo, or piercing shop and they'll pierce it for you there with a piercing gun, which just feels like a little pinch, and it goes very fast. It won't hurt very much after there done, just for the first day or so and then it will be fine after that. It will be a little pink around the piercing for a few days to a week, but that is normal. I did mine by myself with a needle, which hurt a little more because it didn't go as fast as the gun, but it was certainly worth it! Saved money, you know? So that's another option you can try. I hope this helps! You are going to look adorable with your piercing by the way, so go for it! :) |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi,I am 23 years old and suffering from nasal fungal infection, it was one year now since i took the surgery for polyp removal, and now in a relief state only if i use the wysolone 5Mg daily night.And most importantly i would suffer with allergy rhinitis if i stop using wysolone for 3days, what i want to know is there any good method in stopping this steroid(Wysolone 5mg) just want to get avoid from side effects. or is it in continuing this way.... | Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Yes, you can stop it in only one way. You can find out possible allergen causing allergy to you. Wysolone is steroid and prolong treatment can cause fungal infection to you. Steroid causes immunosuppression so inhaled fungal spores can grew and cause fungal infection. If you can search the possible allergen than you can gradually tapper the dose of steroids. And once you feel that you are free from the possible symptoms you can switch down the steroid. Please get your blood sugar done as diabetics can have increase possibility of fungal infection. Please maintain good hygiene as it is equally important in treating the infection. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hello doctor, My father is 62. he is having liver problem and is taking medicines. He is non- alcoholic. we got his hepatitis C test done and it was negative. We recently had his LFT done. His report was Bilurbin1.20, Conjugated Bilurbin - 0.70, Unconjugated Bilurbin - 0.50, Total Protien - 6.70, Alumbin - 3.60, Globolin - 3.10, A/g ratio - 1.16, SGOT -67, SGPT - 81 Alkaline Phosphate -134. From last few months his SGOT and SGPt has increased earlier it was normat SGOT 58 and SGPT 63. No one in our family had this genentic disease. doctor has further advice to go for ANA and ASMA and Coesophonal level test. is it really require. kindly suggest and is there any risk facto if SGOT and SGPT level goes higher | Dear FriendWelcome to Chat Doctor. I am Chat Doctor. I advise you to get also Hepatitis B testing. If it comes negative, you should get ANA, ASIA, to rule out Auto immune hepatitis. However, in autoimmune hepatitis, Serum Globulin levels are raised. Also, get an ultrasound of liver to see for size and echo texture of liver. Based on the available details, this is my best advice for you. You should discuss with your doctor and share my opinion, I am sure he/she will agree to my opinion. Good Luck. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,I have fever, headache, and cold from yesterday night. I took Paracetamol. Please help. | Hi. You are most probably suffering from common cold and flu. The headache is due to sinusitis. I suggest you try taking the following: For more information consult a general practitioner online Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I AM WORRIED ABOUT MY LAST LOWER JAW WISDOM TOOTH. THERE IS A CAVITY SINCE 2011, I DO NOT HAVE ANY PROBLEM THERE RIGHT NOW BUT VERY NEXT TOOTH OF LOWER RIGHT JAW HAS BROKEN AND IF THERE IS COLD I FEEL TOOTH PAIN AND ANOTHER PROBLEM IS THERE THERE IS A SWELLING IN THE GUM. I AM TAKING AMCLAID 625 TWICE A DAY. BUT THE SWELLING IS NOT GOING. IS IT NECESSARY TO ERADICATE THE TOOTH. IF I KEEP IT - IS THERE ANY PROBLEM? PLEASE INTIMATE ME WHAT ELSE I DO OR WHAT MEDICINE I CAN CONTINUE TO STOP SWELLING. | Hello and welcome to Chat Doctor, The history that you have given suggests that you are having caries in your tooth which lies adjacent to the wisdom tooth. Cold feeling in the tooth is indicative of caries in the tooth. Associated swelling is secondary to the caries in the tooth. Since, the selling is secondary to the swelling, treatment of the underlying disease process is necessary to eliminate the swelling. You can take painkillers and saline gargles for symptomatic relief. However, these measures will provide relief for some time only. Permanent relief requires treatment of the caries tooth. You need to consult your dentist soon. A clinical examination is required to determine whether the tooth can be salvaged or not. Root canal treatment (RCT) is a technique which can salvage teeth in advanced stages also. If the wisdom tooth is also carious, management of that tooth is also needed. So, consult your dentist at the earliest for fast relief. Thanks and take care Chat Doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I am a type one diabetic with sever seasonal allergies. I have tried all over the counter (claritan, zyrtec, etc) as well as homeopatChatDoctoredications and nothing works. I have seen many allergists that tell me that taking steroids for the allergies would be worse due to elevated blood sugars but they are the only thing that works (i tried them many years ago after begging and pleading) I feel as though my sugars are more out of control due to the persistent chest, nose, eye, etc problems caused by the allergies. Do you think it would be impossible to find a doctor to prescribe a type one with an a1c of 7 some steroids for seasonal allergies? Also do you really think it is more dangerous to take steroids and have my allergy symptoms go away rather than live with highs due to the symptoms? thanks! | Hello, Thank you for asking at Chat Doctor. I went through your history and would like to make suggestions for you as follows:1. I would like to know about your symptoms in detail like since how long, how often, what are your nose, eye, chest symptoms, which medications you used, which forms of steroids you used, dose of insulin for type I diabetes, any other medical conditions, any other medicines, your previous reports, etc. etc. This will help me to understand your complaints better and to make more specific suggestions for you. As you have chest symptoms, I would definitely like to know whether you have asthma, since when, inhaler use, etc.2. As long as nose/eye symptoms are concerned, I usually prescribe my patients' combination of levocetirizine + montelukast regularly.3. Regular steam inhalation also helps in a long run.4. I would like to mention here that there are many forms of steroids available, tablet, intranasal sprays, inhalers, etc. Most side effects, including weight gain, increased blood sugar, etc. occur with tablet/oral form. Sprays and inhalers are very safe as compared to oral forms, and choosing appropriate form may help to ensure minimum side effects with maximum health benefit. 5. Of course, Chat Doctor. 6. For diagnosis of allergies, I would suggest you allergy testing for common air-borne allergens such as house dust mites, pollen, molds, insect proteins, animal dander, etc. This will help you to identify the substances causing allergies to you as well as to know the measures to avoid them.7. Based on allergy testing, an Allergist-Immunologist may prescribe you allergen specific immunotherapy which works on immune system to gradually improve allergy symptoms.8. In general, please avoid exposure to dusts, smokes and air pollution as much as possible.9. Regular physical exercise including breathing exercise and a diet rich in vitamins & minerals also will 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. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Good evening, I have a question about my hormonal contraception. I had sex with my boyfriend and we had a failure of protection (broken condom) on last Thursday, so I took the morning after pill (as I was not yet on hormonal contraception). My period was due to start on Thursday too, but instead only slight spotting started and this had lasted until Monday, when I got "real" period and I therefore started the first cycle of my hormonal contraception. How long will it be before I will be under protection of the pill? Do I need to wait for the whole cycle? I am worried if the "morning after pill" could somehow change the workings of the pill, and while the information leaflet says that my hormonal contraception should be effective from day 1 if taken on the 1st day of period, I am not sure if this is valid in my case? Thank you very much in advance for your reply | Hi, Firstly, since you were due for your natural period at the time of your intercourse, you did not need the emergency pill at all. This medication does not interfere with the regular contraception you are having at present. Only, when an emergency pill is taken, there is a disruption in the menstrual cycle with a delayed period in that cycle. The Chat Doctor. With oral pills, additional protection should be taken for 2-3 cycles as a precaution. Hope this helps. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My neck has been stiff and locks up. My bones in my lower legs ache and the bones in my upper arm ache and feel like a bruise when I touch them. The spot on my upper arm also feels hot. I told my doctor and she never acknowledged my question. Any ideas? I google it and get scared. | Hi Dear, Welcome to Chat Doctor. Understanding your concern. As per your query you have stiffness in the neck and lower leg pain. Well there can be many reasons for symptoms you mention in query sciatica, herniated disk, foraminal stenosis, cervical osteoarthritis or cervical degenerative disc disease. I would suggest you to consult orthopedic surgeon for proper examination. Doctor may take history, check movement of leg and neck, order CT scan or MRI to confirm the diagnosis. Doctor may prescribe muscle relaxant, anti-inflammatory, vitamin supplement like vitamin D 3 and in some cases doctor may recommend surgery. Doctor may also recommend bed rest or particular stretching exercises. For now apply warm compresses to neck and leg and take proper rest. Hope your concern has been resolved. Get Well Soon. Best Wishes, |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | iI have never had problems with my teeth or mouth but a couple of weeks ago I started noticing my wisdom tootChatDoctoring through, I have been in crippling pain in my jaw and left side bottom gum And my tooth is inflamed well the gum is like iv got an infection can you tell me if this is normal Thanks :) | HelloWelcome to ChatDoctorDuring the eruption of wisdom tooth all these things happen. You should gt your OPG X-ray done and visit dentist. If eruption path and space is available then it will peritonitis which will be treated by tropical application but if space and path is not available then you have to go for extraction. Meanwhile, for relieve you should do warm saline gargles 3-4 times a day with painkiller. Thank you |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have been suffering from a herniated disc for the past 3 years now. 3 months ago I suffered some excruciating pain from this condition. The pain went away after about 24hrs but ever since then I have been walking with a slight limp, I have very little strength in my right calf and my lower leg swells up every day after walking for about an hour. | Hello, If This disc bulge is not compressing nerve root, so conservative treatment may work. If symptoms persist then surgical decompression may help. Medication like methylcobalamine and pregabalin will reduce pain which can be started consulting your doctor. You can focus on spine extension exercises. Some exercises which can be done include-Spine extension exercises, Lying on your stomach flat lift leg 6 inches from ground, do it for other leg. Now lift both hand and leg simultaneously, 6 inches off the ground and supposition for around 10 breathes. Core stabilizing spine exercises will help. You may consult physiotherapist for guidance. He may start TENS, or ultrasound which is helpful in your case. If not relieved you can take epidural injection. Hope this helps. Wish you a speedy recovery. If you find this answer helpful do not hesitate to rate this answer at end of discussion. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hello doctor,My son is having loose motion since last four days. Our doctor gave Rantac, Nutrolin B, and Cyclopam. Till three days his stool was watery but today we observed blood in that and is experiencing acute pain while having loose motion. After that, our doctor suggested giving a half tablet of Lopro and 6 ml Oxaflo 100. After giving this, his loose motion has stopped. But, he is complaining about stomach pain and headache. Please suggest. | Hello, Welcome to Chat Doctor forum. I understand the situation you are facing. Stomach pain and headache could be related to the infection. Continue giving Cyclopam (Dicyclomine) for stomach ache and Paracetamol for a headache. Also give lots of liquid for proper hy ChatDoctor. If not getting relief with these measures, consult your doctor for reevaluation and further management. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi , I have had a reoccurring mouth abscess in my upper left back tooth 4 times now , unfortunately still waiting for a sedative appointment to come through ....... I have been taking some old doxycycline 100mg tablets x2 per day for 3 days and my mouth is still swollen, especially the pallet and throat (glands). my GP has refused to see me because its a dental problem and I apparently have to go to a dentists to get some new antibiotics ! I also have some Clarithromycin 500mg tablets left here , would it be safe to maybe boost what I am already taking ( doxycycline ) for 3x days with 1x extra off these Clarithromycin 500mg tablets ? , I only have 3 left though ? regards | Hi, Thank you for consulting Chat Doctor. The reoccurring access is due to recurrent formation of pus after the access breaks down and comes up again. Sole usage of antibiotics will do no good. The pus has to be Chat Doctor. At my clinic I usually provide an antibiotic coverage of amoxicillin and metronidazole along with a painkiller and antiimflamatroy combination for such an infection. I advise you to avoid self-medication and visit your dentist soon. Take care. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have swollen feet which pitt 3 months after chemo TAC. I also get a tight throat and breathlessness. I do have a chronic lung condition which I have been told in not sinister. I was really fit and finding stiff legs when getting up or after sleeping a pain in the neck. | Thanks for your question on Chat Doctor. I can understand your situation and problem. Swelling and stiffness in legs is commonly seen in right sided heart failure. You are also having chronic lung disease. These diseases in the later stages cause right sided heart failure. So better to first rule out this. So get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. You also took chemotherapy. And sometimes chemotherapy can cause renal damage. This can also cause lower limb swelling. So also get done renal function test (creatinine and urea). So consult doctor and discuss all these. Hope I have solved your query. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My 2 yr old son was positive with strep and an ear infection, treatment ordered was 6 ml of amoxil x 10 days. Ten days after medication he broke out in fevers again 104 range. Cbc showed high neutrophils with ok platelet count. There have been loose stools after pediasure drinking (he is lactose intolerant) but im not sure if its contraindicated for him. He has had numerous amounts of strep throats since he was 4 months old. He suffers from chronic constipation and is pre asthmatic. He is also anemic with weight losses flucuating between 4 to 6 months in 3 months. | Hi dear, it is pity, but he has again bacterial infection, because level of neutrophils is very high. Actually, we should treat him according to sensitivity to antibiotics. He has resistant flora. Consult him at ENT doctor, discuss question about tonsillectomy. I suggest-cefa Chat Doctor. -add enzymes syrup during meal for 1 month, he will gain weight Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. I will be happy to answer your questions. Wishing your son good health. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My 30yeat old sister died 2weeks ago from an asthma attack she had no plan in place and in the past year she had been in and out of hospital god knows how many times we feel that they didnt do anything for her we need answers how do we go about doin that? A very hurt and upset sister. | Hi, Asthma is due to allergy. The best treatment is to stay away from allergen. SO if not possible and due to frequent attacks' controller therapy with inhalation corticosteroids with or without other Chat Doctor. If severe acute attack, short-acting bronchi dilator (inhalation should be given) to prevent acute attack with or without steroid (inhaler or nebulization). These will help in preventing problem due to asthma. Regards |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Hi , I am attaching my semen analysis report , please suggest -Do I have infertile semen ? . Regarding Thickness , Motility & presence of (PUS Cell + Germ Cell ) please suggest -is it normal . I am 40 yrs old . lately married & truing for baby . Please give some good suggestion. SEMEN ANALYSIS SAMPLE INFORMATION TIME OF COLLECTION 2.25 p.m. TIME OF ANALYSIS 2.35 p.m. ABSTINENCE (IN DAYS) 5 Days PHYSICAL EXAMINATION COLOUR - Off white VOLUME 5.0 ml VISCOSITY Thick REACTION Alkaline pH 7.2-8.0 0 LIQUIFICATION TIME 25 20-30 minutes MICROSCOPICAL EXAMINATION SPERM AGGLUTINATION 1 2 - 3 scale SPERM COUNT 102 millions/ml MOTILITY 1ST HOUR MOTILTIY RAPID PROGRESSIVE 10 % SLOW PROGRESSIVE ---15 % NON PROGRESSIVE-- 25 % IMMOTILE --50 % 3rd HOUR MOTILITY RAPID PROGRESSIVE--- 05 % SLOW PROGRESSIVE ----10 % NON PROGRESSIVE 25 % IMMOTILE---- 60 % SPERM MORPHOLOGY NORMAL-- 80 % ABNORMAL ---20 % OTHER CELLS (per 100 sperms) ROUND CELLS (pus cells + germ cells) 2 - 5 /hpf EPITHELIAL CELLS OCCASIONAL RBCs---- OCCASIONAL FRUCTOSE TEST--- Present With Regards | Hello, welcome to Chat Doctor, Your semen analysis report shows Normal physical examination. Sperm count is within normal limit. Motility of the sperm is lower than required (normal is >40% as per WHO 2009). Morphology of the sperm is within normal limit (normal is > 04% as per WHO 2009). Among the other cells, round cells are mildly increased (normal is occasional as per WHO 2009). Presence of fructose is also a normal feature. So, overall, the semen analysis report shows normal report except the motility and presence of pus cells. Consult with your treating doctor. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | My daughter has thrush (age 4) she has been suffering with this on and off for over 3 months and had a water infection about a month ago, she is now showing signs of another water infection (frequent toilet with just a dribble and stinging sensation) the GP says this is just thrush and we should just continue to use the cream prescribed 6 weeks ago that we have been using on and off since prescribed, he did not test her urine so how does he know she does not have another urine infection? | Hello, As per your complaint thrush is a fungal infection, and it can reoccur if the previous infection has not yet subsided, and also if the child is being given antibiotics for some infection. Also, frequent urination and Chat Doctor. I would suggest you first consult a pediatric dentist, and get evaluated, and he can do microscopy of the scraping from the tongue done to confirm that it is thrush. In case if it is thrush, then you have to continue applying antifungal mouth paint like Candid mouth paint and along with it gives plenty of probiotics like Yogurt and garlic. Feed with plenty of fluids. Hope I have answered your query. Let me know if I can assist you further. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | I have a deep pocket on #36 and was told by a periodontist that it had very poor prognosis . She advised me either to have it extracted (which means she could offer an expensive implant) or to have a root canal done followed by a perio cleaning. My intuition told me it was not an endo problem because the tooth did not ache, only was slightly sensistive. However, later it started aching. I rushed to an endodontist, who did the first part of RCT (put some medication ). Questions: Was it the right thing to do? What is the next step? To have gum grafting? Can I have a gingival mask? | The normal depth of gingival Julius is 2Β mm. Periodontal pocket occurs in case of chronic gum inflammation. In case of periodontal pockets, there is loss of bone and ligament and the Julius gets deepened. So you require pocket reduction surgery for this. Pocket reduction surgery is done to reduce the depth of the periodontal pockets and to allow less of plaque and calculus deposits and greater access for hygiene. Pocket reduction surgery reduces the bacterial spread, stops the bone loss and enhances the smile of the patient. If the surgery is not performed, then more destruction of gums can take place and the tooth may eventually become loose and fall. Get the surgery asap to avoid any complication. The surgery will be performed under local anesthesia or general anesthesia. The gums are pulled back from the teeth and bacteria and calculus will be eliminated. There will be significant reduction in periodontal pocket depth after the surgery and the condition of gums and teeth will improve significantly. Till the time you get surgery for pocket reduction done, maintain a good oral hygiene and brush and floss regularly. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | hi i am 25 yr female having hair loss in frontal region. i am taking follihair and minoxidil 5% twice daily for 1 mnth n iron n calcim suppl. have normal testosteron n dheas normal and dont have pcot. low vit d and familial dyslipidemia. after using minoxidil i think my hair fall increases. some times i develop nodular cystic acne. my doctor dignosed me seborrhea and telogen effluvium. i am very depresses. should i take androgen blocker like spironolactone or something else for how mch time please help me | You're most probably having female pattern hair loss which starts with thinning of hairs which over the time leads to progressive hair loss... As you say you have started with minoxidil 5% and collinear...minoxidil is the most trusted and FDA approved Chat Doctor. .yes its true that in the beginning people noticed even a more hairball but don't panic it will go in a couple of weeks, and you will notice new hairs soon...remember the full effect of minoxidil takes 6-12 months...don't switch medicines and have patience...and yes get yourself checked to rule out POD which could be the root cause of all your problems...thanks |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Urgent care one week ago, doctor last Monday, finished zpack today from Wednesdays appointment. Chest X-rays Friday, which I ave not heard back about. Still coughing a lot, Chest hurts and is so heavy to breath. Sweating a lot with little effort, exhausted. Feel so sick still. Should I call doctor today | Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you should definitely call your doctor and ask about x-ray report. Because possibility of lower respiratory tract infection - pneumonia or bronchitis is high in your case. Chest x-ray is needed for pneumonia. If chest x-ray is normal then get done PFT (Pulmonary Function Test) for the diagnosis of bronchitis. You may need antibiotics, antihistamines and inhaled bronchodilators with inhaled corticosteroid (ICS). So immediately consult doctor and discuss all these. First diagnose yourself and then start appropriate treatment. Hope I have solved your query. Wish you good health. Thanks. |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | Date 07/07/2011 Patient Id 0000 Emp. No. Report Date 07/07/2011 17:16 Name Mst. MALAY NEGI Age 8 Yrs Sex Ref. By Dr. C G H S Company CGHS CASH Test Name Value Unit Biological Ref Interval HAEMATOLOGY HAEMOGLOBIN (Hb) 11.8 g/dL 11.0 15.5 TOTAL LEUCOCYTE COUNT 6800 /cumm 5000 13000 DIFFERENTIAL LEUCOCYTE COUNT NEUTROPHIL 62 * % 40 60 LYMPHOCYTE 37 % 25 45 EOSINOPHIL 01 % 01 06 PERIPHERAL BLOOD PICTURE RED blood cells exhibit mild anisopoikilocytosis with occasional leptocytes & microcytes in picture. Hypochromasia observed with occasional pencil shaped cells. No codocytes or basophilic stippling seen. WHITE blood cells show no significant abnormality PLATELETS are adequate NO immature cells or hemoparasite seen. COMMENTS : MICROCYTIC HYPOCHROMIC ANEMIA . BIOCHEMISTRY SERUM UREA 105 * mg/dl 0 50 Tech:Urease/Cobas311 SERUM CREATININE 3.4 * mg/dl Tech: Jaffe/Cobas311 SERUM SODIUM 130 * mmol/L Tech:DISE/Vitros SERUM POTASSIUM 3.8 mmol/L Tech:DISE/Vitros SERUM CALCIUM 9.6 mg/dl Tech:OCPC/Cobas311 SERUM INORGANIC PHOSPHORUS 5.5 * mg/dl Tech:Molydate/Cobas311 SERUM ALBUMIN 3.5 * gm/dl Tech:BCG/Cobas 311 Sample Booking Time 13:10:29 TEST REPORT 07/07/2011 17:16 Name Mst. MALAY NEGI Age 8 Yrs Sex CLINICAL PATHOLOGY URINALYSIS URE PHYSICAL EXAMINATION COLOUR WATERY CLEAR VOLUME 35 mL URE CHEMICAL EXAMINATION SPECIFIC GRAVITY 1010 PH 6.0 NITRITE NEGATIVE PROTEIN ++ GLUCOSE NEGATIVE KETONE NEGATIVE UROBILINOGEN NEGATIVE BILIRUBIN NEGATIVE URE MICROSCOPY EXAMINATION PUS CELLS NIL /HPF EPITHELIAL CELLS NIL /HPF RBCs NIL /HPF CASTS NIL CRYSTALS NIL OTHERS NIL My child is suffering from Hydronephrosis since last year and his left kidney functioning 72% and right kidney 22 % by DMSA scan on August 2010 report. | Hello, I have seen your child reports. The CBC is almost normal. Kidney function test suggestive of deranged kidney function and urine report suggestive of protein loss. As you already told about DMS scan function that was low. These all report suggest kidney disease. In this age, you have to investigate for etiology. Do ANA, Bag, CV, HIV. After then C3 level. Then go for kidney biopsy. Once cause is found then treat according to that. Meanwhile you have to watch for Urine output, Oral intake, swelling of body, serum potassium level and increasing pattern of urea and creatinine. If anything go wrong and patient became breathless or swelled then go for dialysis. Thank you |
ε¦ζδ½ ζ―ι«ηοΌθ«ζ Ήζζ£θ
ηζθΏ°εηι«εΈει‘γ | First of all i have a real bad back.I have 3 buldging discs with 2 tearsand 1 ruptured disc and the Dr said my spine was shrinking what ever he ment by that.I am on desibility and cant do a hole lot but more since i have been off work.but for about the last mabe 8 to 12 months and the last 4 months getting worse and i have been lifting heaveier stuff, i have been hurting worse when i sit down and notice it to when i squeeze my butt cheeks and i was courious about what it is and is it anything to worry about? Please let me know. My email is YYYY@YYYY | Hi there. Thanks for your question at Chat Doctor Your concern about the MRI findings are appreciable. The advances in spine have made modern day spine care more safe and successful than ever before. It can definitely be treated. There are few things you can do from your side to protect your spine : 1. Not to life heavy weights. 2. Avoid squatting or any activity which would require you to sit on the floor. 3. Avoid bending forwards. 4. Avoid twisting movements of your back. With these precautions and added back strengthening exercises, you can help your back recover. However, you might need additional treatment like injection shots or surgery if your pain has been non-responsive over more than 2 months, with radiation to legs associated with numbness or tingling. Your intensity of pain and the disability associated with back pain are as important as your MRI findings in guiding the course of action. Hope this helps. All the best. Chat Doctor. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.