instruction
stringclasses
1 value
input
stringlengths
0
11.2k
output
stringlengths
58
3.44k
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I m a 54 year old male. Nonsmoker fairly healthy with no family history of heart problems. Here lately I periodically get this stinging pain around the area of the heart. It last about a minute or two. I can breath fine not sweating and no light headed. Was wondering if this is signs of a heart attack or something I need to have looked at immediately
Thanks for your question on Chat Doctor. I can understand your concern. In my opinion, you should get done ECG and 2d echo to rule out heart diseases. If these reports are normal then no need to worry about heart diseases. Sometimes stress and anxiety can also cause similar symptoms. So avoid stress and tension, be relaxed and calm. Don't worry, you will be alright but first rule out heart diseases. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My blood pressure is 149 over 88 and my pulse is 112, I had a aortic valve replacement in June 2011 and they can t seem to get my coumadin levels right. Doc told me my level was a 10 on Monday and told me not to take any for 3 days. Now I m hurting under my left breast especially if I take a deep breath. What should I do?
Hi, If the pain is localized under the breast and gets worse with breathing than most probably it is a muscle pain. As you have high INR level around 10, it is not advisable to take a painkiller, I would advise you to use local painkiller ointments, such as diclofenac. The pain is not dangerous, it can easily reveal with painkillers, such as Ibuprofen, Naproxen, Diclofenac. But it would be better to wait until your INR level is under 3. Hope this was helpfulWishing you good health In case of further questions don't hesitant to ask
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi.....about 2 weeks ago I twisted my leg and hurt my knee. They did xrays and told me I had fluid around my knee. Gave me crutches and wrapped it up. I still can not bend my leg properly and I have very intense pain that shoots from my knee to my ankle. How long does fluid stay around your knee? And should I go back to the doctor?
Dear patient With twisting injury of the knee, meniscus might get torn and in that condition X-ray will be normal. MRI of the knee should be done to rule out internal knee injury. Please get it done from radiology center nearby you. Meanwhile, continue crΓͺpe bandage and crutches. Start tab Choral Forte thrice a day to reduce swelling. Apply ice packs frequently on involved knee. You need to consult orthopedic surgeon with report. Take Care!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi! I am trying to start back exercising after years of no exercise at all, Im noticing when I do squats or climb stairs my knees make a cracking noise and hurt, im wondering am i too heavy and need to drop weight before doing those types of exercises YYYY@YYYY
Hello, As you are planning to start the exercises again, I will recommend making your own prescription now. First, assess your body. Which muscles are weak and which area needs more workout. Then, always start exercising with the mat exercises which includes simple leg raise, hand raise, static quads, static hams, static triceps and static biceps, breathing and core stability. Post which starts with simple standing exercise. Then proceed to aerobics and then to anaerobic. Planning the exercises beforehand step by step is always better than trying just the articles. Any damage occurred is non-reversible. So with many precautions start the exercises. Hope I have answered your query. Let me know if I can assist you further. Jay In Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
both kidney are normal in size and parenchymal echogenicity . there is pelvocalyceal fullness,both kidneys . no lithiasis . no focal solid or cystic mass ... ureters-not visualized urinary bladder floating fine internal echoes.. pre void urine - 173 cc . post void urine 11 cc ... wanna know whats the really meaning of this im confused
Hi, Thanks for writing in to us. I will explain your ultrasound findings in simple terms:1. Both kidneys is normal and parenchymal echogenicityBoth kidneys are normal and structural appearance as seen on ultrasound.2. There is pelvocalyceal fullness, both kidneys kidney - ureter junction and calyxes in the kidney are well seen.3. No lithiasisNo kidney stones.4. No focal solid or cystic mass No abnormal areas seen in kidneys5. Ureters-not visualizedThis is normal as ureters are visualized on ultrasound scan only when obstructed.6. Floating fine internal echoesThis may indicate mild bladder infection.7. Pre void urine - 173 cc. Post void urine 11 CCN obstruction to flow of urine and no retention also. From the above it looks like a mild bladder infection which can be completely treated by Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I ve been on birth control for 6 months, I missed one pill in the second week but made it up the next day with my next pill , later had unprotected sex but no ejaculation in the vaginal canal, I know missing a pill can increase chance of pregnancy and pull out method isn t the best , but am I still protected
Hi, Since you have been taking birth control pills for 6 months and have missed just 1 pill, which you took the very next day. You are safe. The failure rate of combined oral contraceptive (estrogen with progesterone) is very low at 0.003%. I am assuming that you are taking the combined pill here. But they are very, very effective, and you can be sure that you are protected. Hope this helps. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I was playing Futsal 4hours ago, someone tackled me, I couldnt help my self but hit the ground with my left cheek. I didnt have any headache or difficulty in laughing, remembering my name, date , the place or talking and walking. I still dont have any of those problems.I came home, took a shower. Now I see there is blood in my mucus.Is it a concussion? I didnt have any symptoms of it ( I read a lot & I know about it) . Or its just my nose, bleeding?
Cellophane You for contacting Chat Doctor.First you should relax. Such incidents are common during games. There is no need to worry. As you fell towards your left cheek, so there is higher possibility that there is some superficial tear in your mouth which causes the release of blood. Brain concussion occurs in severe injuries like severe blow on head or an automobile accident. Take warm water and perform mouth wash with it 2-3 times. If pain occurs then you can take acetaminophen for it. Hope this answers your question. If you have additional questions or follow-up questions then please do not hesitate in writing to us. Wishing you good health.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctor,I started bleeding heavily after taking Mifepristone. It was not regular periods but thick blood clots, which lasted for a day. On the next day, I inserted a Misoprostol in the vagina, as I will be taking one tablet after every 12 hours (in total four tablets). After the first tablet, I got cramps but no bleeding. Now, I am waiting to put one more tablet after 12 hours, but I am worried since I did not bleed after the first tablet.
Hi. How are you doing? Mifepristone is a hormonal pill which will dislodge the embryo from the uterus, that is the embryo will be will be free from the walls of the uterus after 48 hours. Having four tablets of Misoprostol 200 mcg orally or vaginally at a time is simpler, easier, and can avoid all the confusion of having it at repeated intervals. But remember, if you are using vaginally, just wet it before keeping the tablets, or else they will not dissolve and will have no effect. Hope I have clarified your query, do write back.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am online because my significant other is always working with his hands, yesterday he was outside tinkering with a lawn mower I am now really concerned because he cut him self and rust is a factor, his finger is now swollen badly around the nail, he has no health insurance and he is very reluctant to go to the doctor, what should we do, we have antibiotics but are not sure what we can do, i do know if there is any red lines it could be blood poisoning help, what should we do?
He needs to go to the ER regardless of insurance problems. I understand the reluctance, but it sounds like his finger is infected, and it will only get worse. You can't be sure the antibiotics you have would be appropriate for this type of infection. In addition, infection in closed spaces like the finger often require the injury to be opened to Chat Doctor. Antibiotics alone won't cure it. If it continues to spread, it could get into the blood or could cause damage to local bone and tendon, which could cause disability in the future. Plus if he hasn't had a tetanus shot in a while, he might need one. So best to be seen promptly. Hope this helps.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Low/mid left side back pain. Pain level is 9.5 with 10 being the worst. Its radiating from my back to abdomen about hand wide below belly button. No relief. Urine is dark and foul smelling appears cloudy. Not urinating much but feels like something is in my vagina pushing its way out. Heat/icw do not work. Vibration in left leg ....constant stabbing sensation. ..running 100.4 temp with chills
Hello, Thanks for the query to Chat Doctor. Forum. If I were your treating doctor for this acute pain on the left side, I would come up with these possibilities, This includes.1 Left renal calculus or stone on the left side anywhere from kidney to urethra. Diagnosis can be confirmed by ultrasound of urinary tract system. As pain is radiating from back to front and there is dark color of urine with smell all this is an indication of urinary tract system stone.2 Left ovarian cyst, diagnosis can be confirmed by ultrasound of left side of lower abdomen 3 Infection of large intestine of left side, diagnosis can be confirmed by ultrasound of abdomen. In my opinion consult a physician and get his opinion regarding renal system stone. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Sir,I am a male of 48 yrs old. I get asthama problem during onset of cold and out set of cold. I have consulted a doctor he gave me antibiotics for five days and ventolin to continue bu aafter ten days though i am doing my norml work, still I get coughing and breathing problem in the morning and evening.
Thanks for your question on Chat Doctor. I can understand your concern. You are not improving because of you are not taking correct treatment for asthma. Ventorlin is short-acting bronchodilator. Its action lasts for only 4 hours. It is advisable to take long acting beta 2 agonist (LAB) (formoterol or albuterol) with inhaled corticosteroid (ICS) (budesonide or fluticasone). Oral combination of antihistamine (levocetrizine or fexofenadine) and anti-allergic (montelukast) once a day at night is also beneficial in asthma. So better to consult pulmonologist and discuss starting these medications. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
is it possible to get pregnant while taking tetralysal? I have the coil but my doctor told me it would not work with this acne medicine for three weeks. I have two days to go before completeing the three weeks. Could I get pregnant if I and my husband have done something?
Hello, and I hope I can help you today. If you have the coil, there is no reason that it would not be effective while taking an antibiotic. The interaction between antibiotics and birth control refer to oral contraceptives only (pills). The hormonal coil only delivers hormones to your reproductive organs, so it would not interact at all with any pills you are taking. So in summary, you are still protected from pregnancy with the coil, so you do not have to worry about any additional protection from pregnancy. I hope this information was helpful and best wishes,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello, my right side of my jaw is in so much pain just started yesterday, when i open my mouth i can not open it all the way, i can turn my head, i can swallow jus hurts a little and when i touch the spot where the pain is located it hurts extremely bad, the whole upper right of my neck is swollen compared to the left side?
Hi. You have not mentioned the area of the spot but after hearing your symptoms I am quite certain that the problem is related to your wisdom tooth which is either erupting or else is tilted in the wrong direction. It happens as food gets lodged in that area and It's difficult to access it with a brush resulting in infection. This infection in turn causes discomfort in the surrounding gums and also results in mild swelling in the area. Warm saline gargles may help and I would recommend you to visit your dentist who can give medication as well as can clinically see the problem. Regards
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi im going to have one of my wisdom teeth cut out. Its on my bottom right and my dentist tells me that she cant do my left side of my wisdom teeth because she cant get to that side good but she can do my right. she is sending me to a surgon to have those on my left done but next week she is suspose to do my bottom right because its causing me alot of pain. i was wondering if it was okay that i let her do it with her not being able to get to my left side i scared she may just want my money. i cant afford to have my teeth more messed up than they are. also she said i will be awake but i would be on gas and that worries me. she had giving me Ibudone 5-200mg generic for reprexain and it barley helps me now with the pain and i was wondering with one tooth being done will she give me something stronger than that or will i even need anything stonger?
Hello,First let me suggest you that, to get a proper treatment you should trust on your dentist. Or else you can go for second opinion too. Usually antibiotics has to be taken in complete course, prior to extraction of wisdom teeth which is inflamed. Avoid anxiety and stress as it can worsen the condition. Gargle using warm saline and Betadine. Maintain oral hygiene well. Please have an open discussion with your dentist regarding this. Hope this helps.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, i am 22 year old female. I just had viral infection. Urinary tract and chest infection. Both infection are cleared now but i have lost weight but i do have apetite. I still feel tired and have on and off high pulse rate. It has come down from 125 to between 70-90. My thyroid is being checked. Do i need to be concerned? i need to gain 15 kg im 40kg and am 5ft 2 small frame.
Hello. Thanks for writing to Chat Doctor. I read and understand your question very well. I try my best to help you. As you have just recover from viral infection. It happens to decrease appetite after infection. It is also had weakness and high pulse rate after infection. So don't worry about this. Just diver your thoughts out of these things. Do what ever you like, you enjoy , just diver your thoughts. Keep yourself busy by doing things. All thing return to normal after few days. Try to take food, fruits that you like. I hope my advice will help you a lot. Thanks and Regards. Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello, I started feeling a pain in the middle of my chest yesterday while I was at work. (I have an office job). It continued through last night and today. It is not so much of a sharp pain, but more of a extreme pressure feeling. It intensifies as I take a deep breath in, when I go from sitting to standing, and the worst when I lay flat on my back. It has gotten worse since yesterday. Is this something minor, or that should be checked out before Monday?
Thanks for your question on Chat Doctor. I can understand your situation and problem. Yes, you should definitely consult doctor immediately because heart related pain can present in similar way. So better to get done ECG and 2d echo. If both are normal then no need to worry about heart diseases. HERD (gastroesophageal reflux disease) can also cause similar symptoms. It is due to laxity of gastroesophageal sphincter. Because of this the acid of the stomach tends to come up in the esophagus and cause the symptoms of Central chest pain. So take proton pump inhibitor. Avoid stress and tension. Avoid hot and spicy food. Avoid large meals. Go for walk after meals. Quit smoking and alcohol if you have these habits. Don't worry, you will be alright. But first rule out heart diseases immediately. Hope I have solved your query. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Yes, In May 2012, I had a gastric bypass and all was well before this. In January 10, 2013 , I had lab work done by my pcp and was referred to a GI dr and he said my liver function numbers were too high which they were a 790.5 and should have been a 100 He placed me on 60mg of predisone for 3wks and then on 6-MP to go along with it in a week my numbers came down from 790.5 to 592 and anoher week my dr said it was down to 92 he said that was the improvement he was looking for but I still have to go in to do labwork wkly and to see the dr to discuss the results of it with him wkly until he feels that he;s satisfied with the progress of my illness . He;s also recommended that I go to the Liver Disease center at uams since they specialize in this. I don t know what stage I m in but, I began haveing the swelling of the legs and feet only after He put me on the prednisone and the 6-MP never before was this a problem. I want to know does anyone ever survive and live a normal life with this disease? I ve never drank, smoked anything, or done any type of drugs and I don t have hepatitis of any kind, bloodtests have proven this in my labwork. I m overwhelmed by all this news.
Hello! Thanks for putting your query in Chat Doctor. I am a Gastroenterologist (DM). Marked elevation in transaminase levels in you may be due to acute viral infection, Chat Doctor. So for evaluation and management for these I would like to advise to visit a gastroenterologist hope I have answered your query and this will help you. If you have any further query I will be happy to answer that too. Remain in touch and get-well soon.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
1 yr ago I had profound low back disc herniation to three discs. Had severe left leg & foot pain & numbness. 7 months ago had back surgery. Making good progress with improved mobility. 1mnth ago I began experiencing a slight tingle to left side, tip of my nose. No pain, just irritating. Could it be related to my low back injury?
Answer: Hello, I have studied your case. Never any tingling in nose is related to back problemsMedication like methylcobalamine with muscle relaxant and analgesic will reduce pain; you can take them consulting your treating doctor. You may consul tent surgeon for nose problems Hope this answers your query. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I am 19 years old from Philippines. I am currently working and the company complies to have a medical clearance. However, it was found on the medical results that my UA-urobilinogen is 4.0(H) and was advised for a nephro clearance. Another, this past few weeks, the upper right side of my abdomen was aching. May I know your opinion about this? Thanks is advance!
Good Day, and thank you for being with Chat Doctor ! I would suggest getting a Pub ultrasound to determine if a problem is present or not in your Urinary system. Also, I would ask you to repeat your urinalysis. I hope I have succeeded in providing the information you were looking for. Please feel free to write back to me for any further clarifications at: http://www.ChatDoctor .com/doctors/ Chat Doctor. Best wishes
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I FELL IN BATHROOM ON MY KNEE ...ENDED UP IN HOSPITAL FOR ABOUT TEN DAYS...HAD X RAYS..THEY TOLD ME THAT NO BAD DAMAGE BUT THAT IT WOULD STAY SWOLLEN FOR SOME TIME..THEY DID DRAIN THE KNEE..SINCE THEN..ABOUT 3 WEEKS LATER..THE PAIN HAS GONE AWAY BUT IT IS STILL SWOLLEN ...AND NOW IT IS VERY WARM TO THE TOUCH AND KEEPS ITCHING BADLY.. AM CURRENTLY UNDERGOING KIDNEY STONE REMOVAL OPERATIONS ON AN OUTPATIENT BASIS IN THE SAME HOSPIT AL...AM 65 YEARS OLD AND 314 LBS
Hithank you for consulting ChatDoctorsir going through your complaints it seems you haven't been completely evaluated, sir you didn't mentioned what did they Chat Doctor. .with your presenting complaints and signs like warmth its just an inflammation where to l feel itchy, need not worry about DAT, as it will subside once the swelling subsided, but I think you have to run MRI to unveil your debts about was exactly is wrong with your knee. Thank you
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctor,I am a gay, married to a woman and had sex with my wife. My question is can my sperms impregnate my wife? If it happens, my children will be straight or gay?
Hi. Yes, even if you have homosexual orientation even then you will be able to make your wife pregnant. No need to worry for that provided your sperms count is normal. Homosexuality does not have direct genetic inheritance. So, no need to get worried for that too. For more information consult a sexologist online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
HI my daughter has a hole in he heart and we were told its big enough to cause heart fail;ure. She has down syndrome. Can someone please help us with free operation for we really need it cuz we cant afford it. We love her dearly and dont want to loose her. She is only a few months
Thanks for your question on Chat Doctor. I can understand your concern. Surgical correction of septal defect in heart (hole in heart) is must if it is large and patient is having congenital heart diseases. Since your daughter is having both, large defect and downs syn Chat Doctor. So better to consult pediatric cardiovascular surgeon and discuss all these. In India, in Bangalore, Satya SAI heart hospital is world-famous for pediatric heart surgery. And they do surgeries forum free of cost in some patients. So contact this hospital and discuss your financial matters with them. They will surely help you. Hope I have solved your query. I will be happy to help you further. Wishing good health to your daughter. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my name chandan. my sister name is munmun biswas . my sister going to mental disoder.age = 32+,weight=53kgs,many medical titment going to done.but they not best my sister still have a problem mental disoder.We go to cmc hospital after two monyh titment my sister going to be ok.But when we return to our home village the same problem are to grow.My sister divorse by her husbend 5 years ago.my fathers is sugar paitiont .my mothers is high passur paitiont.we are two brothers.we are married.every one day my family going to be face the mental disoder of my sister.My sister is so sweet and briliyend.she pass graduted. how did she going to shes normal life please tell me the advise
Degree understand your concerns went through your details. I suggest you not to worry much. From the description it is not clear that what type of mental problem your sister is suffering from. You had not given any noteworthy symptoms also. But for mental illness, A qualified psychiatrist is the right specialist. But she also needs psychotherapy and relaxation. Medicines alone cannot cure mental disorders. Lifestyle changes, change in thought structure and pattern are essential. Psychotherapy is the correct therapy procedure, and it shall give you good result if provided along with psychiatric treatment. Hope this answers your query. If you need more of my help on this regard, please post a direct query. Please provide every detail as possible. I shall teach some tailor made psychotherapy techniques which should be of immense help. I am always available to clear your doubts. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, I am 30 years old and me and my husband are trying to conceive for the past 2 years now. All tests have indicated that both my tubes are blocked which also got re-confirmed by laparoscopy surgery that I underwent last week. My Doctor has suggested IVF. Can you kindly let me know is IVF the only solusion in my case. How good is the success rate of IVF at Oyster & Pearl Hospital in Pune. All other things have been confirmed as normal by my doctor.
Hi welcome to Chat Doctor. I have gone through your question. Both tubes are blocked that means you can't conceive naturally. But options are there to conceive with your own eggs. GUI intrauterine insemination, in that your husband s washed semen and your ovum inserted in your uterus. And can bypass the track/fallopian tubes. Ivf is also a good option. You should consult a gynecologist for which is a better option for you. Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am currently on 20mg Lexapro. I have been on it for a month. I cant sleep, think straight and feel depressed. I was previously on Effexor 75mg and it didnt do anything either. I dont think the Lexapro I am on is working but I dont have a clue as what I need to be on. My doctor is leaving it up to me but I dont know what to do. Help.
Hi, Lexapro and other SSRIs can take around six to eight weeks to show their full response. So I feel that you need to be on 20 mg Learn for a few more weeks to be able to say that it is not working. While 20 mg is an adequate dose for Learn, for Effector the dose that you tried was just the starting dose and should have been built up to around 150 to 300 mg per day. If Learn shows no response even after a few more weeks, there are many strategies to augment the effect of Learn. Addition of bupropion, buspirone, thyroxine, lithium etc. are well known measures. Psychotherapy is also a good option. Please do not worry. If you have not consulted a psychiatrist so far, then please do so as it is possible that your family physician may be finding it difficult to manage your depression now. Hope this helps you. Best wishes.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my sister just had surgery to remove hernia had one removed 3 years ago so much scar tissue so hernia removed through abdomin due to scar tissue. Since surgery she has had an irregulat heart rate getting as high as 160. She has previously been diagnosed with atrial fibulation. Could that be causing irradic heat rate
Mistrial Fibrillation is a condition in which there is irregular heart rate. This occurs as the electrical impulses are not occurring through the normal pathway. It is very unlikely that the hernia and surgery could trigger the fibrillation. Is she on medication for atrial fibrillation? Have they found the cause for the atrial fibrillation? Many times treating the cause of atrial fibrillation will relieve the fibrillation to a great extent. Depending on whether she has persistent or intermittent atrial fibrillation the treatment for her will vary. So I suggest that you ask her to visit her physician and get a complete evaluation. Hope I answered your question. I hope she is also taking blood thinning agents
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I suffer from dizziness and loss of balance every time I bend over or squat. The dizziness occurs when I stand up. In the morning, getting out of bed causes the same thing. I took my blood pressure when I first wake up. It is normal. I exercise my hands, arms and legs before I get up. My BP stays normal. But when I stand, it goes down and my heart accelerates and I get very dizzy. What kind of doctor do I need?
I read your question carefully, and I understand your concern. The way you describe your symptoms it seems like a case of orthostatic hypotension (excessive fall in blood pressure when you change to an upright position). If it was a case of separate rare episodes it might be normal but since you describe the episodes as happening every time the cause must be looked into. The possible causes could be many. If you are taking certain Chat Doctor. Otherwise, a complete blood count and routine biochemical tests would be the first step in my opinion (to rule out diabetes, electrolyte changes, anemia etc.). Regarding the specialist since the possible causes are many, belonging to different specialties being checked by a general practitioner or an internist would be wise. If I had to pick a more specific specialty than since cardiovascular causes are the most frequent ones I would say a cardiologist. Hope to have been of some help. Feel free to ask further questions.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been diagnosed with osteoarthris in my left shoulder joint. But, right now I woke up with pain in my chest shoulder area radianting under my left shoulder armpit. I am scheduled for an MRI next week, but what could be causing this pain. I hurt so bad Im crying.
Hi, Given he history of O.A. shoulder and now radiating pain to arm pit and in chest it indicates that a nerve has been impinged at your armpit level. Things will be pretty clear once you are done with MRI. Until your next doctor appointment do apply hot pack and avoid lifting heavy weight and doing overhead activity and while sleeping avoid sleeping over involved shoulder. It may aggravate the pain and discomfort. Hope you will find the answer useful. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been diagnosed with SVT. PVCs for the last several years. Tonight, and this has happened only a couple of other times in the past, I distincty felt my heart beat three times fast in a row and then return to the normal rate (which at the time was faster than normal). For the last year I have had palpitations every day, some days all day long. Until this past year palpitations were fairly quiet and not bothersome. I did have a 48 hour monitor months back, but, of course nothing much showed up during that time period. The three beats in a row, is this a new concern and should I consult my cardiologist again. I also had an echo at the time of the monitor and it was fine.
First it is not clear from your reports whether SVT was documented on ECG or not. Otherwise from your history n holder reports it seems that you have tendency for benign ventricular extra systoles. the best way to go for signal average ECG .this will confirm benign nature of PCs. You should start Tab. Metoprolol 25 mg once a day.avoid smoking n coffee .try to get ECG at time of palpitation and if SVT is confirmed you may need electrophysiologist study.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am 48 years male i have three children one son two daughters are alive.i have problem of colon cancer , chemotherapeutic done one year before ,generally my health is normal and follow up each three month. but I have sexual problem how can I boost up and what type medicine take or diet ,my HB 16.5 and white cell are down 3.55, platelets are total 117 .there some problem in WBC and platelets .please give me answer in detail.ca was MXT3N1 level.now CEA under control 3.85.
Hi It's very nice that you have successfully got treated of colon cancer. It would have been better if you had mentioned what was the location of your cancer in the colon - like was it proximal colon or distal rectal cancer. Also, whether radiotherapy was used or not. Because radiotherapy may cause sexual problems after a year of treatment completion. Sometimes because of surgery or chemotherapy may cause some problem. The exact type of problem - whether psychological, erectile or ejaculatory dysfunction has to be quantified and qualified for proper treatment. Its better you visit your treating surgeon and also a urologist. All the best.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a 17 year old teen daughterShe was born with dark brown hairShe decided to dye it bleach blondeIn fact she dyed it weekly just so the roots would not even show a shade of brownShe went to high end salons who had me sign waiversThen after about a year of this process she was given an accidental short haircutShe opted then for hair extensions - dyed them blonde to match her blonde hairFinally her own real hair started breaking apartShe has now cut her real hair into a pixie and it will not grow backShe has been on Loestrin Fe Birth Control for over two yearsLots of blogs talk about how this medication causes Hair Thinning and Hair LossCan it also be contributing to her Real Hair Not Growing BackShe has really thick hair - just really short - nowAny thoughts, please - we are desperate for advice
There is no need to worry. It is so common for some people after dying-becoz it may cause some effect on hair follicles. First avoid any type of dyes for hair for a year-To regain your thickness and quality of hair. Then use vitae capsules oral and mixed with coconut hair oil (its must) in order to regain your old hair as it rejuvenates your hair follicles. Birth control pills don't have such huge hairless, so don't panic in that aspect. Avoid hair sprays, Chat Doctor. Definitely your daughter will be having normal hair as before.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Ok I am 43 yrs old.. recently in the last coupe weeks I have noticed and indention in the top middle front of my head about an inch long, and just in the last couple days I have now noticed a smaller one on the right side close to the first one... Should I be concerned!
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. You need to consult a Neurosurgeon at the earliest Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow-up questions, then please do not hesitate in asking again. I will be happy to answer your questions. In the future, for continuity of care, I encourage you to contact me directly in Chat Doctor at http://bit.ly/ask
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Help please. My seven month old son is attracting ants. is there something to worry about. have gone to the hospital one time for urinalysis but wasn t able to get the result because the baby s so grumpy so we left the hospital early. looking forward for your response. Thanks!
HelloThanks for writing in ChatDoctorI had gone through your query and understood your concerns. Most common cause for ants to get attracted is sugar in Trina suggest you get FBS and urine routine test done for your baby Hope this guides you. If you have additional questions or follow-up queries then please do not hesitate in writing to us. I will be happy to answer your queries. If you do not have any clarifications, you can please close the discussion. Thank you. Wishing you good health
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a little anxiety problem, and have trouble relaxing and sleeping after a work. I work shift work and long hours. I am very irritable after work and feel overwhelmed which seems to trigger the anxiety. My family MD used to prescribe 32 valium per month 1/per day taken each afternoon. I have a new family MD now due to my former family MD passed away. My new MD says she does not believe in prescribing Valium. What should I do?
Degree understand your concerns went through your details. I suggest you not to worry much. Valium is not an alternative to other remedies such as relaxation exercises. You are aware that you have anxiety problems. Then you should also know that anxiety is a disorder and not a disease. Diseases are treated with medicines and disorders can be successfully treated with lifestyle changes. You need to practice relaxation and certain lifestyle changes. Lifestyle changes include being busy and learning to prioritize thoughts. You can post a direct question to me in this website. Include every detail as much as you can. I shall prescribe some psychotherapy techniques to control your condition. I am sure that the techniques should be a success. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Has pain in the upper region of her right shoulder extending to her neck. Starting to have stronger pain leading to hit neck. No temperature or discoloration. She was applying heat to the area but as the day progresses it appears to become more painful.
Hello, thank you for your question.it looks like the problem origin is in the neck. Depending on you age and past history this may be from different causes. If you are old age it may be from spondyloarthrosis or arthritis which is degeneration of spine from age. It may he a herniated disc of the neck (cervical spine) that compares the nerves. This may be the cause if you had any trauma or fall in the past. I think you should see a neurology specialist, and he will order for you neck MRI, X-rays or CT scans and other examinations. Hope this advice will help you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my name is tanvir...i am from bengaluru(india)..my 15 month old kid is not eating properly from 3-4 days...he was passing some loose stools(whitish yellow with very bad smell)... d first day....next day he got fever...after that he was fine ...but not eating anything(very less) ...today also he vomited twice...
Diarrhea and vomiting suggest your son is probably suffering from gastroenteritis. Other causes of sucChatDoctorplaints are appendicitis, food poisoning, food allergies gastroenteritis may be caused due to bacterial, viral or protozoal infection, but viral infections are more common. Treatment for this condition antiemetic like ondansetron for vomiting, ORS solution to prevent deny Chat Doctor. For further queries regarding this disease or its medications you may take my appointment at Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I have a regular 30-days cycle of periods. Last month on 10th, my menses started. On 11th, I had sex and he ejaculated inside me. Yesterday was my actual next period, but it did not come yet. Shall I wait for the period or take a pregnancy test?
Hello. Wait for three more days. In case, it does not start, then do a pregnancy test. For more information consult an obstetrician and gynaecologist online Take care.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My problem: Whenever I drink anything cold (even semi-cold), the bone under my gums on my right side become very cold and hurt. Here is some background info (i do not know how relevant this might be): I got both of my right wisdom teeth pulled over 2 weeks ago. my dentist put in dissolvable stiches. Because of my TMJ, my jaw was basically locked after that. When I went back to the the dentist, he just told me to keep prying my jaw open. My jaw still hurts, although it can now move. It is constantly in pain.
Hi There, Your condition is called post-surgical ERASMUS. This generally is a complication after impactions & extensive bone removal. It SHD last for max 3-4 weeks till the healing is complete. The open wound exposes the jaw bone & also the root of the adjacent tooth, hence the sensitivity to cold. You need to do the following;a) Make sure the procedure was properly done: this can be achieved by a post-op X-ray or a 2nd opinion by an oral & maxillofacial surgeon.b) Take a muscle-relaxant along with pain medication to unlock the jaw muscles like IBUGESIC-MR.c) Chew on a sugar-free gum like orbit/Wrigley for 15Β min every 3hrs. This is physiotherapy for your jaw muscles’d) Gargle with warm salt water for 5Β min alternate hourlyThanks & take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi my daughter is 5 and a half years old and is constantly making noise, singing, counting, talking ... just non stop. sometimes doesnt make any sense she just wants to get it out and make constant noise. I have asked her to try play the quiet game, just sit and play quietly but it doesnt even last 2 min. when i ask her to do things like get ready for bed or finish eating breakfast she just sings or counts and i ask over and over... i asked her why she doesnt listen to me? why does she ignore me and she answered i couldnt hear you, my head is too full . i dont understand what that means and its getting harder for her to settle down. i dont know if its something she needs help with, could you help me to understand?
Thanks for the query.Your description does not indicate if this has started now, suddenly or it is so since long. If she says she can not hear you quite possibly she means that she was so engrossed that she never herd you. Some child Chat Doctor. You need to be patient and pay attention to her needs. At this age child is in the process of exploring herself, be a party to it rather than just instructing her about things. It is advisable to check with her pediatrician to rule out any problem as mentioned earlier.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello I have developed a small (pea sized) lump on the side of my left testicle. It is on the testicle on not epididymus. I am 65. I had a vasectomy 35 years ago. There is no family history of testicular cancer, or any cancer come to that. My Granma died in her 90s of colon cancer. That is all.
Hi, dairy have gone through your question. I can understand your concern. You may have some cyst or testicular tumor. You should go for ultrasound study. Then you should take treatment according to diagnosis. 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¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi ... I am 30 male and my Alanine transaminase ( SGPT ) is 93 ... I am quite concerned ... Though, I do not have any pain or any symptom suggesting fatty liver or jaundice ... I have suffered both ... I suffered from Hep. B when I was 10 years old and fatty liver 8 years ago. Please can you advise accordingly? I do not smoke. Also I am drink 2-3 times a month that too a moderate quantity. I am active on a regular basis and also maintain a very healthy wholesome diet.
HelloYour findings suggests raised SGPT level. Increased SGPT may indicate liver injury. It may be due to many reasons like hepatitis, alcohol intake, fatty liver,autoimmune causes etc. It may be due to fatty liver in your case. You may need few more investigations like routine hologram, random blood sugar, lipid profile, viral markers. I suggest tablet ursodeoxycholic acid 300 mg twice daily for three months to my patients. It helps in regeneration of liver cells. Further requirement of medicines depends upon findings. I suggest follow-up test after two months. You should quit alcohol completely. It is good that you are active in daily activities. Try to maintain it. Get well soon. Take Care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband has been having lower stomach pains since sept. and are getting worse. He has the pains all the time now along with diarrhea, weakness, loss appetite,and has had a fever for a week now of 101-102F. He had a stool sample done and they found some WBC in the stool. Im worried and was wondering if you know what this could be?
Hi. Thanks for your query. The symptom complex of diarrhea, weakness, pain in lower abdomen and now with loss of appetite and fever is definitely indicative of an acute or acute on chronic intestinal infection. A 5-day course of an antibiotic, metronidazole, probiotic and symptomatic treatment should help the cause. If there is no relief after 5 days, you have to go for a consultation of a Gastroenterologist and undergo further tests of CT scan of the abdomen and colonoscopy.Further, tests to rule out tuberculosis may need additional investigations and may be a diagnostic laparoscopy. I hope this answer helps you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
AndI have 1.2 year old child. He has covirsion problem from when he is2 month old after birth.delivery is pre planned cizarion. First admitted in vs hospital and all report donned like a Brian water , brain sonography , eeg ,MRI etc.. All report found normal but covirson strock continue 2-3 time in every day during treatment in vs hospital.then I checked out and admitted in Apple hospital at parimal garden Dr.abhishek bansal and other Dr refrance donned baby shield report it was normal .Dr sanjiv Mehta also consulted from. But till now Asper reffrance torleva and troptal medicine contiue but convirsoin strock continue in one time in day. He has weight now only 5.5 kg and he has no balance always keep stick his hand and leg and development is so slow kindly suggest for Treatment .
Thank you for your quires and sorry to hear about him. Most likely he has developed some brain white matter lesion which is not always visible in MRI or other tests. Now coming for treatment option, firstly you should give medicines for stopping the convulsion attack as every convulsion put a stop for blood circulation in brain for time being and put a damage which will be more detrimental for his development. He may require some combination therapy for convulsion. To improve his development you should start physiotherapy and occupational therapy which will improve his motor, sensory and speech development. Hope this helps.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I have been experiencing mild to moderate pressure from the bottom of my right bum cheek to the middle of my leg and I cannot seem to put pressure on my right leg at all. Could you tell me what this is or could be? I am taking 50 mg of Sertraline for anxiety, Thiamine twice a day and various other Vitamins. I cannot run, stretch, move in bed, straighten the leg fully, bend downwards, touch my toes or do practically anything without there being a distressing pain from the hamstring (the top of it).
Hello, Welcome to Chat Doctor forum. I read your concern. I would like to know if you ever had back pain or had a fall on your back. In my opinion, you should work a bit on back stability and core stability. I would like to recommend you to get a thorough investigation like an MRI lower back and hip, which will help you to exactly locate the source of symptoms as sometimes disc irritation and facet issues can produce similar symptoms. I recommend you to keep icing frequently. Stretch gently. Do stability exercises. Revert back to me with full details of your problem. For more information consult a physiotherapist online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi my name is madhu.My father is having problem with teeths. I consulted a dentist. They said 20 caps(steel teeths) needed to fill the missedout places.I want to know the treatment expenditures and will it be covered under company medi claim policies?
Hello, Dental insurance coverage is usually separate than medical plan insurance. Your dentists' office should be able to give you an estimate on cost and tell you the amount expected to be covered by insurance. Some companies provide a predetermination estimate. You should understand all procedures and costs before the work is started. You are responsible for costs regardless of the insurance. These teeth are in a weakened condition if caps are needed to restore missing tooth structure. Left untreated, there will be a risk of increased decay and infection. Ask for a copy of the X-rays, if you want to consider a second opinion with a different dentist. Thank you for your inquiry.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I sometimes experience numbness in my lower left lip at night. It resolves upon moving my head. Should I be concerned ? I do have degenerative disc disease which has left me 3 inches shorter than what I was younger. I have a healthy bone density. I am a 56 year old female
Hello welcome to Chat Doctor, thanks for your query. As per your history my opinion is that you must visit an orthopaedician and neurophysician. Has MRI of cervical spine, CBC, ESR, CRP get done. You should avoid pillow lifting heavy weight on head and in hand. Put a rolled towel under your neck. You can take analgesics, muscle relaxants, rant ac, methylcobalamine. Hope your query got solved. Hope further queries in the future.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctor,I am 40 years old, and my weight is 97 kilograms. I am a diabetic patient, and my A1C test showed a result of 9 %. I am taking Sitaglu Met 500 mg. It has not helped me. When I take it, within five minutes, my sugar level gets increased to 250 mg/dL and comes down again to 180 mg/dL or 190 mg/dL. Sometimes, it does not get reduced. My fasting blood sugar level is 180 mg/dL. I am thinking to change my medicines. Please suggest.
Hi, Welcome to Chat Doctor forum. Please verify the dose of Sitaglu Met. It is a combination medication. It has two medicines Sitagliptin and Metformin. Please mention whether you take 50 mg/500 mg or 50 mg/1000 mg dose. Please send a picture of it. Medication alone cannot control diabetes. Determining the type of diabetes is essential. There is a possibility that you may have type 1, so appropriate testing is required. You are overweight for your age, and the blood sugar is high. If your diabetic level is not controlled at this stage, it can lead to kidney problem and vision problem in two to three years. Both are irreversible once they get developed. Have control in your diet. If you are surely diagnosed with type 2, I can suggest you take Glucophage 1000 mg (Metformin) daily and Linagliptin injection. It is not insulin. It controls the blood sugar, and it helps to lose weight.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
sir my recent 2d echo report shows that there is mild concetric LVH am suffering from bp and troubling with breath less ness in 2009 angiogram was done .it reveals that no blocks mild cad with ectic coronaries am a heavy smoker .sir how to get rid of brethlessness
Thanks for your question on Chat Doctor. I can understand your concern. Since you are a active smoker, we should search for lung causes (bronchitis) for your breathlessness. So consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease and treatment is based on severity only. You should quit smoking as soon as possible. You will need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, you will be alright with all these. Strict control of hypertension is also needed. So take your antihypertensive Chat Doctor. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had three stents put in 5/6 years ago. I have never had high blood pressure or high cholesterol, but the Cardiologist that inserted my stents insists that I take Simvastatin, and Niacin for cholesterol and Atacand for blood pressure. Lately, I have been getting light headed and my blood pressure (we have a home device) ranges from 110/60 to 135/78. Without my Cardiologists permission Im cutting my Atacand in half, but still feel light headed. Advice (beyond, go see your Cardiologist?
Hello, If you were not hypertensive before, then you can stop your Atacama and see if your symptoms improve. But by that time, you need to monitor your blood pressure daily for a week, and if it stays below 140/90 mmHg, then there's no need to start Atacama back. I would also like to advise you to check your serum electrolyte level as electrolyte imbalance due to medicines can also produce symptoms like these. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
sir,my mom facing a problem saying that whenever she looked at any one irrespective of gender she only can see genital organ of that person and transfers bad energy into next persons eye and that also behaves in same manner.she said she is not able to feel any emotion.she sleepless and there is weight loss too.she is 45 yrs had muocardial infarctions and asthma.she is suffering fro various mental problem since many years
Degree understand your concerns went through your details. I suggest you not to worry much. The description you gave is not enough for a proper diagnosis of the case. She could be obsessive towards sexual thoughts. But you also say that she is troubled by so many mental problems. Best option is to consult a psychiatrist for proper diagnosis and treatment. Do not delay, for delay can cause serious implications. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques which should help you cure your condition further. Hope this answers your query. Available for further clarifications. Good luck
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband is 73 years old and has addison disease. He was just told he has prostate cancer. The doctor took a two chest xrays and sees a spot on his lung. Tomorrow he is having a cat scan. Can this spot on his lung b e caused by his addison disease?
Hi thanks for posting in Chat Doctor I have understood your concern 1.Addison disease is a Chat Doctor. It is not concerned to the chest x-ray patches.2.chest x-ray showing patches mostly because of metastasis of prostate cancer. I can suggest you to get done 1.LFT to check for liver involvement 2.serum creatinine3. Serum electrolytes 4.CT scan of abdomen to look for metastasis 5.PET CT is better one to check for metastasis. Depending upon the stage of the cancer he. Can be subjected to surgery in initial stage, chemo and radiotherapy in advanced stages. Hope this helps you any further questions please let me know thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello mam my name is krishnamurthy i had got marriage two years back just from two month iam consulting one doctor and i had tested my specimen in that there is no live or dead sperms is it possible to get sperms pls advice me my mob no is 0000
Hi Murphy, Welcome to Chat Doctor . Normal sperm count should be more than 20million/ml and motility should be more than 50%. If in your report any parameter is low then you are suggested to start tablets containing combination of zinc, co enzyme Q, lycopene which helps in improving sperm quality and number under your doctor guidance. After taking for 3 months you are advice to repeat analysis. If improvement is there continue tablet. If no improvement then you are advice to go for assisted reproduction. If there are no sperms at all in your semen then also you are advice to try this medication before going for donor sperms. Also stop smoking and alcohol, reduce weight, have healthy diet. Hope I have been helpful Regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had a fall about a year ago and landed on my right breast. 2 days ago I found a lump in that breast - could it be related to the fall or is it likely to be cancer? Im 43, in good health, Ive never been pregnant and have no pain or nipple discharge.
Welcome to Chat Doctor .1. It could be just a lump you have noted. Not necessarily to be a cancer.2. Howevere you can not ignore at all, In 40s cancer can not be ruled out, unless until proven.3. Get an appointment with your doctor and let the doctor examine and indicate an ultrasound scan (it will exactly figure out the nature of the lump and its involvement in the breast tissue)4. I don't think it's something related to the fall.5. Get examined, hope it helps you. Wish you good health. Anything to ask ? Do not hesitate. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a chronic pain patient with 4 titanium screws in my back after it collapsed back in 1996. I recently had to have a total ankle replacement due to an awkward fall on my own ankle on ice. After 2 surgeries I thought I was going to have to have it fused but found a dr. who said he could take away 85% of my pain. My question is - it s been almost 2 years and the pain in both my back and ankle are always in pain. If not a low level pain it can go to a 10 when snow, thunder or any other low pressure system is on the way. How can I find a doctor that will treat me with both pain medications and physical therapy?
Hi there. You should get evaluated for complications like arthritis, loosening or breakage of the screws, re-fracture, degeneration of the spine etc. Avoid forward bending and lifting heavy weights. Consult your Surgeon and get evaluated for the same. Take painkiller muscle relaxants like Diclofenac with Thiocolchicoside to help with the pain and muscle spasm. Apply warm compress to the painful areas.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have had small blister like bumps on my groin area for six months now, mostly on my waist line where my underwear rub, but they have appeared in other areas of the groin. they are moving up by my naval and i noticed one forming on my inner thigh. I have had no urination pain or glandular flare ups. They its when they dry up and scab over. I have been using Lotriman hoping it was jock itch but they keep appearing in new places.
HiT hanks for your querySeems like you have developed folliculitis in the groin. Now firstly I would advise you to keep the area clean and Chat Doctor. Do not apply any kind of moisturizing creams/lotions or oil over the affected area. Wear cotton undergarments to decrease the amount of sweating. Clean the area with lukewarm water twice a day and apply an antibiotic cream over the area twice daily. If inspire of the above measures, the lesion persists or continues to increase in size, then you might need a course of oral antibiotics along with painkillers. In that case, I would advise you to visit a dermatologist for proper assessment and treatment. Hope it helps
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I would like to know the reason for pain in the stomach at the right side and blood in the stool. Once I had blood in stool previously and used homeopathy medicine to stop that, but it recurred after five days.
Hello, Welcome to Chat Doctor forum. Stomach pain on the right side can occur due to a variety of reasons like stomach infection, appendicitis, infection in your intestine, and problems in your kidneys or the ureters (a tube that connects your kidneys to your urinary bladder). Stomach pain with blood in stools is something to worry about. The cause for it can be acute infectious gastroenteritis, inflammatory bowel disease, or ulcer in your gastrointestinal tract. To diagnose all of these, I need to ask you some questions. Do you have any fever? Do you have weight loss? How is the appetite? Is the blood in stools fresh blood or is it brownish red? Do you have any history of piles? Are the stools hard? Do you have any diarrhea? Does the stomach pain has any relation to food intake i.e. does it get relieved by eating food or does it increase on eating food? Once you answer these questions, I would suggest what tests to be get done and how to treat the disease. I hope this helps.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 3 month year old son had his blood work done because he was losing weight and having trouble pooping. He was pooping every 2 to 3 days; once a day. Well, he was loosing weight because he had reflux. He had an X ray and he does not have pyloric disease. The doctor put him on Zantec and he is not throwing up. But, he had high liver enzymes when his blood was taken along with a high platelet count. Well, he got his blood work repeated and it went down and he s gaining weight now. But his platelet is still high. But, the doctor said since it s by it self not to worry, buy I am worried. What could be wrong with my 3 month old son? He passed his newborn screening and has no medical issues except reflux.
Hi, dairy have gone through your question. I can understand your concern. He may have reactive thrombocytes. It is very common after infection. If all other things are normal then high platelet count is not a problem. No need to worry about that. Just be relaxed. 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¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi, i am a healthy 25 years old male with a healthy sexual relationship with my long term girlfriend. However recently I have been having slight pain in my left testicles, so I went to my GP and she did an examination of my left testicles. She said that my left testicles had slowen a bit but there was nothing to worry about. However, the thing that worries me is the dull pain which is not very sever but remains as it has been a few days since it start hurting. Secondly, my family has a history of cancer, though its not completely related to my question but what are the chances that I might have testicular cancer or something related?
Hi, Thanks for writing in.1. Cancer in testis causes firm to hard swelling in scrotum and this is usually painless. Few people might have pain.2. The cancer lump grows over weeks to months and there can be groin lymph node enlargement.3. Some people experience weightless and tiredness when they have testis cancer.4. Your problem is unlikely to be a cancer but if there is dull pain then it is important to investigate in detail.5. I recommend a testis ultrasound scan for you if the swelling is persisting, and it is painful. You might have an infection, varicocele or HY Chat Doctor. Please wear loose inner clothes for some days. Please do not worry.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, my name is Becky and I exasberated back in Sept with heavy pneumonia in my right lung...... the last few months I have experienced tremendous hair loss and breakage--it is so thin I only have about 1/3 of my hair left but no bald spots. I also have a big lump (or bulge) about 1 inch above the base of my hairline on the back of my head. It goes all across the back of my skull. Any advice? I thought you were here to help....... but hell no....... everybody wants my money....... which I don t have. Thanks alot
Hello, After a long chronic disease, there is hair fall present, it is normal, but you have a lump, and it is back, maybe it is a lipoma or subcutaneous abscess. You have to investigate all these things like serum biotin level, zinc level, FNAC of that lump after USG. Till then take tablet Stymie M forte for three months at least and biotin-rich foods. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My 16 year old daughter is complaining of a cold sensation in her heart followed by a rapid heart rate?? Of course, I have already placed a call to her doctor but I was just curious if anyone has a similar problem. She is 5 6 and 120 pounds. She has asthma and takes meds for that but has not had these symptoms before. She has not changed her meds recently nor has she had any life changes. In the past she has complained once or twice of a sharp knifelike feeling in her heart but that only lasted for about 20 seconds. She sees her pediatrician and a pulmonologist/allergist! I have called both and will see what they have to say. She is an active normal teen with no history of heart problems. She has also started complaining of her vision being odd. She says her eyes have been watering a lot when she tries to focus on something! I appreciate any responses. She is curious if anyone else has these sensations. Thanks! Took her in to see her pediatrician and he listened to her heart and ran an EKG. Both were normal. He wants to give it a few days and if it continues he said we will have to take her to a cardiologist and she will have to wear a Holter Monitor for 24 hours. We still don t have any answers and it is still happening. Thanks for all of the answers!
The only thing for a cold sensation I can think of is acid reflux. When you get heart burn it feels crazy and can give anxiety (hence the rapid heart rate). You can remedy acid reflux (herd, or heart burn, throat burn or whatever you want to call it) by getting some digestive enzymes (try something like Source Naturals Daily Digestive Enzymes) at a local vitamin store (or try vitacost.com) and till give her enough digestive juices to help grind up her food better. Also, food intolerances will cause problems too. I discovered a food intolerance to wheat, milk and peanuts. But you have to write down how you feel after you eat something and try eliminating it for a while and see how it goes. You can ask a doctor for an Elisa test (for food allergies) but it doesn't tell us much. A food elimination/rotation diet is much better plus it can't hurt. A sharp knife like feeling is definitely heart burn from what I've felt or heard about. Make sure you write down when these things occur, what time and how long (dates) and what she had to eat earlier. Pizza is a biggie on heart burn. Hot dogs, anything with bad fats in it. Bread if she is intolerant to wheat and so on. I would throw in a thyroid (TSH) test for hyper or hypothyroidism. So many symptoms stem from those diseases (difficulty breathing, rapid heart rate, digestion issues and so on)...that it should be warranted just to rule it out. And if it keeps happening see the doc. But sometimes I do believe we have to be our own detectives. My dd has a friend that was ill on and off for a couple of years and saw 11 doctors (hello, aren't they supposed to be intelligent beings?) but no, they couldn't figure out anything. Finally, they figured out she has a gluten-allergy.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am a 57 year old female who had a total proctocolectomy done Aug 30/11. I also am a liver transplant recipient (Sept 2005). I had Crohn s Disease for 12 years or so. The pathology report after my procotocolectomy showed signs of cancer in the part of the bowel that they removed. The doctors recommended I have chemotherapy (12 treatments) which I just finished in mid-June this year. I have been having problems lately with bleeding around the stoma which can be quite excessive (can fill up my ostomy bag quickly)., The blood is very red & I noticed tonight that there are blood clots in my bag. I emptied it a couple of times & the clots were in the bag both times within a one hour time frame. I managed to retrieve one of the clots from the bowl to have a good look at it & it looks like a red gel mould approximately 2 to 3 inches long & 2 inches wide! I am freaking out trying to figure out where it s coming from. I don t believe it s coming from the stoma itself. I think the bleeding is from around the stoma but can t figure out how the blood clots can come from outside the stoma! Help - I m totally freaking out!
It is not of much concern presently whether the bleeding is from within or around the stoma. What should concern us more is the cause of the bleeding. There could be a number of reasons, like late onset liver failure after transplant (leading to bleeding abnormality), chemotherapy induced bone marrow suppression (which decreases the number of platelets in the blood causing bleeding), recurrence of cancer in the remaining bowel, recurrence of Crohn's disease in the remaining bowel. Ruling them out one by one, I suggest you get a liver function test and complete blood count done. If these are normal, then you should undergo a contrast enhance computerized tomography (CT Scan) of the abdomen followed by an endoscopy from the stoma. These tests should clinch the diagnosis and the treatment accordingly can be instituted. Meanwhile, it is not a bad idea to show yourself to a surgeon just to rule out a local cause for the bleeding like skin infection/excoriation, etc.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi i was due on my period on wed and i havent come on i am usually regular with my periods, i have done 3 pregnancy tests all of which have been negative i am confused i have been stressed recently but this has never prevented my period before and also i have been feeling very up and own one minute i am happy the next i am very moody and start crying i am so confused as the tests i have done say i am not pregnant.
Hello. Sudden changes, chronic stress, persistent worry about something,,,all this have an effect on our hormonal system and thus cause irregularity in our periods. Mostly it causes delay in it. This change in hormonal system also cause mood symptoms....this easy irritability is one of them along with frequent mood swings....all you need is to wait for your period ....if your symptoms persist even after that then you may have to consult a psychiatrist for evaluation.also it appears you are planning for pregnancy, so be cautious before starting on any medical treatment and inform about it to the doctor..... Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I had intercourse with my girlfriend and it slipped. Also, my girl just started her menstrual cycle at about the same time. After about two weeks later, I noted slight wetness at the tip of my penis and had some irritation. I took Azithromycin three tablets. The irritation stopped, but slight wetness at the penis tip remained. It is very slight wetness at the tip, as during the day every few hours we go to urinate and is only on the tip. The wetness can mainly be seen in the morning when I get up after eight hours of sleep. I got blood tests and VRDL is negative. I seek your advice on medication and what could this be?
Hello, Welcome to Chat Doctor forum. The wetness you are experiencing may not be an infection, it could be due to friction-related issue after intercourse causing some inflammation. As you have already run the tests and taken a course of antibiotics, there is not much to worry about. Observe the discharge for a week if it gets foul-smelling or you develop a fever or an itch over the area you may have to see the doctor. In the mean time get a urine microscopy and routine test to rule out any urinary tract infection. Avoid nylon undergarments and use cotton ones instead. Use a condom always during intercourse and make sure you do not have an allergy to latex.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My friend had a MRI and this was the results: Diffuse abnormal increased T2/FLAIR signal within the periventricular and deep white matter which is non-specific, but most likely due to chronic small vessel ischemic change/chronic lacunar infarctions. What does this mean?
Hello dear, MRI is magnetic resonance imaging. Brain MRI with diffuse T2/FLAIR hyperintense signals in periventricular and deep white matter, can only be interpreted with a clinical correlation. It means that if the patient doesn't have any symptoms(like limb weakness, speaking difficulty, walking difficulty, personality changes), then these hyperintensities hardly carry any significance, as they can be seen in around 27 percent of apparently healthy individuals, although mostly seen towards older age group. But if patient is having symptoms as mentioned above, then these may be indicative of a pathology like vasculitis, demyelination or multiple small infarcts, and it is in these cases that further evaluation is needed. So, if your friend is asymptomatic, just get him screened for hypertension and ask him to stop smoking(if he does so), as these may contribute to such changes in brain. If any symptoms or if any doubts, get to a neurologist. I hope it helped.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been in a monogamas relationship for years was seen by gyn 3yr ago was fine! Still with Same partner and I go to gyn last week -that said I had trichomoniasis! My partner went to get checked and he says he donot have it!! How is this possible????? I have not been with any one else!!! So how I have it and he doesn t?-we been together 15yrs. Now he thinks I cheated!!
Hi, Thanks for the query. I understand your concern. Trichomoniasis is a protozoal infection spread mostly by sexual relations (vaginal, oral or anal sex). - Only possibility of its nonsexual transmission can be use of contaminated towel / from a toilet seat. - Many a times symptoms are evident earlier in women due to the peculiar physical conditions & though male partner is infected he may not suffer from the symptoms. -Itching & white discharge is seen in females with diabetes/ after menopause due to vaginal Candidiasis...(which is not sexually transmitted) & it can be differentiated from trichomoniasis by careful inspection/ microscopic swab testing. So you need to rule out all these possibilities before blaming each other / misunderstanding. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have itchy bumps that turned into a rash from scratching I m assuming on my tailbone/lower back. A cluster of bumps. Also itchy bumps on my scalp mainly around neckline. Bumps in my groin Area, and random ones of other places of my body such as my breast, back of thighs and legs. What is this and what can I use? Cortisone isn t helping!
Hello, Thanks for the query, You might be suffering from urticaria, It presents in the form of itchy lesion on the body. It is difficult to find out the cause. It can vary from food to any other thing like Chat Doctor. You can apply cortisone, It is a mild steroid and can be safely used. You should also take an anti histamine tablet, Prolonged use of anti histamine tablet will give you better relief. Please meet a dermatologist for exact diagnosis. Let me know if you have any other doubt. You can ask a direct question to me on this forum, following the below link.https://urldefense.com/v3/__http://www.ChatDoctor .com/doctors/
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, may I answer your health queries right now ? Please type your query here... my daughter is 17yrs old and 11months before she is suffering from rt lwer quadrant pain by ultrasound and ct scan found out that she has ovarian cyst after a4mos ovaries normal size no more pain only suprapubic pain before the end of urine and trans rectal ultrasound reveals histry of pid and pelvic tb cant be entierly ruled out mantoux test done 22mm size dr told positve for tb given tb drugs 47kg 5,1ht no symptoms.i want to ask if is it possible to have the dissease soon because many procedure done it was not seen only this month seen in the ultrasound will she take already antitb drug how many months she will be cured is it contagiuos what is the best treatment for her
Hello dear, Thank you for your contact to Chat Doctor. I read and understand your concern. I am Chat Doctor answering your concern. Anti TB treatment is a long therapy. You have to take the treatment until you can completely cure with it. In many cases there is resistant in the tuberculosis bacteria. Thus, can cause treatment difficult to treat. I advixebuou should test for the Inexpert test. This test will detect the resistant to the tuberculosis bacteria and can give us idea regarding the cure. Please do not discontinue the treatment until you are fully cured. Surgical instruments are usually sterilized before they are used so, there is no chance of tuberculosis by this way. You can keep good local hygiene as this can be helpful for the treatment. I will be happy to answer your further concern on bit.ly/ Chat Doctor. Thank you, ChatDoctorInfectious diseases specialist, ChatDoctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello about 8 months ago my fingertips were exposed to battery acid. I washed them thoroughly but since then my fingers peel when they come in contact with anything acidic. It concerns me because this includes when I am intimate with my wife, and now she is starting to itch down there as well. What should I do?
Hello, I can understand your concern for the problem of peeling of skin after exposure to the acidic material. It is quite common to find such kind of thing after exposure to battery acids. I suggest you to meet an expert for the same to get the earliest relief. It could be possible that you might have touched the genital area of your wife with the same hands which touched the battery acid. In your kind of cases I generally prefer to give a mild steroid cream along with a cream containing moisturizing factors. It is quite important to see the peeling of skin to be vanished after the use of this combination. In case if the peeling is still present, then a course of oral steroid might be required. You can consult a dermatologist for the same. All the best.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hello,my name is janis,i have had lower back pain for the past 4 days and now it has gotten into my left hip and also when i lay down it is hard for me to lift up my left leg,i have to use my hands to do so,and also when i get into a car i got to do the same thing,i dont know what is wrong,i went to the hospital and all they done was give me a shot for pain and sent me home and that did not even work,what can i do.never mind i have no credit card,sorry
Hi, thank you for posting. I have gone through your query and I understand your concerns. The greatest probability is that you suffer from arthritis. Arthritis is a disease that causes painful inflammation and stiffness of the joints. To treat this condition you can take anti anti-inflammatory medicines such as Advil. Massage, chiropractic procedures and physical exercises can also help. To confirm the diagnosis you need a spinal and pelvic X-ray, a fibrinogen test and a complete blood count. Spinal Ct-scan is necessary in order to rule out herniated disc. You should contact your neurologist to discuss the diagnosis and the right treatment. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had lapband surgery five days ago, but had to have the band removed three days ago due to my stomach not being the right type for the band. Since coming home two days ago I have experienced horrendous night sweats both nights. My temperature now is 37.1.
Hello, I understand your concern. I am Chat Doctor, infectious disease specialist, answering your concern. There is chance that the vagus nerve has been cut off during surgery. Vagus is the parasympathetic innervation to the lower part of the stomach. If it's been cut of at any point of time sweating may occur. I advise you to visit nearby doctor that will guide you whether the innervation has been cut of or not. Further management can than only be possible. I will be happy to answer your further concern you can contact me here, or you can contact me on bit.ly/ Chat Doctor. Thank you, ChatDoctor
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi doctors, honestly I feel very helpless because Ive been to many doctors and have done millions of tests which show nothing but the pain remains. It has started many years ago... abdominal pain shooting down to the legs from the front, at times the pain is in the left hand side of the stomach, pain in the form of needles in the bladder region that makes it hard to sit, done many urine tests which at times show infection and at times show everything to be normal. Im truly tired from these pains, please help! Are there any special tests that I can do to get the real picture?
Hello, and thank you for using Chat Doctor ! I will be honest and tell you that it is very unlikely that I will be able to give you much new or helpful information. You say you have seen many doctors over the years and that no one has been able to figure out the cause of your pain. I am so sorry that this is the case! The many doctors that you have seen have had advantages that I do not in trying to determine why you have these symptoms. They have seen and examined you in person, ordered tests and seen the results of them, including imaging tests. If no physical cause of these problems has been found, it would be worthwhile to look into psychological causes for the pain. One possible cause is what is known as a conversion disorder. This phenomenon basically means that you are experiencing psychological stress, and it is manifesting as physical pain and illness. This stress could be related to work, relationships, money, or any other cause. Here is an excellent website that discusses conversion disorders more thoroughly: www.mayoclinic.com/health/conversion-disorder/DS00877 I hope I have given you some useful information, and wish you the best of health. Sincerely,
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband who is generally in good health, age of 77, has been suffering from serious back pain in the last few days. He is mostly only in bed. SInce he has ongoing back issues that sometimes flare up and then subside, I am not sure how seriously to take this, He has never had this level of ongoing pain and feeling sick before. He does not have a temperature, but feels somewhat nauseous, burps, and has various other aches and pain. I was wondering if he had a good case of the grippe (flu), but do not know if there could be something more serious that might need attention.
Hello, Thanks for writing to unit could be due to flu, but there is also possibility of osteoporosis, degenerative changes or some malignant pathology according to his age and severity of symptoms. A detailed clinical examination along with appropriate investigations are needed to establish a diagnosis. I do hope that you have found something helpful, and I will be glad to answer any further query.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello.. I have Non alcoholic fatty liver.I am 48yrs old. I have already started with my menopause. I am 164 cms tall and weigh 125lbs. My SGOT AND SGPT Levels are high. My mother has a srong histroy of diabetes and is on insulin. I exercise most regularly for past 4 years including yoga , simming walk and gym.Kindly advise if I can take liv 52 to help my fatty liver , if yes what should be the dosage
Hi welcome to Chat Doctor.... You have fatty liver disease.... Yes Liv 52 is Himalaya product, and it is good Ayurvedic remedy for liver... It can be used in almost every liver disease including fatty liver also.... It is available as syrup, tablet both... Two tablets taken daily....with eight hours gap... It detoxifies liver....Meanwhile, less oil used in cooking and fried food taken very less.... Some good food for liver taken like carrot, spinach, onion, turmeric, papaya, apple, Indian gooseberry etc.... Avoid alcohol... Hope your concern solved... Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have been told I have asthma. I cough every time I get barely a crumb in my throat or any kind of tickle or if I smell any kind of fragrance. The tiniest thing will trigger a coughing attack that usually lasts about one to two minutes. Every time I do, it feels like I m going to cough up a lung. It s usually not productive, though. Is this something more than just asthma? I have no fever or chills. I ve had a headache and neck pain and pain in my shoulder blades for about four weeks also. So, what s the deal?
Hi! I think that it is more than asthma. Sometimes usually during winter asthma in flu situation around, make riacutisations that does it mind more cough, with or without product, but headache, neck pain etc. speak more for a viral flu. So I think is a flu over asthma. You must treat yourself with some tea, analgesic preparations, do not stay in cold, and you may use Ventolin or other medication to prevent asthma to make exacerbation! Regard to you!
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
my grandson was recently diagnoised with schizaphrenia. He is 17 and will be 18 on March 27. He was living in California and was homeless. On Feb 11. he got jumped by three men. He was knocked on conscious, hemqtoma in the frontal lobe and 15 stitches in the face. How can I get him help? He needs to nbe reevaluated because I think that diagnose was wrong because he was coming down from being addicted to methadone
HIT hank for asking to ChatDoctorI really appreciate your concern, look this is really situation, and this has to be taken seriously, in such cases I actually advise the relatives of the patients to get the patient admitted, in good psychiatric ward under the care of psychiatrist this is the only option you have and this is the only best one, he will be taken good care there, hope this information helps you take care of him, bye
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I get a sensation of pain directly in my left palm whenever I feel emotionally hurt, neglected, betrayed, misunderstood or not cared for by my boyfriend, whom i love dearly and who loves me dearly. I am being treated for major depressive disorder for the past 3.5 years and am also under treatment for lupus, but just borderline, for the past 1 year. The pain starts instantly as the emotion arises. it is focused around the thumb of the left hand and in the palm and not much in the fingers. at times, the right palm aches too. this has been happening for the last three years. my lupus doctor put me on pregabalin 75mg for this pain for 10months but it didnt help so we slowly tapered it and stopped. what could this be. strangely, it happens only in incidents involving my boyfriend.
Degree understand your concerns went through your details. I suggest you not to worry much. I think, this is due to obsession. You had that disturbing sensation once. You expected it to happen again and tried. Then you started experiencing it as you were expecting it. Then your body brought the familiar symptom because you are expecting it. Then you started worrying that the symptom is coming again and again and expect it. Body brings it again as you are expecting it. You become worried and so on. That is obsession in simple terms. Ignore it and the problem vanishes. Many researches and researchers confirm that medicines alone cannot cure mental disorders. Lifestyle changes, change in thinking pattern, relaxation etc. are as essential as medicines. Psychotherapy can help you to change your lifestyle and thinking patterns. Yoga and meditation help you to streamline your metabolism and neurological balance. Please consult a psychologist for further information. Psychotherapy techniques should suit your requirement. If you require more of my help in this aspect, Please post a direct question to me in this URL. http://goo.gl/aYW2pR. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi doctor. i am 24 yrs old girls, recently get operated for scar in my forehead and after that i am suffering from hair fall, i want solution for stopping it and also want to know the cause behind it. I want to take some medicine which rejuvinates my hairs fatser and in bulk. before tis my hairs was fine and there was no heridetary problm in my family ragrding same
Hi, It may be halogen effluvium. Consult the dermatologist for the perfect diagnosis and proper treatment. Halogen effluvium is a condition in which excessive hair fall occurs in halogen stage of hair cycle. It may occur due to many reasons. In your case, I think the precipitating cause may be stress of surgery of scar. However, you go for investigations suggested by your doctor for anemia, vitamin deficiencies, thyroid dysfunction, other internal diseases...etc. I would advise you to take tab. Biotin along with vitamin E. Apply mild steroid lotion on the scalp. Duo shampoo with herbal shampoo. Apply oil containing herbs. Improve hygiene and immunity. Relax and be positive. Go for light exercise and yoga to reduce stress. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor, I am suffering from bilateral vericocele. I got married 2.5 years back and still dont have children. My last report says 18 Millon sperm count, far less then the range specified in the report. I consulted a urologist and he advised me a 3 months course ( 1 year back). I believe there is no difference. Do you advice me surgery for the same or there is any other cure for this problem.
HelloThanks for query. You are facing problem of infertility due to Oligospermia. You have been detected to have Bilateral Varicocele . Varicocele is one of the factors that causes Oligospermia (Low Sperm Count) do to temperature imbalance that affects spermatogenesis (production of sperms) by testis . Operating Varicocele improves sperm production in 30 to 40 % of cases to have pregnancy. Please go ahead and get operated. Chat Doctor. .
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My brother, 53 yrs old, had an artificial valve placed after his dr found that he had an enlarged heart. This was in 1998. The last few months, he has had chest pains nearly every day. This wk, the dr told him he had two black spots on his heart & would need to see a heart specialist. He s also on coumadine. The family is very worried, of course. What could this be & is it life-threatening?
Hello, After going through your medical details I understand your concern and would like to tell you that most likely he is suffering from a heart block which is common in patients with valve replacement. Kindly get an Echocardiography and a Holder (ambulatory ECG)done and consult a Cardiologist for physical evaluation and treatment. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
MY DAUGHTER HAVING COUGH FOR 3 WEEKS NOW,THE FIRST WEEK I BROUGHT HER IN AN DOCTOR AND THE DOCTOR GAVE HER ANTIBIOTIC.SHE FINISHED TAKING THE ANTIBIOTIC FOR 1 WEEK.BUT AFTER THAT SHES STILL HAVING COUGH BUT MAYBE IN ONE DAY SHE WILL JUST HAVING COUGH MAYBE 5 TIME
Hi, welcome to Chat Doctor forum. Usually, we do a sputum AFB to rule out tuberculosis if cough persist more than 2-3 weeks. But, since she responded to treatment, and cough has come down, we can try a cough suppressant like dextromethorphan, and antihistamines for 5-7 days(I guess she has no fever/yellow sputum). It may help. If cough still persist, you please see your doctor and do sputum examination.Meanwhile, avoid dusty/cold environment. I hope you will find this information useful. Thank you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi my 13 year old son was at his dads house all week till about 10:15 tonight apparently he dislocated his right knee cap yesterday at about 7:05pm while helping to move a picnic table and he poped it back in place and his dad said nothing was wrong with his knee and made him walk on it till he got to my house at about 10:15pm today and now he says it stings and he can move his leg but he can t move his leg all the ways you usually can without it stinging really bad what do we do?
Hello, I have studied his case and I think that he must have injured his ligament which is useful for knee patella stability. It can be confirmed with the help of x-rays and MRI. If there is ligament damage thence will need plaster for three to four weeks. If there is severe damage then he might need surgery. If you want then you can share his MRI details with me. I hope this answer will be useful for you. Let me know if there is any other followup questions. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi Doctor... one of my relative is suffering from testicular cancer as some of the doctors said..which is the best place to ger it treated... ?is there any side effects after its treatment?And also is there chances of having tis type of cancer again?
Hi, Thanks for writing in. It is important to know what tumor your relative is having and the stage of cancer. Most testicular tumors are of a group known as Seminole and this is the most widely occurring tumor. Seminole has a good cure rate if detected early and this shows good response to treatment in patients. There is another group of testicular tumors known as non seminomatous germ cell tumors and this group has many sub tumor types. They tend to be more aggressive than Seminoles and invasion is common. The prognosis of non-seminomatous germ cell tumors is variable and depends on the biological behavior of individual tumors. Prognosis can be inferred from tumor markers, location of the primary tumor and of course presence of metastases. Treatment at any cancer research institute is recommended depending on his location. Please do not worry.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I was diagnosed with a very large pneumonia about a month ago in my left upper lobe, I have been on 3 different kinds of antibiotics. I just received a phone call from my doctor with the results from my follow up chest xray and find out that the pneumonia has not gone away and is still about the same size. What should be our next step? She wants to put me on another type of anibiotic.
Thanks for your question on Chat Doctor. I can understand your concern. You are having persistent lung opacity despite antibiotic treatment. So possibility of these is very high. 1. Chat Doctor. Malignancy better to first diagnose and then start appropriate treatment. Bronchoscopy and CT scan of thorax are advised in your case. Bronchoscopy will isolate the causative organism and guide about specific antibiotic therapy. CT scan will tell you if there is mass lesion present or not. Hope I have solved your query. I will be happy to help you further. Wish you good health. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had a bottom thooth extraction two weeks ago a couple days after i ended up getting an infection on the extraction site went back to dentist they cleaned the area and put antibiotics in the extracted thooth,that night the area started hurting again and couple days after ended up getting ulcers on my tonge they were so painful couldent eat or sleep rang doctors had appointment for next day in meanwhile i used clorcydle mouthwash .went doctors they gave me antibiotics and adviced i continue using clorcydle mouthwash.after a week al my ulsers went and my extracted thooth is so much better.i have noticed a white spot on my gum near the extracted thooth when touched it hurts a bit .and also my bottom back thooth and upper back thooth when they touch and pressed hard it hurts .wanted to know is it normal ?
Hello, thank you for consulting with Chat Doctor. Actually sometimes the gums become pale, and they look white, till then there is nothing problematic, but as you are mentioning that it is hurting also in that condition it can be possible that it is an abscess which is occurring because of the infection in the adjacent tooth which is also hurting. You should visit a good dentist, for the problem. Hope it will help you.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi i have a problem wth my foreskin , not working properly when its erected .when i pull back and am not able to pull back , i can but have to struggle little bit and ,and i have little pain too and i pplied kz cream after tht no pain , but i have same probs till now..so am so concrened abt this and help me ..
Thanks for asking in Chat Doctor forum I understand your problem. First would like to know your age and also want to know whether it is the first time you experiencing this kind of difficulty or not. Recurrent infection of foreskin can cause scarring and contraction causing difficulty in retraction. So, you can apply point clobetasol locally and retract once daily to have better result. Consult your doctor if not subsided by 2-3 days. All the best.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am having what feels like nerve pain in my he right side of my groin when I walk.When I am laying down or roll over on my stomach it feels like nerve pain in my upper right thigh. I think it comes from some sort of back pain, but I m not feeling the pain in my back, but if I stand too long my back begins to hurt
Hi, The two possible causes are pain arising from a prolapsed disc which can radiate to the groin or muscular pain due to sprain or spasm. You can consult a physician and get evaluated. It is better to go for an MRI scan to rule out spine related problems like a prolapsed disc. As of now, you can take analgesics like Ibuprofen or Tramadol for pain. Hope I have answered your query. Let me know if I can assist you further.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi have past abortion last 2007?my ChatDoctor level rises last year 2009 shows weak positive but im not pregnant..then now im married and shows weak positive again..im stil confused about the result .shows im 2weeks pregnant or it is just because of abortion happened before..thankyou
Hi there,Please repeat the Chat Doctor test if the values double then it means you are pregnant. If the values decline it implies that its due to the miscarriage.Typically, in a normal pregnancy the Chat Doctor values double or increase in 48 hours, if it is a failed pregnancy or ectopic pregnancy the values may decrease or not increase as expected.Also, Chat Doctor values take at least 3 weeks after an abortion to normalize. So if it is more than 3 weeks after your miscarriage it is unlikely to be due to it. Very rarely a condition called molar pregnancy has to be kept in mind, in this the Chat Doctor values remain elevated inspire of no normal pregnancy. This is a serious condition and need to be ruled out in your case if its more than 3 weeks from the abortion and if you are not pregnant and if the Chat Doctor values are still elevated but not doubling. IF so then please see a gynecologist immediately. Hope this helps. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had a nasty cold that started approx 45 days ago. Started with sore throat almost swollen shot, got minutely better but have not gotten over the large scale mucous and congestion. Had elevated dimer-d, had CT Angioram, all clear Lung X-Ray clear. Fast forward today, routing exam for colonoscopy. Doc says liver feels enlarged. Does dimer-d have a connection. No pain nothing just still tons of head and upper resp congestion. Does OTC cold meds enlarge liver?
Hi.thanks for posting query at ChatDoctorincomplete history...how was enlarged liver observed>? Ultrasound?were liver enzymes tested? Was the values normal?your age/.?any liver disease history? HepB/HEPA? Usually ALT or AST values higher than "two times the upper normal limit", is considered abnormal (in some countries, ALT or AST values of more than 100 are considered abnormal). Value of AST or ALT greater than 85 or above maybe investigated further. Alcohol ingestion and obesity are common causes of fatty/enlarged liver. Advice for fatty liver:- abstinence from "Alcohol" - LOW fat diet should be followed, AVOID junk food and beverages-decreased oil consumption (oily food)- NO red meat-green vegetables should be ingested daily-use lemon juice (lemonade) once in a day-reduce weight if overweight/obese-"recheck liver enzymes after 6 to 8 weeks" and/or ultrasound. Any further questions are welcomed. Hope to answer your concern. Wish you good health. Regards, Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi during my first pregnancy at ( weeks foetus heart beat stop and i have to remove it ; now i go through TORCH test in which Rubella IgG is 191.37 & Cytomegalovirus IgG is 10.51 which is high but IgM is normal. My doctor said that no treatment is needed but im confused.
Hello, THX to contact us. If I am your treating doctor I would like to advice you that IG G is the antibody of immunity, that antibody developed as a result of the immunity towards the disease. So in your case you developed IG G to both the mentioned viruses. In contrary to Egg IGM is the antibody developed when infection is ongoing, that is for killing the virus, that is negative in your case so do not worry about the lab results. If you have anything else to ask please contact me. Than. Chat Doctor
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
hi i am 25 years old girl i have been taking feliz s plus from last 6 months . My doctor advise me this tablet for unwanted fear,unwanted thoughts,but now i have unused dreams and muscles paining problem .i feel restless. but my symptoms of unwanted fear are slowly decreasing. So i am afraid of its other side effects .Is it possible for me to stop it......
Hi Hope this message finds u in good health. I have gone through your msg and understand your concern.it may be due to some sort of hormonal imbalances or variations in the body, though there may be other reasons as reclothing to worry about, You should eventually get back to normal. Take multi vitamin and calcium supplements Do consult a gynecologist if symptoms worsened back to me for any FOLLOW-UP QUERIES anytime. Chat Doctor. .(MBBS, MS,MCH)
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I have a history of a blocked kidney last year,? due to an ovarian cyst.I have recently experienced right sided pain,and had a renogram 2/52 ago,and am awaiting the results.I have been experiencing lower centralised back pain,and a fluttering feeling in my right kidney area..what does that indicate?
Hi, thank you for posting. Your symptoms bight be related to kidney disease and ovarian cyst. Kidney pain is severe, and it can stop and start whenever(kidney area). This kind of pain is caused when the patient has ureter blockage. The most common cause is renal calculus(kidney stones). Ovarian cyst is manifested with lower middle back pain. To keep your disease in control you need an Ultrasound every 3 months. You also need: 1. Blood test(erythrocyte sedimentation rate). 2. Urine test. To relive pain you should take Paracetamol(Acetaminophen) 500Β mg(only when you have pain). I also recommend anti-inflammatory non-steroidal medicines such as Ibuprofen(Advil) 400Β mg 1 pill twice a day. And Tuscan(Butylscopolamine) 10 mg 1 pill twice a day. Contact your nephrologist and your gynecologist. I hope you find this helpful. Regards.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My husband had a triple bypass about 4 months ago, at that time they also treated him for pneumonia. Now, he complains that he still is short of breath from time to time. He also used to smoke, but has quit since the operation. Is the breathing normal?
Thanks for your question on Chat Doctor. I can understand your concern. No, breathing difficulty is not normal in his case. In my opinion, we should rule out bronchitis (inflammation of airways) in his case. Since he was smoker and had pneumonia, he is prone for bronchitis. And this bronchitis can cause breathing difficulty. So better to consult pulmonologist and get done 1. Clinical examination of respiratory system 2. PUT (pulmonary function test). PFT will not only diagnose bronchitis, but it will also tell you about severity of the disease. And treatment of bronchitis is based on severity only. He might need inhaled bronchodilator (formoterol or albuterol) and inhaled corticosteroids (ICS) (budesonide or fluticasone). Don't worry, he will be alright. First diagnose him and then start appropriate treatment. Hope I have solved your query. I will be happy to help you further. Wishing good health to your husband. Thanks.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi,I wish to ask one question. Its regarding my awful habit of eating pencils and lead. I am 27 years old and still cant control my self. I don t use much pencil at workplace or home. But whenever I use it I eat 5-10% of pencil. Also I have this habit to put pen in my mouth while using it. Although due to technology, 70% of work is done on laptop, but these habits are really bother me a lot. Please let me know how can I get rid of these habits?
Degree understand your concerns went through your details. I suggest you not to worry much. Awareness is considered to be the best and first step towards eradication of any unwanted habit. Second step is taking strong decision on that aspect. Pencil lead is made of graphite. In your case, graphite eating habit could be due to lack of some essential nutrients. Please get yourself checked by a physician. If you require more of my help in this aspect, Please post a direct question to me in this website. Make sure that you include every minute details possible. I shall prescribe the needed psychotherapy techniques. Hope this answers your query. Available for further clarifications. Good luck.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hi, My daughter has been diagnosed with having a severe chronic allergy for which the prescription of a combination of Mont air tablets and Metaspray is advised. How ever i see that she has a loss of appetite from the day she has started taking the medicine. Please advice what needs to be done Regards,
Hi, Thanks for writing in. Although Montage and Metaspray do not normally cause a loss of appetite, they can cause heart burn and abdominal pain. I would suggest that you give your child small, frequent meals and make her eat early at night. Also, avoid spicy and oily food. Further, give her the food she likes the most, regularize her meal timings, encourage her to exercise and eat your meals together. If she does not become ok, take her to a physician so that a possible worm infestation can be ruled out. Hope this helps
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I am 54 yrs old have never had any bowel problems over the yrs, never constipated, eat a good healthy diet and do not smoke or drink. My question is that I am having moderate to severe pain in the upper left side of my abdomen, directly under my rib cage. I have had the pain for 2 and half weeks.......I am getting a coloscopy next week. I have had blood wrk just the standard CBC which is normal and no injuries to my abdomen, why am I in so much pain?
Hi, Thanks for writing to Chat Doctor and for your detailed history. But I need further information regarding any recent history of trauma. Have you lifted any heavy weight recently, what are the factors aggravating your pain, any history of hypertension/diabetes if I were your treating doctor I would first take ECG considering your age, and ultrasound abdomen and pelvis most probably it is just muscle spasm as your CBC is within normal limits infectious cause can be ruled out, and no history of altered bowel habits(so intestinal disease unlikely), my advice is to take T.AEROSOL SP 1-0-1(after food) and T.PAN 40 mg 0-0-1 (before food)for 3 days.before that I advise consulting physician with ECG and ultrasound abdomen if both are within normal limits and symptoms not relieved with above-mentioned analgesics, consult neurologist to rule out spine pathology Hope I have been helpful. Regards Chat Doctor.
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I was hit in the inside part of my calf just below my knee with a softball. A goose egg appeared but no bruising for about a day. Now i have bruising down the leg with tightness in the calf and swelling in the ankle. I have had injuries like this before but never with the tightness in the calf?
Dear Sir/Madam, I thank you for having faith in Chat Doctor and for seeking help on your issue; I have gone through your symptoms, and in my opinion, apply ice over the area, take Tab Paracetamol 500 mg three times a day, apply local diclofenac ointment on the area do not rub, just gentle application is alright. Give it some time to heal it will gradually vanish away. I hope I have been able to provide you with a satisfactory solution, if you want to clear any doubts about my opinion, feel free to contact. Special note-Any medication prescribed needs to be taken after consultation with your personal doctor only. Thanks
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello doctor,I am 51 years old and have been diagnosed with an enlarged liver showing fatty changes grade-3. Is it life threatening?
Hello, Welcome to Chat Doctor forum. Fatty liver change is a progressive condition that leads to liver cirrhosis after years if not managed properly. Risk factors include obesity, high cholesterol, and alcohol. Please provide me with your alcohol intake history and your lipid profile and liver function tests. I suggest: If you have any questions, please do not hesitate to ask. For more information consult a general medicine physician online
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
My daughter has been having some problems with pains recently in her chest and back, she s been bitten by something multiple times just to the side of the armpit. She describes the pain as a pin pricking pain, she says it s bad as well, about 7 out of 10. I was wondering if I should take her to the GP? This has been happening for 2 weeks now.
Hi, By what you quote it should be an urticaria or a simple skin allergy. You can use HY Chat Doctor. Most important thing to be remembered is that it has a propensity to recur (called as second crop) within 10-14 days. If this happens, you can start using the same medicine, but I suggest you get the kid evaluated with your pediatrician. Hope I have answered your query. Let me know if I can assist you further. Take care
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
I had subcision on a acne scar and now there is a lump. How long should I wait before I go back to the dermatologist? The procedure was done one month ago as of today.
Hi...dear Colette., Thanks for choosing Chat Doctor., SUBCISION. It is a surgical procedure used in ACNE SCARS... A needle or surgical scissors are used to., physically separate the dermis and subcutaneous tissue ., after topical anesthetic is applied to the treatment area..., The skin may experience some bruising in and around..., after it will subside totally...few cases.blood and tissue., fluid collected in that area.produce Hematoma.it is one of the common complication of Submission.ok., Dont worry, immediately consult You’re dermatologist., he can remove and set right that area normally ok.than
ε¦‚ζžœδ½ ζ˜―ι†«η”ŸοΌŒθ«‹ζ Ήζ“šζ‚£θ€…ηš„ζθΏ°ε›žη­”ι†«ε­Έε•ι‘Œγ€‚
Hello Doctor My child having 3years suffering from frequent fever from 15 days due to swollen glands on the neck .our doctor prescribed us delcon plus , new deletusP syrups and nutocef50 tablets ...is this a proper prescription even though he is getting fever for every six hours severely..please prescribe proper medicine. Thank-you Swaroopa.
Hi... Recurrent fever with swollen glands in the neck for the past 15 days could be ABV infection or otherwise called infectious mononucleosis. It is a self limiting prolonged viral illness. Rarely it can cause complications. I will suggest you how a viral illness behaves so that you will 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 -